#1

GET https://tx.fhir.org/r5/metadata HTTP/1.0
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User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:08:40 GMT
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server:nginx
x-request-id:252-198892

{"resourceType" : "CapabilityStatement","id" : "FhirServer","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Local User Conformance Statement</h2><p>FHIR v5.0.0 released 20251208221453.000Z. Server version 4.0.7 built 20251208221453.000Z</p><table class=\"grid\"><tr><th>Resource Type</th><th>Profile</th><th>Read</th><th>V-Read</th><th>Search</th><th>Update</th><th>Updates</th><th>Create</th><th>Delete</th><th>History</th></tr>\n</table>\n<p>Operations</p>\n<ul>\n <li>expand: see OperationDefinition/fso-expand</li>\n <li>lookup: see OperationDefinition/fso-lookup</li>\n <li>subsumes: see OperationDefinition/fso-subsumes</li>\n <li>validate-code: see OperationDefinition/fso-validate-code</li>\n <li>batch-validate-code: see OperationDefinition/fso-batch-validate-code</li>\n <li>translate: see OperationDefinition/fso-translate</li>\n <li>closure: see OperationDefinition/fso-closure</li>\n <li>versions: see OperationDefinition/fso-versions</li>\n</ul>\n</div>"},"extension" : [{"extension" : [{"url" : "definition","valueCanonical" : "http://hl7.org/fhir/uv/tx-tests/FeatureDefinition/test-version"},{"url" : "value","valueCode" : "1.8.0"},{"extension" : [{"url" : "name","valueCode" : "mode"},{"url" : "value","valueCode" : "tx.fhir.org"}],"url" : "qualifier"}],"url" : "http://hl7.org/fhir/uv/application-feature/StructureDefinition/feature"},{"extension" : [{"url" : "definition","valueCanonical" : "http://hl7.org/fhir/uv/tx-ecosystem/FeatureDefinition/CodeSystemAsParameter"},{"url" : "value","valueBoolean" : true}],"url" : "http://hl7.org/fhir/uv/application-feature/StructureDefinition/feature"}],"url" : "http://tx.fhir.org/r5/CapabilityStatement/tx","version" : "5.0.0-4.0.7","name" : "FHIRReferenceServer","title" : "FHIR Reference Server Conformance Statement","status" : "active","date" : "2025-12-15T20:08:40.222Z","contact" : [{"telecom" : [{"system" : "other","value" : "http://healthintersections.com.au/"}]}],"description" : "Standard Conformance Statement for the open source Reference FHIR Server provided by Health Intersections","kind" : "instance","instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server","http://hl7.org/fhir/CapabilityStatement/terminology-server"],"software" : {"name" : "HealthIntersections Server","version" : "4.0.7","releaseDate" : "2025-12-08T22:14:53.000Z"},"implementation" : {"description" : "FHIR Server running at http://tx.fhir.org/r5","url" : "http://tx.fhir.org/r5"},"fhirVersion" : "5.0.0","format" : ["application/fhir+xml","application/fhir+json"],"rest" : [{"mode" : "server","security" : {"cors" : true},"resource" : [{"type" : "CodeSystem","interaction" : [{"code" : "read","documentation" : "Read a code system"},{"code" : "search-type","documentation" : "Search the code systems. Not that there a few major code systems that are not available through this API (SCT, LOINC etc)"}],"operation" : [{"name" : "validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/CodeSystem-validate-code"},{"name" : "lookup","definition" : "http://hl7.org/fhir/OperationDefinition/CodeSystem-lookup"}]},{"type" : "ValueSet","interaction" : [{"code" : "read","documentation" : "Read a ValueSet"},{"code" : "search-type","documentation" : "Search the value sets"}],"operation" : [{"name" : "validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-validate-code"},{"name" : "expand","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-expand"}]}],"interaction" : [{"code" : "transaction"}],"operation" : [{"name" : "expand","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-expand"},{"name" : "lookup","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-lookup"},{"name" : "subsumes","definition" : "http://hl7.org/fhir/OperationDefinition/CodeSystem-subsumes"},{"name" : "validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/Resource-validate-code"},{"name" : "batch-validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/Resource-batch-validate-code"},{"name" : "translate","definition" : "http://hl7.org/fhir/OperationDefinition/ConceptMap-translate"},{"name" : "closure","definition" : "http://hl7.org/fhir/OperationDefinition/ConceptMap-closure"},{"name" : "versions","definition" : "http://tx.fhir.org/r5/OperationDefinition/fso-versions"}]}]}

#2

GET https://tx.fhir.org/r5/metadata?mode=terminology HTTP/1.0
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User-Agent: fhir/publisher
200
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content-length:134307
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:08:40 GMT
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{"resourceType" : "TerminologyCapabilities","id" : "FhirServer","url" : "http://tx.fhir.org/r5/TerminologyCapabilities/tx","version" : "2.0.0","name" : "FHIRReferenceServerTerminologyCapabilities","title" : "FHIR Reference Server Terminology Capability Statement","status" : "active","date" : "2025-12-15T20:08:40.347Z","contact" : [{"telecom" : [{"system" : "other","value" : "http://healthintersections.com.au/"}]}],"description" : "Standard Terminology Capability Statement for the open source Reference FHIR Server provided by Health Intersections","kind" : "instance","codeSystem" : [{"uri" : "http://cap.org/eCP","version" : [{"code" : "4.000.001"}]},{"uri" : "http://cds-hooks.hl7.org/CodeSystem/indicator","version" : [{"code" : "5.0.0"}]},{"uri" : "http://devices.fhir.org/CodeSystem/MDC-concept-status"},{"uri" : "http://devices.fhir.org/CodeSystem/MDC-designation-use"},{"uri" : "http://dicom.nema.org/resources/ontology/DCM","version" : [{"code" : "2025.3.20250714"}]},{"uri" : 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#3

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#4

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"C143734","display" : "Papilledema"},{"code" : "C143747","display" : "Periorbital edema"},{"code" : "C146770","display" : "Photophobia"},{"code" : "C146729","display" : "Retinal detachment"},{"code" : "C143814","display" : "Retinal tear"},{"code" : "C143815","display" : "Retinal vascular disorder"},{"code" : "C55891","display" : "Retinopathy"},{"code" : "C143823","display" : "Scleral disorder"},{"code" : "C55901","display" : "Uveitis"},{"code" : "C143196","display" : "Vision decreased"},{"code" : "C146677","display" : "Vitreous hemorrhage"},{"code" : "C143944","display" : "Watering eyes"},{"code" : "C143253","display" : "Abdominal distension"},{"code" : "C143255","display" : "Abdominal pain"},{"code" : "C143197","display" : "Anal fissure"},{"code" : "C143275","display" : "Anal fistula"},{"code" : "C143276","display" : "Anal hemorrhage"},{"code" : "C143277","display" : "Anal mucositis"},{"code" : "C143278","display" : "Anal necrosis"},{"code" : "C143279","display" : "Anal pain"},{"code" : "C143280","display" : "Anal stenosis"},{"code" : "C143281","display" : "Anal ulcer"},{"code" : "C143300","display" : "Ascites"},{"code" : "C143198","display" : "Belching"},{"code" : "C143322","display" : "Bloating"},{"code" : "C143358","display" : "Cecal hemorrhage"},{"code" : "C57901","display" : "Cheilitis"},{"code" : "C146788","display" : "Cholecystitis"},{"code" : "C143199","display" : "Chylous ascites"},{"code" : "C57134","display" : "Colitis"},{"code" : "C143373","display" : "Colonic fistula"},{"code" : "C143374","display" : "Colonic hemorrhage"},{"code" : "C143375","display" : "Colonic obstruction"},{"code" : "C143376","display" : "Colonic perforation"},{"code" : "C143377","display" : "Colonic stenosis"},{"code" : "C143378","display" : "Colonic ulcer"},{"code" : "C57141","display" : "Constipation"},{"code" : "C143402","display" : "Dental caries"},{"code" : "C57788","display" : "Diarrhea"},{"code" : "C143411","display" : "Dry mouth"},{"code" : "C143414","display" : "Duodenal 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: "Esophageal fistula"},{"code" : "C143482","display" : "Fecal incontinence"},{"code" : "C57807","display" : "Flatulence"},{"code" : "C143499","display" : "Gastric fistula"},{"code" : "C143500","display" : "Gastric hemorrhage"},{"code" : "C143501","display" : "Gastric necrosis"},{"code" : "C143502","display" : "Gastric perforation"},{"code" : "C143503","display" : "Gastric stenosis"},{"code" : "C143504","display" : "Gastric ulcer"},{"code" : "C57812","display" : "Gastritis"},{"code" : "C143506","display" : "Gastroesophageal reflux disease"},{"code" : "C143508","display" : "Gastrointestinal disorders - Other, specify"},{"code" : "C146637","display" : "Gastrointestinal fistula"},{"code" : "C57814","display" : "Ileus"},{"code" : "C143510","display" : "Gastrointestinal pain"},{"code" : "C143512","display" : "Gastroparesis"},{"code" : "C146626","display" : "Gingival pain"},{"code" : "C143537","display" : "Hemorrhoidal hemorrhage"},{"code" : "C146738","display" : "Hemorrhoids"},{"code" : 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: "Rectal necrosis"},{"code" : "C57864","display" : "Rectal obstruction"},{"code" : "C57867","display" : "Rectal ulcer"},{"code" : "C146632","display" : "Retroperitoneal hemorrhage"},{"code" : "C143821","display" : "Salivary duct inflammation"},{"code" : "C57868","display" : "Salivary gland fistula"},{"code" : "C143842","display" : "Small intestinal mucositis"},{"code" : "C143843","display" : "Small intestinal obstruction"},{"code" : "C146635","display" : "Small intestinal perforation"},{"code" : "C143844","display" : "Small intestinal stenosis"},{"code" : "C143846","display" : "Small intestine ulcer"},{"code" : "C146774","display" : "Stomach pain"},{"code" : "C143876","display" : "Tooth development disorder"},{"code" : "C143877","display" : "Tooth discoloration"},{"code" : "C143879","display" : "Toothache"},{"code" : "C146730","display" : "Typhlitis"},{"code" : "C143895","display" : "Upper gastrointestinal hemorrhage"},{"code" : "C143938","display" : "Visceral arterial 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"Hepatic pain"},{"code" : "C143544","display" : "Hepatobiliary disorders - Other, specify"},{"code" : "C143742","display" : "Perforation bile duct"},{"code" : "C143769","display" : "Portal hypertension"},{"code" : "C143770","display" : "Portal vein thrombosis"},{"code" : "C143205","display" : "Sinusoidal obstruction syndrome"},{"code" : "C143271","display" : "Allergic reaction"},{"code" : "C143282","display" : "Anaphylaxis"},{"code" : "C143310","display" : "Autoimmune disorder"},{"code" : "C143394","display" : "Cytokine release syndrome"},{"code" : "C143580","display" : "Immune system disorders - Other, specify"},{"code" : "C146642","display" : "Serum sickness"},{"code" : "C143254","display" : "Abdominal infection"},{"code" : "C143285","display" : "Anorectal infection"},{"code" : "C143293","display" : "Appendicitis perforated"},{"code" : "C143294","display" : "Appendicitis"},{"code" : "C143297","display" : "Arteritis infective"},{"code" : "C143206","display" : "Bacteremia"},{"code" : "C143317","display" : "Biliary tract infection"},{"code" : "C143319","display" : "Bladder infection"},{"code" : "C143331","display" : "Bone infection"},{"code" : "C143336","display" : "Breast infection"},{"code" : "C143339","display" : "Bronchial infection"},{"code" : "C143356","display" : "Catheter related infection"},{"code" : "C143359","display" : "Cecal infection"},{"code" : "C143362","display" : "Cervicitis infection"},{"code" : "C143383","display" : "Conjunctivitis infective"},{"code" : "C143384","display" : "Conjunctivitis"},{"code" : "C143386","display" : "Corneal infection"},{"code" : "C143390","display" : "Cranial nerve infection"},{"code" : "C143207","display" : "Cytomegalovirus infection reactivation"},{"code" : "C143406","display" : "Device related infection"},{"code" : "C143415","display" : "Duodenal infection"},{"code" : "C143438","display" : "Encephalitis infection"},{"code" : "C143439","display" : "Encephalomyelitis infection"},{"code" : "C143441","display" : "Endocarditis infective"},{"code" : "C143443","display" : "Endophthalmitis"},{"code" : "C143444","display" : "Enterocolitis infectious"},{"code" : "C143208","display" : "Epstein-Barr virus infection reactivation"},{"code" : "C143454","display" : "Esophageal infection"},{"code" : "C143469","display" : "Eye infection"},{"code" : "C143209","display" : "Folliculitis"},{"code" : "C143210","display" : "Fungemia"},{"code" : "C143497","display" : "Gallbladder infection"},{"code" : "C143523","display" : "Gum infection"},{"code" : "C143541","display" : "Hepatic infection"},{"code" : "C143211","display" : "Hepatitis B reactivation"},{"code" : "C143543","display" : "Hepatitis viral"},{"code" : "C143212","display" : "Herpes simplex reactivation"},{"code" : "C143581","display" : "Infections and infestations - Other, specify"},{"code" : "C143582","display" : "Infective myositis"},{"code" : "C143626","display" : "Joint infection"},{"code" : "C143632","display" : "Kidney infection"},{"code" : 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: "Peritoneal infection"},{"code" : "C143758","display" : "Pharyngitis"},{"code" : "C143760","display" : "Phlebitis infective"},{"code" : "C143766","display" : "Pleural infection"},{"code" : "C143783","display" : "Prostate infection"},{"code" : "C143800","display" : "Rash pustular"},{"code" : "C143819","display" : "Rhinitis infective"},{"code" : "C143822","display" : "Salivary gland infection"},{"code" : "C143825","display" : "Scrotal infection"},{"code" : "C143827","display" : "Sepsis"},{"code" : "C143213","display" : "Shingles"},{"code" : "C143832","display" : "Sinusitis"},{"code" : "C143838","display" : "Skin infection"},{"code" : "C143845","display" : "Small intestine infection"},{"code" : "C143849","display" : "Soft tissue infection"},{"code" : "C143857","display" : "Splenic infection"},{"code" : "C143860","display" : "Stoma site infection"},{"code" : "C143214","display" : "Thrush"},{"code" : "C143878","display" : "Tooth infection"},{"code" : "C143884","display" : 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leak"},{"code" : "C143929","display" : "Vascular access complication"},{"code" : "C143933","display" : "Venous injury"},{"code" : "C143949","display" : "Wound complication"},{"code" : "C143950","display" : "Wound dehiscence"},{"code" : "C143952","display" : "Wrist fracture"},{"code" : "C143261","display" : "Activated partial thromboplastin time prolonged"},{"code" : "C143267","display" : "Alanine aminotransferase increased"},{"code" : "C143269","display" : "Alkaline phosphatase increased"},{"code" : "C143301","display" : "Aspartate aminotransferase increased"},{"code" : "C143324","display" : "Blood antidiuretic hormone abnormal"},{"code" : "C143217","display" : "Blood bicarbonate decreased"},{"code" : "C143325","display" : "Blood bilirubin increased"},{"code" : "C143326","display" : "Blood corticotrophin decreased"},{"code" : "C143327","display" : "Blood gonadotrophin abnormal"},{"code" : "C143218","display" : "Blood lactate dehydrogenase increased"},{"code" : "C143328","display" : "Blood prolactin abnormal"},{"code" : "C143350","display" : "Carbon monoxide diffusing capacity decreased"},{"code" : "C143353","display" : "Cardiac troponin I increased"},{"code" : "C143354","display" : "Cardiac troponin T increased"},{"code" : "C143357","display" : "CD4 lymphocytes decreased"},{"code" : "C143368","display" : "Cholesterol high"},{"code" : "C143389","display" : "CPK increased"},{"code" : "C143391","display" : "Creatinine increased"},{"code" : "C143436","display" : "Ejection fraction decreased"},{"code" : "C143437","display" : "Electrocardiogram QT corrected interval prolonged"},{"code" : "C143219","display" : "Electrocardiogram T wave abnormal"},{"code" : "C143486","display" : "Fibrinogen decreased"},{"code" : "C143494","display" : "Forced expiratory volume decreased"},{"code" : "C143516","display" : "GGT increased"},{"code" : "C143521","display" : "Growth hormone abnormal"},{"code" : "C143526","display" : "Haptoglobin decreased"},{"code" : "C143533","display" : "Hemoglobin increased"},{"code" : "C143590","display" : "INR increased"},{"code" : "C143615","display" : "Investigations - Other, specify"},{"code" : "C143652","display" : "Lipase increased"},{"code" : "C143662","display" : "Lymphocyte count decreased"},{"code" : "C143663","display" : "Lymphocyte count increased"},{"code" : "C143704","display" : "Neutrophil count decreased"},{"code" : "C143731","display" : "Pancreatic enzymes decreased"},{"code" : "C143764","display" : "Platelet count decreased"},{"code" : "C143829","display" : "Serum amylase increased"},{"code" : "C143220","display" : "Thyroid stimulating hormone increased"},{"code" : "C143909","display" : "Urine output decreased"},{"code" : "C143939","display" : "Vital capacity abnormal"},{"code" : "C55338","display" : "Weight gain"},{"code" : "C55339","display" : "Weight loss"},{"code" : "C143948","display" : "White blood cell decreased"},{"code" : "C143259","display" : "Acidosis"},{"code" : "C143268","display" : "Alcohol intolerance"},{"code" : "C143270","display" : "Alkalosis"},{"code" : "C57118","display" : "Anorexia"},{"code" : "C57787","display" : "Dehydration"},{"code" : "C143519","display" : "Glucose intolerance"},{"code" : "C143551","display" : "Hypercalcemia"},{"code" : "C143552","display" : "Hyperglycemia"},{"code" : "C143554","display" : "Hyperkalemia"},{"code" : "C143221","display" : "Hyperlipidemia"},{"code" : "C143555","display" : "Hypermagnesemia"},{"code" : "C143556","display" : "Hypernatremia"},{"code" : "C143222","display" : "Hyperphosphatemia"},{"code" : "C143562","display" : "Hypertriglyceridemia"},{"code" : "C143563","display" : "Hyperuricemia"},{"code" : "C143564","display" : "Hypoalbuminemia"},{"code" : "C143565","display" : "Hypocalcemia"},{"code" : "C143567","display" : "Hypoglycemia"},{"code" : "C143569","display" : "Hypokalemia"},{"code" : "C143570","display" : "Hypomagnesemia"},{"code" : "C143571","display" : "Hyponatremia"},{"code" : "C143573","display" : "Hypophosphatemia"},{"code" : "C55993","display" : "Iron overload"},{"code" : "C143672","display" : "Metabolism and nutrition disorders - Other, specify"},{"code" : "C55334","display" : "Obesity"},{"code" : "C146688","display" : "Tumor lysis syndrome"},{"code" : "C143256","display" : "Abdominal soft tissue necrosis"},{"code" : "C143298","display" : "Arthralgia"},{"code" : "C143299","display" : "Arthritis"},{"code" : "C143311","display" : "Avascular necrosis"},{"code" : "C146739","display" : "Back pain"},{"code" : "C146741","display" : "Bone pain"},{"code" : "C146744","display" : "Buttock pain"},{"code" : "C143223","display" : "Chest wall necrosis"},{"code" : "C146743","display" : "Chest wall pain"},{"code" : "C146749","display" : "Exostosis"},{"code" : "C143487","display" : "Fibrosis deep connective tissue"},{"code" : "C143488","display" : "Flank pain"},{"code" : "C143514","display" : "Generalized muscle weakness"},{"code" : "C143522","display" : "Growth suppression"},{"code" : "C58383","display" : "Head soft tissue necrosis"},{"code" : "C146760","display" : "Joint effusion"},{"code" : "C143627","display" : "Joint range of motion decreased cervical spine"},{"code" : "C143628","display" : "Joint range of motion decreased lumbar spine"},{"code" : "C143629","display" : "Joint range of motion decreased"},{"code" : "C143633","display" : "Kyphosis"},{"code" : "C143655","display" : "Lordosis"},{"code" : "C143224","display" : "Muscle cramp"},{"code" : "C143682","display" : "Muscle weakness lower limb"},{"code" : "C143684","display" : "Muscle weakness trunk"},{"code" : "C143685","display" : "Muscle weakness upper limb"},{"code" : "C143686","display" : "Musculoskeletal and connective tissue disorder - Other, specify"},{"code" : "C143687","display" : "Musculoskeletal deformity"},{"code" : "C143688","display" : "Myalgia"},{"code" : "C146787","display" : "Myositis"},{"code" : "C146766","display" : "Neck pain"},{"code" : "C58394","display" : "Neck soft tissue necrosis"},{"code" : "C143717","display" : "Osteonecrosis of jaw"},{"code" : "C143225","display" : "Osteonecrosis"},{"code" : "C146767","display" : "Osteoporosis"},{"code" : "C143723","display" : "Pain in extremity"},{"code" : "C58399","display" : "Pelvic soft tissue necrosis"},{"code" : "C143226","display" : "Rhabdomyolysis"},{"code" : "C143227","display" : "Rotator cuff injury"},{"code" : "C143824","display" : "Scoliosis"},{"code" : "C143850","display" : "Soft tissue necrosis lower limb"},{"code" : "C143851","display" : "Soft tissue necrosis upper limb"},{"code" : "C143866","display" : "Superficial soft tissue fibrosis"},{"code" : "C58404","display" : "Trismus"},{"code" : "C143894","display" : "Unequal limb length"},{"code" : "C143646","display" : "Leukemia secondary to oncology chemotherapy"},{"code" : "C143690","display" : "Myelodysplastic syndrome"},{"code" : "C143701","display" : "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify"},{"code" : "C143228","display" : "Skin papilloma"},{"code" : "C143887","display" : "Treatment related secondary malignancy"},{"code" : "C143229","display" : "Tumor hemorrhage"},{"code" : "C146782","display" : "Tumor pain"},{"code" : "C143257","display" : "Abducens nerve disorder"},{"code" : "C143258","display" : "Accessory nerve disorder"},{"code" : "C143260","display" : "Acoustic nerve disorder NOS"},{"code" : "C143266","display" : "Akathisia"},{"code" : "C143274","display" : "Amnesia"},{"code" : "C143230","display" : "Anosmia"},{"code" : "C143291","display" : "Aphonia"},{"code" : "C143295","display" : "Arachnoiditis"},{"code" : "C146737","display" : "Ataxia"},{"code" : "C146754","display" : "Brachial plexopathy"},{"code" : "C143360","display" : "Central nervous system necrosis"},{"code" : "C143361","display" : "Cerebrospinal fluid leakage"},{"code" : "C146746","display" : "Cognitive disturbance"},{"code" : "C143379","display" : "Concentration impairment"},{"code" : "C143403","display" : "Depressed level of consciousness"},{"code" : "C146747","display" : "Dizziness"},{"code" : "C143420","display" : "Dysarthria"},{"code" : "C143421","display" : "Dysesthesia"},{"code" : "C143422","display" : "Dysgeusia"},{"code" : "C143427","display" : "Dysphasia"},{"code" : "C143431","display" : "Edema cerebral"},{"code" : "C146699","display" : "Encephalopathy"},{"code" : "C143467","display" : "Extrapyramidal disorder"},{"code" : "C143472","display" : "Facial muscle weakness"},{"code" : "C143473","display" : "Facial nerve disorder"},{"code" : "C143518","display" : "Glossopharyngeal nerve disorder"},{"code" : "C143231","display" : "Guillain-Barre syndrome"},{"code" : "C143527","display" : "Headache"},{"code" : "C55401","display" : "Hydrocephalus"},{"code" : "C143558","display" : "Hypersomnia"},{"code" : "C143566","display" : "Hypoglossal nerve disorder"},{"code" : "C143596","display" : "Intracranial hemorrhage"},{"code" : "C143619","display" : "Ischemia cerebrovascular"},{"code" : "C143645","display" : "Lethargy"},{"code" : "C143648","display" : "Leukoencephalopathy"},{"code" : "C146763","display" : "Memory impairment"},{"code" : "C143669","display" : "Meningismus"},{"code" : "C143677","display" : "Movements involuntary"},{"code" : "C143681","display" : "Muscle weakness left-sided"},{"code" : "C143683","display" : "Muscle weakness right-sided"},{"code" : "C143232","display" : "Myasthenia gravis"},{"code" : "C143702","display" : "Nervous system disorders - Other, specify"},{"code" : "C143703","display" : "Neuralgia"},{"code" : "C146775","display" : "Nystagmus"},{"code" : "C143711","display" : "Oculomotor nerve disorder"},{"code" : "C143712","display" : "Olfactory nerve disorder"},{"code" : "C143736","display" : "Paresthesia"},{"code" : "C143750","display" : "Peripheral motor neuropathy"},{"code" : "C143752","display" : "Peripheral sensory neuropathy"},{"code" : "C146682","display" : "Phantom pain"},{"code" : "C143778","display" : "Presyncope"},{"code" : "C143795","display" : "Pyramidal tract syndrome"},{"code" : "C143797","display" : "Radiculitis"},{"code" : "C143804","display" : "Recurrent laryngeal nerve palsy"},{"code" : "C143818","display" : "Reversible posterior leukoencephalopathy syndrome"},{"code" : "C146700","display" : "Seizure"},{"code" : "C143852","display" : "Somnolence"},{"code" : "C143854","display" : "Spasticity"},{"code" : "C143233","display" : "Spinal cord compression"},{"code" : "C143862","display" : "Stroke"},{"code" : "C146750","display" : "Syncope"},{"code" : "C143234","display" : "Tendon reflex decreased"},{"code" : "C143886","display" : "Transient ischemic attacks"},{"code" : "C146780","display" : "Tremor"},{"code" : "C143890","display" : "Trigeminal nerve disorder"},{"code" : "C143235","display" : "Trochlear nerve disorder"},{"code" : "C143927","display" : "Vagus nerve disorder"},{"code" : "C143932","display" : "Vasovagal reaction"},{"code" : "C143484","display" : "Fetal growth retardation"},{"code" : "C143236","display" : "Pregnancy loss"},{"code" : "C143775","display" : "Pregnancy, puerperium and perinatal conditions - Other, specify"},{"code" : "C143776","display" : "Premature delivery"},{"code" : "C146777","display" : "Agitation"},{"code" : "C143287","display" : "Anorgasmia"},{"code" : "C146778","display" : "Anxiety"},{"code" : "C146785","display" : "Confusion"},{"code" : "C143398","display" : "Delayed orgasm"},{"code" : "C143400","display" : "Delirium"},{"code" : "C143401","display" : "Delusions"},{"code" : "C55447","display" : "Depression"},{"code" : "C146748","display" : "Euphoria"},{"code" : "C143525","display" : "Hallucinations"},{"code" : "C146771","display" : "Insomnia"},{"code" : "C143618","display" : "Irritability"},{"code" : "C143649","display" : "Libido decreased"},{"code" : "C143650","display" : "Libido increased"},{"code" : "C143666","display" : "Mania"},{"code" : "C143754","display" : "Personality change"},{"code" : "C143787","display" : "Psychiatric disorders - Other, specify"},{"code" : "C143788","display" : "Psychosis"},{"code" : "C143811","display" : "Restlessness"},{"code" : "C143864","display" : "Suicidal ideation"},{"code" : "C143865","display" : "Suicide attempt"},{"code" : "C143262","display" : "Acute kidney injury"},{"code" : "C146707","display" : "Bladder perforation"},{"code" : "C146698","display" : "Bladder spasm"},{"code" : "C143369","display" : "Chronic kidney disease"},{"code" : "C143393","display" : "Cystitis noninfective"},{"code" : "C143237","display" : "Dysuria"},{"code" : "C143238","display" : "Glucosuria"},{"code" : "C143532","display" : "Hematuria"},{"code" : "C146768","display" : "Hemoglobinuria"},{"code" : "C56544","display" : "Renal hemorrhage"},{"code" : "C143239","display" : "Nephrotic syndrome"},{"code" : "C146758","display" : "Proteinuria"},{"code" : "C143805","display" : "Renal and urinary disorders - Other, specify"},{"code" : "C143806","display" : "Renal calculi"},{"code" : "C143807","display" : "Renal colic"},{"code" : "C143900","display" : "Urinary fistula"},{"code" : "C143901","display" : "Urinary frequency"},{"code" : "C146786","display" : "Urinary incontinence"},{"code" : "C57097","display" : "Urinary retention"},{"code" : "C143905","display" : "Urinary tract obstruction"},{"code" : "C143906","display" : "Urinary tract pain"},{"code" : "C143907","display" : "Urinary urgency"},{"code" : "C143908","display" : "Urine discoloration"},{"code" : "C143240","display" : "Amenorrhea"},{"code" : "C143312","display" : "Azoospermia"},{"code" : "C143335","display" : "Breast atrophy"},{"code" : "C146742","display" : "Breast pain"},{"code" : "C143423","display" : "Dysmenorrhea"},{"code" : "C143424","display" : "Dyspareunia"},{"code" : "C143435","display" : "Ejaculation disorder"},{"code" : "C55615","display" : "Erectile dysfunction"},{"code" : "C146752","display" : "Fallopian tube obstruction"},{"code" : "C143483","display" : "Feminization acquired"},{"code" : "C143515","display" : "Genital 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"C55459","display" : "Myelitis"},{"code" : "C143695","display" : "Nail infection"},{"code" : "C143719","display" : "Otitis externa"},{"code" : "C143720","display" : "Otitis media"},{"code" : "C143721","display" : "Ovarian infection"},{"code" : "C143728","display" : "Pancreas infection"},{"code" : "C143735","display" : "Papulopustular rash"},{"code" : "C143737","display" : "Paronychia"},{"code" : "C143740","display" : "Pelvic infection"},{"code" : "C143741","display" : "Penile infection"},{"code" : "C143748","display" : "Periorbital infection"},{"code" : "C143751","display" : "Peripheral nerve infection"},{"code" : "C143753","display" : "Peritoneal infection"},{"code" : "C143758","display" : "Pharyngitis"},{"code" : "C143760","display" : "Phlebitis infective"},{"code" : "C143766","display" : "Pleural infection"},{"code" : "C143783","display" : "Prostate infection"},{"code" : "C143800","display" : "Rash pustular"},{"code" : "C143819","display" : "Rhinitis infective"},{"code" : "C143822","display" : "Salivary gland infection"},{"code" : "C143825","display" : "Scrotal infection"},{"code" : "C143827","display" : "Sepsis"},{"code" : "C143213","display" : "Shingles"},{"code" : "C143832","display" : "Sinusitis"},{"code" : "C143838","display" : "Skin infection"},{"code" : "C143845","display" : "Small intestine infection"},{"code" : "C143849","display" : "Soft tissue infection"},{"code" : "C143857","display" : "Splenic infection"},{"code" : "C143860","display" : "Stoma site infection"},{"code" : "C143214","display" : "Thrush"},{"code" : "C143878","display" : "Tooth infection"},{"code" : "C143884","display" : "Tracheitis"},{"code" : "C143896","display" : "Upper respiratory infection"},{"code" : "C143899","display" : "Urethral infection"},{"code" : "C143904","display" : "Urinary tract infection"},{"code" : "C143917","display" : "Uterine infection"},{"code" : "C143924","display" : "Vaginal infection"},{"code" : "C143215","display" : "Viremia"},{"code" : "C143943","display" : "Vulval infection"},{"code" : "C143951","display" : "Wound infection"},{"code" : "C143284","display" : "Ankle fracture"},{"code" : "C143289","display" : "Aortic injury"},{"code" : "C143296","display" : "Arterial injury"},{"code" : "C143315","display" : "Biliary anastomotic leak"},{"code" : "C143318","display" : "Bladder anastomotic leak"},{"code" : "C143345","display" : "Bruising"},{"code" : "C57900","display" : "Burn"},{"code" : "C143405","display" : "Dermatitis radiation"},{"code" : "C143451","display" : "Esophageal anastomotic leak"},{"code" : "C143475","display" : "Fall"},{"code" : "C143476","display" : "Fallopian tube anastomotic leak"},{"code" : "C146714","display" : "Fallopian tube perforation"},{"code" : "C58382","display" : "Fracture"},{"code" : "C143498","display" : "Gastric anastomotic leak"},{"code" : "C143507","display" : "Gastrointestinal anastomotic leak"},{"code" : "C143511","display" : "Gastrointestinal stoma necrosis"},{"code" : "C143546","display" : "Hip fracture"},{"code" : "C56735","display" : "Injury to inferior vena cava"},{"code" : "C143583","display" : "Infusion related reaction"},{"code" : "C143586","display" : "Injury to carotid artery"},{"code" : "C143587","display" : "Injury to jugular vein"},{"code" : "C143588","display" : "Injury to superior vena cava"},{"code" : "C143589","display" : "Injury, poisoning and procedural complications - Other, specify"},{"code" : "C143592","display" : "Intestinal stoma leak"},{"code" : "C143593","display" : "Intestinal stoma obstruction"},{"code" : "C143594","display" : "Intestinal stoma site bleeding"},{"code" : "C143597","display" : "Intraoperative arterial injury"},{"code" : "C143598","display" : "Intraoperative breast injury"},{"code" : "C143599","display" : "Intraoperative cardiac injury"},{"code" : "C143600","display" : "Intraoperative ear injury"},{"code" : "C143601","display" : "Intraoperative endocrine injury"},{"code" : "C143602","display" : "Intraoperative gastrointestinal injury"},{"code" : "C143603","display" : "Intraoperative head and neck injury"},{"code" : "C143604","display" : "Intraoperative hemorrhage"},{"code" : "C143605","display" : "Intraoperative hepatobiliary injury"},{"code" : "C143606","display" : "Intraoperative musculoskeletal injury"},{"code" : "C143607","display" : "Intraoperative neurological injury"},{"code" : "C143608","display" : "Intraoperative ocular injury"},{"code" : "C143609","display" : "Intraoperative renal injury"},{"code" : "C143610","display" : "Intraoperative reproductive tract injury"},{"code" : "C143611","display" : "Intraoperative respiratory injury"},{"code" : "C143612","display" : "Intraoperative splenic injury"},{"code" : "C143613","display" : "Intraoperative urinary injury"},{"code" : "C143614","display" : "Intraoperative venous injury"},{"code" : "C143631","display" : "Kidney anastomotic leak"},{"code" : "C143635","display" : "Large intestinal anastomotic leak"},{"code" : "C143729","display" : "Pancreatic anastomotic leak"},{"code" : "C143755","display" : "Pharyngeal anastomotic leak"},{"code" : "C143772","display" : "Postoperative hemorrhage"},{"code" : "C143773","display" : "Postoperative thoracic procedure complication"},{"code" : "C143781","display" : "Prolapse of intestinal stoma"},{"code" : "C143782","display" : "Prolapse of urostomy"},{"code" : "C143796","display" : "Radiation recall reaction (dermatologic)"},{"code" : "C143801","display" : "Rectal anastomotic leak"},{"code" : "C58401","display" : "Seroma"},{"code" : "C143841","display" : "Small intestinal anastomotic leak"},{"code" : "C143855","display" : "Spermatic cord anastomotic leak"},{"code" : "C143856","display" : "Spinal fracture"},{"code" : "C143858","display" : "Stenosis of gastrointestinal stoma"},{"code" : "C146694","display" : "Stomal ulcer"},{"code" : "C56567","display" : "Tracheal hemorrhage"},{"code" : "C143882","display" : "Tracheal obstruction"},{"code" : "C143885","display" : "Tracheostomy site bleeding"},{"code" : "C143897","display" : "Ureteric anastomotic leak"},{"code" : "C143898","display" : "Urethral anastomotic leak"},{"code" : "C143910","display" : "Urostomy leak"},{"code" : "C143911","display" : "Urostomy obstruction"},{"code" : "C143912","display" : "Urostomy site bleeding"},{"code" : "C143913","display" : "Urostomy stenosis"},{"code" : "C143915","display" : "Uterine anastomotic leak"},{"code" : "C143919","display" : "Uterine perforation"},{"code" : "C143216","display" : "Vaccination complication"},{"code" : "C143921","display" : "Vaginal anastomotic leak"},{"code" : "C143928","display" : "Vas deferens anastomotic leak"},{"code" : "C143929","display" : "Vascular access complication"},{"code" : "C143933","display" : "Venous injury"},{"code" : "C143949","display" : "Wound complication"},{"code" : "C143950","display" : "Wound dehiscence"},{"code" : "C143952","display" : "Wrist fracture"},{"code" : "C143261","display" : "Activated partial thromboplastin time prolonged"},{"code" : "C143267","display" : "Alanine aminotransferase increased"},{"code" : "C143269","display" : "Alkaline phosphatase increased"},{"code" : "C143301","display" : "Aspartate aminotransferase increased"},{"code" : "C143324","display" : "Blood antidiuretic hormone abnormal"},{"code" : "C143217","display" : "Blood bicarbonate decreased"},{"code" : "C143325","display" : "Blood bilirubin increased"},{"code" : "C143326","display" : "Blood corticotrophin decreased"},{"code" : "C143327","display" : "Blood gonadotrophin abnormal"},{"code" : "C143218","display" : "Blood lactate dehydrogenase increased"},{"code" : "C143328","display" : "Blood prolactin abnormal"},{"code" : "C143350","display" : "Carbon monoxide diffusing capacity decreased"},{"code" : "C143353","display" : "Cardiac troponin I increased"},{"code" : "C143354","display" : "Cardiac troponin T increased"},{"code" : "C143357","display" : "CD4 lymphocytes decreased"},{"code" : "C143368","display" : "Cholesterol high"},{"code" : "C143389","display" : "CPK increased"},{"code" : "C143391","display" : "Creatinine increased"},{"code" : "C143436","display" : "Ejection fraction decreased"},{"code" : "C143437","display" : "Electrocardiogram QT corrected interval prolonged"},{"code" : "C143219","display" : "Electrocardiogram T wave abnormal"},{"code" : "C143486","display" : "Fibrinogen decreased"},{"code" : "C143494","display" : "Forced expiratory volume decreased"},{"code" : "C143516","display" : "GGT increased"},{"code" : "C143521","display" : "Growth hormone abnormal"},{"code" : "C143526","display" : "Haptoglobin decreased"},{"code" : "C143533","display" : "Hemoglobin increased"},{"code" : "C143590","display" : "INR increased"},{"code" : "C143615","display" : "Investigations - Other, specify"},{"code" : "C143652","display" : "Lipase increased"},{"code" : "C143662","display" : "Lymphocyte count decreased"},{"code" : "C143663","display" : "Lymphocyte count increased"},{"code" : "C143704","display" : "Neutrophil count decreased"},{"code" : "C143731","display" : "Pancreatic enzymes decreased"},{"code" : "C143764","display" : "Platelet count decreased"},{"code" : "C143829","display" : "Serum amylase increased"},{"code" : "C143220","display" : "Thyroid stimulating hormone increased"},{"code" : "C143909","display" : "Urine output decreased"},{"code" : "C143939","display" : "Vital capacity abnormal"},{"code" : "C55338","display" : "Weight gain"},{"code" : "C55339","display" : "Weight loss"},{"code" : "C143948","display" : "White blood cell decreased"},{"code" : "C143259","display" : "Acidosis"},{"code" : "C143268","display" : "Alcohol intolerance"},{"code" : "C143270","display" : "Alkalosis"},{"code" : "C57118","display" : "Anorexia"},{"code" : "C57787","display" : "Dehydration"},{"code" : "C143519","display" : "Glucose intolerance"},{"code" : "C143551","display" : "Hypercalcemia"},{"code" : "C143552","display" : "Hyperglycemia"},{"code" : "C143554","display" : "Hyperkalemia"},{"code" : "C143221","display" : "Hyperlipidemia"},{"code" : "C143555","display" : "Hypermagnesemia"},{"code" : "C143556","display" : "Hypernatremia"},{"code" : "C143222","display" : "Hyperphosphatemia"},{"code" : "C143562","display" : "Hypertriglyceridemia"},{"code" : "C143563","display" : "Hyperuricemia"},{"code" : "C143564","display" : "Hypoalbuminemia"},{"code" : "C143565","display" : "Hypocalcemia"},{"code" : "C143567","display" : "Hypoglycemia"},{"code" : "C143569","display" : "Hypokalemia"},{"code" : "C143570","display" : "Hypomagnesemia"},{"code" : "C143571","display" : "Hyponatremia"},{"code" : "C143573","display" : "Hypophosphatemia"},{"code" : "C55993","display" : "Iron overload"},{"code" : "C143672","display" : "Metabolism and nutrition disorders - Other, specify"},{"code" : "C55334","display" : "Obesity"},{"code" : "C146688","display" : "Tumor lysis syndrome"},{"code" : "C143256","display" : "Abdominal soft tissue necrosis"},{"code" : "C143298","display" : "Arthralgia"},{"code" : "C143299","display" : "Arthritis"},{"code" : "C143311","display" : "Avascular necrosis"},{"code" : "C146739","display" : "Back pain"},{"code" : "C146741","display" : "Bone pain"},{"code" : "C146744","display" : "Buttock pain"},{"code" : "C143223","display" : "Chest wall necrosis"},{"code" : "C146743","display" : "Chest wall pain"},{"code" : "C146749","display" : "Exostosis"},{"code" : "C143487","display" : "Fibrosis deep connective tissue"},{"code" : "C143488","display" : "Flank pain"},{"code" : "C143514","display" : "Generalized muscle weakness"},{"code" : "C143522","display" : "Growth suppression"},{"code" : "C58383","display" : "Head soft tissue necrosis"},{"code" : "C146760","display" : "Joint effusion"},{"code" : "C143627","display" : "Joint range of motion decreased cervical spine"},{"code" : "C143628","display" : "Joint range of motion decreased lumbar spine"},{"code" : "C143629","display" : "Joint range of motion decreased"},{"code" : "C143633","display" : "Kyphosis"},{"code" : "C143655","display" : "Lordosis"},{"code" : "C143224","display" : "Muscle cramp"},{"code" : "C143682","display" : "Muscle weakness lower limb"},{"code" : "C143684","display" : "Muscle weakness trunk"},{"code" : "C143685","display" : "Muscle weakness upper limb"},{"code" : "C143686","display" : "Musculoskeletal and connective tissue disorder - Other, specify"},{"code" : "C143687","display" : "Musculoskeletal deformity"},{"code" : "C143688","display" : "Myalgia"},{"code" : "C146787","display" : "Myositis"},{"code" : "C146766","display" : "Neck pain"},{"code" : "C58394","display" : "Neck soft tissue necrosis"},{"code" : "C143717","display" : "Osteonecrosis of jaw"},{"code" : "C143225","display" : "Osteonecrosis"},{"code" : "C146767","display" : "Osteoporosis"},{"code" : "C143723","display" : "Pain in extremity"},{"code" : "C58399","display" : "Pelvic soft tissue necrosis"},{"code" : "C143226","display" : "Rhabdomyolysis"},{"code" : "C143227","display" : "Rotator cuff injury"},{"code" : "C143824","display" : "Scoliosis"},{"code" : "C143850","display" : "Soft tissue necrosis lower limb"},{"code" : "C143851","display" : "Soft tissue necrosis upper limb"},{"code" : "C143866","display" : "Superficial soft tissue fibrosis"},{"code" : "C58404","display" : "Trismus"},{"code" : "C143894","display" : "Unequal limb length"},{"code" : "C143646","display" : "Leukemia secondary to oncology chemotherapy"},{"code" : "C143690","display" : "Myelodysplastic syndrome"},{"code" : "C143701","display" : "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify"},{"code" : "C143228","display" : "Skin papilloma"},{"code" : "C143887","display" : "Treatment related secondary malignancy"},{"code" : "C143229","display" : "Tumor hemorrhage"},{"code" : "C146782","display" : "Tumor pain"},{"code" : "C143257","display" : "Abducens nerve disorder"},{"code" : "C143258","display" : "Accessory nerve disorder"},{"code" : "C143260","display" : "Acoustic nerve disorder NOS"},{"code" : "C143266","display" : "Akathisia"},{"code" : "C143274","display" : "Amnesia"},{"code" : "C143230","display" : "Anosmia"},{"code" : "C143291","display" : "Aphonia"},{"code" : "C143295","display" : "Arachnoiditis"},{"code" : "C146737","display" : "Ataxia"},{"code" : "C146754","display" : "Brachial plexopathy"},{"code" : "C143360","display" : "Central nervous system necrosis"},{"code" : "C143361","display" : "Cerebrospinal fluid leakage"},{"code" : "C146746","display" : "Cognitive disturbance"},{"code" : "C143379","display" : "Concentration impairment"},{"code" : "C143403","display" : "Depressed level of consciousness"},{"code" : "C146747","display" : "Dizziness"},{"code" : "C143420","display" : "Dysarthria"},{"code" : "C143421","display" : "Dysesthesia"},{"code" : "C143422","display" : "Dysgeusia"},{"code" : "C143427","display" : "Dysphasia"},{"code" : "C143431","display" : "Edema cerebral"},{"code" : "C146699","display" : "Encephalopathy"},{"code" : "C143467","display" : "Extrapyramidal disorder"},{"code" : "C143472","display" : "Facial muscle weakness"},{"code" : "C143473","display" : "Facial nerve disorder"},{"code" : "C143518","display" : "Glossopharyngeal nerve disorder"},{"code" : "C143231","display" : "Guillain-Barre syndrome"},{"code" : "C143527","display" : "Headache"},{"code" : "C55401","display" : "Hydrocephalus"},{"code" : "C143558","display" : "Hypersomnia"},{"code" : "C143566","display" : "Hypoglossal nerve disorder"},{"code" : "C143596","display" : "Intracranial hemorrhage"},{"code" : "C143619","display" : "Ischemia cerebrovascular"},{"code" : "C143645","display" : "Lethargy"},{"code" : "C143648","display" : "Leukoencephalopathy"},{"code" : "C146763","display" : "Memory impairment"},{"code" : "C143669","display" : "Meningismus"},{"code" : "C143677","display" : "Movements involuntary"},{"code" : "C143681","display" : "Muscle weakness left-sided"},{"code" : "C143683","display" : "Muscle weakness right-sided"},{"code" : "C143232","display" : "Myasthenia gravis"},{"code" : "C143702","display" : "Nervous system disorders - Other, specify"},{"code" : "C143703","display" : "Neuralgia"},{"code" : "C146775","display" : "Nystagmus"},{"code" : "C143711","display" : "Oculomotor nerve disorder"},{"code" : "C143712","display" : "Olfactory nerve disorder"},{"code" : "C143736","display" : "Paresthesia"},{"code" : "C143750","display" : "Peripheral motor neuropathy"},{"code" : "C143752","display" : "Peripheral sensory neuropathy"},{"code" : "C146682","display" : "Phantom pain"},{"code" : "C143778","display" : "Presyncope"},{"code" : "C143795","display" : "Pyramidal tract syndrome"},{"code" : "C143797","display" : "Radiculitis"},{"code" : "C143804","display" : "Recurrent laryngeal nerve palsy"},{"code" : "C143818","display" : "Reversible posterior leukoencephalopathy syndrome"},{"code" : "C146700","display" : "Seizure"},{"code" : "C143852","display" : "Somnolence"},{"code" : "C143854","display" : "Spasticity"},{"code" : "C143233","display" : "Spinal cord compression"},{"code" : "C143862","display" : "Stroke"},{"code" : "C146750","display" : "Syncope"},{"code" : "C143234","display" : "Tendon reflex decreased"},{"code" : "C143886","display" : "Transient ischemic attacks"},{"code" : "C146780","display" : "Tremor"},{"code" : "C143890","display" : "Trigeminal nerve disorder"},{"code" : "C143235","display" : "Trochlear nerve disorder"},{"code" : "C143927","display" : "Vagus nerve disorder"},{"code" : "C143932","display" : "Vasovagal reaction"},{"code" : "C143484","display" : "Fetal growth retardation"},{"code" : "C143236","display" : "Pregnancy loss"},{"code" : "C143775","display" : "Pregnancy, puerperium and perinatal conditions - Other, specify"},{"code" : "C143776","display" : "Premature delivery"},{"code" : "C146777","display" : "Agitation"},{"code" : "C143287","display" : "Anorgasmia"},{"code" : "C146778","display" : "Anxiety"},{"code" : "C146785","display" : "Confusion"},{"code" : "C143398","display" : "Delayed orgasm"},{"code" : "C143400","display" : "Delirium"},{"code" : "C143401","display" : "Delusions"},{"code" : "C55447","display" : "Depression"},{"code" : "C146748","display" : "Euphoria"},{"code" : "C143525","display" : "Hallucinations"},{"code" : "C146771","display" : "Insomnia"},{"code" : "C143618","display" : "Irritability"},{"code" : "C143649","display" : "Libido decreased"},{"code" : "C143650","display" : "Libido increased"},{"code" : "C143666","display" : "Mania"},{"code" : "C143754","display" : "Personality change"},{"code" : "C143787","display" : "Psychiatric disorders - Other, specify"},{"code" : "C143788","display" : "Psychosis"},{"code" : "C143811","display" : "Restlessness"},{"code" : "C143864","display" : "Suicidal ideation"},{"code" : "C143865","display" : "Suicide attempt"},{"code" : "C143262","display" : "Acute kidney injury"},{"code" : "C146707","display" : "Bladder perforation"},{"code" : "C146698","display" : "Bladder spasm"},{"code" : "C143369","display" : 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#6

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#7

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x-request-id:252-199072

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://www.ama-assn.org/go/cpt"},{"name" : "code","valueCode" : "false"},{"name" : "message","valueString" : "Unknown code 'false' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023'"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Unknown_Code_in_Version"}],"severity" : "error","code" : "code-invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-code"}],"text" : "Unknown code 'false' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023'"},"location" : ["Coding.code"],"expression" : ["Coding.code"]},{"severity" : "information","code" : "code-invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-code"}],"text" : "Code 'false' not found in CPT"},"location" : ["Coding.code"],"expression" : ["Coding.code"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://www.ama-assn.org/go/cpt#false (\"\")]\"\r\n0 0     : 0ms  : Check \"http://www.ama-assn.org/go/cpt#false\"\r\n0 0     : 0ms  : Using CodeSystem \"http://www.ama-assn.org/go/cpt|2023\" (content = complete)\r\n"}]}

#8

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://www.ama-assn.org/go/cpt","code":"true"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1636
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:06 GMT
last-modified:Mon, 15 Dec 2025 20:11:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199073

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://www.ama-assn.org/go/cpt"},{"name" : "code","valueCode" : "true"},{"name" : "message","valueString" : "Unknown code 'true' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023'"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Unknown_Code_in_Version"}],"severity" : "error","code" : "code-invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-code"}],"text" : "Unknown code 'true' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023'"},"location" : ["Coding.code"],"expression" : ["Coding.code"]},{"severity" : "information","code" : "code-invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-code"}],"text" : "Code 'true' not found in CPT"},"location" : ["Coding.code"],"expression" : ["Coding.code"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://www.ama-assn.org/go/cpt#true (\"\")]\"\r\n0 0     : 0ms  : Check \"http://www.ama-assn.org/go/cpt#true\"\r\n0 0     : 0ms  : Using CodeSystem \"http://www.ama-assn.org/go/cpt|2023\" (content = complete)\r\n"}]}

#9

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fsnomed.info%2Fsct HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:240
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199074

{"resourceType" : "Bundle","id" : "0358f73a-e7ee-41c4-b373-3d167a8488","meta" : {"lastUpdated" : "2025-12-15T20:11:06.598Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://snomed.info/sct"}]}

#10

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"49062001"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:876
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:06 GMT
last-modified:Mon, 15 Dec 2025 20:11:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199075

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "49062001"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Device"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#49062001 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#49062001\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#11

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=urn%3Aiso%3Astd%3Aiso%3A11073%3A10101 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json

#12

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:iso:std:iso:11073:10101","code":"3"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1301
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:26 GMT
last-modified:Mon, 15 Dec 2025 20:11:26 GMT
pragma:no-cache
server:nginx
x-request-id:252-199090

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:iso:std:iso:11073:10101"},{"name" : "code","valueCode" : "3"},{"name" : "version","valueString" : "2024-12-05"},{"name" : "display","valueString" : "Alerts"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "MSG_DRAFT"}],"severity" : "information","code" : "business-rule","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "status-check"}],"text" : "Reference to draft CodeSystem urn:iso:std:iso:11073:10101|2024-12-05 from fhir.tx.support.r4#0.32.0"}}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n16 0    : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest\r\n16 0    : 0ms  : Prepare include: \"()\"\r\n16 0    : 0ms  : Validate \"[urn:iso:std:iso:11073:10101#3 (\"\")]\"\r\n16 0    : 0ms  : Check \"urn:iso:std:iso:11073:10101#3\"\r\n31 15   : 15ms : Using CodeSystem \"urn:iso:std:iso:11073:10101|2024-12-05 (from fhir.tx.support.r4#0.32.0)\" (content = complete)\r\n"}]}

#13

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://snomed.info/sct","concept":[{"code":"446141000124107","display":"Female gender identity"},{"code":"446151000124109","display":"Male gender identity"},{"code":"33791000087105","display":"Non-binary gender identity"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:822
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:26 GMT
last-modified:Mon, 15 Dec 2025 20:11:26 GMT
pragma:no-cache
server:nginx
x-request-id:252-199091

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:913ef62e-5b02-4d07-9305-35a1b582a4f2","timestamp" : "2025-12-15T20:11:26.863Z","total" : 3,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "446141000124107","display" : "Identifies as female gender (finding)"},{"system" : "http://snomed.info/sct","code" : "446151000124109","display" : "Identifies as male gender (finding)"},{"system" : "http://snomed.info/sct","code" : "33791000087105","display" : "Identifies as gender nonbinary"}]}}

#14

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=urn%3Aiso%3Astd%3Aiso%3A3166 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:86134
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:27 GMT
pragma:no-cache
server:nginx
x-request-id:252-199092

{"resourceType" : "Bundle","id" : "780f7458-6fb8-4d73-8bf0-da8f0b10b0","meta" : {"lastUpdated" : "2025-12-15T20:11:27.129Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=urn:iso:std:iso:3166"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/iso-3166","resource" : {"resourceType" : "CodeSystem","id" : "iso-3166","meta" : {"versionId" : "1","lastUpdated" : "2021-07-21T13:53:04.030+10:00"},"text" : {"status" : "generated"},"url" : "urn:iso:std:iso:3166","version" : "20210120","name" : "Iso3166","title" : "ISO 3166 Country Codes","status" : "draft","caseSensitive" : false,"compositional" : false,"versionNeeded" : false,"content" : "complete","count" : 747,"filter" : [{"code" : "code","description" : "Filter by the code","operator" : ["regex"],"value" : "concept.code"}],"property" : [{"code" : "french","description" : "French short name","type" : "string"}],"concept" : [{"code" : "AF","display" : "Afghanistan","property" : [{"code" : "french","valueString" : "Afghanistan (l')"}]},{"code" : "AL","display" : "Albania","property" : [{"code" : "french","valueString" : "Albanie (l')"}]},{"code" : "DZ","display" : "Algeria","property" : [{"code" : "french","valueString" : "Algérie (l')"}]},{"code" : "AS","display" : "American Samoa","property" : [{"code" : "french","valueString" : "Samoa américaines (les)"}]},{"code" : "AD","display" : "Andorra","property" : [{"code" : "french","valueString" : "Andorre (l')"}]},{"code" : "AO","display" : "Angola","property" : [{"code" : "french","valueString" : "Angola (l')"}]},{"code" : "AI","display" : "Anguilla","property" : [{"code" : "french","valueString" : "Anguilla"}]},{"code" : "AQ","display" : "Antarctica","property" : [{"code" : "french","valueString" : "Antarctique (l')"}]},{"code" : "AG","display" : "Antigua and Barbuda","property" : [{"code" : "french","valueString" : "Antigua-et-Barbuda"}]},{"code" : "AR","display" : "Argentina","property" : [{"code" : "french","valueString" : "Argentine (l')"}]},{"code" : "AM","display" : "Armenia","property" : [{"code" : "french","valueString" : "Arménie (l')"}]},{"code" : "AW","display" : "Aruba","property" : [{"code" : "french","valueString" : "Aruba"}]},{"code" : "AU","display" : "Australia","property" : [{"code" : "french","valueString" : "Australie (l')"}]},{"code" : "AT","display" : "Austria","property" : [{"code" : "french","valueString" : "Autriche (l')"}]},{"code" : "AZ","display" : "Azerbaijan","property" : [{"code" : "french","valueString" : "Azerbaïdjan (l')"}]},{"code" : "BS","display" : "Bahamas (the)","property" : [{"code" : "french","valueString" : "Bahamas (les)"}]},{"code" : "BH","display" : "Bahrain","property" : [{"code" : "french","valueString" : "Bahreïn"}]},{"code" : "BD","display" : "Bangladesh","property" : [{"code" : "french","valueString" : "Bangladesh (le)"}]},{"code" : "BB","display" : "Barbados","property" : [{"code" : "french","valueString" : "Barbade (la)"}]},{"code" : "BY","display" : "Belarus","property" : [{"code" : "french","valueString" : "Bélarus (le)"}]},{"code" : "BE","display" : "Belgium","property" : [{"code" : "french","valueString" : "Belgique (la)"}]},{"code" : "BZ","display" : "Belize","property" : [{"code" : "french","valueString" : "Belize (le)"}]},{"code" : "BJ","display" : "Benin","property" : [{"code" : "french","valueString" : "Bénin (le)"}]},{"code" : "BM","display" : "Bermuda","property" : [{"code" : "french","valueString" : "Bermudes (les)"}]},{"code" : "BT","display" : "Bhutan","property" : [{"code" : "french","valueString" : "Bhoutan (le)"}]},{"code" : "BO","display" : "Bolivia (Plurinational State of)","property" : [{"code" : "french","valueString" : "Bolivie (État plurinational de)"}]},{"code" : "BQ","display" : "Bonaire, Sint Eustatius and Saba","property" : [{"code" : "french","valueString" : "Bonaire, Saint-Eustache et Saba"}]},{"code" : "BA","display" : "Bosnia and Herzegovina","property" : [{"code" : "french","valueString" : "Bosnie-Herzégovine (la)"}]},{"code" : "BW","display" : "Botswana","property" : [{"code" : "french","valueString" : "Botswana (le)"}]},{"code" : "BV","display" : "Bouvet Island","property" : [{"code" : "french","valueString" : "Bouvet (l'Île)"}]},{"code" : "BR","display" : "Brazil","property" : [{"code" : "french","valueString" : "Brésil (le)"}]},{"code" : "IO","display" : "British Indian Ocean Territory (the)","property" : [{"code" : "french","valueString" : "Indien (le Territoire britannique de l'océan)"}]},{"code" : "BN","display" : "Brunei Darussalam","property" : [{"code" : "french","valueString" : "Brunéi Darussalam (le)"}]},{"code" : "BG","display" : "Bulgaria","property" : [{"code" : "french","valueString" : "Bulgarie (la)"}]},{"code" : "BF","display" : "Burkina Faso","property" : [{"code" : "french","valueString" : "Burkina Faso (le)"}]},{"code" : "BI","display" : "Burundi","property" : [{"code" : "french","valueString" : "Burundi (le)"}]},{"code" : "CV","display" : "Cabo Verde","property" : [{"code" : "french","valueString" : "Cabo Verde"}]},{"code" : "KH","display" : "Cambodia","property" : [{"code" : "french","valueString" : "Cambodge (le)"}]},{"code" : "CM","display" : "Cameroon","property" : [{"code" : "french","valueString" : "Cameroun (le)"}]},{"code" : "CA","display" : "Canada","property" : [{"code" : "french","valueString" : "Canada (le)"}]},{"code" : "KY","display" : "Cayman Islands (the)","property" : [{"code" : "french","valueString" : "Caïmans (les Îles)"}]},{"code" : "CF","display" : "Central African Republic (the)","property" : [{"code" : "french","valueString" : "République centrafricaine (la)"}]},{"code" : "TD","display" : "Chad","property" : [{"code" : "french","valueString" : "Tchad (le)"}]},{"code" : "CL","display" : "Chile","property" : [{"code" : "french","valueString" : "Chili (le)"}]},{"code" : "CN","display" : "China","property" : [{"code" : "french","valueString" : "Chine (la)"}]},{"code" : "CX","display" : "Christmas Island","property" : [{"code" : "french","valueString" : "Christmas (l'Île)"}]},{"code" : "CC","display" : "Cocos (Keeling) Islands (the)","property" : [{"code" : "french","valueString" : "Cocos (les Îles)/ Keeling (les Îles)"}]},{"code" : "CO","display" : "Colombia","property" : [{"code" : "french","valueString" : "Colombie (la)"}]},{"code" : "KM","display" : "Comoros (the)","property" : [{"code" : "french","valueString" : "Comores (les)"}]},{"code" : "CD","display" : "Congo (the Democratic Republic of the)","property" : [{"code" : "french","valueString" : "Congo (la République démocratique du)"}]},{"code" : "CG","display" : "Congo (the)","property" : [{"code" : "french","valueString" : "Congo (le)"}]},{"code" : "CK","display" : "Cook Islands (the)","property" : [{"code" : "french","valueString" : "Cook (les Îles)"}]},{"code" : "CR","display" : "Costa Rica","property" : [{"code" : "french","valueString" : "Costa Rica (le)"}]},{"code" : "HR","display" : 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#15

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Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-51","display" : "Trà Vinh","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-52","display" : "Sóc Trăng","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-53","display" : "Bắc Kạn","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-54","display" : "Bắc Giang","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-55","display" : "Bạc Liêu","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-56","display" : "Bắc Ninh","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-57","display" : "Bình Dương","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-58","display" : "Bình Phước","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-59","display" : "Cà Mau","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-61","display" : "Hải Dương","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-63","display" : "Hà Nam","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-66","display" : "Hưng Yên","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-67","display" : "Nam Ðịnh","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-68","display" : "Phú Thọ","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-69","display" : "Thái Nguyên","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-70","display" : "Vĩnh Phúc","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-71","display" : "Điện Biên","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-72","display" : "Đắk Nông","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-73","display" : "Hậu Giang","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-CT","display" : "Can Tho","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Municipality"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-DN","display" : "Da Nang","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Municipality"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-HN","display" : "Ha Noi","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Municipality"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-HP","display" : "Hai Phong","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Municipality"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VN-SG","display" : "Ho Chi Minh","property" : [{"code" : "country","valueString" : "Viet Nam"},{"code" : "subdivisionType","valueString" : "Municipality"},{"code" : "countryCode","valueString" : "VN"}]},{"code" : "VG-VG","display" : "Virgin Islands","property" : [{"code" : "country","valueString" : "Virgin Islands"},{"code" : "subdivisionType","valueString" : "Country"},{"code" : "countryCode","valueString" : "VG"}]},{"code" : "VI-VI","display" : "Virgin Islands","property" : [{"code" : "country","valueString" : "Virgin Islands"},{"code" : "subdivisionType","valueString" : "Country"},{"code" : "countryCode","valueString" : "VI"}]},{"code" : "WF-WF","display" : "Wallis & Futuna Islands","property" : [{"code" : "country","valueString" : "Wallis & Futuna Islands"},{"code" : "subdivisionType","valueString" : "Country"},{"code" : "countryCode","valueString" : "WF"}]},{"code" : "EH-EH","display" : "Western Sahara","property" : [{"code" : "country","valueString" : "Western Sahara"},{"code" : "subdivisionType","valueString" : "Country"},{"code" : "countryCode","valueString" : "EH"}]},{"code" : "YE-AB","display" : "Abyān","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-AD","display" : "'Adan","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-AM","display" : "'Amrān","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-BA","display" : "Al Bayḑā'","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-DA","display" : "Aḑ Ḑāli'","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-DH","display" : "Dhamār","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-HD","display" : "Ḩaḑramawt","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-HJ","display" : "Ḩajjah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-HU","display" : "Al Ḩudaydah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-IB","display" : "Ibb","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-JA","display" : "Al Jawf","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-LA","display" : "Laḩij","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-MA","display" : "Ma'rib","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-MR","display" : "Al Mahrah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-MW","display" : "Al Maḩwīt","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-RA","display" : "Raymah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-SA","display" : "Amānat al ‘Āşimah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Municipality"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-SD","display" : "Şāʻdah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-SH","display" : "Shabwah","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-SN","display" : "Şanʻā'","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "YE-TA","display" : "Tāʻizz","property" : [{"code" : "country","valueString" : "Yemen"},{"code" : "subdivisionType","valueString" : "Governorate"},{"code" : "countryCode","valueString" : "YE"}]},{"code" : "ZM-01","display" : "Western","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-02","display" : "Central","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-03","display" : "Eastern","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-04","display" : "Luapula","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-05","display" : "Northern","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-06","display" : "North-Western","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-07","display" : "Southern","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-08","display" : "Copperbelt","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-09","display" : "Lusaka","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZM-10","display" : "Muchinga","property" : [{"code" : "country","valueString" : "Zambia"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZM"}]},{"code" : "ZW-BU","display" : "Bulawayo","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-HA","display" : "Harare","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MA","display" : "Manicaland","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MC","display" : "Mashonaland Central","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-ME","display" : "Mashonaland East","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MI","display" : "Midlands","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MN","display" : "Matabeleland North","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MS","display" : "Matabeleland South","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MV","display" : "Masvingo","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]},{"code" : "ZW-MW","display" : "Mashonaland West","property" : [{"code" : "country","valueString" : "Zimbabwe"},{"code" : "subdivisionType","valueString" : "Province"},{"code" : "countryCode","valueString" : "ZW"}]}]}

#18

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Funstats.un.org%2Funsd%2Fmethods%2Fm49%2Fm49.htm HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:264
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-199096

{"resourceType" : "Bundle","id" : "a6e9a207-5c3e-49fa-bf98-a8b567ce8f","meta" : {"lastUpdated" : "2025-12-15T20:11:32.004Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://unstats.un.org/unsd/methods/m49/m49.htm"}]}

#19

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"region"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1460
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:32 GMT
last-modified:Mon, 15 Dec 2025 20:11:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-199097

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://unstats.un.org/unsd/methods/m49/m49.htm"},{"name" : "code","valueCode" : "region"},{"name" : "message","valueString" : "Unknown code 'region' in the CodeSystem 'http://unstats.un.org/unsd/methods/m49/m49.htm' version ''"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Unknown_Code_in_Version"}],"severity" : "error","code" : "code-invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-code"}],"text" : "Unknown code 'region' in the CodeSystem 'http://unstats.un.org/unsd/methods/m49/m49.htm' version ''"},"location" : ["Coding.code"],"expression" : ["Coding.code"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unstats.un.org/unsd/methods/m49/m49.htm#region (\"\")]\"\r\n0 0     : 0ms  : Check \"http://unstats.un.org/unsd/methods/m49/m49.htm#region\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unstats.un.org/unsd/methods/m49/m49.htm|\" (content = complete)\r\n"}]}

#20

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Floinc.org HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:234
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-199098

{"resourceType" : "Bundle","id" : "ba198b85-4179-4523-943b-af8c157ad8","meta" : {"lastUpdated" : "2025-12-15T20:11:32.489Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://loinc.org"}]}

#21

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://loinc.org","concept":[{"code":"LA29518-0","display":"he/him/his/his/himself"},{"code":"LA29519-8","display":"she/her/her/hers/herself"},{"code":"LA29520-6","display":"they/them/their/theirs/themselves"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:704
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:32 GMT
last-modified:Mon, 15 Dec 2025 20:11:32 GMT
pragma:no-cache
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x-request-id:252-199099

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#22

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#23

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Bolboaca, Janice Tufte"}]},{"code" : "SEVCO:01008","display" : "block randomization","definition" : "A randomized assignment in which a pre-specified number of subjects is assigned to a block containing the same pre-specified ratio of group assignments in random order.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Khalid Shahin"},{"code" : "approval","valueString" : "7/7 as of 7/26/2021: Mario Tristan, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Leo Orozco, Janice Tufte"},{"code" : "negative-vote","valueString" : "2021-07-19 vote 7-1 on \"A randomized assignment in which a pre-specified number of subjects is assigned to a block containing the same pre-specified number of balanced group assignments in random order\" by Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"},{"code" : "expert-comments","valueString" : "I think I'm hung up on the word \"balanced\". Does allocation in block design need to be balanced? Couldn't a block design allocate subjects to treatment arms in a 2:1, or other \"unbalanced\" ratio?"}]},{"code" : "SEVCO:01009","display" : "adaptive randomization","definition" : "A randomized assignment in which a participant’s group assignment probability is adjusted based on any factor such that the likelihood of assignment is not the same for all participants.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Mario Tristan, Kenneth Wilkins, Erfan Shamsoddin, Ellen Jepson"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. 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In ethical terms, I deem there is no justification to proceed with such a methodology in clinical trials."}]}]},{"code" : "SEVCO:01005","display" : "non-randomized assignment","definition" : "An interventional study design in which an independent variable (an exposure or intervention) is prospectively assigned or modified by methods other than random chance to separate groups.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interventional research with non-randomized assignment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Michael Panzer, Janice Tufte, Erfan Shamsoddin, Ellen Jepson, Khalid Shahin"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. 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If this was not the intent, perhaps we could change \"..randomized..\" to \"..randomized or quasi-randomized..\" 7-26-21 comment: We usually have started the definitions by saying \"A xxx assignment that...\" (see previous ones in this page). That is, we define the assigment. However, for\"Non-Randomized Assignment\" we start by saying \"An interventional study design...\" I propose to describe the \"assignment\" (avoid starting by defining the study design itself)"}],"concept" : [{"code" : "SEVCO:01004","display" : "quasi-randomized assignment","definition" : "An interventional study design with a method of allocation that is not limited to random chance but is intended to produce similar baseline groups for experimentation.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Michael Panzer, Janice Tufte, Erfan Shamsoddin, Ellen Jepson, Khalid Shahin"},{"code" : "approval","valueString" : "7/7 as of 7/26/2021: Mario Tristan, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Leo Orozco, Janice Tufte"},{"code" : "negative-vote","valueString" : "2021-07-19 vote 6-2 on \"An interventional study design with a method of allocation that is not limited to random chance but is intended to produce similar baseline groups for experimentation.\" by Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"},{"code" : "expert-comments","valueString" : "Which is the difference between thisquasi-randomized assignment and theadaptive randomization? It is unclearwhy we should insert these two terms inthe glossary I would specify in the definition thatquasi-randomisation is a non-randommethod of allocation"},{"code" : "comment","valueString" : "Quasi-random methods of allocation include allocation by alternate order of entry, date of birth, day of the week, month of the year, or medical record number"}]}]},{"code" : "SEVCO:01029","display" : "clinical trial","definition" : "Interventional research in which one or more healthcare-related actions (i.e., a diagnostic, prognostic, therapeutic, preventive or screening method or intervention) is evaluated for effects on health-related biomedical or behavioral processes and/or outcomes.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-11-30 vote 7-1 by Alejandro Piscoya, Mario Tristan, Robin Ann Yurk, Muhammad Afzal, Paola Rosati, Paul Whaley, Janice Tufte, Jesus Lopez-Alcalde\n2021-12-07 vote 4-1 by Mario Tristan, Robin Ann Yurk, Janice Tufte, Joanne Dehnbostel, CP Ooi"},{"code" : "expert-comments","valueString" : "2021-11-30 comments: (We should include the classical definition for  Phase lV Field Trials of Health Interventions: A Toolbox. 3rd edition.\nSmith PG, Morrow RH, Ross DA, editors.\nOxford (UK): OUP Oxford; 2015 Jun 1.https://www.ncbi.nlm.nih.gov/books/NBK305508/), Instead of \"methods\" I would use the term \"interventions\". I also miss the term \"prognostic\" as they are not diagnostic or screening. Besides, it would be important to highlight that the clinical trial is done in humans\n\n2021-12-07 comment: A clinical trial is a type of research that studies new tests and treatments and evaluates their effects on human health outcomes. The medical intervention can be drugs, cells and other biological products, surgical procedures, radiological procedures, devices, behavioural treatments and preventive care."},{"code" : "comment","valueString" : "Some definitions for \"clinical trial\" include human subject research for effects on human health outcomes. The term \"human\" was not added to this definition because a study design with animal subjects for effects on animal health outcomes to inform veterinary care would be considered a clinical trial. However, a study design with animal subjects to inform human health outcomes would not be considered a clinical trial."},{"code" : "external-definitions","valueString" : "NIH Clinical Trial Definition = A research study[1] in which one or more human subjects[2] are prospectively assigned[3] to one or more interventions[4] (which may include placebo or other control) to evaluate the effects of those interventions on health-related biomedical or behavioral outcomes.[5] \n\n[4]An intervention is defined as a manipulation of the subject or subject’s environment for the purpose of modifying one or more health-related biomedical or behavioral processes and/or endpoints.  Examples include:  drugs/small molecules/compounds; biologics; devices; procedures (e.g., surgical techniques); delivery systems (e.g., telemedicine, face-to-face interviews); strategies to change health-related behavior (e.g., diet, cognitive therapy, exercise, development of new habits); treatment strategies; prevention strategies; and, diagnostic strategies.\n\nfrom https://grants.nih.gov/grants/guide/notice-files/NOT-OD-15-015.html"},{"code" : "approval","valueString" : "2021-12-14 vote 6-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Robin Ann Yurk, Janice Tufte, Paul Whaley, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:01041","display" : "pragmatic clinical trial","definition" : "A clinical trial conducted under conditions of routine clinical practice.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "pragmatic trial"}],"property" : [{"code" : "external-definitions","valueString" : "NCIt:  Pragmatic Trial = A study designed to test the effectiveness of an intervention in a broad routine clinical practice. Term used to describe a clinical study designed to examine the benefits of a product under real world conditions.\nUMLS: Works about randomized clinical trials that compare interventions in clinical settings and which look at a range of effectiveness outcomes and impacts.\nCDISC Glossary: pragmatic trial = Term used to describe a clinical study designed to examine the benefits of a product under real world conditions.\nEDDA: pragmatic clinical trial = Randomized clinical trials that compare interventions in clinical settings and which look at a range of effectiveness outcomes and impacts. [MeSH_2015]\nSCO: pragmatic trial = A study designed to test the effectiveness of an intervention in a broad routine clinical practice.\n\"Pragmatic trials are designed to evaluate the effectiveness of interventions in real-life routine practice conditions, whereas explanatory trials aim to test whether an intervention works under optimal situations. The pragmatic trial, on the other hand, is designed to test interventions in the full spectrum of everyday clinical settings in order to maximize applicability and generalizability. The research question under investigation is whether an intervention actually works in real life.\" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181997/)"},{"code" : "comment","valueString" : "\"Pragmatic trials are designed to evaluate the effectiveness of interventions in real-life routine practice conditions, whereas explanatory trials aim to test whether an intervention works under optimal situations. The pragmatic trial, on the other hand, is designed to test interventions in the full spectrum of everyday clinical settings in order to maximize applicability and generalizability. The research question under investigation is whether an intervention actually works in real life.\" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181997/)"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2021-11-30 vote 5-1 by Alejandro Piscoya, Robin Ann Yurk, Muhammad Afzal, Paul Whaley, Janice Tufte, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2021-11-30 comments: (The definition in the current form is fine however the last part may be thought like;\nwhere \"everyday\" means day-to-day clinical practice wherein the conditions are not modified for the conduct of the research.),  Suggested alternative: = A clinical trial designed to test the effects of an intervention under everyday conditions, where \"everyday conditions\" means clinical conditions are not modified for the conduct of the research"},{"code" : "approval","valueString" : "2021-12-07 vote 5-0 by Mario Tristan, Robin Ann Yurk, Janice Tufte, CP Ooi, Joanne Dehnbostel"}]},{"code" : "SEVCO:01038","display" : "expanded access study","definition" : "A clinical trial that provides a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "compassionate use trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "compassionate use study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "expanded access trial"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nExpanded Access Study\n\nStudies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study. Expanded Access studies include individual-patient IND, treatment IND, compassionate use, emergency use or continued access. An investigational drug product (including biological product) available through expanded access for patients who do not qualify for enrollment in a clinical trial. Expanded Access includes all expanded access types under section 561 of the Federal Food, Drug, and Cosmetic Act: (1) for individual patients, including emergency use; (2) for intermediate-size patient populations; and (3) under a treatment IND or treatment protocol.\n\n\nfrom NCIt:\n\nExpanded Access Study\n\nStudies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study. Expanded Access studies include individual-patient IND, treatment IND, compassionate use, emergency use or continued access. \n\n\nalso Compassionate Treatment (compassionate use trial, expanded access trial, pre-approval access)\n\nProviding experimental therapies to very sick individuals even though they don't meet the critera for inclusion in a trial.\n\nA way to provide an investigational therapy to a patient who is not eligible to receive that therapy in a clinical trial, but who has a serious or life-threatening illness for which other treatments are not available. Compassionate use trials allow patients to receive promising but not yet fully studied or approved cancer therapies when no other treatment option exists.\n\nA potential pathway for a patient with an immediately life-threatening condition or serious disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available. NOTE: The intent is treatment, as opposed to research. Individual, Intermediate-size, and Widespread Use Expanded Access, also Emergency IND, are all programs administered under FDA guidelines. Additionally, the US Right-to-Try Act, which is independent of FDA, expands access. [FDA Expanded Access: Information for Physicians]\n\n\n\nfrom EDDA:\n\ncompassionate use trial (expanded access trial, compassionate treatment)\n\nProviding experimental therapies to very sick individuals even though they don't meet the critera for inclusion in a trial. [NCI 2014_12E]\n\nProviding an investigational therapy to a patient who is not eligible to receive that therapy in a clinical trial, but who has a serious or life-threatening illness for which other treatments are not available. Compassionate use trials allow patients to receive promising but not yet fully studied or approved therapies when no other treatment option exists. Also called expanded access trial. [MeSH 2014_2014_02_10]\n\n\nshared as a comment: Expanded access is the use of an investigational new drug, biologics, and medical devices used to diagnose, monitor, or treat patients with serious diseases or conditions for which there are no comparable or satisfactory therapy options available outside of clinical trials. (USA FDA)"},{"code" : "comment","valueString" : "Expanded Access studies include individual-patient investigational new drug (IND), treatment IND, compassionate use, emergency use or continued access."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "approval","valueString" : "2022-02-15 vote 10-0 by Paul Whaley, Andrew Beck, Brian S. Alper, Paola Rosati, Robin Ann Yurk, Janice Tufte, Jesus Lopez-Alcalde, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya"},{"code" : "expert-comments","valueString" : "2022-02-15 comment: Define IND acronym under comment for application under individual patient IND, treatment IND"}]},{"code" : "SEVCO:01030","display" : "phase 1 trial","definition" : "A clinical trial to gather initial evidence in humans to support further investigation of an intervention.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase I trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 1 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase I clinical trial"}],"property" : [{"code" : "external-definitions","valueString" : "https://www.ecfr.gov/current/title-21/chapter-I/subchapter-D/part-312/subpart-B/section-312.21 is the US Code of Federal Regulations Title 21 (Food and Drugs) Chapter I Subchapter D Part 312 Subpart B § 312.21 and includes:\n\n§ 312.21 Phases of an investigation.\n\nAn IND may be submitted for one or more phases of an investigation. The clinical investigation of a previously untested drug is generally divided into three phases. Although in general the phases are conducted sequentially, they may overlap. These three phases of an investigation are a[sic] follows:\n\n....\n\nPhase 1. \n\n(1) Phase 1 includes the initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase 2 studies. The total number of subjects and patients included in Phase 1 studies varies with the drug, but is generally in the range of 20 to 80. \n\n(2) Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes.\n\n\n\nfrom CTO:\n\nPhase I trial (phase I study, early-stage clinical trial, phase I protocol, phase I clinical trial, trial phase 1)\nA clinical research protocol designed to test a new biomedical intervention in a small group of people for the first time. A Phase I trial can be to establish the toxicity of a new treatment with escalating intensity of the treatment administered and/or to determine the side effects of a new treatment for a particular indication in subjects. Includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients.\n\n\t\n\t\nThe initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. NOTE: These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase 2 studies. The total number of subjects and patients included in Phase I studies varies with the drug, but is generally in the range of 20 to 80. Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nThe first step in testing a new treatment in humans. These studies test the best way to give a new treatment (for example, by mouth, intravenous infusion, or injection) and the best dose. The dose is usually increased a little at a time in order to find the highest dose that does not cause harmful side effects. Because little is known about the possible risks and benefits of the treatments being tested, phase I trials usually include only a small number of patients who have not been helped by other treatments.\n\nThe initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. NOTE: These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid Phase 2 studies. The total number of subjects and patients included in Phase 1 studies varies with the drug, but is generally in the range of 20 to 80. Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes. [after FDA CDER handbook, ICH E8]\n\nfrom SCO:\n\t\nphase I trial not independently defined\n\nfrom NCIt:\n\nsame as CTO\n\nfrom OCRe:\n\t\nA Phase 1 trial includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients.\n\nfrom EDDA:\n\nA clinical research protocol designed to test a new biomedical intervention in a small group of people for the first time. A Phase I trial can be to establish the toxicity of a new treatment with escalating intensity of the treatment administered and/or to determine the side effects of a new treatment for a particular indication in subjects. [NCI 2014_12E] \n\nStudies performed to evaluate the safety of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques in healthy subjects and to determine the safe dosage range (if appropriate). These tests also are used to determine pharmacologic and pharmacokinetic properties (toxicity, metabolism, absorption, elimination, and preferred route of administration). They involve a small number of persons and usually last about 1 year. This concept includes phase I studies conducted both in the U.S. and in other countries. [MeSH 2014_2014_02_10]\n\nfrom INTERNATIONAL COUNCIL FOR HARMONISATION OF TECHNICAL REQUIREMENTS FOR PHARMACEUTICALS FOR HUMAN USE (ICH HARMONISED GUIDELINE) GENERAL CONSIDERATIONS FOR CLINICAL STUDIES E8(R1) https://database.ich.org/sites/default/files/E8-R1_Guideline_Step4_2021_1006.pdf Adopted on 6 October 2021\n\n4.3.1 Human Pharmacology\nThe protection of study participants should always be the first priority when designing early\nclinical studies, especially for the initial administration of an investigational product to humans\n(usually referred to as phase 1). These studies may be conducted in healthy volunteer\nparticipants or in a selected population of patients who have the condition or the disease,\ndepending on drug properties and the objectives of the development programme.\n\nThese studies typically address one or a combination of the following aspects:\n\n4.3.1.1 Estimation of Initial Safety and Tolerability\nThe initial and subsequent administration of a drug to humans is usually intended to determine\nthe tolerability of the dose range expected to be evaluated in later clinical studies and to\ndetermine the nature of adverse reactions that can be expected. These studies typically include\nboth single and multiple dose administration.\n\n4.3.1.2 Pharmacokinetics\nCharacterisation of a drug's absorption, distribution, metabolism, and excretion continues\nthroughout the development programme, but the preliminary characterisation is an essential\nearly goal. Pharmacokinetic studies are particularly important to assess the clearance of the\ndrug and to anticipate possible accumulation of parent drug or metabolites, interactions with\nmetabolic enzymes and transporters, and potential drug-drug interactions. Some\npharmacokinetic studies are commonly conducted in later phases to answer more specialised\nquestions. For orally administered drugs, the study of food effects on bioavailability is\nimportant to inform the dosing instructions in relation to food. Obtaining pharmacokinetic\ninformation in sub-populations with potentially different metabolism or excretion, such as\npatients with renal or hepatic impairment, geriatric patients, children, and ethnic subgroups\nshould be considered (ICH E4 Dose-Response Studies, E7 Clinical Trials in Geriatric\nPopulation, E11, and E5, respectively).\n\n4.3.1.3 Pharmacodynamics & Early Measurement of Drug Activity\nDepending on the drug and the endpoint of interest, pharmacodynamic studies and studies\nrelating drug levels to response (PK/PD studies) may be conducted in healthy volunteer\nparticipants or in patients with the condition or disease. If there is an appropriate measure,\npharmacodynamic data can provide early estimates of activity and efficacy and may guide the\ndosage and dose regimen in later studies.\n\n\nfrom March 1998 https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-8-general-considerations-clinical-trials-step-5_en.pdf\n\n3.1.3.1 Phase I (Most typical kind of study: Human Pharmacology)\nPhase I starts with the initial administration of an investigational new drug into humans.\nAlthough human pharmacology studies are typically identified with Phase I, they may also be\nindicated at other points in the development sequence. Studies in this phase of development\nusually have non-therapeutic objectives and may be conducted in healthy volunteer subjects\nor certain types of patients, e.g. patients with mild hypertension. Drugs with significant\npotential toxicity, e.g. cytotoxic drugs, are usually studied in patients. Studies in this phase\ncan be open, baseline controlled or may use randomisation and blinding, to improve the\nvalidity of observations.\nStudies conducted in Phase I typically involve one or a combination of the following aspects:\na) Estimation of Initial Safety and Tolerability\nThe initial and subsequent administration of an investigational new drug into humans is\nusually intended to determine the tolerability of the dose range expected to be needed for later\nclinical studies and to determine the nature of adverse reactions that can be expected. These\nstudies typically include both single and multiple dose administration.\nb) Pharmacokinetics\nCharacterisation of a drug's absorption, distribution, metabolism, and excretion continues\nthroughout the development plan. Their preliminary characterisation is an important goal of\nPhase I. Pharmacokinetics may be assessed via separate studies or as a part of efficacy, safety\nand tolerance studies. Pharmacokinetic studies are particularly important to assess the\nclearance of the drug and to anticipate possible accumulation of parent drug or metabolites\nand potential drug-drug interactions. Some pharmacokinetic studies are commonly conducted\nin later phases to answer more specialised questions. For many orally administered drugs,\nespecially modified release products, the study of food effects on bioavailability is important.\nObtaining pharmacokinetic information in sub-populations such as patients with impaired\nelimination (renal or hepatic failure), the elderly, children, women and ethnic subgroups\nshould be considered. Drug-drug interaction studies are important for many drugs; these are\ngenerally performed in phases beyond Phase I but studies in animals and in vitro studies of\nmetabolism and potential interactions may lead to doing such studies earlier.\nc) Assessment of Pharmacodynamics\nDepending on the drug and the endpoint studied, pharmacodynamic studies and studies\nrelating drug blood levels to response (PK/PD studies) may be conducted in healthy volunteer\nsubjects or in patients with the target disease. In patients, if there is an appropriate measure,\npharmacodynamic data can provide early estimates of activity and potential efficacy and may\nguide the dosage and dose regimen in later studies. \nd) Early Measurement of Drug Activity\nPreliminary studies of activity or potential therapeutic benefit may be conducted in Phase I as\na secondary objective. Such studies are generally performed in later phases but may be\nappropriate when drug activity is readily measurable with a short duration of drug exposure in\npatients at this early stage."},{"code" : "comment","valueString" : "Phase 1 trials are often the first step in testing a new treatment in humans and may include safety assessment, measurement of metabolism and pharmacologic actions of a drug in humans, or the side effects associated with increasing doses. Phase 1 studies often include between 20 and 80 subjects, and often involve healthy subjects."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-01-04 vote 5-2 by Robin Ann Yurk, Harold Lehmann, janice tufte, Paola Rosati, C P Ooi,  Paul Whaley, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-01-04 comments: Perhaps adding the following may improve the clarity \"It may include testing the best way to give a new treatment (for example, by mouth, infusion into a vein, or injection)\".\n\n \"providing the initial investigation\" sounds a bit vague compared to the other trial phase definitions. Also, can a trial really \"provide an investigation\"? Maybe suggest changing to \"in which xxx is investigated\", where \"xxx\" is a tighter definition of what \"the initial\" is referring to.\n\n2022-01-11 comment: I would suggest not adding how many subjects are typically involved, maybe state that these usually have very small sample sizes. Unfortunately, sample sizes have decreased over time. https://bmjopen.bmj.com/content/11/12/e053377"},{"code" : "approval","valueString" : "2022-01-11 vote 7-0 by Harold Lehmann, Jesus Lopez-Alcalde, Mario Tristan, janice tufte, Paul Whaley,  Andrew Beck, Robin Ann Yurk"}],"concept" : [{"code" : "SEVCO:01031","display" : "exploratory investigational new drug study","definition" : "A clinical trial that is conducted early in phase 1, involves very limited human exposure, and has no therapeutic or diagnostic intent (e.g., screening studies, microdose studies).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 0 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "pre-clinical trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "exploratory ind study"}],"property" : [{"code" : "external-definitions","valueString" : "the original source at https://www.fda.gov/regulatory-information/search-fda-guidance-documents/exploratory-ind-studies\nFDA GUIDANCE DOCUMENT\nExploratory IND Studies\nGuidance for Industry, Investigators, and Reviewers\nJANUARY 2006\ninvestigational new drug (IND)\n\nFor the purposes of this guidance the phrase exploratory IND study is intended to describe a clinical trial that\n\nis conducted early in phase 1,\ninvolves very limited human exposure, and\nhas no therapeutic or diagnostic intent (e.g., screening studies, microdose studies). \n\nSuch exploratory IND studies are conducted prior to the traditional dose escalation, safety, and tolerance studies that ordinarily initiate a clinical drug development program.  The duration of dosing in an exploratory IND study is expected to be limited (e.g., 7 days).\n\n\nfrom CTO:\n\nEarly Phase I clinical trial (Phase 0 trial, Phase 0 clinical trial, Pre-Clinical Trial)\n\nA clinical trial that is at an Early Phase i or Phase 0, which is designed to use an investigational agent that is available only in very limited quantities and which has never previously given to humans or for which there is extremely limited human experience. Phase 0 clinical trials are intended to enable researchers to understand the path of the drug in the body and its efficacy. Adverse event reporting in Phase 0 trials is expedited. [def-source: NCI] Exploratory trials, involving very limited human exposure, with no therapeutic or diagnostic intent (e.g., screening studies, microdose studies). (Formerly listed as \"Phase 0\") A clinical trial that is at Early Phase 1 or Phase 0\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nPreferred Name:  Exploratory Investigational New Drug Study\n\nDefinition:  A type of clinical trial that involves low dosage and short duration of drug exposure for a limited number of study participants with the intent of gathering preliminary data on the mechanism of action, pharmacodynamics, pharmacokinetics, or bioavailability of promising therapeutic candidate agents in human subjects.\n\nCDISC-GLOSS Definition:  A clinical study that is conducted early in Phase 1; involves very limited human exposure and has no therapeutic or diagnostic intent (e.g., screening studies, microdose studies) [FDA Guidance for industry, investigators, and Reviewers: exploratory IND studies, January 2006] See also Phase 0.\n\nFirst-in-Human Study = A type of phase 1 clinical trial in which the test product is administered to human beings for the first time. \n\nPhase 0 Trial = Pre-Clinical Trial = A clinical trial that uses an investigational agent that is available only in very limited quantities and which has never previously given to humans or for which there is extremely limited human experience. Phase 0 clinical trials are intended to enable researchers to understand the path of the drug in the body and its efficacy. Adverse event reporting in Phase 0 trials is expedited.\n\nFirst-in-human trials, in a small number of subjects, that are conducted before Phase 1 trials and are intended to assess new candidate therapeutic and imaging agents. The study agent is administered at a low dose for a limited time, and there is no therapeutic or diagnostic intent. NOTE: FDA Guidance for Industry, Investigators, and Reviewers: Exploratory IND Studies, January 2006 classifies such studies as Phase 1. NOTE: A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations). [Improving the Quality of Cancer Clinical Trials: Workshop summary-Proceedings of the National Cancer Policy Forum Workshop, improving the Quality of Cancer Clinical Trials (Washington, DC, Oct 2007)] (CDISC glossary)\n\nFirst-in-human trials, in a small number of subjects, that are conducted before Phase 1 trials and are intended to assess new candidate therapeutic and imaging agents. The study agent is administered at a low dose for a limited time, and there is no therapeutic or diagnostic intent. NOTE: FDA Guidance for Industry, Investigators, and Reviewers: Exploratory IND Studies, January 2006 classifies such studies as Phase 1. NOTE: A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations). [Improving the Quality of Cancer Clinical Trials: Workshop summary-Proceedings of the National Cancer Policy Forum Workshop, improving the Quality of Cancer Clinical Trials (Washington, DC, Oct 2007)]   )\n\nfrom OCRe:\n\t\nPhase 0 = A Phase 0 trial is an exploratory trial involving very limited human exposure, with no therapeutic or diagnostic intent (e.g., screening study, microdose study).\n\nfrom EDDA:\n\npre-clinical trial = phase 0 trial = A clinical trial that uses an investigational agent that is available only in very limited quantities and which has never previously given to humans or for which there is extremely limited human experience. Phase 0 clinical trials are intended to enable researchers to understand the path of the drug in the body and its efficacy. Adverse event reporting in Phase 0 trials is expedited. [NCI 2014_12E]"},{"code" : "comment","valueString" : "According to the original FDA guidance, such exploratory IND studies are conducted prior to the traditional dose escalation, safety, and tolerance studies that ordinarily initiate a clinical drug development program.  The duration of dosing in an exploratory IND study is expected to be limited (e.g., 7 days).\n\nA type of clinical trial that involves low dosage and short duration of drug exposure for a limited number of study participants with the intent of gathering preliminary data on the mechanism of action, pharmacodynamics, pharmacokinetics, or bioavailability of promising therapeutic candidate agents in human subjects.\n\nLess official terms (phase 0 trial, pre-clinical trial) have been used to describe a clinical trial that uses an investigational agent that has never previously given to humans or for which there is extremely limited human experience. A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Olga Vovk"},{"code" : "negative-vote","valueString" : "2022-01-25 vote 8-1 by Harold Lehmann, Alejandro Piscoya, Janice Tufte, Paola Rosati, Robin Ann Yurk, Philippe Rocca-Serra, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-25 comments: I had to read a couple of times and check the hierarchy to appreciate this definition, but I agree.\nFor a later version of SEVCO, we probably should put citations (\"original FDA guidance\") into the documentation.\nconcern over the use of the term 'phase 1' in the definition and the presence of an Alternative term 'phase 0 study`."},{"code" : "approval","valueString" : "2022-02-01 vote 5-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]}]},{"code" : "SEVCO:01032","display" : "phase 1/phase 2 trial","definition" : "A clinical trial with a component meeting the definition of phase 1 trial and a component meeting the definition of phase 2 trial.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase I/II trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 1-2 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 1/2 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 1-2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 1/2"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nphase I/II trial (trial phase 1/2, trial phase 1-2)\n\nTrials that are a combination of phases 1 and 2. A clinical research protocol designed to study the safety, dosage levels and response to new treatment. Phase I/II trials combine a Phase I and a Phase II trial of the same treatment into a single protocol.\n\nA class of clinical study that combines elements characteristic of traditional Phase I and Phase II trials. See also Phase I, Phase II.\n\nA trial to study the safety, dosage levels, and response to a new treatment.\n\nfrom SCO:\n\t\nphase I/II trial (trial phase 1/2, trial phase 1-2)\n\nA clinical research protocol designed to study the safety, dosage levels and response to new treatment. Phase I/II trials combine a Phase I and a Phase II trial of the same treatment into a single protocol.\n\nfrom NCIt:\n\nsame as CTO\n\nfrom OCRe:\n\t\nnot included\n\nfrom EDDA:\n\nphase I/II trial (trial phase 1/2, trial phase 1-2)\n\nA class of clinical study that combines elements characteristic of traditional Phase I and Phase II trials. See also Phase I, Phase II. [NCIT_14.08d] [Contributing_Source_CDISC]\n\nA clinical research protocol designed to study the safety, dosage levels and response to new treatment. Phase I/II trials combine a Phase I and a Phase II trial of the same treatment into a single protocol. [NCIT_14.08d]\n\nA trial to study the safety, dosage levels, and response to a new treatment. [NCIT_14.08d]"},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-01-18 vote 3-2 by Harold Lehmann, Paul Harris, Robin Ann Yurk, raradhikaag@gmail.com, Paul Whaley"},{"code" : "comment","valueString" : "A phase 1 trial is a clinical trial to gather initial evidence in humans to support further investigation of an intervention.\nA phase 2 trial is a clinical trial to gather evidence of effectiveness and safety for an intervention in patients with the disease or condition under study, but not intended to provide an adequate basis for regulatory approval for clinical use."},{"code" : "expert-comments","valueString" : "2022-01-18 comments: Does it matter that the Term has Arabic numerals and the Definition, Roman?\nConsider adding a comment for application to improve definition interpretation with individual term definitions for Phase I/Phase 2 trial\nNot sure I quite understand what the \"separate sets of design parameters with\" phrase means here?"},{"code" : "approval","valueString" : "2022-01-25 vote 9-0 by Harold Lehmann, Alejandro Piscoya, Janice Tufte, Paola Rosati, Robin Ann Yurk, Philippe Rocca-Serra, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:01033","display" : "phase 2 trial","definition" : "A clinical trial to gather evidence of effectiveness and safety for an intervention in patients with the disease or condition under study, but not intended to provide an adequate basis for regulatory approval for clinical use.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase II trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 2 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "exploratory clinical study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase II clinical trial"}],"property" : [{"code" : "external-definitions","valueString" : "https://www.ecfr.gov/current/title-21/chapter-I/subchapter-D/part-312/subpart-B/section-312.21 is the US Code of Federal Regulations Title 21 (Food and Drugs) Chapter I Subchapter D Part 312 Subpart B § 312.21 and includes:\n\n§ 312.21 Phases of an investigation.\n\nAn IND may be submitted for one or more phases of an investigation. The clinical investigation of a previously untested drug is generally divided into three phases. Although in general the phases are conducted sequentially, they may overlap. These three phases of an investigation are a[sic] follows:\n\n....\n\nPhase 2.  Phase 2 includes the controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. Phase 2 studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects.\n\n\n\nfrom CTO:\n\nPhase II trial\nA clinical research protocol designed to study a biomedical or behavioral intervention in a larger group of people (several hundred), to evaluate the drug's effectiveness for a particular indication in patients with the disease or condition under study, and to determine the common short-term side effects and risks associated with the intervention. Includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in participants with the disease or condition under study and to determine the common short-term side effects and risks.\n\n\t\nPhase 2. Controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. NOTE: Phase 2 studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nA study to test whether a new treatment has an anticancer effect (for example, whether it shrinks a tumor or improves blood test results) and whether it works against a certain type of cancer.\n\nControlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. NOTE: Phase 2 studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects. [after FDA CDER handbook, ICH E8]\n\nfrom SCO:\n\t\nphase II trial not independently defined\n\nfrom NCIt:\n\nsame as CTO\n\nfrom OCRe:\n\t\nA Phase 2 trial includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks.\n\nfrom EDDA:\nA clinical research protocol designed to study a biomedical or behavioral intervention in a larger group of people (several hundred), to evaluate the drug's effectiveness for a particular indication in patients with the disease or condition under study, and to determine the common short-term side effects and risks associated with the intervention. [NCI 2014_12E] Studies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries. [MeSH 2014_2014_02_10]\nA clinical research protocol designed to study a biomedical or behavioral intervention in a larger group of people (several hundred), to evaluate the drug's effectiveness for a particular indication in patients with the disease or condition under study, and to determine the common short-term side effects and risks associated with the intervention. [NCI 2014_12E]\n\nStudies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries. [MeSH 2014_2014_02_10]\n\nfrom INTERNATIONAL COUNCIL FOR HARMONISATION OF TECHNICAL REQUIREMENTS FOR PHARMACEUTICALS FOR HUMAN USE (ICH HARMONISED GUIDELINE) GENERAL CONSIDERATIONS FOR CLINICAL STUDIES E8(R1) https://database.ich.org/sites/default/files/E8-R1_Guideline_Step4_2021_1006.pdf Adopted on 6 October 2021\n\nAfter initial clinical studies provide sufficient information on safety, clinical pharmacology and\ndose, exploratory and confirmatory studies (usually referred to as phases 2 and 3, respectively)\nare conducted to further evaluate both the safety and efficacy of the drug. \n\nExploratory studies are designed to investigate safety and efficacy in a selected population of\npatients for whom the drug is intended. Additionally, these studies aim to refine the effective\ndose(s) and regimen, refine the definition of the targeted population, provide a more robust\nsafety profile for the drug, and include evaluation of potential study endpoints for subsequent\nstudies. Exploratory studies may provide information on the identification and determination\nof factors that affect the treatment effect and, possibly combined with modelling and\nsimulation, serve to support the design of later confirmatory studies.\n\nfrom March 1998 https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-8-general-considerations-clinical-trials-step-5_en.pdf\n\n3.1.3.2 Phase II (Most typical kind of study: Therapeutic Exploratory)\nPhase II is usually considered to start with the initiation of studies in which the primary\nobjective is to explore therapeutic efficacy in patients.\nInitial therapeutic exploratory studies may use a variety of study designs, including\nconcurrent controls and comparisons with baseline status. Subsequent trials are usually\nrandomised and concurrently controlled to evaluate the efficacy of the drug and its safety for\na particular therapeutic indication. Studies in Phase II are typically conducted in a group of\npatients who are selected by relatively narrow criteria, leading to a relatively homogeneous\npopulation and are closely monitored.\nAn important goal for this phase is to determine the dose(s) and regimen for Phase III trials.\nEarly studies in this phase often utilise dose escalation designs (see ICH E4) to give an early\nestimate of dose response and later studies may confirm the dose response relationship for the\nindication in question by using recognised parallel dose-response designs (could also be\ndeferred to phase III). Confirmatory dose response studies may be conducted in Phase II or\nleft for Phase III. Doses used in Phase II are usually but not always less than the highest doses\nused in Phase†I.\nAdditional objectives of clinical trials conducted in Phase II may include evaluation of\npotential study endpoints, therapeutic regimens (including concomitant medications) and\ntarget populations (e.g. mild versus severe disease) for further study in Phase II or III. These\nobjectives may be served by exploratory analyses, examining subsets of data and by including\nmultiple endpoints in trials."},{"code" : "comment","valueString" : "Phase 2 trials are typically controlled clinical studies conducted to evaluate the effectiveness of the intervention for a particular indication and to determine the common short-term side effects and risks associated with the intervention. Phase 2 trials may have a goal of determining the dose(s) or regimen(s) for Phase 3 trials. Phase 2 studies usually include no more than several hundred subjects."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2021-01-04 vote 5-2 by Robin Ann Yurk, Harold Lehmann, janice tufte, Paola Rosati, C P Ooi, Joanne Dehnbostel, Paul Whaley"},{"code" : "expert-comments","valueString" : "2021-01-04 comments: The first part of the definition is ok. In the second part, I would suggest to change with \"An insufficient evidence for the intervention tested or the desired patients' number failure could occur thus impeding regulatory approval for clinical use\"\n\nComment Suggestion to add to comment for term from extracted from notes-3.1.3.2:  An important goal for this phase is to determine the dose(s) and regimen for Phase III trials.\n\nEarly studies in this phase often utilize dose escalation designs (see ICH E4) to give an early estimate of dose response and later studies may confirm the dose response relationship for the indication in question by using recognized parallel dose-response designs (could also be deferred to phase III)\n\nMinor change - the phrasing is a little awkward, suggest \"gather evidence about the effectiveness and safety of an intervention in patients with the disease or condition under study, but not sufficient...\". \n\nI am not sure the comment for application is fully consistent with the definitions (what about safety?).\n\n2022-01-11 comment: I would suggest not adding how many subjects are typically involved, maybe state that these usually have small sample sizes. Unfortunately, sample sizes have decreased over time. https://bmjopen.bmj.com/content/11/12/e053377"},{"code" : "approval","valueString" : "2022-01-11 vote 7-0 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, janice tufte, Paul Whaley, Andrew Beck, Robin Ann Yurk"}]},{"code" : "SEVCO:01034","display" : "phase 2/phase 3 trial","definition" : "A clinical trial with a component meeting the definition of phase 2 trial and a component meeting the definition of phase 3 trial.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase II/III trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 2-3 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 2/3 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 2-3"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 2/3"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nphase II/III trial (trial phase 2/3, trial phase 2-3)\n\nTrials that are a combination of phases 2 and 3. A type of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nA trial to study response to a new treatment and the effectiveness of the treatment compared with the standard treatment regimen.\n\nA class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nphase II/III trial (trial phase 2/3, trial phase 2-3)\n\nA type of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nA trial to study response to a new treatment and the effectiveness of the treatment compared with the standard treatment regimen.\n\nA class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nfrom OCRe:\n\t\nnot included\n\nfrom EDDA:\n\nphase II/III trial (trial phase 2/3, trial phase 2-3)\n\nA type of clinical study that combines elements characteristic of traditional Phase II and Phase III trials. [NCIT_14.08d]\n\nA class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials. [NCIT_14.08d] [Contributing_Source_CDISC]\n\nA trial to study response to a new treatment and the effectiveness of the treatment compared with the standard treatment regimen. [NCIT_14.08d]\n\n\n\"Designs that combine phase II and III functions (ie, phase II/III designs) have separate sets of design parameters that correspond to their phase II and III components.\" -- Korn EL et al. Design Issues in Randomized Phase II/III Trials. J Clin Oncol 2012 https://ascopubs.org/doi/full/10.1200/JCO.2011.38.5732. https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3295562&blobtype=pdf"},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-01-18 vote 2-3 by Harold Lehmann, Paul Harris, Robin Ann Yurk, raradhikaag@gmail.com, Paul Whaley\n2022-01-25 vote 9-1 by Harold Lehmann, Alejandro Piscoya, Janice Tufte, Paola Rosati, Robin Ann Yurk, Philippe Rocca-Serra, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde, Paul Whaley\n2022-02-01 vote 4-1 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2022-01-18 comments: Phase 2/3 trials determine efficacy of a new biomedical intervention i.e. whether it works as intended in a larger group of study participants, and monitor adverse effects so that the intervention may be used safely.\nConsider adding a comment for application to improve definition interpretation with individual term definitions for Phase 2/Phase 3 trial\nNot sure I quite understand what the \"separate sets of design parameters with\" phrase means here?\n2022-01-25 comment: As already pointed out, to me these definitions seem incongruent and lack specification of the outcomes used, namely core clinical outcomes relevant for patients. Are pahse 2 and phase 3 trials designed to gather evidence of 'effectiveness' and safety or 'efficacy' and monitor adverse effects of a new biomedical intervention? For what outcome? The three sentences proposed in the comment for application of this code seem overlapping the two terms (i.e. is it still efficacy the right term used for trials or is it effectiveness, commonly used for prospective observational studies?). I think it is important to justify why the two terms are used for clinical trial designs.\n2022-02-01 comment: To me this definition has no clear meaning. As your are working and struggling so hard to define and clarify the scientific evidence code system, I wish to participate to the meeting to discuss with you this tricky definition. If you agree, please, let me know."},{"code" : "comment","valueString" : "A phase 2 trial is a clinical trial to gather evidence of effectiveness and safety for an intervention in patients with the disease or condition under study, but not intended to provide an adequate basis for regulatory approval for clinical use.\nA phase 3 trial is a clinical trial to gather the evidence of effectiveness and safety of an intervention, intended to provide an adequate basis for regulatory approval for clinical use."},{"code" : "approval","valueString" : "2022-02-08 vote 7-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper, Paul Whaley, Sunu Alice Cherian"}]},{"code" : "SEVCO:01035","display" : "phase 3 trial","definition" : "A clinical trial to gather the evidence of effectiveness and safety of an intervention, intended to provide an adequate basis for regulatory approval for clinical use.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase III trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 3 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "confirmatory clinical study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase III clinical trial"}],"property" : [{"code" : "external-definitions","valueString" : "https://www.ecfr.gov/current/title-21/chapter-I/subchapter-D/part-312/subpart-B/section-312.21 is the US Code of Federal Regulations Title 21 (Food and Drugs) Chapter I Subchapter D Part 312 Subpart B § 312.21 and includes:\n\n§ 312.21 Phases of an investigation.\n\nAn IND may be submitted for one or more phases of an investigation. The clinical investigation of a previously untested drug is generally divided into three phases. Although in general the phases are conducted sequentially, they may overlap. These three phases of an investigation are a[sic] follows:\n\n....\n\nPhase 3.  Phase 3 studies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. Phase 3 studies usually include from several hundred to several thousand subjects.\n\n\n\nfrom CTO:\n\nPhase III trial\nIncludes trials conducted after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug. A clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo.\n\n\t\nPhase 3. Studies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather the additional information about effectiveness and safety that is needed to confirm efficacy and evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. NOTE: Phase 3 studies usually include from several hundred to several thousand subjects. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nA study to compare the results of people taking a new treatment with the results of people taking the standard treatment (for example, which group has better survival rates or fewer side effects). In most cases, studies move into phase III only after a treatment seems to work in phases I and II. Phase III trials may include hundreds of people.\n\nStudies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has been obtained and are intended to gather the additional information about effectiveness and safety that is needed to confirm efficacy and evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. NOTE: Phase 3 studies usually include from several hundred to several thousand subjects. [after FDA CDER handbook, ICH E8]\n\nfrom SCO:\n\t\nA clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo.\n\nfrom NCIt:\nPhase III trial (Phase III Clinical Trial; Phase III Trial; phase 3; Trial Phase 3; PHASE III TRIAL; phase III trial; Phase III Trials; 3; Phase 3 Study; Clinical Trials, Phase III; Phase III Study; Phase III Protocol)\nA clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo.\n\nfrom OCRe:\nA Phase 3 trial includes expanded controlled and uncontrolled trials after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug and provide an adequate basis for physician labeling.\n\nfrom EDDA:\nComparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies. During these trials, patients are monitored closely by physicians to identify any adverse reactions from long-term use. These studies are performed on groups of patients large enough to identify clinically significant responses and usually last about three years. This concept includes phase III studies conducted in both the U.S. and in other countries. [MeSH 2014_2014_02_10] \nA clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo. [NCI 2014_12E]\n\nfrom INTERNATIONAL COUNCIL FOR HARMONISATION OF TECHNICAL REQUIREMENTS FOR PHARMACEUTICALS FOR HUMAN USE (ICH HARMONISED GUIDELINE) GENERAL CONSIDERATIONS FOR CLINICAL STUDIES E8(R1) https://database.ich.org/sites/default/files/E8-R1_Guideline_Step4_2021_1006.pdf Adopted on 6 October 2021\n\nAfter initial clinical studies provide sufficient information on safety, clinical pharmacology and\ndose, exploratory and confirmatory studies (usually referred to as phases 2 and 3, respectively)\nare conducted to further evaluate both the safety and efficacy of the drug. \n\nConfirmatory studies are designed to confirm the preliminary evidence accumulated in earlier clinical studies that a drug is safe and effective for use for the intended indication and recipient population. These studies are often intended to provide an adequate basis for marketing approval, and to support adequate instructions for use of the drug and official product information. They aim to evaluate the drug in participants with or at risk of the condition or disease who represent those who will receive the drug once approved. This may include investigating subgroups of patients with frequently occurring or potentially relevant comorbidities  (e.g., cardiovascular disease, diabetes, hepatic and renal impairment) to characterise the safe and effective use of the drug in patients with these conditions. \n\nConfirmatory studies may evaluate the efficacy and safety of more than one dose or the use of the drug in different stages of disease or in combination with one or more other drugs. If the intent is to administer a drug for a long period of time, then studies involving extended exposure to the drug should be conducted (ICH E1 Clinical Safety for Drugs used in Long-Term Treatment). Irrespective of the intended duration of administration, the duration of effect of the drug will also inform the duration of follow-up.\n\nStudy endpoints selected for confirmatory studies should be clinically relevant and reflect disease burden or be of adequate surrogacy for predicting disease burden or sequelae. \n\nfrom March 1998 https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-8-general-considerations-clinical-trials-step-5_en.pdf\n\n3.1.3.3 Phase III (Most typical kind of study: Therapeutic Confirmatory)\nPhase III usually is considered to begin with the initiation of studies in which the primary objective is to demonstrate, or confirm therapeutic benefit.\nStudies in Phase III are designed to confirm the preliminary evidence accumulated in Phase II that a drug is safe and effective for use in the intended indication and recipient population. These studies are intended to provide an adequate basis for marketing approval. Studies in Phase III may also further explore the dose-response relationship, or explore the drug's use in wider populations, in different stages of disease, or in combination with another drug. For drugs intended to be administered for long periods, trials involving extended exposure to the drug are ordinarily conducted in Phase III, although they may be started in Phase II (see ICH E1). ICH E1 and ICH E7 describe the overall clinical safety database considerations for chronically administered drugs and drugs used in the elderly. These studies carried out in Phase III complete the information needed to support adequate instructions for use of the drug (official product information)."},{"code" : "comment","valueString" : "Phase 3 trials are typically conducted after preliminary evidence suggests effectiveness and usually have the primary objective to demonstrate or confirm therapeutic benefit compared to placebo or a standard treatment. Phase 3 studies usually include from several hundred to several thousand subjects. Study endpoints for phase 3 trials should be clinically relevant or of adequate surrogacy for predicting clinical effects."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Janice Tufte, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2021-12-21 vote 2-2 by Robin Ann Yurk, C P Ooi, Janice Tufte, Paul Whaley\n2022-01-04 vote 5-2 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, Paola Rosati, C P Ooi, Joanne Dehnbostel, Paul Whaley\n2022-01-11 vote 6-1 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, janice tufte, Paul Whaley, Andrew Beck, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2021-12-21 comments: Note: consider adding the following comments from comments from previous reviewers to improve interpretation.\n\n3.1.3.3 “Phase III usually is considered to begin with the initiation of studies in which the primary objective is to demonstrate, or confirm therapeutic benefit.”\n\nEDDA:  “Comparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies…. A clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo”\n..................\nI think the pieces are there but the phrasing is difficult to parse.\n\n\n2022-01-04 comments: Perhaps adding \"compared with a standard treatment\" may improve the clarity. \n\nMinor change - the phrasing is a little awkward, suggest \"gather evidence about the effectiveness and safety of an intervention that is needed...\". \n\n2022-01-11 comments: I would suggest not adding how many subjects are typically involved. Unfortunately, sample sizes have decreased over time. https://bmjopen.bmj.com/content/11/12/e053377\n\nMinor change for consistency with other trial definitions: \"A clinical trial to gather evidence of effectiveness and safety of an intervention, that is intended to provide an adequate basis for regulatory approval for clinical use.\""},{"code" : "approval","valueString" : "2022-01-18 vote 6-0 by Harold Lehmann, Paul Harris, Robin Ann Yurk, Paola Rosati, raradhikaag@gmail.com, Paul Whaley"}]},{"code" : "SEVCO:01036","display" : "post-marketing study","definition" : "A clinical trial to gather additional evidence of effectiveness and safety of an intervention for an already approved clinical use.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase IV trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 4 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 4 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 4"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "post-approval study"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nPhase IV Trial (Phase IV Study, Phase IV clinical trial, phase 4 study, phase 4 trial, trial phase 4)\n\nStudies of FDA-approved drugs to delineate additional information including the drug's risks, benefits, and optimal use. A randomized, controlled trial that is designed to evaluate the long-term safety and efficacy of a drug for a given indication. Often they are designed to study side effects that may have become apparent after the phase III study was completed.\n\nAfter a treatment has been approved and is being marketed, it is studied in a phase IV trial to evaluate side effects that were not apparent in the phase III trial. Thousands of people are involved in a phase IV trial.\n\nPost approval studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [after FDA CDER handbook, ICH E8]\n\nPhase 4. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nPhase IV Trial (Phase IV Study, Phase IV clinical trial, phase 4 study, phase 4 trial, trial phase 4)\n\nA randomized, controlled trial that is designed to evaluate the long-term safety and efficacy of a drug for a given indication. Often they are designed to study side effects that may have become apparent after the phase III study was completed.\n\nAfter a treatment has been approved and is being marketed, it is studied in a phase IV trial to evaluate side effects that were not apparent in the phase III trial. Thousands of people are involved in a phase IV trial.\n\nPost approval studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [after FDA CDER handbook, ICH E8]\n\nPhase 4. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nfrom OCRe:\n\t\nA Phase 4 study monitors FDA-approved drug to delineate additional information including the drug's risks, benefits, and optimal use.\n\nfrom EDDA:\n\nA randomized, controlled trial that is designed to evaluate the long-term safety and efficacy of a drug for a given indication. Often they are designed to study side effects that may have become apparent after the phase III study was completed. [NCIT_14.08d]\n\nAfter a treatment has been approved and is being marketed, it is studied in a phase IV trial to evaluate side effects that were not apparent in the phase III trial. Thousands of people are involved in a phase IV trial. [NCIT_14.08d]\n\nPhase 4. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [After FDA CDER Handbook, ICH E8] [Contributing Source_CDISC] [NCIT_14.08d]"},{"code" : "comment","valueString" : "Post-marketing studies (phase IV trials) are often used to evaluate adverse effects that were not apparent in phase III trials, and may involve thousands of patients. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-15 vote 10-0 by Paul Whaley, Andrew Beck, Paola Rosati, Robin Ann Yurk, Janice Tufte, Jesus Lopez-Alcalde, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-02-15 comment: Maybe add hyphen between \"already\" and \"approved\""}]}]}]},{"code" : "SEVCO:01002","display" : "observational research","definition" : "A study design in which the independent variables (exposures or interventions) are not prospectively assigned or modified by the investigator.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational primary research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational method of research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-interventional research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational primary research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-interventional research"}],"property" : [{"code" : "editors","valueString" : "Mario Tristan, Joanne Dehnbostel, Harold Lehmann, Khalid Shahin, Brian S. Alper"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: Asiyah Lin, KM Saif-Ur-Rahman, Harold Lehmann, Sebastien Bailly, Bhagvan Kommadi, Mario Tristan, Leo Orozco, Ahmad Sofi-Mahmudi"},{"code" : "negative-vote","valueString" : "2021-05-17 vote 5-3 on \"Observational research = In a prospective or retrospective study, an independent variable is measured but not manipulated by the investigator to evaluate a response or outcome (the dependent variable).\" by Eric Harvey, Bhagvan Kommadi, Paola Rosati, KM Saif-Ur-Rahman, Ahmad Sofi-Mahmudi, Jesus Lopez-Alcalde, Sorana D. Bolboaca, Harold Lehmann, 2021-05-24 vote 8-3 on Observational research=\"A study design in which the variables (exposures, interventions, and outcomes) are not prospectively assigned or modified by the investigator.\" by Alejandro Piscoya, Philippe Rocca-Serra, KM Saif-Ur-Rahman, Eric Harvey, Harold Lehmann, Bhagvan Kommadi, Sorana D. Bolboaca, Jesús López-Alcalde, Paola Rosati, Tatyana Shamliyan, Brian Alper, , 2021-05-31 vote 11-1 on Observational research=\"A study design in which the independent variables (exposures or interventions) are not prospectively assigned or modified by the investigator.\" by Eric Harvey, Bhagvan Kommadi, Brian Alper, Sebastien Bailly, Alejandro Piscoya, Harold Lehmann, KM Saif-Ur-Rahman, Paola Rosati, Sorana D. Bolboaca, Asiyah Lin, Leo Orozco, Erfan Shamsoddin"},{"code" : "expert-comments","valueString" : "I dislike the term \"manipulated\" in the definition -- suggest change to:  In a prospective or retrospective study, without any specific intervention assigned to participants, an investigator observes and measures an intervention or procedure (the independent variable) to assess or learn more about an effect or outcome (the dependent variable). \"In a prospective or retrospective study, an independent variable (a predictor) is obeserved or measured by the investigator to evaluate a response or an outcome (the dependent variable).\" I would delete \"in a prospective or retrospective study\" as it could be ambispective    5-24-2021 similar comment about the synonyms assigned the class (conflating plan/design) with the object realised by executing a plan I think that the outcomes are never assigned or modified by the investigator (they are measured). Thus, to be consistent with the definition of interve…suggest to remove \"outcomes\" from ( )   (is there a semantic difference between \"are not\" and \"none is\"?) I suggest to clarify the goal as drawing causal inferences from the observed association between exposure and outcomes  5-31-2021 comment The suggested definition is a non-interventional study definition. Not sure if a non-interventional is fully equivalent to observational studies"},{"code" : "comment","valueString" : "We acknowledge that observational study design and observational study may not be exact synonyms of observational research, but observational research could be used to encompass both design and implementation of the design. In the context of coding study design factors, observational research is commonly used to denote non-interventional research."}],"concept" : [{"code" : "SEVCO:01037","display" : "post-marketing surveillance study","definition" : "An observational study to identify adverse events related to the use of an approved clinical intervention.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "postmarketing evaluation study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "postmarketing evaluation study"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nnot included\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nPostmarketing Surveillance\n\nPrograms to identify adverse events that did not appear during the drug approval process.\n\nOngoing safety monitoring of marketed drugs. See also Phase 4 studies, Phase 5 studies.\n\nalso Phase V Trial (phase 5, trial phase 5)\n\nPostmarketing surveillance is sometimes referred to as Phase V. See outcomes research.\n\nfrom OCRe:\n\t\nnot included\n\nfrom EDDA:\n\npostmarketing evaluation study (post-marketing product surveillance)\n\nSurveillance of drugs, devices, appliances, etc., for efficacy or adverse effects, after they have been released for general sale. [MeSH 2014_2014_02_10]"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Harold Lehmann"},{"code" : "approval","valueString" : "2022-02-15 vote 10-0 by Paul Whaley, Andrew Beck, Brian S. Alper, Paola Rosati, Janice Tufte, Jesus Lopez-Alcalde, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-02-15 comments: Alternative terms could be: Post-marketing evaluation study, \n(Do we need to connect the \"approval\" to an indication?"}]}]},{"code" : "SEVCO:01010","display" : "comparative study design","definition" : "A study design in which two or more groups are compared.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparative research"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Ellen Jepson, Kenneth Wilkins, Mario Tristan"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"}],"concept" : [{"code" : "SEVCO:01011","display" : "parallel cohort design","definition" : "A comparative study design in which the groups are compared concurrently and participants are expected to remain in the groups being compared for the entire duration of participation in the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "concurrent cohort study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Ellen Jepson, Kenneth Wilkins, Mario Tristan, Harold Lehmann"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"}]},{"code" : "SEVCO:01012","display" : "crossover cohort design","definition" : "A comparative study design in which participants receive two or more alternative exposures during separate periods of time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "crossover study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "crossover trial"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"},{"code" : "negative-vote","valueString" : "8/9 as of 8/9/2021: voting on \"A comparative study design in which participants receive two or more alternative exposures during separate periods of time.\" by Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"},{"code" : "expert-comments","valueString" : "8/9/21 comment: It's not clear from this definition that each group of participants receives the same 2 or more exposures, but not in the same time sequence"}],"concept" : [{"code" : "SEVCO:01024","display" : "controlled crossover cohort design","definition" : "A crossover cohort design in which two or more cohorts have different orders of exposures.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]},{"code" : "SEVCO:01025","display" : "single-arm crossover design","definition" : "A crossover cohort design in which all participants are in a single cohort with the same order of exposures.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]}]},{"code" : "SEVCO:01013","display" : "case control design","definition" : "A comparative study design in which the groups being compared are defined by outcome presence (case) or absence (control).","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]},{"code" : "SEVCO:01014","display" : "matching for comparison","definition" : "A comparative study design in which individual participants in different groups being compared are paired or matched into sets based on selected attributes for within-set analysis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "matched study design"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}],"concept" : [{"code" : "SEVCO:01020","display" : "family study design","definition" : "A matched study design in which related or non-related family members are compared.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "familial study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "family study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "family based study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}],"concept" : [{"code" : "SEVCO:01021","display" : "twin study design","definition" : "A family study design in which twin siblings are compared.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}]}]}]},{"code" : "SEVCO:01015","display" : "cluster as unit of allocation","definition" : "A comparative study design in which participants are allocated to exposures (interventions) by their membership in groups (called clusters) rather than by individualized assignments.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "clustering for comparison"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]}]},{"code" : "SEVCO:01023","display" : "non-comparative study design","definition" : "A study design with no comparisons between groups with different exposures and no comparisons between groups with different outcomes.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-comparative research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "descriptive study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}],"concept" : [{"code" : "SEVCO:01016","display" : "uncontrolled cohort design","definition" : "A non-comparative study design in which two or more participants are evaluated in a single group (or cohort).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "single cohort design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "case series design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-controlled cohort design"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]},{"code" : "SEVCO:01017","display" : "case report","definition" : "A non-comparative study design in which a single participant is evaluated.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "case study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]}]},{"code" : "SEVCO:01022","display" : "population-based design","definition" : "A study design in which the unit of observation is a population or community.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "population study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Harold Lehmann"},{"code" : "comment","valueString" : "The term ‘population-based study’ is generally used for an observational comparative study design in which populations are compared."},{"code" : "approval","valueString" : "5/5 as of 10/18/2021: Cheow Peng Ooi, Janice Tufte, Robin Ann Yurk, Eric Harvey, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:01044","display" : "ecological design","definition" : "A study design in which the unit of observation is a population or community defined by social relationships or physical surroundings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ecologic study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Harold Lehmann"},{"code" : "approval","valueString" : "5/5 as of 10/18/2021: Cheow Peng Ooi, Janice Tufte, Robin Ann Yurk, Eric Harvey, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "6 to 1 in 2021-09-20 vote with 7 participants (Ecological design = A comparative study design in which populations are compared. An ecologic study is a non individual-human study in which the unit of observation is a population or community.) - Robin Ann Yurk, Janice Tufte, Eric Harvey, Jesus Lopez-Alcalde, Mario Tristan, Sorana D Bolboaca, Paola Rosati, 8 to 1 vote on 2021-09-27 with 9 participants (Ecological design [Population-based design, Ecologic study, Population study] = A comparative study design in which populations are compared. An ecologic study is a non-individual study in which the unit of observation is a population or community.) - Jesus Lopez-Alcalde, Asiyah Lin, Eric Harvey, Bhagvan Kommadi, Alejandro Piscoya, Robin Ann Yurk, Mario Tristan, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-09-20 comment:  I miss here the explicit declaration that ecological studies are observational. A cluster trial can randomise communities and is not an ecological study. Besides, and I may be worng, but an ecological study may include non-humans, for example, ecological study of air contamination levels in Spain compared to Italy. 2021-09-27 comment: The differences of ecologic studies and other population based studies are not reflected. consider adding \"Variables in an ecologic analysis may be aggregate measures, environmental measures, or global measures.\""}]}]}]},{"code" : "SEVCO:00998","display" : "study design process","definition" : "A specification of a sequence of actions for a component or part of a study design.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study design component"}],"property" : [{"code" : "comment","valueString" : "Study design is defined as a plan specification for how and what kinds of data will be gathered as part of an investigation which may produce testable explanations, conclusions and predictions or test a hypothesis."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-03-22 vote 5-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk"}],"concept" : [{"code" : "SEVCO:01027","display" : "cross sectional data collection","definition" : "A study design process in which data is collected at a single point in time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cross-sectional study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"},{"code" : "expert-comments","valueString" : "The word \"feature\" was added to the definition on March 7, 2022 to match the change in hierarchical terms."}]},{"code" : "SEVCO:01028","display" : "longitudinal data collection","definition" : "A study design process in which data is collected at two or more points in time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "longitudinal study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"},{"code" : "expert-comments","valueString" : "The word \"feature\" was added to the definition on March 7, 2022 to match the change in hierarchical terms."}],"concept" : [{"code" : "SEVCO:01018","display" : "time series design","definition" : "A longitudinal data collection which includes a set of time-ordered observations.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multiple time point comparison"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}],"concept" : [{"code" : "SEVCO:01019","display" : "before and after comparison","definition" : "A time series design which includes comparisons of observations before and after an event or exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "before and after design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "pre-post design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "before-after comparison"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}]}]}]},{"code" : "SEVCO:01045","display" : "primary data collection","definition" : "A study design process in which the data are recorded and collected during the study for the purpose of the same study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study-generated data collection"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Paul Whaley, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-02-22 vote 7-1 by Paola Rosati, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A, Rebecca Baker, Robin Ann Yurk, Janice Tufte, Harold Lehmann \n2022-03-01 vote 3-3 by Joanne Dehnbostel, Robin Ann Yurk, Paul Whaley, Nisha Mathew, Paola Rosati, Sunu Alice Cherian\n2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 5-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk, nelle.stocquart"},{"code" : "expert-comments","valueString" : "2022-02-22 comments: Definition: Data recorded and collected during the study.\nFor parallelism with \"secondary data collection,\" perhaps write, \"for the purpose of the current study.\"\n2022-03-01 comments:\nA data collection technique in which the data are collected and recorded during the study for the purpose of the same study.\nFor the term definition---I would edit so it reads...A study design in which the data are collected and recorded to answer a new research question.\nData collection is not study design, it can called as a technique A data collection technique in which data is recorded and collected during the study for the purpose of the same study.\n2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"in which\" sounds strange for a \"feature.\" (\"Color is a feature in which...\" does not sound right.) Perhaps a...feature regarding how data are recorded...\"?\n2022-03-22 comment: Suggest modify definition or create a comment for application so it reads:  A Study design method in which the data are collected for original research to answer new research questions."},{"code" : "comment","valueString" : "The study design process includes the source and method for data collection. When the data are collected for original research to answer the original research questions, this is called primary data collection."},{"code" : "approval","valueString" : "2022-03-29 vote 6-0 by Paul Whaley, Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Brian S. Alper, Cauê Monaco"}]},{"code" : "SEVCO:01026","display" : "real world data collection","definition" : "A study design process in which the study data are obtained from a source of data collected during a routine process in the natural environment rather than using a process designed or controlled by the researcher.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Paul Whaley, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-02-22 vote 7-1 by Paola Rosati, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A, Rebecca Baker, Robin Ann Yurk, Janice Tufte, Harold Lehmann\n2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-2 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk, nelle.stocquart\n2022-03-29 vote 4-1 by Paul Whaley, Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco\n2022-04-05 vote 6-0 by Cauê Monaco, Harold Lehmann, Mario Tristan, Robin Ann Yurk, Jesus Lopez-Alcalde, Nisha Mathew\nTHEN THE TERM CHANGED to Real World Data Collection\n2022-04-19 vote 3-1 by Cauê Monaco, Robin Ann Yurk, Jesus Lopez-Alcalde, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-02-22 comment: Definition: Data gathered from studies, surveys, experiments that have been done by other people for other studies\n2022-03-15 comment: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n2022-03-22 comments: The proposed definition only details the source of the data but not the data collection itself. I propose: \"A study design process in which the data are collected from data collected for a purpose other than the current study\".\nSuggest modify definition or create a comment for application so it reads.  A study design method in which the previously collected data is used to answer new and additional research questions.  Some example of the types of studies are retrospective study etc..\n2022-03-29 comment: In the comment for application--suggestion.  Delete phrase   When data are collected.  I would combined sentence When data are used in the form of analysis and interpretation from original research to answer additional research questions separate from the original research.  \n\n2022-04-12 comments: For Term definition:  Suggest revising definition to A study design process in which the study data are obtained from data collected for recording data for business purposes.  \nComment for application:  Add this statement, There are different categories of research such as business research, marketing research, insurance research etc.\n\"data are obtained from data collected\" may be changed to \"data are obtained from a source for data collection\"\n\n2022-04-19 comment: Suggest edit the term definition.  The Alternative term and comment for application are fine.  There are different kinds of research business research that can be classified as real world data.   The term definition should read....A study design in which the study data processes are obtained from a natural environment rather than controlled research."},{"code" : "comment","valueString" : "Real world data collection occurs when the study uses data obtained from a source that was not created for research as a primary purpose.  A study can involve both primary data collection (with some data collected by a process created for the purpose of the study investigation) and real world data collection (with some data collected from a process created for a routine business or operational purpose). If a study involves both primary data collection and real world data collection, both terms can be applied."},{"code" : "approval","valueString" : "2022-05-06 vote 7-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"}],"concept" : [{"code" : "SEVCO:01039","display" : "real world data collection from healthcare records","definition" : "Real world data collection from data obtained routinely for a purpose of recording healthcare delivery in a record controlled by a healthcare professional.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from clinical care records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD from health care records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD from healthcare delivery records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "real world data collection from medical records"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Ilkka Kunnamo"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 3-1 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco\n2022-04-05 vote 6-1 by Cauê Monaco, Paola Rosati, Harold Lehmann, Mario Tristan, Robin Ann Yurk, Jesus Lopez-Alcalde, Nisha Mathew"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\nwould proposed, \"...for the purpose...\" (as in primary data collection)\nSeems like we should add that the original data is then used for a secondary research purpose in the definition, not only explain in Alternative terms\n2022-03-22 comment: ídem: Proposal: \"A study design process in which the data are collected from data collected for a purpose of recording healthcare delivery in a record controlled by a healthcare professional.\"\n2022-03-29 comment: \"medical records\" and \"health records\" seem to be much more widely used expressions than \"healthcare delivery records\"\n2022-04-05 comments: Suggest make a comment or distinction in the term definition that the primary data collected is categorized as real world data for the purpose of delivering professional healthcare services.  The data set can be used for secondary data collection."},{"code" : "comment","valueString" : "This term is used when the original data collection (primary data collection) is done for the purpose of delivering professional healthcare services.  The secondary use of this data (sometimes called 'real world data') for research is then called secondary data collection."},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Robin Ann Yurk, Muhammad Afzal"}]},{"code" : "SEVCO:01050","display" : "real world data collection from personal health records","definition" : "Real world data collection from data obtained routinely for a purpose of recording data related to personal health in a record controlled by the person, guardian, or caretaker.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "real world data collection from personal care records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from personal medical records"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Ilkka Kunnamo"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\nMight suggest \"the purpose,\" again\nadd in the definition that the original ddata is then used for a seconday purpose\n2022-03-22 comment: dem: Proposal: \"A study design process in which the data are collected from data collected for a purpose of recording data related to personal health in a record controlled by the person, guardian, or caretaker.\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}]},{"code" : "SEVCO:01040","display" : "real world data collection from healthcare financing records","definition" : "Real world data collection from data obtained routinely for a purpose of recording healthcare financing.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from healthcare financing records"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"the purpose\"\nadd original financial data is then used for secondary analysis etc\n2022-03-22 comment: Ídem. \"A study design process in which the data are collected from data collected for a purpose of recording healthcare financing\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}]},{"code" : "SEVCO:01048","display" : "real world data collection from testing procedures","definition" : "Real world data collection from data obtained routinely for a purpose of testing, such as diagnostic testing or screening examination.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from testing procedures"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"the purpose\"\nand  then used for secondary research purposes\n2022-03-22 comment: Ídem. \"A study design process in which the data are collected from data collected for a purpose of testing, such as diagnostic testing or screening examination\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}],"concept" : [{"code" : "SEVCO:01046","display" : "real world data collection from monitoring procedures","definition" : "Real world data collection from data obtained routinely for a purpose of repeated testing.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from monitoring procedures"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"the purpose\"\n2022-03-22 comment: Ídem. \"A study design process in which the data are collected from data collected for a purpose of repeated testing.\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}]}]}]},{"code" : "SEVCO:01049","display" : "secondary data collection from prior research","definition" : "A study design process in which the data are collected from data obtained during a different study than the current study.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n2022-03-22 comments: Ídem. \"A study design process in which the data are collected from data collected during a different study than the current study\"\nWhen does this recording happen?"},{"code" : "approval","valueString" : "2022-03-29 vote 5-0 by Mario Tristan, Paul Whaley, Cauê Monaco, Joanne Dehnbostel, Harold Lehmann"}]},{"code" : "SEVCO:01042","display" : "secondary data collection from a registry","definition" : "A study design process in which the data are collected from a system organized to obtain and maintain uniform data for discovery and analysis, and this system is organized prior to the current study.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Ilkka Kunnamo"},{"code" : "external-definitions","valueString" : "\"For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes\" -- in https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/registries-guide-3rd-edition_research.pdf"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 3-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: the term discovery is not suitable.  Can we have some other term?\nok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n2022-03-22 comments: Ídem. \"A study design process in which the data are collected from data collected in a system organized to obtain and maintain uniform data for discovery and analysis\"\nThe definition needs to be more, When did this happen? Before the study starts?"},{"code" : "approval","valueString" : "2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper"}]},{"code" : "SEVCO:01051","display" : "multisite data collection","definition" : "A study design process in which data are collected from two or more geographic locations.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-05-06 vote 6-1 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-04-26 comment: As stated, this term has too much overlap with \"Multicentric\" Why do we need this term?"},{"code" : "comment","valueString" : "For studies conducted across multiple contexts (administrative or logistical) that are distinct from geographic locations, potentially introducing greater variability beyond multisite data collection, use the term Multicentric."},{"code" : "approval","valueString" : "2022-05-10 vote 7-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"}]},{"code" : "SEVCO:01086","display" : "quantitative analysis","definition" : "A study design process in which data are analyzed with mathematical or statistical methods and formulas.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-17 vote 8-1 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde\n2022-05-24 vote 5-1 by Robin Ann Yurk, nelle.stocquart@kce.fgov.be, Eric M Harvey, Mario Tristan, Harold Lehmann, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-05-17 comments: Suggest including examples of quantitative analysis so as to improve your definition as there are many categories of quantitative methods:  ie survey methods, logistic regression,...etc\nQuantitative and qualitative have categorical results I believe\n2022-05-24 comment: An analytic approach using statistical methods and formulas to report the data for interpretation\n2022-05-26 comment: I would leave the description of a qualitative analysis out of the comment for application"},{"code" : "comment","valueString" : "The distinction of quantitative vs. qualitative analysis refers to whether mathematical processing is involved, whether or not the analysis includes numerical variables. Processing a categorical variable (e.g. values of happy, sad, or jealous as a response to \"How are you feeling?\") to produce numerical results (e.g. 30% happy, 50% sad, 20% surprised) would be classified as a Quantitative analysis."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01087","display" : "qualitative analysis","definition" : "A study design process in which data are analyzed, without primary reliance on mathematical or statistical techniques, by coding and organizing data to provide interpretation or understanding of experiences or hypotheses.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-17 vote 5-4 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde\n2022-05-24 vote 4-1 by Robin Ann Yurk, Eric M Harvey, Mario Tristan, Harold Lehmann, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-05-17 comments: What about ordinal data such as low/medium/high? I think I would view that as qualitative.\nSuggest revise definition to include examples of the analysis methods as Alternative terms or comment for applications:  ie focus groups.  There are many new software tools which apply quantitative methods to qualitative studies.\nQuantitative and qualitative have categorical results I believe\nDisagree - (Sorry, maybe you already know my comment here ;>). From my experience, qualitative analysis produces more than descriptive or categorical results, and uses a range of essential complex methodologies for producing unattainable results from trials. Some methods are inductive, others are deductive, or a mix of both. This modify the results achievable. For example, phenomenology from categorical codes produces new understanding of people's lived experiences (deemed robust, even from a small but convenient sample of people), whereas grounded theory, from descriptive and categorical data results, discovers or creates novel theories, crucial for subsequent research scrutiny, even for a trial. \nI would suggest to define qualitative analysis differently = A study design process in which data, analysed and coded to produce descriptive and categorical results, lead to new understanding of people's lived experiences or new theories, unattainable from quantitative studies, essential for future trials.\nIn my opinion, descriptive numerical results come from quantitative analysis also (for example, incidence of SARS-COV2 per 100.000 habitants). I am not an expert in qualitative research but I guess it tackles phenomenons which can be observed but not measured.\n\n2022-05-24 comment: Qualitative analysis provide a description or summary to understand exploratory experiences and patterns, themes in the data which can provide the framework for additional data interpretation through other analysis such as quantitative analysis.  An example of a qualitative method is focus groups.  Technology exists such as natural language processing or other software to report the analysis.\n\n2022-05-26 comment: I would leave the description for a quantitative analysis out of the definition.  I would also delete the example of feelings as this can be quantified through satisfaction research which is a quantitative analysis.  I would give an example of focus groups or nature language processing.  The method involves identifying themes in narrative text."},{"code" : "comment","valueString" : "The distinction of quantitative vs. qualitative analysis refers to whether mathematical processing is involved, whether or not the analysis includes numerical variables. Processing a categorical variable (e.g. values of happy, sad, or jealous as a response to \"How are you feeling?\") to produce numerical results (e.g. 30% happy, 50% sad, 20% surprised) would be classified as a Quantitative analysis. Processing the transcripts of interviews to categorize phrases and report themes identified across interviews would be classified as a Qualitative analysis. Qualitative analysis techniques may include phenomenology development from categorical codes, and may result in discovery or creation of theories that are unattainable through quantitative analysis."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01060","display" : "blinding of study participants","definition" : "A study design process in which study participants are not informed of their intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of study participants"}],"property" : [{"code" : "comment","valueString" : "Masking of study participants involves actions to conceal information that could lead to their awareness of their intervention assignment, such as provision of placebo or simulated interventions that mimic the target interventions."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte"},{"code" : "approval","valueString" : "2022-08-23 vote 6-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey, Robin Ann Yurk"}]},{"code" : "SEVCO:01061","display" : "blinding of intervention providers","definition" : "A study design process in which the people administering the intervention are not informed of the intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of intervention providers"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "blinding of intervention deliverers"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of intervention deliverers"}],"property" : [{"code" : "comment","valueString" : "Masking of intervention providers involves actions to conceal information that could lead to their awareness of the intervention assigned to individual study participants, such as provision of placebo interventions that mimic the target interventions.\n\nThe terms 'double-blinding' and 'triple-blinding' are not clearly and consistently defined terms but typically suggest blinding of intervention providers."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-23 vote 6-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey, Robin Ann Yurk"}]},{"code" : "SEVCO:01062","display" : "blinding of outcome assessors","definition" : "A study design process in which the people determining the outcome are not informed of the intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of outcome assessors"}],"property" : [{"code" : "comment","valueString" : "Masking of outcome assessors involves actions to conceal information that could lead to their awareness of the intervention assigned to individual study participants to minimize the influence of such awareness on the determination of outcome measurement values.\n\nThe terms 'triple-blinding' and 'quadruple-blinding' are not clearly and consistently defined terms but may suggest blinding of outcome assessors."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-23 vote 5-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey"}]},{"code" : "SEVCO:01063","display" : "blinding of data analysts","definition" : "A study design process in which the people managing or processing the data and statistical analysis are not informed of the intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of data analysts"}],"property" : [{"code" : "comment","valueString" : "The term 'data analysts' is meant to include any person who works with the data at any point between data collection and the reporting of analyzed results.\n\nMasking of data analysts involves actions to conceal information that could lead to their awareness of the intervention assigned to individual study participants, such as noninformative labeling used to represent the study groups.\n\nThe terms 'triple-blinding' and 'quadruple-blinding' are not clearly and consistently defined terms but may suggest blinding of data analysts."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-23 vote 5-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey"}]},{"code" : "SEVCO:01064","display" : "allocation concealment","definition" : "A study design process in which all parties influencing study enrollment and allocation to study groups are unaware of the group assignment for the study participant at the time of enrollment and allocation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "blinding of randomization assignment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of randomization assignment"}],"property" : [{"code" : "comment","valueString" : "Allocation concealment occurs before and during the enrollment process and refers to limiting awareness of assignment during the process of recruitment and assignment to groups. Other blinding and masking terms refer to limiting awareness of the assignment during and after enrollment."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "approval","valueString" : "2022-08-30 vote 8-0 by Janice Tufte, nisha mathew,: Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Cauê Monaco, Eric Harvey"}]}]},{"code" : "SEVCO:00999","display" : "study design feature","definition" : "An aspect or characteristic of a study design.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study design characteristic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study design aspect"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Janice Tufte"},{"code" : "comment","valueString" : "Study design is defined as a plan specification for how and what kinds of data will be gathered as part of an investigation which may produce testable explanations, conclusions and predictions or test a hypothesis."},{"code" : "expert-comments","valueString" : "2022-03-15 comments: I agree with the definition but feel this is meta-vocabulary that helps us talk about elements of study design that are not part of the code system itself. So I don't know if it should be included in the code system as a code, or if we should be considering some other means for defining these terms (e.g. in documentation or guidance about SEVCO).\nnot a fan of the synonym \"study design factor\" as it could cause confusion with 'Study Factor\", Independent Variable. How different Study Design is from Study Protocol? \"Study design planned process\"  could cover the following subtypes\nFor the comment for application include ...as a technical plan specification....\n2022-03-22 comment: The definition of \"Study design\" seems to exclude the \"statistical analysis\". Am I right?"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 7-0 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte, Robin Ann Yurk (but then the definition changed with the creation of Study Design Process)\n2022-03-22 vote 5-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart, Robin Ann Yurk"},{"code" : "approval","valueString" : "2022-03-29 vote 8-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Joanne Dehnbostel, Philippe Rocca-Serra, Robin Ann Yurk, nelle.stocquart"}],"concept" : [{"code" : "SEVCO:01043","display" : "multicentric","definition" : "A study design feature in which two or more institutions are responsible for the conduct of the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multi-institutional study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multicenter trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multicenter study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "comment","valueString" : "This term may be used for studies conducted across multiple contexts (administrative or logistical) that are distinct from geographic locations, potentially introducing greater variability beyond multisite data collection."},{"code" : "negative-vote","valueString" : "2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Robin Ann Yurk\n2022-04-26 vote 3-0 by Eric M Harvey, Robin Ann Yurk, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: Suggest add to multiple contexts (reserach)\n\na multicenter study is_a study. 'multicentric' would be a subtype of study_design_feature.  \na concern here is that the current definition conflates 2 entities: a study and a characteristic of that study. \nAt the end of the day, it depends on how the modeling will be made, e.g <study> <has_some_study_design_feature> <type of study_design_feature>\n\nOr should it be \"Multicenter data collection\"  ?"},{"code" : "approval","valueString" : "2022-05-06 vote 6-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann"}]},{"code" : "SEVCO:01052","display" : "includes patient-reported outcome","definition" : "A study design feature in which one or more outcomes are reported directly from the patient without interpretation by a clinician or researcher.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-reported outcomes"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "PRO"}],"property" : [{"code" : "comment","valueString" : "Examples of patient-reported outcomes include symptoms, pain, quality of life, satisfaction with care, adherence to treatment, and perceived value of treatment. Data collection methods including surveys and interviews may obtain patient-reported outcomes. Reports derived from wearable devices would not typically include patient-reported outcomes. Such data may be coded with 'Real world data collection from monitoring procedures' (SEVCO:01046)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "The U.S. Food and Drug Administration (FDA) defines a patient-reported outcome (PRO) as “any report of the status of a patient’s health condition that comes directly from the patient, without interpretation of the patient’s response by a clinician or anyone else [1].” -- from https://dcricollab.dcri.duke.edu/sites/NIHKR/KR/PRO%20Resource%20Chapter.pdf"},{"code" : "negative-vote","valueString" : "2022-04-26 vote 3-0 by Eric M Harvey, Robin Ann Yurk, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-04-26 comment: Suggest adding to the comment for application:  data methods to collect Patient Reported Outcomes such as survey data.\n2022-05-06 comments: Perhaps direct the reader to \"Patient generated health data\" or whatever else is the SEVCO term for \"wearables\" or other data sources (e.g., bluetooth scale).\nSuggest adding to the comment for application:  data methods to collect Patient Reported Outcomes such as survey data.\n2022-06-07 preferred term changed from \"Patient-reported outcome\" to \"Includes patient-reported outcome\" to maintain consistency with sibling concepts"},{"code" : "approval","valueString" : "2022-05-06 vote 7-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"}]},{"code" : "SEVCO:01053","display" : "includes patient-centered outcome","definition" : "A study design feature in which one or more measures are outcomes that patients directly care about, i.e. outcomes that are directly related to patients' experience of their life.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-oriented outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-important outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-relevant outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes clinical outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-centered outcome measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes clinical outcome measure"}],"property" : [{"code" : "comment","valueString" : "In healthcare research, outcomes are effects on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and quality of life. A patient-centered outcome qualifies the type of outcome as that which patients directly care about, i.e. outcomes that are directly related to patients' experience of their life. Examples of patient-centered outcomes include mortality, morbidity, symptoms, and quality of life. Some use 'clinical outcome' as synonymous with 'patient-centered outcome' while some use 'clinical outcome' to represent outcomes that would assessed as part of healthcare practice."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Mario Tristan, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-06 vote 5-2 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte\n2022-05-17 vote 7-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-04-26 comment: Suggest Adding to comment for application:  Population Statistics such as mortality, morbidity.   Development of clinical outcomes is based on using a framework such as the Donabedian model:  Structure, Process, Outcomes where outcomes have some relationship to structural or process measures in clinical care.....\n2022-05-06 comment:  I understand the goal of \"quantity or quality of life,\" but I think it's too abstract--and limiting (\"Quantity of life\" is limited to life expectancy). I haven't reviewed other definitions, but the flavor is, \"outcomes that patients care about.\" (\"Function\" is left off the list of \"examples\", albeit there is a large overlap with \"morbidity,\" \"symptoms,\" and \"quality of life.\") (See the Comments for Application for Surrogate Outcome!)\n2022-05-17 comments: The definition seems to be in the comment: \"A clinical outcome qualifies the type of outcome as that which patients directly care about.\" The definition as proposed doesn't really make sense to me.\nThe definition, Alternative terms and comment for application are correct.  However, it is more specific to patient reported outcomes.  Clinical outcomes are more broad and also includes:  physiologic measures, condition specific measures.....etc. Clinical outcomes can be structural, process or outcomes in the donabedian framework and or combined as composite outcomes.\nWhile patient centered outcomes are typically considered clinical outcomes, they also indicate the observed outcomes  by the clinician but not so much by the patient. \n\n2022-05-26 comment: Suggest revise term definition so it is more inclusive or all healthcare or clinical outcomes, such as mortality, morbidity, physiologic measures, symptoms, experiences.  The term is not a study design but a measure.\n\nFor example:\nA healthcare measure which captures results from healthcare populations, settings structures, processes, and patients directly related to their care with healthcare settings, people, providers, and interventions.\n\nInsert other Alternative terms:  Morbidity, Mortality, Symptoms, Experience of Care, Health Status, Quality of life.  Suggest delete Patient Oriented Outcome, Patient Important Outcome, Patient Relevant Outcome, Patient Centered OUtcome, Includes clinical outcomes,"},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01054","display" : "includes disease-oriented outcome","definition" : "A study design feature in which one or more measures are outcomes that relate to a health or illness condition but are not outcomes which patients directly care about.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes disease-oriented outcome measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes surrogate outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes surrogate outcome measure"}],"property" : [{"code" : "comment","valueString" : "In healthcare research, outcomes are effects on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and quality of life. A patient-centered outcome qualifies the type of outcome as that which patients directly care about. Examples of patient-centered outcomes include mortality, morbidity, symptoms, and quality of life. A disease-oriented outcome qualifies the type of outcome as that which patients do not directly care about. Examples of disease-oriented outcomes include laboratory test measurements, imaging study findings, and calculated risk estimates. In this context, disease-oriented outcomes may be used as surrogate outcomes or proxy outcomes for ultimate effects on patient-centered outcomes, but do not provide direct evidence of effects on patient-centered outcomes."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-06 vote 4-2 by Mario Tristan, Robin Ann Yurk, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte\n2022-05-17 vote 6-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-05-06 comments: I would refer to whatever \"clinical outcome\" is defined as: \"...indirect measures of clinical outcomes\". The Comment for Application is redefining Clinical Outcome. I would spend that space pointing out that some surrogates are predictive (e.g., cholesterol levels, for MIs)  and others are after the fact (e.g., sales of orange juice for treating the flu).\nSuggestion--look at the wikipedia definition, then explore other mapping definitions.  The current term definition and comment for application need improvement.\n\n\"In clinical trials, a surrogate endpoint is a measure of effect of a specific treatment that may correlate with a real clinical endpoint but does not necessarily have a guaranteed relationship. The National Institutes of Health defines surrogate endpoint as \"a biomarker intended to substitute for a clinical endpoint\".  wikipedia...\n\n2022-05-17 comments: Maybe edit to \"An indirect measure of quantity or quality of life, presumed or believed to have an effect on clinical outcomes.\"\nI would focus on revising and define surrogate first and then include a broad definition, not just specific to clinical outcomes.\n\n2022-05-26 comment: Surrogate Outcome is a proxy measure for capturing the outcome of interest.\n\nAlternative Terms:  delete disease oriented and surrogate outcome measure.  Suggest add:  Proxy Outcome Measure.\n\nComment for application:  Delete first 3 sentences.\nEdit the last sentence so it reads:   A surrogate outcome is a measure which captures an approximate measure.  Examples of surrogate outcomes includes survey measures rating scales for a child by the parent or teacher.  Geriatric rating scales from paid or professional caregivers for a seriously ill or geriatric patient are other examples."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01085","display" : "includes process measure","definition" : "A study design feature in which one or more outcomes are actions or behaviors of a healthcare professional or care team.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes process outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes process outcome measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Khalid Shahin, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2022-05-17 vote 7-1 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde\n2022-05-17 vote 8-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde, nelle.stocquart@kce.fgov.be, Mario Tristan\n2022-05-31 vote 8-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde, nelle.stocquart@kce.fgov.be, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-05-17 comment: Process Measure is included in the donabedian framework of structure, process, outcomes.  Do you want to define just for healthcare process measure versus keep the definition broad to include such as a series of steps or tasks providing a measurement pathway for any industry and the examples in healthcare processes are....\n2022-05-24 comments: repeat 2022-05-17 comment plus:\nyou need to provide more info, it is not clear as such\n\n2022-05-31 comments:\nyou need to provide more info, it is not clear as such\nAdd comment for application with examples:  A process measures captures the steps to care such as \nLab test orders, Referrals....The literature defines a process measure in the donabedian framework of structure, process, outcomes."},{"code" : "comment","valueString" : "A process outcome measure is a measure of change in actions or behaviors conducted in the process of healthcare delivery or clinical care, such as obtaining laboratory tests or referrals for follow-up care."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01089","display" : "study goal","definition" : "A study design feature specifying the intent of the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study aim"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-06-21 vote 5-0 by Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2022-06-21 comment: Another alternate term could be \"Study Objective\""}],"concept" : [{"code" : "SEVCO:01096","display" : "evaluation goal","definition" : "A study goal to assess the efficiency, effectiveness, and impact of a given program, process, person or piece of equipment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "evaluation study goal"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "evaluation aim"}],"property" : [{"code" : "external-definitions","valueString" : "Medical Subject Heading (MESH): this heading is used as a Publication Type; for original report of the conduct or results of a specific evaluation study; a different heading EVALUATION STUDIES AS TOPIC is used for general design, methodology, economics, etc. of evaluation studies\nScope Note\nWorks consisting of studies determining the effectiveness or utility of processes, personnel, and equipment. https://meshb.nlm.nih.gov/record/ui?ui=D023362"},{"code" : "comment","valueString" : "Intended to include all forms of evaluation study. (Child concepts for program, process, personnel and equipment evaluations may be added later.)"},{"code" : "editors","valueString" : "Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-12 vote 6-0 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Harold Lehmann, Eric Harvey, Janice Tufte"}]},{"code" : "SEVCO:01097","display" : "derivation goal","definition" : "A study goal with the intent to generate a predictive algorithm.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "derivation study goal"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-07-19 vote 8-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:01098","display" : "validation goal","definition" : "A study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "validation study goal"}],"property" : [{"code" : "external-definitions","valueString" : "https://meshb.nlm.nih.gov/record/ui?ui=D023361\nMeSH Heading:  Validation Study\nAnnotation:\nThis heading is used as a Publication Type for original report of the conduct or results of a specific validation study. A different heading VALIDATION STUDIES AS TOPIC is used for general design, methodology, economics, etc. of validation studies. CATALOGER: Do not use\nScope Note:\nWorks consisting of research using processes by which the reliability and relevance of a procedure for a specific purpose are established.\nEntry Term(s):\nValidation Studies"},{"code" : "comment","valueString" : "Procedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. External validation is tested in populations that differ from the source used for derivation of the procedure."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-07-19 vote 8-1 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-07-19 comment: \"Relevance\" is a value judgment that is not the hallmark of a validation study. (It requires elicitation of this judgment from experts or potential users.)\nAccuracy, while difficult to measure, is certainly a validation aspiration (goal). Thus, validation of instruments assesses their sensitivity and specificity (measures of \"accuracy\").\nPerhaps a broader goal is \"performance\", which would include accuracy but also applicability across sites or other external contexts.\nAlso, typo: \"*from* the source used...\""},{"code" : "approval","valueString" : "2022-07-26 vote 6-0 by Jesus Lopez-Alcalde, Harold Lehmann, Paola Rosati, Eric Harvey, Janice Tufte, Mario Tristan"}]},{"code" : "SEVCO:01088","display" : "comparison goal","definition" : "A study design feature in which the study intent is to compare two or more interventions or exposures.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparative analysis goal"}],"property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-06-21 vote 5-0 by Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey, Muhammad Afzal"}],"concept" : [{"code" : "SEVCO:01091","display" : "comparative effectiveness goal","definition" : "A study design feature in which the study intent is to compare two or more interventions with respect to benefits and/or harms.","property" : [{"code" : "comment","valueString" : "In 2009, the Institute of Medicine committee defined comparative effectiveness research (CER) as: \"Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care. The purpose of CER is to assist consumers, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and population levels.\""},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "external-definitions","valueString" : "Defining comparative effectiveness research (CER) was the first order of business for the Institute of Medicine Committee on Initial Priorities for CER. The Institute of Medicine committee approached the task of defining CER by identifying the common theme in the 6 extant definitions. The definition follows: \"Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care. The purpose of CER is to assist consumers, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and population levels.\" https://pubmed.ncbi.nlm.nih.gov/20473202/"},{"code" : "approval","valueString" : "2022-06-21 vote 5-0 by Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey, Muhammad Afzal"}],"concept" : [{"code" : "SEVCO:01090","display" : "comparative efficacy goal","definition" : "A study design feature in which the study intent is to compare two or more interventions with respect to effectiveness in ideal conditions.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2022-06-28 vote 8-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Harold Lehmann, Muhammad Afzal, Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-06-28 comment: what does \"in ideal conditions\" really mean? is it necessary ?"},{"code" : "comment","valueString" : "Efficacy is defined as effectiveness in ideal conditions. In this context, an efficacy goal is a type of effectiveness goal. Efficacy is used to distinguish the context from effectiveness in 'real-world' settings."}]},{"code" : "SEVCO:01092","display" : "comparative safety goal","definition" : "A study design feature in which the study intent is to compare two or more interventions with respect to harms.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2022-06-28 vote 8-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Harold Lehmann, Muhammad Afzal, Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-06-28 comment: no need to be \"in ideal conditions\" ? see related comment on. \"comparative efficacy goal\" class textual definition"}]}]},{"code" : "SEVCO:01093","display" : "equivalence goal","definition" : "A study goal with the intent to compare two or more interventions or exposures and determine that any difference in effects is within a prespecified range representing absence of a meaningful difference.","property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "comment","valueString" : "An Equivalence Goal is only applicable with a Comparative study design. \nThe prespecified range representing absence of a meaningful difference may be defined with an equivalence margin."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-07-12 vote 4-2 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Janice Tufte, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-12 comments: harmonize the definition to match the pattern used for the other terms. e.g. \"evaluation goal\" is a study goal in which the objective is to assess the efficience, effectivement and impact of a given process, process, person or piece of equipment'\n\nso Equivalence Goal is a study goal in which the study intent is to compare two or more interventions or exposures and determine that any difference in effects is within a prespecified range representing absence of a meaningful difference\n\nI think this definition is unclear. Is the equivalence goal an aim of a study? Which kind of study? My understanding is: Given a prespecified range (of results?) showing an absence of a meaningful (for which kind of subjects/previous research?) difference between two interventions/exposures, the equivalence goal assesses that there is no difference in effects. Is this the meaning of this definition? Which kind of study could give a valid result in terms of equivalence? An RCT?"},{"code" : "approval","valueString" : "2022-07-19 vote 8-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:01094","display" : "non-inferiority goal","definition" : "A study goal with the intent to compare two or more interventions or exposures and determine that any difference in effects is below a prespecified value representing a threshold between a meaningful difference and absence of a meaningful difference.","property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "comment","valueString" : "A Non-inferiority Goal is only applicable with a Comparative study design. \nThe threshold between a meaningful difference and absence of a meaningful difference may be called a non-inferiority margin."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-07-12 vote 3-2 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-12 comments: so Non-Inferiorty Goal is a study goal in which....\nI have the same doubts already given for the equivalence goal"},{"code" : "approval","valueString" : "2022-07-19 vote 8-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:01095","display" : "superiority goal","definition" : "A study goal with the intent to compare two or more interventions or exposures and detect a difference in effects.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "superiority study goal"}],"property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "comment","valueString" : "A Superiority Goal is only applicable with a Comparative study design. \n\nA superiority study goal may be exploratory (to detect a difference) or confirmatory (to establish that a difference exists with a degree of certainty).\n\nA superiority goal is not the opposite of a non-inferiority goal. A superiority goal uses a threshold of zero difference while an inferiority goal uses a threshold of a meaningful difference.\n\nSome superiority comparisons are conducted following determination of non-inferiority.\n\nPlacebo-controlled trials are typically superiority studies.\n\nSuperiority, as commonly used, is 'statistical superiority,' with null used as the threshold of effect. An approach representing 'clinical superiority' would use the non-inferiority margin as the threshold of effect."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-07-12 vote 4-1 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-12 comment: so Superiority Goal is a study goal in which...\n2022-07-19 comment: alter definition to \"...and detect *meaningful* difference in effects\" (in order to be consistent with Equivalence and Non-inferiority Study Goals')"},{"code" : "approval","valueString" : "2022-07-19 vote 9-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"}]}]}]},{"code" : "SEVCO:01100","display" : "allocation ratio","definition" : "A study design feature describing the intended relative proportion of assignment across groups.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "comment","valueString" : "The allocation ratio may be expressed as Treatment:Control, e.g., 2:1, or, in the case of two treatment arms and one control, e.g. 2:2:1."},{"code" : "approval","valueString" : "2023-04-10 vote 5-0 by Harold Lehmann, Joanne Dehnbostel, Eric Harvey, Janice Tufte, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00001","display" : "bias","definition" : "A systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "false certainty"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Philippe Rocca-Serra, Joanne Dehnbostel, Mario Tristan, Harold Lehmann; Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "8/8 as of 2021-02-26: , Harold Lehmann, Khalid Shahin, Eric Harvey, Jesús López-Alcalde, Joanne Dehnbostel, Muhammad Afzal, Paola Rosati, Eric Au, 5/5 for second sentence as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte"}],"concept" : [{"code" : "SEVCO:00002","display" : "selection bias","definition" : "A bias resulting from methods used to select subjects or data, factors that influence initial study participation, or differences between the study sample and the population of interest","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "8/8 as of 3/5/2021 Eric Au, Alejandro Piscoya, Mario Tristan, Brian Alper, Zbys Fedorowicz, Bhagvan Kommadi, Eric Harvey, Muhammad Afzal"},{"code" : "comment","valueString" : "Selection bias can occur before the study starts (inherent in the study protocol) or after the study starts (during study execution)."}],"concept" : [{"code" : "SEVCO:00003","display" : "participant selection bias","definition" : "A selection bias resulting from methods used to select participating subjects, factors that influence initial study participation, or differences between the study participants and the population of interest","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-08 vote 7-2 on \"A selection bias where key characteristics of the participants differ systematically from the population of interest.\" by Harold Lehmann, Philippe Rocca-Serra, Joanne Dehnbostel, 2021-03-19 vote 10-1 on \"A bias resulting from methods used to select participating subjects, factors that influence initial study participation, or differences between the study participants and the population of interest\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin"}],"concept" : [{"code" : "SEVCO:00004","display" : "inappropriate selection criteria","definition" : "A selection bias resulting from inclusion and exclusion criteria used to select participating subjects that could result in differences between the study participants and the population of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to inappropriate selection criteria"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-19 vote 9-2 on \"A bias resulting from inclusion and exclusion criteria used to select participating subjects that could make the included participants unrepresentative of the population of interest.\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin"}]},{"code" : "SEVCO:00005","display" : "inappropriate sampling strategy","definition" : "A selection bias resulting from the sampling frame, sampling procedure, or methods used to recruit participating subjects that could result in differences between the study participants and the population of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "biased sampling strategy"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate sample frame"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate sampling frame"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate sampling procedure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to inappropriate sampling strategy"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-19 vote 9-2 on \"A bias resulting from the sample frame, sampling procedure, or methods used to recruit participating subjects that could make the included participants unrepresentative of the population of interest.\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00014","display" : "inappropriate data source for participant selection","definition" : "Participant selection bias due to inappropriate data source for sampling frame.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to inappropriate data source for sampling frame"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Muhammad Afzal, Bhagvan Kommadi"},{"code" : "approval","valueString" : "6/6 as of 4/12/2021: KM Saif-Ur-Rahman, Bhagvan Kommadi, Joanne Dehnbostel, Paola Rosati, Jesús López-Alcalde, Tatyana Shamliyan"}]}]},{"code" : "SEVCO:00006","display" : "non-representative sample","definition" : "A selection bias due to differences between the included participants and the population of interest that distorts the research results (estimation of effect, association, or inference), limiting external validity or applicability.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to non-representative sample"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unrepresentative sample"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonrepresentative sample"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-19 vote 10-1 on \"Differences between the included participants and the population of interest that distorts the research results (estimation of effect, association, or inference), limiting external validity or applicability.\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00008","display" : "inadequate enrollment of eligible subjects","definition" : "A selection bias in which insufficient enrollment of eligible subjects results in differences (recognized or unrecognized) between the included participants and the population of interest that distorts the research results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to inadequate enrollment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-representative sample due to inadequate enrollment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Marc Duteau, Khalid Shahin, Asiyah Yu Lin, Muhammad Afzal, Tatyana Shamliyan"},{"code" : "approval","valueString" : "11/11 as of 3/29/2021: Alejandro Piscoya, Eric Harvey, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Eric Au, Joanne Dehnbostel, Marc Duteau, Brian S. Alper, Jesús López-Alcalde, Tatyana Shamliyan, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-03-26 vote 8-2 on \"Inadequate enrollment = A selection bias due to a rate of study entry among eligible subjects that is not sufficient for the included sample to be considered representative of the population of interest.\" by Harold Lehmann, Tatyana Shamliyan, Muhammad Afzal, Eric Au, Paola Rosati, Mario Tristan, Alejandro Piscoya, Bhagvan Kommadi, Jesús López-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00012","display" : "non-representative sample due to timing or duration of exposure","definition" : "A selection bias in which the timing or duration of exposure influences the outcome, and the timing or duration of exposure in the sample does not represent that of the population of interest. This selection bias may occur when the selection for study participation is not coincident with the initiation of the exposure or intervention under investigation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mismatch in start of intervention and start of follow-up"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "9/9 as of 4/9/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Paola Rosati, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}],"concept" : [{"code" : "SEVCO:00013","display" : "depletion of susceptibles","definition" : "A non-representative sample due to exclusion of susceptible participants who have already had an outcome due to prior exposure. For example, the inclusion of prevalent users of a medication misrepresents the initial adverse effects rate by excluding persons who do not tolerate the medication.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "prevalent user bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-representative sample due to depletion of susceptibles"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "9/9 as of 4/9/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Paola Rosati, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}]}]}]},{"code" : "SEVCO:00009","display" : "post-baseline factors influence enrollment selection","definition" : "A selection bias in which factors observed after study entry, baseline, or start of follow-up influence enrollment","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to post-baseline factors"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Marc Duteau, Khalid Shahin, Asiyah Yu Lin, Harold Lehmann, Mario Tristan"},{"code" : "approval","valueString" : "9/9 as of 4/5/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}],"concept" : [{"code" : "SEVCO:00212","display" : "participant selection bias due to early study termination","definition" : "A selection bias due to premature closure of study enrollment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "early termination bias affecting enrollment"}],"property" : [{"code" : "comment","valueString" : "'Early termination bias affecting enrollment' is a type of 'Post-baseline factors influence enrollment selection' which is defined as 'A selection bias in which factors observed after study entry, baseline, or start of follow-up influence enrollment.'\nTo express bias related to making the decision to terminate a study, use 'Early Study Termination Bias'."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Paul Whaley, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-03-25 vote 7-1 by Muhammad Afzal, Paul Whaley, Mario Tristan, Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2022-03-25 comment: Recommend simplifying the term and then add your test to the term definition.\nFor example edit term to Early Study Termination Bias.  Term definition should read.  Selection Bias due to premature closing of a study enrollment for the participants...."},{"code" : "approval","valueString" : "2022-04-08 vote 12-0 by Muhammad Afzal, Paul Whaley, Mario Tristan, Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, nelle.stocquart, nisha mathew, Harold Lehmann, Cauê Monaco"}]}]},{"code" : "SEVCO:00010","display" : "factor associated with exposure influences enrollment selection","definition" : "A selection bias in which a factor associated with the exposure under investigation influences study enrollment","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to factor associated wiith exposure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Khalid Shahin, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Muhammad Afzal"},{"code" : "approval","valueString" : "9/9 as of 4/5/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}]},{"code" : "SEVCO:00011","display" : "factor associated with outcome influences enrollment selection","definition" : "A selection bias in which a factor associated with the outcome under investigation influences study enrollment","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to factor associated wiith outcome"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Khalid Shahin, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Muhammad Afzal"},{"code" : "approval","valueString" : "9/9 as of 4/5/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}]}]},{"code" : "SEVCO:00015","display" : "study selection bias","definition" : "A selection bias resulting from factors that influence study selection, from methods used to include or exclude studies for evidence synthesis, or from differences between the study sample and the population of interest","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias in study selection"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Muhammad Afzal, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 4/26/2021: Eric Harvey, Bhagvan Kommadi, Harold Lehmann, Mario Tristan, Jesús López-Alcalde, Tatyana Shamliyan\n2024-04-19 vote 8-0 by Cauê Monaco, Janice Tufte, Homa Keshavarz, Sheyu Li, Khalid Shahin, Lenny Vasanthan, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00262","display" : "bias in study eligibility criteria","definition" : "A study selection bias specific to the inclusion and exclusion criteria.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "comment","valueString" : "If the study eligibility criteria (inclusion and exclusion criteria for study selection) result in a dataset that is non-representative of the population of interest, then the criteria introduce systematic error. \n\nA study selection bias is a selection bias resulting from factors that influence study selection, from methods used to include or exclude studies for evidence synthesis, or from differences between the study sample and the population of interest."},{"code" : "approval","valueString" : "2024-02-02 vote 5-0 by Brian S. Alper, Harold Lehmann, Xing Song, Cauê Monaco, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00273","display" : "study eligibility criteria not prespecified","definition" : "A bias in study eligibility criteria in which the criteria are not stated before the study selection process occurs.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 1.1 Did the review adhere to pre-defined objectives and eligibility criteria?\nA systematic review should begin with a clearly focused question or objective which is reflected in the criteria used for deciding whether studies are eligible for inclusion. Details that should be specified a priori in a review protocol vary according to review type, but should generally include the study designs, study participants, and types of interventions/exposures that are eligible. If outcomes or outcome domains are to form part of the eligibility criteria, this should be stated clearly. Any exclusions should also be pre-specified. Where a protocol providing this information is available, the answer to this question would be “Yes”. Where no protocol is available but information about pre-defined objectives and detailed eligibility criteria are supplied, and there is good reason to believe that these were specified in advance and adhered to throughout the\nreview, assessors can consider answer this question “Probably Yes”. Any post hoc changes to the eligibility criteria or outcomes must keep faith with the objectives of the review, and be properly justified and documented. In the absence of a pre-published protocol, where information about pre-defined objectives and eligibility criteria are only available post hoc in the review publication, unless there is some reason to believe that these details were specified in advance and adhered to from the start of the review, this question should be answered “Probably No”. Where all or some of these details are missing, this question should be answered “No”."},{"code" : "comment","valueString" : "Failure to specify the study eligibility criteria before evaluating studies for selection can lead to a situation in which the data discovered during the study selection process influences the criteria for selection in a way that introduces systematic error."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-02-16 vote 6-0 by Javier Bracchiglione, Lenny Vasanthan, Xing Son, Brian S. Alper, Harold Lehmann, Eric Harvey"}]},{"code" : "SEVCO:00274","display" : "study eligibility criteria not appropriate for review question","definition" : "A bias in study eligibility criteria due to a mismatch between the inclusion and exclusion criteria and the research question.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz, Xing Song"},{"code" : "external-definitions","valueString" : "from ROBIS 1.2 Were the eligibility criteria appropriate for the review question?\nThe eligibility criteria should stem from the review question and should provide sufficient detail to enable judgement about whether the studies that are included are appropriate to the question. The information required is likely to vary by topic. For example, in order to judge appropriateness, the assessor might need a clear description of the population in terms of the age range and diagnosis of the study participants, the setting in which the study was conducted, the dose of a drug, or the frequency of exposure. To answer this question the assessor is likely to require some content knowledge."},{"code" : "comment","valueString" : "The mismatch between the inclusion and exclusion criteria and the research question may relate to differences in the population, exposures, or outcomes studies from those of interest."},{"code" : "negative-vote","valueString" : "2024-02-16 vote 5-1 by Javier Bracchiglione, Lenny Vasanthan, Xing Song, Brian S. Alper, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-02-16 comment: I would simplify the definition to: \"A bias in study eligibility criteria derived from a mismatch between the inclusion and exclusion criteria, and the research question, that could result in an inappropriate selection of studies\""},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 :Lenny Vasanthan, Harold Lehmann, Janice Tufte, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00275","display" : "study eligibility criteria ambiguous","definition" : "A bias in study eligibility criteria due to unclear specification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz"},{"code" : "external-definitions","valueString" : "from ROBIS 1.3 Were eligibility criteria unambiguous?\nSpecific information about the characteristics of eligible studies must be provided, as far as possible avoiding any ambiguities about the types of study, population, interventions, comparators and outcomes. Criteria should be sufficiently detailed that the review could be replicated using the criteria specified. A number of important details are commonly missing from the eligibility criteria in systematic reviews. For example, details about the diagnosis of study participants. Diagnosis might be made using a number of different methods, some of which might be more valid or accurate than others. Review authors should have decided in advance which diagnostic methods are appropriate to their review question in order to avoid introducing potential biases during the review process. Similarly, specific details about interventions/exposures and comparators must be provided, including characteristics such as medication dose, frequency of administration, concurrent treatments, and so on. The assessor is likely to require some content knowledge to answer this question, but where specific queries remain about the stated eligibility criteria, “No” or “Probably No” judgements can usually be made."},{"code" : "comment","valueString" : "Eligibility criteria that are not sufficiently described to enable reproduction of study selection can introduce systematic error."},{"code" : "approval","valueString" : "2024-02-16 vote 5-0 by Lenny Vasanthan, Xing Son, Brian S. Alper, Harold Lehmann, Eric Harvey"}]},{"code" : "SEVCO:00276","display" : "study eligibility criteria limits for study characteristics not appropriate","definition" : "A bias in study eligibility criteria that is specific to restrictions based on characteristics of the study design, conduct, or findings.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Xing Song, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz"},{"code" : "external-definitions","valueString" : "from ROBIS 1.4 Were all restrictions in eligibility criteria based on study characteristics appropriate?\nAny restrictions applied on the basis of study characteristics must be clearly described and a sound rationale provided. These details will enable assessors to judge whether such restrictions were appropriate. Examples might be the study design, the date the study was published, the size of the study, some measure of study quality, and available outcomes measures. This question is different from the one above which refers to whether the eligibility criteria are appropriate to the review question. Where sufficient information is available, and the assessor is reasonably satisfied that the restrictions are appropriate, this question can be answered “Yes or “Probably Yes”. Where restrictions around study characteristics are not justified and there is insufficient information to judge whether these restrictions are appropriate, this question should be answered “Probably No” or “No”. Where eligibility criteria are sufficiently detailed, and no restrictions around study characteristics are explicitly reported, it can be assumed that none were imposed, and the question should be answered “Yes”."},{"code" : "comment","valueString" : "Any restrictions applied on the basis of study characteristics should not introduce a bias in study eligibility criteria. Examples of such restrictions may include criteria based on study size, study design, study quality, or date when the study was conducted.\n\nIn the ROBIS tool used for risk of bias assessment of systematic reviews, there is a question (1.4 Were all restrictions in eligibility criteria based on study characteristics appropriate?) that is different from the one which refers to whether the eligibility criteria are appropriate to the review question. Therefore, a separate term is available in SEVCO."},{"code" : "negative-vote","valueString" : "2024-02-23 vote 5-1 by Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Xing Song, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-02-23 comment: As it is, study characteristics could refer to clinical characteristics (e.g. age), which could indeed be appropriate. I would state that it refers to methodological characteristics."},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 Lenny Vasanhan, Harold Lehmann, Eric Harvey, Janice Tufte, Homa Kashavarz"}]},{"code" : "SEVCO:00277","display" : "study eligibility criteria limits for study report characteristics not appropriate","definition" : "A bias in study eligibility criteria that is specific to restrictions on the status, structure, language, or accessibility of the study report.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 1.5 Were any restrictions in eligibility criteria based on sources of information appropriate?\nAny restrictions applied on the basis of sources of information must be clearly described and a sound rationale provided. These details will enable assessors to judge whether such restrictions were appropriate. Examples might be the publication status or format, language, and availability of data. This question is different from the question in domain 2 which is about restricting searches. Where eligibility criteria are sufficiently detailed, but no restrictions based on sources of information are explicitly reported, it must be assumed that none were imposed, and the question should be answered “Yes”."},{"code" : "comment","valueString" : "Examples of study report characteristics include publication status (including preprints and unpublished data), format, language, and availability of data, as well as the date of publication.\nThe ROBIS tool used for assessing risk of bias of systematic reviews includes a signaling question '1.5 Were any restrictions in eligibility criteria based on sources of information appropriate?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-16 comment: (in comments for application, there is a dot after the parenthesis that needs to be removed)"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey"}]}]},{"code" : "SEVCO:00269","display" : "language bias","definition" : "A bias in search strategy or study eligibility criteria that results from restrictions regarding the language of the study report.","property" : [{"code" : "external-definitions","valueString" : "https://catalogofbias.org/biases/language-bias/"},{"code" : "comment","valueString" : "Limiting the study reports included in a systematic review by language may result in an incomplete view of the truly available evidence.\n\nThe terms <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00266\" target=\"_blank\">search strategy limits for study report characteristics not appropriate</a> and <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00277\" target=\"_blank\">study eligibility criteria limits for study report characteristics not appropriate</a> are used to describe types of study selection bias that results from restrictions regarding the study report, distinguishing different steps in the search and selection process."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Kenneth Wilkins"},{"code" : "expert-comments","valueString" : "05-03-2024 \n\"what is interesting about this term is that language in terms of terms changes and actually can begin to mean something other than the original intent- later original term might mean something else down the road\""},{"code" : "approval","valueString" : "05-03-2024 5-0 by Homa Keshavarz, Eric Harvey, Janice Tufte, Lenny Vasanthan, Harold Lehmann"}]},{"code" : "SEVCO:00270","display" : "geography bias","definition" : "A bias in search strategy or study eligibility criteria that results from restrictions regarding the geographic origin of the research.","property" : [{"code" : "external-definitions","valueString" : "The role of geographic bias in knowledge diffusion: a systematic review and narrative synthesis (https://researchintegrityjournal.biomedcentral.com/articles/10.1186/s41073-019-0088-0) includes \"geographic bias...are biased by the geographic origin of the research\" and \"geographic bias, such as the role of institutional affiliation, country of origin...\" and \"geographic bias, i.e., local, regional, national, or international\""},{"code" : "comment","valueString" : "Limiting the study reports included in a systematic review by country of origin may result in an incomplete view of the truly available evidence.\n\nThe geographic origin of the research may refer to the location of the research participants, the investigators, or their associated organizations.\n\nThe terms <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00266\" target=\"_blank\">search strategy limits for study report characteristics not appropriate</a> , <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00276\" target=\"_blank\">study eligibility criteria limits for study characteristics not appropriate</a> and <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00277\" target=\"_blank\">study eligibility criteria limits for study report characteristics not appropriate</a> are used to describe types of study selection bias that results from restrictions regarding the study report, distinguishing different steps in the search and selection process."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "05-03-2024 5-0 by Homa Keshavarz, Eric Harvey, Janice Tufte, Lenny Vasanthan, Harold Lehmann"}]},{"code" : "SEVCO:00272","display" : "publication bias","definition" : "A study selection bias in which the publicly available studies are not representative of all conducted studies.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study selection bias due to selective reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study selection bias due to non-reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study selection bias due to reporting bias"}],"property" : [{"code" : "comment","valueString" : "Publication bias arises from the failure to identify all studies that have been conducted, either published (i.e., publicly available) or unpublished. The term 'studies' means evidence or research results in any form where such studies would meet the study eligibility criteria without consideration of criteria regarding the form of publication. The phrase 'publicly available studies' means the studies are available to the broad academic community and the public through established distribution channels in any form, including forms with restricted access.  Established distribution channels include peer-reviewed journals, books, conference proceedings, dissertations, reports by governmental or research organizations, preprints, and study registries.\n\nPublication bias often leads to an overestimate in the effect in favor of the study hypothesis, because studies with statistically significant positive results are more likely to be publicly available.\n\nThe terms <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> and <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00024\" target=\"_blank\">selective reporting bias</a> are used to describe biases in study reports, i.e., reporting bias. To avoid confusion between biases in study reports and biases in study selection, when either 'reporting bias' or 'selective reporting bias' are used as alternative for 'publication bias', the term is appended to 'study selection bias due to' as shown below:\n&#9;• study selection bias due to reporting bias\n&#9;• study selection bias due to selective reporting bias"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2024-03-29 vote 7-1 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Cauê Monaco, Eric Harvey, Jennifer Hunter\n2024-04-12 vote 6-1 by Sheyu Li, Jennifer Hunter, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Harold Lehmann\n2024-04-19 vote 8-1 by Janice Tufte, Homa Keshavarz, Sheyu Li, Khalid Shahin, Lenny Vasanthan, Harold Lehmann, Eric Harvey, Jennifer Hunter, Cauê Monaco\n2024-04-26 vote 4-1 by Homa Keshavarz, Sean Grant, Lenny Vasanthan, Jennifer Hunter, Eric Harvey\n2024-05-03 vote 6-1 by Harold Lehmann, Lenny Vasanthan, Jennifer Hunter, janice Tufte, Eric Harvey, Homa Keshavarz, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-03-29 comment:\nThe current definition does not reflect the information of 'publication', which is the core of the term. I understand that it is not good to use the same word in the definition and the term itself. Nevertheless, the word available could be vague - studies could be available in registration website only but not published. For different authors, the 'availability' of the studies are different. \n\nA suggested definition:\nA study selection bias in which the published studies are not representative of the conducted studies.\t\nalternatively: \nA study selection bias in which the studies available in the literature database are not representative of all conducted studies.\n\n2024-04-12 comment:\nPublication bias arises from the failure to identify all studies that have been conducted, either published (i.e., publicly available) or unpublished. Typically, publication bias leads to an overestimate in the effect in favour of the study hypothesis. This is because studies with statistically significant positive results are more likely to be publicly available or published in English-language journals.\n\n2024-04-19 comment:\nConsider adding some alternate terms used by Cochrane: non-reporting bias; bias due to missing results. https://training.cochrane.org/handbook/current/chapter-07#section-7-1\n\n2024-04-26 comments:\n1) Suggest revising second paragraph slightly to \"Publication bias often (but not always) leads to...\"\n2N) The last paragraph/sentence in application is long and difficult to read. Here is a suggestion:\nThe terms reporting bias and selective reporting bias are used to describe biases in study reports. To avoid ambiguous use as alternative terms for publication bias, the terms are appended to 'study selection bias due to'.\n\n2024-05-03 comments:\nThe last paragraph is still very difficult to read, and I understand what we are trying to communicate. What about this suggestion?\nThe terms reporting bias and selective reporting bias are used to describe biases in study reports. To avoid confusion between biases in study reports and biases in study selection, when either 'reporting bias' or 'selective reporting bias' are used as alternative for 'publication bias', the term is appended to 'study selection bias due to'."},{"code" : "approval","valueString" : "2024-05-10 vote 10-0 by Saphia Mokrane, Sheyu Li, Harold Lehmann, Brian S. Alper, Homa Keshavarz, Lenny Vasanthan, Cauê Monaco, Jennifer Hunter, Eric Harvey, Khalid Shahin"}]},{"code" : "SEVCO:00395","display" : "bias in search strategy","definition" : "A study selection bias specific to the strategy used to identify potentially eligible studies.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Homa Keshavarz, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2024-02-23 comment: Although I am not 100% sure if this qualifies as \"study selection\" bias"},{"code" : "approval","valueString" : "2024-02-23 vote 6-0 by Khalid Shahin, Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00263","display" : "database search sources inadequate","definition" : "A bias in search strategy in which the electronic sources are not sufficient to find the studies available in electronic sources.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.1 Did the search include an appropriate range of databases/electronic sources for published and unpublished reports?\nThe assessor needs to judge what constitutes an appropriate range of databases. This will vary according to review topic. It is anticipated that at a minimum a MEDLINE and EMBASE search would be conducted. Searches of material published as conference reports should also be considered along with a search of research registers. Guidance on the appropriate range of databases can be found in SR guidance such as the Cochrane Handbook,5 or from the Centre for Reviews and Dissemination (CRD) website (http://www.york.ac.uk/inst/crd/finding_studies_systematic_reviews.htm)"},{"code" : "comment","valueString" : "The set of databases (electronic sources) expected to include the studies of interest will vary with the review topic."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Homa Keshavarz"},{"code" : "approval","valueString" : "Expert working group agreement 2024-03-01 5-0 vote by Eric Harvey, Harold Lehmann, Khalid Shahin, Javier Bracchiglione, Homa Keshavarz"}]},{"code" : "SEVCO:00264","display" : "non-database search sources inadequate","definition" : "A bias in search strategy in which the sources other than electronic database sources are not sufficient to find the studies available.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.2 Were methods additional to database searching used to identify relevant reports?\nAdditional methods such as citation searches, contacting experts, reference checking, handsearching etc. should have been performed."},{"code" : "comment","valueString" : "The set of sources other than databases (electronic sources) expected to include the studies of interest will vary with the review topic."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-03-08 \"I wonder about globally and developing nations where CHW workers are collecting data perhaps not electronically\" , \"Similar to other comments global data might be collected oin paper- qualitative - observational studies\""},{"code" : "approval","valueString" : "2024-03-08 6-0 Eric Harvey, Harold Lehmann, Javier Bracchiglione, Janice Tufte, Homa Kashavarz, Lenny Vasanthan"}]},{"code" : "SEVCO:00265","display" : "search strategy not sensitive","definition" : "A bias in search strategy in which the search terms and combinations of search terms are not sufficient to find the studies available.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.3 Were the terms and structure of the search strategy likely to retrieve as many eligible studies as possible?\nA full search strategy showing all the search terms used, in sufficient detail to replicate the search, is required to be able to fully judge this question. If only limited details are provided, such as a list of search terms with no indication of how these are combined, assessors may be able to make a “Probably Yes” or “Probably No” judgment. Assessors should consider whether the search strategy included an appropriate range of terms for the topic, whether a combination of controlled terms (such as Medical Subject Headings (MeSH) for Medline) and words in the title and abstract were used, and whether any filters applied were appropriate. For example, for DTA reviews the use of filters has been shown to miss relevant studies and so this question should be answered as No for a strategy that includes such filters. Guidance on the critical appraisal of search strategies can be found in the PRESS Evidence-Based Checklist (http://ejournals.library.ualberta.ca/index.php/EBLIP/article/view/7402)."},{"code" : "comment","valueString" : "The search terms and combinations of search terms expected to include the studies of interest will vary with the review topic."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 Eric Harvey, Harold Lehmann, Javier Bracchiglione, Homa Kasharvarz, Lenny Vasanthan"}]},{"code" : "SEVCO:00266","display" : "search strategy limits for study report characteristics not appropriate","definition" : "A bias resulting from search strategy criteria implemented due to practical considerations for implementation, including properties of a report or its accessibility.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.4 Were restrictions based on date, publication format, or language appropriate?\nIf no restrictions were applied to the search strategy then this question should be answered as Yes. This is different from the question in domain 1 (1.5) which is about restriction to selection criteria. Information is required on all three components of this question (i.e. date, publication format and language) to be able to fully judge this item. Restriction of papers based on language (e.g. restriction to English language articles) or publication format (e.g. restriction to full text published studies) is rarely (if ever) appropriate, and so if any such restrictions were applied then this question should usually be answered as “No”. Restrictions on date may be appropriate but should be supported by a clearly described rationale for this question to be answered as “Yes”. For example, if a medication or test was not available before a certain date then it is reasonable to only start searches from the date at which the medication or test first became available."},{"code" : "comment","valueString" : "A bias in search strategy that is specific to restrictions on the date, status, structure, language, or accessibility of the study report. Accessibility refers to where a resource is available and how one gains access to it."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Homa Keshavarz, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-03-15 vote 5-0 by Xing Song, Lenny Vasanthan, Harold Lehmann, Homa Keshavarz, Eric Harvey"}]}]},{"code" : "SEVCO:00267","display" : "misapplication of study eligibility criteria","definition" : "A study selection bias due to inappropriate implementation of the study inclusion and exclusion criteria.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonadherence to study eligibility criteria"}],"property" : [{"code" : "editors","valueString" : "Sheyu Li, Ken Wilkins, Muhammad Afzal, Homa Keshavarz, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-03-29 vote 7-1 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Javier Bracchiglione, Jennifer Hunter, Homa Keshavarz, Lenny Vasanthan, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-03-29 comment:\nThe title/name needs work. Maybe something like: Bias due to non-adherence to eligibility criteria?"},{"code" : "approval","valueString" : "2024-04-12 vote 6-0 by Harold Lehmann, Sheyu Li, Jennifer Hunter, Janice Tufte, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00345","display" : "bias related to selection of the studies for synthesis","definition" : "A study selection bias due to inappropriate choice of studies included in the synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.1 Did the synthesis include all studies that it should?"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Airton Stein, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2025-05-17 comment: (There could be a link to \"Selection bias\", making the point that this term is the equivalent for synthesis studies.)\n\n2024-05-24 comment: Hmm. Maybe change, \"typical use\" to \"typical risk\"?\n\n2024-06-07 comments re: \"synthesis missing eligible studies\" = \"A synthesis bias in which eligible studies were not included in the evidence synthesis.\"\n1N) The term itself is new to me: is there a more established term?\nre: \"synthesis missing eligible studies\" = \"A synthesis bias in which eligible studies were not included in the evidence synthesis.\"\n2N) It is confusing regarding synthesis. Evidence synthesis includes quantitative synthesis (meta-analysis typically) and qualitative synthesis. The comments may mean that a study is included in a qualitative synthesis but not a quantitative synthesis. It can be true, but why? Typically it can be some synthestic gap, e.g., the unavailability of zero events in a meta-analysis. \nThe definition can be revised as A synthesis bias in which eligible studies were not included in the some parts of evidence syntheses.\n\n2024-06-14 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of data included in the synthesis before the synthesis is applied.\"\n1N) I understand the concept though I am not clear how this is a \"bias\"? \"Inappropriate\" choice just sounds like poor study execution rather than a bias.\n\n\n2024-08-09 comment re: \"bias related to selection of the studies for synthesis\" = \"A synthesis bias due to inappropriate choice of studies included in the synthesis before the synthesis is applied.\"\n1N)\nWhat is the difference between this bias and selection bias?   Is it is related to some technical barriers such as zero even issue? The synthesis have to opt out the zero event trials because of the restriction of the statistical methods.\n\n\n2024-08-16 comment re: \"bias related to selection of the studies for synthesis\" = \"A study selection bias due to inappropriate choice of studies included in the synthesis.\"\n1N)\nI fail to see how the comments for application differ from bias related to the selection of the data for synthesis. There seems to be considerable overlap.\n\nReferring to a \"specific meta-analysis\" may be the issue, as this requires the selection of specific results from the included studies. Additionally, a meta-analysis is only one example of how results can be synthesized, and it does not account for other data (e.g., qualitative). Perhaps something like the following might work: \"A potential use of this term is when studies were included in the overall review, yet none of the study results or findings (quantitative or qualitative) were analyzed or synthesized.\n\nI'm unsure that \"and appropriate for synthesis\" is correct. For instance, an included study may have measured the outcome of interest but not reported the results in a way that can be used in the planned meta-analysis (e.g., only the p value is reported, or no SDM/SE is reported). Even though the results cannot be used (i.e., are not appropriate) for the meta-analysis, there is still a risk of distorted results which constitutes bias. Perhaps I am mistaken, and this bias only refers to errors of judgement by the reviewers.\n\n\n2024-08-23 comment re: \"bias related to selection of the studies for synthesis\" = \"A study selection bias due to inappropriate choice of studies included in the synthesis.\"\n1Y)\nI Could suggest a petit change in 'comment for application'...\"If the selected for synthesis do not match the available studies, there is a risk of distorted results which constitutes bias.\""},{"code" : "approval","valueString" : "2024-08-23 vote 9-0 by Carlos Alva-Diaz, Elma OMERAGIC, Lenny Vasanthan, Harold Lehmann, Philippe Rocca-Serra, Eric Harvey, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz"},{"code" : "comment","valueString" : "A potential use of this term is when studies meeting the review criteria were available but not included in the review. Another potential use of this term is when studies were included in the overall review but were not included in a specific meta-analysis or specific synthesis. If the studies selected for synthesis do not match the available studies, there is a risk of distorted results which constitutes bias.\nThe term 'bias related to selection of the studies for synthesis' matches the ROBIS signaling question 4.1 'Did the synthesis include all studies that it should?'\nIf a study was selected for the overall review but the data was not extracted from the study for a specific analysis or synthesis, then use [bias related to selection of the data for synthesis](https://fevir.net/resources/CodeSystem/27270#SEVCO:00352)"},{"code" : "negative-vote","valueString" : "2024-05-17 vote 5-0 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Harold Lehmann\n2024-05-24 vote 7-0 by Homa Keshavarz, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte, Saphia Mokrane\n2024-06-07 vote 6-2 by Sean Grant, Saphia Mokrane, Sheyu Li, Lenny Vasanthan, Harold Lehmann, Eric Harvey, Carlos Alva-Diaz, Kailei Nong\n2024-06-14 vote 7-1 by Yaowaluk Ngoenwiwatkul, Homa Keshavarz, Sean Grant, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte\n2024-06-21 vote 8-0 by Cauê Monaco, Lenny Vasanthan, Homa Keshavarz, Yaowaluk Ngoenwiwatkul, Harold Lehmann, Sean Grant, Eric Harvey, Carlos Alva-Diaz BUT THEN THE TERM CHANGED from 'data' to 'studies'\n2024-08-09 vote 7-1 by Brian S. Alper, Harold Lehmann, Homa Keshavarz, Sheyu Li, Sean Grant, Eric Harvey, Lenny Vasanthan, Airton Tetelbom Stein\n2024-08-16 vote 5-1 by Cauê Monaco, Bhagvan Kommadi, Jennifer Hunter, Eric Harvey, Harold Lehmann, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00268","display" : "bias in study selection process","definition" : "A study selection bias due to an inadequate process for screening and/or evaluating potentially eligible studies.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.5 Were efforts made to minimise errors in selection of studies?\nBoth the process of screening titles and abstracts and of assessing full text studies for inclusion are covered by this question. Information on both are required to be able to fully judge this item. For an answer of “Yes”, titles and abstracts should be screened independently by at least two reviewers and full text inclusion assessment should involve at least two reviewers (either independently or with one performing the assessment and the second checking the decision)."},{"code" : "comment","valueString" : "An adequate process for screening and evaluating potentially eligible studies should generally include at least two independent reviewers for any steps that involve subjective judgment. Any step involving subjective judgment may introduce systematic distortions into the research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2024-03-29 vote 6-1 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey, Jennifer Hunter\n2024-04-12 vote 6-2 by Cauê Monaco, Sheyu Li, Jennifer Hunter, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-03-29 comments:\n1) Although the comment for application may be questionable for some specific cases.\n2N) The title/name needs more work. Perhaps something like: Study screening bias? Or just: Screening bias?\n\n2024-04-12 comments:\n1N) The term 'bias' refers to systematic error but back-to-back check by different reviewers reduce only random error. I do not think the definition and comment are in line. For my own experience, there is little room for bias during the study selection. \n2N) Suggest replace \"and\" with \"or\", as I am assuming that screening refers to T&A screening and evaluating refers to full text inclusion assessment. The bias could arise from one step only.\nConsider adding some alternative terms e.g., bias in study selection, bias in selection of studies (that maps to ROBIS), screening bias, and/or study screening bias.\n3) Re Comment for Application: There are other strategies, besides 2 independent readers, but I suppose the word, \"generally,\" addresses my concern."},{"code" : "approval","valueString" : "2024-04-19 vote 9-0 by Cauê Monaco, Sheyu Li, Jennifer Hunter, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Harold Lehmann, Khalid Shahin"}]}]}]},{"code" : "SEVCO:00016","display" : "confounding covariate bias","definition" : "A situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Philippe Rocca-Serra, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi"},{"code" : "approval","valueString" : "2023-07-14 vote 5-0 by Paul Whaley, Harold Lehmann, Cauê Monaco, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-07 vote 4-2 on \"Comparator Bias = A bias resulting from differences (other than in variables directly involved in the analysis) between the groups being compared.\" by KM Saif-Ur-Rahman, Harold Lehmann, Alejandro Piscoya, Paola Rosati, Tatyana Shamliyan, Bhagvan Kommadi\n2021-05-10 vote 11-1 on \"Confounding Covariate Bias = A bias resulting from differences in covariates (variables other than the exposure and outcome) between the groups being compared.\" by Eric Harvey, KM Saif-Ur-Rahman, Janice Tufte, Bhagvan Kommadi, Paola Rosati,  Alejandro Piscoya, Harold Lehmann, Ahmad Sofi-Mahmudi, Eric Au, Jesus Lopez-Alcalde, Tatyana Shamliyan, Joanne Dehnbostel\nAGREEMENT VOTE 8/8 as of 5/17/2021: Tatyana Shamliyan, Janice Tufte, Mario Tristan, Bhagvan Kommadi, Jesús López-Alcalde, Isaac Fwemba, Eric Harvey, Paola Rosati\n\nOn 2023-06-16 the Steering Group corrected a technical error in the definition (between A or B ... corrected to ... between A and B), and added a Comment for Application, so re-opened the term for vote."},{"code" : "expert-comments","valueString" : "A bias resulting from differences (other than in variables directly involved in the analysis) between the groups being compared. ---led to --- Which differences do you mean between the groups?  This definition seems unclear.  Defining a Comparator bias means to addresss some possible specific explanation. Or it is preferable to delete this bias. The definition is for selection bias resulting from nonrandom allocation of participants to interventions. Random allocation of trial participants to interentions would reduce this bias. Comprator seletion would not.  A bias resulting from differences in covariates (variables other than the exposure and outcome) between the groups being compared -- led to I agree with the definition but I suggest detailing that the covariate is associated to the outcome"},{"code" : "comment","valueString" : "Association of any two variables includes direct associations and indirect associations through each of the variables having direct associations with a third variable."}],"concept" : [{"code" : "SEVCO:00032","display" : "allocation bias","definition" : "A confounding covariate bias resulting from methods for assignment of the independent variable by the investigator to evaluate a response or outcome.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 5/17/2021: Tatyana Shamliyan, Janice Tufte, Mario Tristan, Bhagvan Kommadi, Jesús López-Alcalde, Isaac Fwemba, Eric Harvey, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-07 vote 5-1 on \"Comparator Selection Bias = A comparator bias resulting from methods for selection of or allocation to groups for comparative analysis that have the potential to introduce differences (other than in variables directly involved in the analysis) between the groups being compared.\" by KM Saif-Ur-Rahman, Harold Lehmann, Alejandro Piscoya, Paola Rosati, Tatyana Shamliyan, Bhagvan Kommadi, 2021-05-10 vote 11-1 on \"Allocation Bias = A confounding covariate bias resulting from methods for assignment of exposures in an interventional study.\" by Eric Harvey, KM Saif-Ur-Rahman, Janice Tufte, Bhagvan Kommadi, Paola Rosati,  Alejandro Piscoya, Harold Lehmann, Ahmad Sofi-Mahmudi, Eric Au, Jesus Lopez-Alcalde, Tatyana Shamliyan, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "A comparator bias resulting from methods for selection of or allocation to groups for comparative analysis that have the potential to introduce differences (other than in variables directly involved in the analysis) between the groups being compared. -- led to--- Selection of comparators would not reduce differences between compared groups.  A confounding covariate bias resulting from methods for assignment of exposures in an interventional study. --led to-- In my opinion, in an interventional study the investigator assigns the intervention, not the exposures.  The differences in the covariates results from the methods for the assignment of the intervention. For example not concealed allocation."}],"concept" : [{"code" : "SEVCO:00031","display" : "inadequate allocation concealment","definition" : "An allocation bias resulting from awareness of the assigned intervention before study enrolment and intervention assignment","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "10/10 as of 6/11/2021: Names not captured"}]},{"code" : "SEVCO:00278","display" : "bias due to non-randomized allocation","definition" : "An allocation bias resulting from a process of assigning participants or subjects to different groups or conditions which is not random.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonrandom allocation bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-random allocation bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to non-random allocation"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "A confounding covariate bias is defined as a situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nAllocation bias is defined as a confounding covariate bias resulting from *methods for assignment* of the independent variable by the investigator to evaluate a response or outcome.\n\nMethods for assignment that are not random may introduce confounding with measured or unmeasured variables.\n\nNon-random methods of generation of an allocation sequence may introduce a confounding covariate bias through associations with one ore more non-random variables related to sequence generation. A non-random allocation sequence may be described as a predictable sequence in mathematical terms.\n\nThe SEVCO term [Quasi-Randomized assignment](https://fevir.net/resources/CodeSystem/27270#SEVCO:01004) is defined as an interventional study design with a method of allocation that is not limited to random chance but is intended to produce similar baseline groups for experimentation. Although Quasi-Randomized assignment is \"intended to produce similar baseline groups\" the term is classified as a type of [Non-randomized assignment](https://fevir.net/resources/CodeSystem/27270#SEVCO:01005). Examples of non-random methods (which may be called 'partially randomized' or 'quasi-random') include every other participant, day of the week, even/odd identification number, birth date, etc."},{"code" : "negative-vote","valueString" : "2023-05-12 vote 4-1 by Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Jesus Lopez-Alcalde, Harold Lehmann\n2023-05-26 vote 5-1 by Harold Lehmann, Jesus Lopez-Alcalde, Sunu Alice Cherian, Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel\n2023-06-09 vote 4-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Sunu Alice Cherian, Harold Lehmann\n2023-06-16 vote 3-2 by Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann, Paola Rosati\n2023-07-14 vote 4-1 by Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann, Cauê Monaco, Paola Rosati"},{"code" : "expert-comments","valueString" : "2023-05-12 comment: Does this term definition actually define \"inadequate\" = potentially predictable sequence ? seems like an innapropriate allocation bias perhaps\n2023-05-26 comment: Defintion: Methods of allocating study participants to treatment comparison groups that are not random, but are intended to produce similar groups. \nAlternative terms: Quasi random allocation\n2023-06-09 comment: The comment for application describes \"unrecognised associations\", but the definition talks about \"potentially predictable\", which implies exploiting a recognised association to break blinding. I am not sure it can be both of these.\n2023-06-16 comments:\nType of bias that arises in research studies when the process of assigning participants or subjects to different groups or conditions is not random.\nI think I remember my original concern now - in the definition, the problem is not that the sequence is predictable, it is that the sequence is associated with another variable, thus introducing this other variable as a confounder. Unless it is about the investigator being able to break blinding, in which case the concept of the sequence being predictable is important.\n\n2023-07-14 comment: I think non-random methods are those clearly non-random, such as allocation by provider's preferences. However, quasi-random methods are those that apply a method that attempts to be random but that it isn't. Example: day of the week.\n\n2023-07-28 comment: For consistency, should we call it, \"Confounding Bias due to non-randomized allocation\"?"},{"code" : "approval","valueString" : "2023-07-28 vote 5-0 by Brian S. Alper, Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann"}]}]},{"code" : "SEVCO:00033","display" : "comparator selection bias","definition" : "A confounding covariate bias resulting from methods used to select participating subjects, or factors that influence study participation, for the comparator group.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparison group selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparator group selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparison selection bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 5/17/2021: Tatyana Shamliyan, Janice Tufte, Mario Tristan, Bhagvan Kommadi, Jesús López-Alcalde, Isaac Fwemba, Eric Harvey, Paola Rosati"},{"code" : "comment","valueString" : "This situation is more commonly related to observational research."}]},{"code" : "SEVCO:00034","display" : "confounding difference","definition" : "A confounding covariate bias in which the unequal distribution of a potentially distorting variable is recognized.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "recognized difference with potential for confounding"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "recognized confounding difference"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-07 vote 5-1 on \"Recognized Difference with Potential for Confounding = A comparator bias resulting from known differences (other than in variables directly involved in the analysis) between the groups being compared.\" by KM Saif-Ur-Rahman, Harold Lehmann, Alejandro Piscoya, Paola Rosati, Tatyana Shamliyan, Bhagvan Kommadi, , 2021-05-24 vote 6-1 on \"A confounding covariate bias in which the unequal distribution of a potentially distorting variable is recognized.\" by Harold Lehmann, Eric Harvey, KM Saif-Ur-Rahman, Bhagvan Kommadi, janice tufte, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "A comparator bias resulting from known differences (other than in variables directly involved in the analysis) between the groups being compared. -- led to-- This defintion seems tricky. If you find any diference between groups that can go astray with analysis you simply address the potention for confounding explicitly in the discussion session of yoru protocol/paper The potnetial for confounding needs to be consideriend in the protocol, and specifically addresssed int eh post-analysis to avoid any further bias. The term comparator bias is misleading since differnece between groups would not be reduced by selecting different comparators.   If this is recognized and adjusted for, is it still a bias? Seems that we need to address this circumstance."},{"code" : "comment","valueString" : "The potentially distorting variable is a covariate, and not the exposure or the outcome. Even if adjusted for in the analysis, a risk of bias can be present."}]},{"code" : "SEVCO:00280","display" : "confounding by time of observation","definition" : "A confounding covariate bias in which the distorting variable is the time at which the outcome is measured or observed.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "confounding by follow-up time"}],"property" : [{"code" : "comment","valueString" : "A confounding covariate bias is defined as a situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nThe time at which the outcome is measured or observed may be absolute (e.g. a specific date) or relative (e.g. 3 months after study enrollment).\n\nTo understand \"confounding by time of observation\" consider the following example:\n\nAn observational study is comparing patients with asthma taking Superdrug and patients with asthma not taking Superdrug.  The outcome of interest is mortality. The patients taking Superdrug are observed for their full duration of exposure to Superdrug. For comparison, the control group not receiving Superdrug is measured during a 1-year calendar period.\n\nFor the mortality outcome comparing Superdrug vs. no Superdrug, the time of observation for the control group is consistently 1 year but for the Superdrug group the time of observation varies for each patient. This comparison is confounded by the time of observation."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Paul Whaley"},{"code" : "negative-vote","valueString" : "2023-06-09 vote 3-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Sunu Alice Cherian\n2023-06-16 vote 4-1 by Paola Rosati, Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann\n2023-07-14 vote 7-0 by Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann, Cauê Monaco\nTHEN REOPENED\n2023-08-04 due to comment that suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-06-09 comment: The comment for application is not sufficiently informative. I am also not sure I understand what the definition means - what is the importance of recognition of unequal distribution of follow-up time?\n2023-06-16 comments: A confounding that occurs when the relationship between an exposure or intervention and an outcome is confounded by the time at which the outcome is measured or observed. \nAlternate terms: time-varying confounding\nComment for application: This occurs when both the exposure and the outcome change over time, and there are other time-dependent factors that influence the outcome\n\nThe Comment for Application seems to be repeating the definition of the parent term. I though we usually add details specific to the current term."},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Harold Lehmann, Mario Tristan"}]},{"code" : "SEVCO:00281","display" : "lead time bias","definition" : "A confounding covariate bias in which the distorting variable is the length of time that the participant has had the condition of interest at study enrollment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "starting time bias"}],"property" : [{"code" : "comment","valueString" : "A Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nA lead time bias is often manifest as a distortion overestimating the apparent time surviving with a disease caused by bringing forward the time of its diagnosis (https://catalogofbias.org/biases/lead-time-bias/).\n\nLead time bias is a type of bias that occurs in medical screening or diagnostic tests when the early detection of a disease or condition artificially appears to improve survival or prognosis, even if it does not actually provide a true benefit in terms of overall health outcomes.\n\nLead time refers to the amount of time between the detection of a disease through early screening or diagnostic testing and the time when the disease would have been clinically detected without screening."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Paul Whaley"},{"code" : "external-definitions","valueString" : "Lead time bias\nA distortion overestimating the apparent time surviving with a disease caused by bringing forward the time of its diagnosis\nhttps://catalogofbias.org/biases/lead-time-bias/"},{"code" : "negative-vote","valueString" : "2023-06-09 vote 3-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Sunu Alice Cherian\n2023-06-16 vote 3-2 by Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann, Paola Rosati\n2023-07-14 vote 6-0 by Muhammad Afzal, Joanne Dehnbostel, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann, Cauê Monaco\nTHEN REOPENED\n2023-08-04 due to comment that suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-06-09 comment: I am not sure I can successfully parse the syntax of the definition. While I think I understand what is meant, I feel it could be phrased more clearly.\n2023-06-16 comments: Lead time bias is a type of bias that occurs in medical screening or diagnostic tests when the early detection of a disease or condition artificially appears to improve survival or prognosis, even if it does not actually provide a true benefit in terms of overall health outcomes\n\nComment for application: Lead time refers to the amount of time between the detection of a disease through early screening or diagnostic testing and the time when the disease would have been clinically detected without screening. \n\nThis definition seems difficult to understand: does it convey that lead time bias is related to the potentially distorting variable of the length of time chosen in the study in which some participants could have confounding differences between their diagnosis of the condition of interest and the time of enrolment?\nI have some problem in understanding, sorry."},{"code" : "approval","valueString" : "2023-08-18 vote 5-0 by Paul Whaley,  Eric Harvey, Mario Tristan, Cauê Monaco, Harold Lehmann"}]},{"code" : "SEVCO:00282","display" : "confounding influencing adherence to intervention","definition" : "A confounding covariate bias in which the distorting variable is associated with deviations from the intended intervention.","property" : [{"code" : "comment","valueString" : "A confounding covariate bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nFor 'Confounding influencing adherence to intervention', the association of the distorting variable and the exposure is specific to deviations from the intended exposure (intended intervention). Deviations from the intended intervention may include deviations from the intervention protocol or lack of adherence. Lack of adherence includes imperfect compliance, cessation of intervention, crossovers to the comparator intervention and switches to another active intervention.\n\nThe term 'Confounding influencing adherence to intervention' is distinct from 'Performance Bias' (including 'Nonadherence of participants' or 'Imbalance in deviations from intended interventions') in that an additional variable (the distorting variable or confounding covariate) is acting as a confounder, while the 'Performance Bias' may occur with or without any differences in a third variable."},{"code" : "external-definitions","valueString" : "trigger question from ROBINS-I: 1.3. Were intervention discontinuations or switches likely to be related to factors that are prognostic for the outcome?"},{"code" : "expert-comments","valueString" : "2023-06-02 comment from steering group: need to see the background to ROBINS-I to understand context for this term\n2023-07-28 comment: I think the definition is good but the comment for application should specifically address this term and not just duplicate the definition of confounding covariate bias.\n2023-08-11 comment: Is this the same as compliance bias, or compliance bias  (\"https://catalogofbias.org/biases/compliance-bias/\") is a subtype of this? If \"compliance bias\" is a synonim, should be added as such. If not, should be added as a separate term"},{"code" : "editors","valueString" : "Brian Alper, Joanne Dehnbostel, Harold Lehmann, Paul Whaley, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2023-07-28 vote 3-1 by Eric Harvey, Harold Lehmann, Jesus Lopez-Alcalde, Paul Whaley\n2023-08-04 vote 5-0 by Joanne Dehnbostel, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann, Mario Tristan BUT comment suggests removing parenthetical from definition\n2023-08-11 vote 3-1 by Mario Tristan, Cauê Monaco, Eric Harvey, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-09-29 vote 5-0 by Joanne Dehnbostel, Harold Lehmann, Paul Whaley, Eric Harvey, Mario Tristan"}]},{"code" : "SEVCO:00284","display" : "confounding by indication","definition" : "A confounding covariate bias in which the distorting variable is the reason for receiving an exposure.","property" : [{"code" : "external-definitions","valueString" : "Confounding by indication\nA distortion that modifies an association between an exposure and an outcome, caused by the presence of an indication for the exposure that is the true cause of the outcome.\nfrom https://catalogofbias.org/biases/confounding-by-indication/"},{"code" : "comment","valueString" : "A Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nThe term 'indication' is derived from the medical community, in which the reason that an intervention is provided is called the indication. A reason for not providing an intervention may be called a 'contraindication' rather than 'indication to not provide'.\n\nFor example, people exposed to chemotherapy have higher mortality. This observation can easily be confounded by people exposed to chemotherapy having a higher rate of cancer (as the reason for receiving the chemotherapy)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-08-18 vote 5-0 by Paul Whaley,  Eric Harvey, Mario Tristan, Cauê Monaco, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2023-05-12 vote 5-0 by Muhammad Afzal, Brian S. Alper, Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann \nBUT THEN TERM CHANGED WITH HIERARCHY CHANGE on 2023-06-30\n2023-07-14 vote 2-1 by Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann\n2023-07-28 vote 3-1 by Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann\n2023-08-04 vote 5-0 by Joanne Dehnbostel, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann, Mario Tristan BUT comment suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-05-12 comment: For Comment for Application, I thought we usually put the definition of the parent term first, and the comments about this child. So I would arrange the current 1, 2, 3 paragraphs as 2, 1, 3.\n\nAnd I think what is now the first paragraph should start with, \"A confounding different bias...\"\n\n2023-07-01 comment: I would add to the definition \"or lack of\". Thus: \"A confounding covariate bias in which the confounder (distorting variable) is the reason for (or for lack of) an intended exposure.\n\n2023-07-14 comment: I think the definition is good but the comment for application should specifically address this term in more detail than providing a definition for \"indication\". It is a complex concept and I am not sure I understand what is happening with this bias.\n\n2023-07-28 comment: I still feel that an example of how the reason for receiving an exposure can end up being a confounder would be helpful."}]},{"code" : "SEVCO:00388","display" : "confounding by contraindication","definition" : "A confounding covariate bias in which the distorting variable is the reason for not receiving an exposure.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco"},{"code" : "comment","valueString" : "A Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nThe term 'indication' is derived from the medical community, in which the reason that an intervention is provided is called the indication. A reason for not providing an intervention may be called a 'contraindication' rather than 'indication to not provide'.\n\nFor example, people with cancer exposed to surgery for curative resection have lower mortality than other people with cancer. This observation can easily be confounded by people exposed to surgery for curative resection having a lower rate of metastatic cancer (which is a contraindication to such a surgery)."},{"code" : "negative-vote","valueString" : "2023-07-28 vote 3-1 by Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann\n2023-08-04 vote 5-0 by Joanne Dehnbostel, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann, Mario Tristan BUT comment suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-07-28 comment: I still feel that an example of how the reason for receiving an exposure can end up being a confounder would be helpful."},{"code" : "approval","valueString" : "2023-08-18 vote 5-0 by Paul Whaley,  Eric Harvey, Mario Tristan, Cauê Monaco, Joanne Dehnbostel"}]},{"code" : "SEVCO:00390","display" : "time-varying confounding affected by past exposure","definition" : "A confounding covariate bias in which the distorting variable is itself influenced by the exposure.","property" : [{"code" : "comment","valueString" : "Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nTo distinguish \"confounding by time of observation\" from \"time-varying confounding affected by past exposure\" consider the following example:\n\nAn observational study is comparing patients with asthma taking Superdrug and patients with asthma not taking Superdrug.  The outcome of interest is mortality, both for association with the dose of Superdrug and compared to not receiving Superdrug. For comparison, the control group not receiving Superdrug is measured during a 1-year calendar period.\n\nFor the mortality outcome comparing Superdrug vs. no Superdrug, the time of observation for the control group is consistently 1 year but for the Superdrug group the time of observation varies for each patient. This comparison is confounded by the time of observation.\n\nFor the mortality outcome comparing high-dose vs. low-dose Superdrug, the confounding variable of asthma exacerbation rate is complicated in several ways. First, the asthma exacerbation rate is associated with the outcome (mortality) independent from the effects of Superdrug. Second, the asthma exacerbation rate may influence the exposure (the dose of Superdrug which is increased if frequent asthma exacerbations) and the exposure (higher dose of Superdrug) may influence the confounder (reducing the asthma exacerbation rate). This comparison of high-dose vs. low-dose Superdrug for effects on mortality is distorted by time-varying confounding affected by past exposure."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Caue Monaco"},{"code" : "expert-comments","valueString" : "2023-09-01 comment (with No vote): This term seems unnecessary. Describes a bias rarely seen."},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Harold Lehmann, Mario Tristan"}]}]},{"code" : "SEVCO:00017","display" : "performance bias","definition" : "A bias resulting from differences between the received exposure and the intended exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study exposure adherence bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "intervention adherence bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "compliance bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "performance adherence bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-24 vote 5-2 on \"A bias resulting from differences between the received exposure and the intended exposure. Such differences could be the administration of additional interventions that are inconsistent with the study protocol, or non-adherence by the interventionalists or study participants to their assigned intervention. \" by Harold Lehmann, Eric Harvey, KM Saif-Ur-Rahman, Bhagvan Kommadi, janice tufte, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "Definition of performance bias should be modified, Performance bias should involve the blinding at participant level and implementer level in definition.I would add that the differences must be present between the study arms In a RCT with an active control (for example drug A vs drug B) both study arms may have had low adherence but if these deviations from the protocol occurred homogeneously accross arms the effect estimate may not be distorted (biased). As a reviewer, I would not penalise this estimate due to high risk of performance bias. So, concerning the definition, I would propose \"A bias resulting from differences accross the study arms between the [...]\""},{"code" : "comment","valueString" : "Such differences could be the administration of additional interventions that are inconsistent with the study protocol, or non-adherence by the interventionalists or study participants to their assigned intervention. Such differences may occur based on assignment to intervention or may occur due to adherence to intervention."}],"concept" : [{"code" : "SEVCO:00035","display" : "inadequate blinding of participants","definition" : "A performance bias due to awareness of the allocated intervention by participants","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate masking of participants"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lack of blinding of participants"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/14/2021: Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco,"},{"code" : "negative-vote","valueString" : "2021-06-07 vote 7-1 on \"Inadequate blinding of participants  = A performance bias due to awareness of the allocated intervention by participants\" by KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati, 2021-06-11 vote 9-1 on same"},{"code" : "expert-comments","valueString" : "Need to distinguish blinding of intervention from blinding of allocation Inadequate blinding of participants does not always imply bias. Besides, it can also imply detection bias in patient reported outcomes"},{"code" : "comment","valueString" : "Inadequate blinding of participants is applied when there is awareness of assigned intervention AFTER intervention assignment. If there is awareness BEFORE study enrolment and intervention assignment, this would be Inadequate allocation concealment.\nThe term \"Inadequate blinding of participants\" is used to denote the TYPE of bias. Separate terms for the RATING of risk of bias are used to report the likelihood of the presence and influence of the type of bias."}]},{"code" : "SEVCO:00036","display" : "inadequate blinding of intervention deliverers","definition" : "A performance bias due to awareness of the allocated intervention by individuals providing or delivering the intervention","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate masking of intervention deliverers"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lack of blinding of intervention deliverers"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/14/2021: Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco,"},{"code" : "negative-vote","valueString" : "2021-06-07 vote 7-1 on \"Inadequate blinding of participants  = A performance bias due to awareness of the allocated intervention by individuals providing or delivering the intervention\" by KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati, 2021-06-11 vote 9-1 on same"},{"code" : "expert-comments","valueString" : "Need to distinguish blinding of intervention from blinding of allocation; Should we use the term interventionalist or interventionist? Inadequate blinding of intervention deliverers does not always imply Performance bias"},{"code" : "comment","valueString" : "Inadequate blinding of intervention deliverers is applied when there is awareness of assigned intervention AFTER intervention assignment. If there is awareness BEFORE study enrolment and intervention assignment, this would be Inadequate allocation concealment.\nThe term noted here is used to denote the TYPE of bias. Separate terms for the RATING of risk of bias are used to report the likelihood of the presence and influence of the type of bias."}]},{"code" : "SEVCO:00037","display" : "deviation from study intervention protocol","definition" : "A performance bias in which the intervention received differs from the intervention specified in the study protocol","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"}]},{"code" : "SEVCO:00038","display" : "deviation from standard of care","definition" : "A performance bias in which the intervention or exposure received differs from the from the usual practice or expected care","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"}]},{"code" : "SEVCO:00039","display" : "nonadherence of implementation","definition" : "A performance bias in which the intervention deliverers do not completely adhere to the expected intervention","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonadherence of interventionalist"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "expert-comments","valueString" : "interventionist vs. intervention deliverer"}]},{"code" : "SEVCO:00040","display" : "nonadherence of participants","definition" : "A performance bias in which the participants do not completely adhere to the expected intervention or exposure","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "expert-comments","valueString" : "is known or unknown"}]},{"code" : "SEVCO:00041","display" : "imbalance in deviations from intended intervention","definition" : "A performance bias in which the degree of performance bias is unequally distributed between groups being compared","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "asymmetry in adherence between groups"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"}]}]},{"code" : "SEVCO:00019","display" : "attrition bias","definition" : "A bias due to absence of expected participation or data collection after selection for study inclusion.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "missing data bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Erfan Shamsoddin"},{"code" : "approval","valueString" : "13/13 as of 6/18/2021: Eric Au, Harold Lehmann, Erfan Shamsoddin, Ahmad Sofi-Mahmudi, Mario Tristan, Eric Harvey, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "negative-vote","valueString" : "6/14/2021-06-14 vote 7-1 on \"Attrition Bias = A bias due to absence of expected participation or data collection after study enrollment.\" by, Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco,"},{"code" : "expert-comments","valueString" : "The phrase \"after study enrolment\" might be confusing. Does enrolment apply to retrospective observational studies?"}],"concept" : [{"code" : "SEVCO:00286","display" : "attrition bias due to participant attrition","definition" : "A bias due to absence of expected participation due to participant dropout, withdrawal or non-participation after selection for study inclusion.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2023-04-28 comment: I would not detail that 20%: it is misleading and not evidence-based"},{"code" : "approval","valueString" : "2023-05-12 vote 6-0 by Muhammad Afzal, Brian S. Alper, Joanne Dehnbostel , Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00287","display" : "attrition bias due to missing data","definition" : "A bias due to data loss or absence of data collection from participants after selection for study inclusion.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2023-04-28 comment: I would not detail that 20%: it is misleading and not evidence-based"},{"code" : "approval","valueString" : "2023-05-12 vote 6-0 by Muhammad Afzal, Brian S. Alper, Joanne Dehnbostel , Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00386","display" : "attrition bias due to missing outcome data","definition" : "An attrition bias due to missing data specific to the dependent variable.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2023-05-19 5-1 Muhammad Afzal, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann, Joanne Dehnbostel\n2023-06-09 vote 3-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Harold Lehmann"},{"code" : "expert-comments","valueString" : "The information in the parentheses, \"(or data on an independent variable),\" is unclear in its intended meaning. To improve clarity, we could revise the definition.\n2023-06-09 comment: The definition is too difficult to parse, and probably too similar to the preferred term. The comment for application is also very difficult to read."},{"code" : "comment","valueString" : "In a situation of repeated measures outcomes, attrition bias due to missing outcome data can occur if one or more measurements are missing."},{"code" : "approval","valueString" : "2023-06-16 vote 5-0 by Joanne Dehnbostel, Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann"}]},{"code" : "SEVCO:00288","display" : "attrition bias due to missing exposure data","definition" : "An attrition bias due to missing data specific to the independent variable(s) of primary interest, such as exposure or intervention.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "attrition bias due to missing intervention data"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Paul Whaley"},{"code" : "negative-vote","valueString" : "2023-05-19 5-1 Muhammad Afzal, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "The information in the parentheses, \"(or data on an independent variable),\" is unclear in its intended meaning. To improve clarity, we could revise the definition.\n2023-06-09 comment: This needs a comment for application, but the definition is clearer than for \"attrition bias due to missing outcome data\"."},{"code" : "approval","valueString" : "2023-06-09 vote 6-0 by Cauê Monaco, Eric Harvey, Paul Whaley, Harold Lehmann, Jesus Lopez-Alcalde, Sunu Alice Cherian"},{"code" : "comment","valueString" : "If coding a bias related to the classification of exposure, misclassification of exposure may be coded as Exposure Detection Bias, but if the data is excluded from analysis it may then be coded as Attrition bias due to missing exposure data."}]},{"code" : "SEVCO:00289","display" : "attrition bias due to missing modifier data","definition" : "An attrition bias due to missing data specific to a confounder or effect modifier","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "comment","valueString" : "The term modifier is intended to be broad, including variables used for modeling interactions, stratification factors to account for effect modification, or other variables such as mediators that need to be accounted for when modeling the relationship between the outcome and exposure."},{"code" : "approval","valueString" : "2023-05-12 vote 5-0 by Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00387","display" : "attrition bias due to missing data about attrition","definition" : "An attrition bias due to missing data specific to the extent of or reasons for missing data.","property" : [{"code" : "comment","valueString" : "Attrition bias due to missing data is defined as a bias due to data loss or absence of data collection from participants after selection for study inclusion. Data about the amount of missing data and data about the reasons for missing data are types of data that can also be missing. For example, in a time-to-event study, the reason a participant is censored might be missing and missing such data may interfere with distinguishing informative from non-informative censoring."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-06-16 vote 5-0 by Joanne Dehnbostel, Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2023-06-16 comments: Time-to-event should be hyphenated\nFunnily enough, this came up straight after our call in relation to another bias project I am working on, so I would consider this addition useful!"}]}]},{"code" : "SEVCO:00290","display" : "imbalance in missing data","definition" : "An attrition bias in which the degree of missing data is unequally distributed between groups being compared.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-05-12 vote 5-0 by Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00291","display" : "inadequate response rate","definition" : "An attrition bias in which the reason for absence of data collection is a low response rate to data collection surveys.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-05-12 vote 5-0 by Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]}]},{"code" : "SEVCO:00020","display" : "detection bias","definition" : "A bias due to distortions in any process involved in the determination of the recorded values for a variable.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Harold Lehmann, Janice Tufte, Muhammad Afzal; Paul Whaley"},{"code" : "negative-vote","valueString" : "6/14/2021-06-14 vote 7-1 on \"Detection Bias = A bias due to distortions in how variable values (data) are determined (measured, classified or ascertained).\" by, Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco\n\nAGREEMENT REACHED 10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper --- for DEFINITION OF: A bias due to distortions in how variable values (data) are determined.  COMMENT FOR APPLICATION: Determination may include ascertainment or assessment (classification or measurement).\n\n2022-10-14 vote 3-1 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris\n\n2022-01-21 vote 6-1 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "We need to state that this bias relates to the \"outcome\" -- The ROB-1 says the term \"outcome assessment\" as an alternative for detection bias. The ROBINS-1 says that \"Non-differential misclassification is unrelated to the outcome and will usually bias the estimated effect of intervention towards the null\". Still though, this leads to inadvertent deviations in the outcome assessment. I would suggest to at least state that this bias relates to outcome assessment. I remember Joanne saying that we will add a few \"child concepts\" later on and if that is the case here, then it is fine. Nevertheless, the RoB2 suggests not to use these terms to prevent \"confusion\" and does not actually agree with these sub-classifications (the fist page of the introduction section). Alternative terms according to (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5130591/): \"Observer Bias\", \"Ascertainment Bias\", or \"Assessment Bias\"  8/27/21 comment: Detection bias is no included in the list the more problematic Cochrane ROB1 however (Jørgensen et al. Systematic Reviews (2016) describe alll the domains of ROB1 \"frequently implemented in a non-recommended way\" The description in general is clear.\n\n2022-10-14 comments: Do we need \"Outcome Detection Bias\" in addition to \"Detection Bias\"?\nBlinding or masking may be used to reduce the risk of distorted outcome measurement(s).\n\n2022-01-21 comment: I am not sure whether to vote yes or no: I understand the definition because I have been following our discussions and it is consistent with the bias model we have developed, but I worry that this definition may not be consistently understood or applied by a user of SEVCO - I feel there is too much unspoken metaphysical baggage that is coherent and correct but not useful.\n\n2022-01-28 comment: Not perfect but good enough to live with. Could maybe improve on ascertainment component of the comment for application."},{"code" : "comment","valueString" : "Detection of the value of the variable comprises three processes involved in the determination of the recorded values for the variable: ascertainment (providing the opportunity for assessment), assessment (measurement and/or classification), and documentation (recording of data values for analysis)."},{"code" : "approval","valueString" : "2022-01-28 vote 9-0 by Mario Tristan, Janice Tufte, Robin Ann Yurk, Brian S. Alper, C P Ooi, Harold Lehmann,  Paola Rosati, Jesus Lopez-Alcalde, Paul Whaley"}],"concept" : [{"code" : "SEVCO:00042","display" : "outcome detection bias","definition" : "A detection bias due to distortions in how an outcome is determined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Erfan Shamsoddin, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00047","display" : "cognitive interpretive bias for outcome determination","definition" : "An outcome detection bias due to the subjective nature of human interpretation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "perception bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjective interpretive bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjectivity bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper, 7/7 for Alternative terms on 9/24/21: Janice/Brian/Eric/Paola/Jesus/Bhagvan/Mario"},{"code" : "expert-comments","valueString" : "8/27/21 comment: This bias is difficult to manage and avoid it."}],"concept" : [{"code" : "SEVCO:00048","display" : "bias due to lack of masking for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to awareness of the participant's status with respect to the exposure of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of blinding during outcome assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of masking during outcome assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "awareness bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Paul Whaley, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 9-1 on \"Lack of blinding during outcome assessment = A cognitive interpretive bias for outcome determination due to the outcome assessor’s awareness of the participant's status with respect to the exposure of interest.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper\nearlier term approved 5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-08-27 comment: In my opinion \"lack of blinding during outcome assessment\" does not always imply bias for outcome determination (for example, for hard outcomes, such as analytic parameters, or all-cause mortality)\n2022-03-18 comment: I would consider editing the term definition to ...lack of blinding."},{"code" : "comment","valueString" : "Lack of blinding or masking is not automatically a bias, but if awareness of exposure status systematically distorts the outcome determination then a 'Bias due to lack of masking for outcome determination' exists."},{"code" : "approval","valueString" : "2022-03-18 vote 5-0 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper"}]},{"code" : "SEVCO:00049","display" : "observer bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to subjective interpretations in the process of observing and recording information.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte,"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 9-1 on \"Observer bias for outcome determination = A cognitive interpretive bias for outcome determination due to subjective interpretations in the process of observing and recording information.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2021-08-27 comment: This situation seems to be covered by \"Lack of blinding for outcome determination\" and \"Outcome ascertainment bias\". I would suggest deleting this term to remove the overlap."},{"code" : "comment","valueString" : "Multiple types of bias can overlap. Observer bias is different than lack of blinding with respect to the exposure. Observer bias is about the influence of the observer's interpretation of what they are observing, whether or not the observer is aware of the participant's exposure."}],"concept" : [{"code" : "SEVCO:00052","display" : "confirmation bias for outcome determination","definition" : "An observer bias for outcome determination due to previous opinions or knowledge of a subject’s prior exposures or assessments.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "diagnostic suspicion bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "previous opinion bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 9/17/2021: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"}]}]},{"code" : "SEVCO:00050","display" : "recall bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to differences in accuracy or completeness of recall of past events or experiences.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}]},{"code" : "SEVCO:00051","display" : "apprehension bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to a study participant's responding or behaving differently when aware of being observed.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hawthorne effect for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte,"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 8-2 on \"Apprehension bias for outcome determination = A cognitive interpretive bias for outcome determination due to study participants’ awareness of being observed resulting in different responses or behaviors.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2021-08-27 comments: A cognitive interpretive bias for outcome determination due to study participants’ awareness of being observed and resulting in different responses or behaviors. (just a slight rewording - the existing wording doesn't read well to me) This definition seems to refer to performance bias. The key is that [...] results in different responses or behaviours concerning the outcome determination."}]},{"code" : "SEVCO:00053","display" : "hypothetical assessment bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response. The response may be a behavior or valuation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjunctivity bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "approval","valueString" : "7/7 as of 9/24/21: , Janice Tufte, Brian S. Alper, Eric Harvey, Paola Rosati, Jesus Lopez-Alcalde, Bhagvan Kommadi, Mario Tristan"}]},{"code" : "SEVCO:00054","display" : "mimicry bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to a misinterpretation of observations that resemble the outcome.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "7/7 as of 9/24/21: , Janice Tufte, Brian S. Alper, Eric Harvey, Paola Rosati, Jesus Lopez-Alcalde, Bhagvan Kommadi, Mario Tristan"}]},{"code" : "SEVCO:00057","display" : "unacceptability bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an outcome.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unacceptable disease bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Ken Wilkins, Lisa Schilling"},{"code" : "approval","valueString" : "5/5 as of 10/1/21: , Joanne Dehnbostel, Brian S. Alper, Eric Harvey, Alejandro Piscoya, Bhagvan Kommadi,"}]}]},{"code" : "SEVCO:00058","display" : "outcome ascertainment bias","definition" : "An outcome detection bias due to distortions in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ascertainment bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00097","display" : "nonrepresentative observation period for outcome of interest","definition" : "An outcome ascertainment bias due to differences in the period used for observation of the outcome and the period for the outcome of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misaligned follow up period for outcome of interest"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 5-2 on \"Inappropriate follow up period for outcome of interest = An outcome ascertainment bias due to differences in the time period used for observation of the outcome and the true time period for outcome occurrence.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Misaligned follow up period for outcome of interest = An outcome ascertainment bias due to differences in the time period used for observation of the outcome and the true time period for outcome occurrence.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I wonder if we need to address interim analysis validity. What about adding to inappropriate 'unreliable'?; Change word Inappropriate to Different\n2021-10-25 comments: It is unclear what do you mean with 'and the true time period for outcome occurrence', On the other hand, I propose using 'period' instead of 'time period'"},{"code" : "approval","valueString" : "10/29/2021 vote 6-0 by Cheow Peng Ooi, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"}]},{"code" : "SEVCO:00098","display" : "nonrepresentative context for outcome ascertainment","definition" : "An outcome ascertainment bias due to differences in the context in which the outcome is observed and the intended context for the outcome of interest.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Unreliable method for outcome ascertainment = An outcome ascertainment bias due to methods of data collection that result in inconsistent data values.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Undependable method for outcome of interest = An outcome ascertainment bias due methods of data collection that result in inconsistent or incorrect data values.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n10/29/2021 vote 5-1 by Cheow Peng Ooi, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte\n11/22/2021 vote 6-1\n2021-12-03 vote for priort term 7-0 by Philippe Rocca-Serra, Janice Tufte, Mario Tristan, Harold Lehmann, Paul Whaley, Joanne Dehnbostel, C  Ooi"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: the word Unreliable is misleading as more applicable to measurement error than bias\n2021-10-25 comments: I do not fully understand the difference between the second and the third definitions\n2021-10-29 comments: Suggest Incorrect or inconsistent method.\n2021-11-22 comments: The term 'inconsistent' may be more appropriate  -- steering group discussion to move the \"Comment for application\" property higher on the page and see if this comment will resolve the concern"},{"code" : "comment","valueString" : "This term is used when the context used for outcome ascertainment is incorrect, insensitive, or nonspecific.  If the context (whether representative or not) is applied inconsistently, then use the term \"Inconsistency in outcome ascertainment\""},{"code" : "approval","valueString" : "2022-03-18 vote 5-0 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper"}]},{"code" : "SEVCO:00099","display" : "inconsistency in outcome ascertainment","definition" : "An outcome ascertainment bias due to differences within or between groups in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "imbalance in outcome ascertainment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley, Harold Lehmann"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Imbalance in application of outcome ascertainment = An outcome ascertainment bias due to differences within or between groups in how the data are collected.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Imbalance in application of outcome ascertainment = An outcome ascertainment bias due to differences within or between groups in how the data are collected.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n10/29/2021 vote on prior term 6-0 by Cheow Peng Ooi, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: Imbalance is misleading as more applicable to measurement error?\n2021-10-25 comment: Suggestion, replace imbalance with Variation or Heterogeneity\n2021-10-29 comment: Alternative Terms:  Variation or Heterogeneity --> converted 2021-10-29 to suggested addition of Alternative term \"Variation in application of outcome ascertainment\" by Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Harold Lehmann, Mario Tristan, Bhagvan Kommadi"},{"code" : "comment","valueString" : "This term is used when the context (whether representative or not) is applied inconsistently. If the context used for outcome ascertainment is incorrect, insensitive, or nonspecific, then use the term \"Nonrepresentative context for outcome ascertainment\""},{"code" : "approval","valueString" : "2022-03-18 vote 5-0 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper"}]}]},{"code" : "SEVCO:00059","display" : "outcome measurement bias","definition" : "An outcome detection bias due to distortions in how the observed outcomes are measured.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measurement bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal; Paul Whaley"},{"code" : "negative-vote","valueString" : "PRIOR AGREEMENT 10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper WITH DEFINTION: An outcome detection bias due to distortions in how the data are measured."},{"code" : "expert-comments","valueString" : "2022-01-11 comment: Outcome Measurement Bias has a similar term definition as Outcome Classification Bias.  May need to add an additional comment for application from T&O discussion."},{"code" : "comment","valueString" : "If one is addressing a bias in the instruments or processes used to measure the observed outcome, use Outcome Measurement Bias. If one is addressing how the measured outcome is categorized, use Outcome Classification Bias."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00100","display" : "inappropriate method for outcome measurement","definition" : "An outcome measurement bias due to use of an incorrect method or protocol.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incorrect outcome measurement method"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate outcome measurement method"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Outcome measurement method inappropriate = An outcome measurement bias due to use of an incorrect method or protocol.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 2-2 on \"Outcome measurement method inappropriate = An outcome measurement bias due to use of an incorrect method or protocol.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would change word inappropriate to different as the bias is from difference in comparison not flaws or errors in scientific methods.\n2021-10-25 comments: suggest replace with incorrect method; Should not be 'Inappropriate outcome measurement method' (instead of placing the adjective at the end?)\n2022-03-11 Preferred term revised (and Alternative term added) to match corresponding changes in Exposure Detection Bias)"},{"code" : "approval","valueString" : "7 of 7 on 2021-11-05: Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey"}]},{"code" : "SEVCO:00101","display" : "insensitive measure bias for outcome determination","definition" : "An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate sensitivity for outcome measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "Use of an inadequately sensitive outcome measure is likely to result in false negative findings."},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Insensitive measure bias for outcome determination = An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Insensitive measure bias for outcome determination =An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: Change word Insensitive to Sensitivity measure bias as double negative in phrase\n2021-10-25 comment: False Negative measure Bias or Unreliable measure bias"},{"code" : "approval","valueString" : "7 of 7 on 2021-11-05: Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey"}]},{"code" : "SEVCO:00211","display" : "nonspecific measure bias for outcome determination","definition" : "An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate specificity for outcome measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "Use of an inadequately specific outcome measure is likely to result in false positive findings."},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Nonspecific measure bias for outcome determination = An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Nonspecific measure bias for outcome determination = An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would change to Specificity measurement bias. Remove word falsely from the definition as it implies problems with scientific methods\n2021-10-25 comment: Suggest use False Positive Measure Biac"},{"code" : "approval","valueString" : "7 of 7 on 2021-11-05: Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey"}]},{"code" : "SEVCO:00103","display" : "inappropriate application of method for outcome measurement","definition" : "An outcome measurement bias due to inappropriate application of the method or protocol.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Outcome measurement conduct inappropriate = An outcome measurement bias due to incorrect application of the method or protocol.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 2-2 on \"Outcome measurement conduct inappropriate = An outcome measurement bias due to incorrect application of the method or protocol.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n2021-11-05 vote 6-1 on \"Inappropriate outcome measurement conduct = An outcome measurement bias due to incorrect application of the method or protocol.\" by Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey\n2022-03-18 vote 4-1 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper\n2022-03-25 vote 7-1 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Philippe Rocca-Serra, Brian S. Alper, Jesus Lopez-Alcalde, Paul Whaley, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition - as suggests flawed study design..\n2021-10-25 comments: replace inappropriate with incorrect; Should not be 'Inappropriate outcome measurement conduct' (instead of placing the adjective at the end?)\n2021-11-05 comment: There is enormous overlap with this term and \"Inappropriate outcome measurement method\", so this one should be eliminated\nAs of 2021-11-05 this term is not being prepared for vote. The current ROB tools do not distinguish the inappropriate conduct (used in QUADAS-2) from inadequate method (used in most other ROB tools) in the same tool, so the demand for this term is uncertain and thus not applied for version 1 of the Code System.\nOn 2022-03-11 we revised this term to match corresponding changes that passed for Exposure Detection Bias.\n2022-03-18 comment: Suggest edit Alternative term from conduct to process\n2022-03-25 comment: Recommend edit term definition so it reads:  Outcome Measurement method Bias.\nSuggest reviewing your complete taxonomy of terms and identify similarities or duplicate terms and potentially integrating terms by keeping as primary term versus adding to alternate term for prior vote with similar term definition or statements."},{"code" : "comment","valueString" : "An inappropriate application of the method or protocol suggests error is introduced by the process of measurement, as distinct from the method or protocol used for measurement (which would be an Inappropriate method for outcome measurement)."},{"code" : "approval","valueString" : "2022-04-08 vote 11-1 (no rationale provided for the negative vote) by Muhammad Afzal, Paul Whaley, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, nelle.stocquart, nisha mathew, Harold Lehmann, Cauê Monaco"}]},{"code" : "SEVCO:00104","display" : "inconsistency in outcome measurement","definition" : "An outcome measurement bias due to differences within groups in how the observed outcomes are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley, Robin Ann Yurk, Harold Lehmann"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Imbalance in application of outcome measurement = An outcome measurement bias due to differences within or between groups in how the data are measured.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Imbalance in application of outcome measurement = An outcome measurement bias due to differences within or between groups in how the data are measured.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n2021-11-05 vote 6-1 on \"Inconsistency in application of outcome measurement = An outcome measurement bias due to differences within or between groups in how the data are measured.\" by Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey\n2021-11-22 vote 3-2 on \"Inconsistency in application of outcome measurement\" = \"An outcome measurement bias due to differences within or between groups in how the data are measured.\"\n2021-12-10 vote 5-1 by Joanne Dehnbostel, Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Paul Whaley\nPRIOR AGREEMENT 2021-12-17 vote 6-0 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Mario Tristan, C P Ooi, Jesus Lopez-Alcalde FOR DEFINITION: An outcome measurement bias due to differences within groups in how the data are measured. AND COMMENT FOR APPLICATION: \"How the data are measured\" may refer to the methods applied for data measurement or the application of those methods."},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition\n2021-10-25 comment: Replace Imbalance with Heterogeneity\n2021-11-05 comment:  This is a specific type of \"Inappropriate outcome measurement method\" so this term should be moved into that position or eliminated (are we really going to describe all of the inappropriate methods?) [[discussed in COKA WG and noted that ROB2 has separate questions 4.1 and 4.2 for these terms so we need to support that]\n2021-11-22 comments: \"The wording 'inconsistent method of outcome measurement' may better reflect the definition\" and \"May be pedantic, but is it data that are measured, or the outcome as a variable (that results in data)? I also wonder if we mean differences within groups - some variation would be expected, but what matters is if the variation results in systematic error in measuring the variable between groups. If we feel that e.g. a study design where two different ways of measuring outcome were implemented within groups, but this did not lead to bias across the exposure and control arms, then I would vote yes (pending clarification of \"data\").\"\n2021-12-10 comment: It seems to not quite be correctly written. The two choices for definition are differently phrased (\"application of methods\" / \"methods applied\")even though I think they are supposed to refer to across groups or within groups, but both refer to within groups, so I am not sure how to interpret this.\n2022-01-21 comment: As a comment: Is this term redundant, if the two child terms are the complete set of options for inconsistency in outcome measurement?"},{"code" : "comment","valueString" : "\"How the observed outcomes are measured\" may refer to the methods applied for measurement or the application of those methods."},{"code" : "approval","valueString" : "2022-01-21 vote 6-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00243","display" : "inconsistency in instruments used for outcome measurement","definition" : "An outcome measurement bias due to differences within groups in the instruments used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "Instruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Andrew Beck, Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra"}]},{"code" : "SEVCO:00244","display" : "inconsistency in processes used for outcome measurement","definition" : "An outcome measurement bias due to differences within groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "The processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Andrew Beck, Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra"}]}]},{"code" : "SEVCO:00240","display" : "imbalance in outcome measurement","definition" : "An outcome measurement bias due to differences between groups in how the observed outcomes are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Robin Ann Yurk, Janice Tufte, Harold Lehmann, Mario Tristan, Kenneth Wilkins, Muhammad Afzal"},{"code" : "comment","valueString" : "\"How the observed outcomes are measured\" may refer to the methods applied for measurement or the application of those methods."},{"code" : "negative-vote","valueString" : "2021-12-10 vote 5-0 by Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Paul Whaley but steering group decided to make changes consistent with changes to Inconsistency in outcome measurement.\nPRIOR AGREEMENT 2021-12-17 vote 5-0 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati FOR DEFINITION: An outcome measurement bias due to differences between groups in how the data are measured. WITH COMMENT FOR APPLICATION: \"How the data are measured\" may refer to the methods applied for data measurement or the application of those methods."},{"code" : "expert-comments","valueString" : "2021-12-10 comment: Referring back to my comment on the inconsistency in method, I realise I hadn't read it quite right. In both cases, they maybe aren't quite as easy to parse as would be ideal but I can't think of a better definition. Maybe a use note to refer to how the terms are similar and clarify when one vs. the other should be used?\n2022-01-21 comments: The term definition and comment is the same for Inconsistency in outcome measurement bias.  Suggest combining the two terms by listing one as an Alternative term. (yellow highlighting in messaging applied to show the differences in the terms)\nAs a comment: Is this term redundant, if the two child terms are the complete set of options for inconsistency in outcome measurement?"},{"code" : "approval","valueString" : "2022-01-21 vote 6-0 by Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00245","display" : "imbalance in instruments used for outcome measurement","definition" : "An outcome measurement bias due to differences between groups in the instruments used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 4-1 by Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "Instruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra, Andrew Beck"}]},{"code" : "SEVCO:00246","display" : "imbalance in processes used for outcome measurement","definition" : "An outcome measurement bias due to differences between groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 4-1 by Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Robin Ann Yurk\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "The processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra, Andrew Beck"}]}]}]},{"code" : "SEVCO:00060","display" : "outcome classification bias","definition" : "An outcome detection bias due to distortions in how the observed outcomes are classified.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misclassification bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "outcome misclassification bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "PRIOR AGREEMENT 10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper, 7/7 for renaming on 9/24/21: Janice/Brian/Eric/Paola/Jesus/Bhagvan/Mario  FOR DEFINITION: An outcome detection bias due to distortions in how the data are classified."},{"code" : "expert-comments","valueString" : "2022-01-11 comment: Outcome Classification Bias has a similar term definition as Outcome Measurement Bias.  May need to add an additional comment for application from T&O discussion."},{"code" : "comment","valueString" : "If one is addressing a bias in the instruments or processes used to measure the observed outcome, use Outcome Measurement Bias. If one is addressing how the measured outcome is categorized, use Outcome Classification Bias."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00061","display" : "outcome classification system bias","definition" : "An outcome classification bias resulting from the definition or threshold used for outcome classification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "outcome definition bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 9/17/2021: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"},{"code" : "comment","valueString" : "An outcome classification system bias suggests an internal validity problem in which  the definition or threshold used for outcome classification does not represent the outcome of interest. If considering an external validity problem, the \"Wrong question bias\" (term not yet defined) may be used. An outcome classification system bias is present when there are differences between the outcome of interest and the definition or threshold used for outcome classification."}],"concept" : [{"code" : "SEVCO:00105","display" : "nonrepresentative definition for outcome classification","definition" : "An outcome classification system bias due to a mismatch between the outcome of interest and the definition or threshold used for outcome measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Nonrepresentative definition for outcome classification = An outcome classification system bias due to a definition or threshold that does not represent the outcome of interest.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n2021-11-29 vote 6-1 on \"Nonrepresentative definition for outcome classification\" = \"An outcome classification system bias due to a definition or threshold that does not represent the outcome of interest.\" by Harold Lehmann, Paul Whaley, Janice Tufte, C P Ooi, Joanne Dehnbostel, Philippe Rocca-Serra, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition\n2021-11-29 comments: (\"represent in its entirety\" instead? A definition could *partially* represent the outcome of interest, so perhaps we want to make clear that this bias is invoked only for something that is more than \"partial\"?) \"Represent\" feels ambiguous, would it be useful to clarify what is meant here? Is it that it includes outcomes in addition to that of interest, and/or excludes outcomes that are of interest? Maybe that doesn't make things clearer."},{"code" : "approval","valueString" : "2021-12-10 vote 5-0 by Paul Whaley, Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde"}],"concept" : [{"code" : "SEVCO:00108","display" : "surrogate marker bias for outcome classification","definition" : "An outcome classification system bias due to use of a definition that is proxy for the outcome rather than direct observation of the outcome.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "substitution bias for outcome classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Surrogate marker bias for outcome classification = A nonrepresentative definition for outcome classification due to use of a factor associated with the outcome rather than a direct observation of the outcome.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n2021-11-29 vote 3-3 on \"Surrogate marker bias for outcome classification\" = \"A nonrepresentative definition for outcome classification due to use of a proxy for the outcome rather than a direct observation of the outcome.\""},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would edit the definition: An outcome classification system bias due to use of a definition that is proxy rather than direct observation of the outcome. {{Definition changed as result of this comment}}\n2021-11-29 comments: The 10/15 comments stated that the definition should start with \"An outcome classification system bias....\"; but this definition does not. A little pickier, I might say, \"result from use of a definition\" rather than \"due to\". The latter sounds like the bias will always occur; the former, that there is a bias as a result, in this instance.\nI'm not sure I fully understand this definition. A surrogate would generally be used in place of an outcome that cannot readily be observed in a research setting. I am not sure how this can be a classification error (the surrogate is what the surrogate is). I can, however, see how it could be an error in inference (assuming that because the exposure affects the surrogate, then the exposure also affects the outcome of actual interest). Is this a helpful way of thinking about this, or would it just be over-complicating matters?\nThis suggested definition is more appropriate: An outcome classification system bias due to use of a definition that is proxy rather than direct observation of the outcome"},{"code" : "approval","valueString" : "2021-12-10 vote 5-0 by Paul Whaley, Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00106","display" : "post-hoc definition of outcome","definition" : "An outcome classification system bias due to defining the outcome after interacting with the study data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "post-hoc outcome definition"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition for outcome classification not prespecified"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "no prespecified definition for outcome classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Definition not prespecified for outcome classification = An outcome classification system bias due to absence of a predetermined definition.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Definition not prespecified for outcome classification = An outcome classification system bias due to absence of a predetermined definition.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n2021-12-03 vote 5-2 by Harold Lehmann, Paul Whaley, Janice Tufte, C P Ooi, Joanne Dehnbostel, Philippe Rocca-Serra, Robin Ann Yurk\n2021-12-10 vote 2-2 by Paul Whaley, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition as suggest flawed study design\n2021-10-25 comment: I would phrase 'Not prespecified definition for outcome classification'\n2021-12-03 comments: It feels uninformative to define \"not prespecified\" as \"not predetermined\". I wonder if \"predetermined\" can be clarified - presumably, the issue here is that the outcome is defined post-hoc, after data collection, so that outcome ends up being defined around the data rather than specified in advance of conduct of the research.  //   Rephrasing to this 'No prespecified definition for outcome classification' may be clearer and easier to understand. \n2021-12-10 comments: Consider removing term.  As methods are permitted to be revised for a variety of reasons with new definitions but would be described in methods or a revised protocol.  If truly post-hoc after a data set is closed then there are different issues for discussion.  ///   Suggest changing \"due to determination of the outcome definition\" to \"due to outcome being defined\""},{"code" : "approval","valueString" : "2022-01-07 vote 9-0 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde, Harold Lehmann, Joanne Dehnbostel, Mario Tristan"}]}]},{"code" : "SEVCO:00062","display" : "outcome classification process bias","definition" : "An outcome classification bias resulting from the application of the method used for outcome classification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "classification process bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "approval","valueString" : "7/7 as of 9/24/21: , Janice Tufte, Brian S. Alper, Eric Harvey, Paola Rosati, Jesus Lopez-Alcalde, Bhagvan Kommadi, Mario Tristan"},{"code" : "negative-vote","valueString" : "4-1 vote as of 9/17/2021 regarding Outcome Classification Process Bias (SEVCO:00062) (Classification process bias for outcome determination) [Draft Term] = An outcome misclassification bias resulting from the application of the method used for outcome classification.: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"},{"code" : "expert-comments","valueString" : "comment: \"This might be related to outcome classification bias (child relationship)\""}]},{"code" : "SEVCO:00063","display" : "incorporation bias for outcome determination","definition" : "An outcome classification bias due to the inclusion of the exposure under investigation in the method or process used for outcome classification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 9/17/2021: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"},{"code" : "comment","valueString" : "In predictive model research, incorporation bias for outcome determination occurs if the predictor (explanatory variable) is included in the outcome definition."}]}]}]},{"code" : "SEVCO:00043","display" : "exposure detection bias","definition" : "A detection bias due to distortions in how an exposure of interest is determined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Erfan Shamsoddin, Muhammad Afzal, Kenneth Wilkin"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."}],"concept" : [{"code" : "SEVCO:00055","display" : "cognitive interpretive bias for exposure determination","definition" : "An exposure detection bias due to the subjective nature of human interpretation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "perception bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjective interpretive bias for exposure  determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjectivity bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. The human interpretation can be that of the observer or participant."},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Consistency of phrasing with other definitions (\"bias due to distortions in...\"), need comment for application."},{"code" : "approval","valueString" : "2022-02-04 vote 6-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00056","display" : "bias due to lack of masking for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to awareness of the participant's status with respect to the outcome of interest or other relevant exposures.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of blinding during exposure assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of masking during exposure assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "awareness bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Lack of blinding is not automatically a bias, but if awareness of some data systematically distorts the exposure determination then a 'Bias due to lack of masking for exposure determination' exists."},{"code" : "negative-vote","valueString" : "2022-02-04 vote 5-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n2022-02-11 vote 8-1 by Mario Tristan, Paul Whaley, Sunu Alice Cherian, Janice Tufte, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde\n2022-02-18 vote 10-3 by Rebecca Baker, Brian S. Alper, Mario Tristan, Paul Whaley, Sunu Alice Cherian, Janice Tufte, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde, Joanne Dehnbostel,Sumalatha A"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Is it just awareness of the participant's status with respect solely to the outcome of interest? I could imagine being aware of e.g. socioeconomic status rather than outcome, and this potentially having an influence on exposure assessment. Blinding I think is supposed to be to as many characteristics of the participant as possible.\n2022-02-11 comment: This definition assumes that the \"Lack of blinding for exposure determination\" always associates bias, which may not be the case. For example, if we want to assess the role of sex as a prognostic factor for ICU admission, the participant may not be blinded but this does not cause bias in his/her prognostic factor determination (sex)\n2022-02-18 comments: As \"lack of blinding\" is contributing to but not the bias itself, perhaps rename to Awareness bias for exposure determination\nThis definition assumes that the \"Lack of blinding for exposure determination\" always associates bias, which may not be the case. For example, if we want to assess the role of sex as a prognostic factor for ICU admission, the participant may not be blinded but this does not cause bias in his/her prognostic factor determination (sex)\nNot much difference between existing and new terminology \n2022-02-25 comment: Suggest removing Lack of blinding during exposure assessment from Alternative term and just list the other 3 Alternative terms.  The comment is based on your comment for application description."},{"code" : "approval","valueString" : "2022-02-25 vote 8-0 by Robin Ann Yurk, Sunu Alice Cherian, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00238","display" : "observer bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to subjective interpretations in the process of observing and recording information.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nMultiple types of bias can overlap. Observer bias is different than lack of blinding with respect to the outcome. Observer bias is about the influence of the observer's interpretation of what they are observing, whether or not the observer is aware of the participant's outcome."},{"code" : "approval","valueString" : "2022-02-04 vote 6-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00239","display" : "confirmation bias for exposure determination","definition" : "An observer bias for exposure determination due to previous opinions or knowledge of a subject’s prior exposures or assessments.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "diagnostic suspicion bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "previous opinion bias for exposure  determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]}]},{"code" : "SEVCO:00214","display" : "recall bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to differences in accuracy or completeness of recall of past events or experiences.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"}]},{"code" : "SEVCO:00215","display" : "apprehension bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to a study participant's responding or behaving differently when aware of being observed.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hawthorne effect for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Mario Tristan"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: What about using Hawthorne Effect for term definition and Apprehension Bias for Alternative term"}]},{"code" : "SEVCO:00216","display" : "hypothetical assessment bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjunctivity bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. The response may be a behavior or valuation. An individual's response to \"What would you do?\" or \"What would you have done?\" (an imagined or hypothetical response) may be different than the individual's response to \"What did you do?\" or observation of the individual's behavior (a reporting of an actual response). This bias is relevant for preference studies."},{"code" : "negative-vote","valueString" : "2022-02-04 vote 4-1 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"},{"code" : "expert-comments","valueString" : "2022-02-04 comments: Is there a spelling error in Subjunctivity?\nA minor issue - would the sentence \"The response may be a behavior or valuation.\" be better placed in the comment for application (otherwise, would vote yes)\n2022-02-11 comment: I would add a comment for application for the word hypothetical"},{"code" : "approval","valueString" : "2022-02-11 vote 9-0 by Mario Tristan, Paul Whaley, Sunu Alice Cherian, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde, Janice Tufte"}]},{"code" : "SEVCO:00217","display" : "mimicry bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to a misinterpretation of observations that resemble the exposure.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Other terms (Exposure Ascertainment Bias, Exposure Measurement Bias, Exposure Classification Bias) may be used to describe the process in Exposure Detection in which the bias occurs. The term 'Mimicry bias for exposure determination' is used to represent the type of cognitive interpretive bias occurring in this process."},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Suggest insert Alternative term:  Duplicate\nI'm not quite sure this is clear enough, though I don't have any concrete suggestions for improvement. It might be that I am not familiar enough with the issue in question to interpret the definition. Reading around this a bit, it resembles a misclassification type bias (for a given set of observations, the observer takes X to be cause when the true cause is Y). Given our model for bias (see our flow diagram), might it be better defined in those terms? -- RESOLVED IN GROUP DISCUSSION"},{"code" : "approval","valueString" : "2022-02-18 vote 11-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A"}]},{"code" : "SEVCO:00218","display" : "unacceptability bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unacceptable disease bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Ken Wilkins, Lisa Schilling"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"}]}]},{"code" : "SEVCO:00219","display" : "exposure ascertainment bias","definition" : "An exposure detection bias due to distortions in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ascertainment bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "data collection bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Suggest modify Alternative term to Data Collection Bias"}],"concept" : [{"code" : "SEVCO:00220","display" : "nonrepresentative observation period for exposure of interest","definition" : "An exposure ascertainment bias due to differences in the time period used for observation of the exposure and the intended time period for the exposure of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misaligned follow up period for exposure of interest"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "negative-vote","valueString" : "2022-02-04 vote 4-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: I think this is about right but it could perhaps be tidied up a bit, e.g. using \"time period\" in both instances of \"period\""},{"code" : "approval","valueString" : "2022-02-11 vote 9-0 by Mario Tristan, Paul Whaley, Sunu Alice Cherian, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde, Janice Tufte"}]},{"code" : "SEVCO:00221","display" : "nonrepresentative context for exposure ascertainment","definition" : "An exposure ascertainment bias due to differences in the context in which the exposure is observed and the intended context for the exposure of interest.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThis term is used when the context used for exposure ascertainment is incorrect, insensitive, or nonspecific.  If the context (whether representative or not) is applied inconsistently, then use the term \"Inconsistency in exposure ascertainment\""},{"code" : "negative-vote","valueString" : "2022-02-18 vote 10-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A"},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Comment for application.  I would delete sentence:  If the method (whether dependable or undependable) is applied inconsistently then use the term inconsistency in application of exposure of ascertainment.  \nI'm not sure if \"undependable\" is the word we really want to use. Also, (1) no method for exposure ascertainment will give a strictly \"correct\" result, (2) inconsistency can result in random error and imprecision, not necessarily bias, (3) we are presumably worried about consistency over- or under-reading of a measurement method compared to some (possibly hypothetical) gold standard? Overall, it feels like there is more to discuss here.\n2022-02-25 comment: I would delete or edit the current Alternative term and replace with insensitive, or nonspecific context for exposure ascertainment."},{"code" : "approval","valueString" : "2022-02-25 vote 8-0 by Robin Ann Yurk, Sunu Alice Cherian, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00222","display" : "inconsistency in exposure ascertainment","definition" : "An exposure ascertainment bias due to differences within or between groups in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "imbalance in exposure ascertainment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThis term is used when the context (whether representative or not) is applied inconsistently. If the context used for exposure ascertainment is incorrect, insensitive, or nonspecific, then use the term \"Nonrepresentative context for exposure ascertainment\""},{"code" : "negative-vote","valueString" : "2022-02-18 vote 8-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A"},{"code" : "expert-comments","valueString" : "2022-02-18 comments: I would add comment for application from previous term. \n If the method (whether dependable or undependable) is applied inconsistently then use the term inconsistency in application of exposure of ascertainment.  \nI don't really understand the term \"Inconsistency in application of exposure ascertainment\" - I am not clear what the nouns and verbs actually are here, nor what they refer to. I have been involved in the discussion of the underlying bias model and I still don't grasp the meaning here.\n2022-02-25 comment: I would remove Alternative term."},{"code" : "approval","valueString" : "2022-02-25 vote 8-0 by Robin Ann Yurk, Sunu Alice Cherian, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, nisha mathew, Paul Whaley"}]}]},{"code" : "SEVCO:00223","display" : "exposure measurement bias","definition" : "An exposure detection bias due to distortions in how the observed exposures are measured.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measurement bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nIf one is addressing a bias in the instruments or processes used to measure the observed exposure, use Exposure Measurement Bias. If one is addressing how the measured exposure is categorized, use Exposure Classification Bias."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte"}],"concept" : [{"code" : "SEVCO:00224","display" : "inappropriate method for exposure measurement","definition" : "An exposure measurement bias due to use of an incorrect method or protocol.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incorrect exposure measurement method"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate exposure measurement method"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "negative-vote","valueString" : "2022-02-25 vote 11-2 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-02-25 comments: I would list measurement methods as examples under comment for application, such as pharma, survey...\nI am not sure of the difference between this bias and \"Undependable method for exposure ascertainment\" bias. It also seems to me that \"inappropriate\" is a subjective term so I am not sure how it should be applied. [Side note: in the ballot, it might be useful to have terms arranged as they are in the SEVCO hierarchy, as this might be causing some of the confusion I am experiencing.]\nThe previous term convey almost similar meaning"},{"code" : "approval","valueString" : "2022-03-11 vote 5-0 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00225","display" : "insensitive measure bias for exposure determination","definition" : "An exposure measurement bias due to use of a method that does not reliably detect the exposure when the exposure is present.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate sensitivity for exposure measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate sensitivity for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Use of an inadequately sensitive exposure measure is likely to result in false negative findings."},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Suggest use term as Sensitivity Measure bias for exposure determination and insensitive measure bias for exposure determination for alternate term.\n\"Sensitivity\" is not, in my experience, viewed exclusively in terms of measurement. Some experimental models cannot show the exposure (or outcome) because they are incapable of it, however it is measured in situ. For example, if the exposure was measured via presence of a metabolite, but the participant was not able to produce the metabolite, then the experiment would be insensitive regardless of measurement method. I am not sure this affects us here, but does it suggest a need for us to handle sensitivity in a comprehensive fashion? (Perhaps also specificity?)\n\nAs a side note, defining sensitivity well could be important for progress on risk of bias assessment methods used by EPA, who currently have assessment of \"sensitivity\" as a separate issue entirely outside of risk of bias assessment. \nNEGATIVE VOTE CHANGED TO POSITIVE DURING DISCUSSION 2022-02-25"},{"code" : "approval","valueString" : "2022-02-25 vote 13-0 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"}]},{"code" : "SEVCO:00226","display" : "nonspecific measure bias for exposure determination","definition" : "An exposure measurement bias due to use of a method that falsely detects the exposure when the exposure is absent.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate specificity for exposure measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Use of an inadequately specific exposure measure is likely to result in false positive findings."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Suggest use Specificity measure bias for exposure determination and non-specific measure bias for exposure determination for Alternative term."}]},{"code" : "SEVCO:00228","display" : "inappropriate application of method for exposure measurement","definition" : "An exposure measurement bias due to inappropriate application of the method or protocol.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate exposure measurement conduct"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. An inappropriate application of the method or protocol suggests error is introduced by the process of measurement, as distinct from the method or protocol used for measurement (which would be an Inappropriate method for exposure measurement)."},{"code" : "negative-vote","valueString" : "2022-02-25 vote 12-1 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-02-11 comments: Add alternate term:  Incorrect application of exposure measurement bias.\nI think this is OK, but the term should be rewritten so it is easier to read and understand what it means (the syntax is awkward, as it could be read as one adjective and three nouns)\n2022-03-11 comment: In documenting this, and the \"inappropriate method for exposure measurement\", I think it would be helpful to document what we mean by e.g. \"method\" vs. \"application of method\". I feel these are meta-terms like \"study design feature\" that are part of the scaffolding of SEVCO, but not part of SEVCO itself."},{"code" : "approval","valueString" : "2022-03-11 vote 5-0 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00229","display" : "inconsistency in exposure measurement","definition" : "An exposure measurement bias due to differences within groups in how the observed exposures are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. \"How the observed exposures are measured\" may refer to the methods applied for measurement or the application of those methods."},{"code" : "approval","valueString" : "2022-02-11 vote 9-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Paul Whaley, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}],"concept" : [{"code" : "SEVCO:00247","display" : "inconsistency in instruments used for exposure measurement","definition" : "An exposure measurement bias due to differences within groups in the instruments for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nInstruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "SEVCO:00248","display" : "inconsistency in processes used for exposure measurement","definition" : "An exposure measurement bias due to differences within groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThe processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]}]},{"code" : "SEVCO:00241","display" : "imbalance in exposure measurement","definition" : "An exposure measurement bias due to differences between groups in how the observed exposures are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Robin Ann Yurk, Janice Tufte, Harold Lehmann"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. \"How the observed exposures are measured\" may refer to the methods applied for data measurement or the application of those methods."},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}],"concept" : [{"code" : "SEVCO:00249","display" : "imbalance in instruments used for exposure measurement","definition" : "An exposure measurement bias due to differences between groups in the instruments used for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nInstruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "SEVCO:00250","display" : "imbalance in processes used for exposure measurement","definition" : "An exposure measurement bias due to differences between groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThe processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]}]}]},{"code" : "SEVCO:00230","display" : "exposure classification bias","definition" : "An exposure detection bias due to distortions in how the observed exposures are classified.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misclassification bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "exposure misclassification bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nIf one is addressing a bias in the instruments or processes used to measure the observed exposure, use Exposure Measurement Bias. If one is addressing how the measured exposure is categorized, use Exposure Classification Bias."},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}],"concept" : [{"code" : "SEVCO:00231","display" : "exposure definition bias","definition" : "An exposure classification bias resulting from the definition or threshold used for exposure classification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "threshold bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nAn exposure definition bias suggests an internal validity problem in which the definition or threshold used for exposure classification does not represent the exposure of interest. If considering an external validity problem, the \"Wrong question bias\" (term not yet defined) may be used. An exposure definition bias is present when there are differences between the exposure of interest and the definition or threshold used for exposure classification."},{"code" : "expert-comments","valueString" : "2022-02-11 comments: Suggest Alternative term:  threshold bias for exposure determination.  \nSuggest remove sentence on external validity problem....\nIn the comments, \"term not yet identified\", should be flagged for later replacement."},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but comment discussion led to new term]"},{"code" : "approval","valueString" : "2022-02-18 vote 5-0 by Joanne Dehnbostel, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}],"concept" : [{"code" : "SEVCO:00232","display" : "nonrepresentative definition for exposure classification","definition" : "An exposure definition bias due to a mismatch between the exposure of interest and the definition or threshold used for exposure measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "expert-comments","valueString" : "2022-02-11 comment: Should there be a hyphen between \"classification\" and \"system\"? (Is it a system(s) bias or a classification-system bias?) (I think this question applies to several definitions)"},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but definition changed to match change to parent term]"},{"code" : "approval","valueString" : "2022-02-18 vote 6-0 by Joanne Dehnbostel, Alejandro Piscoya, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}],"concept" : [{"code" : "SEVCO:00233","display" : "surrogate marker bias for exposure classification","definition" : "An exposure definition bias due to use of a definition that is proxy for the exposure rather than direct observation of the exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "substitution bias for exposure classification"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "proxy bias for exposure classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "expert-comments","valueString" : "2022-02-11 comment: Suggest add Alternative term:  proxy bias for exposure classification system."},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but definition changed to match change to parent term]"},{"code" : "approval","valueString" : "2022-02-18 vote 5-0 by Joanne Dehnbostel, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}]}]},{"code" : "SEVCO:00234","display" : "post-hoc definition of exposure","definition" : "An exposure definition bias due to definition of the exposure after interacting with the study data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition for exposure classification not prespecified"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "post-hoc exposure definition"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "no prespecified definition for exposure classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but definition changed to match change to parent term]"},{"code" : "approval","valueString" : "2022-02-18 vote 5-0 by Joanne Dehnbostel, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}]}]},{"code" : "SEVCO:00236","display" : "classification process bias for exposure determination","definition" : "An exposure classification bias resulting from the application of the method used for exposure classification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. \nA classification process bias for exposure determination suggests error is introduced by the process of classification, as distinct from the definition or threshold used (which would be an Exposure Definition Bias)."},{"code" : "expert-comments","valueString" : "2022-02-11 comments: I would provide an example such as survey severity classification example of a method.\n(Inconsistent capitalization)"},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but term changed to parallel changes to Exposure Definition Bias]"},{"code" : "approval","valueString" : "2022-02-18 vote 6-0 by Joanne Dehnbostel, Sumalatha A, Robin Ann Yurk, Janice Tufte, Harold Lehmann, Paul Whaley"}]},{"code" : "SEVCO:00237","display" : "incorporation bias for exposure determination","definition" : "An exposure classification bias due to the inclusion of the outcome or other relevant exposures under investigation in the method or process used for exposure classification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. If the statistical analysis assumes independence of two variables, but one variable incorporates the other variable in its definition, the assumption will be false and the result will be distorted."},{"code" : "negative-vote","valueString" : "2022-02-25 vote 11-2 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Needs an Alternative term or new term definition. I.e. Inclusion Bias for exposure definition for the term.  Alternative term;  eligibility bias for exposure determination\nDefinitely needs a comment for application, I can't picture what this means!"},{"code" : "approval","valueString" : "2022-03-11 vote 5-0 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, nisha mathew, Paul Whaley"}]}]}]},{"code" : "SEVCO:00044","display" : "confounder detection bias","definition" : "A detection bias due to distortions in how the data for a potential confounder are determined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}]},{"code" : "SEVCO:00045","display" : "detection bias related to the reference standard","definition" : "A detection bias due  to distortions in how the reference standard result is determined.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias for reference standard result determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}]},{"code" : "SEVCO:00046","display" : "detection bias related to the index test","definition" : "A detection bias due to distortions in how the index test result is determined.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias for index test result determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte,"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 8-1 on \"Detection Bias related to the index test (Bias for index text result determination) = A detection bias due to distortions in how the index text result is determined.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2021-08-27 comment: I think the word \"text\" should be \"test\" in the Alternative term and definition. Please consider broadening this term and definition to include distortions in how the index event is determined"}]},{"code" : "SEVCO:00383","display" : "data entry bias","definition" : "A detection bias due to differences between measured values and recorded values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "data recording bias"}],"property" : [{"code" : "comment","valueString" : "Data Entry Bias may include distorted results due to errors in transcription, translation, or transposition between the measured value and the recorded value, or between a recorded value and a subsequent recording of the value."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Janice Tufte, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-26 vote 7-0 by nisha mathew, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey"}]},{"code" : "SEVCO:00389","display" : "inappropriate time interval between predictor assessment and outcome determination","definition" : "A detection bias involving the time interval between the observation of the predictor and outcome, where the interval used by the study differs from the interval assumed by the predictive model.","property" : [{"code" : "comment","valueString" : "Nonrepresentative observation period for outcome of interest is defined as an outcome ascertainment bias due to differences in the period used for observation of the outcome and the period for the outcome of interest.\n\nNonrepresentative observation period for exposure of interest is defined as an exposure ascertainment bias due to differences in the time period used for observation of the exposure and the intended time period for the exposure of interest.\n\nIn the context of predictive modeling, the time interval between the exposure (predictor) and the outcome should be representative of the time interval of interest."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2023-10-06 vote 3-1 by Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley"},{"code" : "expert-comments","valueString" : "2023-10-06 comment: Two problems: (1) I am not sure how the definition equates to the term - in the term, it is about inappropriate time interval, but in the definition it is about the time interval not being that which is intended and representative of application of model. (2) I don't understand what is meant by the phrase \"the intended time interval between the predictor and outcome that is representative of the application of the predictive model\" - there are too many concepts all at once here, I think?"},{"code" : "approval","valueString" : "2023-10-20 vote 5-0 by Muhammad Afzal, Eric Harvey, Harold Lehmann, Louis Leff, Joanne Dehnbostel"}]}]},{"code" : "SEVCO:00021","display" : "analysis bias","definition" : "A bias related to the analytic process applied to the data.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Philippe Rocca-Serra, Mhuammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "6/6 as of 8/15/2021: Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Mhuammad Afzal, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00022","display" : "bias related to selection of the analysis","definition" : "An analysis bias due to inappropriate choice of analysis methods before the analysis is applied.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "analysis selection bias"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Philippe Rocca-Serra, Mhuammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "6/6 as of 8/15/2021: Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Mhuammad Afzal, Eric Harvey"},{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "external-definitions","valueString" : "ROBIS 4.2 Were all pre-defined analyses reported or departures explained?"}],"concept" : [{"code" : "SEVCO:00376","display" : "bias related to selection of the data for analysis","definition" : "An analysis bias due to inappropriate choice of data included in the analysis before the analysis is applied.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel"},{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Janice Tufte, Mario Tristan, Paola Rosati"}],"concept" : [{"code" : "SEVCO:00213","display" : "bias due to post-baseline factors influencing selection of the data for analysis","definition" : "A bias related to selection of the data analysis based on participant characteristics observed after study enrollment.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "ROBINS-I 2.1. Was selection of participants into the study (or into the analysis) based on participant characteristics observed after the start of intervention?"},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Janice Tufte, Mario Tristan, Paola Rosati"}]},{"code" : "SEVCO:00312","display" : "missing or inadequate intention-to-treat analysis","definition" : "A bias related to selection of the data analysis in which data are not completely analyzed according to the original assignment to comparison groups in an interventional study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate as-randomized analysis"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-05-13 vote 4-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati\n2022-05-20 vote 9-1 by Joanne Dehnbostel, nelle.stocquart@kce.fgov.be, Eric M Harvey, Jesus Lopez-Alcalde, Paul Whaley, Robin Ann Yurk, Harold Lehmann, raradhikaag@gmail.com, Mario Tristan, Paola Rosati\n2022-05-27 vote 4-1 by Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-13 comment: Instead of defining \"Inadequate intention-to-treat analysis\" why not defining waht \"intention-to-treat analysis\" is?\n2022-05-20 comment: Suggest change term name to Intention to Treat Analysis and remove word inadequate from the term as this term includes the limitation of the analysis in the definition.\n2022-05-27 comment: Missing Data Analysis:  examples are imputation of data according to rules. \nPurpose:  To provide additional validity that the data are not biased from the missing data. {{2022-05-27 discussion suggests this can be handled by the SEVCO:00307 term [Inappropriate handling of missing data] which is classified as a 'Bias in processing of data'}}"},{"code" : "comment","valueString" : "An intention-to-treat analysis may be defined as analysis of all randomized subjects according to their assigned intervention rather than according to the intervention actually received. There is considerable variation in reported studies with respect to the use of the term 'intention-to-treat analysis' and 'modified intention-to-treat analysis' but if the risk of bias assessment suggests an insufficient accounting for all participants as intended then one may report 'Inadequate intention-to-treat analysis'.\nIn non-randomized studies, this term may be used to denote missing or inadequate analysis according to the intended treatment, e.g prescribed medication vs. taken medication."},{"code" : "approval","valueString" : "2022-06-03 vote 6-0 by Joanne Dehnbostel, Mario Tristan, Eric M Harvey, Harold Lehmann, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00313","display" : "missing or inadequate per-protocol analysis","definition" : "A bias related to selection of the data analysis in which data are not completely analyzed according to the study protocol.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Paul Whaley, Harold Lehmann, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-05-13 vote 4-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati\n2022-05-20 vote 7-3 by Joanne Dehnbostel, nelle.stocquart@kce.fgov.be, Eric M Harvey, Jesus Lopez-Alcalde, Paul Whaley, Robin Ann Yurk, Harold Lehmann, raradhikaag@gmail.com, Mario Tristan, Paola Rosati\n2022-05-27 vote 4-1 by Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-20 comments: I do not fully agree with this definition. I propose following the Cochrane Handbook: \nNaïve ‘per-protocol’ analysis: analysis restricted to individuals who adhered to their assigned interventions.\n\nMoreover, there is another analysis that is often biased: \n\n‘As-treated’ analysis: analysis in which participants are analysed according to the intervention they actually received, even if their randomized allocation was to a different treatment group\n\nI would present these as different analyses (not as synonims)\n\nhttps://training.cochrane.org/handbook/current/chapter-08\n------\nI think I see what the definition is saying but it is rather hard to parse.\nre: \"Inadequate per-protocol analysis\" = \"A bias related to selection of the data analysis in which data are not completely analyzed according to the assignment to comparison groups according to the interventions received.\"\n\nSuggest edit term so it reads per protocol analysis and remove the word inadequate. This type of analysis includes the bias in the term already\n\n2022-05-13 comment: Instead of defining \"Inadequate per-protocol analysis\" why not defining what \"per-protocol anlysis\" is?\n\n2022-05-27 comment: Missing Data Analysis:  examples are imputation of data according to rules. \nPurpose:  To provide additional validity that the data are not biased from the missing data. {{2022-05-27 discussion suggests this can be handled by the SEVCO:00307 term [Inappropriate handling of missing data] which is classified as a 'Bias in processing of data'}}"},{"code" : "comment","valueString" : "A per-protocol analysis may be defined as analysis of participants according to adherence to the assigned intervention (the 'treatment protocol') and/or according to adherence to the data collection protocol. Adherence may refer to adherence by the study participants or study personnel."},{"code" : "approval","valueString" : "2022-06-03 vote 6-0 by Joanne Dehnbostel, Mario Tristan, Eric M Harvey, Harold Lehmann, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00381","display" : "missing or inadequate as-treated analysis","definition" : "A bias related to selection of the data analysis in which data are not completely analyzed according to the interventions actually received.","property" : [{"code" : "comment","valueString" : "An as-treated analysis may be defined as analysis of subjects according to the intervention actually received rather than their assigned intervention."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-05-20 comments (from precursor term of Inadequate per-protocol analysis): I do not fully agree with this definition. I propose following the Cochrane Handbook: \nNaïve ‘per-protocol’ analysis: analysis restricted to individuals who adhered to their assigned interventions.\n\nMoreover, there is another analysis that is often biased: \n\n‘As-treated’ analysis: analysis in which participants are analysed according to the intervention they actually received, even if their randomized allocation was to a different treatment group\n\nI would present these as different analyses (not as synonims)\n\nhttps://training.cochrane.org/handbook/current/chapter-08\n------\nI think I see what the definition is saying but it is rather hard to parse.\nre: \"Inadequate per-protocol analysis\" = \"A bias related to selection of the data analysis in which data are not completely analyzed according to the assignment to comparison groups according to the interventions received.\"\n\nSuggest edit term so it reads per protocol analysis and remove the word inadequate. This type of analysis includes the bias in the term already\n\n2022-05-27 comment: Missing Data Analysis:  examples are imputation of data according to rules. \nPurpose:  To provide additional validity that the data are not biased from the missing data. {{2022-05-27 discussion suggests this can be handled by the SEVCO:00307 term [Inappropriate handling of missing data] which is classified as a 'Bias in processing of data'}}"},{"code" : "approval","valueString" : "2022-06-03 vote 6-0 by Joanne Dehnbostel, Mario Tristan, Eric M Harvey, Harold Lehmann, Brian S. Alper, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00377","display" : "bias related to selection of the variables for analysis","definition" : "An analysis bias due to inappropriate choice of variables included in the analysis before the analysis is applied.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "approval","valueString" : "2022-05-13 vote 5-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati"}],"concept" : [{"code" : "SEVCO:00292","display" : "bias related to selection of the variables for adjustment for confounding","definition" : "An analysis bias due to inappropriate choice of the variables for adjustment for confounding before the analysis is applied.","property" : [{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-05-13 vote 5-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati"},{"code" : "expert-comments","valueString" : "This term was determined to also match 'Post-intervention confounding different (draft) Code: SEVCO:00283' which was originally derived from the trigger question from ROBINS-I: 1.6. Did the authors control for any post-intervention variables that could have been affected by the intervention?   Detailed analysis found this to be more about improper control of 'confounding variables' that were not truly confounding variables."}],"concept" : [{"code" : "SEVCO:00299","display" : "bias controlling for time-varying confounding","definition" : "A bias related to selection of the variables for adjustment for confounding in which the confounding is time-dependent.","property" : [{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Mario Tristan, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati, Janice Tufte"}]},{"code" : "SEVCO:00301","display" : "inadequate adherence effect analysis","definition" : "A bias related to selection of the variables for adjustment for confounding by adherence.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias controlling for adherence effect"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias controlling for confounding by adherence"}],"property" : [{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati, Janice Tufte"}]}]},{"code" : "SEVCO:00302","display" : "predictors included in outcome definition","definition" : "An analysis bias due to inappropriate choice of the variables for estimation of association in which one variable is incorporated in the definition of the other variable.","property" : [{"code" : "comment","valueString" : "Predictors are also called covariates, risk indicators, prognostic factors, determinants, index test results, or independent variables (https://www.acpjournals.org/doi/10.7326/M18-1377).\n\nIf a predictor in the model forms part of the definition or assessment of the outcome that the model predicts, the association between predictor and outcome will likely be overestimated, and estimates of model performance will be optimistic; in diagnostic research, this problem is generally called incorporation bias. (https://www.acpjournals.org/doi/10.7326/M18-1377)\n\nWhen this type of analysis bias is applied to predictive model analyses (in which the predictor is the exposure of interest), this type of bias is equivalent to \"Incorporation bias for outcome determination\" [SEVCO:00063]"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-07-29 vote 5-0 by Janice Tufte, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-29 comment: should \"incorporation bias\" be added as 'Alternative term' ?"}]},{"code" : "SEVCO:00319","display" : "bias related to selection of predictors based on univariable analysis","definition" : "An analysis bias due to inappropriate choice of the predictor variables for estimation of association in which predictors are selected based on statistically significant univariable associations (without adjustment for other predictors).","property" : [{"code" : "comment","valueString" : "Predictors are also called covariates, risk indicators, prognostic factors, determinants, index test results, or independent variables (https://www.acpjournals.org/doi/10.7326/M18-1377)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "PROBAST (https://www.acpjournals.org/doi/10.7326/M18-1377).:\n4.5 Was selection of predictors based on univariable analysis avoided? (Model development studies only)\n\nA data set will often have many features that could be used as candidate predictors, and in many studies researchers want to reduce the number of predictors during model development to produce a simpler model.\n\nIn a univariable analysis, individual predictors are tested for their association with the outcome. Researchers often select the predictors with a statistically significant univariable association (for example, P < 0.05) for inclusion in the development of a final prediction model. This method can lead to incorrect predictor selection because predictors are chosen on the basis of their statistical significance as a single predictor rather than in context with other predictors (49, 50, 191). Bias occurs when univariable modeling results in omission of variables from the model, because some predictors are important only after adjustment for other predictors, known from previous research to be important, did not reach statistical significance in the particular development set (for example, due to small sample size). Also, predictors may be selected on the basis of a spurious (accidental) association with the outcome in the development set.\n\nA better approach to decide on omitting, combining, or including candidate predictors in multivariable modeling is to use nonstatistical methods—that is, methods without any statistical univariable pretesting of the associations between candidate predictors and outcome. Better methods include those based on existing knowledge of previously established predictors in combination with the reliability, consistency, applicability, availability, and costs of predictor measurement relevant to the targeted setting. Well-established predictors and those with clinical credibility should be included and retained in a prediction model regardless of any statistical significance (49, 50, 192). Alternatively, some statistical methods that are not based on prior statistical tests between predictor and outcome can be used to reduce the number of modeled predictors (for example, principal components analysis)."},{"code" : "approval","valueString" : "2022-07-29 vote 5-0 by Janice Tufte, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]}]},{"code" : "SEVCO:00378","display" : "bias related to selection of the analytic framework","definition" : "An analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias related to selection of the statistical framework"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "An analytic framework is the model, scaffolding, or organizational representation of concepts used in analyzing the data. The concepts included in an analytic framework may involve data, variables, formulas, assumptions, and adjustments."},{"code" : "negative-vote","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati, Janice Tufte [[but then the term changed in webmeeting 2022-05-13]]\n2022-05-20 vote 4-2 by Joanne Dehnbostel, Eric M Harvey, Mario Tristan, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-20 comments:\nseems to be entirely too much overlap with the \"inappropriate analytic framework\" term\n\nI like this term and definition but I am not sure it is adequately differentiated from \"inappropriate analytical framework\". I think the term needs changing in some way."},{"code" : "approval","valueString" : "2022-05-27 vote 5-0 by Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00297","display" : "inappropriate statistical model","definition" : "A bias related to selection of the analytic framework in which the analytic model does not match the dataset characteristics or does not match the intention of the analysis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate analytic model"}],"property" : [{"code" : "comment","valueString" : "A bias related to selection of the analytic framework is defined as an analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.\n\nAn inappropriate statistical model may include one in which there is a mismatch between the realities of the data and the assumptions required for the analytic model. Complexities in the data may include univariate concerns (e.g. skewness or outliers) and multivariate concerns (e.g. curvilinearity, co-linearity, or latent associations between variables)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-05-20 vote 5-1 by Joanne Dehnbostel, Eric M Harvey, Mario Tristan, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-20 comment:\nI like this term and definition but I am not sure it is adequately differentiated from \"Bias related to selection of the analytic framework\". I think the term needs changing in some way.\n2022-09-30 Steering Group change to Comment to application: comment added to this term instead of creating a new term for 'Inappropriate handling of complexities in the data'"},{"code" : "approval","valueString" : "2022-05-27 vote 5-0 by Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00375","display" : "inappropriate modeling of censoring","definition" : "An inappropriate statistical model due to inappropriate accounting for ranges of potential observation in which data observation is not possible.","property" : [{"code" : "external-definitions","valueString" : "PROBAST 4.6 Were complexities in the data (e.g. censoring, competing risks, sampling of controls) accounted for appropriately?"},{"code" : "comment","valueString" : "An inappropriate statistical model is a bias related to selection of the analytic framework in which the analytic model does not match the dataset characteristics or does not match the intention of the analysis.\n\nThe \"ranges of potential observation\" may include periods of time (temporal ranges within which observation may occur), or ranges of detection with a measurement instrument  (ranges of values that could be observed).\n\nThe concept of ranges of potential observation in which data observation is \"not possible\" may include impossibility due to physical realities (such as timing after competing risks or measurement instruments with limited ranges of detection) or impossibility due to administrative decisions (such as the observation period defined by the study protocol)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-10-20 vote 7-0 by Philippe Rocca-Serra, Harold Lehmann, Joanne Dehnbostel, Mario Tristan, Paul Whaley, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00316","display" : "bias due to selection of the statistical significance threshold","definition" : "An analysis bias resulting from selection of an inappropriate threshold for statistical significance.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "significance-threshold selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical significance threshold selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias related to selection of the threshold for statistical significance"}],"property" : [{"code" : "comment","valueString" : "The statistical significance threshold is part of the analytic framework. A bias related to selection of the analytic framework is defined as an analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.\n\nIn frequentist analysis, statistical significance is the rejection of the null hypothesis based on the p value. In Bayesian analysis, statistical significance is the acceptance of the hypothesis based on the posterior probability."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Paul Whaley"},{"code" : "negative-vote","valueString" : "2022-06-10 vote 5-1 by Brian S. Alper, Robin Ann Yurk, Paola Rosati, Mario Tristan, Harold Lehmann, Eric M Harvey\n2022-06-17 vote 4-1 by Paul Whaley, Muhammad Afzal, Eric M Harvey, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-10 comment: Consider editing the term definition to just Statistical significance threshold.  For the Alternative term remove word bias.  For the comment for application remove the first sentence about bias.\n2022-06-17 comments: I think I get it, but it is a bit tortured and I wonder if a normal user would interpret it correctly or understand it?\nI am not sure we can rephrase the concept name making it more compact like \"Statistical significance threshold selection bias\""},{"code" : "approval","valueString" : "2022-06-24 vote 5-0 by Mario Tristan, Harold Lehmann, Eric Harvey, Janice Tufte, Louis Leff"}],"concept" : [{"code" : "SEVCO:00317","display" : "bias related to multiple comparison adjustment","definition" : "An analysis bias resulting from selection of a threshold for statistical significance which does not appropriately account for the effect of multiple comparisons on the statistical probability related to the result.","property" : [{"code" : "comment","valueString" : "This bias may cause inappropriate rejection of the null hypothesis due to an unmodified threshold for significance in the face of multiple comparisons. This bias may also occur when adjustment for multiple comparisons is inappropriately applied and leads to failure to reject the null hypothesis.\n\nA bias due to selection of the statistical significance threshold is defined as an analysis bias resulting from selection of an inappropriate threshold for statistical significance.\n\nIn frequentist analysis, statistical significance is the rejection of the null hypothesis based on the p value. In Bayesian analysis, statistical significance is the acceptance of the hypothesis based on the posterior probability."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Paul Whaley"},{"code" : "negative-vote","valueString" : "2022-06-10 vote 3-2 by Brian S. Alper, Robin Ann Yurk, Paola Rosati, Mario Tristan, Harold Lehmann\n2022-06-17 vote 4-1 by Paul Whaley, Muhammad Afzal, Eric M Harvey, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-10 comments: The measure does not have a statistical probability, the finding or result has a statistical probability. Change definition to \"A statistical significance threshold selection bias in which the threshold for statistical significance does not account for the effect of multiple comparisons on the statistical probability related to the result.\"\nIs this a bias or just an incomplete analysis due to data requirements needed to compute the multiple comparison adjustment.\n2022-06-17  comment: Looking at the significance threshold bias terms, the other two refer to selection of the analytic framework, but this one does not. Is there a reason for that?"},{"code" : "approval","valueString" : "2022-06-24 vote 5-0 by Muhammad Afzal, Mario Tristan, Harold Lehmann, Eric Harvey, Louis Leff"}]},{"code" : "SEVCO:00382","display" : "mismatch of significance threshold and purpose","definition" : "An analysis bias resulting from selection of a threshold for statistical significance which is inappropriate due to a mismatch between (1) how the statistical probability related to the result is determined and (2) the purpose for categorizing the result as statistically significant.","property" : [{"code" : "comment","valueString" : "A threshold used for variable selection in regression analysis is often more liberal than a threshold used in hypothesis testing. Similarly a situation regarding safety may tolerate a higher chance of false positive findings so significance threshold may be higher. Some factors to consider include sample size, power of the test, and expected losses from Type I and Type II errors.\n\nIn frequentist analysis, statistical significance is the rejection of the null hypothesis based on the p value. In Bayesian analysis, statistical significance is the acceptance of the hypothesis based on the posterior probability."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Mario Tristan, Paul Whaley"},{"code" : "external-definitions","valueString" : "How to Choose the Level of Significance: A Pedagogical Note -- The level of significance should be chosen with careful consideration of the key factors such as the sample size, power of the test, and expected losses from Type I and II errors. While the conventional levels may still serve as practical benchmarks, they should not be adopted mindlessly and mechanically for every application.  \n(https://mpra.ub.uni-muenchen.de/66373/1/MPRA_paper_66373.pdf)"},{"code" : "negative-vote","valueString" : "2022-06-10 vote 2-2 by Brian S. Alper, Robin Ann Yurk, Mario Tristan, Harold Lehmann\n2022-06-17 vote 4-1 by Paul Whaley, Muhammad Afzal, Eric M Harvey, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-10 comments: A mismatch can occur even if the purpose was taken into account. As the term name \"Mismatch of significance threshold and purpose\" is a match for the definition of the parent term (Statistical significance threshold selection bias) there is a question of whether this term is needed.\nReceiver operator curves are traditionally a statistic used to represent the continuum of cut point for the threshold value.  The Sensitivity and Specificity can be calculated to evaluate the validity of the threshold cut point.\n2022-06-17 comment: Add \"Bias related to...\" at beginning for consistency with others. What work is \"selection of the analytic framework\" doing in this definition?"},{"code" : "approval","valueString" : "2022-06-24 vote 5-0 by Muhammad Afzal, Mario Tristan, Harold Lehmann, Eric Harvey, Janice Tufte"}]}]},{"code" : "SEVCO:00304","display" : "immortal time bias","definition" : "A bias related to selection of the analytic framework in which an outcome variable includes an observation period during which the outcome could not have occurred.","property" : [{"code" : "comment","valueString" : "Consider a study in which a sample is followed from 2000 to 2010. Mortality during this time period is the outcome, and receipt of Superdrug is the exposure. \n--If 20 people received Superdrug in 2009 and 5 of them died in the subsequent year, the mortality with Superdrug is 25%. \n--If 20 people never received Superdrug and 1 died each year so by 2010 the mortality without Superdrug is 50%. \n\nInterpreting this result as Superdrug having a 50% relative risk reduction for mortality would be biased (distorted) by not accounting for the 9 years of time (immortal time) that the Superdrug recipients must have survived to be able to receive Superdrug in 2009.\n\nIf the outcome variable were defined as mortality 2009-2010, there would be no bias and the result would be a 150% relative risk increase.\n\nIf the outcome variable were defined as mortality 2000-2010, there is an immortal time bias (the Superdrug recipients could not have died before receiving Superdrug)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Janice Tufte"},{"code" : "external-definitions","valueString" : "Catalog of bias:   A distortion that modifies an association between an exposure and an outcome, caused when a cohort study is designed so that follow-up includes a period of time where participants in the exposed group cannot experience the outcome and are essentially 'immortal'.\n\nin https://academic.oup.com/aje/article/167/4/492/233064 :\nImmortal time refers to a span of time in the observation or follow-up period of a cohort during which the outcome under study could not have occurred (13, 14). It usually occurs with the passing of time before a subject initiates a given exposure. While a subject is not truly immortal during this time span, the subject necessarily had to remain event free until start of exposure to be classified as exposed. An incorrect consideration of this unexposed time period in the design or analysis will lead to immortal time bias.\n\nin JAMA https://jamanetwork.com/journals/jama/article-abstract/2776315\nSuch studies may be subject to immortal time bias, meaning that, during the period of observation, there is some interval during which the outcome event cannot occur\n\nin https://watermark.silverchair.com/dyab157.pdf\nIn particular, incorrect handling of follow-up times in terms of exposure status in the analysis of such studies may introduce immortal time bias (ITB) in favour of the exposed group.2,3 Immortal time refers to a period of time in which, by design, participants in the exposed group cannot experience the outcome. This often  happens in pharmacoepidemiologic studies in which treatment is prescribed at variable times (with delay) after disease diagnosis. The bias occurs when the exposed group is considered to be exposed during their entire follow-up time (even during periods in which they are theoretically unexposed) or their unexposed follow-up times are discarded.2,3"},{"code" : "negative-vote","valueString" : "2022-07-15 vote 5-1 by Mario Tristan, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-07-15 comment: Why the need to specify \"in a larger sample\" in the second sentence, since there is no assumption about size of the sample in the first assertion?"},{"code" : "approval","valueString" : "2022-07-22 vote 7-0 by Mario Tristan, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Janice Tuft, Eric Harvey"}]},{"code" : "SEVCO:00293","display" : "inadequate sample size","definition" : "A bias related to selection of the analytic framework in which the sample size invalidates the assumptions of the analytic framework.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate numbers for analysis"}],"property" : [{"code" : "comment","valueString" : "An example of 'Inadequate sample size' is a finding of no effect with inadequate power to detect an effect. Another example of 'Inadequate sample size' is use of a parametric analysis with low numbers, which invalidates the assumptions for use of a parametric analysis."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Janice Tufte, Joanne Dehnbostel, Mario Tristan, Khalid Shahin"},{"code" : "approval","valueString" : "2022-07-22 vote 7-0 by Mario Tristan, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Janice Tuft, Eric Harvey"}]}]}]},{"code" : "SEVCO:00294","display" : "bias related to execution of the analysis","definition" : "An analysis bias due to inappropriate decisions pertaining to preparation of data for analysis and/or conduct of the analysis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias in processing of data"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Paul Whaley, Yuan Gao"},{"code" : "comment","valueString" : "\"Bias related to selection of the analysis\" is used when the wrong analysis is done (the analysis is planned wrongly). \"Bias in processing of data\" is used when the analysis is done wrong (the analysis is executed wrongly)."},{"code" : "approval","valueString" : "2022-11-04 vote 5-0 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Janice Tufte, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00305","display" : "incomplete analysis","definition" : "An analysis bias due to absence of a component of the analytic process.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incomplete analysis process"}],"property" : [{"code" : "comment","valueString" : "Missing components may include addressing missing data, addressing potential confounders, checking model assumptions, or robustness checks for model misspecification."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey\n2022-08-19 vote 5-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra\n2022-08-25 vote 8-1 by nisha mathew, Jesus Lopez-Alcalde, Cauê Monaco, Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: Ambiguous as to whether the data is incomplete or the analytic process incomplete. Also seems to be ambiguous as to whether the analysis is of a selected subset of the existing data (thus relating to selection bias?), or of data that is not representative of the totality of theoretically available data (thus relating to external validity?).\n\n2022-08-19 comment: tension between bias and process. Shouldn't it be \"incomplete analysis related bias\"? omission seems to indicate a wilful act. \"absence\" may be more neutral when considering a 'canonical / state of the art / standardised ' protocol.\n\n\"An analysis bias due to absence of a component deemed necessary in a state-of- art (possibly regulator-approved ) analytic process.\""},{"code" : "approval","valueString" : "2022-09-09 vote 6-0 by Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Khalid Shahin, Janice Tufte, Eric Harvey"}]},{"code" : "SEVCO:00306","display" : "inappropriate handling of uninterpretable data","definition" : "An analysis bias due to omission of uninterpretable values, or their replacement with inappropriate values.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: I'm not sure I would understand the definition if I had not read the term, suggest rephrasing - \"omission of accommodation for\" is perhaps the problem part."},{"code" : "comment","valueString" : "Inappropriate values may include use of non-representative imputation treating uninterpretable data like missing data. \n\nIn evaluation of diagnostic tests, omission of or inappropriate classification of test results would be Inappropriate handling of uninterpretable data."},{"code" : "approval","valueString" : "2022-09-16 vote 5-0 by Mario Tristan, Janice Tufte, Eric Harvey, Yaowaluk Ngoenwiwatkul, nisha mathew"}]},{"code" : "SEVCO:00307","display" : "inappropriate handling of missing data","definition" : "An analysis bias due to use of non-representative values in place of missing data.","property" : [{"code" : "comment","valueString" : "Handling of missing data may address data missing at levels of single observations or groupings by encounter, participant, site, or subpopulation."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-12 vote 5-0 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey"}]},{"code" : "SEVCO:00308","display" : "inappropriate handling of variables","definition" : "An analysis bias due to processing a variable in an incorrect role or with an incorrect datatype.","property" : [{"code" : "comment","valueString" : "Typical variable roles are population, exposure, confounder, and outcome.\n\nA variable datatype may be numerical (continuous or discrete) or categorical (ordinal or nominal)."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-16 vote 5-0 by Mario Tristan, Janice Tufte, Eric Harvey, Yaowaluk Ngoenwiwatkul, nisha mathew"}]},{"code" : "SEVCO:00300","display" : "bias in adjustment for selection bias","definition" : "An analysis bias due to inappropriate application of adjustment techniques for correction of bias in the selection of participants for analysis.","property" : [{"code" : "comment","valueString" : "Bias in the selection of participants for analysis could occur due to Participant Selection Bias (SEVCO:00003) or participant-level Bias related to selection of the data for analysis (SEVCO:00376).\n\n\"It is in principle possible to correct for selection biases, for example by using inverse probability weights to create a pseudo-population in which the selection bias has been removed, or by modelling the distributions of the missing participants or follow up times and outcome events and including them using missing data methodology.\" (Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016 Oct 12;355:i4919. doi: 10.1136/bmj.i4919. PMID: 27733354; PMCID: PMC5062054.  Supplementary Table A.)"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "\"It is in principle possible to correct for selection biases, for example by using\ninverse probability weights to create a pseudo-population in which the\nselection bias has been removed, or by modelling the distributions of the\nmissing participants or follow up times and outcome events and including\nthem using missing data methodology.\" (Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016 Oct 12;355:i4919. doi: 10.1136/bmj.i4919. PMID: 27733354; PMCID: PMC5062054.  Supplementary Table A.)"},{"code" : "approval","valueString" : "2022-09-30 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Janice Tufte, Eric Harve, Morufu Olalekan Raimi"}]},{"code" : "SEVCO:00309","display" : "data transition bias","definition" : "An analysis bias due to differences between recorded data and data used for analysis.","property" : [{"code" : "comment","valueString" : "Data Transition Bias may include distorted results due to errors in transcription, translation, erroneous mapping, or transposition between the recorded data (values, labels, and other metadata) and the data used for analysis. Data Transition Bias may occur due to any problem encountered during the Extraction, Transformation, and Loading (ETL) process in data exchange."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-11-04 vote 5-0 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Janice Tufte, Harold Lehmann, Eric Harvey"}]},{"code" : "SEVCO:00311","display" : "inappropriate handling of missing confounder data","definition" : "An analysis bias due to use of non-representative values in place of missing data for variables in the role of confounder.","property" : [{"code" : "comment","valueString" : "Handling of missing confounder data may address data missing at levels of single observations or groupings by encounter, participant, site, or subpopulation. Inappropriate handling of missing confounder data can result in misleading adjusted analyses."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-16 vote 5-0 by Mario Tristan, Janice Tufte, Eric Harvey, Yaowaluk Ngoenwiwatkul, nisha mathew"}]},{"code" : "SEVCO:00298","display" : "computational implementation bias","definition" : "An analysis bias due to miscalculations in the processing of the data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bug"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical programming error"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "programming error"}],"property" : [{"code" : "comment","valueString" : "This bias is intended to cover a broad range of errors in curating the data and performing the calculations specified or implied by the analytic plan, including but not limited to: memory allocation and other environmental specifications, data ingestion pipeline, statistical package choice and vetting, and syntax, semantics and logic of coding. this bias can be applied to both manual or computer based computation."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Khalid Shahin, Muhammad Afzal, Neeraj Ojha"},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey\n2022-08-19 vote 4-2 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: Not sure about including data entry errors among errors in software code - the latter is a computational error, the former is not. Also, the definition does not specify computational processing.\n2022-08-19 comment: the class label is ambiguous: is it \"computation error caused bias\" or it is 'contradictions caused bias? The latter term does not add clarity.\nAlso, only data entry errors resulting from computational errors would fall under this type of bias, but not direct entry of values."},{"code" : "approval","valueString" : "2022-09-09 vote 6-0 by Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Khalid Shahin, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00324","display" : "reported analysis not following pre-specified analysis plan","definition" : "An analysis bias in which the reported analysis does not match the pre-specified analysis plan.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "approval","valueString" : "2023-03-10 vote 5-0 by Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00303","display" : "collider bias","definition" : "An analysis bias in which an estimation of association between two variables is distorted by controlling for a third variable affected by both variables of interest (or factors causing the variables of interest).","property" : [{"code" : "external-definitions","valueString" : "A structural classification of bias distinguishes between biases resulting from conditioning on common effects (“selection bias”) --- A Structural Approach to Selection Bias, https://journals.lww.com/epidem/Fulltext/2004/09000/A_Structural_Approach_to_Selection_Bias.20.aspx\n\nCollider bias occurs when an exposure and outcome (or factors causing these) each influence a common third variable and that variable or collider is controlled for by design or analysis. In contrast, confounding occurs when an exposure and outcome have a shared common cause that is not controlled for. -- JAMA 2022 Mar 14 https://jamanetwork.com/journals/jama/fullarticle/2790247\n\nhttps://catalogofbias.org/biases/collider-bias/ Collider bias = A distortion that modifies an association between an exposure and outcome, caused by attempts to control for a common effect of the exposure and outcome"},{"code" : "comment","valueString" : "Collider bias occurs when an exposure and outcome (or factors causing these) each influence a common third variable and that variable or collider is controlled for by design or analysis. In contrast, confounding occurs when an exposure and outcome have a shared common cause that is not controlled for. (JAMA 2022 Mar 14 https://jamanetwork.com/journals/jama/fullarticle/2790247)\n\nThe \"third variable\" affected by both variables of interest can also be a \"third variable\" affected by an \"intermediary variable\" which is affected by both variables of interest.\n\nAn analysis bias is defined as a bias related to the analytic process applied to the data.\n\nA bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Paul Whaley"},{"code" : "negative-vote","valueString" : "2022-07-01 vote 3-2 by Harold Lehmann, Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-07-01 comments: Is this the same as a confounding variable? If not, please differentiate.\n\nthe first comment seems a bit confusing: does collider bias occurs when the study design controls for a variable which is influenced by both the exposure and the outcome?\n\nI'm not sure this is correct. My understanding is that collision comes into play when effect modifiers are treated as confounders (and possibly when confounders are treated as modifiers? I don't know if it is symmetric). This reads as though it is an analysis unadjusted for confounders, with the factor causing both the cause and effect variables.\n\nConfounding: A < B > C and A > C\nModification: A > B > C and A > C\nCollision: Conditioning on B under modification rather than confounding."},{"code" : "approval","valueString" : "2022-07-08 vote 5-0 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Janice Tufte, Harold Lehmann"}]},{"code" : "SEVCO:00314","display" : "preliminary analysis bias","definition" : "An analysis bias related to analysis of data before the complete dataset is available.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interim analysis bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-12-23 vote 6-0 by Joanne Dehnbostel, Harold Lehmann, Yuan Gao, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey"}]},{"code" : "SEVCO:00295","display" : "data-dredging bias","definition" : "An analysis bias involving use of data analyses that are not pre-specified and fully disclosed, to select analyses with desirable results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-hacking"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "fishing expedition"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "data snooping bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-hacking bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "fishing expedition bias"}],"property" : [{"code" : "comment","valueString" : "Types of data analysis that lead to data-dredging bias include but are not limited to repeated subgroup analyses, repeated adjusted analyses, repeated analyses with different analytic models, and repeated analyses across many outcomes for many variations of defining outcomes, any of which can be done to select (\"cherry-pick\") the analyses that provide a desired result.  The desired result may be statistically significant findings or other specific results.\n\nThe terms \"p-hacking\" and \"Fishing expedition\" are commonly used terms to describe data-dredging practices that lead to bias and are often used to imply bias."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Paul Whaley, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "from Catalog of Bias (https://catalogofbias.org/biases/data-dredging-bias/): Data-dredging bias = A distortion that arises from presenting the results of unplanned statistical tests as if they were a fully prespecified course of analyses.\n\nfrom BMJ Evidence-Based Medicine (https://ebm.bmj.com/content/27/4/209): Background: what is data dredging bias?\nData-dredging bias encompasses a number of more specific questionable practices (eg, fishing, p-hacking) all of which involve probing data using unplanned analyses and then reporting salient results without accurately describing the processes by which the results were generated.\n\nfrom Wikipedia (https://en.wikipedia.org/wiki/Data_dredging): Data dredging (also known as data snooping or p-hacking) is the misuse of data analysis to find patterns in data that can be presented as statistically significant, thus dramatically increasing and understating the risk of false positives."},{"code" : "expert-comments","valueString" : "2022-12-09 comment:  Ioannidis, J. P. A. (2019) P values linked to null hypothesis significance testing (NHST) is the most widely (mis)used method of statistical inference. Empirical data suggest that across the biomedical literature (1990–2015), when abstracts use P values 96% of them have P values of 0.05 or less. The same percentage (96%) applies for full-text articles. \n2022-12-16 comments: Delete comma in definition (before \"that\"). \np-hacking and fishing expedition aren't synonyms but data processes leading to bias. \"p-hacking induced bias\" maybe"},{"code" : "negative-vote","valueString" : "2022-12-09 votes 4-0 by Yuan Gao, Mario Tristan, Eric Harvey, Harold Lehmann\n2022-12-16 votes 6-1 by Philippe Rocca-Serra, Janice Tufte, Yuan Gao, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey, Harold Lehmann"},{"code" : "approval","valueString" : "2022-12-23 vote 6-0 by Joanne Dehnbostel, Harold Lehmann, Yuan Gao, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey"}]},{"code" : "SEVCO:00348","display" : "inadequate sensitivity analysis","definition" : "An analysis bias due to inadequate approach to determine the implications of modeling assumptions, missing data, or distorted data for the interpretation of research results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate robustness analysis"}],"property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.5 Were the findings robust, e.g. as demonstrated through funnel plot or sensitivity analyses?"},{"code" : "comment","valueString" : "Sensitivity analysis is the process of accounting for the implications of missing or distorted data or modeling assumptions. The purpose of sensitivity analysis is to assess the robustness of findings given plausible variations in the context.\n\nMethods of sensitivity analysis to account for missing data include but are not limited to best-case scenario, worst-case scenario, and last-observation-carried-forward. Methods of sensitivity analysis to account for distorted data include but are not limited to intention-to-treat analysis, per-protocol analysis, and completer analysis.   Methods of sensitivity analysis to account for modeling assumptions include but are not limited to variations in prior probabilities and changes in the statistical model.\n\nThe targets and types of sensitivity analyses needed depend on the research question, the research design, the data, modeling assumptions (both verifiable and unverifiable from the data), and the context of the results interpretation. The adequacy of sensitivity analysis is assessed on the basis of the targets and types of sensitivity analyses reported.\n\nThe term 'inadequate sensitivity analysis' matches the ROBIS signaling question 4.5 ''Were the findings robust, e.g. as demonstrated through funnel plot or sensitivity analyses?'\n\nA funnel plot may be used to detect missing data due to publication bias. Although funnel plot asymmetry has been equated with publication bias, the funnel plot displays a tendency for the intervention effects estimated in smaller studies to differ from those estimated in larger studies, and such small-study effects may be due to reasons other than publication bias. (Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315: 629-634.) Consider also [inadequate accounting for heterogeneity](https://fevir.net/resources/CodeSystem/27270#SEVCO:00347).\n\nAn inadequate sensitivity analysis does not result in a bias in the effect estimates, but may result in a bias in the interpretations derived from the effect estimates."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Saphia Mokrane, Homa Keshavarz, Joanne Dehnbostel, Harold Lehmann, Airton Stein"},{"code" : "negative-vote","valueString" : "2024-07-05 vote 4-1 by C P Ooi, Sheyu Li, Lenny Vasanthan, Eric Harvey, Harold Lehmann\n2024-07-12 vote 6-1 by Paul Whaley, Cauê Monaco, Sheyu Li, Philippe Rocca-Serra, Lenny Vasanthan, Saphia Mokrane, Eric Harvey\n2024-07-19 vote 5-1 by Carlos Alva-Diaz, Sheyu Li, Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-07-05 comments re: \"inadequate sensitivity analysis\" = \"A synthesis bias due to inadequate approach to determine the magnitude or implications of missing or distorted data.\"\n1N) My understanding of the main purpose of sensitivity analysis can be testing the robustness of the findings and determining  its impact factors. \n2) (The paragraph on funnel plot sounds more textbooky/prescriptive information than we have generally provided, but I'm not against including it.)\n\n2024-07-12 comment re: \"inadequate sensitivity analysis\" = \"An analysis bias due to inadequate approach to determine the implications of missing data, distorted data, or modeling assumptions.\"\n1N) Need explanation regarding the term 'inadequate', which reflects clinical impact of this inadequate. \n\n2024-07-19 comments re: \"inadequate sensitivity analysis\" = \"An analysis bias due to inadequate approach to determine the implications of missing data, distorted data, or modeling assumptions.\"\n1N)\nThe sensitivity analyses achieves multiple targets including but not limited to the quoted ones. But all try to make sure the robustness of the findings given heterogeneous research approaches. For the definition, it is good to quote the definition of sensitivity analysis, especially its purpose. \n\nAlso, inadequate sensitivity analysis is rather a bias, but a failure to reach to purpose of sensitivity analysis. \n2Y)\nI am not suggesting changes, but I had to ask chatGPT today about sensitivity analysis. This was its response:\n\nSensitivity analysis is a technique used in the context of analyzing real-world data to assess how the results of a study or model are affected by changes in the input parameters or assumptions. It helps to understand the robustness of the findings and identify which variables have the most significant impact on the outcomes. Sensitivity analysis is particularly useful in fields such as economics, healthcare, environmental science, and engineering, where models often rely on uncertain or variable data inputs.\n\nKey Aspects of Sensitivity Analysis\nPurpose:\n\nTo evaluate the stability and reliability of the results.\nTo identify critical variables that significantly influence the outcomes.\nTo assess the impact of uncertainty in input parameters on the conclusions.\nApplications:\n\nIn healthcare, sensitivity analysis can be used to determine how different clinical assumptions affect health outcomes or cost-effectiveness in medical studies.\nIn environmental science, it can help assess the effect of varying environmental parameters on pollution models.\nIn economics, it evaluates how changes in economic indicators impact financial models or forecasts.\nTypes of Sensitivity Analysis:\n\nDeterministic Sensitivity Analysis: This involves systematically changing one parameter at a time while keeping others constant to observe the effect on the outcome.\nProbabilistic Sensitivity Analysis: This involves changing multiple parameters simultaneously, often using statistical distributions to model uncertainty and variability in the inputs.\nScenario Analysis: Examining different possible future scenarios by varying several parameters together to understand potential outcomes under different conditions.\nLocal Sensitivity Analysis: Focuses on small changes around a baseline value of the parameters to assess local impact.\nGlobal Sensitivity Analysis: Assesses the impact of varying all parameters over their entire range to understand the overall influence on the model.\nre: \"inadequate sensitivity analysis\" = \"An analysis bias due to inadequate approach to determine the implications of missing data, distorted data, or modeling assumptions.\""},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00322","display" : "final model not corresponding to multivariable analysis","definition" : "An analysis bias in which the predictors and coefficients in the final model do not match the predictors and coefficients reported in the multivariable analysis.","property" : [{"code" : "external-definitions","valueString" : "from PROBAST:\n4.9 Do predictors and their assigned weights in the final model correspond to the results from the reported multivariable analysis? (Model development studies only)\n\nPredictors and coefficients of the final developed model, including intercept or baseline components, should be fully reported to allow others to correctly apply the model to other individuals. Mismatch between the presented final model and the reported results from the multivariable analysis (such as the intercept and predictor coefficients) is frequent. A review of prediction models in cancer in 2010 found that only 13 of 38 final prediction model equations (34%) used the same predictors and coefficients as the final presented multivariable analyses, 8 used the same predictors but different coefficients, 11 used neither the same coefficients nor the same predictors, and 6 used an unclear method to derive the final prediction model from the presented results of the multivariable analysis (121).\n\nBias can arise when the presented final model and the results reported from the multivariable analysis do not match. One way this can occur is when nonsignificant predictors are dropped from a larger model to arrive at a final presented model but the predictor coefficients from the larger model are used to define the final model, which are no longer correct. When predictors are dropped from a larger model, it is important to reestimate all predictor coefficients of the smaller model because the latter has become the final model. These newly estimated predictor coefficients are likely different even if nonsignificant or irrelevant predictors from the larger model are dropped.\n\nWhen a study reports a final model in which both predictors and regression coefficients correspond to the reported results of the multivariable regression analysis or model, this question should be answered as Y. If the final model is based only on a selection of predictors from the reported multivariable regression analysis without refitting the smaller model, it should be answered as N or PN. When no information is given on the multivariable modeling from which predictors and regression coefficients are derived, it should be answered as NI.\n\nThis signaling question is not about detecting improper methods of selecting predictors for the final model; such methods are addressed in signaling question 4.5."},{"code" : "comment","valueString" : "This type of bias is applicable to model development studies and model selection within other study designs."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2023-12-08 vote 5-0 by Brian S. Alper, Harold Lehmann, Javier Bracchiglione, Yasser Sami Amer, Eric Harvey"}]},{"code" : "SEVCO:00310","display" : "cognitive interpretive bias affecting analysis","definition" : "A bias related to the analytic process due to the subjective nature of human interpretation.","property" : [{"code" : "comment","valueString" : "The Cognitive Interpretive Bias affecting analysis can be mitigated by masking the analyst as to the assignments for the groups, and by specification of the analysis prior to data availability."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2022-11-18 vote 6-0 by Mahnoor Ahmed, Yuan Gao, Harold Lehmann, Jesus Lopez-Alcalde, Paul Whaley, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00379","display" : "cognitive interpretive bias affecting analysis selection","definition" : "A bias related to selection of the analysis due to the subjective nature of human interpretation.","property" : [{"code" : "comment","valueString" : "Bias related to selection of the analysis is defined as an analysis bias due to inappropriate choice of analysis methods before the analysis is applied.\n\nThe Cognitive Interpretive Bias affecting analysis selection can be mitigated by masking the analyst as to the assignments for the groups, and by specification of the analysis prior to data availability."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-29 vote 5-0 by Janice Tufte, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00315","display" : "availability bias affecting analysis selection","definition" : "A Cognitive Interpretive Bias due to the use of information which is most readily available, rather than information which is most representative, affecting analysis selection.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "Catalogue of Bias:\nAvailability bias\nA distortion that arises from the use of information which is most readily available, rather than that which is necessarily most representative."},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey\n2022-08-19 vote 5-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: Clarify as to whether this is exclusively about cognitive availability? Seems ambiguous in current phrasing. Would suggest comment for application to make clear specific circumstances in which this applies.\n\n2022-08-19 comment: The definition is ambiguous about whether limits on access to the information is cognitive (e.g. familiarity) or otherwise. Also, the definition specifies \"information\" when the thing being selected is a technique for analysing information."},{"code" : "comment","valueString" : "Selection of inappropriate data or variables for analysis is an availability bias when the appropriate data or variables are not readily available to the analyst and therefore the appropriate analysis is not selected.\n\nSelection of an inappropriate analysis due to familiarity with the analytic techniques is an availability bias when the appropriate technique is unfamiliar and therefore not selected. \n\nThe term \"Availability bias affecting analysis selection\" is about selection of the analysis and not about missing data."},{"code" : "approval","valueString" : "2022-08-26 vote 7-0 by nisha mathew, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey"}]}]},{"code" : "SEVCO:00380","display" : "cognitive interpretive bias affecting execution of the analysis","definition" : "A bias in processing of data due to the subjective nature of human interpretation.","property" : [{"code" : "comment","valueString" : "Bias in processing of data is defined as an analysis bias due to inappropriate decisions pertaining to preparation of data for analysis and/or conduct of the analysis.\n\nThis bias may be mitigated by the partial masking or blinding of the individuals conducting the analysis."},{"code" : "editors","valueString" : "Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Paul Whaley, Yuan Gao, Harold Lehmann, Brian S. Alper"},{"code" : "approval","valueString" : "2022-12-02 vote 6-0 by Mario Tristan,  Yuan Gao, Mahnoor Ahmed, Muhammad Afzal, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00296","display" : "lack of blinding of data analysts","definition" : "A cognitive interpretive bias affecting execution of the analysis due to the analyst's awareness of the participants' status with respect to the variables defining the comparison groups.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lack of masking of data analysts"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Joanne Dehnbostel, Paul Whaley"},{"code" : "approval","valueString" : "2022-12-02 vote 5-0 by Mario Tristan, Mahnoor Ahmed, Muhammad Afzal, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-12-02 comment: Should it be participants' statuses --- EWG discussion notes that \"status\" can be used for the plural"}]}]}]},{"code" : "SEVCO:00392","display" : "inappropriate weighting bias","definition" : "An analysis bias in which the weights used in model construction do not align with the target of estimation or estimand.","property" : [{"code" : "comment","valueString" : "This bias often occurs with the omission of sampling weights in a model or in the process of trying to mitigate misrepresentation of a population due to sampling.\nOne example is use of an unweighted model with National Health and Nutrition Examination Survey (NHANES) data.\nThis bias occurs when attempting to reweight imbalanced classes in a model to make them representative of the source population, when weights drive estimation away from the target."},{"code" : "approval","valueString" : "2023-10-13 vote 6-0 by Louis Leff, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley, Janice Tufte"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins"}]},{"code" : "SEVCO:00026","display" : "synthesis bias","definition" : "A bias in the conduct of an analysis combining two or more studies or datasets.","property" : [{"code" : "comment","valueString" : "A synthesis bias results from methods used to select, manipulate or interpret data for evidence synthesis."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-05-17 vote 5-0 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Harold Lehmann"}],"concept" : [{"code" : "SEVCO:00346","display" : "bias related to selection of the analytic framework for synthesis","definition" : "A synthesis bias resulting from an analytic approach that is not suitable for the included studies.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.3 Was the synthesis appropriate given the nature and similarity in the research questions, study designs and outcomes across included studies?"},{"code" : "comment","valueString" : "The term 'synthesis bias related to selection of the analytic framework' used for a systematic review or synthesis is equivalent to the term  [bias related to selection of the analytic framework](#SEVCO:00378) used for a single study. An analytic framework is the model, scaffolding, or organizational representation of concepts used in analyzing the data. The concepts included in an analytic framework may involve data, variables, formulas, assumptions, and adjustments.\nIf the analytic framework selected for synthesis does not match the data and research question, there is a risk of distorted results which constitutes bias.\nThe term 'bias related to selection of the analytic framework for synthesis' matches the ROBIS signaling question 4.3 'Was the synthesis appropriate given the nature and similarity in the research questions, study designs and outcomes across included studies?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-06-07 vote 5-1 by Sean Grant, Sheyu Li, Lenny Vasanthan, Harold Lehmann, Eric Harvey, Carlos Alva-Diaz\n2024-06-14 vote 8-1 by Carlos Alva-Diaz, Yaowaluk Ngoenwiwatkul, Homa Keshavarz, Sean Grant, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte"},{"code" : "expert-comments","valueString" : "2024-06-07 comment:  The term itself is new to me: is there a more established term?\n\n2024-06-14  comments re: \"bias related to selection of the analytic framework for synthesis\" = \"A synthesis bias resulting from an analytic approach that is not suitable for the included studies.\"\n1N) As above, I understand the concept though I am not clear how this is a \"bias\"? \"Not suitable\" also sounds like poor study execution rather than a bias.\n2) Have we been consistent in other Comments for application in matching the signaling questions?"},{"code" : "approval","valueString" : "2024-06-21 vote 8-0 by Cauê Monaco, Lenny Vasanthan, Homa Keshavarz, Yaowaluk Ngoenwiwatkul, Harold Lehmann, Sean Grant, Eric Harvey, Carlos Alva-Diaz"}]},{"code" : "SEVCO:00347","display" : "inadequate accounting for heterogeneity","definition" : "A synthesis bias due to inadequate approach to determine the magnitude, cause, or implications of variation among studies.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.4 Was between-study variation (heterogeneity) minimal or addressed in the synthesis?"},{"code" : "comment","valueString" : "Adequate accounting for variation among studies includes measuring the variation among studies, determining if substantial variation is systematic or random, and addressing the implications of substantial variation if present.\nThe term 'inadequate accounting for heterogeneity' matches the ROBIS signaling question 4.4 'Was between-study variation (heterogeneity) minimal or addressed in the synthesis?'\n\n[Bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00001) is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). [Synthesis bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00026) is defined as a bias in the conduct of an analysis combining two or more studies or datasets. An inadequate approach to the accounting for heterogeneity in the conduct of an evidence synthesis can introduce or obscure a systematic distortion in research results."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Homa Keshavarz, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-06-21 vote 5-2 by Cauê Monaco, Lenny Vasanthan, Homa Keshavarz, Yaowaluk Ngoenwiwatkul, Harold Lehmann, Sean Grant, Eric Harvey\n2024-06-28 vote 6-1 by Harold Lehmann, Lenny Vasanthan, Homa Keshavarz, Sean Grant, Philippe Rocca-Serra, Eric Harvey, Sheyu Li"},{"code" : "expert-comments","valueString" : "2024-06-21 comments re: \"bias related to accounting for heterogeneity\" = \"A synthesis bias due to inadequate accounting for variation among studies.\"\n1N) Missing text: \"The term \" matches...\"\n2N) Not clear how this is a \"bias\" rather than a low-quality review?\n\n2024-06-28 comment re: \"inadequate accounting for heterogeneity\" = \"A synthesis bias due to inadequate approach to determine the magnitude, cause, or implications of variation among studies.\"\nThis again does not sound like a \"bias\" to me. Perhaps it contributes to a bias, though it sounds more like poor execution of an evidence synthesis rather than a \"bias\""},{"code" : "approval","valueString" : "2024-07-05 vote 6-0 by Cauê Monaco, C P Ooi, Sheyu Li, Lenny Vasanthan, Eric Harvey, Harold Lehmann"}]},{"code" : "SEVCO:00349","display" : "inadequate accounting for bias in constituent studies","definition" : "A synthesis bias due to inadequate approach to determine the risks of bias in the studies selected for synthesis or the implications of those risks.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.4 Was risk of bias (or methodological quality) formally assessed using appropriate criteria?\nROBIS 3.5 Were efforts made to minimise error in risk of bias assessment?\nROBIS 4.6 Were biases in primary studies minimal or addressed in the synthesis?"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}],"concept" : [{"code" : "SEVCO:00353","display" : "inadequate criteria for methodologic quality assessment","definition" : "A synthesis bias due to inadequate criteria to determine the risks of bias in the studies selected for synthesis.","property" : [{"code" : "comment","valueString" : "The term 'inadequate criteria for methodologic quality assessment' matches the ROBIS signaling question 3.4 'Was risk of bias (or methodological quality) formally assessed using appropriate criteria?'"},{"code" : "external-definitions","valueString" : "ROBIS 3.4 Was risk of bias (or methodological quality) formally assessed using appropriate criteria?"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00354","display" : "inadequate process for methodologic quality assessment","definition" : "A synthesis bias due to inadequate process to determine the risks of bias in the studies selected for synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.5 Were efforts made to minimise error in risk of bias assessment?"},{"code" : "comment","valueString" : "The term 'inadequate process for methodologic quality assessment' matches the ROBIS signaling question 3.5 'Were efforts made to minimise error in risk of bias assessment?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00396","display" : "inadequate adjusting for bias in constituent studies","definition" : "A synthesis bias due to inadequate approach to determine the implications of bias in the studies selected for synthesis.","property" : [{"code" : "comment","valueString" : "The term 'inadequate adjusting for bias in constituent studies' matches the ROBIS signaling question 4.6 'Were biases in primary studies minimal or addressed in the synthesis?'"},{"code" : "external-definitions","valueString" : "ROBIS 4.6 Were biases in primary studies minimal or addressed in the synthesis?"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]}]},{"code" : "SEVCO:00369","display" : "inadequate process for data extraction","definition" : "A synthesis bias due to inadequate process to select and abstract the data from the included studies or datasets.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.1 Were efforts made to minimise error in data collection?"},{"code" : "comment","valueString" : "The term 'inadequate process for data extraction' matches the ROBIS signaling question 3.1 'Were efforts made to minimise error in data collection?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-08-02 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00351","display" : "inadequate study characteristics available for results interpretation","definition" : "A synthesis bias due to inadequate availability of information regarding design, data collection, analysis or reporting for the study results or datasets collected for synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.2 Were sufficient study characteristics available for both review authors and readers to be able to interpret the results?"},{"code" : "comment","valueString" : "The term 'inadequate study characteristics available for results interpretation' matches the ROBIS signaling question 3.2 'Were sufficient study characteristics available for both review authors and readers to be able to interpret the results?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-08-02 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00352","display" : "bias related to selection of the data for synthesis","definition" : "A synthesis bias due to inappropriate choice of study results included in the synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.3 Were all relevant study results collected for use in the synthesis?"},{"code" : "comment","valueString" : "Selection of study results may occur before or after data extraction and transformation. The process of extracting results from a study involves identifying, collecting, and recording the findings (quantitative or qualitative) that are relevant for synthesis. The process of transformation may include unit of measure changes, other data harmonization, or statistical transformations so the data can be integrated into a meta-analysis.\nAnother reason for not including a relevant study result is the failure to contact the study investigators for missing data.\nIf the data selected for synthesis does not match the data that is available, there is a risk of distorted results which constitutes bias.\nThe term 'bias related to selection of the data for synthesis' matches the ROBIS signaling question 3.3 'Were all relevant study results collected for use in the synthesis?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein"},{"code" : "negative-vote","valueString" : "2024-08-09 vote 6-1 by Harold Lehmann, Homa Keshavarz, Sheyu Li, Sean Grant, Eric Harvey, Lenny Vasanthan, Airton Tetelbom Stein\n2024-08-16 vote 5-1 by Cauê Monaco, Bhagvan Kommadi, Jennifer Hunter, Eric Harvey, Harold Lehmann, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-08-09 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of study results included in the synthesis before the synthesis is applied.\"\n1N)\nOnce again, what is the difference between this bias and selection bias?  Similar comments with above. \n\n\n2024-08-16 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of study results included in the synthesis.\"\n1N)\nI'm unsure that \"and appropriate for synthesis\" is correct. For instance, an included study may have measured the outcome of interest but not reported the results in a way that can be used in the planned meta-analysis (e.g., only the p value is reported, or no SDM/SE is reported). Even though the results cannot be used (i.e., are not appropriate) for the meta-analysis, there is still a risk of distorted results which constitutes bias. Perhaps I am mistaken, and this bias only refers to errors of judgement by the reviewers.\n\nDo we need to mention some examples relevant to selection bias arising after data extraction? e.g., failing to undertake appropriate statistical transformations so that the reported results can be used in a meta-analysis.\n\nAnother reason for not including a relevant study result is the failure to contact the study investigators for missing data. Does this need to be mentioned here or is it covered under a different term? If this term is supposed to map to  ROBIS 3.3., then this is another example of not collecting relevant results.\n\n2024-08-23 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of study results included in the synthesis.\"\n1Y)\nIt might be good to mention conditions when the study selection happens after data extraction and transformation.\n\nOne question - if anyone is working on an update of a review and if the previous author team havent selected the appropriate data in their included studies and the current team have published an update without updating the study results of the previously included studies, how do we handle that here?"},{"code" : "approval","valueString" : "2024-08-23 vote 9-0 by Carlos Alva-Diaz, Elma OMERAGIC, Lenny Vasanthan, Harold Lehmann, Philippe Rocca-Serra, Eric Harvey, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz"}]}]},{"code" : "SEVCO:00320","display" : "inappropriate evaluation of predictive model performance measures","definition" : "An analysis bias in which the method for analysis of a performance measure (such as calibration or discrimination) is not adequate or suitable for the predictive model.","property" : [{"code" : "comment","valueString" : "According to PROBAST explanation, to fully gauge the predictive performance of a model, reviewers must assess both model calibration and discrimination (such as the c-index) addressing the entire range of the model-predicted probabilities. (https://www.acpjournals.org/doi/10.7326/M18-1377)"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley, Janice Tufte"}],"concept" : [{"code" : "SEVCO:00393","display" : "inappropriate evaluation of calibration of predictive model","definition" : "An analysis bias in which the method for analysis of calibration is not adequate or suitable for the predictive model.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley, Janice Tufte"},{"code" : "expert-comments","valueString" : "2023-10-06 comment: Is the bias because an analyst prefers one model over another when there might be a more appropriate one ( perhaps the analyst is not familiar with?)"}]},{"code" : "SEVCO:00394","display" : "inappropriate evaluation of discrimination of predictive model","definition" : "An analysis bias in which the method for analysis of discrimination is not adequate or suitable for the predictive model.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-13 vote 5-0 by Louis Leff, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley"}]},{"code" : "SEVCO:00321","display" : "model overfitting","definition" : "An analysis bias, specific to predictive model development studies, in which strategies to mitigate overfitting are not adequately applied.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "comment","valueString" : "Predictive model performance measures (calibration and discrimination) may be misinterpreted if there are no strategies to mitigate overfitting.  This applies to development studies without external validation studies. Strategies to mitigate overfitting may include penalization/regularization, k-fold cross validation, train-test/validation split, etc.\n\nFrom the PROBAST explanation (https://www.acpjournals.org/doi/10.7326/M18-1377):  \"quantifying the predictive performance of a model on the same data from which the model was developed (apparent performance) tends to give optimistic estimates of performance due to overfitting—that is, the model is too much adapted to the development data set. This optimism is higher when any of the following are present: too few outcome events in total, too few outcome events relative to the number of candidate predictors (small EPV), dichotomization of continuous predictors, use of predictor selection strategies based on univariable analyses, or use of traditional stepwise predictor selection strategies (for example, forward or backward selection) in multivariable analysis in small data sets (small EPV)\""},{"code" : "negative-vote","valueString" : "2023-10-06 vote 3-1 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Janice Tufte"},{"code" : "expert-comments","valueString" : "2023-10-06 comments: I am not sure about having a preferred term that actually consists of two terms - overfit and optimism. Is one a synonym of the other?\nOptimism- being too over optimistic and fitting things into the model that really were not defined early on? (adding inappropriate data that can skew the outcomes?)"},{"code" : "approval","valueString" : "2023-10-20 vote 5-0 by Muhammad Afzal, Eric Harvey, Harold Lehmann, Louis Leff, Joanne Dehnbostel"}]}]}]},{"code" : "SEVCO:00023","display" : "reporting bias","definition" : "A bias due to distortions in the selection of or representation of information in study results or research findings.","property" : [{"code" : "external-definitions","valueString" : "CoB: Reporting biases = A systematic distortion that arises from the selective disclosure or withholding of information by parties involved in the design, conduct, analysis, or dissemination of a study or research findings (https://catalogofbias.org/biases/reporting-biases/) also notes: The Dictionary of Epidemiology defines reporting bias as the “selective revelation or suppression of information (e.g., about past medical history, smoking, sexual experiences) or of study results.”\nThe Cochrane Handbook states it arises “when the dissemination of research findings is influenced by the nature and direction of results.”\nThe James Lind Library states “biased reporting of research occurs when the direction or statistical significance of results influence whether and how research is reported.”\nQUIPS: The Statistical Analysis and Reporting domain addresses the appropriateness of the study’s statistical analysis and completeness of reporting. It helps the assessor judge whether results are likely to be spurious or biased because of analysis or reporting. To make this judgment, the assessor considers the data presented to determine the adequacy of the analytic strategy and model-building process and investigates concerns about selective reporting. Selective reporting is an important issue in prognostic factor reviews because studies commonly report only factors positively associated with outcomes. A study would be considered to have low risk of bias if the statistical analysis is appropriate for the data, statistical assumptions are satisfied, and all primary outcomes are reported.\nROB2 = This domain addresses bias that arises because the reported result is selected (based on its direction, magnitude or statistical significance) from among multiple intervention effect estimates that were calculated by the trial investigators. We call this bias in selection of the reported result. Consideration of risk of bias requires distinction between:\n• An outcome domain. This is a state or endpoint of interest, irrespective of how it is measured (e.g. severity\nof depression);\n• An outcome measurement. This is a specific way in which an outcome domain is measured (e.g. measurement of depression using the Hamilton rating scale 6 weeks after starting intervention); and \n• An outcome analysis. This is a specific result obtained by analysing one or more outcome measurements (e.g. the difference in mean change in Hamilton rating scale scores from baseline to 6 weeks between experimental and comparator groups). This domain does not address bias due to selective non-reporting (or incomplete reporting) of outcome domains that were measured and analysed by the trial investigators (115). For example, deaths of trial participants may be recorded by the trialists, but the reports of the trial might contain no mortality data, or state only that the intervention effect estimate for mortality was not statistically significant. Such bias puts the result of a synthesis at risk because results are omitted based on their direction, magnitude or statistical significance. It should therefore be addressed at the review level, as part of an integrated assessment of the risk of reporting bias (116).\nROBINS-I = Bias in selection of the reported result"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao"},{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])."},{"code" : "approval","valueString" : "2022-10-21 vote 7-0 by Philippe Rocca-Serra, Harold Lehmann, Joanne Dehnbostel, Mario Tristan, Brian Alper, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00024","display" : "selective reporting bias","definition" : "A reporting bias due to inappropriate selection of the results or research findings that are reported.","property" : [{"code" : "external-definitions","valueString" : "MASTER-31. There was no discernible data dredging or selective reporting of the outcomes"},{"code" : "comment","valueString" : "A <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao, Janice Tufte"},{"code" : "approval","valueString" : "2023-01-06 vote 5-0 by Harold Lehmann, Yuan Gao, Janice Tufte, Eric Harvey, Mario Tristan"}],"concept" : [{"code" : "SEVCO:00330","display" : "selective outcome reporting","definition" : "A selective reporting bias due to inappropriate selection of which outcomes are reported within results or research findings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "outcome reporting bias"}],"property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-01-13 vote 5-0 by Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00336","display" : "selective outcome measure reporting","definition" : "A selective reporting bias due to inappropriate selection of which outcome measures are reported for an outcome.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective outcome measure reporting within outcome domain"}],"property" : [{"code" : "comment","valueString" : "Selective outcome measure reporting may be considered a type of selective outcome reporting in which the measurement method for determination of the outcome is interpreted as a distinct outcome.\nA selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Paul Whaley"},{"code" : "approval","valueString" : "2023-01-13 vote 5-0 by Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00331","display" : "selective subgroup reporting","definition" : "A selective reporting bias due to inappropriate selection of subsets of groups of participants for which results or research findings are reported.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subgroup reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subgroup analysis reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective subgroup analysis reporting"}],"property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings.\nSelective subgroup reporting relates to choice of attributes of participants within cohorts, for example reporting limited to male patients."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Paul Whaley, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-01-27 vote 7-0 by Janice Tufte, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Yuan Gao, Paul Whaley, Eric Harvey"}]},{"code" : "SEVCO:00331a","display" : "selective comparison reporting","definition" : "A selective reporting bias due to inappropriate selection of comparison groups for which results or research findings are reported.","property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings.\nSelective comparison reporting relates to choice of cohort definitions, for example an intention-to-treat analysis (as-randomized analysis) vs. an as-treated analysis."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Paul Whaley, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2023-01-20 vote 2-1 by Yuan Gao, Paul Whaley, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-01-20 comment: I don't see enough of a connection between the term (selective comparison) and the definition, which does not seem to talk about comparisons."},{"code" : "approval","valueString" : "2023-01-27 vote 6-0 by Janice Tufte, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Yuan Gao, Eric Harvey"}]},{"code" : "SEVCO:00333","display" : "selective analysis reporting from repeated analyses at multiple times","definition" : "A selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed at multiple points in time in a longitudinal study.","property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-01-27 vote 6-0 by Janice Tufte, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Yuan Gao, Eric Harvey"}]},{"code" : "SEVCO:00334","display" : "selective analysis reporting from multiple analytic models","definition" : "A selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed in multiple ways.","property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings.\nAdjustment reporting bias, or selective reporting of adjusted estimates, is a type of selective analysis reporting from multiple analytic models."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-02-10 vote 6-0 by Cauê Monaco, Paul Whaley, Janice Tufte, Brian S. Alper, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00335","display" : "selective threshold reporting bias","definition" : "A selective reporting bias due to inappropriate selection of which thresholds (used for definitions of the variables) are reported.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective cutoff reporting bias"}],"property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2023-02-10 vote 5-1 by Cauê Monaco, Paul Whaley, Janice Tufte, Brian S. Alper, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-02-10 comment: I'm not clear how the definition relates specifically to reporting bias."},{"code" : "approval","valueString" : "2023-02-24 vote 7-0 by Harold Lehmann, Yasser Sami Amer, Mario Tristan, Paul Whaley, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00025","display" : "cognitive interpretive bias in reporting","definition" : "A distortion in the representation of study results or research findings due to the subjective nature of human interpretation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "spin bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cognitive interpretive bias for reporting"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective interpretation reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective representation reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cognitive interpretive reporting bias"}],"property" : [{"code" : "external-definitions","valueString" : "CoB: Spin bias = The intentional or unintentional distorted interpretation of research results, unjustifiably suggesting favourable or unfavourable findings that can result in misleading conclusions (https://catalogofbias.org/biases/spin-bias/)"},{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is about interpretation of the results rather than the choice of which results are presented (which would be Selective Reporting Bias).\nCognitive interpretive biases in reporting include selective theory reporting, confirmation bias, bias of rhetoric, novelty bias, popularity bias, and positive results bias."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Janice Tufte, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2023-02-10 vote 4-1 by Cauê Monaco, Paul Whaley, Jesus Lopez-Alcalde, Janice Tuft, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-02-10 comment: I think the definition is sound but the comment for application should be extended to make it clearer that this is about interpretation of the results rather than the choice of which results are presented."},{"code" : "approval","valueString" : "2023-02-24 vote 7-0 by Harold Lehmann, Yasser Sami Amer, Mario Tristan, Paul Whaley, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00338","display" : "interpretation of results not addressing potential for bias","definition" : "A cognitive interpretive bias in reporting whereby the reported interpretation of results does not adequately address potential for bias.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interpretation of results not addressing risk of bias"}],"property" : [{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is defined as a distortion in the representation of study results or research findings due to the subjective nature of human interpretation.\nInterpretation of results not addressing potential for bias occurs when there is an absence of risk of bias assessment or incomplete inclusion of a risk of bias assessment in the interpretation of findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-03-03 vote 6-0 by A.G. Radhika, Cauê Monac, Janice Tufte, Harold Lehmann, Yasser Sami Amer, Eric Harvey"}]},{"code" : "SEVCO:00328","display" : "results emphasized based on statistical significance","definition" : "A cognitive interpretive bias in reporting whereby results with statistical significance are given exaggerated attention.","property" : [{"code" : "comment","valueString" : "This bias may occur in several ways. Results may be interpreted as \"positive\" or \"conclusive\" if below the significance threshold and \"negative\" or \"inconclusive\" if above the significance threshold without proper interpretation of the meaning of the significance threshold.  Results may be selectively emphasized in overall summarization of the results based on whether or not they are under the significance threshold. Results may be interpreted based on statistical significance instead of clinical significance, or results may misrepresent statistical significance and clinical significance as synonymous."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-04-07 vote 5-0 by Paul Whaley, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2023-04-07 comments:\nI support this term as written, although I would suggest that we consider adding that assessment of statistical significance without assessing clinical significance often  leads to this bias.\nI might suggest adding to Comment for application: \"Another mis-interpretation is when statistical significance confused with clinical significance.\""}]},{"code" : "SEVCO:00340","display" : "confirmation bias in reporting","definition" : "A cognitive interpretive bias in reporting due to the influence of an individual’s ideas, beliefs or hypotheses.","property" : [{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is defined as a distortion in the representation of study results or research findings due to the subjective nature of human interpretation."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-03-10 vote 8-0 by Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesus Lopez-Alcalde, A.G. Rradhika, Janice Tufte, Eric Harvey, Cauê Monaco"}]},{"code" : "SEVCO:00329","display" : "external validity bias","definition" : "A cognitive interpretive bias in reporting due to a mismatch between what the observed data represent and the results that were reported.","property" : [{"code" : "external-definitions","valueString" : "derived from ROBIS https://www.bristol.ac.uk/media-library/sites/social-community-medicine/robis/ROBIS%201.2%20Clean.pdf"},{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is defined as a distortion in the representation of study results or research findings due to the subjective nature of human interpretation.\nIn the assessment of systematic reviews, this type of bias can be phrased as \"Relevance of studies to research question not appropriately considered\"."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-4-14 by Janice Tufte, Eric Harvey, Harold Lehmann, Joanne Dehnbostel, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00327","display" : "early dissemination bias","definition" : "A reporting bias due to publication or reporting of results or research findings that change in subsequent reports.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "preliminary reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "early reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interim reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "early publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interim publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "premature publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "preliminary publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "premature reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "premature dissemination bias"}],"property" : [{"code" : "comment","valueString" : "One form of Early dissemination bias is the reporting of results in preprints or early versions during the peer review and publication process not matching the subsequent reports.\nAnother form of Early dissemination bias is the reporting of interim results (even if fully peer reviewed) when a study is ongoing and more data will be analyzed for the final results.\nThis bias may result from failure to disclose that the results are preliminary or subject to change.\nThis definition is not meant to indicate that preprints are inherently biased."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "2023-04-07 vote 3-1 by Eric Harvey, Harold Lehmann, Paul Whaley, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2023-04-14 comments:\nShould we make clear in Comment for Application that preprints represent *potential* bias, because preprinting does not prima facie mean bias?\nIt seems to me that the bias falls where the results do ot carefully convey that they are preliminary or early AND not to be read as final results -maybe could be word smithed Do you mean someone is reporting without full disclosure\n2023-04-07 comments:\nI would suggest \"One form of potential Premature...\", since prima facie, premature reporting does not *have* to be biased.\nI feel that \"reporting bias\" has the same issue of being semantically loaded as \"publication bias\" - the problem is premature dissemination of results, via reporting them, publishing them, putting them in a press release, etc. So maybe \"premature dissemination bias\" could be considered as the preferred term? And then we could even consider \"early dissemination bias\" as that feels more objective than \"premature\", now that it is phrased this way."},{"code" : "approval","valueString" : "2023-04-14 by Janice Tufte, Eric Harvey, Harold Lehmann, Jesus Lopez-Alcalde, Joanne Dehnbostel"}]},{"code" : "SEVCO:00384","display" : "fabrication bias","definition" : "A reporting bias resulting from intentional misrepresentation of any part of the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "fraud"}],"property" : [{"code" : "comment","valueString" : "Examples include plagiarism, unjustified authorship, data manipulation, and intentional misrepresentation of figures and charts. Applying this code is a serious allegation of wrongdoing."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2023-04-21 vote 5-0 by Brian S. Alper, Janice Tufte, Harold Lehmann, Cauê Monaco, Eric Harvey"}]},{"code" : "SEVCO:00359","display" : "unsubstantiated interpretation of results","definition" : "A reporting bias in which the interpretation of results is not adequately supported by the data collected.","property" : [{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Caue Monaco, Li Wang, Harold Lehmann"},{"code" : "approval","valueString" : "2023-12-22 vote 5-0 Eric Harvey, Caue Monaco, Janice Tufte, Paul Whaley, Joanne Dehnbostel"}]},{"code" : "SEVCO:00271","display" : "one-sided reference bias","definition" : "A reporting bias in which included citations are limited to those that represent only some of the perspectives.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective citation bias"}],"property" : [{"code" : "external-definitions","valueString" : "Catalogue of Bias (https://catalogofbias.org/biases/one-sided-reference-bias/) One-sided reference bias\nWhen authors restrict their references to only those works that support their position.\nOne-sided reference bias occurs when a study author cites only publications that demonstrate one side of the picture of available evidence. This bias may arise when researchers cite publications that support their preconceptions or hypotheses, ignoring evidence that does not support their view. This can happen in any study report, but a particular problem arises when this occurs in literature reviews, which are supposed to represent a comprehensive collection of all relevant information, along with description and appraisal of quality and content. The result can be a misrepresentation of the current totality of evidence and can lead to spurious claims or needless additional research.\nCatalogue of Bias Collaboration, Spencer EA, Brassey J, Heneghan C. One-sided reference bias. In: Catalogue of Bias 2017 https://www.catalogofbias.org/biases/one-sided-reference-bias"},{"code" : "editors","valueString" : "Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins, Sheyu Li, Janice Tufte, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-05-17 comment: \"Perspective\" needs to be clarified in the Comment for application. For instance, \"perspective\" could mean patient vs provider vs society OR in favor of drug A vs in favor of drug B. [In general, considering that there's always discussion about a term, there should be some Comment for application.]\n\n2024-05-24 comment: Can we consider rephrasing the definition to -  A study selection bias in which included studies are limited to those that represent \"only \" one perspective"},{"code" : "negative-vote","valueString" : "2024-05-17 vote 4-1 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Harold Lehmann\n2024-05-24 vote 7-0 by Homa Keshavarz, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte, Saphia Mokrane"},{"code" : "comment","valueString" : "The term \"perspective\" covers a variety of contexts, such as a side of an argument or point of view."},{"code" : "approval","valueString" : "2024-05-31 vote 5-0 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Homa Keshavarz"}]},{"code" : "SEVCO:00325","display" : "inadequate reporting of methods","definition" : "A reporting bias due to insufficient reporting of methods to determine the validity of the results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate reporting to assess analytic strategy"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate methods reporting bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2023-03-17 vote on \"Inadequate Reporting Bias\" 2-1 by Eric Harvey, Jesus Lopez-Alcalde, Janice Tufte\n2023-03-17 comment on \"Inadequate Reporting Bias\": Inadequate reporting of methods is covered by another term. Recommend changing this term to \"inadequate reporting of results\" or deleting this term if terms covering \"reporting results biases\" have already been established."},{"code" : "approval","valueString" : "2023-03-31 vote 5-0 by Harold Lehmann, Eric Harvey, Janice Tufte, Paola Rosati, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00326","display" : "inadequate explanation of participant withdrawals","definition" : "A reporting bias due to insufficient reporting of reasons for withdrawals of participants after study enrollment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate explanation of participant attrition"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "2023-03-31 vote 5-0 by Harold Lehmann, Eric Harvey, Janice Tufte, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2023-03-31 comment: Somewhere in this entry should be a link to the \"withdrawal\" SEVCO term. Or terms."}]}]},{"code" : "SEVCO:00028","display" : "qualitative research bias","definition" : "A bias specific to the design, conduct, analysis or reporting of qualitative research.","property" : [{"code" : "external-definitions","valueString" : "MMAT = “Qualitative research is an approach for exploring and understanding the meaning individuals or groups ascribe to a social or human problem” (Creswell, 2013b, p. 3)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Li Wang"},{"code" : "comment","valueString" : "Qualitative research is a research approach that studies subjective aspects of social phenomenon, human behavior, and human perception. Qualitative research may encompass any non-quantitative method of analysis. Qualitative research often explores the meaning individuals or groups assign to concepts.\n\nBias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand."},{"code" : "negative-vote","valueString" : "2023-12-08 vote 5-1 by Cauê Monaco, Harold Lehmann, Javier Bracchiglione, Janice Tufte, Yasser Sami Amer, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-12-08 comments:  Are the initial letters of each word really meant to be capitalized? Or they are this way by error?\nAs SEVCO states, bias relates to differences between the reported results and the actuality (the truth, the estimand). Qualitative research usually does not adopt a positivist approach, therefore, it does not assume there is necessarily one truth to be found. I think at some point (maybe in comments for application) this should be described.\n\n2023-12-15 comment: Qualitative research covers more than, \"subjective aspects of social phenomenon and human behavior\". For instance, I'm not sure this Comment covers usability or pain perception. How about, \"human perception\"?"},{"code" : "approval","valueString" : "2023-12-22 Vote 5-0 Caue Monaco, Eric Harvey, Janice Tufte, Paul Whaley, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00356","display" : "bias in qualitative research design","definition" : "A qualitative research bias in which the qualitative approach used in a study is not appropriate for the research question and problem.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Li Wang, Caue Monaco"},{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand.\n\nThe qualitative approach used in a study should be appropriate for the research question and problem.\n\nCommon qualitative research approaches include (this list is not exhaustive): \n\nEthnography - The aim of the study is to describe and interpret the shared cultural behavior of a group of individuals.\nPhenomenology - The study focuses on the subjective experiences and interpretations of a phenomenon encountered by individuals.\nNarrative research - The study analyzes life experiences of an individual or a group.\nGrounded theory - Generation of theory from data in the process of conducting research (data collection occurs first).\nCase study - In-depth exploration and/or explanation of issues intrinsic to a particular case. A case can be anything from a decision-making process, to a person, an organization, or a country.\nQualitative description - There is no specific methodology, but a qualitative data collection and analysis, e.g., in-depth interviews or focus groups, and hybrid thematic analysis (inductive and deductive). \n\nReference - Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon M-P, Griffiths F, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552), Canadian Intellectual Property Office, Industry Canada. Accessed at: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf"},{"code" : "expert-comments","valueString" : "2023-12-15 comment: (Ethnography could include grounded theory, so these are not a great pair.)\n\n2024-01-05 comment:\nI think there are some major problems with the definition and comment for application:\n- First, the definition is almost the same as the term, using basically the same words (so, it adds no new knowledge to the reader).\n- Second, the comment for application provides a more detailed approach to a definition than the definition itself (\"The qualitative approach used in a study should be appropriate for the research question and problem\").\n- Third, among the common qualitative research approaches included, there are some in which the term \"bias\" may not be so applicable. Hierarchically, this term comes from \"bias\", which is defined as \"A systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])\". So, we need an assumption of \"actuality\" for bias to exist. \nSome of the qualitative approaches described do not have that assumption. For example, phenomenology focuses on \"subjective experiences\", and grounded theory \"generates a theory\", which is not an \"actuality\" by itself. I think this comment is applicable to all of the terms related to qualitative bias."},{"code" : "negative-vote","valueString" : "2024-01-05 vote 4-1 by Javier Bracchiglione, Joanne Dehnbostel, Janice Tufte, Eric Harvey, Cauê Monaco"},{"code" : "approval","valueString" : "2024-01-19 vote 5-0 by Harold Lehmann, Brian S. Alper, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00357","display" : "bias in qualitative data collection methods","definition" : "A qualitative research bias in which the data sources, the methods of data collection, and the forms of data are not adequate or appropriate to address the research question.","property" : [{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand.\n\nThe data sources (e.g., archives, documents), the methods of data collection (e.g., in depth interviews, group interviews, and/or observations), and the forms of the data (e.g., tape recording, video material, diary, photo, and/or field notes) should be adequate and appropriate to address the research question. The term 'bias in qualitative data collection methods' may be supplemental to other terms for types of detection bias or types of selection bias."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Caue Monaco, Li Wang"},{"code" : "negative-vote","valueString" : "2024-01-05 vote 3-1 by Javier Bracchiglione, Janice Tufte, Eric Harvey, Cauê Monaco"},{"code" : "expert-comments","valueString" : "2024-01-05 comment: see 'bias in qualitative research design'"},{"code" : "approval","valueString" : "2024-01-19 vote 5-0 by Harold Lehmann, Brian S. Alper, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00358","display" : "bias in qualitative analysis","definition" : "A qualitative research bias in which the analysis approach is not appropriate for the research question and qualitative approach.","property" : [{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand.\n\nThe analysis approach should be appropriate for the research question and qualitative approach (design). The term 'bias in qualitative analysis' may be supplemental to other terms for types of analysis bias.\nWhen interpretation is an integral part of qualitative analysis, bias in the interpretive analysis should use the term 'bias in qualitative analysis' rather than 'cognitive interpretive bias in reporting'."},{"code" : "editors","valueString" : "Brian S. Alper, Li Wang, Caue Monaco, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2023-12-15 comments: I suppose a \"guard rail\" would be, \"Were the methods described adequately, that they could be reproduced\", which is different from the bias itself\n\nI am not sure why sometimes terms include the word \"inadequate\" and sometimes \"inappropriate\"\n\n2024-01-05 comment: see 'bias in qualitative research design'"},{"code" : "negative-vote","valueString" : "2024-01-05 vote 3-1 by Javier Bracchiglione, Janice Tufte, Eric Harvey, Cauê Monaco"},{"code" : "approval","valueString" : "2024-01-19 vote 5-0 by Harold Lehmann, Brian S. Alper, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00360","display" : "incoherence among qualitative data, analysis, and interpretation","definition" : "A qualitative research bias in which there is any mismatch among hypothesis, data collected, data analysis, and results interpretation.","property" : [{"code" : "comment","valueString" : "The term mismatch applies to an inappropriate or wrong or inadequate relationship."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Khalid Shahin, Xing Song"},{"code" : "negative-vote","valueString" : "2024-01-19 vote 3-1 by Harold Lehmann, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-01-19 comment: I think the definition should not start with \"There are...\". Maybe it should be more straightforward: \"Mismatch among (...)\"\n2024-02-02 comment: Does the phrase \"in the study report\" add value to the definition or add an unnecessary clause?\n2024-02-16 comment: The definition sounds coherent, but, as it is, I would argue that other previous concepts (e.g. \"study eligibility criteria not appropriate for review question\") could also be interpreted by this term."},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 Homa Keshavarz, Eric Harvey, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan"}]}]},{"code" : "SEVCO:00029","display" : "mixed methods research bias","definition" : "A bias specific to the alignment of design, conduct, analysis or reporting of qualitative research and quantitative research within the same research project.","property" : [{"code" : "external-definitions","valueString" : "MMAT: Mixed methods (MM) research involves combining qualitative (QUAL) and quantitative (QUAN) methods. In this tool, to be considered MM, studies have to meet the following criteria (Creswell and Plano Clark, 2017): (a) at least one QUAL method and one QUAN method are combined; (b) each method is used rigorously in accordance to the generally accepted criteria in the area (or tradition) of research invoked; and (c) the combination of the methods is carried out at the minimum through a MM design (defined a priori, or emerging) and the integration of the QUAL and QUAN phases, results, and data"},{"code" : "comment","valueString" : "Mixed methods research is a research approach that combines both qualitative and quantitative research methods within a single study or research project. This methodology aims to provide a more comprehensive understanding of a research problem by integrating the strengths of both qualitative and quantitative research.\nExamples of mixed methods research include combining surveys with in-depth interviews, using quantitative data to identify patterns and trends followed by qualitative data to explore the underlying reasons and meanings, or incorporating qualitative findings to help interpret and validate quantitative results.\nOverall, mixed methods research provides a more holistic understanding of a research question by acknowledging and leveraging the strengths of both qualitative and quantitative approaches."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey"},{"code" : "negative-vote","valueString" : "2024-01-19 vote 3-1 by Harold Lehmann, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-01-19 comment: I would say a bias is not applied to the \"coordination\" (this sounds more like an administrative issue)"}],"concept" : [{"code" : "SEVCO:00361","display" : "bias in mixed methods research design","definition" : "A mixed methods research bias in which the mixed methods approach used in a study is not appropriate for the research question and problem.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate rationale for mixed methods design"}],"property" : [{"code" : "comment","valueString" : "This signaling question in the Mixed Methods Assessment Tool (MMAT) is 5.1. Is there an adequate rationale for using a mixed methods design to address the research question? \n\nCommon mixed methods designs include:\n\nConvergent design\nThe QUAL and QUAN components are usually (but not necessarily) concomitant. The purpose is to examine the same phenomenon by interpreting QUAL and QUAN results (bringing data analysis together at the interpretation stage), or by integrating QUAL and QUAN datasets (e.g., data on same cases), or by transforming data (e.g., quantization of qualitative data).\n\nSequential explanatory design\nResults of the phase 1 - QUAN component inform the phase 2 - QUAL component. The purpose is to explain QUAN results using QUAL findings. E.g., the QUAN results guide the selection of QUAL data sources and data collection, and the QUAL findings contribute to the interpretation of QUAN results.\n\nSequential exploratory design\nResults of the phase 1 - QUAL component inform the phase 2 - QUAN component. The purpose is to explore, develop and test an instrument (or taxonomy), or a conceptual framework (or theoretical model). E.g., the QUAL findings inform the QUAN data collection, and the QUAN results allow a statistical generalization of the QUAL findings.\n\nKey references: Creswell et al. (2011); Creswell and Plano Clark, (2017); O'Cathain (2010)\n\nReference - Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon M-P, Griffiths F, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552), Canadian Intellectual Property Office, Industry Canada. Accessed at: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Brian S. Alper, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00362","display" : "ineffective integration of qualitative and quantitative study components","definition" : "A mixed methods research bias in which the qualitative research and quantitative research components are not adequately combined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Brian S. Alper, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00363","display" : "inappropriate interpretation of integration of qualitative and quantitative findings","definition" : "A mixed methods research bias in which the process of combining the results of the constituent analyses is flawed.","property" : [{"code" : "comment","valueString" : "This criterion is related to meta-inference, which is defined as the overall interpretations derived from integrating qualitative and\nquantitative findings (Teddlie and Tashakkori, 2009). Meta-inference occurs during the interpretation of the findings from the\nintegration of the qualitative and quantitative components, and shows the added value of conducting a mixed methods study\nrather than having two separate studies. (Pluye et al 2018)"},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Caue Monaco, Muhammad Afzal, Homa Keshavarz, Brian S. Alper, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "Pluye, P., Bengoechea, E.G., Granikov, V., Kaur, N., & Tang, D.L. (2018). A World of Possibilities in Mixed Methods: Review of the Combinations of Strategies Used to Integrate Qualitative and Quantitative Phases, Results and Data. INTERNATIONAL JOURNAL OF MULTIPLE RESEARCH APPROACHES. https://www.semanticscholar.org/paper/A-World-of-Possibilities-in-Mixed-Methods%3A-Review-Pluye-Bengoechea/21f292d0cb5cc07a982b240b17ff077fe4646632\n\nTeddlie, C. and Tashakkori, A. (2009) Foundations of Mixed Methods Research: Integrating Quantitative and Qualitative Approaches in the Social and Behavioral Sciences. Sage, London."},{"code" : "negative-vote","valueString" : "2024-01-19 vote 3-0 by Harold Lehmann, Eric Harvey, Homa Keshavarz BUT then the definition was changed in conference"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Brian S. Alper, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00364","display" : "inadequate handling of inconsistency between qualitative and quantitative findings","definition" : "A mixed methods research bias in which discrepancies in the results from the qualitative and quantitative components are not adequately addressed.","property" : [{"code" : "comment","valueString" : "When integrating the findings from the qualitative and quantitative components, divergences and inconsistencies (also called conflicts, contradictions, discordances, discrepancies, and dissonances) can be found. It is not sufficient to only report the divergences; they need to be explained. Different strategies to address the divergences have been suggested such as reconciliation, initiation, bracketing and exclusion (Pluye et al., 2009b). (Reference - Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon M-P, Griffiths F, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552), Canadian Intellectual Property Office, Industry Canada. Accessed at: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf)"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Xing Song, Lenny Vasanthan, Eric Harvey"}]}]},{"code" : "SEVCO:00030","display" : "bias in validation assessment","definition" : "A bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "validation bias"}],"property" : [{"code" : "external-definitions","valueString" : "PROBAST = ROB, which was defined to occur when shortcomings in study design, conduct, or analysis lead to systematically distorted estimates of model predictive performance. PROBAST enables a focused and transparent approach to assessing the ROB and applicability of studies that develop, validate, or update prediction models for individualized predictions. Prediction models are sometimes described as risk prediction models, predictive models, prediction indices or rules, or risk scores."},{"code" : "comment","valueString" : "Bias in validation assessment is often used for predictive model research and diagnostic research where optimal research design includes derivation studies and external validation studies.\n\nA 'validation study' has a validation goal where validation goal {SEVCO:01098} is defined as a study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nProcedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. External validation is tested in populations that differ from the source used for derivation of the procedure."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-27 vote 5-0 by Brian S. Alper, Eric Harvey, Yasser Sami Amer, Janice Tufte, Harold Lehmann"}],"concept" : [{"code" : "SEVCO:00368","display" : "bias in external validation assessment","definition" : "A bias in validation assessment using a sample source that differs from those used in the derivation of the procedure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate external validation assessment"}],"property" : [{"code" : "comment","valueString" : "Validation assessment is often used for predictive model research and diagnostic research where optimal research design includes derivation studies and external validation studies.\n\nA 'validation study' has a validation goal where validation goal {SEVCO:01098} is defined as a study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nProcedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. External validation is tested in populations that differ from the source used for derivation of the procedure.\n\nBias in validation assessment is defined as a bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nBias in external validation assessment may be used for absence of any external validation assessment or inadequacy in external validation assessment."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-11-26 vote 5-0 by Harold Lehmann, Muhammad Afzal, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00367","display" : "bias in internal validation assessment","definition" : "A bias in validation assessment specific to a validation assessment that uses the same sample source that was used in the derivation of the procedure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate internal validation assessment"}],"property" : [{"code" : "comment","valueString" : "Validation assessment is often used for predictive model research and diagnostic research where optimal research design includes derivation studies and external validation studies.\n\nA 'validation study' has a validation goal where validation goal {SEVCO:01098} is defined as a study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nProcedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. \n\nModel derivation is often based on a portion of data available from a sample source, and internal validation is performed using the same sample data but a different set of data. \n\nWhereas external validation is tested in populations that differ from the source used for derivation of the procedure, internal validation is tested in the same population.\n\nBias in validation assessment is defined as a bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nBias in internal validation assessment may be used for absence of any internal validation assessment or inadequacy in internal validation assessment. A common cause of bias in internal validation assessment is validation using the same data that was used for derivation."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-12-01 vote 5-0 by Xing Song, Javier Bracchiglione, Harold Lehmann, Eric Harvey, Caue Monaco"}]}]},{"code" : "SEVCO:00370","display" : "early study termination bias","definition" : "A bias due to the decision to end the study earlier than planned.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to early study termination"}],"property" : [{"code" : "comment","valueString" : "Child terms (types of Early Study Termination Bias) may be used to report the reasons for bias in the decision to end the study earlier than planned. Bias resulting from the early study termination may be described with other terms in the code system."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Mario Tristan, Khalid Shahin, Harold Lehmann, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-04-01 vote 4-1 by Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Robin Ann Yurk, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-04-01 comment: Term Definition:  Simplify so it reads.\nA bias in the reported results due to early termination of a study resulting in incomplete data collection."},{"code" : "approval","valueString" : "2022-04-08 vote 6-0 by nelle.stocquart, nisha mathew, Mario Tristan, Robin Ann Yurk, Harold Lehmann, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00371","display" : "early study termination bias due to competing interests","definition" : "An early study termination bias due to the decision to end the study being influenced by financial, commercial, legal, political, social, professional, or intellectual  interests.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Mario Tristan, Khalid Shahin"},{"code" : "approval","valueString" : "2022-04-01 vote 6-0 by Brian S. Alper, Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan"}]},{"code" : "SEVCO:00372","display" : "early study termination bias due to unplanned use of interim analysis","definition" : "An early study termination bias due to awareness of study results without following a preplanned protocol for how interim results will influence the decision to terminate the study.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Mario Tristan, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-04-01 vote 5-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan"}]},{"code" : "SEVCO:00373","display" : "early study termination bias due to inappropriate statistical stopping rule","definition" : "An early study termination bias due to use of an inappropriate model or threshold in the analysis used for determination to end the study.","property" : [{"code" : "comment","valueString" : "An example of an inappropriate statistical stopping rule is one that does not account for multiple analyses (i.e. does not use a lower p value threshold) for a conclusion of benefit warranting early termination of the study."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Mario Tristan, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-04-01 vote 6-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan, Robin Ann Yurk"}]},{"code" : "SEVCO:00374","display" : "early study termination bias due to external factors","definition" : "An early study termination bias due to a decision to end the study based on factors other than the results of interim analysis.","property" : [{"code" : "comment","valueString" : "Examples of external factors may include cessation of funding, and safety or efficacy results reported by other studies."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Mario Tristan, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-04-01 vote 6-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan, Robin Ann Yurk"}]}]},{"code" : "SEVCO:00399","display" : "late study termination bias","definition" : "A bias due to the decision to end the study later than planned.","property" : [{"code" : "comment","valueString" : "When the study is allowed to continue longer than a pre-planned stopping point, then there is a risk of bias in that the results from the study may differ from the results that would occur according to the study plan. When the study termination is pre-planned to vary by events or results of interim analyses (e.g., in an adaptive design), this is not a 'late study termination bias'."},{"code" : "external-definitions","valueString" : "This term was added after evaluation of [A comprehensive item bank of internal validity issues of relevance to in vitro toxicology studies](https://www.tandfonline.com/doi/full/10.1080/2833373X.2024.2418045) which included a concept of 'Timing of study termination bias' defined as a bias due to the decision to end the study earlier or later than planned, and modified from the original SEVCO term “[early study termination bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00370),” defined as “a bias due to the decision to end the study earlier than planned”"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein, Joanne Dehnbostel, Homa Keshavarz, Khalid Shahin, Cauê Monaco"},{"code" : "negative-vote","valueString" : "2024-12-06 vote 7-1 by Homa Keshavarz, Sheyu Li, Cauê Monaco, Javier Bracchiglione, Lara Kahaleh, Bhagvan Kommadi, Saphia Mokrane, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-12-06 comment re: \"late study termination bias\" = \"A bias due to the decision to end the study later than planned.\"\n1No)\nThis bias highly relies on the reason of the late termination, which warrants discussion. It is also helpful to differentiate two situations, i.e., post-trial follow up (analysis based on the follow up data after the termination of the trial) and delayed termination based on the adaptive design (it is not a real delay)."},{"code" : "approval","valueString" : "2024-12-13 vote 5-0 by Cauê Monaco, Saphia Mokrane, Bhagvan Kommadi, Paul Whaley, Airton Tetelbom Stein"}]}]},{"code" : "SEVCO:00027","display" : "conflict of interest","definition" : "A risk factor for bias in which persons influencing research design, conduct, analysis or reporting have motivations that could compromise their impartiality.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "conflicted interests"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "conflicts of interest"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "competing interest"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "competing interests"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "duality of interest"}],"property" : [{"code" : "external-definitions","valueString" : "MASTER-28. Conflict of interests were declared and absent"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Javier Bracchiglione, Janice Tufte, Muhammad Afzal, Caue Monaco"},{"code" : "negative-vote","valueString" : "2023-11-10 vote 4-1 by Brian S. Alper, Harold Lehmann, Janice Tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2023-11-10 comment: I do not think the term should be limited to goals and motivations this seems judgmental and manipulative. COI can be based on intellectual property and or current research work along the same subject where a researcher or partner is too involved with a project or paper on the same subject"},{"code" : "comment","valueString" : "Motivations may be explicit or implicit. Motivations may be unconscious or unrecognized. Conflict of interest is sometimes phrased \"potential conflict of interest\" or \"perceived conflict of interest\"."},{"code" : "approval","valueString" : "2023-12-01 vote 6-0 by Cauê Monaco, Xing Song, Javier Bracchiglione, Harold Lehmann, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00355","display" : "financial conflict of interest","definition" : "A risk factor for bias in which persons influencing research design, conduct, analysis or reporting have financial motivations that could compromise their impartiality.","property" : [{"code" : "comment","valueString" : "Motivations may be explicit or implicit. Motivations may be unconscious or unrecognized. The financial motivations may be direct (e.g. salary or consulting fees) or indirect (e.g. stock interests or spousal financial interests). Conflict of interest is sometimes phrased \"potential conflict of interest\" or \"perceived conflict of interest\"."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Javier Bracchiglione, Janice Tufte, Muhammad Afzal, Caue Monaco"},{"code" : "approval","valueString" : "2023-12-01 vote 6-0 by Cauê Monaco, Xing Song, Javier Bracchiglione, Harold Lehmann, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-12-01 comment: I agree with the definition of the term, but I think it will be better to further explicit what \"financial\" means in the comments for application (e.g. salary, stocks, paid assistance to congress)"}]},{"code" : "SEVCO:00252","display" : "nonfinancial conflict of interest","definition" : "A risk factor for bias in which persons influencing research design, conduct, analysis or reporting have non-financial motivations that could compromise their impartiality.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-financial conflict of interest"}],"property" : [{"code" : "comment","valueString" : "Motivations may be explicit or implicit. Motivations may be unconscious or unrecognized. The non-financial motivations may be related to social, political, professional, ideological, or other factors. Conflict of interest is sometimes phrased \"potential conflict of interest\" or \"perceived conflict of interest\"."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Javier Bracchiglione, Janice Tufte, Muhammad Afzal, Caue Monaco"},{"code" : "approval","valueString" : "2023-12-01 vote 6-0 by Cauê Monaco, Xing Song, Javier Bracchiglione, Harold Lehmann, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-12-01 comment: I agree with the definition of the term, but I think it will be better to further explicit what \"non-financial\" means in the comments for application (e.g. intellectual)"}]}]},{"code" : "SEVCO:00007","display" : "rating of bias risk","definition" : "The result of a qualitative assessment of the likelihood and potential impact of systematic distortion in research results.","property" : [{"code" : "comment","valueString" : "[Bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00001) is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]).\n\nAll terms defined here are qualitative classifications of the risk of bias. Although a risk of bias can conceptually be quantified, there is no common agreed method on how to quantify a risk of bias."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Carlos Alva-Diaz, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"},{"code" : "negative-vote","valueString" : "2024-08-30 vote 7-0 by Saphia Mokrane, Sheyu Li, Lenny Vasanthan, Eric Harvey, Janice Tufte, Homa Keshavarz, Airton Tetelbom Stein BUT THEN DEFINITION CHANGED to add \"The result of \" based on feedback on child terms."}],"concept" : [{"code" : "SEVCO:00186","display" : "low risk of bias","definition" : "The result of a qualitative assessment that there is a low likelihood and potential impact of systematic distortion in research results.","property" : [{"code" : "comment","valueString" : "A 'low risk of bias' rating denotes a judgment that there are no serious concerns for bias. The 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "external-definitions","valueString" : "In the Cochrane Handbook (https://training.cochrane.org/handbook/current/chapter-08#section-8-7):\nOnce the signalling questions are answered, the next step is to reach a risk-of-bias judgement, and assign one of three levels to each domain:\n\nLow risk of bias;\nSome concerns; or\nHigh risk of bias."},{"code" : "negative-vote","valueString" : "2024-09-06 vote 5-1 by Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comment re: \"low risk of bias\" = \"A qualitative assessment that there is a low likelihood and potential impact of systematic distortion in research results.\"\n1N)\nA qualitative judgement that the the systematic distortion is unlikely to impact the clinical interpretation or conclusion of the study findings. \n\nThe rating of low, moderate, and high are subjective judgement or the result of an assessment based on a particular context. It is thus not a asessment per se. As a clinician, I would prefer to the term ending up with a clinical interpretation or decision. But other conclusion can be possible even for clinical research."},{"code" : "approval","valueString" : "2024-09-20 vote 8-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00187","display" : "moderate risk of bias","definition" : "The result of a qualitative assessment that there is some likelihood and potential impact of systematic distortion in research results, and this likelihood and potential impact is between low and high.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "some concerns for risk of bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "medium risk of bias"}],"property" : [{"code" : "external-definitions","valueString" : "In the Cochrane Handbook (https://training.cochrane.org/handbook/current/chapter-08#section-8-7):\nOnce the signalling questions are answered, the next step is to reach a risk-of-bias judgement, and assign one of three levels to each domain:\n\nLow risk of bias;\nSome concerns; or\nHigh risk of bias."},{"code" : "comment","valueString" : "The 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings.\n\nThe term 'unclear risk of bias' is not explicitly defined because it could be used to represent 'moderate risk of bias' or [undetermined risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00192)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann, Carlos Alva-Diaz"},{"code" : "negative-vote","valueString" : "2024-09-06 vote 5-2 by Airton Tetelbom Stein, Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comments re: \"moderate risk of bias\" = \"A qualitative assessment that there is some likelihood and potential impact of systematic distortion in research results, but this likelihood and potential impact is neither low nor high.\"\n1N)\nI think that the term' undetermined risk of bias' is opposed to any other positive assertions of concern (low, moderate or high risk of bias). \n2N)\nSame with above. But it is a bit confusing for stating as 'neither low nor high', which leads people have to refer to the definition of low to high."},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan"}]},{"code" : "SEVCO:00188","display" : "high risk of bias","definition" : "The result of a qualitative assessment that there is a high likelihood and potential impact of systematic distortion in research results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "serious risk of bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "comment","valueString" : "A 'high risk of bias' rating denotes a judgment that there are serious concerns for bias. The 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings."},{"code" : "external-definitions","valueString" : "In the Cochrane Handbook (https://training.cochrane.org/handbook/current/chapter-08#section-8-7):\nOnce the signalling questions are answered, the next step is to reach a risk-of-bias judgement, and assign one of three levels to each domain:\n\nLow risk of bias;\nSome concerns; or\nHigh risk of bias."},{"code" : "negative-vote","valueString" : "2024-09-06 vote 6-1 by Airton Tetelbom Stein, Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comment re: \"high risk of bias\" = \"A qualitative assessment that there is a high likelihood and potential impact of systematic distortion in research results.\"\n1N)\nA qualitative judgement that the the systematic distortion is unlikely to impact the clinical interpretation or conclusion of the study findings. \n\nThe rating of low, moderate, and high are subjective judgement or the result of an assessment based on a particular context. It is thus not a asessment per se. As a clinician, I would prefer to the term ending up with a clinical interpretation or decision. But other conclusion can be possible even for clinical research."},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan"}]},{"code" : "SEVCO:00190","display" : "critical risk of bias","definition" : "The result of a qualitative assessment that there is such a high likelihood and potential impact of systematic distortion in research results that the findings are not valid.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "extreme risk of bias"}],"property" : [{"code" : "comment","valueString" : "The colloquial term 'fatal flaw' is sometimes used to report a critical risk of bias, signifying no further use of the study being assessed."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Airton Stein, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-09-20 vote 7-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00192","display" : "undetermined risk of bias","definition" : "There is insufficient information to make a qualitative assessment regarding the likelihood and potential impact of systematic distortion in research results.","property" : [{"code" : "comment","valueString" : "Unlike the terms [low risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00186), [moderate risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00187), and [high risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00188), the term 'undetermined risk of bias' does not express a positive assertion of concern. \n\nThe term 'unclear risk of bias' is not explicitly defined because it could be used to represent 'undetermined risk of bias' or [moderate risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00187). Some guidance has suggested to use 'unclear risk of bias' to mean 'undetermined risk of bias' but others have interpreted it to mean [moderate risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00187).\n\nThe 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann, Carlos Alva-Diaz"},{"code" : "negative-vote","valueString" : "2024-09-06 vote 5-2 by Airton Tetelbom Stein, Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comments re: \"undetermined risk of bias\" = \"A qualitative assessment that there is insufficient information to make a qualitative assessment regarding the likelihood and potential impact of systematic distortion in research results.\"\n1N)\nThe term' undetermined risk of bias' is opposed to any other positive assertions of concern (low, moderate or high risk of bias). \n\nI think that a better explication is\n\n\"As opposed to the term low, moderate or high risk of bias, the term 'undetermined risk of bias' does not express a positive assertion of concern.\"\n\n2N)\nSame with above. \n3Y)\nis this a cop out though possibly?\n4Y)\nI would suggest \"unclear risk of bias\" as an alternative term.\n\n\n2024-09-20 comment re: \"undetermined risk of bias\" = \"There is insufficient information to make a qualitative assessment regarding the likelihood and potential impact of systematic distortion in research results.\"\nYes\nAs I understand, at least the Cochrane RoB1 tool guidance specified that \"unclear risk of bias\" referred to undetermined and not moderate. Its use, however, was often seen as moderate risk of bias, but this was not the guidance. I don't know if you are thinking of other tools that also specify \"unclear risk of bias\" as a category."},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan"}]}]},{"code" : "SEVCO:00193","display" : "rating of factor presence","definition" : "The result of a qualitative assessment of the likelihood of a situation or event.","property" : [{"code" : "comment","valueString" : "For approaches to assessment of the risk of bias (which includes bias presence and potential impact) in which multiple factors are separately considered, the 'rating of factor presence' may be applied to each of the factors considered."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Carlos Alva-Diaz, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-09-27 comment re: \"rating of presence of cause of bias\" = \"The result of a qualitative assessment of the likelihood of a situation leading to systematic distortion in research results.\"\n1Yes)\nPossible alternatives: \"rating of presence of biasing factor\" \"judgment regarding presence of factor introducing possible bias\" \"presence or absence of possible biasing factor\"\n\n2 No) Rating of presence of cause of bias just doesn't read well. Rating of factor presence was better, rating of bias presence would work. Likelihood of bias presence would also work."},{"code" : "negative-vote","valueString" : "2024-09-27 vote 5-1 by Joanne Dehnbostel, Brian S. Alper, Carlos Alva-Diaz, Homa Keshavarz, Arnav Agarwal, Airton Tetelbom Stein"}],"concept" : [{"code" : "SEVCO:00194","display" : "factor present","definition" : "The result of a qualitative assessment that a situation exists or an event has occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00195","display" : "factor likely present","definition" : "The result of a qualitative assessment that a situation probably exists or an event has probably occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey\nYes"}]},{"code" : "SEVCO:00196","display" : "factor likely absent","definition" : "The result of a qualitative assessment that a situation probably does not exist or an event has probably not occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00197","display" : "factor absent","definition" : "The result of a qualitative assessment that a situation does not exist or an event has not occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00199","display" : "undetermined factor presence or absence","definition" : "There is insufficient information to make a qualitative assessment regarding whether a situation exists or an event has occurred.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "factor presence or absence undetermined"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2024-10-11 vote 7-2 by Javier Bracchiglione, Saphia Mokrane, Harold Lehmann, Arnav Agarwal, Lenny Vasanthan, Joanne Dehnbostel, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-10-11 comments re: \"factor presence or absence unclear\" = \"There is insufficient information to make a qualitative assessment regarding whether a situation exists or an event has occurred.\"\n1No)\nTo be consistent with the previous terms under \"rating of factor presence\", I would suggest rephrasing the term, as for example : \"factor unclearly present of absent\" \nSuggestion for the definition : \"The result of a qualitative assessment of the presence or the absence of a situation or an event due to insufficient information to make the assessment.\" \n2No)\n\"Situation\" is especially vague; \"event\" mildly suggestive. Sounds like we need a Comment for application---either here or in the parent term---that puts these terms into perspective. E.g., \"Assessment of presence of a factor depends on the definition of the factor. Assessing such presence depends on whether a situation"},{"code" : "comment","valueString" : "The presence or absence of a factor may be undetermined because a qualitative assessment was attempted and concluded that there was insufficient information to rate the factor presence, or because a qualitative assessment was not done."},{"code" : "approval","valueString" : "2024-10-18 vote 5-0 by Saphia Mokrane, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan, Eric Harvey"}]}]},{"code" : "SEVCO:00200","display" : "rating of bias direction","definition" : "The result of a qualitative assessment of the direction of influence on research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The meaning of direction of influence on research results changes with the type of estimation. For an estimation of comparative effect, the direction may be favoring a side being compared or towards no effect. For an estimation of prevalence, the direction may be overestimation or underestimation.\nBias is defined as a systematic distortion of research results."},{"code" : "approval","valueString" : "2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"},{"code" : "external-definitions","valueString" : "https://training.cochrane.org/handbook/current/chapter-08\n\nRoB 2 includes optional judgements of the direction of the bias for each domain and overall. For some domains, the bias is most easily thought of as being towards or away from the null. For example, high levels of switching of participants from their assigned intervention to the other intervention may have the effect of reducing the observed difference between the groups, leading to the estimated effect of adhering to intervention (see Section 8.2.2) being biased towards the null. For other domains, the bias is likely to favour one of the interventions being compared, implying an increase or decrease in the effect estimate depending on which intervention is favoured. Examples include manipulation of the randomization process, awareness of interventions received influencing the outcome assessment and selective reporting of results. If review authors do not have a clear rationale for judging the likely direction of the bias, they should not guess it and can leave this response blank.\n\nCite this chapter as: Higgins JPT, Savović J, Page MJ, Elbers RG, Sterne JAC. Chapter 8: Assessing risk of bias in a randomized trial [last updated October 2019]. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.5. Cochrane, 2024. Available from www.training.cochrane.org/handbook.\n\nhttps://onlinelibrary-wiley-com.ezproxy3.library.arizona.edu/doi/10.1111/acem.12255"}],"concept" : [{"code" : "SEVCO:00201","display" : "risk of bias favoring experimental exposure","definition" : "The result of a qualitative assessment that a bias, if present, would influence the effect estimate in a direction that suggests greater benefit or less harm from the experimental exposure compared to the comparator exposure.","property" : [{"code" : "comment","valueString" : "The experimental exposure is the exposure of interest, whether the study is interventional or observational, the exposure of interest is an intervention or an exposure, or the outcome of interest is desirable or undesirable. The desirability of the outcome of interest determines whether an increase or decrease in the value of the effect estimate is considered beneficial or harmful."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein"},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00202","display" : "risk of bias favoring comparator exposure","definition" : "The result of a qualitative assessment that a bias, if present, would influence the effect estimate in a direction that suggests greater benefit or less harm from the comparator exposure compared to the experimental exposure.","property" : [{"code" : "comment","valueString" : "The experimental exposure is the exposure of interest, whether the study is interventional or observational, the exposure of interest is an intervention or an exposure, or the outcome of interest is desirable or undesirable. The desirability of the outcome of interest determines whether an increase or decrease in the value of the effect estimate is considered beneficial or harmful."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein"},{"code" : "approval","valueString" : "2024-11-22 vote 5-0 by Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00203","display" : "risk of bias towards the null hypothesis","definition" : "The result of a qualitative assessment that a bias, if present, would increase the likelihood of failing to reject the null hypothesis.","property" : [{"code" : "external-definitions","valueString" : "\"there are many exceptions to the heuristic for which bias towards the null cannot be assumed.\" Yland JJ, Wesselink AK, Lash TL, Fox MP. Misconceptions About the Direction of Bias From Nondifferential Misclassification. Am J Epidemiol. 2022 Jul 23;191(8):1485-1495. doi: 10.1093/aje/kwac035. Erratum in: Am J Epidemiol. 2022 Nov 19;191(12):2123. doi: 10.1093/aje/kwac129. PMID: 35231925; PMCID: PMC9989338. https://pmc.ncbi.nlm.nih.gov/articles/PMC9989338/"},{"code" : "comment","valueString" : "A risk of bias towards the null hypothesis increases the likelihood of a type 2 error (mistaken failure to reject the null hypothesis when the null hypothesis is false)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00204","display" : "risk of bias away from the null hypothesis","definition" : "The result of a qualitative assessment that a bias, if present, would increase the likelihood of rejecting the null hypothesis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "risk of bias against the null hypothesis"}],"property" : [{"code" : "comment","valueString" : "A risk of bias away from the null hypothesis increases the likelihood of a type 1 error (mistaken rejection of the null hypothesis when the null hypothesis is true)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00205","display" : "risk of bias direction unpredictable","definition" : "The result of a qualitative assessment that a bias, if present, cannot be classified as to whether the bias would lead to an increase or a decrease in the estimate.","property" : [{"code" : "editors","valueString" : "Brian S. Alper"},{"code" : "approval","valueString" : "2024-11-22 vote 5-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Lara Kahaleh, Airton Tetelbom Stein"}]}]},{"code" : "SEVCO:00206","display" : "rating of potential influence on research results","definition" : "The result of a qualitative assessment of, if a cause of bias were present, the potential impact on the research results.","property" : [{"code" : "comment","valueString" : "For approaches to assessment of the risk of bias (which includes bias presence and potential impact) in which multiple factors are separately considered, the 'rating of potential influence' may be applied to each of the factors considered."},{"code" : "editors","valueString" : "Brian S. Alper, Airton Stein, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-10-25 vote 7-0 by Saphia Mokrane, Harold Lehmann, Lenny Vasanthan, Bhagvan Kommadi, Homa Keshavarz, Eric Harvey, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-10-18 comment re: \"rating of potential influence\" = \"The result of a qualitative assessment of, if a cause of bias were present, the potential impact on the research results.\"\n1Yes)\nthe 'rating of potential influence'' => the 'rating of potential influence'"},{"code" : "negative-vote","valueString" : "2024-10-18 vote 5-0 by Saphia Mokrane, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan, Eric Harvey BUT THEN THE TERM CHANGED"}],"concept" : [{"code" : "SEVCO:00207","display" : "high potential to influence research results","definition" : "High certainty that a cause of bias, if present, has an impact on the research results.","property" : [{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'high potential to influence research results' matches an answer of Yes (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-11-01 vote 5-0 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein BUT THEN COMMENT ADDED"},{"code" : "expert-comments","valueString" : "2024-11-01 comment:\n1Yes)\nConsider a Comment for application that says something like, \"There is no agreed-upon quantitative scale on which to base this qualitative assessment.\""},{"code" : "approval","valueString" : "2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00208","display" : "some potential to influence research results","definition" : "Low to moderate certainty that a cause of bias, if present, has an impact on the research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-11-01 comment:\n1Yes)\nConsider a Comment for application that says something like, \"There is no agreed-upon quantitative scale on which to base this qualitative assessment.\"\n\n\n2024-11-08 comment re: \"some potential to influence research results\" = \"Low to moderate certainty that a cause of bias, if present, has an impact on the research results.\"\n1Yes)\ninstead of some, it can be worded as significant potential\n\n\n2024-11-15  comment re: \"significant potential to influence research results\" = \"Low to moderate certainty that a cause of bias, if present, has an impact on the research results.\"\n1No)\nSignificant can be interpreted as substantial or important -- that does not match the described use of 'Likely Yes' as distinct from 'Yes' in response to whether there is a potential to impact research results."},{"code" : "negative-vote","valueString" : "2024-11-01 vote 5-0 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein BUT THEN COMMENT ADDED \n2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey BUT THEN TERM CHANGED DUE TO COMMENT\n2024-11-15 vote 6-1 by Brian S. Alper, Cauê Monaco, Airton Tetelbom Stein, Homa Keshavarz, Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Eric Harvey"},{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'some potential to influence research results' matches an answer of Likely Yes (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Airton Tetelbom Stein, Lara Kahaleh"}]},{"code" : "SEVCO:00209","display" : "limited potential to influence research results","definition" : "Low to moderate certainty that a cause of bias, if present, does NOT have an impact on the research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'limited potential to influence research results' matches an answer of Likely No (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "negative-vote","valueString" : "2024-11-01 vote 4-1 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2014-11-01 comment re: \"Low to moderate certainty that a cause of bias, if present, has little to no impact on the research results.\":\n1No)\nDefinition is too similar to 'some potential'"},{"code" : "approval","valueString" : "2024-11-08 vote 5-0 by 2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00210","display" : "no potential to influence research results","definition" : "High certainty that a cause of bias, if present, has NO impact on the research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'no potential to influence research results' matches an answer of No (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "expert-comments","valueString" : "2024-11-01 comment re:  \"no potential to influence research results\" = \"High certainty that a cause of bias, if present, has no impact on the research results.\"\n1No)\nWeird that both \"High potential\" and \"No potential\" start with \"High certainty...\" The negation in the definition here is too buried"},{"code" : "negative-vote","valueString" : "2024-11-01 vote 4-1 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "approval","valueString" : "2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"}]}]},{"code" : "STATO:0000039","display" : "statistic","definition" : "An information content entity that is a formalization of relationships between variables and value specification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistic type"}],"property" : [{"code" : "comment","valueString" : "The 'statistic' does not include the numerical value for which the statistic is used--that would be the statistic value, and the 'statistic' does not include the model characteristics."},{"code" : "editors","valueString" : "Brian S. Alper, Philippe Rocca-Serra, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "revision 6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca; original approval 6/6 as of 9/27/2021: Harold Lehmann, Bhagvan Kommadi, Louis Leff, Janice Tufte, Joanne Dehnbostel, Mario Tristan"}],"concept" : [{"code" : "STATO:0000668","display" : "absolute value","definition" : "A statistic that represents the distance of a value from zero.","property" : [{"code" : "comment","valueString" : "The | symbol is used around the value to denote the absolute value, e.g. |x|, such that if x = -3, then |x| = 3."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2024-04-15 vote 5-0 by Harold Lehmann, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan"}]},{"code" : "STATO:0000047","display" : "count","definition" : "A statistic that represents the number of instances or occurrences of something.","property" : [{"code" : "comment","valueString" : "A count can only be denoted by non-negative integer values."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "6/6 as of 9/27/2021: Harold Lehmann, Bhagvan Kommadi, Louis Leff, Janice Tufte, Joanne Dehnbostel, Mario Tristan"}]},{"code" : "STATO:0000669","display" : "sum","definition" : "A statistic that represents the result of adding all the values in a collection of values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "total"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000151","display" : "maximum observed value","definition" : "A statistic that represents the largest non-null value in a collection of values that can be ordered by magnitude.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000150","display" : "minimum observed value","definition" : "A statistic that represents the smallest non-null value in a collection of values that can be ordered by magnitude.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000666","display" : "maximum possible value","definition" : "A statistic that represents the largest value that could occur.","property" : [{"code" : "comment","valueString" : "This term may be used to denote the upper limit of a scale or score."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000667","display" : "minimum possible value","definition" : "A statistic that represents the smallest value that could occur.","property" : [{"code" : "comment","valueString" : "This term may be used to denote the lower limit of a scale or score."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000029","display" : "measure of central tendency","definition" : "A statistic that represents a central value for a set of data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "central tendency measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "centrality measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte,  Kenneth Wilkins, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"}],"concept" : [{"code" : "STATO:0000573","display" : "mean","definition" : "A measure of central tendency calculated as the sum of a set of values divided by the number of values in the set.","designation" : [{"language" : "fi","use" : {"system" : "http://snomed.info/sct","code" : "900000000000003001","display" : "Fully specified name"},"value" : "keskiarvo"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "arithmetic mean"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical mean"}],"property" : [{"code" : "comment","valueString" : "A=sum[Ai] / n where i ranges from 1 to n and Ai represents the value of individual observations."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte,  Kenneth Wilkins, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}],"concept" : [{"code" : "STATO:0000664","display" : "mean of differences","definition" : "A mean of values in which each value is the subtraction of one quantity from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean of paired differences"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average of differences"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean difference"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average difference"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Janice Tufte, Muhammad Afzal, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2021-12-01 vote 6-1 by Louis Leff, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte, C P Ooi"},{"code" : "expert-comments","valueString" : "2021-12-01 comment: 'Difference in means' may be more appropriate. 'Mean value from one population subtract the mean value of another population' may be clearer reflecting the definition"},{"code" : "comment","valueString" : "The primary use of this term is in analyzing within-individual differences."},{"code" : "approval","valueString" : "2021-12-15 vote 5-0 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, Paola Rosati, Brian S. Alper"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"},{"code" : "external-definitions","valueString" : "http://purl.obolibrary.org/obo/STATO_0000664"}]},{"code" : "STATO:0000658","display" : "mean time-to-event","definition" : "A mean of values in which each value is the duration of time between the start of observation and the occurrence of an event.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean TTE"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao"},{"code" : "approval","valueString" : "2022-10-19 vote 5-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey"}]}]},{"code" : "STATO:0000396","display" : "geometric mean","definition" : "A measure of central tendency calculated as the nth root of the product of all of the observations in a data set (n being the number of all observations).","property" : [{"code" : "comment","valueString" : "For n observations with values x1, x2, … xn, the product of all the values P = x1 * x2 … xn [also expressed as P = (x1)(x2)...(xn)].  The nth root of the product = (P)^(1/n)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte,  Kenneth Wilkins, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}]},{"code" : "STATO:0000574","display" : "median","definition" : "A measure of central tendency equal to the middle value (or mean of the two middle values) of a set of ordered data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "center value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical median"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "middle value"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "comment","valueString" : "The median value is equal to the middle value of a set of ordered data with an odd number of values. The median value is calculated as the mean of the two middle values of a set of ordered data with an even number of values. The median is sometimes called the second quartile or fiftieth percentile."},{"code" : "negative-vote","valueString" : "6-1 on 2021-11-01 by Louis Leff, Vignesh Subbian, Pentti Nieminen, Bhagvan Kommadi, Janice Tufte, Sorana D. Bolboaca, Robin Ann Yurk\n2021-12-01 vote 5-1 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-11-01 comment: the definition is appropriate. Suggest use Alternative terms: center value, statistical median or middle value. I don't recommend using fiftieth percentile or second quartile\n2021-12-01 comment: I would change definition to: A measure of central tendency equal to the middle value of a set of ordered data with an odd number of values. It could be calculated also as  the mean of the two middle values of a set of ordered data with an even number of values. ((Perhaps simpler as: A measure of central tendency equal to the middle value of a set of ordered data. In a set of ordered data with an even number of values, the middle value is calculated as the mean of the two middle values.))"},{"code" : "approval","valueString" : "2021-12-15 vote 6-0 by Robin Ann Yurk, Muhammad Afzal, Harold Lehmann, Janice Tufte, Paola Rosati, Khalid Shahin"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}],"concept" : [{"code" : "STATO:0000659","display" : "median time-to-event","definition" : "A median of values in which each value is the duration of time between the start of observation and the occurrence of an event.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "median TTE"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao"},{"code" : "approval","valueString" : "2022-10-19 vote 5-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey"}]}]},{"code" : "STATO:0000033","display" : "mode","definition" : "A measure of central tendency that is the most frequently occurring value in a data set. If no value is repeated, there is no mode. If more than one value occurs with the same greatest frequency, each of these values is a mode.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical mode"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "most common value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "most frequent value"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "7/7 on 2021-11-01 by Louis Leff, Vignesh Subbian, Pentti Nieminen, Bhagvan Kommadi, Janice Tufte, Sorana D. Bolboaca, Robin Ann Yurk"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}]},{"code" : "STATO:0000397","display" : "harmonic mean","definition" : "A measure of central tendency calculated by dividing the total number of observations by the sum of the reciprocals of each observed value.","property" : [{"code" : "external-definitions","valueString" : "STATO:\nThe harmonic mean is a kind of mean which is calculated by dividing the total number of observations by the reciprocal of each number in a series. Harmonic Mean = N/(1/a1+1/a2+1/a3+1/a4+.......+1/aN) where a(i)= Individual score and N = Sample size (Number of scores)"},{"code" : "comment","valueString" : "Harmonic Mean = N/(1/a1+1/a2+1/a3+1/a4+...+1/aN) where a(i)= Individual observed value and N = Sample size (Number of observations)"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-10-19 vote 6-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey, Yuan Gao"}]}]},{"code" : "STATO:0000291","display" : "quantile","definition" : "A statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.","property" : [{"code" : "external-definitions","valueString" : "STATO-a quantile is a data item which corresponds to specific elements x in the range of a variate X. the k-th n-tile P_k is that value of x, say x_k, which corresponds to a cumulative frequency of Nk/n (Kenney and Keeping 1962). If n=4, the quantity is called a quartile, and if n=100, it is called a percentile."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "comment","valueString" : "Quantile is a type of statistic but not used without specification of the portion it represents. Typically, the specification of the portion it represents includes both the number of equal portions (e.g., percentile for 100 equal portions, or quartile for 4 equal portions) and selection of one of these portions (e.g., 25th percentile or first quartile).\n\nFor common uses in communicating statistic values, more specific types of quantiles (such as percentile, decile, or quartile) would be used instead of the term *quantile*."},{"code" : "negative-vote","valueString" : "2024-04-15 vote 2-1 by Lenny Vasanthan, Harold Lehmann, Eric Harvey\n2024-04-22 vote 5-1 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-04-15 comment: \nCan we add information about quartiles also here. \neg. Quartile is a type of quantile that divides the distribution into four equal halves (Q1, Q2, Q3, Q4)\n\n2024-04-22 comment:\nIt is confusing in the comments whether the quantile refers to 25% percentile, 50% percentile and 75% percentile. What is the difference between quantile and percentile?"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}],"concept" : [{"code" : "STATO:0000293","display" : "percentile","definition" : "A quantile in which the specific portion of the number of data points is expressed as a percentage.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "centile"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "%ile"}],"property" : [{"code" : "external-definitions","valueString" : "STATO-a percentile is a quantile which splits data into sections accrued of 1% of data, so the first percentile delineates 1% of the data, the second quartile delineates 2% of the data and the 99th percentile, 99 % of the data"},{"code" : "comment","valueString" : "Quantile is defined as a statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.\n\nPercentile is a type of statistic but not used to define a statistic value without specification of the portion it represents. For example, one may report a fortieth percentile (40%ile) but one does not report a percentile without specification of which percentile. 40% of the data is at or below the 40%ile.\n\nMost statistic values can be reported in FHIR Evidence Resources with a statisticType element including the SEVCO term as a CodeableConcept. To report a specific percentile (such as the fortieth percentile), one may use the attributeEstimate element containing a type element with the SEVCO term for percentile as a CodeableConcept and a level element with the corresponding value (such as 40)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2024-04-22 comment:\nIt is unclear if it is OK to say 50% percentile, or it is recommended to say 50% percentile."},{"code" : "negative-vote","valueString" : "2024-04-22 vote 5-1 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]},{"code" : "STATO:0000292","display" : "decile","definition" : "A quantile in which the specific portion of the number of data points is expressed as a number of tenths.","property" : [{"code" : "external-definitions","valueString" : "STATO-a decile is a quantile where n=10 and which splits data into sections accrued of 10% of data, so the first decile delineates 10% of the data, the second decile delineates 20% of the data and the nineth decile, 90 % of the data"},{"code" : "comment","valueString" : "Quantile is defined as a statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.\n\nDecile is a type of statistic but not used to define a statistic value without specification of the portion it represents. For example, one may report a fourth decile but one does not report a decile without specification of which decile. 40% of the data is at or below the fourth decile.\n\nMost statistic values can be reported in FHIR Evidence Resources with a statisticType element including the SEVCO term as a CodeableConcept. To report a specific decile (such as the fourth decile), one may use the attributeEstimate element containing a type element with the SEVCO term for decile as a CodeableConcept and a level element with the corresponding value (such as 4)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-22 vote 6-0 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin\n2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]},{"code" : "STATO:0000152","display" : "quartile","definition" : "A quantile in which the specific portion of the number of data points is expressed as a number of fourths.","property" : [{"code" : "external-definitions","valueString" : "STATO-a quartile is a quantile which splits data into sections accrued of 25% of data, so the first quartile delineates 25% of the data, the second quartile delineates 50% of the data and the third quartile, 75% of the data"},{"code" : "comment","valueString" : "Quantile is defined as a statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.\n\nQuartile is a type of statistic but not used to define a statistic value without specification of the portion it represents. For example, one may report a third quartile but one does not report a quartile without specification of which quartile. 75% of the data is at or below the third quartile. The second quartile is also called the median.\n\nTo report the first quartile, use the SEVCO term for <a href=\"https://fevir.net/resources/CodeSystem/27270#TBD:first-quartile\" target=\"_blank\">first quartile</a>. To report the second quartile, use the SEVCO term for <a href=\"https://fevir.net/resources/CodeSystem/27270#STATO:0000574\" target=\"_blank\">median</a>. To report the third quartile, use the SEVCO term for <a href=\"https://fevir.net/resources/CodeSystem/27270#TBD:third-quartile\" target=\"_blank\">third quartile</a>. To report the fourth quartile, use the SEVCO term for maximum observed value."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-22 vote 6-0 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin\n2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}],"concept" : [{"code" : "STATO:0000167","display" : "first quartile","definition" : "A quantile for which the number of data points at or below it constitutes a 25% of the total number of data points.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]},{"code" : "STATO:0000170","display" : "third quartile","definition" : "A quantile for which the number of data points at or below it constitutes a 75% of the total number of data points.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]}]}]},{"code" : "STATO:0000613","display" : "difference","definition" : "A statistic that is a subtraction of one quantity from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "delta"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Muhammad Afzal, Khalid Shahin, Philippe Rocca-Serra, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2021-12-01 vote 5-0 by Philippe Rocca-Serra, Paola Rosati, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"}],"concept" : [{"code" : "STATO:0000614","display" : "absolute difference","definition" : "A statistic that is a subtraction of one quantity from another, with no modification of the resulting value.","property" : [{"code" : "comment","valueString" : "As a type of statistic, \"Absolute Difference\" is the actual difference between two quantities and can be positive or negative depending on the order of subtraction. The term \"Absolute Difference\" should not be confused with the mathematical term 'absolute value' which is a numerical value without a negative sign."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Janice Tufte"},{"code" : "approval","valueString" : "2021-12-01 vote 5-0 by Philippe Rocca-Serra, Paola Rosati, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"}],"concept" : [{"code" : "STATO:0000616","display" : "count difference","definition" : "A statistic that is a subtraction of one count from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference in counts"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number difference"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Muhammad Afzal, Khalid Shahin, Philippe Rocca-Serra, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "negative-vote","valueString" : "2021-12-01 vote 5-1 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte\n2021-12-08 vote 6-1 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2021-12-01 comment: Suggest include as an Alternative term under difference and remove this term as unclear on distinction as a separate term.\n2021-12-08 comment: Suggest removing this term and adding as an Alternative term to Difference {(atlernative term and Comment for application added in response}}"},{"code" : "comment","valueString" : "The term Count Difference is used to specify the Absolute Difference is with respect to a count or number of items (such as number of events, platelet counts, sample size e.g. number of people in the group) to distinguish from differences in other types of statistics (mean difference, median difference, risk difference, etc.)"},{"code" : "approval","valueString" : "2021-12-15 vote 6-0 by Robin Ann Yurk, Janice Tufte, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"}]},{"code" : "STATO:0000457","display" : "difference in means","definition" : "A statistic that is a subtraction of one mean from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference of means"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Muhammad Afzal, Khalid Shahin, Philippe Rocca-Serra, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2021-12-01 vote 6-0 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte\n2021-12-01 Steering group added comment for application and decided not to send out for vote again."},{"code" : "comment","valueString" : "The primary use of this term is in analyzing between-group differences."}]},{"code" : "STATO:0000617","display" : "difference in medians","definition" : "A statistic that is a subtraction of one median from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference of medians"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Janice Tufte, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2021-12-01 vote 6-0 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"}]},{"code" : "STATO:0000424","display" : "risk difference","definition" : "A measure of association that is the subtraction of the risk of an event in one group from the risk of the same event in another group.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "absolute risk difference"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RD"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ARD"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: risk difference = The risk difference is the difference between the observed risks (proportions of individuals with the outcome of interest) in the two groups.\nThe risk difference is straightforward to interpret: it describes the actual difference in the observed risk of events between experimental and control interventions."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel, Harold Lehmann, Janice Tufte"},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}]},{"code" : "STATO:0000665","display" : "difference-in-differences","definition" : "A statistic that is a subtraction of one difference from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference in differences"}],"property" : [{"code" : "comment","valueString" : "The term 'Difference-in-differences' may be used to assess the incremental benefit or harm of an intervention or exposure, where the effect of the exposure is measured as a difference (for example, pre-post testing comparison of values before and after the exposure) in two groups being compared."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "2022-06-08 vote 6-0 by Robin Ann Yurk, Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-08 comment: do you want to add to comment for application, pre-post testing or as an Alternative term?"}]}]},{"code" : "STATO:0000615","display" : "relative difference","definition" : "A statistic that is a difference between 1 and a ratio of the two quantities being compared.","property" : [{"code" : "comment","valueString" : "Relative Difference = 1 - ( a / b ).   Because 1 - ( a / b ) is not equal to 1 - ( b / a ), Relative Difference may be expressed as \"Relative Difference with respect to b\" when referring to 1 - ( a / b ).\n\nThe relative difference can also be defined as a statistic that is a ratio of the absolute difference (of the two quantities being compared) to the reference value (one of the quantities being compared). Relative Difference = ( b - a ) / ( b ) where b is the reference value and this may also be called \"Relative Difference with respect to b\""},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "Example of a relative difference (relative to placebo) that is not a relative mean difference or a relative risk difference:\n\nRelative median difference (%) = [(active median - placebo median) / placebo median] x 100. \nThis can be transformed to:\nRelative median difference = (active median / placebo median) - 1."},{"code" : "negative-vote","valueString" : "2022-06-15 vote 2-2 by Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte\n2022-06-22 vote 4-2 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-06-15 comments: Suggest combining this set of terms(relative difference, relative mean difference and relative risk difference  and summarizing the comment for applications so it is one term.\n\nTo me this definition is unclear...sorry, what it means? Is it weird to a have a ratio of a difference to a reference value? Sorry, but I am unable to understand this definition.\n\nrelative and absolute difference seems confusing to me"},{"code" : "approval","valueString" : "2022-06-29 vote 5-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000625","display" : "relative mean difference","definition" : "A statistic that is a difference between 1 and a ratio of the two mean values being compared.","property" : [{"code" : "comment","valueString" : "Relative Mean Difference = 1 - ( a / b ) where a and b are mean values.\n\nThe relative mean difference can also be defined as a statistic that is a ratio of the difference in means to the reference mean value. Relative Mean Difference = ( b - a ) / ( b ) where b is the reference mean value and a is another mean value."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-06-15 vote 3-1 by Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte\n2022-06-22 vote 5-1 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-06-15 comment: Suggest combining this set of terms(relative difference, relative mean difference and relative risk difference  and summarizing the comment for applications so it is one term.  \n2022-06-29 comment: Relative Mean Difference is_a kind of Relative difference where the quantities being compared are two means, one of which is or acts as reference mean value  (additional comment: define 'reference mean value' if it refers to something more specific"},{"code" : "approval","valueString" : "2022-06-29 vote 6-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000626","display" : "relative risk difference","definition" : "A statistic that is a difference between 1 and a ratio of the two risk values being compared.","property" : [{"code" : "comment","valueString" : "Relative Risk Difference = 1 - ( a / b ) where a and b are risk values.\n\nThe relative risk difference can also be defined as a statistic that is a ratio of the risk difference to the risk used as a reference. Relative Risk Difference = ( b - a ) / ( b ) where b is the reference risk value and a is another risk value."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-06-15 vote 3-1 by Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte\n2022-06-22 vote 5-1 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-06-15 comment: Suggest combining this set of terms(relative difference, relative mean difference and relative risk difference  and summarizing the comment for applications so it is one term."},{"code" : "approval","valueString" : "2022-06-22 vote 6-0 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"}]}]},{"code" : "STATO:0000100","display" : "standardized mean difference","definition" : "A statistic that is a difference between two means, divided by a statistical measure of dispersion.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "smd"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: standardized mean difference (Cohen's d statistic, SMD) = standardized mean difference is data item computed by forming the difference between two means, divided by an estimate of the within-group standard deviation.\nIt is used to provide an estimatation of the effect size between two treatments when the predictor (independent variable) is categorical and the response(dependent) variable is continuous"},{"code" : "comment","valueString" : "In English, \"standardized\" is often used to express relative comparison to any reference value. However, in SEVCO, \"standardized\" is used to express relative comparison to a statistical measure of dispersion.\nIn SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nFor example, in Cohen's d statistic, the statistical measure of dispersion is specified as the square root of an average of the variances of the two groups being compared."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-07-06 vote 3-1 by Paola Rosati, Harold Lehmann, Robin Ann Yurk, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-06 comment: Consider listing Cohen's D statistic as an Alternative term or selecting one of the two terms to be the term to evaluate as the definition are similar."},{"code" : "approval","valueString" : "2022-07-20 vote 6-0 by Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000618","display" : "Cohen’s d statistic","definition" : "A standardized mean difference which is calculated as a difference between two means, divided by a square root of an average of the variances of the two groups.","property" : [{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Cohen's d statistic, the statistical measure of dispersion is specified as the square root of an average of the variances of the two groups being compared. The variances of the two groups are based on within-group standard deviations.\n\nFor sample sizes < 50, a correction factor is used."},{"code" : "external-definitions","valueString" : "STATO: standardized mean difference (Cohen's d statistic, SMD) = standardized mean difference is data item computed by forming the difference between two means, divided by an estimate of the within-group standard deviation.\nIt is used to provide an estimatation of the effect size between two treatments when the predictor (independent variable) is categorical and the response(dependent) variable is continuous"},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-07-06 vote 3-1 by Paola Rosati, Harold Lehmann, Robin Ann Yurk, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-06  comment: Consider listing SMD statistic as an Alternative term or selecting one of the two terms to be the term to evaluate as the definition are similar and the other term to be the Alternative term."},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000135","display" : "strictly standardized mean difference","definition" : "A standardized mean difference which is calculated as a difference between two means, divided by the standard error of the difference between the two means.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ssmd"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: strictly standardized mean difference (SSMS) is a standardized mean difference which corresponds to the ratio of mean to the standard deviation of the difference between two groups. SSMD directly measures the magnitude of difference between two groups. SSMD is widely used in High Content Screen for hit selection and quality control. When the data is preprocessed using log-transformation as normally done in HTS experiments, SSMD is the mean of log fold change divided by the standard deviation of log fold change with respect to a negative reference. In other words, SSMD is the average fold change (on the log scale) penalized by the variability of fold change (on the log scale). For quality control, one index for the quality of an HTS assay is the magnitude of difference between a positive control and a negative reference in an assay plate. For hit selection, the size of effects of a compound (i.e., a small molecule or an siRNA) is represented by the magnitude of difference between the compound and a negative reference. SSMD directly measures the magnitude of difference between two groups. Therefore, SSMD can be used for both quality control and hit selection in HTS experiments."},{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Strictly standardized mean difference, the statistical measure of dispersion is specified as the standard error of the difference between means [SEVCO TBD:0000063]."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 6-0 by Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000319","display" : "Hedges’s g","definition" : "A standardized mean difference which is calculated as a difference between two means, divided by the pooled standard deviation.","property" : [{"code" : "external-definitions","valueString" : "STATO: Hedges's g = Hedges's g is an estimator of effect size, which is similar to Cohen's d and is a measure based on a standardized difference. However, the denominator, corresponding to a pooled standard deviation, is computed differently from Cohen's d coefficient, by applying a correction factor (which involves a Gamma function)."},{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Hedges’s g, the statistical measure of dispersion is specified as the pooled standard deviation. There is a correction factor for small sample sizes."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000320","display" : "Glass’s delta","definition" : "A standardized mean difference which is calculated as a difference between two means (of an experimental group and a control group), divided by the standard deviation of the control group.","property" : [{"code" : "external-definitions","valueString" : "STATO: Glass's delta is an estimator of effect size which is similar to Cohen's d but where the denominator corresponds only to the standard deviation of the control group (or second group). It is considered less bias than the Cohen's d for estimating effect sizes based on means and distances between means."},{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Glass's delta, the statistical measure of dispersion is specified as the standard deviation of the control group. There is a correction factor for small sample sizes."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]}]}]},{"code" : "STATO:0000634","display" : "reciprocal of difference","definition" : "A statistic that is a quotient of one and a difference.","property" : [{"code" : "comment","valueString" : "A difference is a statistic that is a subtraction of one quantity from another."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000635","display" : "number needed to treat","definition" : "A statistic that represents the number of units that needs to be treated to prevent one additional undesired outcome. The Number Needed to Treat is calculated as the reciprocal of a treatment effect estimate, where the effect estimate is expressed as a risk difference.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number needed to treat to benefit"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNT"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNTB"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Treat (NNT) value is often rounded up to the next highest whole integer."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "external-definitions","valueString" : "Centre for Evidence-Based Medicine\nNumber Needed to Treat (NNT)\nThe Number Needed to Treat (NNT) is the number of patients you need to treat to prevent one additional bad outcome (death, stroke, etc.).\nhttps://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt"},{"code" : "approval","valueString" : "2022-07-20 vote 7-0 by Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000637","display" : "number needed to screen to detect","definition" : "A statistic that represents the number of units that needs to be tested to identify one additional case. The Number Needed to Screen to Detect is calculated as the reciprocal of a difference in rate of detected cases with and without screening.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNS"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Screen (NNS) value is often rounded up to the next highest whole integer.  The Number Needed to Screen to Detect is distinct from the Number Needed to Screen to Prevent as the formulas to calculate are different, even though both may be abbreviated as NNS."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "approval","valueString" : "2022-08-03 vote 5-0 by Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Philippe Rocca-Serra, Harold Lehmann"}]},{"code" : "STATO:0000636","display" : "number needed to screen to prevent","definition" : "A statistic that represents the number of units that needs to be tested to prevent one additional adverse outcome, assuming that positive testing will lead to preventive intervention. The Number Needed to Screen to Prevent is calculated as the Number Needed to Treat divided by the prevalence.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNS"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Screen (NNS) value is often rounded up to the next highest whole integer.  The Number Needed to Screen to Detect is distinct from the Number Needed to Screen to Prevent as the formulas to calculate are different, even though both may be abbreviated as NNS.\n\nThe formula may be adjusted for test performance characteristics (e.g. dividing by the sensitivity) or assumptions regarding acceptance or adherence of interventions."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "external-definitions","valueString" : "BMJ 1998;317: 307 Number needed to screen: development of a statistic for disease screening\nNumber needed to screen is defined as the number of people that need to be screened for a given duration to prevent one death or adverse event.\nNumber needed to screen was then calculated by dividing the number needed to treat for treating risk factors by the prevalence of disease that was unrecognised or untreated. \nhttps://www.bmj.com/content/317/7154/307.long"},{"code" : "approval","valueString" : "2022-08-03 vote 5-0 by Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Philippe Rocca-Serra, Harold Lehmann"}]},{"code" : "STATO:0000638","display" : "number needed to harm","definition" : "A statistic that represents the number of units that, if treated or exposed to the intervention, to lead to one additional undesired outcome. The Number Needed to Harm is calculated as the reciprocal of a treatment effect estimate, where the effect estimate is expressed as a risk difference.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number needed to treat to harm"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNH"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNTH"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Harm (NNH) value is often rounded down to the next lowest whole integer."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "external-definitions","valueString" : "Centre for Evidence-Based Medicine\nNumber needed to treat (NNT): The number of patients who need to be treated to prevent one bad outcome. It is the inverse of the ARR: NNT=1/ARR. Numbers needed to harm (NNH)-the number of patients who, if they received the experimental treatment, would lead to one additional person being harmed compared with patients who receive the control treatment; calculated as 1/ARI.\nhttps://www.cebm.ox.ac.uk/resources/ebm-tools/glossary"},{"code" : "approval","valueString" : "2022-07-20 vote 7-0 by Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000184","display" : "ratio","definition" : "A statistic that is a quotient of two quantities.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "STATO: A ratio is a data item which is formed with two numbers r and s is written r/s, where r is the numerator and s is the denominator. The ratio of r to s is equivalent to the quotient r/s.\nNCIt:  The quotient of one quantity divided by another, with the same units of measurement.\nUMLS: Quotient of quantities of the same kind for different components within the same system.\nOECD: A ratio is a number that expresses the relative size of two other numbers.\nOCRe: A ratio is a quotient of quantities of the same kind for different components within the same system.\nSCO: A ratio is a relationship between two numbers of the same kind expressed arithmetically as a dimensionless quotient of the two which explicitly indicates how many times the first number contains the second.\nQuotient of quantities of the same kind for different components within the same system."},{"code" : "comment","valueString" : "Although some definitions for Ratio include \"with the same units of measurement\" and some definitions for Ratio include \"a dimensionless quotient\", not all definitions have these concepts, and there are ratios with units of measurement that are different for numerator and denominator such as event rate, body mass index, and cost-effectiveness ratio."},{"code" : "negative-vote","valueString" : "2021-12-22 vote 3-1 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, Jesus Lopez-Alcalde\n2021-12-29 vote 3-1 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, C P Ooi"},{"code" : "expert-comments","valueString" : "2021-12-22 comment: I suggest adding \"with the same measurement units\"\n2021-12-29 comment: I agree with the term definition.  However, the comment could be improved and I would not include BMI as an example as an index may not necessarily be a ratio but a more complex statistic or calculation\n2022-01-05 comment: Comment,  I would remove body mass index from the comment section as an example as an index is a unique statistical defnition."},{"code" : "approval","valueString" : "2022-01-05 vote 6-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde"}],"concept" : [{"code" : "STATO:0000639","display" : "percentage","definition" : "A ratio that is multiplied by 100, and has the same units of measurement in the numerator and the denominator.","property" : [{"code" : "comment","valueString" : "When a percentage is a fraction of hundred or proportion per hundred, then the percentage is the proportion multiplied by 100. However, a percentage can be greater than 100% so the definition is a ratio that is multiplied by 100.\nProportion is SEVCO code of TBD:0000018, Ratio is SEVCO code of STATO:0000184"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Khalid Shahin"},{"code" : "external-definitions","valueString" : "NCIt-A fraction or ratio with 100 understood as the denominator. Alt definition One hundred times the quotient of one quantity divided by another, with the same units of measurement.\nOECD-A percentage is a special type of proportion where the ratio is multiplied by a constant, 100, so that the ratio is expressed per 100.\nSCO-A fraction or ratio with 100 understood as the denominator.\nUMLS-A unit for expressing a number as a fraction of hundred (on the basis of a rate or proportion per hundred)-NCI"},{"code" : "negative-vote","valueString" : "2022-01-05 vote 5-1 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-05 comment: Instead of \"A ratio\" I would propose \"A proportion that is multiplied by 100, [...]\""},{"code" : "approval","valueString" : "2022-01-07 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde, Mario Tristan"}],"concept" : [{"code" : "STATO:0000705","display" : "measurement accuracy","definition" : "A percentage in which the numerator represents the absolute value of one minus the difference between the true value and the observed value, and the denominator represents the true value.","property" : [{"code" : "external-definitions","valueString" : "from https://www.sciencedirect.com/topics/engineering/measurement-accuracy\nMeasurement Accuracy\nMeasurement accuracy is defined as the closeness of agreement between a measured quantity value and a true quantity value of a measurand (i.e., the quantity intended to be measured) (ISO-JCGM 200, 2008), and is often limited by calibration errors."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-08-24 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey"}]}]},{"code" : "STATO:0000607","display" : "proportion","definition" : "A ratio in which the numerator represents a part, fraction or share of the amount represented by the denominator.","property" : [{"code" : "external-definitions","valueString" : "STATO: observed risk [as a data item STATO_0000423] = the proportion of individuals in a population with the outcome of interest\n\nNCIt: A part, fraction, share, or number considered in relation to the whole amount or number.\n\nOECD Definition:\nA proportion is a special type of ratio in which the denominator includes the numerator.\n\nAn example is the proportion of deaths that occurred to males which would be deaths to males divided by deaths to males plus deaths to females (i.e. the total population).\n\nOCRe: A proportion is a measure of the frequency of some phenomenon of interest within an average population"},{"code" : "comment","valueString" : "The value of a proportion must be between 0 and 1 (inclusive). Proportions may represent the frequency of some phenomenon of interest within a population, or may represent a subset of a whole."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2021-12-29 vote 3-1 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, C P Ooi"},{"code" : "expert-comments","valueString" : "2021-12-29 comment: I agree with the term definition.  However, for the comment, I would edit to include the OCRe defintion:  A proportion is a measure of the frequency of some phenomenon of interest within a population."},{"code" : "approval","valueString" : "2022-01-07 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde, Mario Tristan"}],"concept" : [{"code" : "STATO:0000413","display" : "incidence","definition" : "A proportion in which the numerator represents new events.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cumulative incidence"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incidence proportion"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Incidence is the ratio of the number of new cases of a disease divided by the number of persons at risk for the disease.\n\nNCIt The relative frequency of occurrence of something.\n\nOBCS A data item that refers to the number of new events that have occurred in a specific time interval divided by the population at risk at the beginning of the time interval. The result gives the likelihood of developing an event in that time interval.\n\nUMLS The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases in the population at a given time. (MSH)\nThe relative frequency of occurrence of something. (NCI)\nThe number of new cases of a disease diagnosed each year. (NCI)\n\nCDC: https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html\nIncidence refers to the occurrence of new cases of disease or injury in a population over a specified period of time. Although some epidemiologists use incidence to mean the number of new cases in a community, others use incidence to mean the number of new cases per unit of population.\n\nTwo types of incidence are commonly used — incidence proportion and incidence rate.\n\nIncidence proportion or risk\n\nSynonyms for incidence proportion\n\nAttack rate\nRisk\nProbability of developing disease\nCumulative incidence\n\n\nDefinition of incidence proportion\n\nIncidence proportion is the proportion of an initially disease-free population that develops disease, becomes injured, or dies during a specified (usually limited) period of time. Synonyms include attack rate, risk, probability of getting disease, and cumulative incidence. Incidence proportion is a proportion because the persons in the numerator, those who develop disease, are all included in the denominator (the entire population)."},{"code" : "comment","valueString" : "Outside of the Scientific Evidence Code System (SEVCO), there is substantial inconsistency in the terms and definitions used for incidence and related concepts.\n\nWithin SEVCO, Incidence is a proportion in which the numerator represents new events. The denominator may represent the entire population or may represent that population at risk (i.e., those without prior events). \n\nDisease incidence is the ratio of the number of new cases of a disease divided by the number of persons at risk for the disease. Incidence is a proportion because the persons in the numerator, those who develop disease, are all included in the denominator (the entire population).\n\nWhen a time period or a duration of time is used to define the period of time in which the incidence is measured, the statistic type is Incidence. Examples include 1-year incidence, in-hospital incidence, and cumulative incidence.\n\nWhen time is considered as a variable in the formalization of the statistic, such as incidence per unit of time, then the statistic type is Incidence Rate (SEVCO code of TBD:0000024)"},{"code" : "negative-vote","valueString" : "2022-01-05 vote 2-2 by Robin Ann Yurk, janice tufte, Jesus Lopez-Alcalde, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-01-05 comments: I propose \"The number of new occurrences of an event (for example, infection) in a population at risk over a particular period of time.\n\nDoesn't denominator need to include a time component? Even if not, the time component should be referenced in the Comment. Also, do note that, in public health, the numerator *attempts* to be a subset of the denominator, but that relationship cannot be assured. (E.g., fertility incidence may be number of births (vital statistics) with denominator of number of women of child bearing age (census).\n\n2022-06-15 Expert Working Group/Steering Committee removed 'Risk' as Alternative term as we created a separate term for 'Risk' (TBD:0000185)"},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2022-01-12 vote 6-0 by Harold Lehman, Mario Tristan, janice tufte, Andrew Beck, Robin Ann Yurk, Paul Harris"}]},{"code" : "STATO:0000412","display" : "prevalence","definition" : "A proportion in which the numerator represents all events of interest (for example, both new and preexisting cases of a disease) in the population, which is represented by the denominator.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "period prevalence"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "point prevalence"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lifetime prevalence"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: prevalence is a ratio formed by the number of subjects diagnosed with a disease divided by the total population size.\n\nPeriod prevalence:\nThe ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population.\na prevalence rate that occurs at a specific period of time\n\n\nPoint prevalence:\nNCIt The ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population.\nOBCS a prevalence rate that occurs at a specific point of time\n\nUMLS:\nThe total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time. (MSH)\nThe ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population. (NCI)\nProportion of the people having a certain disease or condition in a given population (CHV)\n\nCDC https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html\nPoint prevalence = Number of current cases (new and preexisting) at a specified point in time / Population at the same specified point in time\nPeriod prevalence = Number of current cases (new and preexisting) over a specified period of time / Average or mid-interval population\n\nDefinition of prevalence\nPrevalence, sometimes referred to as prevalence rate, is the proportion of persons in a population who have a particular disease or attribute at a specified point in time or over a specified period of time. Prevalence differs from incidence in that prevalence includes all cases, both new and preexisting, in the population at the specified time, whereas incidence is limited to new cases only.\n\nPoint prevalence refers to the prevalence measured at a particular point in time. It is the proportion of persons with a particular disease or attribute on a particular date.\n\nPeriod prevalence refers to prevalence measured over an interval of time. It is the proportion of persons with a particular disease or attribute at any time during the interval."},{"code" : "comment","valueString" : "Prevalence is the proportion of persons in a population who have a particular disease or attribute at a specified point in time or over a specified period of time.\nPrevalence differs from incidence in that prevalence includes all cases, both new and preexisting, in the population at the specified time, whereas incidence is limited to new cases only.\nIn Bayesian calculations, the prevalence value is often used as the pre-test probability or prior probability value, but these probability values are not always based on or derived from the prevalence value."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel, Janice Tufte, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-01-12 vote 6-1 by Robin Ann Yurk, janice tufte, Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Andrew Beck, Paul Harris\n2022-01-19 vote 2-1 by Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya\n2022-01-26 vote 7-1 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Robin Ann Yurk, Brian S. Alper, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-12 comments: I propose \"A proportion in which the numerator represents all events (new and preexisting).\" I think it is very important to detail \"new and preexisting\"\n2022-01-03 comment: The comment here is better than for incidence (why not copy this comment into \"Incidence,\" and edit?). But it still feels like the denominator should be called out in the definition.\n2022-01-19 comment:  I would edit the term definition to include ...as part of a denominator of a broader population.\n2022-01-26 comments: (1) suggestion: alter the definition to: A proportion in which the numerator represents all events of interest (e.g. both new and preexisting cases of a disease) in the population, which is represented by the denominator.\n(2) I would delete this sentence from the comment for application. \" Prevalence is a proportion because the persons in the numerator, those who develop or have disease, are all included in the denominator (the entire population)\"\n(3) Probability should be a type of Proportion but distinct from Prevalence. Probability relates to the likelihood of something, but in that sense incidence and prevalence are both probabilities.  If Prevalence and Probability were considered synonyms then one would still not call it the same as \"Pre-test\" or \"Prior\" probability.  The term pre-test probability could be a type of (child of) probability.\n\n2022-02-02 comment: I would remove the statement ..In Bayesian calculations, as the pre-test probability is a formula with new variables."},{"code" : "approval","valueString" : "2022-02-02 vote 5-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]},{"code" : "STATO:0000233","display" : "sensitivity","definition" : "A proportion in which the numerator represents the detected items within the denominator that represents all items with the targeted attribute.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "recall"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "true positive rate"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: true positive rate (recall, sensitivity) = sensitivity is a measurement datum qualifying a binary classification test and is computed by substracting the false negative rate to the integral numeral 1\nNCIt diagnostic sensitivity The probability that a test will produce a true positive result when used on effected subjects as compared to a reference or \"gold standard\". The sensitivity of a test can be determined by calculating: number of true positive results divided by the sum of true positive results plus number of false negative results.\nOBCS-\na data item that measures the proportion of actual positives which are correctly identified as such (e.g. the percentage of sick people who are correctly identified as having the condition).\nOCRe\nAn index of performance of a discriminant test calculated as the percentage of correct positives in all true positives\nSTATO\nsensitivity is a measurement datum qualifying a binary classification test and is computed by subtracting the false negative rate to the integral numeral 1\nNICE glossary-Sensitivity of a test-How well a test detects what it is testing for. It is the proportion of people with the disease or condition that are correctly identified by the study test. For example, a test with a sensitivity of 96% will, on average, correctly identify 96 people in every 100 who truly have the condition, but incorrectly identify as not having the condition 4 people in every 100 who truly have it. It is different from positive predictive value.\n\nMeSH scope note-sensitivity and specificity-Scope Note\nBinary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)"},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the sensitivity is the proportion of true positives (all people with the disease who test positive) within all people with the disease (true positives plus false negatives). Sn = TP / (TP + FN).\nIn information retrieval, recall is the proportion of items correctly retrieved within all relevant items.\nTrue positive rate (TPR) is listed as an Alternative term because of common usage, but TPR is not a Rate as defined in SEVCO."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-01-19 vote 3-1 by Paul Harris, Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya"},{"code" : "expert-comments","valueString" : "2022-01-19 comment: I would remove recall from Alternative terms and comment for applications, as it is a specialized informatics measures and list it as a separate term. (EWG discussion: This comment is not persuasive. If the same statistic type (formula) has different names in different contexts we still want one common code for the concept. This consolidation of terms is the purpose of a standardized terminology or controlled vocabulary where we are controlling the code for the concept, not the name for common use.)"},{"code" : "approval","valueString" : "2022-01-26 vote 10-0 by Paul Harris, Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya, Janice Tufte, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "STATO:0000134","display" : "specificity","definition" : "A proportion in which the numerator represents the non-detected items within the denominator that represents all items without the targeted attribute.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "true negative rate"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: true negative rate (specificity) = specificity is a measurement datum qualifying a binary classification test and is computed by substracting the false positive rate to the integral numeral 1\n\n\nNCIt The probability that a test will produce a true negative result when used on non-effected subjects as compared to a reference or \"gold standard\". The specificity of a test can be determined by calculating: number of true negative results divided by the sum of true negative results plus number of false positive results.\n\nOBCS a data item that refers to the proportion of negatives in a binary classification test which are correctly identified\n\nOCRe An index of performance of a discriminant test calculated as the percentage of negatives in all true negatives\n\nNICE glossary-Specificity (of a test)\nHow well a test correctly identifies people who do not have what it is testing for. It is the proportion of people without the disease or condition that are correctly identified by the study test. For example, a test with a specificity of 96% will, on average, correctly identify 96 people in every 100 who truly do not have the condition, but incorrectly identify as having the condition 4 people in every 100 who truly do not have it. It is different from negative predictive value.\n\nMeSH scope note-sensitivity and specificity-Scope Note\nBinary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)"},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the specificity is the proportion of true negatives (all people without the disease who test negative) within all people without the disease (true negatives plus false positives). Sp = TN / (TN + FP).\nTrue Negative Rate (TNR) is listed as an Alternative term because of common usage, but TNR is not a Rate as defined in SEVCO."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-01-19 vote 5-0 by Paul Harris, Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya, Janice Tufte"}]},{"code" : "STATO:0000416","display" : "positive predictive value","definition" : "A proportion in which the numerator represents the correctly detected items within the denominator that represents all items detected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "precision (as used in information retrieval)"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "PPV"}],"property" : [{"code" : "external-definitions","valueString" : "NCIt The probability that an individual is affected with the condition when a positive test result is observed. Predictive values should only be calculated from cohort studies or studies that legitimately reflect the number of people in the population who have the condition of interest at that time since predictive values are inherently dependent upon the prevalence. PPVDT can be determined by calculating: number of true positive results divided by the sum of true positive results plus number of false positive results."},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the positive predictive value is the proportion of true positives (all people with the disease who test positive) within all the people with a positive test (true positives plus false positives). PPV = TP / (TP + FP).\nIn information retrieval, 'precision' is the proportion of items correctly retrieved within all retrieved items.\nIn Bayesian calculations, the 'Positive Predictive Value' is equivalent to the 'post-test probability' or 'posterior probability' following a positive test."},{"code" : "negative-vote","valueString" : "2022-01-26 vote 7-1 by Robin Ann Yurk, Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-26 comments: (1) I would remove precision from Alternative terms\n(2) minor change=quote terms of interest: In information retrieval, `precision` is the proportion of items correctly retrieved within all retrieved items.\nThe terms `post-test probability` and `posterior probability` are used in Bayesian calculations.\n(3) Post-test probability is not fully synonymous with positive predictrive value.  A negative predictive value is also the \"post-test\" probability of a true negative if the test has a negative result.  And a test with a continuous rather than binary result could have a post-test probability that is neither positive nor negative predictive value.  Post-test probability (and posterior probability) should become a child of probability.\n2022-02-02 comment: I would remove the alternate term Precision and the comment for application for precision."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Phillippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-02-02 vote 5-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]},{"code" : "STATO:0000619","display" : "negative predictive value","definition" : "A proportion in which the numerator represents the correctly non-detected items within the denominator that represents all items not detected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NPV"}],"property" : [{"code" : "external-definitions","valueString" : "NCIt The probability that an individual is not affected with the condition when a negative test result is observed. This measure of accuracy should only be used if the data on the prevalence of condition of interest in given population is available. NPVDT can be determined by calculating: number of true negative results divided by the sum of true negative results plus number of false negative results."},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the negative predictive value is the proportion of true negatives (all people without the disease who test negative) within all the people with a negative test (true negatives plus false negatives). NPV = TN / (TN + FN)."},{"code" : "editors","valueString" : "Harold Lehmann, Ken Wilkins, Phillippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-01-26 vote 8-0 by Robin Ann Yurk, Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "STATO:0000621","display" : "diagnostic yield","definition" : "A proportion in which the numerator represents the correctly detected items within the denominator that represents all items tested.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "\"Diagnostic yield was defined as the number of participants with positive findings for advanced neoplasia relative to all participants\" in https://pubs.rsna.org/doi/10.1148/radiol.12112486\nOther 'definitions' found include synonymous use with sensitivity, and 'diagnostic yield' describing the statistic array of TP, FP, TN, and FN data.\n\nhttps://medical-dictionary.thefreedictionary.com/diagnostic+yield\nDiagnostic yield The likelihood that a test or procedure will provide the information needed to establish a diagnosis."},{"code" : "approval","valueString" : "2022-08-10 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Harold Lehmann, Eric Harvey, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-08-10 comment:  I would simply suggest to simplify the definition to:\n\nA proportion obtained by dividing the number of correctly detected items (numerator) by the number of all items tested (denominator)"}]},{"code" : "STATO:0000620","display" : "risk","definition" : "A proportion in which the numerator represents the cases in which an event or characteristic occurs and the denominator represents all possible cases.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "probability"}],"property" : [{"code" : "comment","valueString" : "In the English language, 'risk' may be used synonymously with 'hazard', 'chance', 'likelihood', 'relative likelihood', 'probability' and many other terms. In SEVCO the term 'risk' is explicitly defined for how it is used in other terms such as 'Risk Ratio' and 'Relative Risk Difference'  The statistical definition of 'risk' does not have a negative or undesirable connotation.\n\nRisk may be conditioned on many factors.  In such cases the statistic type is Risk and the statistic may be reported as a conditional risk (for example, predicted risk).\n\nWhen a time period or a duration of time is used to define the period of time in which the risk is measured, the statistic type is Risk. Examples include 1-year risk, in-hospital risk, and cumulative risk.\n\nIn frequentist statistics, the risk is a ratio of the number of events to the number of possible cases. In subjective Bayesian statistics, the risk is a proportion as a whole that represents degree of belief, where 0 represents certainty that an event will not occur and 1 represents certainty that the event will occur."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-06-22 vote 4-1 by Eric Harvey, Janice Tufte, Mario Tristan, Muhammad Afza, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-06-22 comment: It is confusing to consider \"conditional probability\" as an Alternative term for \"risk.\" \n\nGenerally; \n\"Conditional probability\" refers to a probability whose value is dependent upon the occurrence of some process/event. In contrast, \"risk\" refers to the probability that an event will occur. \n\nMathematically;\n\"Conditional probability\" is a measure of the probability of an event occurring, given that another event has already occurred. Let us have two events, A and B, and we want to know P(A) given P(B); notationally, P(A|B). Here the word 'given' defines a subset of the population of events because it applies condition on B. For example, if we care about the incidence of COVID-19 in men only, we might want to know P(COVID-19 | male). This means that first, pick out all the males, and second, figure out the probability they will get COVID-19. More formally, what P(A|B) says is: pick out the events to which both P(A) and P(B) apply and consider them as part of the subset of events to which only P(B) applies: hence P(A/B) = P(A and B)/P(B).\nIn simple words, what we are doing with P(A|B) = P(A and B) | P(B) is selecting out the same subset of the event population in both the\nthe numerator and the denominator: in this case, only men.\nWhile \"risk\" by definition involves no condition. Taking the same example, we can say, \"what is the risk of COVID-19?\" here, we refer to the whole population; however, we can apply can make a condition over it like \"what is the risk of COVID-19 in males?\" This risk may be taken as \"conditional risk,\" and it could be taken as an Alternative term to conditional probability.  \nConclusion: Let us define two terms, \"risk\" and \"conditional risk,\" as a subset of \"risk.\" Then \"conditional probability\" shall be taken as an Alternative term to \"conditional risk.\"\n\nOne more important point about the current definition of \"Risk,\" i.e., \nRisk = A proportion in which the numerator represents the probability that an event or characteristic occurs and the denominator represents the probability that the event or characteristic occurs or does not occur.\nIf we write symbolically, it will look like this; P(A)/P(A or B), where A indicates \"positive,\" which is the occurrence of something, and B indicates \"negative,\" which is the non-occurrence of the same. We can write it formally as P(A) / P(AUB). In set theory, when there is \"OR,\" in other words, \"Union\" infer the True value when either of them is True. It means A is true, or B is true, or both are true; we will get the true result. Interestingly, occurrence and non-occurrence are mutually exclusive, so two situations arise.\nI) when the event occurs: P(A) / P(AUB)  --> P(A)/P(A) = 1\nII) when the event does not occur: P(A) / P(AUB)  --> P(A)/P(B)  = Odds\nTherefore the definition needs to be revised for the correct meaning of the denominator. I believe the denominator refers to the whole population where some people are at risk and some are not, while the numerator refers to only those at risk."},{"code" : "approval","valueString" : "2022-06-29 vote 6-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000627","display" : "odds","definition" : "A ratio in which the numerator represents the probability that an event will occur and the denominator represents the probability that an event will not occur.","property" : [{"code" : "external-definitions","valueString" : "OCRe:\nOdds is a quotient in which the relative likelihood that an event will occur is divided by the the relative likelihood that it won't. In probability theory and statistics, where the variable \"p\" is the probability in favor of the event, and the probability against the event is 1-p, \"the odds\" of the event are the quotient of the two, or p / (1-p)"},{"code" : "comment","valueString" : "'Odds' and 'Odds ratio' are different terms. 'Odds' is a ratio of probabilities. 'Odds ratio' is a ratio of two different odds.\n\nOdds are calculated as p / (1-p) where p is the probability of event occurrence.  When p = 0, the odds = 0. When p = 1, the odds may be expressed as not calculable or as \"odds against = 0\".\n\nOdds may be expressed as p:(1-p). Odds may be expressed as p:q where q = 1-p. Odds may be expressed as a:b where a and b are multiples of p and (1-p). Examples of different expressions of the same odds include 3:2, 3/2, 0.6:0.4, 0.6/0.4, and 1.5.\n\nOdds may be expressed as \"odds for\" or \"odds in favor\" (e.g. 1:5 for a \"3\" on a 6-sided die) or \"odds against\" (e.g. 5:1 against a \"3\" on a 6-sided die).\n\nThe term \"betting odds\" used in gambling that involves financial amounts in the formulation is not an \"Odds\" in the definition of the Scientific Evidence Code System."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-02-16 vote 4-2 by Janice Tufte, Paola Rosati, Eric Moyer,  Harold Lehmann, Robin Ann Yurk, Jesus Lopez-Alcalde\n2022-02-23 vote 5-2 by nisha mathew, Harold Lehman, Paola Rosati, Sunu Alice Cherian, Robin Ann Yurk,  Joanne Dehnbostel, Sumalatha A\n2022-03-09 vote 3-1 by Robin Ann Yurk, Janice Tufte, Eric Moyer, nisha mathew\n2022-03-16 vote 8-1 by Robin Ann Yurk, Janice Tufte, Eric Moyer, nisha mathew, Harold Lehmann, Philippe Rocca-Serra, Louis Leff, Paola Rosati, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-02-16 comments: The term definition and comment for application are clear and well written.  It would help to have a discussion on the Parent and Child relationships for this term as right now you only have Statistic, Ratio, Odds.  In statistics for the scientific code system is Statistic, Ratio, Odds Ratio a better sequence and put the Odds under comment for application.  \n\nThis term needs two Alternative terms: \"Odds For\" and \"Odds in Favor.\" The definition needs to deal with the cases p=1 and p=0. (I can think of 3 questions regarding these cases. (1) Are they defined? (2) Is p=1 the same as 8. (3) Does 3:0=1:0?)\n\nWe should mention that this term does not include gambling odds. (As I understand it, gambling odds are the ratio of stake to winnings with several representations and frequently have a \"rounding\" factor to ensure a profit for the bookmaker).\n\nAnother issue is whether to represent \"Odds Against\" in the vocabulary. It could come up when annotating an immutable pre-existing source that gives odds as odds against; for example, an NLP system that scans published works to output labels for sections of the text.\n\nA term related to \"Odds\" missing from the parent branch, \"Ratio,\" is \"Log Odds.\"\n\n(Not unique to this term, but I noticed it here) The children of \"Statistic\" should inherit the application comment from \"Statistic\" about distinguishing between the statistic and statistic value. That way, a reader will not need to read the whole tree to know that 1.5 is not \"Odds\"; it is \"Odds statistic value.\" (However, I do not see a place for \"Odds statistic value\" in the tree.)\n\nFinally, the repetition of \"Odds may be expressed as\" is awkward.\n\n2022-02-23 comments: \"Odds may be expressed as p:(1-p). Odds may be expressed as p:q where q = 1-p. \" Sounds redundant.\nAlternative terms: Probablity likelihood, chance ---{{Group meeting decided that 'probability' and 'likelihood' are terms we may consider adding to the SEVCO but they are not Alternative terms for odds, 'chance' is considered a lay term and not a specific statistical term for the code system}}\nOdds is a computational function such as addition, subtraction, multiplication.  Odds Ratio may be better term for the term definition.  This comment is based on your term definition and comment for application.  \n\n2022-03-09 comment: Edit the term definition:  A ratio of probabilities in which the numerator represents the probability of the number of times an event will occur and the denominator represents the probability of the number of time an event will not occur.  (Steering group 2022-03-09 considers the suggested change does not add clarification or improved understanding.)\n\n2022-03-16 comment: I would delete likelihood from the term definition as in statistics it introduces a different formula such as likelihood ratio.\nMy suggestion is to simplify to a ration in which the numerator represents the number of times an event will occur and the denominator represents the number of times an event will not occur. (Steering group 2022-03-16 again considers the suggested change to include \"number of times\" not persuasive, but changed \"relative likelihood\" to \"probability\" in the definition to avoid the potential confusion with likelihood ratio.)"},{"code" : "approval","valueString" : "2022-03-22 vote 5-0 by Muhammad Afzal, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk"}]},{"code" : "STATO:0000645","display" : "rate","definition" : "A ratio in which the numerator represents any quantity and the denominator represents an interval of time.","property" : [{"code" : "comment","valueString" : "When the numerator represents a count, the rate is an Event Rate."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "NCIt\nRate = A measurement of degree, speed, or frequency relative to time.\n\nOBCS\nrate= A quality of a single process inhering in a bearer by virtue of the bearer's occurrence per unit time.\n\nOCRe\nRate = A rate is a quantity per unit of time."},{"code" : "negative-vote","valueString" : "2022-03-30 vote 4-2 by Cauê Monaco, Muhammad Afzal, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk\n2022-04-06 vote 3-2 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-03-30 comments: A rate does not necessarily represent time. \"In math, a rate is a special ratio in which the two terms are in different units\"\nEdit term definition:  A proportion represented by a rate of an event count for another quantified measure.\n My comments are more focused on in the term definition and comment you have incomplete definitions or comments as you only describe in the term definition the denominator and in the comment you only describe the numerator.\nImprovement Suggestion:  By definition, a rate would have both a numerator and denominator so it is important for your to include in a definition both numerator and denominator.\n\nThe term definition should read:  A ratio in which the numerator represents an event count and the denominator represents the total sum of the events considered as a count and non count.\n\nThe underlying concept for Rate is that the Denominator is a measure of time.   So we need a definition where the numerator is X and the denominator is a measure time.\n \nOur approach to definitions has been:\n \nRatio = A statistic that is a quotient of two quantities.  [[By definition any statistic that is a ratio has a numerator and a denominator.   Any statistic that has a numerator and a denominator is a Ratio, and may be given a more specific term when it is a type of Ratio.]]   The Ratio definition inherits the Statistic definition so we do not re-define statistic.\n \nRate = A ratio in which the denominator represents a duration of time.     This means that when we constrain the definition of ratio to limit to statistics where the denominator represents a duration of time, then the type of Ratio is a Rate.   There is a logic to this approach to setting a definition, but your comment shows that it feel lacking because it does not mention the numerator.  There is no constraint or modification being applied to the numerator.\n \nPerhaps we can try “Rate = A ratio in which the numerator represents any quantity and the denominator represents a duration of time.”\n \nWould that help clarify this item?\n\n2022-04-06 comments: I would insert in the term definition, the numerator represents a quantity defined as a unit which is a smaller part of the denominator divided by the total sum of units in the denominator.\n\nthe concepts,  \"frequency of events\" and  \"over a specified period of time\"  are not reflected in this definition \n\n2022-04-27 comment: Edit term definition:  A proportion represented by a rate of an event count or another quantified measure divided by the total sum of units.  {{Discussion by Expert Working Group: The proposed definition describes a Proportion, but a Rate is NOT a Proportion.}}"},{"code" : "approval","valueString" : "2022-05-12 vote 9-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"}],"concept" : [{"code" : "STATO:0000670","display" : "incidence rate","definition" : "A rate in which the number of new events per total at risk is divided by an interval of time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incidence density"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average hazard rate"}],"property" : [{"code" : "comment","valueString" : "Incidence is defined as a proportion in which the numerator represents new events and the denominator represents the total at risk for events. Rate is defined as a ratio in which the numerator represents any quantity and the denominator represents an interval of time. The interval of time used for the denominator may be data-dependent when the duration of observation varies across the observations.\n\nIn the method for calculating incidence rate (described at https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html), the numerator is the \"Number of new cases of disease or injury during the specified period\" and the denominator is the \"Time each person was observed, totaled for all persons\""},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "NCIt \nIncidence Rate = The frequency of new occurrences of an event during a specified time period.\n\nCDC: https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html\nIncidence refers to the occurrence of new cases of disease or injury in a population over a specified period of time. Although some epidemiologists use incidence to mean the number of new cases in a community, others use incidence to mean the number of new cases per unit of population.\n\nTwo types of incidence are commonly used — incidence proportion and incidence rate.\n\nSynonyms for incidence rate\n\nPerson-time rate\n\n\nDefinition of incidence rate\n\nIncidence rate or person-time rate is a measure of incidence that incorporates time directly into the denominator. A person-time rate is generally calculated from a long-term cohort follow-up study, wherein enrollees are followed over time and the occurrence of new cases of disease is documented. Typically, each person is observed from an established starting time until one of four “end points” is reached: onset of disease, death, migration out of the study (“lost to follow-up”), or the end of the study. Similar to the incidence proportion, the numerator of the incidence rate is the number of new cases identified during the period of observation. However, the denominator differs. The denominator is the sum of the time each person was observed, totaled for all persons. This denominator represents the total time the population was at risk of and being watched for disease. Thus, the incidence rate is the ratio of the number of cases to the total time the population is at risk of disease.\n\n\nAlternative terms for incidence rate (incidence density, average hazard) noted at https://www.sjsu.edu/faculty/gerstman/eks/formula_sheet.pdf"},{"code" : "negative-vote","valueString" : "2022-05-11 vote 7-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Janice Tufte, Harold Lehmann, Paola Rosati, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2022-05-11 comment: Suggest improving current term definition with the definition in comment for application.  The Alternative terms I am not sure fit here--you may want to add more detail for the alternate terms to the comment for application.\n2022-05-25 comment: The definition defines the ideal (\"at risk\"); very often, however, incidence rates are calculated more grossly. While they are semantically wrong, they are quantitatively correct. Classic: birth incidence. The proper denominator would be fertile women, but *could * be calculated \"per woman\" or even \"per capita\"."},{"code" : "approval","valueString" : "2022-05-25 vote 6-0 by Jesus Lopez-Alcalde, Brian S. Alper, Joanne Dehnbostel, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "STATO:0000671","display" : "hazard rate","definition" : "A conditional instantaneous rate in which the numerator represents an incidence conditioned on survival to a specified time, and the denominator represents a time interval with a duration approaching zero.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hazard"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hazard function"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "instantaneous hazard rate"}],"property" : [{"code" : "comment","valueString" : "In the definition of Hazard Rate, the term \"survival\" is not literally about life and death but is used to represent existence without experiencing the event. \"Hazard\" as a statistical term is not specific to \"bad\" or \"dangerous\" events.\nA hazard rate is expressed as a unitless numerator per unit of time, occurring at a specified time, and conditioned on survival to that time. \nA hazard rate is mathematically the negative derivative of the log of the survival function. The survival function is the probability of surviving past a specified point in time, expressed as Pr{ T >= t }. \nA hazard rate is also mathematically defined as lim(dt -> 0) [ Pr{ ( t <= T < t + dt ) | ( T >= t ) } / dt ]."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Brian S. Alper"},{"code" : "external-definitions","valueString" : "A Dictionary of Epidemiology (5 ed.) by Miquel Porta\nHazard rate = A theoretical measure of the probability of occurrence of an event per unit time at risk; e.g., death or new disease, at a point in time, t, defined mathematically as the limit, as ?t approaches zero, of the probability that an individual well at time t will experience the event by t + ?t, divided by ?t.\n\nformula expressed at https://data.princeton.edu/wws509/notes/c7s1"},{"code" : "negative-vote","valueString" : "2022-04-06 vote 4-3 by Mario Tristan, Robin Ann Yurk, Cauê Monaco, Harold Lehmann, Paola Rosati, Jesus Lopez-Alcalde, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-04-06 comments: An instantaneous rate in which the numerator represents an incidence and the denominator represents a time interval conditioned on survival to a specified time with a duration approaching zero\n\nA hazard is any danger or peril. It does not necessarily represent a survival/death relationship.\n\nI would add a vote choice:  No Comment-Specialized Term or Not Applicable or some other choice as this is specialized formula."},{"code" : "approval","valueString" : "2022-05-12 vote 8-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew"}]},{"code" : "STATO:0000672","display" : "event rate","definition" : "The number of occurrences per unit of time.","property" : [{"code" : "comment","valueString" : "An event rate is a ratio in which the numerator represents a count and the denominator represents an interval of time.\nWhen the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-04-27 comment: The term definition and comment for application are comprehensive.  However, for your comment for application I would only use the following...\nAn event rate is a ratio in which the numerator represents a count and the denominator represents an interval of time.\nWhen the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n{{Expert Working Group discussion: the comment providing instructions for choosing among 4 related and confusing terms is considered useful for guidance, and purposefully mentions other terms that may be more appropriate.}}"},{"code" : "approval","valueString" : "2022-05-12 vote 8-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew"}]},{"code" : "STATO:0000673","display" : "event frequency rate","definition" : "A ratio in which the numerator represents an event frequency and the denominator represents an interval of time.","property" : [{"code" : "comment","valueString" : "When the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-12 vote 9-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"}]}]},{"code" : "STATO:0000674","display" : "event frequency","definition" : "A ratio in which the numerator represents a count and the denominator represents a count (without involving an interval of time).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "frequentist probability"}],"property" : [{"code" : "comment","valueString" : "When the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-12 vote 9-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"}]},{"code" : "STATO:0000675","display" : "density","definition" : "A ratio in which the numerator represents any quantity and the denominator represents an interval of space (distance, area, or volume).","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-08 vote 7-0 by Mario Tristan, Janice Tufte, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-05-08 comment: Examples would be nice, since \"linear density\" is not a traditional measure"}],"concept" : [{"code" : "STATO:0000676","display" : "number density","definition" : "A ratio in which the numerator represents a count and the denominator represents an interval of space (distance, area, or volume).","property" : [{"code" : "comment","valueString" : "When the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-05-12 vote 8-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-05-12 comment: I wonder if we could define better \"Number Density\" as Density ratio {{2022-05-18 discussion found 2 instances of the term 'Number density' matching our definition, and the term 'density ratio' defines a density divided by a density which does not match this concept.}}"},{"code" : "external-definitions","valueString" : "Wikipedia https://en.wikipedia.org/wiki/Number_density \nThe number density (symbol: n or ?N) is an intensive quantity used to describe the degree of concentration of countable objects (particles, molecules, phonons, cells, galaxies, etc.) in physical space: three-dimensional volumetric number density, two-dimensional areal number density, or one-dimensional linear number density. Population density is an example of areal number density.\n\nIUPAC Gold Book https://goldbook.iupac.org/terms/view/N04262\nnumber density, n\nNumber of particles divided by the volume they occupy."},{"code" : "approval","valueString" : "2022-05-27 vote 10-0 by Khalid Shahin, Joanne Dehnbostel, Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Muhammad Afzal, nisha mathew, Janice Tufte"}]}]},{"code" : "STATO:0000704","display" : "concentration","definition" : "A ratio in which the numerator is a measure of the solute and the denominator is a measure of the solvent.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-08 vote 6-0 by Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Eric M Harvey"}]}]},{"code" : "STATO:0000610","display" : "measure of association","definition" : "A statistic that quantitatively represents a relationship between two or more variables.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Neeraj Ojha"},{"code" : "expert-comments","valueString" : "2022-02-24 comment: There are measures of association between more than two variables, for example, an estimator of interaction information. So, this should be \"two or more variables\" (or just \"variables\"). \n\nAlso, I don't like the term \"represents\", I'd prefer to say \"A statistic that quantifies a relationship between variables.\""},{"code" : "approval","valueString" : "2022-03-16 vote 7-0 by Mario Tristan, Paola Rosati, Louis Leff, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte"}],"concept" : [{"code" : "STATO:0000622","display" : "ratio-based measure of association","definition" : "A measure of association expressed as a ratio.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2022-02-24 comment: I think we should replace \"represents\" with \"quantifies\" and remove the restriction to two variables.\n\n\"A statistic that is a ratio and quantifies a relationship between variables.\"\n\nSecond, I think you want a more restrictive definition than a statistic that is a ratio. For example, the uncertainty coefficient, I(X;Y)/H(Y), is a ratio and a measure of association, but I don't think you'd consider it a ratio-based measure of association (maybe you would, in which case this is OK).\n\nYou should also consider whether monotonic transformations of ratios count as ratio-based measures. It is common for people to take logarithms of ratios.\n\nI'm not sure what the utility is of this category. When does someone need it? Could we just put all its children Measure of Association?"},{"code" : "comment","valueString" : "This categorical (parent) term can be used for a statistic that is a ratio, quantifies a relationship between two variables, and is not found in the child terms."},{"code" : "approval","valueString" : "2022-12-28 vote 7-0 by Janice Tufte, Mario Tristan, Joanne Dehnbostel, Harold Lehman, Yuan Gao, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "STATO:0000677","display" : "hazard ratio","definition" : "A measure of association that is the ratio of the hazard rate of an event in one group to the hazard rate of the same event in another group.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "external-definitions","valueString" : "NCIt:\nHazard ratio = A measure of how often a particular event happens in one group compared to how often it happens in another group, over time. In cancer research, hazard ratios are often used in clinical trials to measure survival at any point in time in a group of patients who have been given a specific treatment compared to a control group given another treatment or a placebo. A hazard ratio of one means that there is no difference in survival between the two groups. A hazard ratio of greater than one or less than one means that survival was better in one of the groups.\n\nhttps://www.statisticshowto.com/hazard-ratio/\nThe hazard ratio is a comparison between the probability of events in a treatment group, compared to the probability of events in a control group.\n\nHazard Ratio in Clinical Trials (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC478551/)\nThe hazard ratio is an estimate of the ratio of the hazard rate in the treated versus the control group. The hazard rate is the probability that if the event in question has not already occurred, it will occur in the next time interval, divided by the length of that interval. The time interval is made very short, so that in effect the hazard rate represents an instantaneous rate.\n\nThe Hazards of Hazard Ratios (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3653612/)\nThe hazard ratio (HR) is the main, and often the only, effect measure reported in many epidemiologic studies. For dichotomous, non–time-varying exposures, the HR is defined as the hazard in the exposed groups divided by the hazard in the unexposed groups. For all practical purposes, hazards can be thought of as incidence rates and thus the HR can be roughly interpreted as the incidence rate ratio. The HR is commonly and conveniently estimated via a Cox proportional hazards model, which can include potential confounders as covariates."},{"code" : "comment","valueString" : "Hazard rate (SEVCO TBD:0000025) is defined as: A conditional instantaneous rate in which the numerator represents an incidence conditioned on survival to a specified time, and the denominator represents a time interval with a duration approaching zero.\n\nThe groups being compared are often the exposed group versus the unexposed group, but hazard ratio can also be applied to comparisons of one exposure relative to another exposure.\n\nA hazard ratio of one means there is no difference between two groups in terms of their hazard rates, based on whether or not they were exposed to a certain substance or factor, or how they responded to two interventions being compared. A hazard ratio of greater than one implies an association of greater risk, and a hazard ratio of less than one implies an association of lower risk.\n\nThe hazard ratio can be calculated from studies in which the proportion of exposed participants who had the event is known, the proportion of unexposed participants who had the event is known, and the timing of events for each participant is known or estimable, such as a cohort study or clinical trial."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}]},{"code" : "STATO:0000680","display" : "incidence rate ratio","definition" : "A measure of association that is the ratio of two incidence rates.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "IRR"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "Incidence Rate (SEVCO TBD:0000024) is defined as: A rate in which the number of new events per total at risk is divided by an interval of time.\n\nThe incidence rates may refer to the same event comparing two different groups, or the same group comparing two different events."},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}],"concept" : [{"code" : "STATO:0000681","display" : "standardized incidence ratio","definition" : "An incidence rate ratio in which the numerator is the incidence rate in a group and the denominator is the incidence rate for a reference population.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SIR"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The incidence rate used for the denominator may be an expected incidence rate for a reference population. The reference population may refer to a general population of the geographic area from which the cohort was selected."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-08 comment: ... and the denominator is the incidence rate or expected incidence rate for a reference population.\n\nComment for application: The reference population may refer to a general population of the geographic area from which the cohort was selected."}]}]},{"code" : "STATO:0000182","display" : "odds ratio","definition" : "A measure of association that is the ratio of two odds.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Janice Tufte"},{"code" : "external-definitions","valueString" : "STATO: odds ratio (OR) = Odds ratio is a ratio that measures effect size, that is the strength of association between 2 dichotomous variables, one describing an exposure and one describing an outcome.\nIt represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure ( the probability of the event occuring divided by the probability of an event not occurring). The odds ratio is a ratio of describing the strength of association or non-independence between two binary data values by forming the ratio of the odds for the first group and the odds for the second group. Odds ratio are used when one wants to compare the odds of something occurring to two different groups.\n\nUMLS: The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases. (MSH)\nA measure of the odds of an event happening in one group compared to the odds of the same event happening in another group. In cancer research, odds ratios are most often used in case-control (backward looking) studies to find out if being exposed to a certain substance or other factor increases the risk of cancer. For example, researchers may study a group of individuals with cancer (cases) and another group without cancer (controls) to see how many people in each group were exposed to a certain substance or factor. They calculate the odds of exposure in both groups and then compare the odds. An odds ratio of one means that both groups had the same odds of exposure and, therefore, the exposure probably does not increase the risk of cancer. An odds ratio of greater than one means that the exposure may increase the risk of cancer, and an odds ratio of less than one means that the exposure may reduce the risk of cancer. (NCI)\nThe ratio of the odds of an event occurring in one group to the odds of it occurring in another group, or to a sample-based estimate of that ratio. (NCI)\n\nNICE: Compares the odds (probability) of something happening in 1 group with the odds of it happening in another. An odds ratio of 1 shows that the odds of the event happening (for example, a person developing a disease or a treatment working) is the same for both groups. An odds ratio of greater than 1 means that the event is more likely in the first group than the second. An odds ratio of less than 1 means that the event is less likely in the first group than in the second group."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "approval","valueString" : "2022-03-16 vote 8-0 by Mario Tristan, Paola Rosati, Louis Leff, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte, Eric Moyer"}]},{"code" : "STATO:0000678","display" : "prevalence ratio","definition" : "A measure of association that is the ratio of two prevalences.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "external-definitions","valueString" : "https://www.ctspedia.org/do/view/CTSpedia/PrevalenceRatio#:~:text=Reference-,Definition%20of%20Prevalence%20Ratio,the%20proportion%20with%20the%20exposure.\nThe ratio of the proportion of the persons with disease over the proportion with the exposure.\n\nCalculation is described here:\nhttps://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module3-Frequency-Association/PH717-Module3-Frequency-Association12.html"},{"code" : "comment","valueString" : "Prevalence (SEVCO STATO:0000412) is defined as: A proportion in which the numerator represents all events of interest (for example, both new and preexisting cases of a disease) in the population, which is represented by the denominator.\n\nThe Prevalence Ratio indicates the magnitude of the prevalence of an event/outcome in one group of subjects/individuals (with characteristics/attribute) relative to another group (with different characteristics/attributes), such as the prevalence of the disease among the exposed persons to the prevalence of the disease among the unexposed persons."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-08 comment: Comment for application: The prevalence Ratio indicates how large is the prevalence of an event/outcome in one group of subjects/individuals (with characteristics/attribute) relative to another group (without the characteristics/attributes), such as the prevalence of the disease among the exposed persons to the prevalence of the disease among the unexposed persons."}]},{"code" : "STATO:0000245","display" : "risk ratio","definition" : "A measure of association that is the ratio of the risk of an event in one group to the risk of the same event in another group.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "relative risk"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: relative risk (risk ratio) = Relative risk is a measurement datum which denotes the risk of an 'event' relative to an 'exposure'. Relative risk is calculated by forming the ratio of the probability of the event occurring in the exposed group versus the probability of this event occurring in the non-exposed group.\n\nNCIt\tRelative Risk\tA measure of the risk of a certain event happening in one group compared to the risk of the same event happening in another group. In cancer research, risk ratios are used in prospective (forward looking) studies, such as cohort studies and clinical trials. A risk ratio of one means there is no difference between two groups in terms of their risk of cancer, based on whether or not they were exposed to a certain substance or factor, or how they responded to two treatments being compared. A risk ratio of greater than one or of less than one usually means that being exposed to a certain substance or factor either increases (risk ratio greater than one) or decreases (risk ratio less than one) the risk of cancer, or that the treatments being compared do not have the same effects\n\nOBCS\trelative risk  A data item that equals the incidence in exposed individuals divided by the incidence in unexposed individuals. The relative risk can be calculated from studies in which the proportion of patients exposed and unexposed to a risk is known, such as a cohort study.\n\nCDC https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section5.html:\nA risk ratio (RR), also called relative risk, compares the risk of a health event (disease, injury, risk factor, or death) among one group with the risk among another group. It does so by dividing the risk (incidence proportion, attack rate) in group 1 by the risk (incidence proportion, attack rate) in group 2. The two groups are typically differentiated by such demographic factors as sex (e.g., males versus females) or by exposure to a suspected risk factor (e.g., did or did not eat potato salad). Often, the group of primary interest is labeled the exposed group, and the comparison group is labeled the unexposed group."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The groups being compared are often the exposed group versus the unexposed group, but risk ratio can also be applied to comparisons of one exposure relative to another exposure.\n\nA risk ratio of one means there is no difference between two groups in terms of their risk, based on whether or not they were exposed to a certain substance or factor, or how they responded to two interventions being compared. A risk ratio of greater than one implies an association of greater risk, and a risk ratio of less than one implies an association of lower risk.\n\nThe risk ratio can be calculated from studies in which the proportion of exposed participants who had the event is known and the proportion of unexposed participants who had the event is known, such as a cohort study or clinical trial."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-06-08 vote 6-0 by Robin Ann Yurk, Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}]},{"code" : "STATO:0000411","display" : "likelihood ratio positive","definition" : "A measure of association that is the ratio of the probability of the test giving a positive result when testing an affected subject and the probability of the test giving a positive result when a subject is not affected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "positive likelihood ratio"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "+LR"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "LR+"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: positive likelihood ratio (likelihood ratio for positive results) = the likelihood ratio of positive results is a ratio which is form by dividing the sensitivity value of a test by the difference between 1 and specificity of the test. This can be expressed also as dividing the probability of the test giving a positive result when testing an affected subject versus the probability of the test giving a positive result when a subject is not affected.\n\nAHRQ https://effectivehealthcare.ahrq.gov/products/test-performance-metrics/appendixes:\nThe positive and negative likelihood ratios (LR+ and LR-, respectively) quantify the change in the certainty of the “diagnosis” conferred by test results. More specifically, the likelihood ratios transform the pretest odds to the posttest odds of a given (positive or negative) diagnosis:\n\nposttest odds = pretest odds x LR\n\nFor a positive result with the medical test, the positive likelihood ratio would be used in the above relationship; for a negative result with the medical test portable monitor, the negative likelihood ratio would be used.\n\nIf a given medical test has very good ability to predict the “true disease status,” its positive likelihood ratio will be high (i.e., will greatly increase the odds of a positive diagnosis) and its negative likelihood ratio will be low (i.e., will diminish substantially the likelihood of the positive diagnosis). A completely non-informative portable monitor would have likelihood ratios equal to 1 (i.e., does not transform the pre-test odds substantially in the equation above). Typically, a positive likelihood ratio of 10 or more and a negative likelihood ratio of 0.1 or less are considered to represent informative tests.3 We note that other, more lenient boundaries for LR+ and LR- can be used3 and that the choice of the boundaries is a subjective decision. It is interesting to note that studies with high LR+ and low LR- can be readily identified in the square sensitivity/100 percent-specificity plot, as shown in the Appendix Figure above."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The probability of the test giving a positive result when testing an affected subject is also called the sensitivity [SEVCO term STATO:0000233] or true positive rate. The probability of the test giving a positive result when a subject is not affected is called the false positive rate and is calculated as 1 minus the specificity [SEVCO term STATO:0000134]. The Likelihood Ratio Positive (LR+) is calculated as Sensitivity / (1 - Specificity).\n\nThe Likelihood Ratio Positive may also be calculated as the posterior probability (positive predictive value) divided by the prior probability (prevalence).\n\nWhen the test result is a specific value on a continuous scale, the Likelihood Ratio Positive is the ratio of the likelihood of the test giving the specific value when testing an affected subject and the likelihood of the test giving the specific value when a subject is not affected. \n\nIn the context of a probability distribution function, e.g. normal distribution, the x axis is the value and y axis is the likelihood."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-08-10 vote 5-0 by Robin Ann Yurk, Mario Tristan, Harold Lehmann, Eric Harvey, Paola Rosati"}]},{"code" : "STATO:0000410","display" : "likelihood ratio negative","definition" : "A measure of association that is the ratio of the probability of the test giving a negative result when testing an affected subject and the probability of the test giving a negative result when a subject is not affected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "negative likelihood ratio"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "LR-"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "-LR"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: negative likelihood ratio (likelihood ratio for negative results) = the likelihood ratio of negative results is a ratio which is formed  by dividing the difference between 1 and sensitivity of the test by the specificity value of a test.. This can be expressed also as dividing the probability of a person who has the disease testing negative by the probability of a person who does not have the disease testing negative.\n\nAHRQ https://effectivehealthcare.ahrq.gov/products/test-performance-metrics/appendixes:\nThe positive and negative likelihood ratios (LR+ and LR-, respectively) quantify the change in the certainty of the “diagnosis” conferred by test results. More specifically, the likelihood ratios transform the pretest odds to the posttest odds of a given (positive or negative) diagnosis:\n\nposttest odds = pretest odds x LR\n\nFor a positive result with the medical test, the positive likelihood ratio would be used in the above relationship; for a negative result with the medical test portable monitor, the negative likelihood ratio would be used.\n\nIf a given medical test has very good ability to predict the “true disease status,” its positive likelihood ratio will be high (i.e., will greatly increase the odds of a positive diagnosis) and its negative likelihood ratio will be low (i.e., will diminish substantially the likelihood of the positive diagnosis). A completely non-informative portable monitor would have likelihood ratios equal to 1 (i.e., does not transform the pre-test odds substantially in the equation above). Typically, a positive likelihood ratio of 10 or more and a negative likelihood ratio of 0.1 or less are considered to represent informative tests.3 We note that other, more lenient boundaries for LR+ and LR- can be used3 and that the choice of the boundaries is a subjective decision. It is interesting to note that studies with high LR+ and low LR- can be readily identified in the square sensitivity/100 percent-specificity plot, as shown in the Appendix Figure above."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The probability of the test giving a negative result when testing an affected subject is also called the false negative rate and is calculated as 1 minus the sensitivity [SEVCO term STATO:0000233]. The probability of the test giving a negative result when a subject is not affected is called the specificity [SEVCO term STATO:0000134] or true negative rate. The Likelihood Ratio Negative (LR-) is calculated as (1 - Sensitivity ) / Specificity.\n\nThe Likelihood Ratio Negative may also be calculated as the posterior probability (1 - negative predictive value) divided by the prior probability (prevalence)."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-08-10 vote 5-0 by Robin Ann Yurk, Mario Tristan, Harold Lehmann, Eric Harvey, Paola Rosati"}]},{"code" : "STATO:0000415","display" : "diagnostic accuracy","definition" : "A measure of association that is the ratio of the number of correct results to the total number tested.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "categorical accuracy"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "classification accuracy"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"accuracy (Rand accuracy, Rand index) = in the context of binary classification, accuracy is defined as the proportion of true results (both true positives and true negatives) to the total number of cases examined (the sum of true positive, true negative, false positive and false negative).\n\nIt can be understood as a measure of the proximity of measurement results to the true value.\""},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "Where results are reported as positive or negative, correct results are reported as true, and incorrect results are reported as false, the diagnostic accuracy is calculated as ( True Positives + True Negatives ) / ( True Positives + True Negatives + False Positives + False Negatives ).\nFor continuous values, Measurement Accuracy (SEVCO term: TBD:MeasAccu) would be used instead of Diagnostic Accuracy."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-08-24 vote 6-0 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey, Janice Tufte"}]},{"code" : "STATO:0000679","display" : "diagnostic odds ratio","definition" : "A measure of association that is the ratio of the odds of a positive test in those with disease relative to the odds of a positive test in those without disease.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "DOR"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "external-definitions","valueString" : "AHRQ https://effectivehealthcare.ahrq.gov/products/test-performance-metrics/appendixes: \nThe diagnostic odds ratio (DOR) describes the odds of a positive test in those with disease relative to the odds of a positive test in those without disease.4 It can be computed in terms of sensitivity and specificity as well as in terms of positive and negative likelihood ratios (DOR = LR+/LR-). Thus this single measure includes information about both sensitivity and specificity and tends to be reasonably constant despite diagnostic threshold. However, it is impossible to use diagnostic odds ratios to weigh sensitivity and specificity separately, and to distinguish between tests with high sensitivity and low specificity and tests with low sensitivity and high specificity.\n\nAnother disadvantage is that it is difficult for clinicians to understand and apply, limiting its clinical value. This is partly because they are not often exposed to diagnostic odds ratios. A diagnostic odds ratio is similar to an odds ratio that measures strength of association in an observational study or effect size in a trial. However, contrary to the typical effect size magnitudes of such odds ratios (often between 0.5 and 2), diagnostic odds ratios can attain much larger values (often greater than 100)."},{"code" : "comment","valueString" : "The Diagnostic Odds Ratio may be calculated as the Likelihood Ratio Positive divided by the Likelihood Ratio Negative. The Diagnostic Odds Ratio is an overall measure of the discriminatory power of a test and does not distinguish between the power to detect (rule in) or exclude (rule out)."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-31 vote 6-0 by Janice Tufte, nisha mathew, Muhammad Afza, Harold Lehmann, Philippe Rocca-Serra, Eric Harvey"}]},{"code" : "STATO:0000524","display" : "phi coefficient","definition" : "A measure of association, ranging from -1 to 1, that measures the strength and direction of the linear relationship between two binary variables.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean square contingency coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Yule phi"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Matthews correlation coefficient"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Matthews correlation coefficient (MCC) = Matthews Correlation Coefficient (or MCC) is a correlation coefficient which is a measure of the quality of binary (two-class) classifications, introduced by biochemist Brian W. Matthews in 1975."},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal"},{"code" : "comment","valueString" : "For a 2×2 contingency table \n\n<table align='center'>\n   <thead>\n      <tr>\n         <th></th>\n         <th>Variable 1 Value 1</th>\n         <th>Variable 1 Value 2</th>\n      </tr>\n   </thead>\n   <tbody>\n      <tr>\n         <td>Variable 2 Value 1</td>\n         <td align='center'>A</td>\n         <td align='center'>B</td>\n      </tr>\n      <tr>\n         <td>Variable 2 Value 2</td>\n         <td align='center'>C</td>\n         <td align='center'>D</td>\n      </tr>\n   </tbody>\n</table>\n\nwhere A, B, C, and D represent the observation frequencies (the cell count), the formula for the phi coefficient ($\\Phi$) is:\n\n$$\\Phi = \\frac{AD - BC}{\\sqrt{(A+B)(C+D)(A+C)(B+D)}}$$"},{"code" : "approval","valueString" : "2023-01-25 vote 6-0 by Mario Tristan, Jesus Lopez-Alcalde, Joanne Dehnbostel,  Harold Lehmann, Yuan Gao, Eric Harvey"}]}]},{"code" : "STATO:0000623","display" : "measure of agreement","definition" : "A measure of association of two variables representing measurements of the same attribute of an entity.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The term 'Measure of Agreement' is primarily used as a class for types of measure of agreement listed in the hierarchy but may be used as the code for a measure of agreement that is not listed."},{"code" : "approval","valueString" : "2022-12-21 vote 5-0 by Mario Tristan, Philippe Rocca-Serra, Eric Harvey, Janice Tuft, Harold Lehmann"}],"concept" : [{"code" : "STATO:0000682","display" : "kappa","definition" : "A measure of agreement among categorical assessments, corrected for chance agreement.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "kappa statistic"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "OBCS kappa statistic = a generic term for several similar measures of agreement used with categorical data; typically used in assessing the degree to which two or more raters, examining the same data, agree on assigning data to categories"},{"code" : "comment","valueString" : "In the literature, the same eponymic term (e.g., 'Cohen's kappa') is used with different formulas. In SEVCO, we define each term with a single formula, and recommend annotators to choose the SEVCO term based on the formula.\n\nThis is a widely used term to measure inter-rater reliability. Refer to measures of association to see other terms: for example, intra-class correlation coefficient (ICC)."},{"code" : "approval","valueString" : "2022-09-14 (After deleting one \"yes\" vote at the request of the voter) vote 6-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2022-09-14 Comment  \"I recommend adding ....is a measure of interrater reliability or is this an Interrater reliability testing an alternate term.\""}],"concept" : [{"code" : "STATO:0000683","display" : "simple chance-corrected agreement coefficient","definition" : "A Kappa statistic in which the expected agreement by chance is based on an assumption that all possible categories for assignment are equally likely.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Bennett’s Kappa"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Brennan-Prediger agreement coefficient"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "comment","valueString" : "A Kappa statistic is a measure of agreement among categorical assessments, corrected for chance agreement.\n\nIn the simple chance-corrected agreement coefficient, the expected chance agreement is modeled as the inverse of the number of categories (1/q) where q is the number of possible categories for assignment.\n\nThe simple chance-corrected agreement coefficient is calculated as ( p[a] - 1/q ) / ( 1 - 1/q ) where p[a] is the observed percent agreement and q is the number of possible categories for assignment."},{"code" : "external-definitions","valueString" : "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965565\nGwet KL. Testing the Difference of Correlated Agreement Coefficients for Statistical Significance. Educ Psychol Meas. 2016 Aug;76(4):609-637. doi: 10.1177/0013164415596420. Epub 2015 Jul 28. PMID: 29795880; PMCID: PMC5965565.\n\nBrennan and Prediger (1981) proposed a simple chance-corrected agreement coefficient, which generalizes to multiple raters and multiple categories, the G-index previously proposed by Holley and Guilford (1964) for two raters and two categories. What is known as the Holley–Guilford G-index was previously proposed independently by various authors under different names. Among them are Guttman (1945), Bennett, Alpert, and Goldstein (1954), and Maxwell (1977). For an interrater reliability experiment involving r raters who classify n subjects into one of q possible categories, the Brennan-Prediger coefficient is given by\n\n?[BP] = ( p[a] - 1/q ) / ( 1 - 1/q ),\nwhere the percent agreement p[a] is defined by Equation (3 -- see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965565/#disp-formula3-0013164415596420), and the percent chance agreement is a constant representing the inverse of the number of categories."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-14 vote 6-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde, Khalid Shahin"}]},{"code" : "STATO:0000630","display" : "Cohen’s kappa","definition" : "A Kappa statistic in which the expected agreement by chance is based on an assumption that the likelihood of each category for assignment is based on the proportion observed, and the number of raters is 2.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "external-definitions","valueString" : "OBCS Cohen's kappa measurement (inter-rater agreement, inter-annotator agreement; inter-rater agreement, inter-annotator agreement) = a statistical measure of agreement for categorical data; a measure of inter-rater agreement or inter-annotator agreement"},{"code" : "comment","valueString" : "A Kappa statistic is a measure of agreement among categorical assessments, corrected for chance agreement.\n\nIn Cohen's kappa, the expected chance agreement is modeled as the summation of the differences, between the square of the expected probability of the category and the quotient of its variance divided by 2 (the number of raters), for each category.\n\nCohen's kappa is calculated as ( p[a] - p[e] ) / ( 1 - p[e] ) where p[a] is the observed percent agreement and p[e] is the expected chance agreement."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-14 vote 6-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde, Khalid Shahin"}]},{"code" : "STATO:0000631","display" : "modified Cohen’s kappa for more than 2 raters","definition" : "A Kappa statistic in which the expected agreement by chance is based on an assumption that the likelihood of each category for assignment is based on the proportion observed, and the number of raters is more than 2.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "external-definitions","valueString" : "OBCS Cohen's kappa measurement (inter-rater agreement, inter-annotator agreement; inter-rater agreement, inter-annotator agreement) = a statistical measure of agreement for categorical data; a measure of inter-rater agreement or inter-annotator agreement"},{"code" : "comment","valueString" : "A Kappa statistic is a measure of agreement among categorical assessments, corrected for chance agreement.\n\nIn the modified Cohen's kappa for more than 2 raters, the expected chance agreement is modeled as the summation of the differences, between the square of the expected probability of the category and the quotient of its variance divided by the number of raters, for each category.\n\nThe modified Cohen's kappa for more than 2 raters is calculated as ( p[a] - p[e] ) / ( 1 - p[e] ) where p[a] is the observed percent agreement and p[e] is the expected chance agreement."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-14 vote 5-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde"}]},{"code" : "STATO:0000629","display" : "Scott’s pi","definition" : "A Kappa statistic where the expected agreement between two raters is expressed in terms of the square of arithmetic means of marginal proportions of each assessment category.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "comment","valueString" : "Scott's pi is a kappa statistic for two raters that assumes the likelihood of each category for assignment is based on the same distribution of rater responses, leading to the use of squared arithmetic means of the marginal proportion of each assessment category as its estimate of \"chance agreement.\"\n\nPr(expected) is calculated using squared \"joint proportions\" which are squared arithmetic means of the marginal proportions of each assessment category, in contrast to Cohen's Kappa which uses squared geometric means.\n\nScott's pi = ( p[a] - p[e] ) / ( 1 - p[e] ) where p[a] is the observed percent agreement and p[e] is the expected chance agreement expressed as the squared joint proportions of the marginal sums."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "expert-comments","valueString" : "2022-09-21 comment: I think there should be a formula included in the comment for application as with all the other Kappa terms\n2022-09-28 adjustment: Steering Group changed the first sentence of Comment for application to better represent the assumption."},{"code" : "approval","valueString" : "2022-10-19 vote 6-0 by Joanne Dehnbostel, Muhammad Afzal, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey, Harold Lehmann"}]}]},{"code" : "STATO:0000632","display" : "misclassification rate","definition" : "A ratio of the number of incorrect results to the total number tested.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "classification error"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misclassification error"}],"property" : [{"code" : "comment","valueString" : "Where results are reported as positive or negative, incorrect results are reported as false, and correct results are reported as true, the misclassification rate is calculated as ( False Positives + False Negatives ) / ( True Positives + True Negatives + False Positives + False Negatives )."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-10-19 vote 5-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey"}]},{"code" : "STATO:0000628","display" : "F1-score","definition" : "A ratio representing the harmonic mean of recall and precision.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F1 score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F1 measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F-score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F-measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F1-measure"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "external-definitions","valueString" : "OCRe F measure [not used due to inaccuracy in the definition]"},{"code" : "comment","valueString" : "The F1-score is used as a measure of quality for classification algorithms and information retrieval strategies, where 1 represents the best precision and recall and 0 represents the worst precision and recall.\n\nA harmonic mean of a set of quantities is the reciprocal of the arithmetic mean of the reciprocals of each quantity.  The F score is thus calculated as 1 / (the arithmetic mean of the reciprocals), or:\n\nF = 1 / ( ( (1/recall) + (1/precision) ) / 2 )\n\nF = 2*( (precision*recall) / (precision+recall) )\n\nRecall is sensitivity STATO:0000233\nPrecision (PPV) is SEVCO TBD:0000022\n\n[[F-beta will be defined elsewhere in the code system.]]"},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Brian S. Alper"},{"code" : "approval","valueString" : "2022-10-19 vote 6-0 by Joanne Dehnbostel, Muhammad Afzal, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey, Harold Lehmann"}]}]},{"code" : "STATO:0000611","display" : "measure of correlation","definition" : "A measure of association between ordinal or continuous variables.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "correlation"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-10-26 vote 6-1 by Yuan Gao, Philippe Rocca-Serra, Eric Harvey, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-10-26 comments: there are measures of correlation which characterise non-linear relation between 2 variables . so I was wondering if there was a need to specify \"measure of linear correlation\" , where a subclass would be 'correlation coefficient). The type 'measure of correlation' becoming a parent class for the 'measure of non-linear correlation'\nShould we say, \"A value of 0 means no linear association, a value of +1 mean perfect positive linear (a positive slope) association, and a value of -1 means perfect negative association (a negative slope).\""},{"code" : "comment","valueString" : "A value of 0 means no association. A positive value means a positive association (as one variable increases, the other variable increases). A negative value means a negative association (as one variable increases, the other variable decreases). \nFor correlation coefficients, the possible values range from +1 (perfect positive association) to -1 (perfect negative association)."},{"code" : "approval","valueString" : "2022-11-16 vote 5-0 by Brian S. Alper, Philippe Rocca-Serra, Harold Lehman, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "STATO:0000301","display" : "covariance","definition" : "A measure of correlation that is not normalized by the variances of the variables.","property" : [{"code" : "external-definitions","valueString" : "STATO: \"covariance = The covariance is a measurement data item about the strength of correlation between a set (2 or more) of random variables.\nThe covariance is obtained by forming:\ncov(X,Y)=E([X-E(X)][Y-E(Y)] where E(X), E(Y) is the expected value (mean) of variable X and Y respectively.\n\ncovariance is symmetric so cov(X,Y)=cov(Y,X).\n\nThe covariance is usefull when looking at the variance of the sum of the 2 random variables since:\nvar(X+Y) = var(X) +var(Y) +2cov(X,Y)\n\nThe covariance cov(x,y) is used to obtain the coefficient of correlation cor(x,y) by normalizing (dividing) cov(x,y) but the product of the standard deviations of x and y.\""},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables.\n\nCovariance is used in the calculation of other measures of correlation. Covariance can only be calculated for interval or continuous variables.\n\nBecause the covariance is not normalized by the variances of the variables, the magnitude of the covariance is not informative without consideration of the magnitude of the respective variances. Covariance is informative regarding whether both variables vary in the same direction (positive covariance) or in the opposite direction (negative covariance).\n\nCovariance for a sample is calculated as the mean of the products of deviations from the sample mean for the variables.\nCov(X,Y) = S (($x_i – \\overline{x}$) ($y_i – \\overline{y}$)) / (n-1) where $x_i$ is one the observed values of X, $\\overline{x}$ is the sample mean of X,  $y_i$ is one the observed values of Y, and $\\overline{y}$ is the sample mean of Y.\n\nCovariance as the population-level quantity is given by the expected value of the product of deviations from the mean for the variables.\nCov(X, Y) = E [ (X - µ) (Y - ?) ] where µ = E(X) and ? = E(Y)\n\nCovariance is a continuous value with a range of negative infinity to positive infinity."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Yuan Gao, Khalid Shahin, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-11-23 vote 5-0 by Mario Tristan, Yuan Gao, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann"}]},{"code" : "STATO:0000280","display" : "Pearson correlation coefficient","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the linear relationship between values of two continuous variables.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "product moment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "product moment correlation"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"Pearson's correlation coefficient (Pearson product-moment correlation coefficient; Pearson's r; r statistics) = The Pearson's correlation coefficient is a correlation coefficient which evaluates two continuous variables for association strength in a data sample. It assumes that both variables are normally distributed and linearity exists. \nThe coefficient is calculated by dividing their covariance with the product of their individual standard deviations. It is a normalized measurement of how the two are linearly related.\""},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables. Pearson correlation coefficient is designed to be used between continuous variables.\nPearson correlation coefficient for a sample ($r$) is calculated as $r = \\dfrac{\\widehat{cov}(x,y)}{s_x*s_y}$ where $ \\widehat{cov}(x,y)$ is the estimated covariance, and $s_x$ and $s_y$ are the sample standard deviations.\nPearson correlation coefficient for a population ($\\rho$) is defined as $\\rho= \\dfrac{cov(X,Y)}{\\sigma_X*\\sigma_Y}$ where cov(X,Y) is covariance of X and Y and $\\sigma_X$ and $\\sigma_Y$ are the population standard deviations.\n\nAssumptions for computing Pearson's correlation coefficient include a linear relationship between 2 continuous variables and each of the variables approximates a normal distribution.\n\nCovariance is [defined in SEVCO](https://fevir.net/resources/CodeSystem/27270#STATO:0000301)."},{"code" : "editors","valueString" : "Kenneth Wilkins, Muhammad Afzal, Yuan Gao, Khalid Shahin, Joanne Dehnbostel, Brian S. Alper, Harold Lehmann"},{"code" : "approval","valueString" : "2022-12-07 vote 5-0 by Muhammad Afzal, Mario Tristan, Eric Harvey, Yuan Gao, Mahnoor Ahmed"}]},{"code" : "STATO:0000201","display" : "Spearman rank-order correlation coefficient","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the relationship between ranks by value of two ordinal or continuous variables, and is calculated as the Pearson correlation coefficient between the rank values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Spearman's rank correlation coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Spearman's rho"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"Spearman's rank correlation coefficient (Spearman's rho) = Spearman's rank correlation coefficient is a correlation coefficient which is a nonparametric measure of statistical dependence between two ranked variables. It assesses how well the relationship between two variables can be described using a monotonic function. If there are no repeated data values, a perfect Spearman correlation of +1 or -1 occurs when each of the variables is a perfect monotone function of the other.\nSpearman's coefficient may be used when the conditions for computing Pearson's correlation are not met (e.g linearity, normality of the 2 continuous variables) but may require a ranking transformation of the variables\""},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Kenneth Wilkins, Muhammad Afzal, Yuan Gao, Joanne Dehnbostel, Brian S. Alper, Harold Lehmann, Noor Ahmed"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables. Spearman rank-order correlation coefficient is designed to be used between ordinal and/or continuous variables.\n\nThe Spearman rank-order correlation coefficient can identify monotonic (i.e. consistently non-increasing or consistently non-decreasing) relationships, whether the relationships are linear or non-linear.\n\nThe Spearman rank-order correlation coefficient between two variables is equal to the [Pearson correlation coefficient](https://fevir.net/resources/CodeSystem/27270#STATO:0000280) between the rank values of those two variables.\n\nThe Spearman rank-order correlation coefficient is the nonparametric counterpart to the Pearson correlation coefficient and may be used when the assumptions for computing Pearson's correlation coefficient (include a linear relationship between 2 continuous variables and each of the variables approximates a normal distribution) are not met. The Spearman rank-order correlation coefficient is appropriate when either variable has outliers, is ordinal, or is not normally distributed; when the variances of the two variables are unequal; or when the apparent relationship between the variables is non-linear. The assumptions for computing Spearman rank-order correlation coefficient include a monotonic relationship between 2 continuous or ordinal variables."},{"code" : "expert-comments","valueString" : "2022-12-07 comment: The fundamental difference between the two correlation coefficients is that the Pearson coefficient works with a linear relationship between the two variables whereas the Spearman Coefficient works with monotonic relationships as well."},{"code" : "approval","valueString" : "2022-12-14 vote 5-0 by Jesus Lopez-Alcalde, Yuan Gao, Mario Tristan, Eric Harvey, Harold Lehmann"}]},{"code" : "STATO:0000240","display" : "Kendall correlation coefficient","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the relationship between ranks by value of two ordinal or continuous variables, and is calculated based on the difference in the number of concordant and discordant pairs of rankings divided by the number of all possible pairs of rankings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's tau coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's tau"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's t"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall rank correlation coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's tau-b"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Kendall's correlation coefficient (Kendall's tau (t) coefficient; Kendall rank correlation coefficient) = Kendall's correlation coefficient is a correlation coefficient between 2 ordinal variables (natively or following a ranking procedure) and may be used when the conditions for computing Pearson's correlation are not met (e.g linearity, normality of the 2 continuous variables)"},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables. Kendall's correlation coefficient is designed to be used between ordinal variables (or continuous variables converted to ordinal variables).\n\nThe Kendall's correlation coefficient can identify monotonic (i.e. consistently non-increasing or consistently non-decreasing) relationships, whether the relationships are linear or non-linear.\n\nThe Kendall's correlation coefficient between two variables is calculated by determining the concordance or discordance of each pair of ranked values (whether or not two raters are concordant in one value being ranked equal or higher to the other value), and then dividing the difference between the number of concordant values ($n_c$) and the number of discordant values ($n_d$) by the number of pairs of ranked values ($\\frac{1}{2}n(n-1)$).\n\n$$\\tau =  \\dfrac{n_c - n_d}{\\frac{1}{2}n(n-1)}$$\n\n\nThe Kendall's correlation coefficient is a nonparametric statistic and may be used when the assumptions for computing Pearson's correlation coefficient (include a linear relationship between 2 continuous variables and each of the variables approximates a normal distribution) are not met. The Kendall's correlation coefficient is appropriate when either variable has outliers, is ordinal, or is not normally distributed; when the variances of the two variables are unequal; or when the apparent relationship between the variables is non-linear. The assumptions for computing Kendall's correlation coefficient include a monotonic relationship between 2 ordinal variables."},{"code" : "negative-vote","valueString" : "2022-12-21 vote 5-0 by Joanne Dehnbostel, Mario Trista, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann\n2023-01-04 definition change by Steering Committee"},{"code" : "approval","valueString" : "2023-01-25 vote 6-0 by Mario Tristan, Jesus Lopez-Alcalde, Joanne Dehnbostel,  Harold Lehmann, Yuan Gao, Eric Harvey"}]},{"code" : "STATO:0000612","display" : "Goodman and Kruskal’s gamma","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the relationship between ranks by value of two ordinal or continuous variables, and is calculated based on the difference in the number of concordant and discordant pairs of rankings divided by the total number of pairs of rankings, where ties are not counted among the pairs of rankings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Goodman-Kruskal gamma"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "gamma statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "gamma coefficient"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "https://stats.stackexchange.com/questions/18112/how-do-the-Goodman-Kruskal-gamma-and-the-Kendall-tau-or-Spearman-rho-correlation"},{"code" : "approval","valueString" : "2023-01-25 vote 5-0 by Mario Tristan, Jesus Lopez-Alcalde, Joanne Dehnbostel,  Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000565","display" : "regression coefficient","definition" : "A measure of association that is used as the coefficient of an independent variable in a regression model, of the dependent variable, which is linear in its parameters.","property" : [{"code" : "external-definitions","valueString" : "STATO: regression coefficient = a regression coefficient is a data item generated by a type of data transformation called a regression, which aims to model a response variable by expression the predictor variables as part of a function where variable terms are modified by a number. A regression coefficient is one such number."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "A value of zero means no association. The sign (positive or negative) reflects the direction of association."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-02-07 vote 5-0 by Cauê Monaco, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "STATO:0000685","display" : "measure of calibration","definition" : "A measure of association between a variable representing known or true values and a variable representing measured or predicted values.","property" : [{"code" : "comment","valueString" : "Calibration is often used for measurement devices. The known or true values may be called the reference standard.\nCalibration is also used for predictive models and other contexts comparing computed or expected probabilities with empirical frequencies.\nA measure of calibration indicates the degree to which the computed values are underestimated or overestimated."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-12-18 vote 6-0 by Janice Tufte, Eric Harvey, Caue Monaco, Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde"}],"concept" : [{"code" : "STATO:0000686","display" : "mean calibration","definition" : "A measure of calibration that is the average of a function of the difference between the expected values and the observed values.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Calibration"},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Brian S. Alper"},{"code" : "comment","valueString" : "For predictive modeling of non-continuous variables, the mean calibration is a measure of calibration that is the average of a function of the difference between the expected probabilities and the observed frequencies.\nThe expected values may be computed (as in predictive models) or may be derived from reference data (as typical for a measurement device).\nWhen the function is the square of the difference and the variables are binary (0 or 1), the measure is called the Brier score."},{"code" : "approval","valueString" : "2024-01-22 vote 5-0 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Janice Tufte, Cauê Monaco"}]},{"code" : "STATO:0000688","display" : "calibration intercept","definition" : "A measure of calibration that is the difference between the mean expected value and the mean observed value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "calibration-in-the-large"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Calibration"},{"code" : "comment","valueString" : "For calibration of binary outcome variables (0 or 1), the calibration intercept is computed from a statistical model where the log odds of the predicted probabilities is a linear function of the empirical frequencies.\nFor calibration of count outcome variables (0, 1, 2, 3, ...), the calibration intercept may be computed from a statistical model where the log of the predicted mean counts is a linear function of the empirical frequencies determined by unique combinations of the covariates.\nThere are other types of outcome variables for which the calibration-in-the-large measure may be obtained.\nThe notion of calibration in the large is that the intercept is a gross assessment of whether the average prediction matches the average outcome, however, this interpretation is exquisitely sensitive to the choice of referent factors within the prediction model."},{"code" : "editors","valueString" : "Harold Lehmann, Ken Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2024-02-05 vote 4-0 by Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-05 comment: The definition looks good to me. Only comment is that the first comment about \"calibration of binary variable\" made it is sounds like this concept is only for binary outcomes, while I think calibration is a generic measure for all generalized linear models."},{"code" : "approval","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"}]},{"code" : "STATO:0000687","display" : "calibration slope","definition" : "A measure of calibration that is the rate of change in the appropriately transformed value per unit change of the correspondingly transformed predicted value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "calibration-in-the-small"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "comment","valueString" : "For calibration of binary outcome variables (0 or 1), the calibration slope is computed from a statistical model where the log odds of the predicted probabilities is a linear function of the empirical frequencies (logistical regression). The transformation is log odds (logit, the link function for a generalized linear model for the expected value of the outcome).\n \nFor calibration of count outcome variables (0, 1, 2, 3, ...), the calibration slope may be computed from a statistical model where the log of the predicted mean counts is a linear function of the empirical frequencies determined by unique combinations of the covariates. The transformation is log, the link function, of the counts.\n \nThere are other types of outcome variables for which the calibration slope may be obtained.\n \nSlopes further away from 1.0 indicate, at upper and lower values, over- or under-confidence in the prediction."},{"code" : "editors","valueString" : "Harold Lehmann, Ken Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2024-03-11 vote 6-0 by Eric Harvey, Xing Song, Lenny Vasanthan, Elma OMERAGIC, Homa Keshavarz, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-02-12 comment: Again, the first comment about \"calibration of binary variable\" made it is sounds like this concept is only for binary outcomes. Logistic regression could be used as an example for this concept."},{"code" : "negative-vote","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz BUT THEN term definition changed in response to the comment"}]}]}]},{"code" : "STATO:0000028","display" : "measure of dispersion","definition" : "A statistic that represents the variation or spread among data values in a dataset or data distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measure of variation"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "dispersion"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical dispersion"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: measure of variation (measure of dispersion) = measure of variation or statistical dispersion is a data item which describes how much a theoritical distribution or dataset is spread.\n\nNCIt: \"Statistical dispersion-\t\nThe variation between data values in a sample.\"\n\nUMLS: \"Dispersion (C0332624)\nDefinition: The variation between data values in a sample.\nSemantic Types: Spatial Concept\""},{"code" : "comment","valueString" : "This categorical (parent) term can be used for a statistic that is a measure of dispersion and is not found in the child terms."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Yuan Gao, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-02-07 vote 5-0 by Cauê Monaco, Harold Lehmann, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "STATO:0000035","display" : "range","definition" : "A measure of dispersion calculated as the difference between the maximum observed value and the minimum observed value.","property" : [{"code" : "external-definitions","valueString" : "STATO: range = the range is a measure of variation which describes the difference between the lowest score and the highest score in a set of numbers (a data set)"},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "A measure of dispersion is a statistic that represents the variation or spread among data values in a dataset or data distribution.\nThe maximum observed value is a statistic that represents the largest non-null value in a collection of values that can be ordered by magnitude.\nThe minimum observed value is a statistic that represents the smallest non-null value in a collection of values that can be ordered by magnitude.\nA range (as a statistic) is represented as a single value (the difference between maximum and minimum observed values) while, in common language, the term range is often expressed with two values (from the minimum to maximum values, or from the lower limit to the higher limit)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-02-20 vote 5-0 by Philippe Rocca-Serra, Janice Tufte, Harold Lehmann, Mario Tristan, Eric Harvey"}]},{"code" : "STATO:00000164","display" : "interquartile range","definition" : "A measure of dispersion calculated as the difference between the 75th percentile and the 25th percentile.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "middle range"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "midspread"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "IQR"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "median IQR"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"inter quartile range = The interquartile range is a data item which corresponds to the difference between the upper quartile (3rd quartile) and lower quartile (1st quartile).\nThe interquartile range contains the second quartile or median.\nThe interquartile range is a data item providing a measure of data dispersion\""},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "A measure of dispersion is a statistic that represents the variation or spread among data values in a dataset or data distribution.\n\nThe 75th percentile is the median of the portion of the dataset or distribution with values greater than the median value.\n\nThe 25th percentile is the median of the portion of the dataset or distribution with values lesser than the median value.\n\nAn interquartile range (as a statistic) is represented as a single value (the difference between 75th and 25th percentiles) while, in common language, the term interquartile  range is often expressed with two values (the 25th percentile and the 75th percentile)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-02-20 vote 5-0 by Philippe Rocca-Serra, Janice Tufte, Harold Lehmann, Mario Tristan, Eric Harvey"}]},{"code" : "STATO:0000237","display" : "standard deviation","definition" : "A measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SD"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: standard deviation (s) = The standard deviation of a random variable, statistical population, data set, or probability distribution is a measure of variation which correspond to the average distance from the mean of the data set to any given point of that dataset. It also corresponds to the square root of its variance."},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Kenneth Wilkins"},{"code" : "comment","valueString" : "Standard deviation for sample is a standard deviation in which the dataset is a sample. Standard deviation for population, when used as a statistical model parameter, is not a standard deviation as a type of statistic."},{"code" : "approval","valueString" : "2023-05-15 vote 6-0 by Muhammad Afzal, Brian S. Alper, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Harold Lehmann"}],"concept" : [{"code" : "STATO:0000684","display" : "standard deviation for sample","definition" : "A standard deviation that is the square root of the quotient of the summation across data points of the square of the distance from each data point to the sample mean, and the degrees of freedom (where the degrees of freedom is sample size minus one).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "sample standard deviation"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "sample SD"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "S"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "s"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "Standard deviation is defined as a measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.\nStandard deviation for sample is a standard deviation in which the dataset is a sample.\nThe formula for the standard deviation for sample ($s$) is:\n$$s = \\sqrt \\frac{\\sum\\\\{\\substack{n\\\\i=1}} (x_i - \\overline{x})^2}{n - 1}$$\nwhere $n$ is the sample size (the number of independent observations, indexed by $i$), $x$ is observed value, and $\\overline{x}$ is the sample mean.\nThe formula to calculate degrees of freedom depends on the model. For the degrees of freedom for a sample standard deviation, given the sample mean, it is n-1, because the nth observation is no longer independent, given the n-1 other observations and the sample mean."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-05-15 vote 5-0 by Muhammad Afzal, Brian S. Alper, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann"}]}]},{"code" : "STATO:0000113","display" : "variance","definition" : "A measure of dispersion that represents the square of the standard deviation.","property" : [{"code" : "external-definitions","valueString" : "STATO: variance (s2) = variance is a data item about a random variable or probability distribution. it is equivalent to the square of the standard deviation.  It is one of several descriptors of a probability distribution, describing how far the numbers lie from the mean (expected value).The variance is the second moment of a distribution."},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "Standard deviation is defined as a measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.\n\nVariance for sample is a variance in which the dataset is a sample. Variance for population, when used as a probability distribution parameter, is not a variance as a type of statistic."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-11-20 vote 5-0 by Brian S. Alper, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Eric Harvey"}],"concept" : [{"code" : "STATO:0000643","display" : "variance for sample","definition" : "A variance that is the quotient of the summation across data points of the square of the distance from each data point to the sample mean, and the degrees of freedom (where the degrees of freedom is sample size minus one).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "sample variance"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "s^2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "V"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Var"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "Variance is defined as a measure of dispersion that represents the square of the standard deviation. Standard deviation is defined as a measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.\n\nVariance for sample is a variance in which the dataset is a sample.\nThe formula for the variance for sample ($s^2$) is:\n$$s^2 = \\frac{\\sum\\\\{\\substack{n\\\\i=1}} (x_i - \\overline{x})^2}{n - 1}$$\nwhere $n$ is the sample size (the number of independent observations, indexed by $i$), $x$ is observed value, and $\\overline{x}$ is the sample mean.\nThe formula to calculate degrees of freedom depends on the model. For the degrees of freedom for a sample variance, given the sample mean, it is n-1, because the nth observation is no longer independent, given the n-1 other observations and the sample mean."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-11-20 vote 5-0 by Brian S. Alper, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Eric Harvey"}]}]},{"code" : "STATO:0000624","display" : "Gini index","definition" : "A measure of dispersion that is half the relative mean absolute difference between all pairs of observed values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Gini coefficient"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "The Gini index is typically used as a measure of inequality for income, wealth, or resource distribution."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2023-11-20 vote 5-0 by Brian S. Alper, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Eric Harvey BUT comment of \"between all pairs of observed values?\" led to recognition of incorrect definition"},{"code" : "approval","valueString" : "2023-12-04 vote 5-0 by Yasser Sami Amer, Xing Song, Eric Harvey, Harold Lehmann, Brian S. Alper"}]},{"code" : "STATO:0000562","display" : "standard error","definition" : "A measure of dispersion applied to estimates across hypothetical repeated random samples.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SE"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "standard error of the estimate"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: It is a measure of how precise is an estimate of the statistical parameter is. Standard error is the estimated standard deviation of an estimate. It measures the uncertainty associated with the estimate. Compared with the standard deviations of the underlying distribution, which are usually unknown, standard errors can be calculated from observed data."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Xing Song, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error."},{"code" : "approval","valueString" : "2023-12-18 vote 7-0 by Xing Song, Muhammad Afzal, Yasser Sami Amer, Eric Harvey, Harold Lehmann, Janice Tufte, Caue Monaco"}],"concept" : [{"code" : "STATO:0000037","display" : "standard error of the mean","definition" : "A measure of dispersion applied to means across hypothetical repeated random samples.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SEM"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: The standard error of the mean (SEM) is data item denoting the standard deviation of the sample-mean's estimate of a population mean. It is calculated by dividing the sample standard deviation (i.e., the sample-based estimate of the standard deviation of the population) by the square root of n , the size (number of observations) of the sample."},{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\nThe standard error of the mean is calculated by dividing the sample standard deviation (STATO:0000237) by the square root of n, the size (number of observations) of the sample."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Xing Song, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-01-22 vote 5-0 by Homa Keshavarz, Eric Harvey, Cauê Monaco, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "STATO:0000647","display" : "standard error of the proportion","definition" : "A measure of dispersion applied to proportions across hypothetical repeated random samples.","property" : [{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\n\nThe formula for the standard error of the sample proportion ($SE(\\hat{p})$) is:\n$$SE(\\hat{p}) = \\sqrt \\frac{\\hat{p}(1-\\hat{p})} {n}$$\nwhere $\\hat{p}$ is the sample proportion and $n$ is the size (number of observations) of the sample."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Xing Song, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-01-22 vote 5-0 by Homa Keshavarz, Eric Harvey, Brian S. Alper, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "STATO:0000648","display" : "standard error of the difference between independent means","definition" : "A measure of dispersion applied to differences between means of independent groups across hypothetical repeated random samples.","property" : [{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\n\nIn cases where the samples are assumed to have unequal population variances for X, the formula for the standard error of the sample difference between means $(SE_{unequal}(\\overline{x}_{1} - \\overline{x}_{2}))$ is:\n$$SE_{unequal}(\\overline{x}_{1} - \\overline{x}_{2}) = \\sqrt{\\frac{s^2_1}{n_1}+\\frac{s^2_2}{n_2}}$$\nwhere $\\overline{x}_{1}$ and $\\overline{x}_{2}$ are the sample means, $s^2_1$ and $s^2_2$ are the sample standard deviations, and $n_1$ and $n_2$ are the sizes (number of observations) of the samples.\n\nIn cases where the samples are assumed to have the same (equal) population variance for X, the formula for the standard error of the sample difference between means $(SE_{equal}(\\overline{x}_{1} - \\overline{x}_{2}))$ is:\n$$SE_{equal}(\\overline{x}_{1} - \\overline{x}_{2}) = \\sqrt{\\frac{n_1 s^2_1 + n_2 s^2_2}{n_1 + n_2 - 2}}$$\nwhere $\\overline{x}_{1}$ and $\\overline{x}_{2}$ are the sample means, $s^2_1$ and $s^2_2$ are the sample standard deviations, and $n_1$ and $n_2$ are the sizes (number of observations) of the samples. In cases where the samples are assumed to have the same (equal) population variance for X, the standard error of the sample difference between means is also called the pooled standard deviation."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-12 comment: We may consider including the term of \"pooled standard deviation\" to describe the SE_equal(x1-x2), SE when assuming equal variance."}]},{"code" : "STATO:0000649","display" : "standard error of the difference between independent proportions","definition" : "A measure of dispersion applied to differences between proportions arising from independent groups across hypothetical repeated random samples.","property" : [{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\n\nThe formula for the standard error of the sample difference between proportions $(SE(\\hat{p}_1 - \\hat{p}_2))$ is:\n$$SE(\\hat{p}_1 - \\hat{p}_2) =  \\sqrt {\\frac{\\hat{p}_1(1-\\hat{p}_1)} {n_1} + \\frac{\\hat{p}_2(1-\\hat{p}_2)} {n_2}}$$\nwhere $\\hat{p}_1$ and $\\hat{p}_2$ are the sample proportions and $n_1$ and $n_2$ are the sizes (number of observations) of the samples."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-12 comment: In hypothesis testing for p1 = p2, I think the typical way of calculating standard error of proportion difference, is using the formula with pooled proportion, should we also include that in the comment?"}]}]},{"code" : "STATO:0000455","display" : "credible interval","definition" : "The range in which the value of the parameter of interest is likely to reside, typically within a posterior probability distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "region of highest posterior density"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: In Bayesian statistics context, a credible interval is an interval of a posterior distribution which is such that the density at any point inside the interval is greater than the density at any point outside and that the area under the curve for that interval is equal to a prespecified probability level. For any probability level there is generally only one such interval, which is also often known as the highest posterior density region. Unlike the usual confidence interval associated with frequentist inference, here the intervals specify the range within which parameters lie with a certain probability. The Bayesian counterparts of the confidence interval used in Frequentists Statistics.\n\nUMLS: \"Interval (C1272706)\nDefinition: The period of time or the distance separating two instances, events, or occurrences.\nSemantic Types: Temporal Concept\"\n\nOBCS: A quantitative confidence value that is used in Bayesian analysis to describe the range in which a posterior probability estimate is likely to reside.\n\nOECD: calculated interval-The interval containing possible values for a suppressed cell in a table, given the table structure and the values published.\n\nSCO: interval-An interval is a set of real numbers that includes all numbers between any two numbers in the set."},{"code" : "comment","valueString" : "The credible interval is used in Bayesian analysis and plays an analogous role to the confidence interval in frequentist statistics."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-11-27 vote 5-0 by Xing Song, Yasser Sami Amer, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "STATO:0000196","display" : "confidence interval","definition" : "The estimated range of values that encompasses the point estimate and quantifies the uncertainty about that estimate in terms of a prespecified level of coverage, expected to include the true value between upper and lower bounds, across hypothetically repeated random samples, with all assumptions regarding the sampling distribution across random samples having been fully met.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Ken Wilkins, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte"},{"code" : "external-definitions","valueString" : "STATO: A confidence interval is a data item which defines an range of values in which a measurement or trial falls corresponding to a given probability. also confidence interval calculation is a data transformation which determines a confidence interval for a given statistical parameter\n\nNCIt: A range of values for a parameter that may contain the parameter and the degree of confidence that it is in fact there. A measure of the precision of an estimated value. The interval represents the range of values, consistent with the data, that is believed to encompass the \"true\" value with high probability (usually 95%). The confidence interval is expressed in the same units as the estimate. Wider intervals indicate lower precision; narrow intervals, greater precision. [CONSORT Statement]\n\nOBCS: A quantitative confidence value that refers to an interval give values within which there is a high probability (95 percent by convention) that the true population value can be found. The calculation of a confidence interval considers the standard deviation of the data and the number of observations. Thus, a confidence interval narrows as the number of observations increases, or its variance (dispersion) decreases.\n\nCDISC Glossary: A measure of the precision of an estimated value. The interval represents the range of values, consistent with the data, that is believed to encompass the \"true\" value with high probability (usually 95%). The confidence interval is expressed in the same units as the estimate. Wider intervals indicate lower precision; narrow intervals, greater precision. [CONSORT Statement]\n\nNICE: \"Confidence interval\nA way of expressing how certain we are about the findings from a study, using statistics. It gives a range of results that is likely to include the 'true' value for the population. A wide confidence interval (CI) indicates a lack of certainty about the true effect of the test or treatment - often because a small group of patients has been studied. A narrow CI indicates a more precise estimate (for example, if a large number of patients have been studied).\n\nThe CI is usually stated as '95% CI', which means that the range of values has a 95 in a 100 chance of including the 'true' value. For example, a study may state that 'based on our sample findings, we are 95% certain that the 'true' population blood pressure is not higher than 150 and not lower than 110'. In such a case the 95% CI would be 110 to 150.\"\n\nOECD: A confidence interval is an interval which has a known and controlled probability (generally 95% or 99%) to contain the true value.\n\n\"Rothman textbook: confidence interval, which provides a range of values for the association, under the hypothesis that only random variation has created discrepancies between the true value of the association under study and the value observed in the data (Altman et al., 2000; see Chapters 13 through 16) Altman DG, Machin D, Bryant TN, Gardner MJ, eds. Statistics with confidence, 2nd ed. London: BMJ Books, 2000\n\""},{"code" : "comment","valueString" : "The prespecified level of coverage is commonly 0.95 or 95%. \n\nConfidence cannot be directly interpreted as a probability. This is in contrast to credibility for credible intervals. Confidence only conveys uncertainty indirectly by reflecting a long term relative frequency across hypothetically repeated sample estimates.\n\nWidth of a confidence interval can convey precision. This precision can be increased by increasing the sample size in most cases assuming variability in sample is only due to random sample-to-sample variation."},{"code" : "approval","valueString" : "2023-11-27 vote 5-0 by Xing Song, Yasser Sami Amer, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "STATO:0000418","display" : "measure of heterogeneity","definition" : "A statistic that represents the variation or spread among values in the set of estimates across studies.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measure of statistical heterogeneity"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: a measure of heterogeneity in meta-analysis is a data item which aims to describe the variation in study outcomes between studies.\nCochrane Handbook 10.10.4 (August 2023)\nAnalysing data and undertaking meta-analyses \nVariability in the intervention effects being evaluated in the different studies is known as statistical heterogeneity, and is a consequence of clinical or methodological diversity, or both, among the studies. Statistical heterogeneity manifests itself in the observed intervention effects being more different from each other than one would expect due to random error (chance) alone. We will follow convention and refer to statistical heterogeneity simply as heterogeneity.\nhttps://training.cochrane.org/handbook/current/chapter-10#section-10-10-4\nThere are types of heterogeneity (or diversity) other than statistical heterogeneity which are important factors in whether or not evidence can be pooled. Clinical heterogeneity may refer to variations in the population, intervention, comparator, or outcome. Methodological heterogeneity may refer to variations in study design."},{"code" : "comment","valueString" : "There are several types of heterogeneity (or diversity) which are important factors which determine whether or not evidence should be pooled. Qualitative descriptors of explainable sources of heterogeneity include clinical heterogeneity and methodological heterogeneity. Clinical heterogeneity may refer to variations in the population, intervention, comparator, or outcome. Methodological heterogeneity may refer to variations in study design. Statistical heterogeneity, which is a quantitative measure of heterogeneity, whether explained or not, is described here.\n\nA measure of dispersion is defined as a statistic that represents the variation or spread among data values in a dataset or data distribution. In the context of a meta-analysis, a measure of heterogeneity is a measure of dispersion in which the dataset is the set of estimates across studies."},{"code" : "editors","valueString" : "Brian Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-03-11 vote 5-0 by Eric Harvey, Xing Song, Lenny Vasanthan, Harold Lehmann, Homa Keshavarz\n2024-05-06 vote 5-0 by Harold Lehmann, Cauê Monaco, Homa Keshavarz, Eric Harvey, Lenny Vasanthan"},{"code" : "expert-comments","valueString" : "2024-04-29 Comment for application revised during the Statistic Terminology Working Group meeting"}],"concept" : [{"code" : "STATO:0000419","display" : "Cochran's Q","definition" : "A measure of heterogeneity, based on the chi-square statistic, for reporting an analytic finding regarding whether two or more multinomial distributions are equal, accounting for chance variability.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi square for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi² heterogeneity statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² test statistic for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² heterogeneity statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-square test statistic for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-square test statistic for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² test statistic for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi square for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran Q"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran Q statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran's Q statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran Q test statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran's Q test statistic"}],"property" : [{"code" : "comment","valueString" : "A measure of heterogeneity is defined as a statistic that represents the variation or spread among values in the set of estimates across studies.\nChi square for homogeneity assesses whether observed differences in results are compatible with chance alone.\nA chi square for homogeneity is a hypothesis testing measure that is testing the hypothesis of heterogeneity. A chi square for homogeneity is distinct from a chi square for independence (also called Pearson's chi square). A chi square test for homogeneity is based on testing whether the distributions across two or more populations are the same."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "STATO: Cochran's Q test is a statistical test used for unreplicated randomized block design experiments with a binary response variable and paired data. In the analysis of two-way randomized block designs where the response variable can take only two possible outcomes (coded as 0 and 1), Cochran's Q test is a non-parametric statistical test to verify whether k treatments have identical effects.\n\nfrom Cochrane Handbook https://training.cochrane.org/handbook/current/chapter-10\nMore formally, a statistical test for heterogeneity is available. This Chi2 (χ2, or chi-squared) test is included in the forest plots in Cochrane Reviews. It assesses whether observed differences in results are compatible with chance alone. A low P value (or a large Chi2 statistic relative to its degree of freedom) provides evidence of heterogeneity of intervention effects (variation in effect estimates beyond chance).\nCare must be taken in the interpretation of the Chi2 test, since it has low power in the (common) situation of a meta-analysis when studies have small sample size or are few in number. This means that while a statistically significant result may indicate a problem with heterogeneity, a non-significant result must not be taken as evidence of no heterogeneity. This is also why a P value of 0.10, rather than the conventional level of 0.05, is sometimes used to determine statistical significance. A further problem with the test, which seldom occurs in Cochrane Reviews, is that when there are many studies in a meta-analysis, the test has high power to detect a small amount of heterogeneity that may be clinically unimportant.\n\nHoaglin DC. Misunderstandings about Q and 'Cochran's Q test' in meta-analysis. Stat Med. 2016 Feb 20;35(4):485-95. doi: 10.1002/sim.6632. Epub 2015 Aug 24. PMID: 263037 and discussions"},{"code" : "negative-vote","valueString" : "2024-05-13 vote 3-1 by Eric Harvey, Harold Lehmann, Saphia Mokrane, Sheyu Li\n2024-05-06 vote 5-2 by Cauê Monaco, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Sean Grant, Sheyu Li"},{"code" : "expert-comments","valueString" : "2024-05-13 comments\nCochran's Q may be the most accepted name. I would thus suggest changing the term. Actually, Cochran's Q is Chi square contributed and theoretically there can be other Chi square distributed in testing heterogeneity or homogeneity (although current Cochran's Q may be the only one). \n\n2024-04-29 comments:\n1) Add to \"comment for application\" the following from the Cochrane Handbook: \"Chi square for homogeneity assesses whether observed differences in results are compatible with chance alone.\"\n\n2) Is it chi square or Chi square? \n\nIs it Chi square for homogeneity or Chin square for heterogeneity? \n\nX2 test is a very common statistic. To avoid confusion, should we add some detailed statistical explanation regarding the difference between this x2 test and other x2 tests?"},{"code" : "approval","valueString" : "2024-05-28 vote 7-0 by Carlos Alva-Diaz, Homa Keshavarz, Sheyu Li, Harold Lehmann, Saphia Mokrane, Eric Harvey, Lenny Vasanthan"}]},{"code" : "STATO:0000420","display" : "I-squared","definition" : "A measure of heterogeneity that estimates the proportion of variability across studies that is in excess of the expected variability due to chance.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "I2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "I²"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "I-square"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: I-squared = The quantity called I2, describes the percentage of total variation across studies that is due to heterogeneity rather than chance. I2 can be readily calculated from basic results obtained from a typical meta-analysis as I2 = 100%×(Q - df)/Q, where Q is Cochran's heterogeneity statistic and df the degrees of freedom. Negative values of I2 are put equal to zero so that I2 lies between 0% and 100%. A value of 0% indicates no observed heterogeneity, and larger values show increasing heterogeneity. Unlike Cochran's Q, it does not inherently depend upon the number of studies considered. A confidence interval for I² is constructed using either i) the iterative non-central chi-squared distribution method of Hedges and Piggott (2001); or ii) the test-based method of Higgins and Thompson (2002). The non-central chi-square method is currently the method of choice (Higgins, personal communication, 2006) – it is computed if the 'exact' option is selected. (STATO:0000420)\n\nHedges, L. V., & Pigott, T. D. (2001). The power of statistical tests in meta-analysis. Psychological methods, 6(3), 203–217.https://pubmed.ncbi.nlm.nih.gov/11570228/\n\nHiggins, J. P., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in medicine, 21(11), 1539–1558. https://doi.org/10.1002/sim.1186 https://pubmed.ncbi.nlm.nih.gov/12111919/"},{"code" : "comment","valueString" : "A measure of heterogeneity is defined as a statistic that represents the variation or spread among values in the set of estimates across studies. $I^2$ = 100%×(Q - df)/Q, where Q is Cochran's heterogeneity statistic and df is the degrees of freedom. $I^2$ is strictly non-negative and lies between 0 and 100%. (If Q is less than df and the calculation would result in a negative value, then $I^2$ is defined as zero.) There are competing methods of calculating the confidence interval such as Hedges and Piggott (2001) and Higgins and Thompson (2002)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-05-20 comment:\n\"df, the degrees of freedom.\" Note punctuation needs.\n\"(If calculation results in a negative value, Q is less than df, \n𝐼2 is defined as zero.)\" Is that supposed or be \"if Q is less than df\" or, \"and Q is less than df\" or \"because\"?\n\n2024-05-28 comment:\nIs the most commonly used name I square or I squared?  [[[so added as an alternative term]]]"},{"code" : "approval","valueString" : "2024-05-28 vote 7-0 by Lenny Vasanthan, Carlos Alva-Diaz, Saphia Mokrane, Homa Keshavarz, Sheyu Li, Brian S. Alper, Eric Harvey"}]},{"code" : "STATO:0000421","display" : "tau squared","definition" : "A measure of heterogeneity that estimates the variance of the distribution of true effect sizes.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "tau²"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "τ2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "τ²"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "tau square"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "tau2"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Tau-squared is an estimate of the between-study variance in a random-effects meta-analysis. The square root of this number (i.e. tau) is the estimated standard deviation of underlying effects across studies. (STATO:0000421)"},{"code" : "comment","valueString" : "A measure of heterogeneity is defined as a statistic that represents the variation or spread among values in the set of estimates across studies. The tau squared estimates the between-study variance in a random-effects meta-analysis or hierarchical multilevel model meta-analysis."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2024-05-28 vote 6-0 by Lenny Vasanthan, Carlos Alva-Diaz, Saphia Mokrane, Homa Keshavarz, Sheyu Li, Eric Harvey"}]}]}]},{"code" : "STATO:0000209","display" : "area under the curve","definition" : "A statistic that summarizes the variation of a quantity of interest across a domain interval of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUC"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: area under curve is a measurement datum which corresponds to the surface define by the x-axis and bound by the line graph represented in a 2 dimensional plot resulting from an integration or integrative calculus. The interpretation of this measurement datum depends on the variables plotted in the graph"},{"code" : "comment","valueString" : "As examples, in classification tasks, the quantity of interest is the true positive rate and the domain interval of interest is the false positive rate; in pharmacodynamic studies, the quantity of interest is the concentration of a drug and the domain interval of interest is time; and in assessment of lung barotrauma in intensive care, the quantity of interest is pressure and the domain interval of interest is time. \n\nIn general, the average quantity is calculated as the area under the curve divided by the range of the domain interval of interest."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "approval","valueString" : "2024-03-11 vote 5-0 by Eric Harvey, Xing Song, Lenny Vasanthan, Harold Lehmann, Homa Keshavarz"}],"concept" : [{"code" : "STATO:0000608","display" : "area under the ROC curve","definition" : "An area under the curve where the curve is the true positive rate and the range of interest is the false positive rate.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUC"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUROC"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the receiver operating characteristic curve"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "c-statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "C-statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Harrell's C"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "concordance index"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "concordance statistic"}],"property" : [{"code" : "external-definitions","valueString" : "One of the earliest descriptions of this concept is found in \"The area above the ordinal dominance graph and the area below the receiver operating characteristic graph\" (https://doi.org/10.1016/0022-2496(75)90001-2)"},{"code" : "comment","valueString" : "ROC stands for Receiver Operating Characteristic. The area under the ROC curve is used to assess the performance of a classifier used to distinguish between two or more groups. Another term for true positive rate is sensitivity and another term for false positive rate is 1-specificity. \n\nThe c-statistic is the area under the ROC curve calculated with the full range of possible values for true positive rate and false positive rate. Another interpretation of the c-statistic is similar without explicitly referencing the ROC curve: \"The C statistic is the probability that, given 2 individuals (one who experiences the outcome of interest and the other who does not or who experiences it later), the model will yield a higher risk for the first patient than for the second. It is a measure of concordance (hence, the name “C statistic”) between model-based risk estimates and observed events. C statistics measure the ability of a model to rank patients from high to low risk but do not assess the ability of a model to assign accurate probabilities of an event occurring (that is measured by the model’s calibration). C statistics generally range from 0.5 (random concordance) to 1 (perfect concordance).\" (JAMA. 2015;314(10):1063-1064. doi:10.1001/jama.2015.11082)"},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2024-04-22 vote 6-0 by Cauê Monaco, Harold Lehmann, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Sheyu Li"},{"code" : "negative-vote","valueString" : "area under the ROC curve was approved 2024-03-18 vote 6-0 by Cauê Monaco, Homa Keshavarz, Elma OMERAGIC, Xing Song, Lenny Vasanthan, Eric Harvey BUT then ...\nc-statistic had 2024-04-01 vote 4-2 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-03-18 comment: Can we consider having the statement on \"ROC stands for Receiver Operating Characteristic\" in the first line followed by the area under the ROC curve?\n\n 2024-04-01 comments for c-statistic:\n1) isn't this a synonym for AUROC ? (with the assumption that AUROC refers to the totality of the space located below the curve.\n2) Is it c-statistic or C statistic (capitaled)? \nQuote: The C statistic is the probability that, given 2 individuals (one who experiences the outcome of interest and the other who does not or who experiences it later), the model will yield a higher risk for the first patient than for the second. It is a measure of concordance (hence, the name “C statistic”) between model-based risk estimates and observed events. C statistics measure the ability of a model to rank patients from high to low risk but do not assess the ability of a model to assign accurate probabilities of an event occurring (that is measured by the model’s calibration). C statistics generally range from 0.5 (random concordance) to 1 (perfect concordance).I would use discrimination rather than distinguish for the purpose of C-statistic. (JAMA. 2015;314(10):1063-1064. doi:10.1001/jama.2015.11082)\nI am also worried about the definition is highly relied on the definition of ROC. A link of ROC may be better for users. Discrimination rather than distinguish could be a better word to describe C statistic. \nC statistic also refers to concordance statistic."}]},{"code" : "STATO:0000689","display" : "partial area under the ROC curve","definition" : "An area under the curve where the curve is the true positive rate and the range of interest is a specified portion of the range of possible values for the false positive rate and/or range of possible values for the true positive rate.","property" : [{"code" : "comment","valueString" : "Area under the ROC curve is defined as an area under the curve where the curve is the true positive rate and the range of interest is the false positive rate. ROC stands for Receiver Operating Characteristic. The area under the ROC curve is used to assess the performance of a classifier used to distinguish between two or more groups. Another term for true positive rate is sensitivity and another term for false positive rate is 1-specificity."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Muhammad Afzal, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2024-04-01 vote 4-2 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey, Homa Keshavarz\n2024-04-15 vote 3-1 by Harold Lehmann, Eric Harvey, Lenny Vasanthan, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-04-01 comments:\n1) i assume 'area under the curve' to equate the entire area located under the curve, so 'a part' can not be a subtype of the whole.\n2) Similar concerns with the definition of C statistic. \n\n2024-04-15 comment:\nI think we have to add, to the definition, \"and/or range of possible values for the true positive rate\" as well. My apologies, but I didn't catch this during our dicussions."},{"code" : "approval","valueString" : "2024-04-22 vote 5-0 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li"}]},{"code" : "STATO:0000691","display" : "area under the precision-recall curve","definition" : "An area under the curve where the curve is the precision and the domain of interest is the recall.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUPRC"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUCPR"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUC-PR"}],"property" : [{"code" : "comment","valueString" : "In information retrieval, recall is a synonym for sensitivity and precision is a synonym for positive predictive value."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Brian S. Alper"},{"code" : "approval","valueString" : "2024-04-01 vote 6-0 by Homa Keshavarz, Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey"}]},{"code" : "STATO:0000690","display" : "area under the value-time curve","definition" : "An area under the curve where the curve is the repeated measures of a variable over time and the domain of interest is time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the value-by-time curve"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the value vs. time curve"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the value versus time curve"}],"property" : [{"code" : "comment","valueString" : "The area under the value-by-time curve is used for pharmacokinetics, pharmacodynamics, and physiological monitoring."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-04-01 comment: Is it value-time curve?"},{"code" : "negative-vote","valueString" : "2024-04-01 vote 5-1 by Homa Keshavarz, Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey"},{"code" : "approval","valueString" : "2024-04-29 vote 7-0 by Lenny Vasanthan, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant, Philippe Rocca-Serra, Sheyu Li"}]}]},{"code" : "STATO:0000633","display" : "threshold","definition" : "A statistic that represents the boundary at which something changes.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cutoff"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "threshold value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cutoff value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cutoff threshold"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "limit"}],"property" : [{"code" : "comment","valueString" : "The thing that changes at the threshold value may be relevant for function, application, classification, or detection."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Kenneth Wilkins, Khalid Shahin"},{"code" : "approval","valueString" : "5/5 as of 10/11/2021: Janice Tufte, Joanne Dehnbostel, Louis Leff, Vignesh Subbian, Robin Ann Yurk"}]},{"code" : "STATO:0000069","display" : "degrees of freedom","definition" : "A statistic that represents the number of independent values used to calculate a statistical estimate. The number of degrees of freedom ν is equal to the number of independent units of information given the model.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number of degrees of freedom"}],"property" : [{"code" : "comment","valueString" : "The formula to calculate degrees of freedom will depend on the model. For example, the degrees of freedom for a sample standard deviation, given the sample mean, is N-1, because the Nth observation is no longer independent, given the N-1 other observations and the sample mean."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Kenneth Wilkins, Khalid Shahin, Harold Lehmann"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"},{"code" : "expert-comments","valueString" : "Include * in P = x1 * x2...to clarify this is a product."}]},{"code" : "STATO:0000609","display" : "hypothesis testing measure","definition" : "A statistic that represents the relative support for competing hypotheses, based on the observed data under an assumed modeling framework.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hypothesis testing statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hypothesis test statistic"}],"property" : [{"code" : "comment","valueString" : "A hypothesis testing measure may be used within the frequentist framework (Neyman-Pearson framework) or the Bayesian framework. Within the frequentist framework, the criterion for rejecting the null hypothesis is typically expressed as a [p-value](https://fevir.net/resources/CodeSystem/27270#TBD:0000076) that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081). Within the Bayesian framework, the approach for rejecting the null hypothesis is typically based on a Bayes factor."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2024-06-10 vote 4-1 by Harold Lehmann, Lenny Vasanthan, Sean Grant, Eric Harvey, Sheyu Li\n2024-06-17 vote 7-0 by Harold Lehmann, Sean Grant, Carlos Alva-Diaz, Lenny Vasanthan, Eric Harvey, Yaowaluk Ngoenwiwatkul, Homa Keshavarz BUT ALTERNATIVE TERMS AND COMMENT MODIFIED\n2024-06-24 vote 7-1 by Sean Grant, Philippe Rocca-Serra, Sheyu Li, Saphia Mokrane, Cauê Monaco, Eric Harvey, Lenny Vasanthan, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-06-10 comments re: \"hypothesis testing measure\" = \"A statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\"\n1) I guess we'll add \"hypothesis\" to our emerging glossary.\n2N) Would Bayesians say that they are \"testing\" a hypothesis?\n3) The definition looks fine but the comment seems confusing and unnecessary. \n\n\n2024-06-17 comment re: \"hypothesis testing measure\" = \"A statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\"\n\"Hypothesis testing statistic\" as an alternative term?\n\n2024-06-24 comment re: \"hypothesis testing measure\" = \"A statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\"\nThe definition seems wordy. Why not: A statistic that represents the strength (or value?) of a statistical test (or: between the hypothesis and the observation)."},{"code" : "approval","valueString" : "2024-07-08 vote 6-0 by Saphia Mokrane, C P Ooi, Harold Lehmann, Eric Harvey, Lenny Vasanthan, Homa Keshavarz"}],"concept" : [{"code" : "STATO:0000700","display" : "p-value","definition" : "A hypothesis testing measure that represents the probability of obtaining a result at least as far from the value actually obtained as the value expected, assuming the null hypothesis is true.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "P value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "P-value"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: A quantitative confidence value that represents the probability of obtaining a result at least as extreme as that actually obtained, assuming that the actual value was the result of chance alone. (OBI:0000175)\n\n\"You may summarize this comparison using a Bayesian p-value (Gelman et al., 1996, 2004), the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\" -- https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-use-bayesian-statistics-medical-device-clinical-trials"},{"code" : "comment","valueString" : "[Hypothesis testing measure](https://fevir.net/resources/CodeSystem/27270#TBD:0000073) is defined as a statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\n\nWithin the frequentist framework, a p-value is typically a [p-value for two-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-two-sided) and the criterion for rejecting the null hypothesis is typically expressed as a p-value that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081) divided by 2. In some cases, the p-value is a [p-value for one-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-one-sided), and the criterion for rejecting the null hypothesis is typically expressed as a p-value that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081). A p-value is preferably coded more precisely as a [p-value for two-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-two-sided) or a [p-value for one-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-one-sided) rather than using the code for p-value without specification. The code for p-value (without specification) may be used in contexts where the p-value reported is ambiguous.\n\nWithin the Bayesian framework, use the [posterior predictive p-value](https://fevir.net/resources/CodeSystem/27270#TBD:Bayesianp)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2024-06-17 vote 7-1 by Harold Lehmann, Sean Grant, Khalid Shahin, Carlos Alva-Diaz, Lenny Vasanthan, Eric Harvey, Yaowaluk Ngoenwiwatkul, Homa Keshavarz\n2024-07-01 vote 8-1 by Harold Lehmann, Sean Grant, Philippe Rocca-Serra, Sheyu Li, Saphia Mokrane, Cauê Monaco, Eric Harvey, Lenny Vasanthan, Homa Keshavarz\n2024-07-08 vote 3-0 by Saphia Mokrane, Eric Harvey, C P Ooi BUT THEN THE DEFINITION CHANGED\n2024-07-15 vote 4-2 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan"},{"code" : "expert-comments","valueString" : "2024-06-17 comments re: \"p value\" = \"A hypothesis testing measure that represents the probability of obtaining a result at least as extreme as that actually obtained, assuming that the actual value was the result of chance alone.\"\n1) \"Within the frequentist framework...\"\n2N) The threshold is the alpha-level, not the p-value\n3) I personally prefer p-value, but I'm fine with \"p value\"\n\n2024-07-01 comments re: \"p-value\" = \"A hypothesis testing measure that represents the probability of obtaining a result at least as extreme as that actually obtained, assuming the null hypothesis is true.\"\n1) suggestion: add a sentence to also cover Bayesian framework\n2N) The hypothesis can be null or not null (non-inferior test for example). \n\n\n2024-07-15 comments re: \"p-value\" = \"A hypothesis testing measure that represents the probability of obtaining a result at least as far from the value actually obtained as the value expected, assuming the null hypothesis is true.\"\n1N)\nwith the distinction with posterior predictive p-value, one-sided pvalue and two-sided pvalue, is pvalue still needed?\nwhen should the term be used? if used to annotate data, is it imprecise as one would not know if both hypotheses have been tested. The introduction of more specific terms may render this type moot.\nAlso in the 'comment for application', if pvalue is parent term, the statement 'typically expressed as a p-value lesss than an alpha setting ' would not be true for 'two-sided pvalue'.\n2N)\nI am wondering if it might be helpful to add a statement on how 'p' value can help to identify if the desired effect is due to 'chance' or if there is an actual difference"},{"code" : "approval","valueString" : "2024-07-22 vote 7-0 by Saphia Mokrane, Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000661","display" : "p-value for one-sided test","definition" : "A p-value which represents the probability of obtaining a result at least as far, in one direction, from the value actually obtained as the value expected, assuming the null hypothesis is true. A p-value for one-sided test interprets 'at least as far from' with only one of two directions, either the direction of 'greater than' or the direction of 'less than'.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-value for one-tailed test"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "one-sided p-value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "one-tailed p-value"}],"property" : [{"code" : "comment","valueString" : "[P-value](https://fevir.net/resources/CodeSystem/27270#TBD:0000076) is defined as a hypothesis testing measure that represents the probability of obtaining a result at least as far from the value actually obtained as the value expected, assuming the null hypothesis is true. For p-value for one-sided test, the criterion for rejecting the null hypothesis is typically expressed as a p-value that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Harold Lehmann, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2024-07-08 vote 8-1 by C P Ooi, Harold Lehmann, Sean Grant, Philippe Rocca-Serra, Sheyu Li, Saphia Mokrane, Eric Harvey, Lenny Vasanthan, Homa Keshavarz\n2024-07-15 vote 5-1 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan"},{"code" : "expert-comments","valueString" : "2024-07-08 comment re: \"p-value for one-sided test\" = \"A p-value which represents the probability of obtaining a result at least as extreme, in one direction, as that actually obtained.\"\n1N) The word 'one direction' did not explain 'one sided'. \n\n2024-07-15 comment re: \"p-value for one-sided test\" = \"A p-value which represents the probability of obtaining a result at least as far, in one direction, from the value actually obtained as the value expected, assuming the null hypothesis is true.\"\n1N) from an end user perspective, i feel that the definition should included the last statement found in the 'comment for application' = \" A p-value for two-sided test interprets 'at least as far from' with both the direction of 'greater than' and the direction of 'less than'. For hypothesis test interpretation, the one-tailed p-value is compared to the alpha setting\""},{"code" : "approval","valueString" : "2024-07-22 vote 6-0 by Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000662","display" : "p-value for two-sided test","definition" : "A p-value which represents the probability of obtaining a result at least as far, in either direction, from the value actually obtained as the value expected, assuming the null hypothesis is true. A p-value for two-sided test interprets 'at least as far from' with both the direction of 'greater than' and the direction of 'less than'.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-value for two-tailed test"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "two-sided p-value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "two-tailed p-value"}],"property" : [{"code" : "comment","valueString" : "[P-value](https://fevir.net/resources/CodeSystem/27270#TBD:0000076) is defined as a hypothesis testing measure that represents the probability of obtaining a result at least as  far from the value actually obtained as the value expected, assuming the null hypothesis is true. For hypothesis test interpretation, the two-tailed p-value is compared to the [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081) divided by 2."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Harold Lehmann, Kenneth Wilkins"},{"code" : "expert-comments","valueString" : "2024-07-15 comment re: \"p value for two-sided test\" = \"A p-value which represents the probability of obtaining a result at least as far, in either direction, from the value actually obtained as the value expected, assuming the null hypothesis is true.\"\n1N) from an end user perspective, i feel that the definition should included the last statement found in the 'comment for application' = \" A p-value for two-sided test interprets 'at least as far from' with both the direction of 'greater than' and the direction of 'less than'. For hypothesis test interpretation, the two-tailed p-value is compared to the alpha setting divided by 2\""},{"code" : "negative-vote","valueString" : "2024-07-15 vote 5-1 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan"},{"code" : "approval","valueString" : "2024-07-22 vote 6-0 by Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000030","display" : "chi-square statistic","definition" : "A hypothesis testing measure that is assumed to follow a chi-square distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Chi-squared statistic is a statistic computed from observations and used to produce a p-value in statistical test when compared to a Chi-Squared distribution. (STATO:0000030)"},{"code" : "comment","valueString" : "A hypothesis testing measure is defined as a statistic that represents the relative support for competing hypotheses, based on the observed data under an assumed modeling framework."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-10-28 vote 6-0 by Saphia Mokrane, Eric Harvey, Harold Lehmann, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan"}],"concept" : [{"code" : "STATO:0000081","display" : "chi-square statistic for independence","definition" : "A chi-square statistic used to test whether two categorical or nominal variables are associated.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic for independence"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Chi-squared statistic is a statistic computed from observations and used to produce a p-value in statistical test when compared to a Chi-Squared distribution. (STATO:0000030)"},{"code" : "comment","valueString" : "Types of chi-square statistic for independence include the Pearson's chi-square statistic for independence and the Yate's corrected chi-square statistic. The chi-square statistic for independence is a chi-square statistic used for testing for an association."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-04 vote 6-0 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-10-28 comment re: \"chi-square statistic for independence\" = \"A chi-square statistic used to determine whether two categorical or nominal variables are likely to be related.\"\n1Yes)\nCan we consider adding in \"chi-squared statistic for association\" along with this."},{"code" : "negative-vote","valueString" : "2024-10-28 vote 6-0 by Saphia Mokrane, Eric Harvey, Harold Lehmann, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan BUT THEN COMMENT CHANGED DEFINITION AND COMMENT FOR APPLICATION"}]},{"code" : "STATO:0000708","display" : "Cochran-Armitage chi-square statistic for trend","definition" : "A chi-square statistic used to test whether a dichotomous variable and an ordinal variable are related.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran-Armitage chi-squared statistic for trend"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran-Armitage chi-square statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran-Armitage statistic"}],"property" : [{"code" : "comment","valueString" : "There are types of chi-square statistic for trend other than the Cochran-Armitage statistic."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-04 vote 6-0 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"}]},{"code" : "STATO:0000698","display" : "chi-square statistic for homogeneity","definition" : "A chi-square statistic used to test whether observed data from two or more groups follow the same distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic for homogeneity"}],"property" : [{"code" : "comment","valueString" : "In meta-analysis, a chi-square statistic for homogeneity is often used to determine the appropriateness of combining the statistics to represent a common population."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2024-11-04 vote 5-1 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-11-04 comment re: \"chi-square statistic for homogeneity\" = \"A chi-square statistic used to test whether observed data from two or more groups follow the same distribution.\"\n1No)\nI recall that there used to be considerable controversy about the value of statistical tests applied to baseline characteristics, the recommendation being to avoid such tests. If this remains the case, shouldn't we note that here?"},{"code" : "approval","valueString" : "2024-11-11 vote 7-0 by Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Cauê Monaco, Saphia Mokrane, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000309","display" : "chi-square statistic for goodness of fit","definition" : "A chi-square statistic used to test whether observed data follows a specified distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic for goodness of fit"}],"property" : [{"code" : "comment","valueString" : "There are types of chi-square statistic for goodness of fit with named tests based on the specified distribution, such as the Hosmer–Lemeshow test for a given logistic regression model and the Shapiro–Wilk test for a normal (Gaussian) distribution."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-04 vote 6-0 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"}]}]},{"code" : "STATO:0000376","display" : "z-statistic","definition" : "A hypothesis testing measure that is a z-score where the specified mean is based on the null hypothesis and the standard deviation is based on the observed data.","property" : [{"code" : "external-definitions","valueString" : "STATO: A z-score (also known as z-value, standard score, or normal score) is a measure of the divergence of an individual experimental result from the most probable result, the mean. Z is expressed in terms of the number of standard deviations from the mean value. (STATO:0000104)   Z-statistic is a statistic computed from observations and used to produce a p-value when compared to a Standard Normal Distribution in a statistical test called the Z-test. (STATO:0000376)"},{"code" : "editors","valueString" : "Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann, Brian S. Alper"},{"code" : "comment","valueString" : "A [z-score](#STATO:0000104) is defined as a statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\nA z-statistic is a z-score of a sample in the conduct of a Z-test."},{"code" : "approval","valueString" : "2024-08-12 vote 7-0 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Sean Grant"}]},{"code" : "STATO:0000176","display" : "t-statistic","definition" : "A hypothesis testing measure that is a t-score where the specified mean is based on the null hypothesis, the standard error is based on the observed data, and the degrees of freedom is based on the sample size.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Student's t"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Student's t statistic"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: t-statistic is a statistic computed from observations and used to produce a p-value in statistical test when compared to a Student's t distribution. (STATO:0000176)"},{"code" : "comment","valueString" : "A t-score is defined as a statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\nA t-statistic is a t-score of a sample in the conduct of a t-test."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-10-14 vote 5-0 by Lenny Vasanthan, Harold Lehmann, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000266","display" : "Bayes factor","definition" : "A hypothesis testing measure that is a ratio of the probability of the observed data under one hypothesis divided by the probability of the same observed data under a different hypothesis.","property" : [{"code" : "external-definitions","valueString" : "STATO: Bayes factor is a ratio between 2 probabilities of observing data according 2 distinct models. It is used in Bayes model selection to evaluate which model best explains the data. if K<0, the model used in the denominator term is supported, if K>1, the model used in the numerator term is supported. The Bayes factor is about the plausibility of 2 different models\n\nNCI Code         CDISC Submission Value      CDISC Synonym          NCI Preferred Term    CDISC Definition\n\nC142403          Bayesian approaches             _                                           Bayesian Approach        \n\nApproaches to data analysis that provide a posterior probability distribution for some parameter (e.g., treatment effect), derived from the observed data and a prior probability distribution for the parameter. The posterior distribution is then used as the basis for statistical inference. [ICH E9 Glossary]\n\nC142404          Bayesian statistics                   _                                           Bayesian Statistics        \n\nStatistical approach named for Thomas Bayes (1701-1761) that has among its features giving a subjective interpretation to probability, accepting the idea that it is possible to talk about the probability of hypotheses being true and of parameters having particular values."},{"code" : "comment","valueString" : "The Bayes factor numerator and denominator take into account the prior probabilities of each hypothesis. The Bayes factor represents the relative plausibility between competing hypotheses, taking the prior probabilities into account."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-11 vote 7-0 by Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Cauê Monaco, Saphia Mokrane, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000660","display" : "posterior predictive p-value","definition" : "A hypothesis testing measure that is the probability that a statistic value derived from a posterior predictive distribution under the assumptions of the model is equal to or more extreme than the observed posterior value of the statistic.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Bayesian p-value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Bayes p-value"}],"property" : [{"code" : "comment","valueString" : "[Hypothesis testing measure](https://fevir.net/resources/CodeSystem/27270#TBD:0000073) is defined as a statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\n\nA posterior predictive p-value includes assumptions of prior probability of the hypothesis or parameters in the model.\n\nThe term 'posterior predictive p-value' is used within the Bayesian framework. Within the frequentist framework, use [p-value for two-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-two-sided) or [p-value for one-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-one-sided).\n\nNote that in the Bayesian case, one generally focuses on the posterior probability distribution of the parameter of interest, not on this posterior probability of a statistic."},{"code" : "external-definitions","valueString" : "\"You may summarize this comparison using a Bayesian p-value (Gelman et al., 1996, 2004), the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\" -- https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-use-bayesian-statistics-medical-device-clinical-trials"},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Philippe Rocca-Sera, Brian S. Alper"},{"code" : "negative-vote","valueString" : "2024-07-08 vote 3-1 by C P Ooi, Sheyu Li, Eric Harvey, Harold Lehmann\n2024-07-15 vote 5-1 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan\n2024-07-22 vote 6-0 by Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey (Comment led us to reopen this term for voting)"},{"code" : "expert-comments","valueString" : "2024-07-08 comment re: \"posterior predictive p-value\" = \"A hypothesis testing measure that is the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\"\n1N) I think \"Bayesian\" should be the primary name, and something about priors and data should be included in the comment for application, since this is an atypical measure. (Sorry not having pointed this out during the session.)\n\n2024-07-15 comment re: \"posterior predictive p-value\" = \"A hypothesis testing measure that is the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\"\n1N) add \"Within the frequentist framework, use 'one-sided or two sided pvalue\" (or pvalue if kept) to the 'comment for application' for consistency and reciprocity\n\n2024-07-22 comment re: \"posterior predictive p-value\" = \"A hypothesis testing measure that is the probability that a statistic value derived from a posterior predictive distribution under the assumptions of the model is equal to or more extreme than the observed posterior value of the statistic.\"\n1Y) Because most \"posteriors\" in Bayesian statistics are about the parameter we really care about, let me suggest saying something like: \"Note that in the Bayesian case, one generally focuses on the posterior probability distribution of the parameter of interest, not on this posterior probability of a statistic.\"  And we will need a SEVCO term for \"posterior probability,\" to go under Bayes factor (not a child)."},{"code" : "approval","valueString" : "2024-07-29 vote 5-0 by Lenny Vasanthan, Airton Tetelbom Stein, Eric Harvey, Harold Lehmann, Homa Keshavarz"}]}]},{"code" : "STATO:0000104","display" : "z-score","definition" : "A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Z-score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "z score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Z score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "z-value"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: A z-score (also known as z-value, standard score, or normal score) is a measure of the divergence of an individual experimental result from the most probable result, the mean. Z is expressed in terms of the number of standard deviations from the mean value. (STATO:0000104)"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2024-08-12 vote 7-1 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Elma OMERAGIC, Airton Tetelbom Stein, Sean Grant\n2024-08-19 vote 6-1 by Philippe Rocca-Serra, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz, Cauê Monaco, Eric Harvey, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2024-08-12\nComment for application maybe should include: \"A z-score can be calculated for a statistic for a sample z-statistic or may be calculated for an individual, using a reference mean and standard deviation, as in an IQ score.\"\n\n2024-08-19 comment re: \"z-score\" = \"A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\"\n1N)\nDoes 'calculated for a statistic for a sample z-statistic' mean that you calculate the z-score from the z-statistic and they are 2 different values, or does it mean that z-statistic is the term for z-score when it is calculated for a sample?  This ambiguity can be avoided by making the comment for application 2 separate sentences, one clearly describing \"for a sample\" and the other clearly describing \"for an individual observation\" -- note individual needs to be an adjective and not a noun in the second sentence.  An individual person can be the population for a sample of observations about the individual.\nre: \"z-score\" = \"A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\"\n\n2024-08-26 comment re: \"z-score\" = \"A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\"\n1Y)\nOnly a petit change in comment for application...\"A z-score can also be calculated for a statistic for a sample, such as a z-statistic, which is a hypothesis testing measure. The z-score for the sample is based on the null hypothesis mean, and the standard deviation is based on the observed data.\""},{"code" : "comment","valueString" : "A z-score can be calculated for an individual observation, using a reference mean and standard deviation, such as in an IQ score or a weight-for-age-and-sex value in a pediatric growth chart.\nA z-score can also be calculated for a statistic for a sample, such as a [z-statistic](https://fevir.net/resources/CodeSystem/27270#STATO:0000376), which is a hypothesis testing measure. The z-score for the sample is based on the null hypothesis mean, and the standard deviation is based on the observed data."},{"code" : "approval","valueString" : "2024-08-26 vote 7-0 by Carlos Alva-Diaz, Elma OMERAGIC, Lenny Vasanthan, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein, Harold Lehmann"}]},{"code" : "STATO:0000699","display" : "t-score","definition" : "A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, taking sample size into account and expressed in terms of the number of standard errors from the mean value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "T-score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "t score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "T score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "t-value"}],"property" : [{"code" : "comment","valueString" : "A t-score can be calculated for an individual observation, using a reference mean and standard error, such as in a bone mineral density value with a reference mean and standard error for young adult men.\nA t-score can also be calculated for a statistic for a sample, such as a t-statistic, which is a hypothesis testing measure. The t-score for the sample is based on the null hypothesis mean, and the standard error is based on the observed data.\nA t-score is used preferentially to a z-score when the sample size is low (e.g. < 30 for a unimodal symmetric distribution), the population standard deviation is unknown, or when the sample distribution cannot be assumed to follow a normal distribution."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-10-14 vote 5-0 by Lenny Vasanthan, Harold Lehmann, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000702","display" : "prior probability","definition" : "A statistic that represents the likelihood of a parameter of interest, before accounting for the observed data from the study.","property" : [{"code" : "comment","valueString" : "This term is core to Bayesian statistics, where the focus is on estimation of the parameter of interest (unlike frequentist statistics, where the focus is on the likelihood of producing an estimate given a specific value of the parameter).\nThe prior probability may be constructed in several ways: from prior research, from raw data in a database, from expert opinion, or specified as \"non-informative\" (meaning pure ignorance).\nThe likelihood of the parameter is usually represented as a distribution over all possible values of the parameter."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2024-08-12  comments:\n1N)\nI would suggest including Bayersian analysis as a context in the definition but not only in the comments. \n2Y)\nJust a comment for us: Note that this may be the first time that \"statistic\" is used NOT to mean a function of the observed data, but is still covered by our SEVCO definition for \"statistic.\"\n\n\n2024-08-19 comment re: \"prior probability\" = \"A statistic that represents the uncertainty of a parameter of interest, before accounting for the observed data from the study.\"\n1N)\nUncertainty and likelihood are not synonymous.  The word 'uncertainty' does in the proposed definition of prior probability does not match the parallel definition of posterior probability (using 'likelihood') and does not match the comment in posterior probability which states 'The prior probability is the likelihood of a parameter of interest'"},{"code" : "negative-vote","valueString" : "2024-08-12 vote 6-1 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Sean Grant\n2024-08-19 vote 6-1 by Philippe Rocca-Serra, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz, Cauê Monaco, Eric Harvey, Brian S. Alper"},{"code" : "external-definitions","valueString" : "NCI Code         CDISC Submission Value      CDISC Synonym          NCI Preferred Term    CDISC Definition\n\nC142403          Bayesian approaches             _                                           Bayesian Approach        \n\nApproaches to data analysis that provide a posterior probability distribution for some parameter (e.g., treatment effect), derived from the observed data and a prior probability distribution for the parameter. The posterior distribution is then used as the basis for statistical inference. [ICH E9 Glossary]\n\nC142404          Bayesian statistics                   _                                           Bayesian Statistics        \n\nStatistical approach named for Thomas Bayes (1701-1761) that has among its features giving a subjective interpretation to probability, accepting the idea that it is possible to talk about the probability of hypotheses being true and of parameters having particular values."},{"code" : "approval","valueString" : "2024-11-11 vote 7-0 by Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Cauê Monaco, Saphia Mokrane, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000703","display" : "posterior probability","definition" : "A statistic that represents the likelihood of a parameter of interest, after updating its prior probability with the observed data from the study.","property" : [{"code" : "comment","valueString" : "This term is core to Bayesian statistics, where the focus is on estimation of the parameter of interest (unlike frequentist statistics, where the focus is on the likelihood of producing an estimate given a specific value of the parameter). The [prior probability](#TBD:priorprobability) is the likelihood of a parameter of interest from before the study. For calculating the posterior probability of a parameter, the  [prior probability](#TBD:priorprobability) is updated using Bayes' Theorem' and the likelihood function."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2024-08-12 vote 6-1 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Sean Grant"},{"code" : "expert-comments","valueString" : "2024-08-12\n1N)\nI would suggest including Bayersian analysis as a context in the definition but not only in the comments. \n2Y)\nI would amend the last sentence of the Comment for application as, \"For calculating the posterior probability of a parameter, the prior probabilty is updated using Bayes' Theorem' \""},{"code" : "approval","valueString" : "2024-08-19 vote 7-0 by Philippe Rocca-Serra, Brian S. Alper, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz, Cauê Monaco, Eric Harvey"}]}]}]}}]}

#24

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{"resourceType" : "CodeSystem","id" : "SEVCO","meta" : {"versionId" : "55","lastUpdated" : "2025-09-13T20:55:36.205Z"},"extension" : [{"url" : "http://hl7.org/fhir/uv/ebm/StructureDefinition/cite-as","valueMarkdown" : "Scientific Evidence Code System (SEVCO) -- Release 2.0 [Database Entry: FHIR CodeSystem Resource]. Contributors: Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao [Authors/Creators]. Rebecca Baker, Arnav Agarwal, Kailei Nong [Reviewers]. Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao [Editors]. Jesús López-Alcalde, Eric Harvey, Paola Rosati, Robin Ann Yurk, Alejandro Piscoya, Cauê Monaco, Cheow Peng Ooi, Nisha Mathew, Leo Orozco, Nelle Stocquart, Sorana D. Bolboaca, KM Saif-Ur-Rahman, A.G. Radhika, Andrew Beck, Louis Leff, Tatyana Shamliyan, Sunu Alice Cherian, Yasser Sami Amer, Sebastien Bailly, Eric Au, Paul Harris, Ahmad Sofi-Mahmudi, Elma Omeragic. Jennifer Hunter, Lara Kahaleh, Lenny Vasanthan, Mahnoor Ahmed, Morufu Olalekan Raimi, Sean Grant, Sumalatha Arunachala, Yaowaluk Ngoenwiwatkul [Endorsers]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 293778. Published 2024-12-13. Revised 2024-12-11. Available at: https://fevir.net/sevco. Computable resource at: https://fevir.net/sevco#json."}],"url" : "https://fevir.net/sevco","identifier" : [{"system" : "https://fevir.net/FOI","value" : "293778","assigner" : {"display" : "Computable Publishing LLC"}}],"version" : "2.0","name" : "SEVCO","title" : "Scientific Evidence Code System (SEVCO) -- Release 2.0","status" : "active","experimental" : false,"date" : "2024-12-11","publisher" : "Computable Publishing LLC","contact" : [{"name" : "Brian S. Alper","telecom" : [{"system" : "email","value" : "balper@computablepublishing.com"}]}],"description" : "The Scientific Evidence Code System (SEVCO) includes terms for describing scientific research, including study design, risk of bias, and statistical concepts. For additional derivation details for any term, see https://fevir.net/resources/CodeSystem/27270\n\nFor SEVCO Release 2.0:\n\nAuthors/Editors: Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao\n\nAdditional Endorsers: Jesús López-Alcalde, Eric Harvey, Paola Rosati, Robin Ann Yurk, Alejandro Piscoya, Cauê Monaco, Cheow Peng Ooi, Nisha Mathew, Leo Orozco, Nelle Stocquart, Sorana D. Bolboaca, KM Saif-Ur-Rahman, A.G. Radhika, Andrew Beck, Louis Leff, Tatyana Shamliyan, Sunu Alice Cherian, Yasser Sami Amer, Sebastien Bailly, Eric Au, Paul Harris, Ahmad Sofi-Mahmudi, Elma Omeragic. Jennifer Hunter, Lara Kahaleh, Lenny Vasanthan, Mahnoor Ahmed, Morufu Olalekan Raimi, Sean Grant, Sumalatha Arunachala, Yaowaluk Ngoenwiwatkul\n\nAdditional Reviewers: Rebecca Baker, Arnav Agarwal, Kailei Nong\n\nfor SEVCO Release 1.1 -- see https://fevir.net/resources/CodeSystem/103845\nfor SEVCO Release 1.0 -- see https://fevir.net/resources/CodeSystem/52433","copyright" : "https://creativecommons.org/licenses/by-sa/4.0/ copyright holder is Scientific Knowledge Accelerator Foundation","approvalDate" : "2024-12-13","lastReviewDate" : "2024-12-13","author" : [{"name" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao"}],"editor" : [{"name" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao"}],"reviewer" : [{"name" : "Rebecca Baker, Arnav Agarwal, Kailei Nong"}],"endorser" : [{"name" : "Jesús López-Alcalde, Eric Harvey, Paola Rosati, Robin Ann Yurk, Alejandro Piscoya, Cauê Monaco, Cheow Peng Ooi, Nisha Mathew, Leo Orozco, Nelle Stocquart, Sorana D. Bolboaca, KM Saif-Ur-Rahman, A.G. Radhika, Andrew Beck, Louis Leff, Tatyana Shamliyan, Sunu Alice Cherian, Yasser Sami Amer, Sebastien Bailly, Eric Au, Paul Harris, Ahmad Sofi-Mahmudi, Elma Omeragic. Jennifer Hunter, Lara Kahaleh, Lenny Vasanthan, Mahnoor Ahmed, Morufu Olalekan Raimi, Sean Grant, Sumalatha Arunachala, Yaowaluk Ngoenwiwatkul"}],"relatedArtifact" : [{"type" : "cite-as","citation" : "Scientific Evidence Code System (SEVCO) -- Release 2.0 [Database Entry: FHIR CodeSystem Resource]. Contributors: Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao [Authors/Creators]. Rebecca Baker, Arnav Agarwal, Kailei Nong [Reviewers]. Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Mario Tristan, Paul Whaley, Kenneth Wilkins, Khalid Shahin, Erfan Shamsoddin, Michael Panzer, Asiyah Yu Lin, Ellen Jepson, Ilkka Kunnamo, Neeraj Ojha, Olga Vovk, Airton Tetelbom Stein, Bhagvan Kommadi, Carlos Alva-Diaz, Cauê Monaco, Homa Keshavarz, Javier Bracchiglione, Kevin O'Brien. Li Wang, Muhammad Afzal, Philippe Rocca-Serra, Saphia Mokrane, Sheyu Li, Xing Song, Yuan Gao [Editors]. Jesús López-Alcalde, Eric Harvey, Paola Rosati, Robin Ann Yurk, Alejandro Piscoya, Cauê Monaco, Cheow Peng Ooi, Nisha Mathew, Leo Orozco, Nelle Stocquart, Sorana D. Bolboaca, KM Saif-Ur-Rahman, A.G. Radhika, Andrew Beck, Louis Leff, Tatyana Shamliyan, Sunu Alice Cherian, Yasser Sami Amer, Sebastien Bailly, Eric Au, Paul Harris, Ahmad Sofi-Mahmudi, Elma Omeragic. Jennifer Hunter, Lara Kahaleh, Lenny Vasanthan, Mahnoor Ahmed, Morufu Olalekan Raimi, Sean Grant, Sumalatha Arunachala, Yaowaluk Ngoenwiwatkul [Endorsers]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 293778. Published 2024-12-13. Revised 2024-12-11. Available at: https://fevir.net/sevco. Computable resource at: https://fevir.net/sevco#json."},{"type" : "derived-from","label" : "Development Version","resourceReference" : {"reference" : "CodeSystem/27270","type" : "CodeSystem","display" : "Scientific Evidence Code System (SEVCO) -- DRAFT ONLY (Not published for current use)"}},{"type" : "replaces","resourceReference" : {"reference" : "CodeSystem/103845","type" : "CodeSystem","display" : "Scientific Evidence Code System (SEVCO) -- Release 1.1"}}],"caseSensitive" : false,"hierarchyMeaning" : "is-a","versionNeeded" : true,"content" : "complete","property" : [{"code" : "comment","description" : "Comment for application","type" : "string"},{"code" : "editors","description" : "Term/Definition Editors","type" : "string"},{"code" : "approval","description" : "Expert Working Group Agreement","type" : "string"},{"code" : "negative-vote","description" : "Expert Working Group Disagreement","type" : "string"},{"code" : "expert-comments","description" : "Expert Working Group Comments","type" : "string"},{"code" : "external-definitions","description" : "Externally Mapped Definitions","type" : "string"},{"code" : "statistical-purpose","description" : "Statistical purpose","type" : "string"}],"concept" : [{"code" : "SEVCO:01000","display" : "study design","definition" : "A plan specification for how and what kinds of data will be gathered as part of an investigation which may produce testable explanations, conclusions and predictions or test a hypothesis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "research design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "experimental design"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Asiyah Lin, Mario Tristan, Neeraj Ojha"},{"code" : "approval","valueString" : "9/9 as of 4/26/2021: Eric Harvey, Bhagvan Kommadi, KM Saif-Ur-Rahman, Paola Rosati, Jesús López-Alcalde, Tatyana Shamliyan, Sorana D. Bolboaca, Asiyah Lin, Eric Au"}],"concept" : [{"code" : "SEVCO:01001","display" : "interventional research","definition" : "A study design in which an independent variable (an exposure or intervention) is prospectively assigned or modified by the investigator to evaluate a response in the dependent variable (an effect or outcome).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interventional study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interventional study design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interventional primary research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "international method of research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "experimental research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "experimental study"}],"property" : [{"code" : "editors","valueString" : "Mario Tristan, Joanne Dehnbostel, Harold Lehmann, Khalid Shahin, Brian S. Alper"},{"code" : "approval","valueString" : "12/12 as of 5/31/2021: Eric Harvey, Bhagvan Kommadi, Brian Alper, Sebastien Bailly, Alejandro Piscoya, Harold Lehmann, KM Saif-Ur-Rahman, Paola Rosati, Sorana D. Bolboaca, Asiyah Lin, Leo Orozco, Erfan Shamsoddin"},{"code" : "comment","valueString" : "We acknowledge that interventional study design and interventional study  may not be exact synonyms of interventional research, but interventional research could be used to encompass both design and implementation of the design"}],"concept" : [{"code" : "SEVCO:01003","display" : "randomized assignment","definition" : "An interventional study design in which an independent variable (an exposure or intervention) is prospectively assigned or modified by random chance to separate groups.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interventional research with randomized assignment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "randomized trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "randomized controlled trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RCT"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Mario Tristan, Kenneth Wilkins, Erfan Shamsoddin, Ellen Jepson"},{"code" : "approval","valueString" : "8/8 as of 7/19/2021: Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"}],"concept" : [{"code" : "SEVCO:01006","display" : "simple randomization","definition" : "A randomized assignment in which each participant has the same prespecified likelihood of being assigned to a group as all other participants, independent of the assignment of any other participant.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unrestricted randomization"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Mario Tristan, Kenneth Wilkins, Erfan Shamsoddin, Ellen Jepson"},{"code" : "approval","valueString" : "8/8 as of 7/19/2021: Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"}]},{"code" : "SEVCO:01007","display" : "stratified randomization","definition" : "A randomized assignment in which participants are stratified into groups based on prognostic variables and then randomized into balanced treatment groups","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Khalid Shahin"},{"code" : "approval","valueString" : "8/8 as of 7/19/2021: Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"}]},{"code" : "SEVCO:01008","display" : "block randomization","definition" : "A randomized assignment in which a pre-specified number of subjects is assigned to a block containing the same pre-specified ratio of group assignments in random order.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Khalid Shahin"},{"code" : "approval","valueString" : "7/7 as of 7/26/2021: Mario Tristan, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Leo Orozco, Janice Tufte"},{"code" : "negative-vote","valueString" : "2021-07-19 vote 7-1 on \"A randomized assignment in which a pre-specified number of subjects is assigned to a block containing the same pre-specified number of balanced group assignments in random order\" by Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"},{"code" : "expert-comments","valueString" : "I think I'm hung up on the word \"balanced\". Does allocation in block design need to be balanced? Couldn't a block design allocate subjects to treatment arms in a 2:1, or other \"unbalanced\" ratio?"}]},{"code" : "SEVCO:01009","display" : "adaptive randomization","definition" : "A randomized assignment in which a participant’s group assignment probability is adjusted based on any factor such that the likelihood of assignment is not the same for all participants.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Mario Tristan, Kenneth Wilkins, Erfan Shamsoddin, Ellen Jepson"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"},{"code" : "negative-vote","valueString" : "2021-07-19 vote 7-1 on \"A randomized assignment in which a participant’s group assignment probability is adjusted based on any factor such that the likelihood of assignment is not the same for all participants.\" by Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte, 2021-07-26 vote 6-1 by Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Janice Tufte, Mario Tristan"},{"code" : "expert-comments","valueString" : "I deem this kind of adaptation could determine conflict of interests or a new kind of bias. I disagree with adding an adaptive randomization as a new term 7-26-21 comment: Again, why and for what you wish to maintain this term? I think the term adaptive randomization risks a severe selection bias. In ethical terms, I deem there is no justification to proceed with such a methodology in clinical trials."}]}]},{"code" : "SEVCO:01005","display" : "non-randomized assignment","definition" : "An interventional study design in which an independent variable (an exposure or intervention) is prospectively assigned or modified by methods other than random chance to separate groups.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interventional research with non-randomized assignment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Michael Panzer, Janice Tufte, Erfan Shamsoddin, Ellen Jepson, Khalid Shahin"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"},{"code" : "negative-vote","valueString" : "2021-07-19 vote 6-2 on \"An interventional study design in which an independent variable (an exposure or intervention) is prospectively assigned or modified by methods other than random chance to separate groups.\" by Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana D. Bolboaca, Janice Tufte, 2021-07-26 vote 6-1 by Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Janice Tufte, Mario Tristan"},{"code" : "expert-comments","valueString" : "In this case, if the patients choose which is the arm they want to be in it would beok to insert this term. I presumetherefore that if the choice is made bythe researchers they offer a clearjustification for it in the protocol As written, this category would include all quasi-randomized designs. If this is the intent, fine. If this was not the intent, perhaps we could change \"..randomized..\" to \"..randomized or quasi-randomized..\" 7-26-21 comment: We usually have started the definitions by saying \"A xxx assignment that...\" (see previous ones in this page). That is, we define the assigment. However, for\"Non-Randomized Assignment\" we start by saying \"An interventional study design...\" I propose to describe the \"assignment\" (avoid starting by defining the study design itself)"}],"concept" : [{"code" : "SEVCO:01004","display" : "quasi-randomized assignment","definition" : "An interventional study design with a method of allocation that is not limited to random chance but is intended to produce similar baseline groups for experimentation.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Michael Panzer, Janice Tufte, Erfan Shamsoddin, Ellen Jepson, Khalid Shahin"},{"code" : "approval","valueString" : "7/7 as of 7/26/2021: Mario Tristan, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Leo Orozco, Janice Tufte"},{"code" : "negative-vote","valueString" : "2021-07-19 vote 6-2 on \"An interventional study design with a method of allocation that is not limited to random chance but is intended to produce similar baseline groups for experimentation.\" by Alejandro Piscoya, Harold Lehmann, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Sorana d. Bolboaca, Janice Tufte"},{"code" : "expert-comments","valueString" : "Which is the difference between thisquasi-randomized assignment and theadaptive randomization? It is unclearwhy we should insert these two terms inthe glossary I would specify in the definition thatquasi-randomisation is a non-randommethod of allocation"},{"code" : "comment","valueString" : "Quasi-random methods of allocation include allocation by alternate order of entry, date of birth, day of the week, month of the year, or medical record number"}]}]},{"code" : "SEVCO:01029","display" : "clinical trial","definition" : "Interventional research in which one or more healthcare-related actions (i.e., a diagnostic, prognostic, therapeutic, preventive or screening method or intervention) is evaluated for effects on health-related biomedical or behavioral processes and/or outcomes.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-11-30 vote 7-1 by Alejandro Piscoya, Mario Tristan, Robin Ann Yurk, Muhammad Afzal, Paola Rosati, Paul Whaley, Janice Tufte, Jesus Lopez-Alcalde\n2021-12-07 vote 4-1 by Mario Tristan, Robin Ann Yurk, Janice Tufte, Joanne Dehnbostel, CP Ooi"},{"code" : "expert-comments","valueString" : "2021-11-30 comments: (We should include the classical definition for  Phase lV Field Trials of Health Interventions: A Toolbox. 3rd edition.\nSmith PG, Morrow RH, Ross DA, editors.\nOxford (UK): OUP Oxford; 2015 Jun 1.https://www.ncbi.nlm.nih.gov/books/NBK305508/), Instead of \"methods\" I would use the term \"interventions\". I also miss the term \"prognostic\" as they are not diagnostic or screening. Besides, it would be important to highlight that the clinical trial is done in humans\n\n2021-12-07 comment: A clinical trial is a type of research that studies new tests and treatments and evaluates their effects on human health outcomes. The medical intervention can be drugs, cells and other biological products, surgical procedures, radiological procedures, devices, behavioural treatments and preventive care."},{"code" : "comment","valueString" : "Some definitions for \"clinical trial\" include human subject research for effects on human health outcomes. The term \"human\" was not added to this definition because a study design with animal subjects for effects on animal health outcomes to inform veterinary care would be considered a clinical trial. However, a study design with animal subjects to inform human health outcomes would not be considered a clinical trial."},{"code" : "external-definitions","valueString" : "NIH Clinical Trial Definition = A research study[1] in which one or more human subjects[2] are prospectively assigned[3] to one or more interventions[4] (which may include placebo or other control) to evaluate the effects of those interventions on health-related biomedical or behavioral outcomes.[5] \n\n[4]An intervention is defined as a manipulation of the subject or subject’s environment for the purpose of modifying one or more health-related biomedical or behavioral processes and/or endpoints.  Examples include:  drugs/small molecules/compounds; biologics; devices; procedures (e.g., surgical techniques); delivery systems (e.g., telemedicine, face-to-face interviews); strategies to change health-related behavior (e.g., diet, cognitive therapy, exercise, development of new habits); treatment strategies; prevention strategies; and, diagnostic strategies.\n\nfrom https://grants.nih.gov/grants/guide/notice-files/NOT-OD-15-015.html"},{"code" : "approval","valueString" : "2021-12-14 vote 6-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Robin Ann Yurk, Janice Tufte, Paul Whaley, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:01041","display" : "pragmatic clinical trial","definition" : "A clinical trial conducted under conditions of routine clinical practice.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "pragmatic trial"}],"property" : [{"code" : "external-definitions","valueString" : "NCIt:  Pragmatic Trial = A study designed to test the effectiveness of an intervention in a broad routine clinical practice. Term used to describe a clinical study designed to examine the benefits of a product under real world conditions.\nUMLS: Works about randomized clinical trials that compare interventions in clinical settings and which look at a range of effectiveness outcomes and impacts.\nCDISC Glossary: pragmatic trial = Term used to describe a clinical study designed to examine the benefits of a product under real world conditions.\nEDDA: pragmatic clinical trial = Randomized clinical trials that compare interventions in clinical settings and which look at a range of effectiveness outcomes and impacts. [MeSH_2015]\nSCO: pragmatic trial = A study designed to test the effectiveness of an intervention in a broad routine clinical practice.\n\"Pragmatic trials are designed to evaluate the effectiveness of interventions in real-life routine practice conditions, whereas explanatory trials aim to test whether an intervention works under optimal situations. The pragmatic trial, on the other hand, is designed to test interventions in the full spectrum of everyday clinical settings in order to maximize applicability and generalizability. The research question under investigation is whether an intervention actually works in real life.\" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181997/)"},{"code" : "comment","valueString" : "\"Pragmatic trials are designed to evaluate the effectiveness of interventions in real-life routine practice conditions, whereas explanatory trials aim to test whether an intervention works under optimal situations. The pragmatic trial, on the other hand, is designed to test interventions in the full spectrum of everyday clinical settings in order to maximize applicability and generalizability. The research question under investigation is whether an intervention actually works in real life.\" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181997/)"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2021-11-30 vote 5-1 by Alejandro Piscoya, Robin Ann Yurk, Muhammad Afzal, Paul Whaley, Janice Tufte, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2021-11-30 comments: (The definition in the current form is fine however the last part may be thought like;\nwhere \"everyday\" means day-to-day clinical practice wherein the conditions are not modified for the conduct of the research.),  Suggested alternative: = A clinical trial designed to test the effects of an intervention under everyday conditions, where \"everyday conditions\" means clinical conditions are not modified for the conduct of the research"},{"code" : "approval","valueString" : "2021-12-07 vote 5-0 by Mario Tristan, Robin Ann Yurk, Janice Tufte, CP Ooi, Joanne Dehnbostel"}]},{"code" : "SEVCO:01038","display" : "expanded access study","definition" : "A clinical trial that provides a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "compassionate use trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "compassionate use study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "expanded access trial"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nExpanded Access Study\n\nStudies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study. Expanded Access studies include individual-patient IND, treatment IND, compassionate use, emergency use or continued access. An investigational drug product (including biological product) available through expanded access for patients who do not qualify for enrollment in a clinical trial. Expanded Access includes all expanded access types under section 561 of the Federal Food, Drug, and Cosmetic Act: (1) for individual patients, including emergency use; (2) for intermediate-size patient populations; and (3) under a treatment IND or treatment protocol.\n\n\nfrom NCIt:\n\nExpanded Access Study\n\nStudies that provide a means for obtaining an experimental drug or device for patients who are not adequately treated by existing therapy, who do not meet the eligibility criteria for enrollment, or who are otherwise unable to participate in another clinical study. Expanded Access studies include individual-patient IND, treatment IND, compassionate use, emergency use or continued access. \n\n\nalso Compassionate Treatment (compassionate use trial, expanded access trial, pre-approval access)\n\nProviding experimental therapies to very sick individuals even though they don't meet the critera for inclusion in a trial.\n\nA way to provide an investigational therapy to a patient who is not eligible to receive that therapy in a clinical trial, but who has a serious or life-threatening illness for which other treatments are not available. Compassionate use trials allow patients to receive promising but not yet fully studied or approved cancer therapies when no other treatment option exists.\n\nA potential pathway for a patient with an immediately life-threatening condition or serious disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available. NOTE: The intent is treatment, as opposed to research. Individual, Intermediate-size, and Widespread Use Expanded Access, also Emergency IND, are all programs administered under FDA guidelines. Additionally, the US Right-to-Try Act, which is independent of FDA, expands access. [FDA Expanded Access: Information for Physicians]\n\n\n\nfrom EDDA:\n\ncompassionate use trial (expanded access trial, compassionate treatment)\n\nProviding experimental therapies to very sick individuals even though they don't meet the critera for inclusion in a trial. [NCI 2014_12E]\n\nProviding an investigational therapy to a patient who is not eligible to receive that therapy in a clinical trial, but who has a serious or life-threatening illness for which other treatments are not available. Compassionate use trials allow patients to receive promising but not yet fully studied or approved therapies when no other treatment option exists. Also called expanded access trial. [MeSH 2014_2014_02_10]\n\n\nshared as a comment: Expanded access is the use of an investigational new drug, biologics, and medical devices used to diagnose, monitor, or treat patients with serious diseases or conditions for which there are no comparable or satisfactory therapy options available outside of clinical trials. (USA FDA)"},{"code" : "comment","valueString" : "Expanded Access studies include individual-patient investigational new drug (IND), treatment IND, compassionate use, emergency use or continued access."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "approval","valueString" : "2022-02-15 vote 10-0 by Paul Whaley, Andrew Beck, Brian S. Alper, Paola Rosati, Robin Ann Yurk, Janice Tufte, Jesus Lopez-Alcalde, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya"},{"code" : "expert-comments","valueString" : "2022-02-15 comment: Define IND acronym under comment for application under individual patient IND, treatment IND"}]},{"code" : "SEVCO:01030","display" : "phase 1 trial","definition" : "A clinical trial to gather initial evidence in humans to support further investigation of an intervention.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase I trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 1 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase I clinical trial"}],"property" : [{"code" : "external-definitions","valueString" : "https://www.ecfr.gov/current/title-21/chapter-I/subchapter-D/part-312/subpart-B/section-312.21 is the US Code of Federal Regulations Title 21 (Food and Drugs) Chapter I Subchapter D Part 312 Subpart B § 312.21 and includes:\n\n§ 312.21 Phases of an investigation.\n\nAn IND may be submitted for one or more phases of an investigation. The clinical investigation of a previously untested drug is generally divided into three phases. Although in general the phases are conducted sequentially, they may overlap. These three phases of an investigation are a[sic] follows:\n\n....\n\nPhase 1. \n\n(1) Phase 1 includes the initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase 2 studies. The total number of subjects and patients included in Phase 1 studies varies with the drug, but is generally in the range of 20 to 80. \n\n(2) Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes.\n\n\n\nfrom CTO:\n\nPhase I trial (phase I study, early-stage clinical trial, phase I protocol, phase I clinical trial, trial phase 1)\nA clinical research protocol designed to test a new biomedical intervention in a small group of people for the first time. A Phase I trial can be to establish the toxicity of a new treatment with escalating intensity of the treatment administered and/or to determine the side effects of a new treatment for a particular indication in subjects. Includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients.\n\n\t\n\t\nThe initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. NOTE: These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase 2 studies. The total number of subjects and patients included in Phase I studies varies with the drug, but is generally in the range of 20 to 80. Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nThe first step in testing a new treatment in humans. These studies test the best way to give a new treatment (for example, by mouth, intravenous infusion, or injection) and the best dose. The dose is usually increased a little at a time in order to find the highest dose that does not cause harmful side effects. Because little is known about the possible risks and benefits of the treatments being tested, phase I trials usually include only a small number of patients who have not been helped by other treatments.\n\nThe initial introduction of an investigational new drug into humans. Phase 1 studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. NOTE: These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid Phase 2 studies. The total number of subjects and patients included in Phase 1 studies varies with the drug, but is generally in the range of 20 to 80. Phase 1 studies also include studies of drug metabolism, structure-activity relationships, and mechanism of action in humans, as well as studies in which investigational drugs are used as research tools to explore biological phenomena or disease processes. [after FDA CDER handbook, ICH E8]\n\nfrom SCO:\n\t\nphase I trial not independently defined\n\nfrom NCIt:\n\nsame as CTO\n\nfrom OCRe:\n\t\nA Phase 1 trial includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients.\n\nfrom EDDA:\n\nA clinical research protocol designed to test a new biomedical intervention in a small group of people for the first time. A Phase I trial can be to establish the toxicity of a new treatment with escalating intensity of the treatment administered and/or to determine the side effects of a new treatment for a particular indication in subjects. [NCI 2014_12E] \n\nStudies performed to evaluate the safety of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques in healthy subjects and to determine the safe dosage range (if appropriate). These tests also are used to determine pharmacologic and pharmacokinetic properties (toxicity, metabolism, absorption, elimination, and preferred route of administration). They involve a small number of persons and usually last about 1 year. This concept includes phase I studies conducted both in the U.S. and in other countries. [MeSH 2014_2014_02_10]\n\nfrom INTERNATIONAL COUNCIL FOR HARMONISATION OF TECHNICAL REQUIREMENTS FOR PHARMACEUTICALS FOR HUMAN USE (ICH HARMONISED GUIDELINE) GENERAL CONSIDERATIONS FOR CLINICAL STUDIES E8(R1) https://database.ich.org/sites/default/files/E8-R1_Guideline_Step4_2021_1006.pdf Adopted on 6 October 2021\n\n4.3.1 Human Pharmacology\nThe protection of study participants should always be the first priority when designing early\nclinical studies, especially for the initial administration of an investigational product to humans\n(usually referred to as phase 1). These studies may be conducted in healthy volunteer\nparticipants or in a selected population of patients who have the condition or the disease,\ndepending on drug properties and the objectives of the development programme.\n\nThese studies typically address one or a combination of the following aspects:\n\n4.3.1.1 Estimation of Initial Safety and Tolerability\nThe initial and subsequent administration of a drug to humans is usually intended to determine\nthe tolerability of the dose range expected to be evaluated in later clinical studies and to\ndetermine the nature of adverse reactions that can be expected. These studies typically include\nboth single and multiple dose administration.\n\n4.3.1.2 Pharmacokinetics\nCharacterisation of a drug's absorption, distribution, metabolism, and excretion continues\nthroughout the development programme, but the preliminary characterisation is an essential\nearly goal. Pharmacokinetic studies are particularly important to assess the clearance of the\ndrug and to anticipate possible accumulation of parent drug or metabolites, interactions with\nmetabolic enzymes and transporters, and potential drug-drug interactions. Some\npharmacokinetic studies are commonly conducted in later phases to answer more specialised\nquestions. For orally administered drugs, the study of food effects on bioavailability is\nimportant to inform the dosing instructions in relation to food. Obtaining pharmacokinetic\ninformation in sub-populations with potentially different metabolism or excretion, such as\npatients with renal or hepatic impairment, geriatric patients, children, and ethnic subgroups\nshould be considered (ICH E4 Dose-Response Studies, E7 Clinical Trials in Geriatric\nPopulation, E11, and E5, respectively).\n\n4.3.1.3 Pharmacodynamics & Early Measurement of Drug Activity\nDepending on the drug and the endpoint of interest, pharmacodynamic studies and studies\nrelating drug levels to response (PK/PD studies) may be conducted in healthy volunteer\nparticipants or in patients with the condition or disease. If there is an appropriate measure,\npharmacodynamic data can provide early estimates of activity and efficacy and may guide the\ndosage and dose regimen in later studies.\n\n\nfrom March 1998 https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-8-general-considerations-clinical-trials-step-5_en.pdf\n\n3.1.3.1 Phase I (Most typical kind of study: Human Pharmacology)\nPhase I starts with the initial administration of an investigational new drug into humans.\nAlthough human pharmacology studies are typically identified with Phase I, they may also be\nindicated at other points in the development sequence. Studies in this phase of development\nusually have non-therapeutic objectives and may be conducted in healthy volunteer subjects\nor certain types of patients, e.g. patients with mild hypertension. Drugs with significant\npotential toxicity, e.g. cytotoxic drugs, are usually studied in patients. Studies in this phase\ncan be open, baseline controlled or may use randomisation and blinding, to improve the\nvalidity of observations.\nStudies conducted in Phase I typically involve one or a combination of the following aspects:\na) Estimation of Initial Safety and Tolerability\nThe initial and subsequent administration of an investigational new drug into humans is\nusually intended to determine the tolerability of the dose range expected to be needed for later\nclinical studies and to determine the nature of adverse reactions that can be expected. These\nstudies typically include both single and multiple dose administration.\nb) Pharmacokinetics\nCharacterisation of a drug's absorption, distribution, metabolism, and excretion continues\nthroughout the development plan. Their preliminary characterisation is an important goal of\nPhase I. Pharmacokinetics may be assessed via separate studies or as a part of efficacy, safety\nand tolerance studies. Pharmacokinetic studies are particularly important to assess the\nclearance of the drug and to anticipate possible accumulation of parent drug or metabolites\nand potential drug-drug interactions. Some pharmacokinetic studies are commonly conducted\nin later phases to answer more specialised questions. For many orally administered drugs,\nespecially modified release products, the study of food effects on bioavailability is important.\nObtaining pharmacokinetic information in sub-populations such as patients with impaired\nelimination (renal or hepatic failure), the elderly, children, women and ethnic subgroups\nshould be considered. Drug-drug interaction studies are important for many drugs; these are\ngenerally performed in phases beyond Phase I but studies in animals and in vitro studies of\nmetabolism and potential interactions may lead to doing such studies earlier.\nc) Assessment of Pharmacodynamics\nDepending on the drug and the endpoint studied, pharmacodynamic studies and studies\nrelating drug blood levels to response (PK/PD studies) may be conducted in healthy volunteer\nsubjects or in patients with the target disease. In patients, if there is an appropriate measure,\npharmacodynamic data can provide early estimates of activity and potential efficacy and may\nguide the dosage and dose regimen in later studies. \nd) Early Measurement of Drug Activity\nPreliminary studies of activity or potential therapeutic benefit may be conducted in Phase I as\na secondary objective. Such studies are generally performed in later phases but may be\nappropriate when drug activity is readily measurable with a short duration of drug exposure in\npatients at this early stage."},{"code" : "comment","valueString" : "Phase 1 trials are often the first step in testing a new treatment in humans and may include safety assessment, measurement of metabolism and pharmacologic actions of a drug in humans, or the side effects associated with increasing doses. Phase 1 studies often include between 20 and 80 subjects, and often involve healthy subjects."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-01-04 vote 5-2 by Robin Ann Yurk, Harold Lehmann, janice tufte, Paola Rosati, C P Ooi,  Paul Whaley, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-01-04 comments: Perhaps adding the following may improve the clarity \"It may include testing the best way to give a new treatment (for example, by mouth, infusion into a vein, or injection)\".\n\n \"providing the initial investigation\" sounds a bit vague compared to the other trial phase definitions. Also, can a trial really \"provide an investigation\"? Maybe suggest changing to \"in which xxx is investigated\", where \"xxx\" is a tighter definition of what \"the initial\" is referring to.\n\n2022-01-11 comment: I would suggest not adding how many subjects are typically involved, maybe state that these usually have very small sample sizes. Unfortunately, sample sizes have decreased over time. https://bmjopen.bmj.com/content/11/12/e053377"},{"code" : "approval","valueString" : "2022-01-11 vote 7-0 by Harold Lehmann, Jesus Lopez-Alcalde, Mario Tristan, janice tufte, Paul Whaley,  Andrew Beck, Robin Ann Yurk"}],"concept" : [{"code" : "SEVCO:01031","display" : "exploratory investigational new drug study","definition" : "A clinical trial that is conducted early in phase 1, involves very limited human exposure, and has no therapeutic or diagnostic intent (e.g., screening studies, microdose studies).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 0 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "pre-clinical trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "exploratory ind study"}],"property" : [{"code" : "external-definitions","valueString" : "the original source at https://www.fda.gov/regulatory-information/search-fda-guidance-documents/exploratory-ind-studies\nFDA GUIDANCE DOCUMENT\nExploratory IND Studies\nGuidance for Industry, Investigators, and Reviewers\nJANUARY 2006\ninvestigational new drug (IND)\n\nFor the purposes of this guidance the phrase exploratory IND study is intended to describe a clinical trial that\n\nis conducted early in phase 1,\ninvolves very limited human exposure, and\nhas no therapeutic or diagnostic intent (e.g., screening studies, microdose studies). \n\nSuch exploratory IND studies are conducted prior to the traditional dose escalation, safety, and tolerance studies that ordinarily initiate a clinical drug development program.  The duration of dosing in an exploratory IND study is expected to be limited (e.g., 7 days).\n\n\nfrom CTO:\n\nEarly Phase I clinical trial (Phase 0 trial, Phase 0 clinical trial, Pre-Clinical Trial)\n\nA clinical trial that is at an Early Phase i or Phase 0, which is designed to use an investigational agent that is available only in very limited quantities and which has never previously given to humans or for which there is extremely limited human experience. Phase 0 clinical trials are intended to enable researchers to understand the path of the drug in the body and its efficacy. Adverse event reporting in Phase 0 trials is expedited. [def-source: NCI] Exploratory trials, involving very limited human exposure, with no therapeutic or diagnostic intent (e.g., screening studies, microdose studies). (Formerly listed as \"Phase 0\") A clinical trial that is at Early Phase 1 or Phase 0\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nPreferred Name:  Exploratory Investigational New Drug Study\n\nDefinition:  A type of clinical trial that involves low dosage and short duration of drug exposure for a limited number of study participants with the intent of gathering preliminary data on the mechanism of action, pharmacodynamics, pharmacokinetics, or bioavailability of promising therapeutic candidate agents in human subjects.\n\nCDISC-GLOSS Definition:  A clinical study that is conducted early in Phase 1; involves very limited human exposure and has no therapeutic or diagnostic intent (e.g., screening studies, microdose studies) [FDA Guidance for industry, investigators, and Reviewers: exploratory IND studies, January 2006] See also Phase 0.\n\nFirst-in-Human Study = A type of phase 1 clinical trial in which the test product is administered to human beings for the first time. \n\nPhase 0 Trial = Pre-Clinical Trial = A clinical trial that uses an investigational agent that is available only in very limited quantities and which has never previously given to humans or for which there is extremely limited human experience. Phase 0 clinical trials are intended to enable researchers to understand the path of the drug in the body and its efficacy. Adverse event reporting in Phase 0 trials is expedited.\n\nFirst-in-human trials, in a small number of subjects, that are conducted before Phase 1 trials and are intended to assess new candidate therapeutic and imaging agents. The study agent is administered at a low dose for a limited time, and there is no therapeutic or diagnostic intent. NOTE: FDA Guidance for Industry, Investigators, and Reviewers: Exploratory IND Studies, January 2006 classifies such studies as Phase 1. NOTE: A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations). [Improving the Quality of Cancer Clinical Trials: Workshop summary-Proceedings of the National Cancer Policy Forum Workshop, improving the Quality of Cancer Clinical Trials (Washington, DC, Oct 2007)] (CDISC glossary)\n\nFirst-in-human trials, in a small number of subjects, that are conducted before Phase 1 trials and are intended to assess new candidate therapeutic and imaging agents. The study agent is administered at a low dose for a limited time, and there is no therapeutic or diagnostic intent. NOTE: FDA Guidance for Industry, Investigators, and Reviewers: Exploratory IND Studies, January 2006 classifies such studies as Phase 1. NOTE: A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations). [Improving the Quality of Cancer Clinical Trials: Workshop summary-Proceedings of the National Cancer Policy Forum Workshop, improving the Quality of Cancer Clinical Trials (Washington, DC, Oct 2007)]   )\n\nfrom OCRe:\n\t\nPhase 0 = A Phase 0 trial is an exploratory trial involving very limited human exposure, with no therapeutic or diagnostic intent (e.g., screening study, microdose study).\n\nfrom EDDA:\n\npre-clinical trial = phase 0 trial = A clinical trial that uses an investigational agent that is available only in very limited quantities and which has never previously given to humans or for which there is extremely limited human experience. Phase 0 clinical trials are intended to enable researchers to understand the path of the drug in the body and its efficacy. Adverse event reporting in Phase 0 trials is expedited. [NCI 2014_12E]"},{"code" : "comment","valueString" : "According to the original FDA guidance, such exploratory IND studies are conducted prior to the traditional dose escalation, safety, and tolerance studies that ordinarily initiate a clinical drug development program.  The duration of dosing in an exploratory IND study is expected to be limited (e.g., 7 days).\n\nA type of clinical trial that involves low dosage and short duration of drug exposure for a limited number of study participants with the intent of gathering preliminary data on the mechanism of action, pharmacodynamics, pharmacokinetics, or bioavailability of promising therapeutic candidate agents in human subjects.\n\nLess official terms (phase 0 trial, pre-clinical trial) have been used to describe a clinical trial that uses an investigational agent that has never previously given to humans or for which there is extremely limited human experience. A Phase 0 study might not include any drug delivery but may be an exploration of human material from a study (e.g., tissue samples or biomarker determinations)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Olga Vovk"},{"code" : "negative-vote","valueString" : "2022-01-25 vote 8-1 by Harold Lehmann, Alejandro Piscoya, Janice Tufte, Paola Rosati, Robin Ann Yurk, Philippe Rocca-Serra, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-25 comments: I had to read a couple of times and check the hierarchy to appreciate this definition, but I agree.\nFor a later version of SEVCO, we probably should put citations (\"original FDA guidance\") into the documentation.\nconcern over the use of the term 'phase 1' in the definition and the presence of an Alternative term 'phase 0 study`."},{"code" : "approval","valueString" : "2022-02-01 vote 5-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]}]},{"code" : "SEVCO:01032","display" : "phase 1/phase 2 trial","definition" : "A clinical trial with a component meeting the definition of phase 1 trial and a component meeting the definition of phase 2 trial.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase I/II trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 1-2 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 1/2 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 1-2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 1/2"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nphase I/II trial (trial phase 1/2, trial phase 1-2)\n\nTrials that are a combination of phases 1 and 2. A clinical research protocol designed to study the safety, dosage levels and response to new treatment. Phase I/II trials combine a Phase I and a Phase II trial of the same treatment into a single protocol.\n\nA class of clinical study that combines elements characteristic of traditional Phase I and Phase II trials. See also Phase I, Phase II.\n\nA trial to study the safety, dosage levels, and response to a new treatment.\n\nfrom SCO:\n\t\nphase I/II trial (trial phase 1/2, trial phase 1-2)\n\nA clinical research protocol designed to study the safety, dosage levels and response to new treatment. Phase I/II trials combine a Phase I and a Phase II trial of the same treatment into a single protocol.\n\nfrom NCIt:\n\nsame as CTO\n\nfrom OCRe:\n\t\nnot included\n\nfrom EDDA:\n\nphase I/II trial (trial phase 1/2, trial phase 1-2)\n\nA class of clinical study that combines elements characteristic of traditional Phase I and Phase II trials. See also Phase I, Phase II. [NCIT_14.08d] [Contributing_Source_CDISC]\n\nA clinical research protocol designed to study the safety, dosage levels and response to new treatment. Phase I/II trials combine a Phase I and a Phase II trial of the same treatment into a single protocol. [NCIT_14.08d]\n\nA trial to study the safety, dosage levels, and response to a new treatment. [NCIT_14.08d]"},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-01-18 vote 3-2 by Harold Lehmann, Paul Harris, Robin Ann Yurk, raradhikaag@gmail.com, Paul Whaley"},{"code" : "comment","valueString" : "A phase 1 trial is a clinical trial to gather initial evidence in humans to support further investigation of an intervention.\nA phase 2 trial is a clinical trial to gather evidence of effectiveness and safety for an intervention in patients with the disease or condition under study, but not intended to provide an adequate basis for regulatory approval for clinical use."},{"code" : "expert-comments","valueString" : "2022-01-18 comments: Does it matter that the Term has Arabic numerals and the Definition, Roman?\nConsider adding a comment for application to improve definition interpretation with individual term definitions for Phase I/Phase 2 trial\nNot sure I quite understand what the \"separate sets of design parameters with\" phrase means here?"},{"code" : "approval","valueString" : "2022-01-25 vote 9-0 by Harold Lehmann, Alejandro Piscoya, Janice Tufte, Paola Rosati, Robin Ann Yurk, Philippe Rocca-Serra, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:01033","display" : "phase 2 trial","definition" : "A clinical trial to gather evidence of effectiveness and safety for an intervention in patients with the disease or condition under study, but not intended to provide an adequate basis for regulatory approval for clinical use.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase II trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 2 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "exploratory clinical study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase II clinical trial"}],"property" : [{"code" : "external-definitions","valueString" : "https://www.ecfr.gov/current/title-21/chapter-I/subchapter-D/part-312/subpart-B/section-312.21 is the US Code of Federal Regulations Title 21 (Food and Drugs) Chapter I Subchapter D Part 312 Subpart B § 312.21 and includes:\n\n§ 312.21 Phases of an investigation.\n\nAn IND may be submitted for one or more phases of an investigation. The clinical investigation of a previously untested drug is generally divided into three phases. Although in general the phases are conducted sequentially, they may overlap. These three phases of an investigation are a[sic] follows:\n\n....\n\nPhase 2.  Phase 2 includes the controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. Phase 2 studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects.\n\n\n\nfrom CTO:\n\nPhase II trial\nA clinical research protocol designed to study a biomedical or behavioral intervention in a larger group of people (several hundred), to evaluate the drug's effectiveness for a particular indication in patients with the disease or condition under study, and to determine the common short-term side effects and risks associated with the intervention. Includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in participants with the disease or condition under study and to determine the common short-term side effects and risks.\n\n\t\nPhase 2. Controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. NOTE: Phase 2 studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nA study to test whether a new treatment has an anticancer effect (for example, whether it shrinks a tumor or improves blood test results) and whether it works against a certain type of cancer.\n\nControlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. NOTE: Phase 2 studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects. [after FDA CDER handbook, ICH E8]\n\nfrom SCO:\n\t\nphase II trial not independently defined\n\nfrom NCIt:\n\nsame as CTO\n\nfrom OCRe:\n\t\nA Phase 2 trial includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks.\n\nfrom EDDA:\nA clinical research protocol designed to study a biomedical or behavioral intervention in a larger group of people (several hundred), to evaluate the drug's effectiveness for a particular indication in patients with the disease or condition under study, and to determine the common short-term side effects and risks associated with the intervention. [NCI 2014_12E] Studies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries. [MeSH 2014_2014_02_10]\nA clinical research protocol designed to study a biomedical or behavioral intervention in a larger group of people (several hundred), to evaluate the drug's effectiveness for a particular indication in patients with the disease or condition under study, and to determine the common short-term side effects and risks associated with the intervention. [NCI 2014_12E]\n\nStudies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries. [MeSH 2014_2014_02_10]\n\nfrom INTERNATIONAL COUNCIL FOR HARMONISATION OF TECHNICAL REQUIREMENTS FOR PHARMACEUTICALS FOR HUMAN USE (ICH HARMONISED GUIDELINE) GENERAL CONSIDERATIONS FOR CLINICAL STUDIES E8(R1) https://database.ich.org/sites/default/files/E8-R1_Guideline_Step4_2021_1006.pdf Adopted on 6 October 2021\n\nAfter initial clinical studies provide sufficient information on safety, clinical pharmacology and\ndose, exploratory and confirmatory studies (usually referred to as phases 2 and 3, respectively)\nare conducted to further evaluate both the safety and efficacy of the drug. \n\nExploratory studies are designed to investigate safety and efficacy in a selected population of\npatients for whom the drug is intended. Additionally, these studies aim to refine the effective\ndose(s) and regimen, refine the definition of the targeted population, provide a more robust\nsafety profile for the drug, and include evaluation of potential study endpoints for subsequent\nstudies. Exploratory studies may provide information on the identification and determination\nof factors that affect the treatment effect and, possibly combined with modelling and\nsimulation, serve to support the design of later confirmatory studies.\n\nfrom March 1998 https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-8-general-considerations-clinical-trials-step-5_en.pdf\n\n3.1.3.2 Phase II (Most typical kind of study: Therapeutic Exploratory)\nPhase II is usually considered to start with the initiation of studies in which the primary\nobjective is to explore therapeutic efficacy in patients.\nInitial therapeutic exploratory studies may use a variety of study designs, including\nconcurrent controls and comparisons with baseline status. Subsequent trials are usually\nrandomised and concurrently controlled to evaluate the efficacy of the drug and its safety for\na particular therapeutic indication. Studies in Phase II are typically conducted in a group of\npatients who are selected by relatively narrow criteria, leading to a relatively homogeneous\npopulation and are closely monitored.\nAn important goal for this phase is to determine the dose(s) and regimen for Phase III trials.\nEarly studies in this phase often utilise dose escalation designs (see ICH E4) to give an early\nestimate of dose response and later studies may confirm the dose response relationship for the\nindication in question by using recognised parallel dose-response designs (could also be\ndeferred to phase III). Confirmatory dose response studies may be conducted in Phase II or\nleft for Phase III. Doses used in Phase II are usually but not always less than the highest doses\nused in Phase†I.\nAdditional objectives of clinical trials conducted in Phase II may include evaluation of\npotential study endpoints, therapeutic regimens (including concomitant medications) and\ntarget populations (e.g. mild versus severe disease) for further study in Phase II or III. These\nobjectives may be served by exploratory analyses, examining subsets of data and by including\nmultiple endpoints in trials."},{"code" : "comment","valueString" : "Phase 2 trials are typically controlled clinical studies conducted to evaluate the effectiveness of the intervention for a particular indication and to determine the common short-term side effects and risks associated with the intervention. Phase 2 trials may have a goal of determining the dose(s) or regimen(s) for Phase 3 trials. Phase 2 studies usually include no more than several hundred subjects."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2021-01-04 vote 5-2 by Robin Ann Yurk, Harold Lehmann, janice tufte, Paola Rosati, C P Ooi, Joanne Dehnbostel, Paul Whaley"},{"code" : "expert-comments","valueString" : "2021-01-04 comments: The first part of the definition is ok. In the second part, I would suggest to change with \"An insufficient evidence for the intervention tested or the desired patients' number failure could occur thus impeding regulatory approval for clinical use\"\n\nComment Suggestion to add to comment for term from extracted from notes-3.1.3.2:  An important goal for this phase is to determine the dose(s) and regimen for Phase III trials.\n\nEarly studies in this phase often utilize dose escalation designs (see ICH E4) to give an early estimate of dose response and later studies may confirm the dose response relationship for the indication in question by using recognized parallel dose-response designs (could also be deferred to phase III)\n\nMinor change - the phrasing is a little awkward, suggest \"gather evidence about the effectiveness and safety of an intervention in patients with the disease or condition under study, but not sufficient...\". \n\nI am not sure the comment for application is fully consistent with the definitions (what about safety?).\n\n2022-01-11 comment: I would suggest not adding how many subjects are typically involved, maybe state that these usually have small sample sizes. Unfortunately, sample sizes have decreased over time. https://bmjopen.bmj.com/content/11/12/e053377"},{"code" : "approval","valueString" : "2022-01-11 vote 7-0 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, janice tufte, Paul Whaley, Andrew Beck, Robin Ann Yurk"}]},{"code" : "SEVCO:01034","display" : "phase 2/phase 3 trial","definition" : "A clinical trial with a component meeting the definition of phase 2 trial and a component meeting the definition of phase 3 trial.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase II/III trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 2-3 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 2/3 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 2-3"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 2/3"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nphase II/III trial (trial phase 2/3, trial phase 2-3)\n\nTrials that are a combination of phases 2 and 3. A type of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nA trial to study response to a new treatment and the effectiveness of the treatment compared with the standard treatment regimen.\n\nA class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nphase II/III trial (trial phase 2/3, trial phase 2-3)\n\nA type of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nA trial to study response to a new treatment and the effectiveness of the treatment compared with the standard treatment regimen.\n\nA class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials.\n\nfrom OCRe:\n\t\nnot included\n\nfrom EDDA:\n\nphase II/III trial (trial phase 2/3, trial phase 2-3)\n\nA type of clinical study that combines elements characteristic of traditional Phase II and Phase III trials. [NCIT_14.08d]\n\nA class of clinical study that combines elements characteristic of traditional Phase II and Phase III trials. [NCIT_14.08d] [Contributing_Source_CDISC]\n\nA trial to study response to a new treatment and the effectiveness of the treatment compared with the standard treatment regimen. [NCIT_14.08d]\n\n\n\"Designs that combine phase II and III functions (ie, phase II/III designs) have separate sets of design parameters that correspond to their phase II and III components.\" -- Korn EL et al. Design Issues in Randomized Phase II/III Trials. J Clin Oncol 2012 https://ascopubs.org/doi/full/10.1200/JCO.2011.38.5732. https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3295562&blobtype=pdf"},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-01-18 vote 2-3 by Harold Lehmann, Paul Harris, Robin Ann Yurk, raradhikaag@gmail.com, Paul Whaley\n2022-01-25 vote 9-1 by Harold Lehmann, Alejandro Piscoya, Janice Tufte, Paola Rosati, Robin Ann Yurk, Philippe Rocca-Serra, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde, Paul Whaley\n2022-02-01 vote 4-1 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2022-01-18 comments: Phase 2/3 trials determine efficacy of a new biomedical intervention i.e. whether it works as intended in a larger group of study participants, and monitor adverse effects so that the intervention may be used safely.\nConsider adding a comment for application to improve definition interpretation with individual term definitions for Phase 2/Phase 3 trial\nNot sure I quite understand what the \"separate sets of design parameters with\" phrase means here?\n2022-01-25 comment: As already pointed out, to me these definitions seem incongruent and lack specification of the outcomes used, namely core clinical outcomes relevant for patients. Are pahse 2 and phase 3 trials designed to gather evidence of 'effectiveness' and safety or 'efficacy' and monitor adverse effects of a new biomedical intervention? For what outcome? The three sentences proposed in the comment for application of this code seem overlapping the two terms (i.e. is it still efficacy the right term used for trials or is it effectiveness, commonly used for prospective observational studies?). I think it is important to justify why the two terms are used for clinical trial designs.\n2022-02-01 comment: To me this definition has no clear meaning. As your are working and struggling so hard to define and clarify the scientific evidence code system, I wish to participate to the meeting to discuss with you this tricky definition. If you agree, please, let me know."},{"code" : "comment","valueString" : "A phase 2 trial is a clinical trial to gather evidence of effectiveness and safety for an intervention in patients with the disease or condition under study, but not intended to provide an adequate basis for regulatory approval for clinical use.\nA phase 3 trial is a clinical trial to gather the evidence of effectiveness and safety of an intervention, intended to provide an adequate basis for regulatory approval for clinical use."},{"code" : "approval","valueString" : "2022-02-08 vote 7-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper, Paul Whaley, Sunu Alice Cherian"}]},{"code" : "SEVCO:01035","display" : "phase 3 trial","definition" : "A clinical trial to gather the evidence of effectiveness and safety of an intervention, intended to provide an adequate basis for regulatory approval for clinical use.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase III trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 3 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "confirmatory clinical study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase III clinical trial"}],"property" : [{"code" : "external-definitions","valueString" : "https://www.ecfr.gov/current/title-21/chapter-I/subchapter-D/part-312/subpart-B/section-312.21 is the US Code of Federal Regulations Title 21 (Food and Drugs) Chapter I Subchapter D Part 312 Subpart B § 312.21 and includes:\n\n§ 312.21 Phases of an investigation.\n\nAn IND may be submitted for one or more phases of an investigation. The clinical investigation of a previously untested drug is generally divided into three phases. Although in general the phases are conducted sequentially, they may overlap. These three phases of an investigation are a[sic] follows:\n\n....\n\nPhase 3.  Phase 3 studies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. Phase 3 studies usually include from several hundred to several thousand subjects.\n\n\n\nfrom CTO:\n\nPhase III trial\nIncludes trials conducted after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug. A clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo.\n\n\t\nPhase 3. Studies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather the additional information about effectiveness and safety that is needed to confirm efficacy and evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. NOTE: Phase 3 studies usually include from several hundred to several thousand subjects. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nA study to compare the results of people taking a new treatment with the results of people taking the standard treatment (for example, which group has better survival rates or fewer side effects). In most cases, studies move into phase III only after a treatment seems to work in phases I and II. Phase III trials may include hundreds of people.\n\nStudies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has been obtained and are intended to gather the additional information about effectiveness and safety that is needed to confirm efficacy and evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling. NOTE: Phase 3 studies usually include from several hundred to several thousand subjects. [after FDA CDER handbook, ICH E8]\n\nfrom SCO:\n\t\nA clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo.\n\nfrom NCIt:\nPhase III trial (Phase III Clinical Trial; Phase III Trial; phase 3; Trial Phase 3; PHASE III TRIAL; phase III trial; Phase III Trials; 3; Phase 3 Study; Clinical Trials, Phase III; Phase III Study; Phase III Protocol)\nA clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo.\n\nfrom OCRe:\nA Phase 3 trial includes expanded controlled and uncontrolled trials after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug and provide an adequate basis for physician labeling.\n\nfrom EDDA:\nComparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies. During these trials, patients are monitored closely by physicians to identify any adverse reactions from long-term use. These studies are performed on groups of patients large enough to identify clinically significant responses and usually last about three years. This concept includes phase III studies conducted in both the U.S. and in other countries. [MeSH 2014_2014_02_10] \nA clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo. [NCI 2014_12E]\n\nfrom INTERNATIONAL COUNCIL FOR HARMONISATION OF TECHNICAL REQUIREMENTS FOR PHARMACEUTICALS FOR HUMAN USE (ICH HARMONISED GUIDELINE) GENERAL CONSIDERATIONS FOR CLINICAL STUDIES E8(R1) https://database.ich.org/sites/default/files/E8-R1_Guideline_Step4_2021_1006.pdf Adopted on 6 October 2021\n\nAfter initial clinical studies provide sufficient information on safety, clinical pharmacology and\ndose, exploratory and confirmatory studies (usually referred to as phases 2 and 3, respectively)\nare conducted to further evaluate both the safety and efficacy of the drug. \n\nConfirmatory studies are designed to confirm the preliminary evidence accumulated in earlier clinical studies that a drug is safe and effective for use for the intended indication and recipient population. These studies are often intended to provide an adequate basis for marketing approval, and to support adequate instructions for use of the drug and official product information. They aim to evaluate the drug in participants with or at risk of the condition or disease who represent those who will receive the drug once approved. This may include investigating subgroups of patients with frequently occurring or potentially relevant comorbidities  (e.g., cardiovascular disease, diabetes, hepatic and renal impairment) to characterise the safe and effective use of the drug in patients with these conditions. \n\nConfirmatory studies may evaluate the efficacy and safety of more than one dose or the use of the drug in different stages of disease or in combination with one or more other drugs. If the intent is to administer a drug for a long period of time, then studies involving extended exposure to the drug should be conducted (ICH E1 Clinical Safety for Drugs used in Long-Term Treatment). Irrespective of the intended duration of administration, the duration of effect of the drug will also inform the duration of follow-up.\n\nStudy endpoints selected for confirmatory studies should be clinically relevant and reflect disease burden or be of adequate surrogacy for predicting disease burden or sequelae. \n\nfrom March 1998 https://www.ema.europa.eu/en/documents/scientific-guideline/ich-e-8-general-considerations-clinical-trials-step-5_en.pdf\n\n3.1.3.3 Phase III (Most typical kind of study: Therapeutic Confirmatory)\nPhase III usually is considered to begin with the initiation of studies in which the primary objective is to demonstrate, or confirm therapeutic benefit.\nStudies in Phase III are designed to confirm the preliminary evidence accumulated in Phase II that a drug is safe and effective for use in the intended indication and recipient population. These studies are intended to provide an adequate basis for marketing approval. Studies in Phase III may also further explore the dose-response relationship, or explore the drug's use in wider populations, in different stages of disease, or in combination with another drug. For drugs intended to be administered for long periods, trials involving extended exposure to the drug are ordinarily conducted in Phase III, although they may be started in Phase II (see ICH E1). ICH E1 and ICH E7 describe the overall clinical safety database considerations for chronically administered drugs and drugs used in the elderly. These studies carried out in Phase III complete the information needed to support adequate instructions for use of the drug (official product information)."},{"code" : "comment","valueString" : "Phase 3 trials are typically conducted after preliminary evidence suggests effectiveness and usually have the primary objective to demonstrate or confirm therapeutic benefit compared to placebo or a standard treatment. Phase 3 studies usually include from several hundred to several thousand subjects. Study endpoints for phase 3 trials should be clinically relevant or of adequate surrogacy for predicting clinical effects."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Janice Tufte, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2021-12-21 vote 2-2 by Robin Ann Yurk, C P Ooi, Janice Tufte, Paul Whaley\n2022-01-04 vote 5-2 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, Paola Rosati, C P Ooi, Joanne Dehnbostel, Paul Whaley\n2022-01-11 vote 6-1 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, janice tufte, Paul Whaley, Andrew Beck, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2021-12-21 comments: Note: consider adding the following comments from comments from previous reviewers to improve interpretation.\n\n3.1.3.3 “Phase III usually is considered to begin with the initiation of studies in which the primary objective is to demonstrate, or confirm therapeutic benefit.”\n\nEDDA:  “Comparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies…. A clinical research protocol designed to investigate the efficacy of the biomedical or behavioral intervention in large groups of human subjects (from several hundred to several thousand), to confirm efficacy, to monitor adverse reactions to the new medication or treatment regimen with respect to long-term use and by comparing the intervention to other standard or experimental interventions as well as to a placebo”\n..................\nI think the pieces are there but the phrasing is difficult to parse.\n\n\n2022-01-04 comments: Perhaps adding \"compared with a standard treatment\" may improve the clarity. \n\nMinor change - the phrasing is a little awkward, suggest \"gather evidence about the effectiveness and safety of an intervention that is needed...\". \n\n2022-01-11 comments: I would suggest not adding how many subjects are typically involved. Unfortunately, sample sizes have decreased over time. https://bmjopen.bmj.com/content/11/12/e053377\n\nMinor change for consistency with other trial definitions: \"A clinical trial to gather evidence of effectiveness and safety of an intervention, that is intended to provide an adequate basis for regulatory approval for clinical use.\""},{"code" : "approval","valueString" : "2022-01-18 vote 6-0 by Harold Lehmann, Paul Harris, Robin Ann Yurk, Paola Rosati, raradhikaag@gmail.com, Paul Whaley"}]},{"code" : "SEVCO:01036","display" : "post-marketing study","definition" : "A clinical trial to gather additional evidence of effectiveness and safety of an intervention for an already approved clinical use.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase IV trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 4 trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "phase 4 study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "trial phase 4"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "post-approval study"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nPhase IV Trial (Phase IV Study, Phase IV clinical trial, phase 4 study, phase 4 trial, trial phase 4)\n\nStudies of FDA-approved drugs to delineate additional information including the drug's risks, benefits, and optimal use. A randomized, controlled trial that is designed to evaluate the long-term safety and efficacy of a drug for a given indication. Often they are designed to study side effects that may have become apparent after the phase III study was completed.\n\nAfter a treatment has been approved and is being marketed, it is studied in a phase IV trial to evaluate side effects that were not apparent in the phase III trial. Thousands of people are involved in a phase IV trial.\n\nPost approval studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [after FDA CDER handbook, ICH E8]\n\nPhase 4. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nPhase IV Trial (Phase IV Study, Phase IV clinical trial, phase 4 study, phase 4 trial, trial phase 4)\n\nA randomized, controlled trial that is designed to evaluate the long-term safety and efficacy of a drug for a given indication. Often they are designed to study side effects that may have become apparent after the phase III study was completed.\n\nAfter a treatment has been approved and is being marketed, it is studied in a phase IV trial to evaluate side effects that were not apparent in the phase III trial. Thousands of people are involved in a phase IV trial.\n\nPost approval studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [after FDA CDER handbook, ICH E8]\n\nPhase 4. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [After FDA CDER Handbook, ICH E8] (CDISC glossary)\n\nfrom OCRe:\n\t\nA Phase 4 study monitors FDA-approved drug to delineate additional information including the drug's risks, benefits, and optimal use.\n\nfrom EDDA:\n\nA randomized, controlled trial that is designed to evaluate the long-term safety and efficacy of a drug for a given indication. Often they are designed to study side effects that may have become apparent after the phase III study was completed. [NCIT_14.08d]\n\nAfter a treatment has been approved and is being marketed, it is studied in a phase IV trial to evaluate side effects that were not apparent in the phase III trial. Thousands of people are involved in a phase IV trial. [NCIT_14.08d]\n\nPhase 4. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval. NOTE: These studies could include, but would not be limited to, studying different doses or schedules of administration than were used in Phase 2 studies, use of the drug in other patient populations or other stages of the disease, or use of the drug over a longer period of time. [After FDA CDER Handbook, ICH E8] [Contributing Source_CDISC] [NCIT_14.08d]"},{"code" : "comment","valueString" : "Post-marketing studies (phase IV trials) are often used to evaluate adverse effects that were not apparent in phase III trials, and may involve thousands of patients. Postmarketing (Phase 4) studies to delineate additional information about the drug's risks, benefits, and optimal use that may be requested by regulatory authorities in conjunction with marketing approval."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-15 vote 10-0 by Paul Whaley, Andrew Beck, Paola Rosati, Robin Ann Yurk, Janice Tufte, Jesus Lopez-Alcalde, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-02-15 comment: Maybe add hyphen between \"already\" and \"approved\""}]}]}]},{"code" : "SEVCO:01002","display" : "observational research","definition" : "A study design in which the independent variables (exposures or interventions) are not prospectively assigned or modified by the investigator.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational primary research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational method of research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-interventional research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational study design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "observational primary research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-interventional research"}],"property" : [{"code" : "editors","valueString" : "Mario Tristan, Joanne Dehnbostel, Harold Lehmann, Khalid Shahin, Brian S. Alper"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: Asiyah Lin, KM Saif-Ur-Rahman, Harold Lehmann, Sebastien Bailly, Bhagvan Kommadi, Mario Tristan, Leo Orozco, Ahmad Sofi-Mahmudi"},{"code" : "negative-vote","valueString" : "2021-05-17 vote 5-3 on \"Observational research = In a prospective or retrospective study, an independent variable is measured but not manipulated by the investigator to evaluate a response or outcome (the dependent variable).\" by Eric Harvey, Bhagvan Kommadi, Paola Rosati, KM Saif-Ur-Rahman, Ahmad Sofi-Mahmudi, Jesus Lopez-Alcalde, Sorana D. Bolboaca, Harold Lehmann, 2021-05-24 vote 8-3 on Observational research=\"A study design in which the variables (exposures, interventions, and outcomes) are not prospectively assigned or modified by the investigator.\" by Alejandro Piscoya, Philippe Rocca-Serra, KM Saif-Ur-Rahman, Eric Harvey, Harold Lehmann, Bhagvan Kommadi, Sorana D. Bolboaca, Jesús López-Alcalde, Paola Rosati, Tatyana Shamliyan, Brian Alper, , 2021-05-31 vote 11-1 on Observational research=\"A study design in which the independent variables (exposures or interventions) are not prospectively assigned or modified by the investigator.\" by Eric Harvey, Bhagvan Kommadi, Brian Alper, Sebastien Bailly, Alejandro Piscoya, Harold Lehmann, KM Saif-Ur-Rahman, Paola Rosati, Sorana D. Bolboaca, Asiyah Lin, Leo Orozco, Erfan Shamsoddin"},{"code" : "expert-comments","valueString" : "I dislike the term \"manipulated\" in the definition -- suggest change to:  In a prospective or retrospective study, without any specific intervention assigned to participants, an investigator observes and measures an intervention or procedure (the independent variable) to assess or learn more about an effect or outcome (the dependent variable). \"In a prospective or retrospective study, an independent variable (a predictor) is obeserved or measured by the investigator to evaluate a response or an outcome (the dependent variable).\" I would delete \"in a prospective or retrospective study\" as it could be ambispective    5-24-2021 similar comment about the synonyms assigned the class (conflating plan/design) with the object realised by executing a plan I think that the outcomes are never assigned or modified by the investigator (they are measured). Thus, to be consistent with the definition of interve…suggest to remove \"outcomes\" from ( )   (is there a semantic difference between \"are not\" and \"none is\"?) I suggest to clarify the goal as drawing causal inferences from the observed association between exposure and outcomes  5-31-2021 comment The suggested definition is a non-interventional study definition. Not sure if a non-interventional is fully equivalent to observational studies"},{"code" : "comment","valueString" : "We acknowledge that observational study design and observational study may not be exact synonyms of observational research, but observational research could be used to encompass both design and implementation of the design. In the context of coding study design factors, observational research is commonly used to denote non-interventional research."}],"concept" : [{"code" : "SEVCO:01037","display" : "post-marketing surveillance study","definition" : "An observational study to identify adverse events related to the use of an approved clinical intervention.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "postmarketing evaluation study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "postmarketing evaluation study"}],"property" : [{"code" : "external-definitions","valueString" : "from CTO:\n\nnot included\n\nfrom SCO:\n\t\nnot included\n\nfrom NCIt:\n\nPostmarketing Surveillance\n\nPrograms to identify adverse events that did not appear during the drug approval process.\n\nOngoing safety monitoring of marketed drugs. See also Phase 4 studies, Phase 5 studies.\n\nalso Phase V Trial (phase 5, trial phase 5)\n\nPostmarketing surveillance is sometimes referred to as Phase V. See outcomes research.\n\nfrom OCRe:\n\t\nnot included\n\nfrom EDDA:\n\npostmarketing evaluation study (post-marketing product surveillance)\n\nSurveillance of drugs, devices, appliances, etc., for efficacy or adverse effects, after they have been released for general sale. [MeSH 2014_2014_02_10]"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Harold Lehmann"},{"code" : "approval","valueString" : "2022-02-15 vote 10-0 by Paul Whaley, Andrew Beck, Brian S. Alper, Paola Rosati, Janice Tufte, Jesus Lopez-Alcalde, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-02-15 comments: Alternative terms could be: Post-marketing evaluation study, \n(Do we need to connect the \"approval\" to an indication?"}]}]},{"code" : "SEVCO:01010","display" : "comparative study design","definition" : "A study design in which two or more groups are compared.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparative research"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Ellen Jepson, Kenneth Wilkins, Mario Tristan"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"}],"concept" : [{"code" : "SEVCO:01011","display" : "parallel cohort design","definition" : "A comparative study design in which the groups are compared concurrently and participants are expected to remain in the groups being compared for the entire duration of participation in the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "concurrent cohort study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Ellen Jepson, Kenneth Wilkins, Mario Tristan, Harold Lehmann"},{"code" : "approval","valueString" : "9/9 as of 8/9/2021: Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"}]},{"code" : "SEVCO:01012","display" : "crossover cohort design","definition" : "A comparative study design in which participants receive two or more alternative exposures during separate periods of time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "crossover study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "crossover trial"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"},{"code" : "negative-vote","valueString" : "8/9 as of 8/9/2021: voting on \"A comparative study design in which participants receive two or more alternative exposures during separate periods of time.\" by Erfan Shamsoddin, Paola Rosati, Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Joanne Dehnbostel, Alejandro Piscoya"},{"code" : "expert-comments","valueString" : "8/9/21 comment: It's not clear from this definition that each group of participants receives the same 2 or more exposures, but not in the same time sequence"}],"concept" : [{"code" : "SEVCO:01024","display" : "controlled crossover cohort design","definition" : "A crossover cohort design in which two or more cohorts have different orders of exposures.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]},{"code" : "SEVCO:01025","display" : "single-arm crossover design","definition" : "A crossover cohort design in which all participants are in a single cohort with the same order of exposures.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]}]},{"code" : "SEVCO:01013","display" : "case control design","definition" : "A comparative study design in which the groups being compared are defined by outcome presence (case) or absence (control).","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]},{"code" : "SEVCO:01014","display" : "matching for comparison","definition" : "A comparative study design in which individual participants in different groups being compared are paired or matched into sets based on selected attributes for within-set analysis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "matched study design"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}],"concept" : [{"code" : "SEVCO:01020","display" : "family study design","definition" : "A matched study design in which related or non-related family members are compared.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "familial study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "family study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "family based study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}],"concept" : [{"code" : "SEVCO:01021","display" : "twin study design","definition" : "A family study design in which twin siblings are compared.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}]}]}]},{"code" : "SEVCO:01015","display" : "cluster as unit of allocation","definition" : "A comparative study design in which participants are allocated to exposures (interventions) by their membership in groups (called clusters) rather than by individualized assignments.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "clustering for comparison"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]}]},{"code" : "SEVCO:01023","display" : "non-comparative study design","definition" : "A study design with no comparisons between groups with different exposures and no comparisons between groups with different outcomes.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-comparative research"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "descriptive study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}],"concept" : [{"code" : "SEVCO:01016","display" : "uncontrolled cohort design","definition" : "A non-comparative study design in which two or more participants are evaluated in a single group (or cohort).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "single cohort design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "case series design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-controlled cohort design"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]},{"code" : "SEVCO:01017","display" : "case report","definition" : "A non-comparative study design in which a single participant is evaluated.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "case study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Michael Panzer"},{"code" : "approval","valueString" : "7/7 as of 8/23/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Leo Orozco, Alejandro Piscoya"}]}]},{"code" : "SEVCO:01022","display" : "population-based design","definition" : "A study design in which the unit of observation is a population or community.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "population study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Harold Lehmann"},{"code" : "comment","valueString" : "The term ‘population-based study’ is generally used for an observational comparative study design in which populations are compared."},{"code" : "approval","valueString" : "5/5 as of 10/18/2021: Cheow Peng Ooi, Janice Tufte, Robin Ann Yurk, Eric Harvey, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:01044","display" : "ecological design","definition" : "A study design in which the unit of observation is a population or community defined by social relationships or physical surroundings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ecologic study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Harold Lehmann"},{"code" : "approval","valueString" : "5/5 as of 10/18/2021: Cheow Peng Ooi, Janice Tufte, Robin Ann Yurk, Eric Harvey, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "6 to 1 in 2021-09-20 vote with 7 participants (Ecological design = A comparative study design in which populations are compared. An ecologic study is a non individual-human study in which the unit of observation is a population or community.) - Robin Ann Yurk, Janice Tufte, Eric Harvey, Jesus Lopez-Alcalde, Mario Tristan, Sorana D Bolboaca, Paola Rosati, 8 to 1 vote on 2021-09-27 with 9 participants (Ecological design [Population-based design, Ecologic study, Population study] = A comparative study design in which populations are compared. An ecologic study is a non-individual study in which the unit of observation is a population or community.) - Jesus Lopez-Alcalde, Asiyah Lin, Eric Harvey, Bhagvan Kommadi, Alejandro Piscoya, Robin Ann Yurk, Mario Tristan, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-09-20 comment:  I miss here the explicit declaration that ecological studies are observational. A cluster trial can randomise communities and is not an ecological study. Besides, and I may be worng, but an ecological study may include non-humans, for example, ecological study of air contamination levels in Spain compared to Italy. 2021-09-27 comment: The differences of ecologic studies and other population based studies are not reflected. consider adding \"Variables in an ecologic analysis may be aggregate measures, environmental measures, or global measures.\""}]}]}]},{"code" : "SEVCO:00998","display" : "study design process","definition" : "A specification of a sequence of actions for a component or part of a study design.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study design component"}],"property" : [{"code" : "comment","valueString" : "Study design is defined as a plan specification for how and what kinds of data will be gathered as part of an investigation which may produce testable explanations, conclusions and predictions or test a hypothesis."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-03-22 vote 5-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk"}],"concept" : [{"code" : "SEVCO:01027","display" : "cross sectional data collection","definition" : "A study design process in which data is collected at a single point in time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cross-sectional study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"},{"code" : "expert-comments","valueString" : "The word \"feature\" was added to the definition on March 7, 2022 to match the change in hierarchical terms."}]},{"code" : "SEVCO:01028","display" : "longitudinal data collection","definition" : "A study design process in which data is collected at two or more points in time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "longitudinal study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"},{"code" : "expert-comments","valueString" : "The word \"feature\" was added to the definition on March 7, 2022 to match the change in hierarchical terms."}],"concept" : [{"code" : "SEVCO:01018","display" : "time series design","definition" : "A longitudinal data collection which includes a set of time-ordered observations.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multiple time point comparison"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}],"concept" : [{"code" : "SEVCO:01019","display" : "before and after comparison","definition" : "A time series design which includes comparisons of observations before and after an event or exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "before and after design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "pre-post design"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "before-after comparison"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "8/8 as of 9/12/2021: Eric Harvey, Bhagvan Kommadi, Brian S. Alper, Cheow Peng Ooi, Janice Tufte, Paola Rosati, Robin Ann Yurk, MD, MPH, Mario Tristan"}]}]}]},{"code" : "SEVCO:01045","display" : "primary data collection","definition" : "A study design process in which the data are recorded and collected during the study for the purpose of the same study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study-generated data collection"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Paul Whaley, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-02-22 vote 7-1 by Paola Rosati, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A, Rebecca Baker, Robin Ann Yurk, Janice Tufte, Harold Lehmann \n2022-03-01 vote 3-3 by Joanne Dehnbostel, Robin Ann Yurk, Paul Whaley, Nisha Mathew, Paola Rosati, Sunu Alice Cherian\n2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 5-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk, nelle.stocquart"},{"code" : "expert-comments","valueString" : "2022-02-22 comments: Definition: Data recorded and collected during the study.\nFor parallelism with \"secondary data collection,\" perhaps write, \"for the purpose of the current study.\"\n2022-03-01 comments:\nA data collection technique in which the data are collected and recorded during the study for the purpose of the same study.\nFor the term definition---I would edit so it reads...A study design in which the data are collected and recorded to answer a new research question.\nData collection is not study design, it can called as a technique A data collection technique in which data is recorded and collected during the study for the purpose of the same study.\n2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"in which\" sounds strange for a \"feature.\" (\"Color is a feature in which...\" does not sound right.) Perhaps a...feature regarding how data are recorded...\"?\n2022-03-22 comment: Suggest modify definition or create a comment for application so it reads:  A Study design method in which the data are collected for original research to answer new research questions."},{"code" : "comment","valueString" : "The study design process includes the source and method for data collection. When the data are collected for original research to answer the original research questions, this is called primary data collection."},{"code" : "approval","valueString" : "2022-03-29 vote 6-0 by Paul Whaley, Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Brian S. Alper, Cauê Monaco"}]},{"code" : "SEVCO:01026","display" : "real world data collection","definition" : "A study design process in which the study data are obtained from a source of data collected during a routine process in the natural environment rather than using a process designed or controlled by the researcher.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Paul Whaley, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-02-22 vote 7-1 by Paola Rosati, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A, Rebecca Baker, Robin Ann Yurk, Janice Tufte, Harold Lehmann\n2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-2 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk, nelle.stocquart\n2022-03-29 vote 4-1 by Paul Whaley, Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco\n2022-04-05 vote 6-0 by Cauê Monaco, Harold Lehmann, Mario Tristan, Robin Ann Yurk, Jesus Lopez-Alcalde, Nisha Mathew\nTHEN THE TERM CHANGED to Real World Data Collection\n2022-04-19 vote 3-1 by Cauê Monaco, Robin Ann Yurk, Jesus Lopez-Alcalde, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-02-22 comment: Definition: Data gathered from studies, surveys, experiments that have been done by other people for other studies\n2022-03-15 comment: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n2022-03-22 comments: The proposed definition only details the source of the data but not the data collection itself. I propose: \"A study design process in which the data are collected from data collected for a purpose other than the current study\".\nSuggest modify definition or create a comment for application so it reads.  A study design method in which the previously collected data is used to answer new and additional research questions.  Some example of the types of studies are retrospective study etc..\n2022-03-29 comment: In the comment for application--suggestion.  Delete phrase   When data are collected.  I would combined sentence When data are used in the form of analysis and interpretation from original research to answer additional research questions separate from the original research.  \n\n2022-04-12 comments: For Term definition:  Suggest revising definition to A study design process in which the study data are obtained from data collected for recording data for business purposes.  \nComment for application:  Add this statement, There are different categories of research such as business research, marketing research, insurance research etc.\n\"data are obtained from data collected\" may be changed to \"data are obtained from a source for data collection\"\n\n2022-04-19 comment: Suggest edit the term definition.  The Alternative term and comment for application are fine.  There are different kinds of research business research that can be classified as real world data.   The term definition should read....A study design in which the study data processes are obtained from a natural environment rather than controlled research."},{"code" : "comment","valueString" : "Real world data collection occurs when the study uses data obtained from a source that was not created for research as a primary purpose.  A study can involve both primary data collection (with some data collected by a process created for the purpose of the study investigation) and real world data collection (with some data collected from a process created for a routine business or operational purpose). If a study involves both primary data collection and real world data collection, both terms can be applied."},{"code" : "approval","valueString" : "2022-05-06 vote 7-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"}],"concept" : [{"code" : "SEVCO:01039","display" : "real world data collection from healthcare records","definition" : "Real world data collection from data obtained routinely for a purpose of recording healthcare delivery in a record controlled by a healthcare professional.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from clinical care records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD from health care records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD from healthcare delivery records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "real world data collection from medical records"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Ilkka Kunnamo"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 3-1 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco\n2022-04-05 vote 6-1 by Cauê Monaco, Paola Rosati, Harold Lehmann, Mario Tristan, Robin Ann Yurk, Jesus Lopez-Alcalde, Nisha Mathew"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\nwould proposed, \"...for the purpose...\" (as in primary data collection)\nSeems like we should add that the original data is then used for a secondary research purpose in the definition, not only explain in Alternative terms\n2022-03-22 comment: ídem: Proposal: \"A study design process in which the data are collected from data collected for a purpose of recording healthcare delivery in a record controlled by a healthcare professional.\"\n2022-03-29 comment: \"medical records\" and \"health records\" seem to be much more widely used expressions than \"healthcare delivery records\"\n2022-04-05 comments: Suggest make a comment or distinction in the term definition that the primary data collected is categorized as real world data for the purpose of delivering professional healthcare services.  The data set can be used for secondary data collection."},{"code" : "comment","valueString" : "This term is used when the original data collection (primary data collection) is done for the purpose of delivering professional healthcare services.  The secondary use of this data (sometimes called 'real world data') for research is then called secondary data collection."},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Robin Ann Yurk, Muhammad Afzal"}]},{"code" : "SEVCO:01050","display" : "real world data collection from personal health records","definition" : "Real world data collection from data obtained routinely for a purpose of recording data related to personal health in a record controlled by the person, guardian, or caretaker.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "real world data collection from personal care records"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from personal medical records"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Ilkka Kunnamo"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\nMight suggest \"the purpose,\" again\nadd in the definition that the original ddata is then used for a seconday purpose\n2022-03-22 comment: dem: Proposal: \"A study design process in which the data are collected from data collected for a purpose of recording data related to personal health in a record controlled by the person, guardian, or caretaker.\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}]},{"code" : "SEVCO:01040","display" : "real world data collection from healthcare financing records","definition" : "Real world data collection from data obtained routinely for a purpose of recording healthcare financing.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from healthcare financing records"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"the purpose\"\nadd original financial data is then used for secondary analysis etc\n2022-03-22 comment: Ídem. \"A study design process in which the data are collected from data collected for a purpose of recording healthcare financing\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}]},{"code" : "SEVCO:01048","display" : "real world data collection from testing procedures","definition" : "Real world data collection from data obtained routinely for a purpose of testing, such as diagnostic testing or screening examination.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from testing procedures"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 4-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"the purpose\"\nand  then used for secondary research purposes\n2022-03-22 comment: Ídem. \"A study design process in which the data are collected from data collected for a purpose of testing, such as diagnostic testing or screening examination\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}],"concept" : [{"code" : "SEVCO:01046","display" : "real world data collection from monitoring procedures","definition" : "Real world data collection from data obtained routinely for a purpose of repeated testing.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RWD collection from monitoring procedures"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart\n2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper\nTHEN TERM CHANGED 2022-04-05"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n\"the purpose\"\n2022-03-22 comment: Ídem. \"A study design process in which the data are collected from data collected for a purpose of repeated testing.\""},{"code" : "approval","valueString" : "2022-04-19 vote 5-0 by Cauê Monaco, Jesus Lopez-Alcalde, Harold Lehmann, Brian S. Alper, Muhammad Afzal"}]}]}]},{"code" : "SEVCO:01049","display" : "secondary data collection from prior research","definition" : "A study design process in which the data are collected from data obtained during a different study than the current study.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: ok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n2022-03-22 comments: Ídem. \"A study design process in which the data are collected from data collected during a different study than the current study\"\nWhen does this recording happen?"},{"code" : "approval","valueString" : "2022-03-29 vote 5-0 by Mario Tristan, Paul Whaley, Cauê Monaco, Joanne Dehnbostel, Harold Lehmann"}]},{"code" : "SEVCO:01042","display" : "secondary data collection from a registry","definition" : "A study design process in which the data are collected from a system organized to obtain and maintain uniform data for discovery and analysis, and this system is organized prior to the current study.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Ilkka Kunnamo"},{"code" : "external-definitions","valueString" : "\"For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes\" -- in https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/registries-guide-3rd-edition_research.pdf"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 3-2 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann\n2022-03-22 vote 4-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: the term discovery is not suitable.  Can we have some other term?\nok, if 'study design feature' is understood as 'part specified by study design plan/protocol', but sounds like a process\n2022-03-22 comments: Ídem. \"A study design process in which the data are collected from data collected in a system organized to obtain and maintain uniform data for discovery and analysis\"\nThe definition needs to be more, When did this happen? Before the study starts?"},{"code" : "approval","valueString" : "2022-03-29 vote 5-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Brian S. Alper"}]},{"code" : "SEVCO:01051","display" : "multisite data collection","definition" : "A study design process in which data are collected from two or more geographic locations.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "negative-vote","valueString" : "2022-05-06 vote 6-1 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-04-26 comment: As stated, this term has too much overlap with \"Multicentric\" Why do we need this term?"},{"code" : "comment","valueString" : "For studies conducted across multiple contexts (administrative or logistical) that are distinct from geographic locations, potentially introducing greater variability beyond multisite data collection, use the term Multicentric."},{"code" : "approval","valueString" : "2022-05-10 vote 7-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"}]},{"code" : "SEVCO:01086","display" : "quantitative analysis","definition" : "A study design process in which data are analyzed with mathematical or statistical methods and formulas.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-17 vote 8-1 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde\n2022-05-24 vote 5-1 by Robin Ann Yurk, nelle.stocquart@kce.fgov.be, Eric M Harvey, Mario Tristan, Harold Lehmann, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-05-17 comments: Suggest including examples of quantitative analysis so as to improve your definition as there are many categories of quantitative methods:  ie survey methods, logistic regression,...etc\nQuantitative and qualitative have categorical results I believe\n2022-05-24 comment: An analytic approach using statistical methods and formulas to report the data for interpretation\n2022-05-26 comment: I would leave the description of a qualitative analysis out of the comment for application"},{"code" : "comment","valueString" : "The distinction of quantitative vs. qualitative analysis refers to whether mathematical processing is involved, whether or not the analysis includes numerical variables. Processing a categorical variable (e.g. values of happy, sad, or jealous as a response to \"How are you feeling?\") to produce numerical results (e.g. 30% happy, 50% sad, 20% surprised) would be classified as a Quantitative analysis."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01087","display" : "qualitative analysis","definition" : "A study design process in which data are analyzed, without primary reliance on mathematical or statistical techniques, by coding and organizing data to provide interpretation or understanding of experiences or hypotheses.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-17 vote 5-4 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde\n2022-05-24 vote 4-1 by Robin Ann Yurk, Eric M Harvey, Mario Tristan, Harold Lehmann, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-05-17 comments: What about ordinal data such as low/medium/high? I think I would view that as qualitative.\nSuggest revise definition to include examples of the analysis methods as Alternative terms or comment for applications:  ie focus groups.  There are many new software tools which apply quantitative methods to qualitative studies.\nQuantitative and qualitative have categorical results I believe\nDisagree - (Sorry, maybe you already know my comment here ;>). From my experience, qualitative analysis produces more than descriptive or categorical results, and uses a range of essential complex methodologies for producing unattainable results from trials. Some methods are inductive, others are deductive, or a mix of both. This modify the results achievable. For example, phenomenology from categorical codes produces new understanding of people's lived experiences (deemed robust, even from a small but convenient sample of people), whereas grounded theory, from descriptive and categorical data results, discovers or creates novel theories, crucial for subsequent research scrutiny, even for a trial. \nI would suggest to define qualitative analysis differently = A study design process in which data, analysed and coded to produce descriptive and categorical results, lead to new understanding of people's lived experiences or new theories, unattainable from quantitative studies, essential for future trials.\nIn my opinion, descriptive numerical results come from quantitative analysis also (for example, incidence of SARS-COV2 per 100.000 habitants). I am not an expert in qualitative research but I guess it tackles phenomenons which can be observed but not measured.\n\n2022-05-24 comment: Qualitative analysis provide a description or summary to understand exploratory experiences and patterns, themes in the data which can provide the framework for additional data interpretation through other analysis such as quantitative analysis.  An example of a qualitative method is focus groups.  Technology exists such as natural language processing or other software to report the analysis.\n\n2022-05-26 comment: I would leave the description for a quantitative analysis out of the definition.  I would also delete the example of feelings as this can be quantified through satisfaction research which is a quantitative analysis.  I would give an example of focus groups or nature language processing.  The method involves identifying themes in narrative text."},{"code" : "comment","valueString" : "The distinction of quantitative vs. qualitative analysis refers to whether mathematical processing is involved, whether or not the analysis includes numerical variables. Processing a categorical variable (e.g. values of happy, sad, or jealous as a response to \"How are you feeling?\") to produce numerical results (e.g. 30% happy, 50% sad, 20% surprised) would be classified as a Quantitative analysis. Processing the transcripts of interviews to categorize phrases and report themes identified across interviews would be classified as a Qualitative analysis. Qualitative analysis techniques may include phenomenology development from categorical codes, and may result in discovery or creation of theories that are unattainable through quantitative analysis."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01060","display" : "blinding of study participants","definition" : "A study design process in which study participants are not informed of their intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of study participants"}],"property" : [{"code" : "comment","valueString" : "Masking of study participants involves actions to conceal information that could lead to their awareness of their intervention assignment, such as provision of placebo or simulated interventions that mimic the target interventions."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte"},{"code" : "approval","valueString" : "2022-08-23 vote 6-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey, Robin Ann Yurk"}]},{"code" : "SEVCO:01061","display" : "blinding of intervention providers","definition" : "A study design process in which the people administering the intervention are not informed of the intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of intervention providers"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "blinding of intervention deliverers"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of intervention deliverers"}],"property" : [{"code" : "comment","valueString" : "Masking of intervention providers involves actions to conceal information that could lead to their awareness of the intervention assigned to individual study participants, such as provision of placebo interventions that mimic the target interventions.\n\nThe terms 'double-blinding' and 'triple-blinding' are not clearly and consistently defined terms but typically suggest blinding of intervention providers."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-23 vote 6-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey, Robin Ann Yurk"}]},{"code" : "SEVCO:01062","display" : "blinding of outcome assessors","definition" : "A study design process in which the people determining the outcome are not informed of the intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of outcome assessors"}],"property" : [{"code" : "comment","valueString" : "Masking of outcome assessors involves actions to conceal information that could lead to their awareness of the intervention assigned to individual study participants to minimize the influence of such awareness on the determination of outcome measurement values.\n\nThe terms 'triple-blinding' and 'quadruple-blinding' are not clearly and consistently defined terms but may suggest blinding of outcome assessors."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-23 vote 5-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey"}]},{"code" : "SEVCO:01063","display" : "blinding of data analysts","definition" : "A study design process in which the people managing or processing the data and statistical analysis are not informed of the intervention assignment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of data analysts"}],"property" : [{"code" : "comment","valueString" : "The term 'data analysts' is meant to include any person who works with the data at any point between data collection and the reporting of analyzed results.\n\nMasking of data analysts involves actions to conceal information that could lead to their awareness of the intervention assigned to individual study participants, such as noninformative labeling used to represent the study groups.\n\nThe terms 'triple-blinding' and 'quadruple-blinding' are not clearly and consistently defined terms but may suggest blinding of data analysts."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-23 vote 5-0 by Mario Tristan, Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Eric Harvey"}]},{"code" : "SEVCO:01064","display" : "allocation concealment","definition" : "A study design process in which all parties influencing study enrollment and allocation to study groups are unaware of the group assignment for the study participant at the time of enrollment and allocation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "blinding of randomization assignment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "masking of randomization assignment"}],"property" : [{"code" : "comment","valueString" : "Allocation concealment occurs before and during the enrollment process and refers to limiting awareness of assignment during the process of recruitment and assignment to groups. Other blinding and masking terms refer to limiting awareness of the assignment during and after enrollment."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "approval","valueString" : "2022-08-30 vote 8-0 by Janice Tufte, nisha mathew,: Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Cauê Monaco, Eric Harvey"}]}]},{"code" : "SEVCO:00999","display" : "study design feature","definition" : "An aspect or characteristic of a study design.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study design characteristic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study design aspect"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Janice Tufte"},{"code" : "comment","valueString" : "Study design is defined as a plan specification for how and what kinds of data will be gathered as part of an investigation which may produce testable explanations, conclusions and predictions or test a hypothesis."},{"code" : "expert-comments","valueString" : "2022-03-15 comments: I agree with the definition but feel this is meta-vocabulary that helps us talk about elements of study design that are not part of the code system itself. So I don't know if it should be included in the code system as a code, or if we should be considering some other means for defining these terms (e.g. in documentation or guidance about SEVCO).\nnot a fan of the synonym \"study design factor\" as it could cause confusion with 'Study Factor\", Independent Variable. How different Study Design is from Study Protocol? \"Study design planned process\"  could cover the following subtypes\nFor the comment for application include ...as a technical plan specification....\n2022-03-22 comment: The definition of \"Study design\" seems to exclude the \"statistical analysis\". Am I right?"},{"code" : "negative-vote","valueString" : "2022-03-15 vote 7-0 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte, Robin Ann Yurk (but then the definition changed with the creation of Study Design Process)\n2022-03-22 vote 5-1 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, nelle.stocquart, Robin Ann Yurk"},{"code" : "approval","valueString" : "2022-03-29 vote 8-0 by Paul Whaley, Mario Tristan, Jesus Lopez-Alcalde, Cauê Monaco, Joanne Dehnbostel, Philippe Rocca-Serra, Robin Ann Yurk, nelle.stocquart"}],"concept" : [{"code" : "SEVCO:01043","display" : "multicentric","definition" : "A study design feature in which two or more institutions are responsible for the conduct of the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multi-institutional study"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multicenter trial"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "multicenter study"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "comment","valueString" : "This term may be used for studies conducted across multiple contexts (administrative or logistical) that are distinct from geographic locations, potentially introducing greater variability beyond multisite data collection."},{"code" : "negative-vote","valueString" : "2022-03-15 vote 5-1 by Mario Tristan, Paul Whaley, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Robin Ann Yurk\n2022-04-26 vote 3-0 by Eric M Harvey, Robin Ann Yurk, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-03-15 comments: Suggest add to multiple contexts (reserach)\n\na multicenter study is_a study. 'multicentric' would be a subtype of study_design_feature.  \na concern here is that the current definition conflates 2 entities: a study and a characteristic of that study. \nAt the end of the day, it depends on how the modeling will be made, e.g <study> <has_some_study_design_feature> <type of study_design_feature>\n\nOr should it be \"Multicenter data collection\"  ?"},{"code" : "approval","valueString" : "2022-05-06 vote 6-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann"}]},{"code" : "SEVCO:01052","display" : "includes patient-reported outcome","definition" : "A study design feature in which one or more outcomes are reported directly from the patient without interpretation by a clinician or researcher.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-reported outcomes"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "PRO"}],"property" : [{"code" : "comment","valueString" : "Examples of patient-reported outcomes include symptoms, pain, quality of life, satisfaction with care, adherence to treatment, and perceived value of treatment. Data collection methods including surveys and interviews may obtain patient-reported outcomes. Reports derived from wearable devices would not typically include patient-reported outcomes. Such data may be coded with 'Real world data collection from monitoring procedures' (SEVCO:01046)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "The U.S. Food and Drug Administration (FDA) defines a patient-reported outcome (PRO) as “any report of the status of a patient’s health condition that comes directly from the patient, without interpretation of the patient’s response by a clinician or anyone else [1].” -- from https://dcricollab.dcri.duke.edu/sites/NIHKR/KR/PRO%20Resource%20Chapter.pdf"},{"code" : "negative-vote","valueString" : "2022-04-26 vote 3-0 by Eric M Harvey, Robin Ann Yurk, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-04-26 comment: Suggest adding to the comment for application:  data methods to collect Patient Reported Outcomes such as survey data.\n2022-05-06 comments: Perhaps direct the reader to \"Patient generated health data\" or whatever else is the SEVCO term for \"wearables\" or other data sources (e.g., bluetooth scale).\nSuggest adding to the comment for application:  data methods to collect Patient Reported Outcomes such as survey data.\n2022-06-07 preferred term changed from \"Patient-reported outcome\" to \"Includes patient-reported outcome\" to maintain consistency with sibling concepts"},{"code" : "approval","valueString" : "2022-05-06 vote 7-0 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte"}]},{"code" : "SEVCO:01053","display" : "includes patient-centered outcome","definition" : "A study design feature in which one or more measures are outcomes that patients directly care about, i.e. outcomes that are directly related to patients' experience of their life.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-oriented outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-important outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-relevant outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes clinical outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes patient-centered outcome measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes clinical outcome measure"}],"property" : [{"code" : "comment","valueString" : "In healthcare research, outcomes are effects on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and quality of life. A patient-centered outcome qualifies the type of outcome as that which patients directly care about, i.e. outcomes that are directly related to patients' experience of their life. Examples of patient-centered outcomes include mortality, morbidity, symptoms, and quality of life. Some use 'clinical outcome' as synonymous with 'patient-centered outcome' while some use 'clinical outcome' to represent outcomes that would assessed as part of healthcare practice."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Mario Tristan, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-06 vote 5-2 by Mario Tristan, Robin Ann Yurk, Eric M Harvey, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte\n2022-05-17 vote 7-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-04-26 comment: Suggest Adding to comment for application:  Population Statistics such as mortality, morbidity.   Development of clinical outcomes is based on using a framework such as the Donabedian model:  Structure, Process, Outcomes where outcomes have some relationship to structural or process measures in clinical care.....\n2022-05-06 comment:  I understand the goal of \"quantity or quality of life,\" but I think it's too abstract--and limiting (\"Quantity of life\" is limited to life expectancy). I haven't reviewed other definitions, but the flavor is, \"outcomes that patients care about.\" (\"Function\" is left off the list of \"examples\", albeit there is a large overlap with \"morbidity,\" \"symptoms,\" and \"quality of life.\") (See the Comments for Application for Surrogate Outcome!)\n2022-05-17 comments: The definition seems to be in the comment: \"A clinical outcome qualifies the type of outcome as that which patients directly care about.\" The definition as proposed doesn't really make sense to me.\nThe definition, Alternative terms and comment for application are correct.  However, it is more specific to patient reported outcomes.  Clinical outcomes are more broad and also includes:  physiologic measures, condition specific measures.....etc. Clinical outcomes can be structural, process or outcomes in the donabedian framework and or combined as composite outcomes.\nWhile patient centered outcomes are typically considered clinical outcomes, they also indicate the observed outcomes  by the clinician but not so much by the patient. \n\n2022-05-26 comment: Suggest revise term definition so it is more inclusive or all healthcare or clinical outcomes, such as mortality, morbidity, physiologic measures, symptoms, experiences.  The term is not a study design but a measure.\n\nFor example:\nA healthcare measure which captures results from healthcare populations, settings structures, processes, and patients directly related to their care with healthcare settings, people, providers, and interventions.\n\nInsert other Alternative terms:  Morbidity, Mortality, Symptoms, Experience of Care, Health Status, Quality of life.  Suggest delete Patient Oriented Outcome, Patient Important Outcome, Patient Relevant Outcome, Patient Centered OUtcome, Includes clinical outcomes,"},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01054","display" : "includes disease-oriented outcome","definition" : "A study design feature in which one or more measures are outcomes that relate to a health or illness condition but are not outcomes which patients directly care about.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes disease-oriented outcome measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes surrogate outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes surrogate outcome measure"}],"property" : [{"code" : "comment","valueString" : "In healthcare research, outcomes are effects on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and quality of life. A patient-centered outcome qualifies the type of outcome as that which patients directly care about. Examples of patient-centered outcomes include mortality, morbidity, symptoms, and quality of life. A disease-oriented outcome qualifies the type of outcome as that which patients do not directly care about. Examples of disease-oriented outcomes include laboratory test measurements, imaging study findings, and calculated risk estimates. In this context, disease-oriented outcomes may be used as surrogate outcomes or proxy outcomes for ultimate effects on patient-centered outcomes, but do not provide direct evidence of effects on patient-centered outcomes."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-05-06 vote 4-2 by Mario Tristan, Robin Ann Yurk, nisha mathew, Paola Rosati, Harold Lehmann, Janice Tufte\n2022-05-17 vote 6-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-05-06 comments: I would refer to whatever \"clinical outcome\" is defined as: \"...indirect measures of clinical outcomes\". The Comment for Application is redefining Clinical Outcome. I would spend that space pointing out that some surrogates are predictive (e.g., cholesterol levels, for MIs)  and others are after the fact (e.g., sales of orange juice for treating the flu).\nSuggestion--look at the wikipedia definition, then explore other mapping definitions.  The current term definition and comment for application need improvement.\n\n\"In clinical trials, a surrogate endpoint is a measure of effect of a specific treatment that may correlate with a real clinical endpoint but does not necessarily have a guaranteed relationship. The National Institutes of Health defines surrogate endpoint as \"a biomarker intended to substitute for a clinical endpoint\".  wikipedia...\n\n2022-05-17 comments: Maybe edit to \"An indirect measure of quantity or quality of life, presumed or believed to have an effect on clinical outcomes.\"\nI would focus on revising and define surrogate first and then include a broad definition, not just specific to clinical outcomes.\n\n2022-05-26 comment: Surrogate Outcome is a proxy measure for capturing the outcome of interest.\n\nAlternative Terms:  delete disease oriented and surrogate outcome measure.  Suggest add:  Proxy Outcome Measure.\n\nComment for application:  Delete first 3 sentences.\nEdit the last sentence so it reads:   A surrogate outcome is a measure which captures an approximate measure.  Examples of surrogate outcomes includes survey measures rating scales for a child by the parent or teacher.  Geriatric rating scales from paid or professional caregivers for a seriously ill or geriatric patient are other examples."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01085","display" : "includes process measure","definition" : "A study design feature in which one or more outcomes are actions or behaviors of a healthcare professional or care team.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes process outcome"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "includes process outcome measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Khalid Shahin, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2022-05-17 vote 7-1 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde\n2022-05-17 vote 8-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde, nelle.stocquart@kce.fgov.be, Mario Tristan\n2022-05-31 vote 8-2 by Paul Whaley, Harold Lehmann, Robin Ann Yurk, Paola Rosati, Eric Harvey, raradhikaag@gmail.com, Cauê Monaco, Jesus Lopez-Alcalde, nelle.stocquart@kce.fgov.be, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-05-17 comment: Process Measure is included in the donabedian framework of structure, process, outcomes.  Do you want to define just for healthcare process measure versus keep the definition broad to include such as a series of steps or tasks providing a measurement pathway for any industry and the examples in healthcare processes are....\n2022-05-24 comments: repeat 2022-05-17 comment plus:\nyou need to provide more info, it is not clear as such\n\n2022-05-31 comments:\nyou need to provide more info, it is not clear as such\nAdd comment for application with examples:  A process measures captures the steps to care such as \nLab test orders, Referrals....The literature defines a process measure in the donabedian framework of structure, process, outcomes."},{"code" : "comment","valueString" : "A process outcome measure is a measure of change in actions or behaviors conducted in the process of healthcare delivery or clinical care, such as obtaining laboratory tests or referrals for follow-up care."},{"code" : "approval","valueString" : "2022-06-07 vote 5-0 by Brian S. Alper, Paola Rosati, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "SEVCO:01089","display" : "study goal","definition" : "A study design feature specifying the intent of the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study aim"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-06-21 vote 5-0 by Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2022-06-21 comment: Another alternate term could be \"Study Objective\""}],"concept" : [{"code" : "SEVCO:01096","display" : "evaluation goal","definition" : "A study goal to assess the efficiency, effectiveness, and impact of a given program, process, person or piece of equipment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "evaluation study goal"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "evaluation aim"}],"property" : [{"code" : "external-definitions","valueString" : "Medical Subject Heading (MESH): this heading is used as a Publication Type; for original report of the conduct or results of a specific evaluation study; a different heading EVALUATION STUDIES AS TOPIC is used for general design, methodology, economics, etc. of evaluation studies\nScope Note\nWorks consisting of studies determining the effectiveness or utility of processes, personnel, and equipment. https://meshb.nlm.nih.gov/record/ui?ui=D023362"},{"code" : "comment","valueString" : "Intended to include all forms of evaluation study. (Child concepts for program, process, personnel and equipment evaluations may be added later.)"},{"code" : "editors","valueString" : "Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-12 vote 6-0 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Harold Lehmann, Eric Harvey, Janice Tufte"}]},{"code" : "SEVCO:01097","display" : "derivation goal","definition" : "A study goal with the intent to generate a predictive algorithm.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "derivation study goal"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-07-19 vote 8-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:01098","display" : "validation goal","definition" : "A study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "validation study goal"}],"property" : [{"code" : "external-definitions","valueString" : "https://meshb.nlm.nih.gov/record/ui?ui=D023361\nMeSH Heading:  Validation Study\nAnnotation:\nThis heading is used as a Publication Type for original report of the conduct or results of a specific validation study. A different heading VALIDATION STUDIES AS TOPIC is used for general design, methodology, economics, etc. of validation studies. CATALOGER: Do not use\nScope Note:\nWorks consisting of research using processes by which the reliability and relevance of a procedure for a specific purpose are established.\nEntry Term(s):\nValidation Studies"},{"code" : "comment","valueString" : "Procedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. External validation is tested in populations that differ from the source used for derivation of the procedure."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-07-19 vote 8-1 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-07-19 comment: \"Relevance\" is a value judgment that is not the hallmark of a validation study. (It requires elicitation of this judgment from experts or potential users.)\nAccuracy, while difficult to measure, is certainly a validation aspiration (goal). Thus, validation of instruments assesses their sensitivity and specificity (measures of \"accuracy\").\nPerhaps a broader goal is \"performance\", which would include accuracy but also applicability across sites or other external contexts.\nAlso, typo: \"*from* the source used...\""},{"code" : "approval","valueString" : "2022-07-26 vote 6-0 by Jesus Lopez-Alcalde, Harold Lehmann, Paola Rosati, Eric Harvey, Janice Tufte, Mario Tristan"}]},{"code" : "SEVCO:01088","display" : "comparison goal","definition" : "A study design feature in which the study intent is to compare two or more interventions or exposures.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparative analysis goal"}],"property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-06-21 vote 5-0 by Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey, Muhammad Afzal"}],"concept" : [{"code" : "SEVCO:01091","display" : "comparative effectiveness goal","definition" : "A study design feature in which the study intent is to compare two or more interventions with respect to benefits and/or harms.","property" : [{"code" : "comment","valueString" : "In 2009, the Institute of Medicine committee defined comparative effectiveness research (CER) as: \"Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care. The purpose of CER is to assist consumers, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and population levels.\""},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "external-definitions","valueString" : "Defining comparative effectiveness research (CER) was the first order of business for the Institute of Medicine Committee on Initial Priorities for CER. The Institute of Medicine committee approached the task of defining CER by identifying the common theme in the 6 extant definitions. The definition follows: \"Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care. The purpose of CER is to assist consumers, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and population levels.\" https://pubmed.ncbi.nlm.nih.gov/20473202/"},{"code" : "approval","valueString" : "2022-06-21 vote 5-0 by Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey, Muhammad Afzal"}],"concept" : [{"code" : "SEVCO:01090","display" : "comparative efficacy goal","definition" : "A study design feature in which the study intent is to compare two or more interventions with respect to effectiveness in ideal conditions.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2022-06-28 vote 8-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Harold Lehmann, Muhammad Afzal, Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-06-28 comment: what does \"in ideal conditions\" really mean? is it necessary ?"},{"code" : "comment","valueString" : "Efficacy is defined as effectiveness in ideal conditions. In this context, an efficacy goal is a type of effectiveness goal. Efficacy is used to distinguish the context from effectiveness in 'real-world' settings."}]},{"code" : "SEVCO:01092","display" : "comparative safety goal","definition" : "A study design feature in which the study intent is to compare two or more interventions with respect to harms.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2022-06-28 vote 8-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Harold Lehmann, Muhammad Afzal, Janice Tufte, Louis Leff, Mario Tristan, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-06-28 comment: no need to be \"in ideal conditions\" ? see related comment on. \"comparative efficacy goal\" class textual definition"}]}]},{"code" : "SEVCO:01093","display" : "equivalence goal","definition" : "A study goal with the intent to compare two or more interventions or exposures and determine that any difference in effects is within a prespecified range representing absence of a meaningful difference.","property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "comment","valueString" : "An Equivalence Goal is only applicable with a Comparative study design. \nThe prespecified range representing absence of a meaningful difference may be defined with an equivalence margin."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-07-12 vote 4-2 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Janice Tufte, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-12 comments: harmonize the definition to match the pattern used for the other terms. e.g. \"evaluation goal\" is a study goal in which the objective is to assess the efficience, effectivement and impact of a given process, process, person or piece of equipment'\n\nso Equivalence Goal is a study goal in which the study intent is to compare two or more interventions or exposures and determine that any difference in effects is within a prespecified range representing absence of a meaningful difference\n\nI think this definition is unclear. Is the equivalence goal an aim of a study? Which kind of study? My understanding is: Given a prespecified range (of results?) showing an absence of a meaningful (for which kind of subjects/previous research?) difference between two interventions/exposures, the equivalence goal assesses that there is no difference in effects. Is this the meaning of this definition? Which kind of study could give a valid result in terms of equivalence? An RCT?"},{"code" : "approval","valueString" : "2022-07-19 vote 8-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:01094","display" : "non-inferiority goal","definition" : "A study goal with the intent to compare two or more interventions or exposures and determine that any difference in effects is below a prespecified value representing a threshold between a meaningful difference and absence of a meaningful difference.","property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "comment","valueString" : "A Non-inferiority Goal is only applicable with a Comparative study design. \nThe threshold between a meaningful difference and absence of a meaningful difference may be called a non-inferiority margin."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-07-12 vote 3-2 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-12 comments: so Non-Inferiorty Goal is a study goal in which....\nI have the same doubts already given for the equivalence goal"},{"code" : "approval","valueString" : "2022-07-19 vote 8-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:01095","display" : "superiority goal","definition" : "A study goal with the intent to compare two or more interventions or exposures and detect a difference in effects.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "superiority study goal"}],"property" : [{"code" : "external-definitions","valueString" : "MeSH term \"Equivalence Trial\" https://www.ncbi.nlm.nih.gov/mesh/2023172 Trial that aims to show a new treatment is no better and no worse than the standard treatment.\n\nYear introduced: 2018\n\nDo not include MeSH terms found below this term in the MeSH hierarchy.\n\nTree Number(s): V03.175.250.500.500.125\n\nMeSH Unique ID: D000073843\n\nEntry Terms:\n\nNon-Inferiority Trial\nNoninferiority Trial\nSuperiority Trial\nEquivalence Clinical Trial"},{"code" : "comment","valueString" : "A Superiority Goal is only applicable with a Comparative study design. \n\nA superiority study goal may be exploratory (to detect a difference) or confirmatory (to establish that a difference exists with a degree of certainty).\n\nA superiority goal is not the opposite of a non-inferiority goal. A superiority goal uses a threshold of zero difference while an inferiority goal uses a threshold of a meaningful difference.\n\nSome superiority comparisons are conducted following determination of non-inferiority.\n\nPlacebo-controlled trials are typically superiority studies.\n\nSuperiority, as commonly used, is 'statistical superiority,' with null used as the threshold of effect. An approach representing 'clinical superiority' would use the non-inferiority margin as the threshold of effect."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-07-12 vote 4-1 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Paola Rosati, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-12 comment: so Superiority Goal is a study goal in which...\n2022-07-19 comment: alter definition to \"...and detect *meaningful* difference in effects\" (in order to be consistent with Equivalence and Non-inferiority Study Goals')"},{"code" : "approval","valueString" : "2022-07-19 vote 9-0 by Paola Rosati, Cauê Monaco, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"}]}]}]},{"code" : "SEVCO:01100","display" : "allocation ratio","definition" : "A study design feature describing the intended relative proportion of assignment across groups.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "comment","valueString" : "The allocation ratio may be expressed as Treatment:Control, e.g., 2:1, or, in the case of two treatment arms and one control, e.g. 2:2:1."},{"code" : "approval","valueString" : "2023-04-10 vote 5-0 by Harold Lehmann, Joanne Dehnbostel, Eric Harvey, Janice Tufte, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00001","display" : "bias","definition" : "A systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "false certainty"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Philippe Rocca-Serra, Joanne Dehnbostel, Mario Tristan, Harold Lehmann; Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "8/8 as of 2021-02-26: , Harold Lehmann, Khalid Shahin, Eric Harvey, Jesús López-Alcalde, Joanne Dehnbostel, Muhammad Afzal, Paola Rosati, Eric Au, 5/5 for second sentence as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte"}],"concept" : [{"code" : "SEVCO:00002","display" : "selection bias","definition" : "A bias resulting from methods used to select subjects or data, factors that influence initial study participation, or differences between the study sample and the population of interest","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "8/8 as of 3/5/2021 Eric Au, Alejandro Piscoya, Mario Tristan, Brian Alper, Zbys Fedorowicz, Bhagvan Kommadi, Eric Harvey, Muhammad Afzal"},{"code" : "comment","valueString" : "Selection bias can occur before the study starts (inherent in the study protocol) or after the study starts (during study execution)."}],"concept" : [{"code" : "SEVCO:00003","display" : "participant selection bias","definition" : "A selection bias resulting from methods used to select participating subjects, factors that influence initial study participation, or differences between the study participants and the population of interest","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-08 vote 7-2 on \"A selection bias where key characteristics of the participants differ systematically from the population of interest.\" by Harold Lehmann, Philippe Rocca-Serra, Joanne Dehnbostel, 2021-03-19 vote 10-1 on \"A bias resulting from methods used to select participating subjects, factors that influence initial study participation, or differences between the study participants and the population of interest\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin"}],"concept" : [{"code" : "SEVCO:00004","display" : "inappropriate selection criteria","definition" : "A selection bias resulting from inclusion and exclusion criteria used to select participating subjects that could result in differences between the study participants and the population of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to inappropriate selection criteria"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-19 vote 9-2 on \"A bias resulting from inclusion and exclusion criteria used to select participating subjects that could make the included participants unrepresentative of the population of interest.\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Asiyah Yu Lin"}]},{"code" : "SEVCO:00005","display" : "inappropriate sampling strategy","definition" : "A selection bias resulting from the sampling frame, sampling procedure, or methods used to recruit participating subjects that could result in differences between the study participants and the population of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "biased sampling strategy"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate sample frame"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate sampling frame"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate sampling procedure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to inappropriate sampling strategy"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-19 vote 9-2 on \"A bias resulting from the sample frame, sampling procedure, or methods used to recruit participating subjects that could make the included participants unrepresentative of the population of interest.\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00014","display" : "inappropriate data source for participant selection","definition" : "Participant selection bias due to inappropriate data source for sampling frame.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to inappropriate data source for sampling frame"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Muhammad Afzal, Bhagvan Kommadi"},{"code" : "approval","valueString" : "6/6 as of 4/12/2021: KM Saif-Ur-Rahman, Bhagvan Kommadi, Joanne Dehnbostel, Paola Rosati, Jesús López-Alcalde, Tatyana Shamliyan"}]}]},{"code" : "SEVCO:00006","display" : "non-representative sample","definition" : "A selection bias due to differences between the included participants and the population of interest that distorts the research results (estimation of effect, association, or inference), limiting external validity or applicability.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to non-representative sample"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unrepresentative sample"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonrepresentative sample"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 3/22/2021 Harold Lehmann, Eric Harvey, Bhagvan Kommadi, Jesus Lopez-Alcalde, Ahmad Sofi-Mahmudi, Tatyana Shamliyan, Muhammad Afzal, Paola Rosati, Joanne Dehnbostel, Marc Duteau"},{"code" : "negative-vote","valueString" : "2021-03-19 vote 10-1 on \"Differences between the included participants and the population of interest that distorts the research results (estimation of effect, association, or inference), limiting external validity or applicability.\" by Brian S. Alper, Tatyana Shamliyan, Bhagvan Kommadi, Muhammad Afzal, Khalid Shahin, Harold Lehmann, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00008","display" : "inadequate enrollment of eligible subjects","definition" : "A selection bias in which insufficient enrollment of eligible subjects results in differences (recognized or unrecognized) between the included participants and the population of interest that distorts the research results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selection bias due to inadequate enrollment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-representative sample due to inadequate enrollment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Marc Duteau, Khalid Shahin, Asiyah Yu Lin, Muhammad Afzal, Tatyana Shamliyan"},{"code" : "approval","valueString" : "11/11 as of 3/29/2021: Alejandro Piscoya, Eric Harvey, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Eric Au, Joanne Dehnbostel, Marc Duteau, Brian S. Alper, Jesús López-Alcalde, Tatyana Shamliyan, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-03-26 vote 8-2 on \"Inadequate enrollment = A selection bias due to a rate of study entry among eligible subjects that is not sufficient for the included sample to be considered representative of the population of interest.\" by Harold Lehmann, Tatyana Shamliyan, Muhammad Afzal, Eric Au, Paola Rosati, Mario Tristan, Alejandro Piscoya, Bhagvan Kommadi, Jesús López-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00012","display" : "non-representative sample due to timing or duration of exposure","definition" : "A selection bias in which the timing or duration of exposure influences the outcome, and the timing or duration of exposure in the sample does not represent that of the population of interest. This selection bias may occur when the selection for study participation is not coincident with the initiation of the exposure or intervention under investigation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mismatch in start of intervention and start of follow-up"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "9/9 as of 4/9/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Paola Rosati, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}],"concept" : [{"code" : "SEVCO:00013","display" : "depletion of susceptibles","definition" : "A non-representative sample due to exclusion of susceptible participants who have already had an outcome due to prior exposure. For example, the inclusion of prevalent users of a medication misrepresents the initial adverse effects rate by excluding persons who do not tolerate the medication.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "prevalent user bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-representative sample due to depletion of susceptibles"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "9/9 as of 4/9/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Paola Rosati, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}]}]}]},{"code" : "SEVCO:00009","display" : "post-baseline factors influence enrollment selection","definition" : "A selection bias in which factors observed after study entry, baseline, or start of follow-up influence enrollment","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to post-baseline factors"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Marc Duteau, Khalid Shahin, Asiyah Yu Lin, Harold Lehmann, Mario Tristan"},{"code" : "approval","valueString" : "9/9 as of 4/5/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}],"concept" : [{"code" : "SEVCO:00212","display" : "participant selection bias due to early study termination","definition" : "A selection bias due to premature closure of study enrollment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "early termination bias affecting enrollment"}],"property" : [{"code" : "comment","valueString" : "'Early termination bias affecting enrollment' is a type of 'Post-baseline factors influence enrollment selection' which is defined as 'A selection bias in which factors observed after study entry, baseline, or start of follow-up influence enrollment.'\nTo express bias related to making the decision to terminate a study, use 'Early Study Termination Bias'."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Paul Whaley, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-03-25 vote 7-1 by Muhammad Afzal, Paul Whaley, Mario Tristan, Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2022-03-25 comment: Recommend simplifying the term and then add your test to the term definition.\nFor example edit term to Early Study Termination Bias.  Term definition should read.  Selection Bias due to premature closing of a study enrollment for the participants...."},{"code" : "approval","valueString" : "2022-04-08 vote 12-0 by Muhammad Afzal, Paul Whaley, Mario Tristan, Joanne Dehnbostel, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, nelle.stocquart, nisha mathew, Harold Lehmann, Cauê Monaco"}]}]},{"code" : "SEVCO:00010","display" : "factor associated with exposure influences enrollment selection","definition" : "A selection bias in which a factor associated with the exposure under investigation influences study enrollment","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to factor associated wiith exposure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Khalid Shahin, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Muhammad Afzal"},{"code" : "approval","valueString" : "9/9 as of 4/5/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}]},{"code" : "SEVCO:00011","display" : "factor associated with outcome influences enrollment selection","definition" : "A selection bias in which a factor associated with the outcome under investigation influences study enrollment","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "participant selection bias due to factor associated wiith outcome"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Khalid Shahin, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Muhammad Afzal"},{"code" : "approval","valueString" : "9/9 as of 4/5/2021: Alejandro Piscoya, KM Saif-Ur-Rahman, Bhagvan Kommadi, Eric Harvey, Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesús López-Alcalde, Tatyana Shamliyan"}]}]},{"code" : "SEVCO:00015","display" : "study selection bias","definition" : "A selection bias resulting from factors that influence study selection, from methods used to include or exclude studies for evidence synthesis, or from differences between the study sample and the population of interest","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias in study selection"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Muhammad Afzal, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 4/26/2021: Eric Harvey, Bhagvan Kommadi, Harold Lehmann, Mario Tristan, Jesús López-Alcalde, Tatyana Shamliyan\n2024-04-19 vote 8-0 by Cauê Monaco, Janice Tufte, Homa Keshavarz, Sheyu Li, Khalid Shahin, Lenny Vasanthan, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00262","display" : "bias in study eligibility criteria","definition" : "A study selection bias specific to the inclusion and exclusion criteria.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "comment","valueString" : "If the study eligibility criteria (inclusion and exclusion criteria for study selection) result in a dataset that is non-representative of the population of interest, then the criteria introduce systematic error. \n\nA study selection bias is a selection bias resulting from factors that influence study selection, from methods used to include or exclude studies for evidence synthesis, or from differences between the study sample and the population of interest."},{"code" : "approval","valueString" : "2024-02-02 vote 5-0 by Brian S. Alper, Harold Lehmann, Xing Song, Cauê Monaco, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00273","display" : "study eligibility criteria not prespecified","definition" : "A bias in study eligibility criteria in which the criteria are not stated before the study selection process occurs.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 1.1 Did the review adhere to pre-defined objectives and eligibility criteria?\nA systematic review should begin with a clearly focused question or objective which is reflected in the criteria used for deciding whether studies are eligible for inclusion. Details that should be specified a priori in a review protocol vary according to review type, but should generally include the study designs, study participants, and types of interventions/exposures that are eligible. If outcomes or outcome domains are to form part of the eligibility criteria, this should be stated clearly. Any exclusions should also be pre-specified. Where a protocol providing this information is available, the answer to this question would be “Yes”. Where no protocol is available but information about pre-defined objectives and detailed eligibility criteria are supplied, and there is good reason to believe that these were specified in advance and adhered to throughout the\nreview, assessors can consider answer this question “Probably Yes”. Any post hoc changes to the eligibility criteria or outcomes must keep faith with the objectives of the review, and be properly justified and documented. In the absence of a pre-published protocol, where information about pre-defined objectives and eligibility criteria are only available post hoc in the review publication, unless there is some reason to believe that these details were specified in advance and adhered to from the start of the review, this question should be answered “Probably No”. Where all or some of these details are missing, this question should be answered “No”."},{"code" : "comment","valueString" : "Failure to specify the study eligibility criteria before evaluating studies for selection can lead to a situation in which the data discovered during the study selection process influences the criteria for selection in a way that introduces systematic error."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-02-16 vote 6-0 by Javier Bracchiglione, Lenny Vasanthan, Xing Son, Brian S. Alper, Harold Lehmann, Eric Harvey"}]},{"code" : "SEVCO:00274","display" : "study eligibility criteria not appropriate for review question","definition" : "A bias in study eligibility criteria due to a mismatch between the inclusion and exclusion criteria and the research question.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz, Xing Song"},{"code" : "external-definitions","valueString" : "from ROBIS 1.2 Were the eligibility criteria appropriate for the review question?\nThe eligibility criteria should stem from the review question and should provide sufficient detail to enable judgement about whether the studies that are included are appropriate to the question. The information required is likely to vary by topic. For example, in order to judge appropriateness, the assessor might need a clear description of the population in terms of the age range and diagnosis of the study participants, the setting in which the study was conducted, the dose of a drug, or the frequency of exposure. To answer this question the assessor is likely to require some content knowledge."},{"code" : "comment","valueString" : "The mismatch between the inclusion and exclusion criteria and the research question may relate to differences in the population, exposures, or outcomes studies from those of interest."},{"code" : "negative-vote","valueString" : "2024-02-16 vote 5-1 by Javier Bracchiglione, Lenny Vasanthan, Xing Song, Brian S. Alper, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-02-16 comment: I would simplify the definition to: \"A bias in study eligibility criteria derived from a mismatch between the inclusion and exclusion criteria, and the research question, that could result in an inappropriate selection of studies\""},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 :Lenny Vasanthan, Harold Lehmann, Janice Tufte, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00275","display" : "study eligibility criteria ambiguous","definition" : "A bias in study eligibility criteria due to unclear specification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz"},{"code" : "external-definitions","valueString" : "from ROBIS 1.3 Were eligibility criteria unambiguous?\nSpecific information about the characteristics of eligible studies must be provided, as far as possible avoiding any ambiguities about the types of study, population, interventions, comparators and outcomes. Criteria should be sufficiently detailed that the review could be replicated using the criteria specified. A number of important details are commonly missing from the eligibility criteria in systematic reviews. For example, details about the diagnosis of study participants. Diagnosis might be made using a number of different methods, some of which might be more valid or accurate than others. Review authors should have decided in advance which diagnostic methods are appropriate to their review question in order to avoid introducing potential biases during the review process. Similarly, specific details about interventions/exposures and comparators must be provided, including characteristics such as medication dose, frequency of administration, concurrent treatments, and so on. The assessor is likely to require some content knowledge to answer this question, but where specific queries remain about the stated eligibility criteria, “No” or “Probably No” judgements can usually be made."},{"code" : "comment","valueString" : "Eligibility criteria that are not sufficiently described to enable reproduction of study selection can introduce systematic error."},{"code" : "approval","valueString" : "2024-02-16 vote 5-0 by Lenny Vasanthan, Xing Son, Brian S. Alper, Harold Lehmann, Eric Harvey"}]},{"code" : "SEVCO:00276","display" : "study eligibility criteria limits for study characteristics not appropriate","definition" : "A bias in study eligibility criteria that is specific to restrictions based on characteristics of the study design, conduct, or findings.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Xing Song, Joanne Dehnbostel, Kenneth Wilkins, Homa Keshavarz"},{"code" : "external-definitions","valueString" : "from ROBIS 1.4 Were all restrictions in eligibility criteria based on study characteristics appropriate?\nAny restrictions applied on the basis of study characteristics must be clearly described and a sound rationale provided. These details will enable assessors to judge whether such restrictions were appropriate. Examples might be the study design, the date the study was published, the size of the study, some measure of study quality, and available outcomes measures. This question is different from the one above which refers to whether the eligibility criteria are appropriate to the review question. Where sufficient information is available, and the assessor is reasonably satisfied that the restrictions are appropriate, this question can be answered “Yes or “Probably Yes”. Where restrictions around study characteristics are not justified and there is insufficient information to judge whether these restrictions are appropriate, this question should be answered “Probably No” or “No”. Where eligibility criteria are sufficiently detailed, and no restrictions around study characteristics are explicitly reported, it can be assumed that none were imposed, and the question should be answered “Yes”."},{"code" : "comment","valueString" : "Any restrictions applied on the basis of study characteristics should not introduce a bias in study eligibility criteria. Examples of such restrictions may include criteria based on study size, study design, study quality, or date when the study was conducted.\n\nIn the ROBIS tool used for risk of bias assessment of systematic reviews, there is a question (1.4 Were all restrictions in eligibility criteria based on study characteristics appropriate?) that is different from the one which refers to whether the eligibility criteria are appropriate to the review question. Therefore, a separate term is available in SEVCO."},{"code" : "negative-vote","valueString" : "2024-02-23 vote 5-1 by Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Xing Song, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-02-23 comment: As it is, study characteristics could refer to clinical characteristics (e.g. age), which could indeed be appropriate. I would state that it refers to methodological characteristics."},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 Lenny Vasanhan, Harold Lehmann, Eric Harvey, Janice Tufte, Homa Kashavarz"}]},{"code" : "SEVCO:00277","display" : "study eligibility criteria limits for study report characteristics not appropriate","definition" : "A bias in study eligibility criteria that is specific to restrictions on the status, structure, language, or accessibility of the study report.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 1.5 Were any restrictions in eligibility criteria based on sources of information appropriate?\nAny restrictions applied on the basis of sources of information must be clearly described and a sound rationale provided. These details will enable assessors to judge whether such restrictions were appropriate. Examples might be the publication status or format, language, and availability of data. This question is different from the question in domain 2 which is about restricting searches. Where eligibility criteria are sufficiently detailed, but no restrictions based on sources of information are explicitly reported, it must be assumed that none were imposed, and the question should be answered “Yes”."},{"code" : "comment","valueString" : "Examples of study report characteristics include publication status (including preprints and unpublished data), format, language, and availability of data, as well as the date of publication.\nThe ROBIS tool used for assessing risk of bias of systematic reviews includes a signaling question '1.5 Were any restrictions in eligibility criteria based on sources of information appropriate?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-16 comment: (in comments for application, there is a dot after the parenthesis that needs to be removed)"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey"}]}]},{"code" : "SEVCO:00269","display" : "language bias","definition" : "A bias in search strategy or study eligibility criteria that results from restrictions regarding the language of the study report.","property" : [{"code" : "external-definitions","valueString" : "https://catalogofbias.org/biases/language-bias/"},{"code" : "comment","valueString" : "Limiting the study reports included in a systematic review by language may result in an incomplete view of the truly available evidence.\n\nThe terms <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00266\" target=\"_blank\">search strategy limits for study report characteristics not appropriate</a> and <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00277\" target=\"_blank\">study eligibility criteria limits for study report characteristics not appropriate</a> are used to describe types of study selection bias that results from restrictions regarding the study report, distinguishing different steps in the search and selection process."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Kenneth Wilkins"},{"code" : "expert-comments","valueString" : "05-03-2024 \n\"what is interesting about this term is that language in terms of terms changes and actually can begin to mean something other than the original intent- later original term might mean something else down the road\""},{"code" : "approval","valueString" : "05-03-2024 5-0 by Homa Keshavarz, Eric Harvey, Janice Tufte, Lenny Vasanthan, Harold Lehmann"}]},{"code" : "SEVCO:00270","display" : "geography bias","definition" : "A bias in search strategy or study eligibility criteria that results from restrictions regarding the geographic origin of the research.","property" : [{"code" : "external-definitions","valueString" : "The role of geographic bias in knowledge diffusion: a systematic review and narrative synthesis (https://researchintegrityjournal.biomedcentral.com/articles/10.1186/s41073-019-0088-0) includes \"geographic bias...are biased by the geographic origin of the research\" and \"geographic bias, such as the role of institutional affiliation, country of origin...\" and \"geographic bias, i.e., local, regional, national, or international\""},{"code" : "comment","valueString" : "Limiting the study reports included in a systematic review by country of origin may result in an incomplete view of the truly available evidence.\n\nThe geographic origin of the research may refer to the location of the research participants, the investigators, or their associated organizations.\n\nThe terms <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00266\" target=\"_blank\">search strategy limits for study report characteristics not appropriate</a> , <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00276\" target=\"_blank\">study eligibility criteria limits for study characteristics not appropriate</a> and <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00277\" target=\"_blank\">study eligibility criteria limits for study report characteristics not appropriate</a> are used to describe types of study selection bias that results from restrictions regarding the study report, distinguishing different steps in the search and selection process."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "05-03-2024 5-0 by Homa Keshavarz, Eric Harvey, Janice Tufte, Lenny Vasanthan, Harold Lehmann"}]},{"code" : "SEVCO:00272","display" : "publication bias","definition" : "A study selection bias in which the publicly available studies are not representative of all conducted studies.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study selection bias due to selective reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study selection bias due to non-reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study selection bias due to reporting bias"}],"property" : [{"code" : "comment","valueString" : "Publication bias arises from the failure to identify all studies that have been conducted, either published (i.e., publicly available) or unpublished. The term 'studies' means evidence or research results in any form where such studies would meet the study eligibility criteria without consideration of criteria regarding the form of publication. The phrase 'publicly available studies' means the studies are available to the broad academic community and the public through established distribution channels in any form, including forms with restricted access.  Established distribution channels include peer-reviewed journals, books, conference proceedings, dissertations, reports by governmental or research organizations, preprints, and study registries.\n\nPublication bias often leads to an overestimate in the effect in favor of the study hypothesis, because studies with statistically significant positive results are more likely to be publicly available.\n\nThe terms <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> and <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00024\" target=\"_blank\">selective reporting bias</a> are used to describe biases in study reports, i.e., reporting bias. To avoid confusion between biases in study reports and biases in study selection, when either 'reporting bias' or 'selective reporting bias' are used as alternative for 'publication bias', the term is appended to 'study selection bias due to' as shown below:\n&#9;• study selection bias due to reporting bias\n&#9;• study selection bias due to selective reporting bias"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2024-03-29 vote 7-1 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Cauê Monaco, Eric Harvey, Jennifer Hunter\n2024-04-12 vote 6-1 by Sheyu Li, Jennifer Hunter, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Harold Lehmann\n2024-04-19 vote 8-1 by Janice Tufte, Homa Keshavarz, Sheyu Li, Khalid Shahin, Lenny Vasanthan, Harold Lehmann, Eric Harvey, Jennifer Hunter, Cauê Monaco\n2024-04-26 vote 4-1 by Homa Keshavarz, Sean Grant, Lenny Vasanthan, Jennifer Hunter, Eric Harvey\n2024-05-03 vote 6-1 by Harold Lehmann, Lenny Vasanthan, Jennifer Hunter, janice Tufte, Eric Harvey, Homa Keshavarz, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-03-29 comment:\nThe current definition does not reflect the information of 'publication', which is the core of the term. I understand that it is not good to use the same word in the definition and the term itself. Nevertheless, the word available could be vague - studies could be available in registration website only but not published. For different authors, the 'availability' of the studies are different. \n\nA suggested definition:\nA study selection bias in which the published studies are not representative of the conducted studies.\t\nalternatively: \nA study selection bias in which the studies available in the literature database are not representative of all conducted studies.\n\n2024-04-12 comment:\nPublication bias arises from the failure to identify all studies that have been conducted, either published (i.e., publicly available) or unpublished. Typically, publication bias leads to an overestimate in the effect in favour of the study hypothesis. This is because studies with statistically significant positive results are more likely to be publicly available or published in English-language journals.\n\n2024-04-19 comment:\nConsider adding some alternate terms used by Cochrane: non-reporting bias; bias due to missing results. https://training.cochrane.org/handbook/current/chapter-07#section-7-1\n\n2024-04-26 comments:\n1) Suggest revising second paragraph slightly to \"Publication bias often (but not always) leads to...\"\n2N) The last paragraph/sentence in application is long and difficult to read. Here is a suggestion:\nThe terms reporting bias and selective reporting bias are used to describe biases in study reports. To avoid ambiguous use as alternative terms for publication bias, the terms are appended to 'study selection bias due to'.\n\n2024-05-03 comments:\nThe last paragraph is still very difficult to read, and I understand what we are trying to communicate. What about this suggestion?\nThe terms reporting bias and selective reporting bias are used to describe biases in study reports. To avoid confusion between biases in study reports and biases in study selection, when either 'reporting bias' or 'selective reporting bias' are used as alternative for 'publication bias', the term is appended to 'study selection bias due to'."},{"code" : "approval","valueString" : "2024-05-10 vote 10-0 by Saphia Mokrane, Sheyu Li, Harold Lehmann, Brian S. Alper, Homa Keshavarz, Lenny Vasanthan, Cauê Monaco, Jennifer Hunter, Eric Harvey, Khalid Shahin"}]},{"code" : "SEVCO:00395","display" : "bias in search strategy","definition" : "A study selection bias specific to the strategy used to identify potentially eligible studies.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Homa Keshavarz, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2024-02-23 comment: Although I am not 100% sure if this qualifies as \"study selection\" bias"},{"code" : "approval","valueString" : "2024-02-23 vote 6-0 by Khalid Shahin, Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00263","display" : "database search sources inadequate","definition" : "A bias in search strategy in which the electronic sources are not sufficient to find the studies available in electronic sources.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.1 Did the search include an appropriate range of databases/electronic sources for published and unpublished reports?\nThe assessor needs to judge what constitutes an appropriate range of databases. This will vary according to review topic. It is anticipated that at a minimum a MEDLINE and EMBASE search would be conducted. Searches of material published as conference reports should also be considered along with a search of research registers. Guidance on the appropriate range of databases can be found in SR guidance such as the Cochrane Handbook,5 or from the Centre for Reviews and Dissemination (CRD) website (http://www.york.ac.uk/inst/crd/finding_studies_systematic_reviews.htm)"},{"code" : "comment","valueString" : "The set of databases (electronic sources) expected to include the studies of interest will vary with the review topic."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Homa Keshavarz"},{"code" : "approval","valueString" : "Expert working group agreement 2024-03-01 5-0 vote by Eric Harvey, Harold Lehmann, Khalid Shahin, Javier Bracchiglione, Homa Keshavarz"}]},{"code" : "SEVCO:00264","display" : "non-database search sources inadequate","definition" : "A bias in search strategy in which the sources other than electronic database sources are not sufficient to find the studies available.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.2 Were methods additional to database searching used to identify relevant reports?\nAdditional methods such as citation searches, contacting experts, reference checking, handsearching etc. should have been performed."},{"code" : "comment","valueString" : "The set of sources other than databases (electronic sources) expected to include the studies of interest will vary with the review topic."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-03-08 \"I wonder about globally and developing nations where CHW workers are collecting data perhaps not electronically\" , \"Similar to other comments global data might be collected oin paper- qualitative - observational studies\""},{"code" : "approval","valueString" : "2024-03-08 6-0 Eric Harvey, Harold Lehmann, Javier Bracchiglione, Janice Tufte, Homa Kashavarz, Lenny Vasanthan"}]},{"code" : "SEVCO:00265","display" : "search strategy not sensitive","definition" : "A bias in search strategy in which the search terms and combinations of search terms are not sufficient to find the studies available.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.3 Were the terms and structure of the search strategy likely to retrieve as many eligible studies as possible?\nA full search strategy showing all the search terms used, in sufficient detail to replicate the search, is required to be able to fully judge this question. If only limited details are provided, such as a list of search terms with no indication of how these are combined, assessors may be able to make a “Probably Yes” or “Probably No” judgment. Assessors should consider whether the search strategy included an appropriate range of terms for the topic, whether a combination of controlled terms (such as Medical Subject Headings (MeSH) for Medline) and words in the title and abstract were used, and whether any filters applied were appropriate. For example, for DTA reviews the use of filters has been shown to miss relevant studies and so this question should be answered as No for a strategy that includes such filters. Guidance on the critical appraisal of search strategies can be found in the PRESS Evidence-Based Checklist (http://ejournals.library.ualberta.ca/index.php/EBLIP/article/view/7402)."},{"code" : "comment","valueString" : "The search terms and combinations of search terms expected to include the studies of interest will vary with the review topic."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 Eric Harvey, Harold Lehmann, Javier Bracchiglione, Homa Kasharvarz, Lenny Vasanthan"}]},{"code" : "SEVCO:00266","display" : "search strategy limits for study report characteristics not appropriate","definition" : "A bias resulting from search strategy criteria implemented due to practical considerations for implementation, including properties of a report or its accessibility.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.4 Were restrictions based on date, publication format, or language appropriate?\nIf no restrictions were applied to the search strategy then this question should be answered as Yes. This is different from the question in domain 1 (1.5) which is about restriction to selection criteria. Information is required on all three components of this question (i.e. date, publication format and language) to be able to fully judge this item. Restriction of papers based on language (e.g. restriction to English language articles) or publication format (e.g. restriction to full text published studies) is rarely (if ever) appropriate, and so if any such restrictions were applied then this question should usually be answered as “No”. Restrictions on date may be appropriate but should be supported by a clearly described rationale for this question to be answered as “Yes”. For example, if a medication or test was not available before a certain date then it is reasonable to only start searches from the date at which the medication or test first became available."},{"code" : "comment","valueString" : "A bias in search strategy that is specific to restrictions on the date, status, structure, language, or accessibility of the study report. Accessibility refers to where a resource is available and how one gains access to it."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Homa Keshavarz, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-03-15 vote 5-0 by Xing Song, Lenny Vasanthan, Harold Lehmann, Homa Keshavarz, Eric Harvey"}]}]},{"code" : "SEVCO:00267","display" : "misapplication of study eligibility criteria","definition" : "A study selection bias due to inappropriate implementation of the study inclusion and exclusion criteria.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonadherence to study eligibility criteria"}],"property" : [{"code" : "editors","valueString" : "Sheyu Li, Ken Wilkins, Muhammad Afzal, Homa Keshavarz, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-03-29 vote 7-1 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Javier Bracchiglione, Jennifer Hunter, Homa Keshavarz, Lenny Vasanthan, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-03-29 comment:\nThe title/name needs work. Maybe something like: Bias due to non-adherence to eligibility criteria?"},{"code" : "approval","valueString" : "2024-04-12 vote 6-0 by Harold Lehmann, Sheyu Li, Jennifer Hunter, Janice Tufte, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00345","display" : "bias related to selection of the studies for synthesis","definition" : "A study selection bias due to inappropriate choice of studies included in the synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.1 Did the synthesis include all studies that it should?"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Airton Stein, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2025-05-17 comment: (There could be a link to \"Selection bias\", making the point that this term is the equivalent for synthesis studies.)\n\n2024-05-24 comment: Hmm. Maybe change, \"typical use\" to \"typical risk\"?\n\n2024-06-07 comments re: \"synthesis missing eligible studies\" = \"A synthesis bias in which eligible studies were not included in the evidence synthesis.\"\n1N) The term itself is new to me: is there a more established term?\nre: \"synthesis missing eligible studies\" = \"A synthesis bias in which eligible studies were not included in the evidence synthesis.\"\n2N) It is confusing regarding synthesis. Evidence synthesis includes quantitative synthesis (meta-analysis typically) and qualitative synthesis. The comments may mean that a study is included in a qualitative synthesis but not a quantitative synthesis. It can be true, but why? Typically it can be some synthestic gap, e.g., the unavailability of zero events in a meta-analysis. \nThe definition can be revised as A synthesis bias in which eligible studies were not included in the some parts of evidence syntheses.\n\n2024-06-14 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of data included in the synthesis before the synthesis is applied.\"\n1N) I understand the concept though I am not clear how this is a \"bias\"? \"Inappropriate\" choice just sounds like poor study execution rather than a bias.\n\n\n2024-08-09 comment re: \"bias related to selection of the studies for synthesis\" = \"A synthesis bias due to inappropriate choice of studies included in the synthesis before the synthesis is applied.\"\n1N)\nWhat is the difference between this bias and selection bias?   Is it is related to some technical barriers such as zero even issue? The synthesis have to opt out the zero event trials because of the restriction of the statistical methods.\n\n\n2024-08-16 comment re: \"bias related to selection of the studies for synthesis\" = \"A study selection bias due to inappropriate choice of studies included in the synthesis.\"\n1N)\nI fail to see how the comments for application differ from bias related to the selection of the data for synthesis. There seems to be considerable overlap.\n\nReferring to a \"specific meta-analysis\" may be the issue, as this requires the selection of specific results from the included studies. Additionally, a meta-analysis is only one example of how results can be synthesized, and it does not account for other data (e.g., qualitative). Perhaps something like the following might work: \"A potential use of this term is when studies were included in the overall review, yet none of the study results or findings (quantitative or qualitative) were analyzed or synthesized.\n\nI'm unsure that \"and appropriate for synthesis\" is correct. For instance, an included study may have measured the outcome of interest but not reported the results in a way that can be used in the planned meta-analysis (e.g., only the p value is reported, or no SDM/SE is reported). Even though the results cannot be used (i.e., are not appropriate) for the meta-analysis, there is still a risk of distorted results which constitutes bias. Perhaps I am mistaken, and this bias only refers to errors of judgement by the reviewers.\n\n\n2024-08-23 comment re: \"bias related to selection of the studies for synthesis\" = \"A study selection bias due to inappropriate choice of studies included in the synthesis.\"\n1Y)\nI Could suggest a petit change in 'comment for application'...\"If the selected for synthesis do not match the available studies, there is a risk of distorted results which constitutes bias.\""},{"code" : "approval","valueString" : "2024-08-23 vote 9-0 by Carlos Alva-Diaz, Elma OMERAGIC, Lenny Vasanthan, Harold Lehmann, Philippe Rocca-Serra, Eric Harvey, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz"},{"code" : "comment","valueString" : "A potential use of this term is when studies meeting the review criteria were available but not included in the review. Another potential use of this term is when studies were included in the overall review but were not included in a specific meta-analysis or specific synthesis. If the studies selected for synthesis do not match the available studies, there is a risk of distorted results which constitutes bias.\nThe term 'bias related to selection of the studies for synthesis' matches the ROBIS signaling question 4.1 'Did the synthesis include all studies that it should?'\nIf a study was selected for the overall review but the data was not extracted from the study for a specific analysis or synthesis, then use [bias related to selection of the data for synthesis](https://fevir.net/resources/CodeSystem/27270#SEVCO:00352)"},{"code" : "negative-vote","valueString" : "2024-05-17 vote 5-0 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Harold Lehmann\n2024-05-24 vote 7-0 by Homa Keshavarz, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte, Saphia Mokrane\n2024-06-07 vote 6-2 by Sean Grant, Saphia Mokrane, Sheyu Li, Lenny Vasanthan, Harold Lehmann, Eric Harvey, Carlos Alva-Diaz, Kailei Nong\n2024-06-14 vote 7-1 by Yaowaluk Ngoenwiwatkul, Homa Keshavarz, Sean Grant, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte\n2024-06-21 vote 8-0 by Cauê Monaco, Lenny Vasanthan, Homa Keshavarz, Yaowaluk Ngoenwiwatkul, Harold Lehmann, Sean Grant, Eric Harvey, Carlos Alva-Diaz BUT THEN THE TERM CHANGED from 'data' to 'studies'\n2024-08-09 vote 7-1 by Brian S. Alper, Harold Lehmann, Homa Keshavarz, Sheyu Li, Sean Grant, Eric Harvey, Lenny Vasanthan, Airton Tetelbom Stein\n2024-08-16 vote 5-1 by Cauê Monaco, Bhagvan Kommadi, Jennifer Hunter, Eric Harvey, Harold Lehmann, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00268","display" : "bias in study selection process","definition" : "A study selection bias due to an inadequate process for screening and/or evaluating potentially eligible studies.","property" : [{"code" : "external-definitions","valueString" : "from ROBIS 2.5 Were efforts made to minimise errors in selection of studies?\nBoth the process of screening titles and abstracts and of assessing full text studies for inclusion are covered by this question. Information on both are required to be able to fully judge this item. For an answer of “Yes”, titles and abstracts should be screened independently by at least two reviewers and full text inclusion assessment should involve at least two reviewers (either independently or with one performing the assessment and the second checking the decision)."},{"code" : "comment","valueString" : "An adequate process for screening and evaluating potentially eligible studies should generally include at least two independent reviewers for any steps that involve subjective judgment. Any step involving subjective judgment may introduce systematic distortions into the research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2024-03-29 vote 6-1 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey, Jennifer Hunter\n2024-04-12 vote 6-2 by Cauê Monaco, Sheyu Li, Jennifer Hunter, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-03-29 comments:\n1) Although the comment for application may be questionable for some specific cases.\n2N) The title/name needs more work. Perhaps something like: Study screening bias? Or just: Screening bias?\n\n2024-04-12 comments:\n1N) The term 'bias' refers to systematic error but back-to-back check by different reviewers reduce only random error. I do not think the definition and comment are in line. For my own experience, there is little room for bias during the study selection. \n2N) Suggest replace \"and\" with \"or\", as I am assuming that screening refers to T&A screening and evaluating refers to full text inclusion assessment. The bias could arise from one step only.\nConsider adding some alternative terms e.g., bias in study selection, bias in selection of studies (that maps to ROBIS), screening bias, and/or study screening bias.\n3) Re Comment for Application: There are other strategies, besides 2 independent readers, but I suppose the word, \"generally,\" addresses my concern."},{"code" : "approval","valueString" : "2024-04-19 vote 9-0 by Cauê Monaco, Sheyu Li, Jennifer Hunter, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Harold Lehmann, Khalid Shahin"}]}]}]},{"code" : "SEVCO:00016","display" : "confounding covariate bias","definition" : "A situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Philippe Rocca-Serra, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi"},{"code" : "approval","valueString" : "2023-07-14 vote 5-0 by Paul Whaley, Harold Lehmann, Cauê Monaco, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-07 vote 4-2 on \"Comparator Bias = A bias resulting from differences (other than in variables directly involved in the analysis) between the groups being compared.\" by KM Saif-Ur-Rahman, Harold Lehmann, Alejandro Piscoya, Paola Rosati, Tatyana Shamliyan, Bhagvan Kommadi\n2021-05-10 vote 11-1 on \"Confounding Covariate Bias = A bias resulting from differences in covariates (variables other than the exposure and outcome) between the groups being compared.\" by Eric Harvey, KM Saif-Ur-Rahman, Janice Tufte, Bhagvan Kommadi, Paola Rosati,  Alejandro Piscoya, Harold Lehmann, Ahmad Sofi-Mahmudi, Eric Au, Jesus Lopez-Alcalde, Tatyana Shamliyan, Joanne Dehnbostel\nAGREEMENT VOTE 8/8 as of 5/17/2021: Tatyana Shamliyan, Janice Tufte, Mario Tristan, Bhagvan Kommadi, Jesús López-Alcalde, Isaac Fwemba, Eric Harvey, Paola Rosati\n\nOn 2023-06-16 the Steering Group corrected a technical error in the definition (between A or B ... corrected to ... between A and B), and added a Comment for Application, so re-opened the term for vote."},{"code" : "expert-comments","valueString" : "A bias resulting from differences (other than in variables directly involved in the analysis) between the groups being compared. ---led to --- Which differences do you mean between the groups?  This definition seems unclear.  Defining a Comparator bias means to addresss some possible specific explanation. Or it is preferable to delete this bias. The definition is for selection bias resulting from nonrandom allocation of participants to interventions. Random allocation of trial participants to interentions would reduce this bias. Comprator seletion would not.  A bias resulting from differences in covariates (variables other than the exposure and outcome) between the groups being compared -- led to I agree with the definition but I suggest detailing that the covariate is associated to the outcome"},{"code" : "comment","valueString" : "Association of any two variables includes direct associations and indirect associations through each of the variables having direct associations with a third variable."}],"concept" : [{"code" : "SEVCO:00032","display" : "allocation bias","definition" : "A confounding covariate bias resulting from methods for assignment of the independent variable by the investigator to evaluate a response or outcome.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 5/17/2021: Tatyana Shamliyan, Janice Tufte, Mario Tristan, Bhagvan Kommadi, Jesús López-Alcalde, Isaac Fwemba, Eric Harvey, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-07 vote 5-1 on \"Comparator Selection Bias = A comparator bias resulting from methods for selection of or allocation to groups for comparative analysis that have the potential to introduce differences (other than in variables directly involved in the analysis) between the groups being compared.\" by KM Saif-Ur-Rahman, Harold Lehmann, Alejandro Piscoya, Paola Rosati, Tatyana Shamliyan, Bhagvan Kommadi, 2021-05-10 vote 11-1 on \"Allocation Bias = A confounding covariate bias resulting from methods for assignment of exposures in an interventional study.\" by Eric Harvey, KM Saif-Ur-Rahman, Janice Tufte, Bhagvan Kommadi, Paola Rosati,  Alejandro Piscoya, Harold Lehmann, Ahmad Sofi-Mahmudi, Eric Au, Jesus Lopez-Alcalde, Tatyana Shamliyan, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "A comparator bias resulting from methods for selection of or allocation to groups for comparative analysis that have the potential to introduce differences (other than in variables directly involved in the analysis) between the groups being compared. -- led to--- Selection of comparators would not reduce differences between compared groups.  A confounding covariate bias resulting from methods for assignment of exposures in an interventional study. --led to-- In my opinion, in an interventional study the investigator assigns the intervention, not the exposures.  The differences in the covariates results from the methods for the assignment of the intervention. For example not concealed allocation."}],"concept" : [{"code" : "SEVCO:00031","display" : "inadequate allocation concealment","definition" : "An allocation bias resulting from awareness of the assigned intervention before study enrolment and intervention assignment","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "10/10 as of 6/11/2021: Names not captured"}]},{"code" : "SEVCO:00278","display" : "bias due to non-randomized allocation","definition" : "An allocation bias resulting from a process of assigning participants or subjects to different groups or conditions which is not random.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonrandom allocation bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-random allocation bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to non-random allocation"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "A confounding covariate bias is defined as a situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nAllocation bias is defined as a confounding covariate bias resulting from *methods for assignment* of the independent variable by the investigator to evaluate a response or outcome.\n\nMethods for assignment that are not random may introduce confounding with measured or unmeasured variables.\n\nNon-random methods of generation of an allocation sequence may introduce a confounding covariate bias through associations with one ore more non-random variables related to sequence generation. A non-random allocation sequence may be described as a predictable sequence in mathematical terms.\n\nThe SEVCO term [Quasi-Randomized assignment](https://fevir.net/resources/CodeSystem/27270#SEVCO:01004) is defined as an interventional study design with a method of allocation that is not limited to random chance but is intended to produce similar baseline groups for experimentation. Although Quasi-Randomized assignment is \"intended to produce similar baseline groups\" the term is classified as a type of [Non-randomized assignment](https://fevir.net/resources/CodeSystem/27270#SEVCO:01005). Examples of non-random methods (which may be called 'partially randomized' or 'quasi-random') include every other participant, day of the week, even/odd identification number, birth date, etc."},{"code" : "negative-vote","valueString" : "2023-05-12 vote 4-1 by Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Jesus Lopez-Alcalde, Harold Lehmann\n2023-05-26 vote 5-1 by Harold Lehmann, Jesus Lopez-Alcalde, Sunu Alice Cherian, Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel\n2023-06-09 vote 4-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Sunu Alice Cherian, Harold Lehmann\n2023-06-16 vote 3-2 by Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann, Paola Rosati\n2023-07-14 vote 4-1 by Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann, Cauê Monaco, Paola Rosati"},{"code" : "expert-comments","valueString" : "2023-05-12 comment: Does this term definition actually define \"inadequate\" = potentially predictable sequence ? seems like an innapropriate allocation bias perhaps\n2023-05-26 comment: Defintion: Methods of allocating study participants to treatment comparison groups that are not random, but are intended to produce similar groups. \nAlternative terms: Quasi random allocation\n2023-06-09 comment: The comment for application describes \"unrecognised associations\", but the definition talks about \"potentially predictable\", which implies exploiting a recognised association to break blinding. I am not sure it can be both of these.\n2023-06-16 comments:\nType of bias that arises in research studies when the process of assigning participants or subjects to different groups or conditions is not random.\nI think I remember my original concern now - in the definition, the problem is not that the sequence is predictable, it is that the sequence is associated with another variable, thus introducing this other variable as a confounder. Unless it is about the investigator being able to break blinding, in which case the concept of the sequence being predictable is important.\n\n2023-07-14 comment: I think non-random methods are those clearly non-random, such as allocation by provider's preferences. However, quasi-random methods are those that apply a method that attempts to be random but that it isn't. Example: day of the week.\n\n2023-07-28 comment: For consistency, should we call it, \"Confounding Bias due to non-randomized allocation\"?"},{"code" : "approval","valueString" : "2023-07-28 vote 5-0 by Brian S. Alper, Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann"}]}]},{"code" : "SEVCO:00033","display" : "comparator selection bias","definition" : "A confounding covariate bias resulting from methods used to select participating subjects, or factors that influence study participation, for the comparator group.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparison group selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparator group selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "comparison selection bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 5/17/2021: Tatyana Shamliyan, Janice Tufte, Mario Tristan, Bhagvan Kommadi, Jesús López-Alcalde, Isaac Fwemba, Eric Harvey, Paola Rosati"},{"code" : "comment","valueString" : "This situation is more commonly related to observational research."}]},{"code" : "SEVCO:00034","display" : "confounding difference","definition" : "A confounding covariate bias in which the unequal distribution of a potentially distorting variable is recognized.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "recognized difference with potential for confounding"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "recognized confounding difference"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-07 vote 5-1 on \"Recognized Difference with Potential for Confounding = A comparator bias resulting from known differences (other than in variables directly involved in the analysis) between the groups being compared.\" by KM Saif-Ur-Rahman, Harold Lehmann, Alejandro Piscoya, Paola Rosati, Tatyana Shamliyan, Bhagvan Kommadi, , 2021-05-24 vote 6-1 on \"A confounding covariate bias in which the unequal distribution of a potentially distorting variable is recognized.\" by Harold Lehmann, Eric Harvey, KM Saif-Ur-Rahman, Bhagvan Kommadi, janice tufte, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "A comparator bias resulting from known differences (other than in variables directly involved in the analysis) between the groups being compared. -- led to-- This defintion seems tricky. If you find any diference between groups that can go astray with analysis you simply address the potention for confounding explicitly in the discussion session of yoru protocol/paper The potnetial for confounding needs to be consideriend in the protocol, and specifically addresssed int eh post-analysis to avoid any further bias. The term comparator bias is misleading since differnece between groups would not be reduced by selecting different comparators.   If this is recognized and adjusted for, is it still a bias? Seems that we need to address this circumstance."},{"code" : "comment","valueString" : "The potentially distorting variable is a covariate, and not the exposure or the outcome. Even if adjusted for in the analysis, a risk of bias can be present."}]},{"code" : "SEVCO:00280","display" : "confounding by time of observation","definition" : "A confounding covariate bias in which the distorting variable is the time at which the outcome is measured or observed.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "confounding by follow-up time"}],"property" : [{"code" : "comment","valueString" : "A confounding covariate bias is defined as a situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nThe time at which the outcome is measured or observed may be absolute (e.g. a specific date) or relative (e.g. 3 months after study enrollment).\n\nTo understand \"confounding by time of observation\" consider the following example:\n\nAn observational study is comparing patients with asthma taking Superdrug and patients with asthma not taking Superdrug.  The outcome of interest is mortality. The patients taking Superdrug are observed for their full duration of exposure to Superdrug. For comparison, the control group not receiving Superdrug is measured during a 1-year calendar period.\n\nFor the mortality outcome comparing Superdrug vs. no Superdrug, the time of observation for the control group is consistently 1 year but for the Superdrug group the time of observation varies for each patient. This comparison is confounded by the time of observation."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Paul Whaley"},{"code" : "negative-vote","valueString" : "2023-06-09 vote 3-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Sunu Alice Cherian\n2023-06-16 vote 4-1 by Paola Rosati, Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann\n2023-07-14 vote 7-0 by Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann, Cauê Monaco\nTHEN REOPENED\n2023-08-04 due to comment that suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-06-09 comment: The comment for application is not sufficiently informative. I am also not sure I understand what the definition means - what is the importance of recognition of unequal distribution of follow-up time?\n2023-06-16 comments: A confounding that occurs when the relationship between an exposure or intervention and an outcome is confounded by the time at which the outcome is measured or observed. \nAlternate terms: time-varying confounding\nComment for application: This occurs when both the exposure and the outcome change over time, and there are other time-dependent factors that influence the outcome\n\nThe Comment for Application seems to be repeating the definition of the parent term. I though we usually add details specific to the current term."},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Harold Lehmann, Mario Tristan"}]},{"code" : "SEVCO:00281","display" : "lead time bias","definition" : "A confounding covariate bias in which the distorting variable is the length of time that the participant has had the condition of interest at study enrollment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "starting time bias"}],"property" : [{"code" : "comment","valueString" : "A Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nA lead time bias is often manifest as a distortion overestimating the apparent time surviving with a disease caused by bringing forward the time of its diagnosis (https://catalogofbias.org/biases/lead-time-bias/).\n\nLead time bias is a type of bias that occurs in medical screening or diagnostic tests when the early detection of a disease or condition artificially appears to improve survival or prognosis, even if it does not actually provide a true benefit in terms of overall health outcomes.\n\nLead time refers to the amount of time between the detection of a disease through early screening or diagnostic testing and the time when the disease would have been clinically detected without screening."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Paul Whaley"},{"code" : "external-definitions","valueString" : "Lead time bias\nA distortion overestimating the apparent time surviving with a disease caused by bringing forward the time of its diagnosis\nhttps://catalogofbias.org/biases/lead-time-bias/"},{"code" : "negative-vote","valueString" : "2023-06-09 vote 3-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Sunu Alice Cherian\n2023-06-16 vote 3-2 by Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann, Paola Rosati\n2023-07-14 vote 6-0 by Muhammad Afzal, Joanne Dehnbostel, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann, Cauê Monaco\nTHEN REOPENED\n2023-08-04 due to comment that suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-06-09 comment: I am not sure I can successfully parse the syntax of the definition. While I think I understand what is meant, I feel it could be phrased more clearly.\n2023-06-16 comments: Lead time bias is a type of bias that occurs in medical screening or diagnostic tests when the early detection of a disease or condition artificially appears to improve survival or prognosis, even if it does not actually provide a true benefit in terms of overall health outcomes\n\nComment for application: Lead time refers to the amount of time between the detection of a disease through early screening or diagnostic testing and the time when the disease would have been clinically detected without screening. \n\nThis definition seems difficult to understand: does it convey that lead time bias is related to the potentially distorting variable of the length of time chosen in the study in which some participants could have confounding differences between their diagnosis of the condition of interest and the time of enrolment?\nI have some problem in understanding, sorry."},{"code" : "approval","valueString" : "2023-08-18 vote 5-0 by Paul Whaley,  Eric Harvey, Mario Tristan, Cauê Monaco, Harold Lehmann"}]},{"code" : "SEVCO:00282","display" : "confounding influencing adherence to intervention","definition" : "A confounding covariate bias in which the distorting variable is associated with deviations from the intended intervention.","property" : [{"code" : "comment","valueString" : "A confounding covariate bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nFor 'Confounding influencing adherence to intervention', the association of the distorting variable and the exposure is specific to deviations from the intended exposure (intended intervention). Deviations from the intended intervention may include deviations from the intervention protocol or lack of adherence. Lack of adherence includes imperfect compliance, cessation of intervention, crossovers to the comparator intervention and switches to another active intervention.\n\nThe term 'Confounding influencing adherence to intervention' is distinct from 'Performance Bias' (including 'Nonadherence of participants' or 'Imbalance in deviations from intended interventions') in that an additional variable (the distorting variable or confounding covariate) is acting as a confounder, while the 'Performance Bias' may occur with or without any differences in a third variable."},{"code" : "external-definitions","valueString" : "trigger question from ROBINS-I: 1.3. Were intervention discontinuations or switches likely to be related to factors that are prognostic for the outcome?"},{"code" : "expert-comments","valueString" : "2023-06-02 comment from steering group: need to see the background to ROBINS-I to understand context for this term\n2023-07-28 comment: I think the definition is good but the comment for application should specifically address this term and not just duplicate the definition of confounding covariate bias.\n2023-08-11 comment: Is this the same as compliance bias, or compliance bias  (\"https://catalogofbias.org/biases/compliance-bias/\") is a subtype of this? If \"compliance bias\" is a synonim, should be added as such. If not, should be added as a separate term"},{"code" : "editors","valueString" : "Brian Alper, Joanne Dehnbostel, Harold Lehmann, Paul Whaley, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2023-07-28 vote 3-1 by Eric Harvey, Harold Lehmann, Jesus Lopez-Alcalde, Paul Whaley\n2023-08-04 vote 5-0 by Joanne Dehnbostel, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann, Mario Tristan BUT comment suggests removing parenthetical from definition\n2023-08-11 vote 3-1 by Mario Tristan, Cauê Monaco, Eric Harvey, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-09-29 vote 5-0 by Joanne Dehnbostel, Harold Lehmann, Paul Whaley, Eric Harvey, Mario Tristan"}]},{"code" : "SEVCO:00284","display" : "confounding by indication","definition" : "A confounding covariate bias in which the distorting variable is the reason for receiving an exposure.","property" : [{"code" : "external-definitions","valueString" : "Confounding by indication\nA distortion that modifies an association between an exposure and an outcome, caused by the presence of an indication for the exposure that is the true cause of the outcome.\nfrom https://catalogofbias.org/biases/confounding-by-indication/"},{"code" : "comment","valueString" : "A Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nThe term 'indication' is derived from the medical community, in which the reason that an intervention is provided is called the indication. A reason for not providing an intervention may be called a 'contraindication' rather than 'indication to not provide'.\n\nFor example, people exposed to chemotherapy have higher mortality. This observation can easily be confounded by people exposed to chemotherapy having a higher rate of cancer (as the reason for receiving the chemotherapy)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-08-18 vote 5-0 by Paul Whaley,  Eric Harvey, Mario Tristan, Cauê Monaco, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2023-05-12 vote 5-0 by Muhammad Afzal, Brian S. Alper, Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann \nBUT THEN TERM CHANGED WITH HIERARCHY CHANGE on 2023-06-30\n2023-07-14 vote 2-1 by Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann\n2023-07-28 vote 3-1 by Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann\n2023-08-04 vote 5-0 by Joanne Dehnbostel, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann, Mario Tristan BUT comment suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-05-12 comment: For Comment for Application, I thought we usually put the definition of the parent term first, and the comments about this child. So I would arrange the current 1, 2, 3 paragraphs as 2, 1, 3.\n\nAnd I think what is now the first paragraph should start with, \"A confounding different bias...\"\n\n2023-07-01 comment: I would add to the definition \"or lack of\". Thus: \"A confounding covariate bias in which the confounder (distorting variable) is the reason for (or for lack of) an intended exposure.\n\n2023-07-14 comment: I think the definition is good but the comment for application should specifically address this term in more detail than providing a definition for \"indication\". It is a complex concept and I am not sure I understand what is happening with this bias.\n\n2023-07-28 comment: I still feel that an example of how the reason for receiving an exposure can end up being a confounder would be helpful."}]},{"code" : "SEVCO:00388","display" : "confounding by contraindication","definition" : "A confounding covariate bias in which the distorting variable is the reason for not receiving an exposure.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco"},{"code" : "comment","valueString" : "A Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure or outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nThe term 'indication' is derived from the medical community, in which the reason that an intervention is provided is called the indication. A reason for not providing an intervention may be called a 'contraindication' rather than 'indication to not provide'.\n\nFor example, people with cancer exposed to surgery for curative resection have lower mortality than other people with cancer. This observation can easily be confounded by people exposed to surgery for curative resection having a lower rate of metastatic cancer (which is a contraindication to such a surgery)."},{"code" : "negative-vote","valueString" : "2023-07-28 vote 3-1 by Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann\n2023-08-04 vote 5-0 by Joanne Dehnbostel, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann, Mario Tristan BUT comment suggests removing parenthetical from definition"},{"code" : "expert-comments","valueString" : "2023-07-28 comment: I still feel that an example of how the reason for receiving an exposure can end up being a confounder would be helpful."},{"code" : "approval","valueString" : "2023-08-18 vote 5-0 by Paul Whaley,  Eric Harvey, Mario Tristan, Cauê Monaco, Joanne Dehnbostel"}]},{"code" : "SEVCO:00390","display" : "time-varying confounding affected by past exposure","definition" : "A confounding covariate bias in which the distorting variable is itself influenced by the exposure.","property" : [{"code" : "comment","valueString" : "Confounding Covariate Bias is defined as a situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.\n\nTo distinguish \"confounding by time of observation\" from \"time-varying confounding affected by past exposure\" consider the following example:\n\nAn observational study is comparing patients with asthma taking Superdrug and patients with asthma not taking Superdrug.  The outcome of interest is mortality, both for association with the dose of Superdrug and compared to not receiving Superdrug. For comparison, the control group not receiving Superdrug is measured during a 1-year calendar period.\n\nFor the mortality outcome comparing Superdrug vs. no Superdrug, the time of observation for the control group is consistently 1 year but for the Superdrug group the time of observation varies for each patient. This comparison is confounded by the time of observation.\n\nFor the mortality outcome comparing high-dose vs. low-dose Superdrug, the confounding variable of asthma exacerbation rate is complicated in several ways. First, the asthma exacerbation rate is associated with the outcome (mortality) independent from the effects of Superdrug. Second, the asthma exacerbation rate may influence the exposure (the dose of Superdrug which is increased if frequent asthma exacerbations) and the exposure (higher dose of Superdrug) may influence the confounder (reducing the asthma exacerbation rate). This comparison of high-dose vs. low-dose Superdrug for effects on mortality is distorted by time-varying confounding affected by past exposure."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Harold Lehmann, Caue Monaco"},{"code" : "expert-comments","valueString" : "2023-09-01 comment (with No vote): This term seems unnecessary. Describes a bias rarely seen."},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Harold Lehmann, Mario Tristan"}]}]},{"code" : "SEVCO:00017","display" : "performance bias","definition" : "A bias resulting from differences between the received exposure and the intended exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "study exposure adherence bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "intervention adherence bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "compliance bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "performance adherence bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "negative-vote","valueString" : "2021-05-24 vote 5-2 on \"A bias resulting from differences between the received exposure and the intended exposure. Such differences could be the administration of additional interventions that are inconsistent with the study protocol, or non-adherence by the interventionalists or study participants to their assigned intervention. \" by Harold Lehmann, Eric Harvey, KM Saif-Ur-Rahman, Bhagvan Kommadi, janice tufte, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "Definition of performance bias should be modified, Performance bias should involve the blinding at participant level and implementer level in definition.I would add that the differences must be present between the study arms In a RCT with an active control (for example drug A vs drug B) both study arms may have had low adherence but if these deviations from the protocol occurred homogeneously accross arms the effect estimate may not be distorted (biased). As a reviewer, I would not penalise this estimate due to high risk of performance bias. So, concerning the definition, I would propose \"A bias resulting from differences accross the study arms between the [...]\""},{"code" : "comment","valueString" : "Such differences could be the administration of additional interventions that are inconsistent with the study protocol, or non-adherence by the interventionalists or study participants to their assigned intervention. Such differences may occur based on assignment to intervention or may occur due to adherence to intervention."}],"concept" : [{"code" : "SEVCO:00035","display" : "inadequate blinding of participants","definition" : "A performance bias due to awareness of the allocated intervention by participants","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate masking of participants"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lack of blinding of participants"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/14/2021: Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco,"},{"code" : "negative-vote","valueString" : "2021-06-07 vote 7-1 on \"Inadequate blinding of participants  = A performance bias due to awareness of the allocated intervention by participants\" by KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati, 2021-06-11 vote 9-1 on same"},{"code" : "expert-comments","valueString" : "Need to distinguish blinding of intervention from blinding of allocation Inadequate blinding of participants does not always imply bias. Besides, it can also imply detection bias in patient reported outcomes"},{"code" : "comment","valueString" : "Inadequate blinding of participants is applied when there is awareness of assigned intervention AFTER intervention assignment. If there is awareness BEFORE study enrolment and intervention assignment, this would be Inadequate allocation concealment.\nThe term \"Inadequate blinding of participants\" is used to denote the TYPE of bias. Separate terms for the RATING of risk of bias are used to report the likelihood of the presence and influence of the type of bias."}]},{"code" : "SEVCO:00036","display" : "inadequate blinding of intervention deliverers","definition" : "A performance bias due to awareness of the allocated intervention by individuals providing or delivering the intervention","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate masking of intervention deliverers"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lack of blinding of intervention deliverers"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "8/8 as of 6/14/2021: Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco,"},{"code" : "negative-vote","valueString" : "2021-06-07 vote 7-1 on \"Inadequate blinding of participants  = A performance bias due to awareness of the allocated intervention by individuals providing or delivering the intervention\" by KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati, 2021-06-11 vote 9-1 on same"},{"code" : "expert-comments","valueString" : "Need to distinguish blinding of intervention from blinding of allocation; Should we use the term interventionalist or interventionist? Inadequate blinding of intervention deliverers does not always imply Performance bias"},{"code" : "comment","valueString" : "Inadequate blinding of intervention deliverers is applied when there is awareness of assigned intervention AFTER intervention assignment. If there is awareness BEFORE study enrolment and intervention assignment, this would be Inadequate allocation concealment.\nThe term noted here is used to denote the TYPE of bias. Separate terms for the RATING of risk of bias are used to report the likelihood of the presence and influence of the type of bias."}]},{"code" : "SEVCO:00037","display" : "deviation from study intervention protocol","definition" : "A performance bias in which the intervention received differs from the intervention specified in the study protocol","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"}]},{"code" : "SEVCO:00038","display" : "deviation from standard of care","definition" : "A performance bias in which the intervention or exposure received differs from the from the usual practice or expected care","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"}]},{"code" : "SEVCO:00039","display" : "nonadherence of implementation","definition" : "A performance bias in which the intervention deliverers do not completely adhere to the expected intervention","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "nonadherence of interventionalist"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "expert-comments","valueString" : "interventionist vs. intervention deliverer"}]},{"code" : "SEVCO:00040","display" : "nonadherence of participants","definition" : "A performance bias in which the participants do not completely adhere to the expected intervention or exposure","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "expert-comments","valueString" : "is known or unknown"}]},{"code" : "SEVCO:00041","display" : "imbalance in deviations from intended intervention","definition" : "A performance bias in which the degree of performance bias is unequally distributed between groups being compared","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "asymmetry in adherence between groups"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Erfan Shamsoddin, Bhagvan Kommadi"},{"code" : "approval","valueString" : "8/8 as of 6/7/2021: KM Saif-Ur-Rahman, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"}]}]},{"code" : "SEVCO:00019","display" : "attrition bias","definition" : "A bias due to absence of expected participation or data collection after selection for study inclusion.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "missing data bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Erfan Shamsoddin"},{"code" : "approval","valueString" : "13/13 as of 6/18/2021: Eric Au, Harold Lehmann, Erfan Shamsoddin, Ahmad Sofi-Mahmudi, Mario Tristan, Eric Harvey, Sebastien Bailly, Bhagvan Kommadi, Leo Orozco, Alejandro Piscoya, Jesús López-Alcalde, Janice Tufte, Paola Rosati"},{"code" : "negative-vote","valueString" : "6/14/2021-06-14 vote 7-1 on \"Attrition Bias = A bias due to absence of expected participation or data collection after study enrollment.\" by, Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco,"},{"code" : "expert-comments","valueString" : "The phrase \"after study enrolment\" might be confusing. Does enrolment apply to retrospective observational studies?"}],"concept" : [{"code" : "SEVCO:00286","display" : "attrition bias due to participant attrition","definition" : "A bias due to absence of expected participation due to participant dropout, withdrawal or non-participation after selection for study inclusion.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2023-04-28 comment: I would not detail that 20%: it is misleading and not evidence-based"},{"code" : "approval","valueString" : "2023-05-12 vote 6-0 by Muhammad Afzal, Brian S. Alper, Joanne Dehnbostel , Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00287","display" : "attrition bias due to missing data","definition" : "A bias due to data loss or absence of data collection from participants after selection for study inclusion.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2023-04-28 comment: I would not detail that 20%: it is misleading and not evidence-based"},{"code" : "approval","valueString" : "2023-05-12 vote 6-0 by Muhammad Afzal, Brian S. Alper, Joanne Dehnbostel , Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00386","display" : "attrition bias due to missing outcome data","definition" : "An attrition bias due to missing data specific to the dependent variable.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2023-05-19 5-1 Muhammad Afzal, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann, Joanne Dehnbostel\n2023-06-09 vote 3-1 by Eric Harvey, Cauê Monaco, Paul Whaley, Harold Lehmann"},{"code" : "expert-comments","valueString" : "The information in the parentheses, \"(or data on an independent variable),\" is unclear in its intended meaning. To improve clarity, we could revise the definition.\n2023-06-09 comment: The definition is too difficult to parse, and probably too similar to the preferred term. The comment for application is also very difficult to read."},{"code" : "comment","valueString" : "In a situation of repeated measures outcomes, attrition bias due to missing outcome data can occur if one or more measurements are missing."},{"code" : "approval","valueString" : "2023-06-16 vote 5-0 by Joanne Dehnbostel, Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann"}]},{"code" : "SEVCO:00288","display" : "attrition bias due to missing exposure data","definition" : "An attrition bias due to missing data specific to the independent variable(s) of primary interest, such as exposure or intervention.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "attrition bias due to missing intervention data"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Paul Whaley"},{"code" : "negative-vote","valueString" : "2023-05-19 5-1 Muhammad Afzal, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "The information in the parentheses, \"(or data on an independent variable),\" is unclear in its intended meaning. To improve clarity, we could revise the definition.\n2023-06-09 comment: This needs a comment for application, but the definition is clearer than for \"attrition bias due to missing outcome data\"."},{"code" : "approval","valueString" : "2023-06-09 vote 6-0 by Cauê Monaco, Eric Harvey, Paul Whaley, Harold Lehmann, Jesus Lopez-Alcalde, Sunu Alice Cherian"},{"code" : "comment","valueString" : "If coding a bias related to the classification of exposure, misclassification of exposure may be coded as Exposure Detection Bias, but if the data is excluded from analysis it may then be coded as Attrition bias due to missing exposure data."}]},{"code" : "SEVCO:00289","display" : "attrition bias due to missing modifier data","definition" : "An attrition bias due to missing data specific to a confounder or effect modifier","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "comment","valueString" : "The term modifier is intended to be broad, including variables used for modeling interactions, stratification factors to account for effect modification, or other variables such as mediators that need to be accounted for when modeling the relationship between the outcome and exposure."},{"code" : "approval","valueString" : "2023-05-12 vote 5-0 by Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00387","display" : "attrition bias due to missing data about attrition","definition" : "An attrition bias due to missing data specific to the extent of or reasons for missing data.","property" : [{"code" : "comment","valueString" : "Attrition bias due to missing data is defined as a bias due to data loss or absence of data collection from participants after selection for study inclusion. Data about the amount of missing data and data about the reasons for missing data are types of data that can also be missing. For example, in a time-to-event study, the reason a participant is censored might be missing and missing such data may interfere with distinguishing informative from non-informative censoring."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-06-16 vote 5-0 by Joanne Dehnbostel, Eric Harvey, Paul Whaley, Sunu Alice Cherian, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2023-06-16 comments: Time-to-event should be hyphenated\nFunnily enough, this came up straight after our call in relation to another bias project I am working on, so I would consider this addition useful!"}]}]},{"code" : "SEVCO:00290","display" : "imbalance in missing data","definition" : "An attrition bias in which the degree of missing data is unequally distributed between groups being compared.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-05-12 vote 5-0 by Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00291","display" : "inadequate response rate","definition" : "An attrition bias in which the reason for absence of data collection is a low response rate to data collection surveys.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-05-12 vote 5-0 by Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]}]},{"code" : "SEVCO:00020","display" : "detection bias","definition" : "A bias due to distortions in any process involved in the determination of the recorded values for a variable.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Harold Lehmann, Janice Tufte, Muhammad Afzal; Paul Whaley"},{"code" : "negative-vote","valueString" : "6/14/2021-06-14 vote 7-1 on \"Detection Bias = A bias due to distortions in how variable values (data) are determined (measured, classified or ascertained).\" by, Eric Harvey, Eric Au, Bhagvan Kommadi, Ahmad Sofi-Mahmudi, Erfan Shamsoddin, Janice Tufte, Joanne Dehnbostel, Leo Orozco\n\nAGREEMENT REACHED 10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper --- for DEFINITION OF: A bias due to distortions in how variable values (data) are determined.  COMMENT FOR APPLICATION: Determination may include ascertainment or assessment (classification or measurement).\n\n2022-10-14 vote 3-1 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris\n\n2022-01-21 vote 6-1 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "We need to state that this bias relates to the \"outcome\" -- The ROB-1 says the term \"outcome assessment\" as an alternative for detection bias. The ROBINS-1 says that \"Non-differential misclassification is unrelated to the outcome and will usually bias the estimated effect of intervention towards the null\". Still though, this leads to inadvertent deviations in the outcome assessment. I would suggest to at least state that this bias relates to outcome assessment. I remember Joanne saying that we will add a few \"child concepts\" later on and if that is the case here, then it is fine. Nevertheless, the RoB2 suggests not to use these terms to prevent \"confusion\" and does not actually agree with these sub-classifications (the fist page of the introduction section). Alternative terms according to (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5130591/): \"Observer Bias\", \"Ascertainment Bias\", or \"Assessment Bias\"  8/27/21 comment: Detection bias is no included in the list the more problematic Cochrane ROB1 however (Jørgensen et al. Systematic Reviews (2016) describe alll the domains of ROB1 \"frequently implemented in a non-recommended way\" The description in general is clear.\n\n2022-10-14 comments: Do we need \"Outcome Detection Bias\" in addition to \"Detection Bias\"?\nBlinding or masking may be used to reduce the risk of distorted outcome measurement(s).\n\n2022-01-21 comment: I am not sure whether to vote yes or no: I understand the definition because I have been following our discussions and it is consistent with the bias model we have developed, but I worry that this definition may not be consistently understood or applied by a user of SEVCO - I feel there is too much unspoken metaphysical baggage that is coherent and correct but not useful.\n\n2022-01-28 comment: Not perfect but good enough to live with. Could maybe improve on ascertainment component of the comment for application."},{"code" : "comment","valueString" : "Detection of the value of the variable comprises three processes involved in the determination of the recorded values for the variable: ascertainment (providing the opportunity for assessment), assessment (measurement and/or classification), and documentation (recording of data values for analysis)."},{"code" : "approval","valueString" : "2022-01-28 vote 9-0 by Mario Tristan, Janice Tufte, Robin Ann Yurk, Brian S. Alper, C P Ooi, Harold Lehmann,  Paola Rosati, Jesus Lopez-Alcalde, Paul Whaley"}],"concept" : [{"code" : "SEVCO:00042","display" : "outcome detection bias","definition" : "A detection bias due to distortions in how an outcome is determined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Erfan Shamsoddin, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00047","display" : "cognitive interpretive bias for outcome determination","definition" : "An outcome detection bias due to the subjective nature of human interpretation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "perception bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjective interpretive bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjectivity bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper, 7/7 for Alternative terms on 9/24/21: Janice/Brian/Eric/Paola/Jesus/Bhagvan/Mario"},{"code" : "expert-comments","valueString" : "8/27/21 comment: This bias is difficult to manage and avoid it."}],"concept" : [{"code" : "SEVCO:00048","display" : "bias due to lack of masking for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to awareness of the participant's status with respect to the exposure of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of blinding during outcome assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of masking during outcome assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "awareness bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Paul Whaley, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 9-1 on \"Lack of blinding during outcome assessment = A cognitive interpretive bias for outcome determination due to the outcome assessor’s awareness of the participant's status with respect to the exposure of interest.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper\nearlier term approved 5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-08-27 comment: In my opinion \"lack of blinding during outcome assessment\" does not always imply bias for outcome determination (for example, for hard outcomes, such as analytic parameters, or all-cause mortality)\n2022-03-18 comment: I would consider editing the term definition to ...lack of blinding."},{"code" : "comment","valueString" : "Lack of blinding or masking is not automatically a bias, but if awareness of exposure status systematically distorts the outcome determination then a 'Bias due to lack of masking for outcome determination' exists."},{"code" : "approval","valueString" : "2022-03-18 vote 5-0 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper"}]},{"code" : "SEVCO:00049","display" : "observer bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to subjective interpretations in the process of observing and recording information.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte,"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 9-1 on \"Observer bias for outcome determination = A cognitive interpretive bias for outcome determination due to subjective interpretations in the process of observing and recording information.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2021-08-27 comment: This situation seems to be covered by \"Lack of blinding for outcome determination\" and \"Outcome ascertainment bias\". I would suggest deleting this term to remove the overlap."},{"code" : "comment","valueString" : "Multiple types of bias can overlap. Observer bias is different than lack of blinding with respect to the exposure. Observer bias is about the influence of the observer's interpretation of what they are observing, whether or not the observer is aware of the participant's exposure."}],"concept" : [{"code" : "SEVCO:00052","display" : "confirmation bias for outcome determination","definition" : "An observer bias for outcome determination due to previous opinions or knowledge of a subject’s prior exposures or assessments.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "diagnostic suspicion bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "previous opinion bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 9/17/2021: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"}]}]},{"code" : "SEVCO:00050","display" : "recall bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to differences in accuracy or completeness of recall of past events or experiences.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}]},{"code" : "SEVCO:00051","display" : "apprehension bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to a study participant's responding or behaving differently when aware of being observed.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hawthorne effect for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte,"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 8-2 on \"Apprehension bias for outcome determination = A cognitive interpretive bias for outcome determination due to study participants’ awareness of being observed resulting in different responses or behaviors.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2021-08-27 comments: A cognitive interpretive bias for outcome determination due to study participants’ awareness of being observed and resulting in different responses or behaviors. (just a slight rewording - the existing wording doesn't read well to me) This definition seems to refer to performance bias. The key is that [...] results in different responses or behaviours concerning the outcome determination."}]},{"code" : "SEVCO:00053","display" : "hypothetical assessment bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response. The response may be a behavior or valuation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjunctivity bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "approval","valueString" : "7/7 as of 9/24/21: , Janice Tufte, Brian S. Alper, Eric Harvey, Paola Rosati, Jesus Lopez-Alcalde, Bhagvan Kommadi, Mario Tristan"}]},{"code" : "SEVCO:00054","display" : "mimicry bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to a misinterpretation of observations that resemble the outcome.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "7/7 as of 9/24/21: , Janice Tufte, Brian S. Alper, Eric Harvey, Paola Rosati, Jesus Lopez-Alcalde, Bhagvan Kommadi, Mario Tristan"}]},{"code" : "SEVCO:00057","display" : "unacceptability bias for outcome determination","definition" : "A cognitive interpretive bias for outcome determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an outcome.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unacceptable disease bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Ken Wilkins, Lisa Schilling"},{"code" : "approval","valueString" : "5/5 as of 10/1/21: , Joanne Dehnbostel, Brian S. Alper, Eric Harvey, Alejandro Piscoya, Bhagvan Kommadi,"}]}]},{"code" : "SEVCO:00058","display" : "outcome ascertainment bias","definition" : "An outcome detection bias due to distortions in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ascertainment bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00097","display" : "nonrepresentative observation period for outcome of interest","definition" : "An outcome ascertainment bias due to differences in the period used for observation of the outcome and the period for the outcome of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misaligned follow up period for outcome of interest"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 5-2 on \"Inappropriate follow up period for outcome of interest = An outcome ascertainment bias due to differences in the time period used for observation of the outcome and the true time period for outcome occurrence.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Misaligned follow up period for outcome of interest = An outcome ascertainment bias due to differences in the time period used for observation of the outcome and the true time period for outcome occurrence.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I wonder if we need to address interim analysis validity. What about adding to inappropriate 'unreliable'?; Change word Inappropriate to Different\n2021-10-25 comments: It is unclear what do you mean with 'and the true time period for outcome occurrence', On the other hand, I propose using 'period' instead of 'time period'"},{"code" : "approval","valueString" : "10/29/2021 vote 6-0 by Cheow Peng Ooi, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"}]},{"code" : "SEVCO:00098","display" : "nonrepresentative context for outcome ascertainment","definition" : "An outcome ascertainment bias due to differences in the context in which the outcome is observed and the intended context for the outcome of interest.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Unreliable method for outcome ascertainment = An outcome ascertainment bias due to methods of data collection that result in inconsistent data values.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Undependable method for outcome of interest = An outcome ascertainment bias due methods of data collection that result in inconsistent or incorrect data values.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n10/29/2021 vote 5-1 by Cheow Peng Ooi, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte\n11/22/2021 vote 6-1\n2021-12-03 vote for priort term 7-0 by Philippe Rocca-Serra, Janice Tufte, Mario Tristan, Harold Lehmann, Paul Whaley, Joanne Dehnbostel, C  Ooi"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: the word Unreliable is misleading as more applicable to measurement error than bias\n2021-10-25 comments: I do not fully understand the difference between the second and the third definitions\n2021-10-29 comments: Suggest Incorrect or inconsistent method.\n2021-11-22 comments: The term 'inconsistent' may be more appropriate  -- steering group discussion to move the \"Comment for application\" property higher on the page and see if this comment will resolve the concern"},{"code" : "comment","valueString" : "This term is used when the context used for outcome ascertainment is incorrect, insensitive, or nonspecific.  If the context (whether representative or not) is applied inconsistently, then use the term \"Inconsistency in outcome ascertainment\""},{"code" : "approval","valueString" : "2022-03-18 vote 5-0 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper"}]},{"code" : "SEVCO:00099","display" : "inconsistency in outcome ascertainment","definition" : "An outcome ascertainment bias due to differences within or between groups in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "imbalance in outcome ascertainment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley, Harold Lehmann"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Imbalance in application of outcome ascertainment = An outcome ascertainment bias due to differences within or between groups in how the data are collected.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Imbalance in application of outcome ascertainment = An outcome ascertainment bias due to differences within or between groups in how the data are collected.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n10/29/2021 vote on prior term 6-0 by Cheow Peng Ooi, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Eric Harvey, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: Imbalance is misleading as more applicable to measurement error?\n2021-10-25 comment: Suggestion, replace imbalance with Variation or Heterogeneity\n2021-10-29 comment: Alternative Terms:  Variation or Heterogeneity --> converted 2021-10-29 to suggested addition of Alternative term \"Variation in application of outcome ascertainment\" by Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Harold Lehmann, Mario Tristan, Bhagvan Kommadi"},{"code" : "comment","valueString" : "This term is used when the context (whether representative or not) is applied inconsistently. If the context used for outcome ascertainment is incorrect, insensitive, or nonspecific, then use the term \"Nonrepresentative context for outcome ascertainment\""},{"code" : "approval","valueString" : "2022-03-18 vote 5-0 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper"}]}]},{"code" : "SEVCO:00059","display" : "outcome measurement bias","definition" : "An outcome detection bias due to distortions in how the observed outcomes are measured.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measurement bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal; Paul Whaley"},{"code" : "negative-vote","valueString" : "PRIOR AGREEMENT 10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper WITH DEFINTION: An outcome detection bias due to distortions in how the data are measured."},{"code" : "expert-comments","valueString" : "2022-01-11 comment: Outcome Measurement Bias has a similar term definition as Outcome Classification Bias.  May need to add an additional comment for application from T&O discussion."},{"code" : "comment","valueString" : "If one is addressing a bias in the instruments or processes used to measure the observed outcome, use Outcome Measurement Bias. If one is addressing how the measured outcome is categorized, use Outcome Classification Bias."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00100","display" : "inappropriate method for outcome measurement","definition" : "An outcome measurement bias due to use of an incorrect method or protocol.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incorrect outcome measurement method"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate outcome measurement method"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Outcome measurement method inappropriate = An outcome measurement bias due to use of an incorrect method or protocol.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 2-2 on \"Outcome measurement method inappropriate = An outcome measurement bias due to use of an incorrect method or protocol.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would change word inappropriate to different as the bias is from difference in comparison not flaws or errors in scientific methods.\n2021-10-25 comments: suggest replace with incorrect method; Should not be 'Inappropriate outcome measurement method' (instead of placing the adjective at the end?)\n2022-03-11 Preferred term revised (and Alternative term added) to match corresponding changes in Exposure Detection Bias)"},{"code" : "approval","valueString" : "7 of 7 on 2021-11-05: Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey"}]},{"code" : "SEVCO:00101","display" : "insensitive measure bias for outcome determination","definition" : "An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate sensitivity for outcome measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "Use of an inadequately sensitive outcome measure is likely to result in false negative findings."},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Insensitive measure bias for outcome determination = An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Insensitive measure bias for outcome determination =An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: Change word Insensitive to Sensitivity measure bias as double negative in phrase\n2021-10-25 comment: False Negative measure Bias or Unreliable measure bias"},{"code" : "approval","valueString" : "7 of 7 on 2021-11-05: Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey"}]},{"code" : "SEVCO:00211","display" : "nonspecific measure bias for outcome determination","definition" : "An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate specificity for outcome measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "Use of an inadequately specific outcome measure is likely to result in false positive findings."},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Nonspecific measure bias for outcome determination = An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Nonspecific measure bias for outcome determination = An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would change to Specificity measurement bias. Remove word falsely from the definition as it implies problems with scientific methods\n2021-10-25 comment: Suggest use False Positive Measure Biac"},{"code" : "approval","valueString" : "7 of 7 on 2021-11-05: Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey"}]},{"code" : "SEVCO:00103","display" : "inappropriate application of method for outcome measurement","definition" : "An outcome measurement bias due to inappropriate application of the method or protocol.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Outcome measurement conduct inappropriate = An outcome measurement bias due to incorrect application of the method or protocol.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 2-2 on \"Outcome measurement conduct inappropriate = An outcome measurement bias due to incorrect application of the method or protocol.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n2021-11-05 vote 6-1 on \"Inappropriate outcome measurement conduct = An outcome measurement bias due to incorrect application of the method or protocol.\" by Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey\n2022-03-18 vote 4-1 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Nisha Mathew, Brian S. Alper\n2022-03-25 vote 7-1 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Philippe Rocca-Serra, Brian S. Alper, Jesus Lopez-Alcalde, Paul Whaley, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition - as suggests flawed study design..\n2021-10-25 comments: replace inappropriate with incorrect; Should not be 'Inappropriate outcome measurement conduct' (instead of placing the adjective at the end?)\n2021-11-05 comment: There is enormous overlap with this term and \"Inappropriate outcome measurement method\", so this one should be eliminated\nAs of 2021-11-05 this term is not being prepared for vote. The current ROB tools do not distinguish the inappropriate conduct (used in QUADAS-2) from inadequate method (used in most other ROB tools) in the same tool, so the demand for this term is uncertain and thus not applied for version 1 of the Code System.\nOn 2022-03-11 we revised this term to match corresponding changes that passed for Exposure Detection Bias.\n2022-03-18 comment: Suggest edit Alternative term from conduct to process\n2022-03-25 comment: Recommend edit term definition so it reads:  Outcome Measurement method Bias.\nSuggest reviewing your complete taxonomy of terms and identify similarities or duplicate terms and potentially integrating terms by keeping as primary term versus adding to alternate term for prior vote with similar term definition or statements."},{"code" : "comment","valueString" : "An inappropriate application of the method or protocol suggests error is introduced by the process of measurement, as distinct from the method or protocol used for measurement (which would be an Inappropriate method for outcome measurement)."},{"code" : "approval","valueString" : "2022-04-08 vote 11-1 (no rationale provided for the negative vote) by Muhammad Afzal, Paul Whaley, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, nelle.stocquart, nisha mathew, Harold Lehmann, Cauê Monaco"}]},{"code" : "SEVCO:00104","display" : "inconsistency in outcome measurement","definition" : "An outcome measurement bias due to differences within groups in how the observed outcomes are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley, Robin Ann Yurk, Harold Lehmann"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Imbalance in application of outcome measurement = An outcome measurement bias due to differences within or between groups in how the data are measured.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Imbalance in application of outcome measurement = An outcome measurement bias due to differences within or between groups in how the data are measured.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n2021-11-05 vote 6-1 on \"Inconsistency in application of outcome measurement = An outcome measurement bias due to differences within or between groups in how the data are measured.\" by Bhagvan Kommadi, Paola Rosati, Paul Whaley, Janice Tufte, Alejandro Piscoya, Robin Ann Yurk, Eric Harvey\n2021-11-22 vote 3-2 on \"Inconsistency in application of outcome measurement\" = \"An outcome measurement bias due to differences within or between groups in how the data are measured.\"\n2021-12-10 vote 5-1 by Joanne Dehnbostel, Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Paul Whaley\nPRIOR AGREEMENT 2021-12-17 vote 6-0 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Mario Tristan, C P Ooi, Jesus Lopez-Alcalde FOR DEFINITION: An outcome measurement bias due to differences within groups in how the data are measured. AND COMMENT FOR APPLICATION: \"How the data are measured\" may refer to the methods applied for data measurement or the application of those methods."},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition\n2021-10-25 comment: Replace Imbalance with Heterogeneity\n2021-11-05 comment:  This is a specific type of \"Inappropriate outcome measurement method\" so this term should be moved into that position or eliminated (are we really going to describe all of the inappropriate methods?) [[discussed in COKA WG and noted that ROB2 has separate questions 4.1 and 4.2 for these terms so we need to support that]\n2021-11-22 comments: \"The wording 'inconsistent method of outcome measurement' may better reflect the definition\" and \"May be pedantic, but is it data that are measured, or the outcome as a variable (that results in data)? I also wonder if we mean differences within groups - some variation would be expected, but what matters is if the variation results in systematic error in measuring the variable between groups. If we feel that e.g. a study design where two different ways of measuring outcome were implemented within groups, but this did not lead to bias across the exposure and control arms, then I would vote yes (pending clarification of \"data\").\"\n2021-12-10 comment: It seems to not quite be correctly written. The two choices for definition are differently phrased (\"application of methods\" / \"methods applied\")even though I think they are supposed to refer to across groups or within groups, but both refer to within groups, so I am not sure how to interpret this.\n2022-01-21 comment: As a comment: Is this term redundant, if the two child terms are the complete set of options for inconsistency in outcome measurement?"},{"code" : "comment","valueString" : "\"How the observed outcomes are measured\" may refer to the methods applied for measurement or the application of those methods."},{"code" : "approval","valueString" : "2022-01-21 vote 6-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00243","display" : "inconsistency in instruments used for outcome measurement","definition" : "An outcome measurement bias due to differences within groups in the instruments used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "Instruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Andrew Beck, Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra"}]},{"code" : "SEVCO:00244","display" : "inconsistency in processes used for outcome measurement","definition" : "An outcome measurement bias due to differences within groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "The processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Andrew Beck, Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra"}]}]},{"code" : "SEVCO:00240","display" : "imbalance in outcome measurement","definition" : "An outcome measurement bias due to differences between groups in how the observed outcomes are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Robin Ann Yurk, Janice Tufte, Harold Lehmann, Mario Tristan, Kenneth Wilkins, Muhammad Afzal"},{"code" : "comment","valueString" : "\"How the observed outcomes are measured\" may refer to the methods applied for measurement or the application of those methods."},{"code" : "negative-vote","valueString" : "2021-12-10 vote 5-0 by Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, Paul Whaley but steering group decided to make changes consistent with changes to Inconsistency in outcome measurement.\nPRIOR AGREEMENT 2021-12-17 vote 5-0 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati FOR DEFINITION: An outcome measurement bias due to differences between groups in how the data are measured. WITH COMMENT FOR APPLICATION: \"How the data are measured\" may refer to the methods applied for data measurement or the application of those methods."},{"code" : "expert-comments","valueString" : "2021-12-10 comment: Referring back to my comment on the inconsistency in method, I realise I hadn't read it quite right. In both cases, they maybe aren't quite as easy to parse as would be ideal but I can't think of a better definition. Maybe a use note to refer to how the terms are similar and clarify when one vs. the other should be used?\n2022-01-21 comments: The term definition and comment is the same for Inconsistency in outcome measurement bias.  Suggest combining the two terms by listing one as an Alternative term. (yellow highlighting in messaging applied to show the differences in the terms)\nAs a comment: Is this term redundant, if the two child terms are the complete set of options for inconsistency in outcome measurement?"},{"code" : "approval","valueString" : "2022-01-21 vote 6-0 by Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00245","display" : "imbalance in instruments used for outcome measurement","definition" : "An outcome measurement bias due to differences between groups in the instruments used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 4-1 by Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "Instruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra, Andrew Beck"}]},{"code" : "SEVCO:00246","display" : "imbalance in processes used for outcome measurement","definition" : "An outcome measurement bias due to differences between groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "negative-vote","valueString" : "2021-12-17 vote 4-1 by Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Robin Ann Yurk\n2022-01-07 vote 5-1 by Robin Ann Yurk, Janice Tufte, Paul Whaley, Paola Rosati, Harold Lehmann, Mario Tristan"},{"code" : "expert-comments","valueString" : "2021-12-17 comment: To me there is no semantic difference between this definition and the other subordinate term for inconsistency in outcome measurement (application of methods ? methods applied)\n2022-01-07 comment: I would approve this, except I am still not sure that one can measure data (\"facts and statistics collected together for reference or analysis\"). One can collect data, or measure a variable, but I don't think one can collect data."},{"code" : "comment","valueString" : "The processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Paul Whaley, Janice Tufte, Alejandro Piscoya, Philippe Rocca-Serra, Andrew Beck"}]}]}]},{"code" : "SEVCO:00060","display" : "outcome classification bias","definition" : "An outcome detection bias due to distortions in how the observed outcomes are classified.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misclassification bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "outcome misclassification bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "PRIOR AGREEMENT 10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper, 7/7 for renaming on 9/24/21: Janice/Brian/Eric/Paola/Jesus/Bhagvan/Mario  FOR DEFINITION: An outcome detection bias due to distortions in how the data are classified."},{"code" : "expert-comments","valueString" : "2022-01-11 comment: Outcome Classification Bias has a similar term definition as Outcome Measurement Bias.  May need to add an additional comment for application from T&O discussion."},{"code" : "comment","valueString" : "If one is addressing a bias in the instruments or processes used to measure the observed outcome, use Outcome Measurement Bias. If one is addressing how the measured outcome is categorized, use Outcome Classification Bias."},{"code" : "approval","valueString" : "2022-01-21 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, Paul Harris, Paul Whaley, Alejandro Piscoya, Philippe Rocca-Serra"}],"concept" : [{"code" : "SEVCO:00061","display" : "outcome classification system bias","definition" : "An outcome classification bias resulting from the definition or threshold used for outcome classification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition bias for outcome determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "outcome definition bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 9/17/2021: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"},{"code" : "comment","valueString" : "An outcome classification system bias suggests an internal validity problem in which  the definition or threshold used for outcome classification does not represent the outcome of interest. If considering an external validity problem, the \"Wrong question bias\" (term not yet defined) may be used. An outcome classification system bias is present when there are differences between the outcome of interest and the definition or threshold used for outcome classification."}],"concept" : [{"code" : "SEVCO:00105","display" : "nonrepresentative definition for outcome classification","definition" : "An outcome classification system bias due to a mismatch between the outcome of interest and the definition or threshold used for outcome measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Nonrepresentative definition for outcome classification = An outcome classification system bias due to a definition or threshold that does not represent the outcome of interest.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n2021-11-29 vote 6-1 on \"Nonrepresentative definition for outcome classification\" = \"An outcome classification system bias due to a definition or threshold that does not represent the outcome of interest.\" by Harold Lehmann, Paul Whaley, Janice Tufte, C P Ooi, Joanne Dehnbostel, Philippe Rocca-Serra, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition\n2021-11-29 comments: (\"represent in its entirety\" instead? A definition could *partially* represent the outcome of interest, so perhaps we want to make clear that this bias is invoked only for something that is more than \"partial\"?) \"Represent\" feels ambiguous, would it be useful to clarify what is meant here? Is it that it includes outcomes in addition to that of interest, and/or excludes outcomes that are of interest? Maybe that doesn't make things clearer."},{"code" : "approval","valueString" : "2021-12-10 vote 5-0 by Paul Whaley, Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde"}],"concept" : [{"code" : "SEVCO:00108","display" : "surrogate marker bias for outcome classification","definition" : "An outcome classification system bias due to use of a definition that is proxy for the outcome rather than direct observation of the outcome.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "substitution bias for outcome classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Surrogate marker bias for outcome classification = A nonrepresentative definition for outcome classification due to use of a factor associated with the outcome rather than a direct observation of the outcome.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n2021-11-29 vote 3-3 on \"Surrogate marker bias for outcome classification\" = \"A nonrepresentative definition for outcome classification due to use of a proxy for the outcome rather than a direct observation of the outcome.\""},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would edit the definition: An outcome classification system bias due to use of a definition that is proxy rather than direct observation of the outcome. {{Definition changed as result of this comment}}\n2021-11-29 comments: The 10/15 comments stated that the definition should start with \"An outcome classification system bias....\"; but this definition does not. A little pickier, I might say, \"result from use of a definition\" rather than \"due to\". The latter sounds like the bias will always occur; the former, that there is a bias as a result, in this instance.\nI'm not sure I fully understand this definition. A surrogate would generally be used in place of an outcome that cannot readily be observed in a research setting. I am not sure how this can be a classification error (the surrogate is what the surrogate is). I can, however, see how it could be an error in inference (assuming that because the exposure affects the surrogate, then the exposure also affects the outcome of actual interest). Is this a helpful way of thinking about this, or would it just be over-complicating matters?\nThis suggested definition is more appropriate: An outcome classification system bias due to use of a definition that is proxy rather than direct observation of the outcome"},{"code" : "approval","valueString" : "2021-12-10 vote 5-0 by Paul Whaley, Janice Tufte, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00106","display" : "post-hoc definition of outcome","definition" : "An outcome classification system bias due to defining the outcome after interacting with the study data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "post-hoc outcome definition"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition for outcome classification not prespecified"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "no prespecified definition for outcome classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "10/15/2021 vote 6-1 on \"Definition not prespecified for outcome classification = An outcome classification system bias due to absence of a predetermined definition.\" by Eric Harvey, Paola Rosati, Alejandro Piscoya, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n10/25/21 vote 3-1 on \"Definition not prespecified for outcome classification = An outcome classification system bias due to absence of a predetermined definition.\" by Paola Rosati, Robin Ann Yurk, Jesus Lopez-Alcalde, Eric Harvey\n2021-12-03 vote 5-2 by Harold Lehmann, Paul Whaley, Janice Tufte, C P Ooi, Joanne Dehnbostel, Philippe Rocca-Serra, Robin Ann Yurk\n2021-12-10 vote 2-2 by Paul Whaley, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2021-10-15 comments: I would eliminate this definition as suggest flawed study design\n2021-10-25 comment: I would phrase 'Not prespecified definition for outcome classification'\n2021-12-03 comments: It feels uninformative to define \"not prespecified\" as \"not predetermined\". I wonder if \"predetermined\" can be clarified - presumably, the issue here is that the outcome is defined post-hoc, after data collection, so that outcome ends up being defined around the data rather than specified in advance of conduct of the research.  //   Rephrasing to this 'No prespecified definition for outcome classification' may be clearer and easier to understand. \n2021-12-10 comments: Consider removing term.  As methods are permitted to be revised for a variety of reasons with new definitions but would be described in methods or a revised protocol.  If truly post-hoc after a data set is closed then there are different issues for discussion.  ///   Suggest changing \"due to determination of the outcome definition\" to \"due to outcome being defined\""},{"code" : "approval","valueString" : "2022-01-07 vote 9-0 by Robin Ann Yurk, Janice Tufte, Paul Whaley, C P Ooi, Paola Rosati, Jesus Lopez-Alcalde, Harold Lehmann, Joanne Dehnbostel, Mario Tristan"}]}]},{"code" : "SEVCO:00062","display" : "outcome classification process bias","definition" : "An outcome classification bias resulting from the application of the method used for outcome classification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "classification process bias for outcome determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "approval","valueString" : "7/7 as of 9/24/21: , Janice Tufte, Brian S. Alper, Eric Harvey, Paola Rosati, Jesus Lopez-Alcalde, Bhagvan Kommadi, Mario Tristan"},{"code" : "negative-vote","valueString" : "4-1 vote as of 9/17/2021 regarding Outcome Classification Process Bias (SEVCO:00062) (Classification process bias for outcome determination) [Draft Term] = An outcome misclassification bias resulting from the application of the method used for outcome classification.: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"},{"code" : "expert-comments","valueString" : "comment: \"This might be related to outcome classification bias (child relationship)\""}]},{"code" : "SEVCO:00063","display" : "incorporation bias for outcome determination","definition" : "An outcome classification bias due to the inclusion of the exposure under investigation in the method or process used for outcome classification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan"},{"code" : "approval","valueString" : "5/5 as of 9/17/2021: Eric Harvey, Paola Rosati, Alejandro Piscoya, Bhagvan Kommadi, Janice Tufte,"},{"code" : "comment","valueString" : "In predictive model research, incorporation bias for outcome determination occurs if the predictor (explanatory variable) is included in the outcome definition."}]}]}]},{"code" : "SEVCO:00043","display" : "exposure detection bias","definition" : "A detection bias due to distortions in how an exposure of interest is determined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Erfan Shamsoddin, Muhammad Afzal, Kenneth Wilkin"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."}],"concept" : [{"code" : "SEVCO:00055","display" : "cognitive interpretive bias for exposure determination","definition" : "An exposure detection bias due to the subjective nature of human interpretation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "perception bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjective interpretive bias for exposure  determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjectivity bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. The human interpretation can be that of the observer or participant."},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Consistency of phrasing with other definitions (\"bias due to distortions in...\"), need comment for application."},{"code" : "approval","valueString" : "2022-02-04 vote 6-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00056","display" : "bias due to lack of masking for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to awareness of the participant's status with respect to the outcome of interest or other relevant exposures.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of blinding during exposure assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to lack of masking during exposure assessment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "awareness bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Lack of blinding is not automatically a bias, but if awareness of some data systematically distorts the exposure determination then a 'Bias due to lack of masking for exposure determination' exists."},{"code" : "negative-vote","valueString" : "2022-02-04 vote 5-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper\n2022-02-11 vote 8-1 by Mario Tristan, Paul Whaley, Sunu Alice Cherian, Janice Tufte, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde\n2022-02-18 vote 10-3 by Rebecca Baker, Brian S. Alper, Mario Tristan, Paul Whaley, Sunu Alice Cherian, Janice Tufte, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde, Joanne Dehnbostel,Sumalatha A"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Is it just awareness of the participant's status with respect solely to the outcome of interest? I could imagine being aware of e.g. socioeconomic status rather than outcome, and this potentially having an influence on exposure assessment. Blinding I think is supposed to be to as many characteristics of the participant as possible.\n2022-02-11 comment: This definition assumes that the \"Lack of blinding for exposure determination\" always associates bias, which may not be the case. For example, if we want to assess the role of sex as a prognostic factor for ICU admission, the participant may not be blinded but this does not cause bias in his/her prognostic factor determination (sex)\n2022-02-18 comments: As \"lack of blinding\" is contributing to but not the bias itself, perhaps rename to Awareness bias for exposure determination\nThis definition assumes that the \"Lack of blinding for exposure determination\" always associates bias, which may not be the case. For example, if we want to assess the role of sex as a prognostic factor for ICU admission, the participant may not be blinded but this does not cause bias in his/her prognostic factor determination (sex)\nNot much difference between existing and new terminology \n2022-02-25 comment: Suggest removing Lack of blinding during exposure assessment from Alternative term and just list the other 3 Alternative terms.  The comment is based on your comment for application description."},{"code" : "approval","valueString" : "2022-02-25 vote 8-0 by Robin Ann Yurk, Sunu Alice Cherian, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00238","display" : "observer bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to subjective interpretations in the process of observing and recording information.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nMultiple types of bias can overlap. Observer bias is different than lack of blinding with respect to the outcome. Observer bias is about the influence of the observer's interpretation of what they are observing, whether or not the observer is aware of the participant's outcome."},{"code" : "approval","valueString" : "2022-02-04 vote 6-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}],"concept" : [{"code" : "SEVCO:00239","display" : "confirmation bias for exposure determination","definition" : "An observer bias for exposure determination due to previous opinions or knowledge of a subject’s prior exposures or assessments.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "diagnostic suspicion bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "previous opinion bias for exposure  determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]}]},{"code" : "SEVCO:00214","display" : "recall bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to differences in accuracy or completeness of recall of past events or experiences.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"}]},{"code" : "SEVCO:00215","display" : "apprehension bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to a study participant's responding or behaving differently when aware of being observed.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hawthorne effect for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Mario Tristan"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: What about using Hawthorne Effect for term definition and Apprehension Bias for Alternative term"}]},{"code" : "SEVCO:00216","display" : "hypothetical assessment bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subjunctivity bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins, Mario Tristan"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. The response may be a behavior or valuation. An individual's response to \"What would you do?\" or \"What would you have done?\" (an imagined or hypothetical response) may be different than the individual's response to \"What did you do?\" or observation of the individual's behavior (a reporting of an actual response). This bias is relevant for preference studies."},{"code" : "negative-vote","valueString" : "2022-02-04 vote 4-1 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"},{"code" : "expert-comments","valueString" : "2022-02-04 comments: Is there a spelling error in Subjunctivity?\nA minor issue - would the sentence \"The response may be a behavior or valuation.\" be better placed in the comment for application (otherwise, would vote yes)\n2022-02-11 comment: I would add a comment for application for the word hypothetical"},{"code" : "approval","valueString" : "2022-02-11 vote 9-0 by Mario Tristan, Paul Whaley, Sunu Alice Cherian, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde, Janice Tufte"}]},{"code" : "SEVCO:00217","display" : "mimicry bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to a misinterpretation of observations that resemble the exposure.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Other terms (Exposure Ascertainment Bias, Exposure Measurement Bias, Exposure Classification Bias) may be used to describe the process in Exposure Detection in which the bias occurs. The term 'Mimicry bias for exposure determination' is used to represent the type of cognitive interpretive bias occurring in this process."},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Suggest insert Alternative term:  Duplicate\nI'm not quite sure this is clear enough, though I don't have any concrete suggestions for improvement. It might be that I am not familiar enough with the issue in question to interpret the definition. Reading around this a bit, it resembles a misclassification type bias (for a given set of observations, the observer takes X to be cause when the true cause is Y). Given our model for bias (see our flow diagram), might it be better defined in those terms? -- RESOLVED IN GROUP DISCUSSION"},{"code" : "approval","valueString" : "2022-02-18 vote 11-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A"}]},{"code" : "SEVCO:00218","display" : "unacceptability bias for exposure determination","definition" : "A cognitive interpretive bias for exposure determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "unacceptable disease bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Janice Tufte, Joanne Dehnbostel, Ken Wilkins, Lisa Schilling"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Paul Whaley"}]}]},{"code" : "SEVCO:00219","display" : "exposure ascertainment bias","definition" : "An exposure detection bias due to distortions in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ascertainment bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "data collection bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Suggest modify Alternative term to Data Collection Bias"}],"concept" : [{"code" : "SEVCO:00220","display" : "nonrepresentative observation period for exposure of interest","definition" : "An exposure ascertainment bias due to differences in the time period used for observation of the exposure and the intended time period for the exposure of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misaligned follow up period for exposure of interest"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "negative-vote","valueString" : "2022-02-04 vote 4-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: I think this is about right but it could perhaps be tidied up a bit, e.g. using \"time period\" in both instances of \"period\""},{"code" : "approval","valueString" : "2022-02-11 vote 9-0 by Mario Tristan, Paul Whaley, Sunu Alice Cherian, Robin Ann Yurk, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer, Jesus Lopez-Alcalde, Janice Tufte"}]},{"code" : "SEVCO:00221","display" : "nonrepresentative context for exposure ascertainment","definition" : "An exposure ascertainment bias due to differences in the context in which the exposure is observed and the intended context for the exposure of interest.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThis term is used when the context used for exposure ascertainment is incorrect, insensitive, or nonspecific.  If the context (whether representative or not) is applied inconsistently, then use the term \"Inconsistency in exposure ascertainment\""},{"code" : "negative-vote","valueString" : "2022-02-18 vote 10-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A"},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Comment for application.  I would delete sentence:  If the method (whether dependable or undependable) is applied inconsistently then use the term inconsistency in application of exposure of ascertainment.  \nI'm not sure if \"undependable\" is the word we really want to use. Also, (1) no method for exposure ascertainment will give a strictly \"correct\" result, (2) inconsistency can result in random error and imprecision, not necessarily bias, (3) we are presumably worried about consistency over- or under-reading of a measurement method compared to some (possibly hypothetical) gold standard? Overall, it feels like there is more to discuss here.\n2022-02-25 comment: I would delete or edit the current Alternative term and replace with insensitive, or nonspecific context for exposure ascertainment."},{"code" : "approval","valueString" : "2022-02-25 vote 8-0 by Robin Ann Yurk, Sunu Alice Cherian, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00222","display" : "inconsistency in exposure ascertainment","definition" : "An exposure ascertainment bias due to differences within or between groups in how the data are collected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "imbalance in exposure ascertainment"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThis term is used when the context (whether representative or not) is applied inconsistently. If the context used for exposure ascertainment is incorrect, insensitive, or nonspecific, then use the term \"Nonrepresentative context for exposure ascertainment\""},{"code" : "negative-vote","valueString" : "2022-02-18 vote 8-1 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Joanne Dehnbostel, Sumalatha A"},{"code" : "expert-comments","valueString" : "2022-02-18 comments: I would add comment for application from previous term. \n If the method (whether dependable or undependable) is applied inconsistently then use the term inconsistency in application of exposure of ascertainment.  \nI don't really understand the term \"Inconsistency in application of exposure ascertainment\" - I am not clear what the nouns and verbs actually are here, nor what they refer to. I have been involved in the discussion of the underlying bias model and I still don't grasp the meaning here.\n2022-02-25 comment: I would remove Alternative term."},{"code" : "approval","valueString" : "2022-02-25 vote 8-0 by Robin Ann Yurk, Sunu Alice Cherian, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, nisha mathew, Paul Whaley"}]}]},{"code" : "SEVCO:00223","display" : "exposure measurement bias","definition" : "An exposure detection bias due to distortions in how the observed exposures are measured.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measurement bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nIf one is addressing a bias in the instruments or processes used to measure the observed exposure, use Exposure Measurement Bias. If one is addressing how the measured exposure is categorized, use Exposure Classification Bias."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Jesus Lopez-Alcalde, Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte"}],"concept" : [{"code" : "SEVCO:00224","display" : "inappropriate method for exposure measurement","definition" : "An exposure measurement bias due to use of an incorrect method or protocol.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incorrect exposure measurement method"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate exposure measurement method"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "negative-vote","valueString" : "2022-02-25 vote 11-2 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-02-25 comments: I would list measurement methods as examples under comment for application, such as pharma, survey...\nI am not sure of the difference between this bias and \"Undependable method for exposure ascertainment\" bias. It also seems to me that \"inappropriate\" is a subjective term so I am not sure how it should be applied. [Side note: in the ballot, it might be useful to have terms arranged as they are in the SEVCO hierarchy, as this might be causing some of the confusion I am experiencing.]\nThe previous term convey almost similar meaning"},{"code" : "approval","valueString" : "2022-03-11 vote 5-0 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00225","display" : "insensitive measure bias for exposure determination","definition" : "An exposure measurement bias due to use of a method that does not reliably detect the exposure when the exposure is present.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate sensitivity for exposure measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate sensitivity for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Use of an inadequately sensitive exposure measure is likely to result in false negative findings."},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Suggest use term as Sensitivity Measure bias for exposure determination and insensitive measure bias for exposure determination for alternate term.\n\"Sensitivity\" is not, in my experience, viewed exclusively in terms of measurement. Some experimental models cannot show the exposure (or outcome) because they are incapable of it, however it is measured in situ. For example, if the exposure was measured via presence of a metabolite, but the participant was not able to produce the metabolite, then the experiment would be insensitive regardless of measurement method. I am not sure this affects us here, but does it suggest a need for us to handle sensitivity in a comprehensive fashion? (Perhaps also specificity?)\n\nAs a side note, defining sensitivity well could be important for progress on risk of bias assessment methods used by EPA, who currently have assessment of \"sensitivity\" as a separate issue entirely outside of risk of bias assessment. \nNEGATIVE VOTE CHANGED TO POSITIVE DURING DISCUSSION 2022-02-25"},{"code" : "approval","valueString" : "2022-02-25 vote 13-0 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"}]},{"code" : "SEVCO:00226","display" : "nonspecific measure bias for exposure determination","definition" : "An exposure measurement bias due to use of a method that falsely detects the exposure when the exposure is absent.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate specificity for exposure measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. Use of an inadequately specific exposure measure is likely to result in false positive findings."},{"code" : "approval","valueString" : "2022-02-04 vote 5-0 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-02-04 comment: Suggest use Specificity measure bias for exposure determination and non-specific measure bias for exposure determination for Alternative term."}]},{"code" : "SEVCO:00228","display" : "inappropriate application of method for exposure measurement","definition" : "An exposure measurement bias due to inappropriate application of the method or protocol.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate exposure measurement conduct"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. An inappropriate application of the method or protocol suggests error is introduced by the process of measurement, as distinct from the method or protocol used for measurement (which would be an Inappropriate method for exposure measurement)."},{"code" : "negative-vote","valueString" : "2022-02-25 vote 12-1 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-02-11 comments: Add alternate term:  Incorrect application of exposure measurement bias.\nI think this is OK, but the term should be rewritten so it is easier to read and understand what it means (the syntax is awkward, as it could be read as one adjective and three nouns)\n2022-03-11 comment: In documenting this, and the \"inappropriate method for exposure measurement\", I think it would be helpful to document what we mean by e.g. \"method\" vs. \"application of method\". I feel these are meta-terms like \"study design feature\" that are part of the scaffolding of SEVCO, but not part of SEVCO itself."},{"code" : "approval","valueString" : "2022-03-11 vote 5-0 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, nisha mathew, Paul Whaley"}]},{"code" : "SEVCO:00229","display" : "inconsistency in exposure measurement","definition" : "An exposure measurement bias due to differences within groups in how the observed exposures are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. \"How the observed exposures are measured\" may refer to the methods applied for measurement or the application of those methods."},{"code" : "approval","valueString" : "2022-02-11 vote 9-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Paul Whaley, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}],"concept" : [{"code" : "SEVCO:00247","display" : "inconsistency in instruments used for exposure measurement","definition" : "An exposure measurement bias due to differences within groups in the instruments for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nInstruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "SEVCO:00248","display" : "inconsistency in processes used for exposure measurement","definition" : "An exposure measurement bias due to differences within groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThe processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]}]},{"code" : "SEVCO:00241","display" : "imbalance in exposure measurement","definition" : "An exposure measurement bias due to differences between groups in how the observed exposures are measured.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Paul Whaley, Robin Ann Yurk, Janice Tufte, Harold Lehmann"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. \"How the observed exposures are measured\" may refer to the methods applied for data measurement or the application of those methods."},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}],"concept" : [{"code" : "SEVCO:00249","display" : "imbalance in instruments used for exposure measurement","definition" : "An exposure measurement bias due to differences between groups in the instruments used for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nInstruments used for measurement may include devices, surveys, and technologies. The concepts of \"instruments used for measurement\" is distinct from \"process used for measurement\" which may include protocols, techniques, and variations in context."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "SEVCO:00250","display" : "imbalance in processes used for exposure measurement","definition" : "An exposure measurement bias due to differences between groups in the processes by which the instruments are used for measurement.","property" : [{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nThe processes used for measurement may include protocols, techniques, and variations in context. The concept of \"processes used for measurement\" is distinct from \"instruments used for measurement\" which may include devices, surveys, and technologies."},{"code" : "editors","valueString" : "Brian S. Alper, Mario Tristan, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Harold Lehmann, Paul Whaley"},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}]}]}]},{"code" : "SEVCO:00230","display" : "exposure classification bias","definition" : "An exposure detection bias due to distortions in how the observed exposures are classified.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misclassification bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "exposure misclassification bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nIf one is addressing a bias in the instruments or processes used to measure the observed exposure, use Exposure Measurement Bias. If one is addressing how the measured exposure is categorized, use Exposure Classification Bias."},{"code" : "approval","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer"}],"concept" : [{"code" : "SEVCO:00231","display" : "exposure definition bias","definition" : "An exposure classification bias resulting from the definition or threshold used for exposure classification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition bias for exposure determination"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "threshold bias for exposure determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context.\nAn exposure definition bias suggests an internal validity problem in which the definition or threshold used for exposure classification does not represent the exposure of interest. If considering an external validity problem, the \"Wrong question bias\" (term not yet defined) may be used. An exposure definition bias is present when there are differences between the exposure of interest and the definition or threshold used for exposure classification."},{"code" : "expert-comments","valueString" : "2022-02-11 comments: Suggest Alternative term:  threshold bias for exposure determination.  \nSuggest remove sentence on external validity problem....\nIn the comments, \"term not yet identified\", should be flagged for later replacement."},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but comment discussion led to new term]"},{"code" : "approval","valueString" : "2022-02-18 vote 5-0 by Joanne Dehnbostel, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}],"concept" : [{"code" : "SEVCO:00232","display" : "nonrepresentative definition for exposure classification","definition" : "An exposure definition bias due to a mismatch between the exposure of interest and the definition or threshold used for exposure measurement.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "expert-comments","valueString" : "2022-02-11 comment: Should there be a hyphen between \"classification\" and \"system\"? (Is it a system(s) bias or a classification-system bias?) (I think this question applies to several definitions)"},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but definition changed to match change to parent term]"},{"code" : "approval","valueString" : "2022-02-18 vote 6-0 by Joanne Dehnbostel, Alejandro Piscoya, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}],"concept" : [{"code" : "SEVCO:00233","display" : "surrogate marker bias for exposure classification","definition" : "An exposure definition bias due to use of a definition that is proxy for the exposure rather than direct observation of the exposure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "substitution bias for exposure classification"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "proxy bias for exposure classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "expert-comments","valueString" : "2022-02-11 comment: Suggest add Alternative term:  proxy bias for exposure classification system."},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but definition changed to match change to parent term]"},{"code" : "approval","valueString" : "2022-02-18 vote 5-0 by Joanne Dehnbostel, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}]}]},{"code" : "SEVCO:00234","display" : "post-hoc definition of exposure","definition" : "An exposure definition bias due to definition of the exposure after interacting with the study data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "definition for exposure classification not prespecified"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "post-hoc exposure definition"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "no prespecified definition for exposure classification"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context."},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but definition changed to match change to parent term]"},{"code" : "approval","valueString" : "2022-02-18 vote 5-0 by Joanne Dehnbostel, Sumalatha A, Janice Tufte, Harold Lehmann, Paul Whaley"}]}]},{"code" : "SEVCO:00236","display" : "classification process bias for exposure determination","definition" : "An exposure classification bias resulting from the application of the method used for exposure classification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan, Harold Lehmann, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. \nA classification process bias for exposure determination suggests error is introduced by the process of classification, as distinct from the definition or threshold used (which would be an Exposure Definition Bias)."},{"code" : "expert-comments","valueString" : "2022-02-11 comments: I would provide an example such as survey severity classification example of a method.\n(Inconsistent capitalization)"},{"code" : "negative-vote","valueString" : "2022-02-11 vote 8-0 by Jesus Lopez-Alcalde, Mario Tristan, Robin Ann Yurk, Janice Tufte, Sunu Alice Cherian, Alejandro Piscoya, Harold Lehmann, Yasser Sami Amer [but term changed to parallel changes to Exposure Definition Bias]"},{"code" : "approval","valueString" : "2022-02-18 vote 6-0 by Joanne Dehnbostel, Sumalatha A, Robin Ann Yurk, Janice Tufte, Harold Lehmann, Paul Whaley"}]},{"code" : "SEVCO:00237","display" : "incorporation bias for exposure determination","definition" : "An exposure classification bias due to the inclusion of the outcome or other relevant exposures under investigation in the method or process used for exposure classification.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Mario Tristan, Paul Whaley"},{"code" : "comment","valueString" : "The exposure of interest can be an intervention or a prognostic factor, depending on the research context. If the statistical analysis assumes independence of two variables, but one variable incorporates the other variable in its definition, the assumption will be false and the result will be distorted."},{"code" : "negative-vote","valueString" : "2022-02-25 vote 11-2 by Paul Whaley, Mario Tristan, Robin Ann Yurk, Janice Tufte, Yasser Sami Amer, Harold Lehmann, Alejandro Piscoya, Sunu Alice Cherian, Jesus Lopez-Alcalde, Sumalatha A, Joanne Dehnbostel, Paola Rosati, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-02-18 comments: Needs an Alternative term or new term definition. I.e. Inclusion Bias for exposure definition for the term.  Alternative term;  eligibility bias for exposure determination\nDefinitely needs a comment for application, I can't picture what this means!"},{"code" : "approval","valueString" : "2022-03-11 vote 5-0 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, nisha mathew, Paul Whaley"}]}]}]},{"code" : "SEVCO:00044","display" : "confounder detection bias","definition" : "A detection bias due to distortions in how the data for a potential confounder are determined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}]},{"code" : "SEVCO:00045","display" : "detection bias related to the reference standard","definition" : "A detection bias due  to distortions in how the reference standard result is determined.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias for reference standard result determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "10/10 as of 8/27/2021: Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"}]},{"code" : "SEVCO:00046","display" : "detection bias related to the index test","definition" : "A detection bias due to distortions in how the index test result is determined.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias for index test result determination"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal"},{"code" : "approval","valueString" : "5/5 as of 8/30/2021: Eric Harvey, Harold Lehmann, Mario Tristan, Bhagvan Kommadi, Janice Tufte,"},{"code" : "negative-vote","valueString" : "8/27/2021 vote 8-1 on \"Detection Bias related to the index test (Bias for index text result determination) = A detection bias due to distortions in how the index text result is determined.\" by, Eric Au, Eric Harvey, Harold Lehmann, Alejandro Piscoya, Mario Tristan, Bhagvan Kommadi, Leo Orozco, Janice Tufte, Jesús López-Alcalde, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2021-08-27 comment: I think the word \"text\" should be \"test\" in the Alternative term and definition. Please consider broadening this term and definition to include distortions in how the index event is determined"}]},{"code" : "SEVCO:00383","display" : "data entry bias","definition" : "A detection bias due to differences between measured values and recorded values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "data recording bias"}],"property" : [{"code" : "comment","valueString" : "Data Entry Bias may include distorted results due to errors in transcription, translation, or transposition between the measured value and the recorded value, or between a recorded value and a subsequent recording of the value."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Janice Tufte, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-26 vote 7-0 by nisha mathew, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey"}]},{"code" : "SEVCO:00389","display" : "inappropriate time interval between predictor assessment and outcome determination","definition" : "A detection bias involving the time interval between the observation of the predictor and outcome, where the interval used by the study differs from the interval assumed by the predictive model.","property" : [{"code" : "comment","valueString" : "Nonrepresentative observation period for outcome of interest is defined as an outcome ascertainment bias due to differences in the period used for observation of the outcome and the period for the outcome of interest.\n\nNonrepresentative observation period for exposure of interest is defined as an exposure ascertainment bias due to differences in the time period used for observation of the exposure and the intended time period for the exposure of interest.\n\nIn the context of predictive modeling, the time interval between the exposure (predictor) and the outcome should be representative of the time interval of interest."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2023-10-06 vote 3-1 by Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley"},{"code" : "expert-comments","valueString" : "2023-10-06 comment: Two problems: (1) I am not sure how the definition equates to the term - in the term, it is about inappropriate time interval, but in the definition it is about the time interval not being that which is intended and representative of application of model. (2) I don't understand what is meant by the phrase \"the intended time interval between the predictor and outcome that is representative of the application of the predictive model\" - there are too many concepts all at once here, I think?"},{"code" : "approval","valueString" : "2023-10-20 vote 5-0 by Muhammad Afzal, Eric Harvey, Harold Lehmann, Louis Leff, Joanne Dehnbostel"}]}]},{"code" : "SEVCO:00021","display" : "analysis bias","definition" : "A bias related to the analytic process applied to the data.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Philippe Rocca-Serra, Mhuammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "6/6 as of 8/15/2021: Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Mhuammad Afzal, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00022","display" : "bias related to selection of the analysis","definition" : "An analysis bias due to inappropriate choice of analysis methods before the analysis is applied.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "analysis selection bias"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Philippe Rocca-Serra, Mhuammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "6/6 as of 8/15/2021: Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Mhuammad Afzal, Eric Harvey"},{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "external-definitions","valueString" : "ROBIS 4.2 Were all pre-defined analyses reported or departures explained?"}],"concept" : [{"code" : "SEVCO:00376","display" : "bias related to selection of the data for analysis","definition" : "An analysis bias due to inappropriate choice of data included in the analysis before the analysis is applied.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel"},{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Janice Tufte, Mario Tristan, Paola Rosati"}],"concept" : [{"code" : "SEVCO:00213","display" : "bias due to post-baseline factors influencing selection of the data for analysis","definition" : "A bias related to selection of the data analysis based on participant characteristics observed after study enrollment.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "ROBINS-I 2.1. Was selection of participants into the study (or into the analysis) based on participant characteristics observed after the start of intervention?"},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Janice Tufte, Mario Tristan, Paola Rosati"}]},{"code" : "SEVCO:00312","display" : "missing or inadequate intention-to-treat analysis","definition" : "A bias related to selection of the data analysis in which data are not completely analyzed according to the original assignment to comparison groups in an interventional study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate as-randomized analysis"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-05-13 vote 4-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati\n2022-05-20 vote 9-1 by Joanne Dehnbostel, nelle.stocquart@kce.fgov.be, Eric M Harvey, Jesus Lopez-Alcalde, Paul Whaley, Robin Ann Yurk, Harold Lehmann, raradhikaag@gmail.com, Mario Tristan, Paola Rosati\n2022-05-27 vote 4-1 by Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-13 comment: Instead of defining \"Inadequate intention-to-treat analysis\" why not defining waht \"intention-to-treat analysis\" is?\n2022-05-20 comment: Suggest change term name to Intention to Treat Analysis and remove word inadequate from the term as this term includes the limitation of the analysis in the definition.\n2022-05-27 comment: Missing Data Analysis:  examples are imputation of data according to rules. \nPurpose:  To provide additional validity that the data are not biased from the missing data. {{2022-05-27 discussion suggests this can be handled by the SEVCO:00307 term [Inappropriate handling of missing data] which is classified as a 'Bias in processing of data'}}"},{"code" : "comment","valueString" : "An intention-to-treat analysis may be defined as analysis of all randomized subjects according to their assigned intervention rather than according to the intervention actually received. There is considerable variation in reported studies with respect to the use of the term 'intention-to-treat analysis' and 'modified intention-to-treat analysis' but if the risk of bias assessment suggests an insufficient accounting for all participants as intended then one may report 'Inadequate intention-to-treat analysis'.\nIn non-randomized studies, this term may be used to denote missing or inadequate analysis according to the intended treatment, e.g prescribed medication vs. taken medication."},{"code" : "approval","valueString" : "2022-06-03 vote 6-0 by Joanne Dehnbostel, Mario Tristan, Eric M Harvey, Harold Lehmann, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00313","display" : "missing or inadequate per-protocol analysis","definition" : "A bias related to selection of the data analysis in which data are not completely analyzed according to the study protocol.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Paul Whaley, Harold Lehmann, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-05-13 vote 4-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati\n2022-05-20 vote 7-3 by Joanne Dehnbostel, nelle.stocquart@kce.fgov.be, Eric M Harvey, Jesus Lopez-Alcalde, Paul Whaley, Robin Ann Yurk, Harold Lehmann, raradhikaag@gmail.com, Mario Tristan, Paola Rosati\n2022-05-27 vote 4-1 by Robin Ann Yurk, Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-20 comments: I do not fully agree with this definition. I propose following the Cochrane Handbook: \nNaïve ‘per-protocol’ analysis: analysis restricted to individuals who adhered to their assigned interventions.\n\nMoreover, there is another analysis that is often biased: \n\n‘As-treated’ analysis: analysis in which participants are analysed according to the intervention they actually received, even if their randomized allocation was to a different treatment group\n\nI would present these as different analyses (not as synonims)\n\nhttps://training.cochrane.org/handbook/current/chapter-08\n------\nI think I see what the definition is saying but it is rather hard to parse.\nre: \"Inadequate per-protocol analysis\" = \"A bias related to selection of the data analysis in which data are not completely analyzed according to the assignment to comparison groups according to the interventions received.\"\n\nSuggest edit term so it reads per protocol analysis and remove the word inadequate. This type of analysis includes the bias in the term already\n\n2022-05-13 comment: Instead of defining \"Inadequate per-protocol analysis\" why not defining what \"per-protocol anlysis\" is?\n\n2022-05-27 comment: Missing Data Analysis:  examples are imputation of data according to rules. \nPurpose:  To provide additional validity that the data are not biased from the missing data. {{2022-05-27 discussion suggests this can be handled by the SEVCO:00307 term [Inappropriate handling of missing data] which is classified as a 'Bias in processing of data'}}"},{"code" : "comment","valueString" : "A per-protocol analysis may be defined as analysis of participants according to adherence to the assigned intervention (the 'treatment protocol') and/or according to adherence to the data collection protocol. Adherence may refer to adherence by the study participants or study personnel."},{"code" : "approval","valueString" : "2022-06-03 vote 6-0 by Joanne Dehnbostel, Mario Tristan, Eric M Harvey, Harold Lehmann, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00381","display" : "missing or inadequate as-treated analysis","definition" : "A bias related to selection of the data analysis in which data are not completely analyzed according to the interventions actually received.","property" : [{"code" : "comment","valueString" : "An as-treated analysis may be defined as analysis of subjects according to the intervention actually received rather than their assigned intervention."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2022-05-20 comments (from precursor term of Inadequate per-protocol analysis): I do not fully agree with this definition. I propose following the Cochrane Handbook: \nNaïve ‘per-protocol’ analysis: analysis restricted to individuals who adhered to their assigned interventions.\n\nMoreover, there is another analysis that is often biased: \n\n‘As-treated’ analysis: analysis in which participants are analysed according to the intervention they actually received, even if their randomized allocation was to a different treatment group\n\nI would present these as different analyses (not as synonims)\n\nhttps://training.cochrane.org/handbook/current/chapter-08\n------\nI think I see what the definition is saying but it is rather hard to parse.\nre: \"Inadequate per-protocol analysis\" = \"A bias related to selection of the data analysis in which data are not completely analyzed according to the assignment to comparison groups according to the interventions received.\"\n\nSuggest edit term so it reads per protocol analysis and remove the word inadequate. This type of analysis includes the bias in the term already\n\n2022-05-27 comment: Missing Data Analysis:  examples are imputation of data according to rules. \nPurpose:  To provide additional validity that the data are not biased from the missing data. {{2022-05-27 discussion suggests this can be handled by the SEVCO:00307 term [Inappropriate handling of missing data] which is classified as a 'Bias in processing of data'}}"},{"code" : "approval","valueString" : "2022-06-03 vote 6-0 by Joanne Dehnbostel, Mario Tristan, Eric M Harvey, Harold Lehmann, Brian S. Alper, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00377","display" : "bias related to selection of the variables for analysis","definition" : "An analysis bias due to inappropriate choice of variables included in the analysis before the analysis is applied.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "approval","valueString" : "2022-05-13 vote 5-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati"}],"concept" : [{"code" : "SEVCO:00292","display" : "bias related to selection of the variables for adjustment for confounding","definition" : "An analysis bias due to inappropriate choice of the variables for adjustment for confounding before the analysis is applied.","property" : [{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-05-13 vote 5-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati"},{"code" : "expert-comments","valueString" : "This term was determined to also match 'Post-intervention confounding different (draft) Code: SEVCO:00283' which was originally derived from the trigger question from ROBINS-I: 1.6. Did the authors control for any post-intervention variables that could have been affected by the intervention?   Detailed analysis found this to be more about improper control of 'confounding variables' that were not truly confounding variables."}],"concept" : [{"code" : "SEVCO:00299","display" : "bias controlling for time-varying confounding","definition" : "A bias related to selection of the variables for adjustment for confounding in which the confounding is time-dependent.","property" : [{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Mario Tristan, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati, Janice Tufte"}]},{"code" : "SEVCO:00301","display" : "inadequate adherence effect analysis","definition" : "A bias related to selection of the variables for adjustment for confounding by adherence.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias controlling for adherence effect"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias controlling for confounding by adherence"}],"property" : [{"code" : "comment","valueString" : "An analysis selection after the analysis is applied would be considered a Selective Analysis Reporting Bias."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati, Janice Tufte"}]}]},{"code" : "SEVCO:00302","display" : "predictors included in outcome definition","definition" : "An analysis bias due to inappropriate choice of the variables for estimation of association in which one variable is incorporated in the definition of the other variable.","property" : [{"code" : "comment","valueString" : "Predictors are also called covariates, risk indicators, prognostic factors, determinants, index test results, or independent variables (https://www.acpjournals.org/doi/10.7326/M18-1377).\n\nIf a predictor in the model forms part of the definition or assessment of the outcome that the model predicts, the association between predictor and outcome will likely be overestimated, and estimates of model performance will be optimistic; in diagnostic research, this problem is generally called incorporation bias. (https://www.acpjournals.org/doi/10.7326/M18-1377)\n\nWhen this type of analysis bias is applied to predictive model analyses (in which the predictor is the exposure of interest), this type of bias is equivalent to \"Incorporation bias for outcome determination\" [SEVCO:00063]"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-07-29 vote 5-0 by Janice Tufte, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-29 comment: should \"incorporation bias\" be added as 'Alternative term' ?"}]},{"code" : "SEVCO:00319","display" : "bias related to selection of predictors based on univariable analysis","definition" : "An analysis bias due to inappropriate choice of the predictor variables for estimation of association in which predictors are selected based on statistically significant univariable associations (without adjustment for other predictors).","property" : [{"code" : "comment","valueString" : "Predictors are also called covariates, risk indicators, prognostic factors, determinants, index test results, or independent variables (https://www.acpjournals.org/doi/10.7326/M18-1377)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "PROBAST (https://www.acpjournals.org/doi/10.7326/M18-1377).:\n4.5 Was selection of predictors based on univariable analysis avoided? (Model development studies only)\n\nA data set will often have many features that could be used as candidate predictors, and in many studies researchers want to reduce the number of predictors during model development to produce a simpler model.\n\nIn a univariable analysis, individual predictors are tested for their association with the outcome. Researchers often select the predictors with a statistically significant univariable association (for example, P < 0.05) for inclusion in the development of a final prediction model. This method can lead to incorrect predictor selection because predictors are chosen on the basis of their statistical significance as a single predictor rather than in context with other predictors (49, 50, 191). Bias occurs when univariable modeling results in omission of variables from the model, because some predictors are important only after adjustment for other predictors, known from previous research to be important, did not reach statistical significance in the particular development set (for example, due to small sample size). Also, predictors may be selected on the basis of a spurious (accidental) association with the outcome in the development set.\n\nA better approach to decide on omitting, combining, or including candidate predictors in multivariable modeling is to use nonstatistical methods—that is, methods without any statistical univariable pretesting of the associations between candidate predictors and outcome. Better methods include those based on existing knowledge of previously established predictors in combination with the reliability, consistency, applicability, availability, and costs of predictor measurement relevant to the targeted setting. Well-established predictors and those with clinical credibility should be included and retained in a prediction model regardless of any statistical significance (49, 50, 192). Alternatively, some statistical methods that are not based on prior statistical tests between predictor and outcome can be used to reduce the number of modeled predictors (for example, principal components analysis)."},{"code" : "approval","valueString" : "2022-07-29 vote 5-0 by Janice Tufte, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]}]},{"code" : "SEVCO:00378","display" : "bias related to selection of the analytic framework","definition" : "An analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias related to selection of the statistical framework"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Mario Tristan, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "An analytic framework is the model, scaffolding, or organizational representation of concepts used in analyzing the data. The concepts included in an analytic framework may involve data, variables, formulas, assumptions, and adjustments."},{"code" : "negative-vote","valueString" : "2022-05-13 vote 6-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Paola Rosati, Janice Tufte [[but then the term changed in webmeeting 2022-05-13]]\n2022-05-20 vote 4-2 by Joanne Dehnbostel, Eric M Harvey, Mario Tristan, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-20 comments:\nseems to be entirely too much overlap with the \"inappropriate analytic framework\" term\n\nI like this term and definition but I am not sure it is adequately differentiated from \"inappropriate analytical framework\". I think the term needs changing in some way."},{"code" : "approval","valueString" : "2022-05-27 vote 5-0 by Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00297","display" : "inappropriate statistical model","definition" : "A bias related to selection of the analytic framework in which the analytic model does not match the dataset characteristics or does not match the intention of the analysis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inappropriate analytic model"}],"property" : [{"code" : "comment","valueString" : "A bias related to selection of the analytic framework is defined as an analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.\n\nAn inappropriate statistical model may include one in which there is a mismatch between the realities of the data and the assumptions required for the analytic model. Complexities in the data may include univariate concerns (e.g. skewness or outliers) and multivariate concerns (e.g. curvilinearity, co-linearity, or latent associations between variables)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-05-20 vote 5-1 by Joanne Dehnbostel, Eric M Harvey, Mario Tristan, Jesus Lopez-Alcalde, Paul Whaley, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-05-20 comment:\nI like this term and definition but I am not sure it is adequately differentiated from \"Bias related to selection of the analytic framework\". I think the term needs changing in some way.\n2022-09-30 Steering Group change to Comment to application: comment added to this term instead of creating a new term for 'Inappropriate handling of complexities in the data'"},{"code" : "approval","valueString" : "2022-05-27 vote 5-0 by Mario Tristan, Jesus Lopez-Alcalde, Eric M Harvey, Harold Lehmann, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00375","display" : "inappropriate modeling of censoring","definition" : "An inappropriate statistical model due to inappropriate accounting for ranges of potential observation in which data observation is not possible.","property" : [{"code" : "external-definitions","valueString" : "PROBAST 4.6 Were complexities in the data (e.g. censoring, competing risks, sampling of controls) accounted for appropriately?"},{"code" : "comment","valueString" : "An inappropriate statistical model is a bias related to selection of the analytic framework in which the analytic model does not match the dataset characteristics or does not match the intention of the analysis.\n\nThe \"ranges of potential observation\" may include periods of time (temporal ranges within which observation may occur), or ranges of detection with a measurement instrument  (ranges of values that could be observed).\n\nThe concept of ranges of potential observation in which data observation is \"not possible\" may include impossibility due to physical realities (such as timing after competing risks or measurement instruments with limited ranges of detection) or impossibility due to administrative decisions (such as the observation period defined by the study protocol)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-10-20 vote 7-0 by Philippe Rocca-Serra, Harold Lehmann, Joanne Dehnbostel, Mario Tristan, Paul Whaley, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00316","display" : "bias due to selection of the statistical significance threshold","definition" : "An analysis bias resulting from selection of an inappropriate threshold for statistical significance.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "significance-threshold selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical significance threshold selection bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias related to selection of the threshold for statistical significance"}],"property" : [{"code" : "comment","valueString" : "The statistical significance threshold is part of the analytic framework. A bias related to selection of the analytic framework is defined as an analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.\n\nIn frequentist analysis, statistical significance is the rejection of the null hypothesis based on the p value. In Bayesian analysis, statistical significance is the acceptance of the hypothesis based on the posterior probability."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Paul Whaley"},{"code" : "negative-vote","valueString" : "2022-06-10 vote 5-1 by Brian S. Alper, Robin Ann Yurk, Paola Rosati, Mario Tristan, Harold Lehmann, Eric M Harvey\n2022-06-17 vote 4-1 by Paul Whaley, Muhammad Afzal, Eric M Harvey, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-10 comment: Consider editing the term definition to just Statistical significance threshold.  For the Alternative term remove word bias.  For the comment for application remove the first sentence about bias.\n2022-06-17 comments: I think I get it, but it is a bit tortured and I wonder if a normal user would interpret it correctly or understand it?\nI am not sure we can rephrase the concept name making it more compact like \"Statistical significance threshold selection bias\""},{"code" : "approval","valueString" : "2022-06-24 vote 5-0 by Mario Tristan, Harold Lehmann, Eric Harvey, Janice Tufte, Louis Leff"}],"concept" : [{"code" : "SEVCO:00317","display" : "bias related to multiple comparison adjustment","definition" : "An analysis bias resulting from selection of a threshold for statistical significance which does not appropriately account for the effect of multiple comparisons on the statistical probability related to the result.","property" : [{"code" : "comment","valueString" : "This bias may cause inappropriate rejection of the null hypothesis due to an unmodified threshold for significance in the face of multiple comparisons. This bias may also occur when adjustment for multiple comparisons is inappropriately applied and leads to failure to reject the null hypothesis.\n\nA bias due to selection of the statistical significance threshold is defined as an analysis bias resulting from selection of an inappropriate threshold for statistical significance.\n\nIn frequentist analysis, statistical significance is the rejection of the null hypothesis based on the p value. In Bayesian analysis, statistical significance is the acceptance of the hypothesis based on the posterior probability."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Paul Whaley"},{"code" : "negative-vote","valueString" : "2022-06-10 vote 3-2 by Brian S. Alper, Robin Ann Yurk, Paola Rosati, Mario Tristan, Harold Lehmann\n2022-06-17 vote 4-1 by Paul Whaley, Muhammad Afzal, Eric M Harvey, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-10 comments: The measure does not have a statistical probability, the finding or result has a statistical probability. Change definition to \"A statistical significance threshold selection bias in which the threshold for statistical significance does not account for the effect of multiple comparisons on the statistical probability related to the result.\"\nIs this a bias or just an incomplete analysis due to data requirements needed to compute the multiple comparison adjustment.\n2022-06-17  comment: Looking at the significance threshold bias terms, the other two refer to selection of the analytic framework, but this one does not. Is there a reason for that?"},{"code" : "approval","valueString" : "2022-06-24 vote 5-0 by Muhammad Afzal, Mario Tristan, Harold Lehmann, Eric Harvey, Louis Leff"}]},{"code" : "SEVCO:00382","display" : "mismatch of significance threshold and purpose","definition" : "An analysis bias resulting from selection of a threshold for statistical significance which is inappropriate due to a mismatch between (1) how the statistical probability related to the result is determined and (2) the purpose for categorizing the result as statistically significant.","property" : [{"code" : "comment","valueString" : "A threshold used for variable selection in regression analysis is often more liberal than a threshold used in hypothesis testing. Similarly a situation regarding safety may tolerate a higher chance of false positive findings so significance threshold may be higher. Some factors to consider include sample size, power of the test, and expected losses from Type I and Type II errors.\n\nIn frequentist analysis, statistical significance is the rejection of the null hypothesis based on the p value. In Bayesian analysis, statistical significance is the acceptance of the hypothesis based on the posterior probability."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Mario Tristan, Paul Whaley"},{"code" : "external-definitions","valueString" : "How to Choose the Level of Significance: A Pedagogical Note -- The level of significance should be chosen with careful consideration of the key factors such as the sample size, power of the test, and expected losses from Type I and II errors. While the conventional levels may still serve as practical benchmarks, they should not be adopted mindlessly and mechanically for every application.  \n(https://mpra.ub.uni-muenchen.de/66373/1/MPRA_paper_66373.pdf)"},{"code" : "negative-vote","valueString" : "2022-06-10 vote 2-2 by Brian S. Alper, Robin Ann Yurk, Mario Tristan, Harold Lehmann\n2022-06-17 vote 4-1 by Paul Whaley, Muhammad Afzal, Eric M Harvey, Jesus Lopez-Alcalde, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-10 comments: A mismatch can occur even if the purpose was taken into account. As the term name \"Mismatch of significance threshold and purpose\" is a match for the definition of the parent term (Statistical significance threshold selection bias) there is a question of whether this term is needed.\nReceiver operator curves are traditionally a statistic used to represent the continuum of cut point for the threshold value.  The Sensitivity and Specificity can be calculated to evaluate the validity of the threshold cut point.\n2022-06-17 comment: Add \"Bias related to...\" at beginning for consistency with others. What work is \"selection of the analytic framework\" doing in this definition?"},{"code" : "approval","valueString" : "2022-06-24 vote 5-0 by Muhammad Afzal, Mario Tristan, Harold Lehmann, Eric Harvey, Janice Tufte"}]}]},{"code" : "SEVCO:00304","display" : "immortal time bias","definition" : "A bias related to selection of the analytic framework in which an outcome variable includes an observation period during which the outcome could not have occurred.","property" : [{"code" : "comment","valueString" : "Consider a study in which a sample is followed from 2000 to 2010. Mortality during this time period is the outcome, and receipt of Superdrug is the exposure. \n--If 20 people received Superdrug in 2009 and 5 of them died in the subsequent year, the mortality with Superdrug is 25%. \n--If 20 people never received Superdrug and 1 died each year so by 2010 the mortality without Superdrug is 50%. \n\nInterpreting this result as Superdrug having a 50% relative risk reduction for mortality would be biased (distorted) by not accounting for the 9 years of time (immortal time) that the Superdrug recipients must have survived to be able to receive Superdrug in 2009.\n\nIf the outcome variable were defined as mortality 2009-2010, there would be no bias and the result would be a 150% relative risk increase.\n\nIf the outcome variable were defined as mortality 2000-2010, there is an immortal time bias (the Superdrug recipients could not have died before receiving Superdrug)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Janice Tufte"},{"code" : "external-definitions","valueString" : "Catalog of bias:   A distortion that modifies an association between an exposure and an outcome, caused when a cohort study is designed so that follow-up includes a period of time where participants in the exposed group cannot experience the outcome and are essentially 'immortal'.\n\nin https://academic.oup.com/aje/article/167/4/492/233064 :\nImmortal time refers to a span of time in the observation or follow-up period of a cohort during which the outcome under study could not have occurred (13, 14). It usually occurs with the passing of time before a subject initiates a given exposure. While a subject is not truly immortal during this time span, the subject necessarily had to remain event free until start of exposure to be classified as exposed. An incorrect consideration of this unexposed time period in the design or analysis will lead to immortal time bias.\n\nin JAMA https://jamanetwork.com/journals/jama/article-abstract/2776315\nSuch studies may be subject to immortal time bias, meaning that, during the period of observation, there is some interval during which the outcome event cannot occur\n\nin https://watermark.silverchair.com/dyab157.pdf\nIn particular, incorrect handling of follow-up times in terms of exposure status in the analysis of such studies may introduce immortal time bias (ITB) in favour of the exposed group.2,3 Immortal time refers to a period of time in which, by design, participants in the exposed group cannot experience the outcome. This often  happens in pharmacoepidemiologic studies in which treatment is prescribed at variable times (with delay) after disease diagnosis. The bias occurs when the exposed group is considered to be exposed during their entire follow-up time (even during periods in which they are theoretically unexposed) or their unexposed follow-up times are discarded.2,3"},{"code" : "negative-vote","valueString" : "2022-07-15 vote 5-1 by Mario Tristan, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-07-15 comment: Why the need to specify \"in a larger sample\" in the second sentence, since there is no assumption about size of the sample in the first assertion?"},{"code" : "approval","valueString" : "2022-07-22 vote 7-0 by Mario Tristan, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Janice Tuft, Eric Harvey"}]},{"code" : "SEVCO:00293","display" : "inadequate sample size","definition" : "A bias related to selection of the analytic framework in which the sample size invalidates the assumptions of the analytic framework.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate numbers for analysis"}],"property" : [{"code" : "comment","valueString" : "An example of 'Inadequate sample size' is a finding of no effect with inadequate power to detect an effect. Another example of 'Inadequate sample size' is use of a parametric analysis with low numbers, which invalidates the assumptions for use of a parametric analysis."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Janice Tufte, Joanne Dehnbostel, Mario Tristan, Khalid Shahin"},{"code" : "approval","valueString" : "2022-07-22 vote 7-0 by Mario Tristan, Paul Whaley, Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Janice Tuft, Eric Harvey"}]}]}]},{"code" : "SEVCO:00294","display" : "bias related to execution of the analysis","definition" : "An analysis bias due to inappropriate decisions pertaining to preparation of data for analysis and/or conduct of the analysis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias in processing of data"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Paul Whaley, Yuan Gao"},{"code" : "comment","valueString" : "\"Bias related to selection of the analysis\" is used when the wrong analysis is done (the analysis is planned wrongly). \"Bias in processing of data\" is used when the analysis is done wrong (the analysis is executed wrongly)."},{"code" : "approval","valueString" : "2022-11-04 vote 5-0 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Janice Tufte, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00305","display" : "incomplete analysis","definition" : "An analysis bias due to absence of a component of the analytic process.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incomplete analysis process"}],"property" : [{"code" : "comment","valueString" : "Missing components may include addressing missing data, addressing potential confounders, checking model assumptions, or robustness checks for model misspecification."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey\n2022-08-19 vote 5-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra\n2022-08-25 vote 8-1 by nisha mathew, Jesus Lopez-Alcalde, Cauê Monaco, Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: Ambiguous as to whether the data is incomplete or the analytic process incomplete. Also seems to be ambiguous as to whether the analysis is of a selected subset of the existing data (thus relating to selection bias?), or of data that is not representative of the totality of theoretically available data (thus relating to external validity?).\n\n2022-08-19 comment: tension between bias and process. Shouldn't it be \"incomplete analysis related bias\"? omission seems to indicate a wilful act. \"absence\" may be more neutral when considering a 'canonical / state of the art / standardised ' protocol.\n\n\"An analysis bias due to absence of a component deemed necessary in a state-of- art (possibly regulator-approved ) analytic process.\""},{"code" : "approval","valueString" : "2022-09-09 vote 6-0 by Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Khalid Shahin, Janice Tufte, Eric Harvey"}]},{"code" : "SEVCO:00306","display" : "inappropriate handling of uninterpretable data","definition" : "An analysis bias due to omission of uninterpretable values, or their replacement with inappropriate values.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: I'm not sure I would understand the definition if I had not read the term, suggest rephrasing - \"omission of accommodation for\" is perhaps the problem part."},{"code" : "comment","valueString" : "Inappropriate values may include use of non-representative imputation treating uninterpretable data like missing data. \n\nIn evaluation of diagnostic tests, omission of or inappropriate classification of test results would be Inappropriate handling of uninterpretable data."},{"code" : "approval","valueString" : "2022-09-16 vote 5-0 by Mario Tristan, Janice Tufte, Eric Harvey, Yaowaluk Ngoenwiwatkul, nisha mathew"}]},{"code" : "SEVCO:00307","display" : "inappropriate handling of missing data","definition" : "An analysis bias due to use of non-representative values in place of missing data.","property" : [{"code" : "comment","valueString" : "Handling of missing data may address data missing at levels of single observations or groupings by encounter, participant, site, or subpopulation."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-12 vote 5-0 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey"}]},{"code" : "SEVCO:00308","display" : "inappropriate handling of variables","definition" : "An analysis bias due to processing a variable in an incorrect role or with an incorrect datatype.","property" : [{"code" : "comment","valueString" : "Typical variable roles are population, exposure, confounder, and outcome.\n\nA variable datatype may be numerical (continuous or discrete) or categorical (ordinal or nominal)."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-16 vote 5-0 by Mario Tristan, Janice Tufte, Eric Harvey, Yaowaluk Ngoenwiwatkul, nisha mathew"}]},{"code" : "SEVCO:00300","display" : "bias in adjustment for selection bias","definition" : "An analysis bias due to inappropriate application of adjustment techniques for correction of bias in the selection of participants for analysis.","property" : [{"code" : "comment","valueString" : "Bias in the selection of participants for analysis could occur due to Participant Selection Bias (SEVCO:00003) or participant-level Bias related to selection of the data for analysis (SEVCO:00376).\n\n\"It is in principle possible to correct for selection biases, for example by using inverse probability weights to create a pseudo-population in which the selection bias has been removed, or by modelling the distributions of the missing participants or follow up times and outcome events and including them using missing data methodology.\" (Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016 Oct 12;355:i4919. doi: 10.1136/bmj.i4919. PMID: 27733354; PMCID: PMC5062054.  Supplementary Table A.)"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "\"It is in principle possible to correct for selection biases, for example by using\ninverse probability weights to create a pseudo-population in which the\nselection bias has been removed, or by modelling the distributions of the\nmissing participants or follow up times and outcome events and including\nthem using missing data methodology.\" (Sterne JA, Hernán MA, Reeves BC, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ. 2016 Oct 12;355:i4919. doi: 10.1136/bmj.i4919. PMID: 27733354; PMCID: PMC5062054.  Supplementary Table A.)"},{"code" : "approval","valueString" : "2022-09-30 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Janice Tufte, Eric Harve, Morufu Olalekan Raimi"}]},{"code" : "SEVCO:00309","display" : "data transition bias","definition" : "An analysis bias due to differences between recorded data and data used for analysis.","property" : [{"code" : "comment","valueString" : "Data Transition Bias may include distorted results due to errors in transcription, translation, erroneous mapping, or transposition between the recorded data (values, labels, and other metadata) and the data used for analysis. Data Transition Bias may occur due to any problem encountered during the Extraction, Transformation, and Loading (ETL) process in data exchange."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-11-04 vote 5-0 by Philippe Rocca-Serra, Jesus Lopez-Alcalde, Janice Tufte, Harold Lehmann, Eric Harvey"}]},{"code" : "SEVCO:00311","display" : "inappropriate handling of missing confounder data","definition" : "An analysis bias due to use of non-representative values in place of missing data for variables in the role of confounder.","property" : [{"code" : "comment","valueString" : "Handling of missing confounder data may address data missing at levels of single observations or groupings by encounter, participant, site, or subpopulation. Inappropriate handling of missing confounder data can result in misleading adjusted analyses."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-16 vote 5-0 by Mario Tristan, Janice Tufte, Eric Harvey, Yaowaluk Ngoenwiwatkul, nisha mathew"}]},{"code" : "SEVCO:00298","display" : "computational implementation bias","definition" : "An analysis bias due to miscalculations in the processing of the data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bug"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical programming error"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "programming error"}],"property" : [{"code" : "comment","valueString" : "This bias is intended to cover a broad range of errors in curating the data and performing the calculations specified or implied by the analytic plan, including but not limited to: memory allocation and other environmental specifications, data ingestion pipeline, statistical package choice and vetting, and syntax, semantics and logic of coding. this bias can be applied to both manual or computer based computation."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Harold Lehmann, Khalid Shahin, Muhammad Afzal, Neeraj Ojha"},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey\n2022-08-19 vote 4-2 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: Not sure about including data entry errors among errors in software code - the latter is a computational error, the former is not. Also, the definition does not specify computational processing.\n2022-08-19 comment: the class label is ambiguous: is it \"computation error caused bias\" or it is 'contradictions caused bias? The latter term does not add clarity.\nAlso, only data entry errors resulting from computational errors would fall under this type of bias, but not direct entry of values."},{"code" : "approval","valueString" : "2022-09-09 vote 6-0 by Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde, Khalid Shahin, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00324","display" : "reported analysis not following pre-specified analysis plan","definition" : "An analysis bias in which the reported analysis does not match the pre-specified analysis plan.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "approval","valueString" : "2023-03-10 vote 5-0 by Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00303","display" : "collider bias","definition" : "An analysis bias in which an estimation of association between two variables is distorted by controlling for a third variable affected by both variables of interest (or factors causing the variables of interest).","property" : [{"code" : "external-definitions","valueString" : "A structural classification of bias distinguishes between biases resulting from conditioning on common effects (“selection bias”) --- A Structural Approach to Selection Bias, https://journals.lww.com/epidem/Fulltext/2004/09000/A_Structural_Approach_to_Selection_Bias.20.aspx\n\nCollider bias occurs when an exposure and outcome (or factors causing these) each influence a common third variable and that variable or collider is controlled for by design or analysis. In contrast, confounding occurs when an exposure and outcome have a shared common cause that is not controlled for. -- JAMA 2022 Mar 14 https://jamanetwork.com/journals/jama/fullarticle/2790247\n\nhttps://catalogofbias.org/biases/collider-bias/ Collider bias = A distortion that modifies an association between an exposure and outcome, caused by attempts to control for a common effect of the exposure and outcome"},{"code" : "comment","valueString" : "Collider bias occurs when an exposure and outcome (or factors causing these) each influence a common third variable and that variable or collider is controlled for by design or analysis. In contrast, confounding occurs when an exposure and outcome have a shared common cause that is not controlled for. (JAMA 2022 Mar 14 https://jamanetwork.com/journals/jama/fullarticle/2790247)\n\nThe \"third variable\" affected by both variables of interest can also be a \"third variable\" affected by an \"intermediary variable\" which is affected by both variables of interest.\n\nAn analysis bias is defined as a bias related to the analytic process applied to the data.\n\nA bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Paul Whaley"},{"code" : "negative-vote","valueString" : "2022-07-01 vote 3-2 by Harold Lehmann, Paul Whaley, Jesus Lopez-Alcalde, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-07-01 comments: Is this the same as a confounding variable? If not, please differentiate.\n\nthe first comment seems a bit confusing: does collider bias occurs when the study design controls for a variable which is influenced by both the exposure and the outcome?\n\nI'm not sure this is correct. My understanding is that collision comes into play when effect modifiers are treated as confounders (and possibly when confounders are treated as modifiers? I don't know if it is symmetric). This reads as though it is an analysis unadjusted for confounders, with the factor causing both the cause and effect variables.\n\nConfounding: A < B > C and A > C\nModification: A > B > C and A > C\nCollision: Conditioning on B under modification rather than confounding."},{"code" : "approval","valueString" : "2022-07-08 vote 5-0 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Janice Tufte, Harold Lehmann"}]},{"code" : "SEVCO:00314","display" : "preliminary analysis bias","definition" : "An analysis bias related to analysis of data before the complete dataset is available.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interim analysis bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-12-23 vote 6-0 by Joanne Dehnbostel, Harold Lehmann, Yuan Gao, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey"}]},{"code" : "SEVCO:00295","display" : "data-dredging bias","definition" : "An analysis bias involving use of data analyses that are not pre-specified and fully disclosed, to select analyses with desirable results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-hacking"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "fishing expedition"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "data snooping bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-hacking bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "fishing expedition bias"}],"property" : [{"code" : "comment","valueString" : "Types of data analysis that lead to data-dredging bias include but are not limited to repeated subgroup analyses, repeated adjusted analyses, repeated analyses with different analytic models, and repeated analyses across many outcomes for many variations of defining outcomes, any of which can be done to select (\"cherry-pick\") the analyses that provide a desired result.  The desired result may be statistically significant findings or other specific results.\n\nThe terms \"p-hacking\" and \"Fishing expedition\" are commonly used terms to describe data-dredging practices that lead to bias and are often used to imply bias."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Janice Tufte, Paul Whaley, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "from Catalog of Bias (https://catalogofbias.org/biases/data-dredging-bias/): Data-dredging bias = A distortion that arises from presenting the results of unplanned statistical tests as if they were a fully prespecified course of analyses.\n\nfrom BMJ Evidence-Based Medicine (https://ebm.bmj.com/content/27/4/209): Background: what is data dredging bias?\nData-dredging bias encompasses a number of more specific questionable practices (eg, fishing, p-hacking) all of which involve probing data using unplanned analyses and then reporting salient results without accurately describing the processes by which the results were generated.\n\nfrom Wikipedia (https://en.wikipedia.org/wiki/Data_dredging): Data dredging (also known as data snooping or p-hacking) is the misuse of data analysis to find patterns in data that can be presented as statistically significant, thus dramatically increasing and understating the risk of false positives."},{"code" : "expert-comments","valueString" : "2022-12-09 comment:  Ioannidis, J. P. A. (2019) P values linked to null hypothesis significance testing (NHST) is the most widely (mis)used method of statistical inference. Empirical data suggest that across the biomedical literature (1990–2015), when abstracts use P values 96% of them have P values of 0.05 or less. The same percentage (96%) applies for full-text articles. \n2022-12-16 comments: Delete comma in definition (before \"that\"). \np-hacking and fishing expedition aren't synonyms but data processes leading to bias. \"p-hacking induced bias\" maybe"},{"code" : "negative-vote","valueString" : "2022-12-09 votes 4-0 by Yuan Gao, Mario Tristan, Eric Harvey, Harold Lehmann\n2022-12-16 votes 6-1 by Philippe Rocca-Serra, Janice Tufte, Yuan Gao, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey, Harold Lehmann"},{"code" : "approval","valueString" : "2022-12-23 vote 6-0 by Joanne Dehnbostel, Harold Lehmann, Yuan Gao, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey"}]},{"code" : "SEVCO:00348","display" : "inadequate sensitivity analysis","definition" : "An analysis bias due to inadequate approach to determine the implications of modeling assumptions, missing data, or distorted data for the interpretation of research results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate robustness analysis"}],"property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.5 Were the findings robust, e.g. as demonstrated through funnel plot or sensitivity analyses?"},{"code" : "comment","valueString" : "Sensitivity analysis is the process of accounting for the implications of missing or distorted data or modeling assumptions. The purpose of sensitivity analysis is to assess the robustness of findings given plausible variations in the context.\n\nMethods of sensitivity analysis to account for missing data include but are not limited to best-case scenario, worst-case scenario, and last-observation-carried-forward. Methods of sensitivity analysis to account for distorted data include but are not limited to intention-to-treat analysis, per-protocol analysis, and completer analysis.   Methods of sensitivity analysis to account for modeling assumptions include but are not limited to variations in prior probabilities and changes in the statistical model.\n\nThe targets and types of sensitivity analyses needed depend on the research question, the research design, the data, modeling assumptions (both verifiable and unverifiable from the data), and the context of the results interpretation. The adequacy of sensitivity analysis is assessed on the basis of the targets and types of sensitivity analyses reported.\n\nThe term 'inadequate sensitivity analysis' matches the ROBIS signaling question 4.5 ''Were the findings robust, e.g. as demonstrated through funnel plot or sensitivity analyses?'\n\nA funnel plot may be used to detect missing data due to publication bias. Although funnel plot asymmetry has been equated with publication bias, the funnel plot displays a tendency for the intervention effects estimated in smaller studies to differ from those estimated in larger studies, and such small-study effects may be due to reasons other than publication bias. (Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315: 629-634.) Consider also [inadequate accounting for heterogeneity](https://fevir.net/resources/CodeSystem/27270#SEVCO:00347).\n\nAn inadequate sensitivity analysis does not result in a bias in the effect estimates, but may result in a bias in the interpretations derived from the effect estimates."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Saphia Mokrane, Homa Keshavarz, Joanne Dehnbostel, Harold Lehmann, Airton Stein"},{"code" : "negative-vote","valueString" : "2024-07-05 vote 4-1 by C P Ooi, Sheyu Li, Lenny Vasanthan, Eric Harvey, Harold Lehmann\n2024-07-12 vote 6-1 by Paul Whaley, Cauê Monaco, Sheyu Li, Philippe Rocca-Serra, Lenny Vasanthan, Saphia Mokrane, Eric Harvey\n2024-07-19 vote 5-1 by Carlos Alva-Diaz, Sheyu Li, Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-07-05 comments re: \"inadequate sensitivity analysis\" = \"A synthesis bias due to inadequate approach to determine the magnitude or implications of missing or distorted data.\"\n1N) My understanding of the main purpose of sensitivity analysis can be testing the robustness of the findings and determining  its impact factors. \n2) (The paragraph on funnel plot sounds more textbooky/prescriptive information than we have generally provided, but I'm not against including it.)\n\n2024-07-12 comment re: \"inadequate sensitivity analysis\" = \"An analysis bias due to inadequate approach to determine the implications of missing data, distorted data, or modeling assumptions.\"\n1N) Need explanation regarding the term 'inadequate', which reflects clinical impact of this inadequate. \n\n2024-07-19 comments re: \"inadequate sensitivity analysis\" = \"An analysis bias due to inadequate approach to determine the implications of missing data, distorted data, or modeling assumptions.\"\n1N)\nThe sensitivity analyses achieves multiple targets including but not limited to the quoted ones. But all try to make sure the robustness of the findings given heterogeneous research approaches. For the definition, it is good to quote the definition of sensitivity analysis, especially its purpose. \n\nAlso, inadequate sensitivity analysis is rather a bias, but a failure to reach to purpose of sensitivity analysis. \n2Y)\nI am not suggesting changes, but I had to ask chatGPT today about sensitivity analysis. This was its response:\n\nSensitivity analysis is a technique used in the context of analyzing real-world data to assess how the results of a study or model are affected by changes in the input parameters or assumptions. It helps to understand the robustness of the findings and identify which variables have the most significant impact on the outcomes. Sensitivity analysis is particularly useful in fields such as economics, healthcare, environmental science, and engineering, where models often rely on uncertain or variable data inputs.\n\nKey Aspects of Sensitivity Analysis\nPurpose:\n\nTo evaluate the stability and reliability of the results.\nTo identify critical variables that significantly influence the outcomes.\nTo assess the impact of uncertainty in input parameters on the conclusions.\nApplications:\n\nIn healthcare, sensitivity analysis can be used to determine how different clinical assumptions affect health outcomes or cost-effectiveness in medical studies.\nIn environmental science, it can help assess the effect of varying environmental parameters on pollution models.\nIn economics, it evaluates how changes in economic indicators impact financial models or forecasts.\nTypes of Sensitivity Analysis:\n\nDeterministic Sensitivity Analysis: This involves systematically changing one parameter at a time while keeping others constant to observe the effect on the outcome.\nProbabilistic Sensitivity Analysis: This involves changing multiple parameters simultaneously, often using statistical distributions to model uncertainty and variability in the inputs.\nScenario Analysis: Examining different possible future scenarios by varying several parameters together to understand potential outcomes under different conditions.\nLocal Sensitivity Analysis: Focuses on small changes around a baseline value of the parameters to assess local impact.\nGlobal Sensitivity Analysis: Assesses the impact of varying all parameters over their entire range to understand the overall influence on the model.\nre: \"inadequate sensitivity analysis\" = \"An analysis bias due to inadequate approach to determine the implications of missing data, distorted data, or modeling assumptions.\""},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00322","display" : "final model not corresponding to multivariable analysis","definition" : "An analysis bias in which the predictors and coefficients in the final model do not match the predictors and coefficients reported in the multivariable analysis.","property" : [{"code" : "external-definitions","valueString" : "from PROBAST:\n4.9 Do predictors and their assigned weights in the final model correspond to the results from the reported multivariable analysis? (Model development studies only)\n\nPredictors and coefficients of the final developed model, including intercept or baseline components, should be fully reported to allow others to correctly apply the model to other individuals. Mismatch between the presented final model and the reported results from the multivariable analysis (such as the intercept and predictor coefficients) is frequent. A review of prediction models in cancer in 2010 found that only 13 of 38 final prediction model equations (34%) used the same predictors and coefficients as the final presented multivariable analyses, 8 used the same predictors but different coefficients, 11 used neither the same coefficients nor the same predictors, and 6 used an unclear method to derive the final prediction model from the presented results of the multivariable analysis (121).\n\nBias can arise when the presented final model and the results reported from the multivariable analysis do not match. One way this can occur is when nonsignificant predictors are dropped from a larger model to arrive at a final presented model but the predictor coefficients from the larger model are used to define the final model, which are no longer correct. When predictors are dropped from a larger model, it is important to reestimate all predictor coefficients of the smaller model because the latter has become the final model. These newly estimated predictor coefficients are likely different even if nonsignificant or irrelevant predictors from the larger model are dropped.\n\nWhen a study reports a final model in which both predictors and regression coefficients correspond to the reported results of the multivariable regression analysis or model, this question should be answered as Y. If the final model is based only on a selection of predictors from the reported multivariable regression analysis without refitting the smaller model, it should be answered as N or PN. When no information is given on the multivariable modeling from which predictors and regression coefficients are derived, it should be answered as NI.\n\nThis signaling question is not about detecting improper methods of selecting predictors for the final model; such methods are addressed in signaling question 4.5."},{"code" : "comment","valueString" : "This type of bias is applicable to model development studies and model selection within other study designs."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2023-12-08 vote 5-0 by Brian S. Alper, Harold Lehmann, Javier Bracchiglione, Yasser Sami Amer, Eric Harvey"}]},{"code" : "SEVCO:00310","display" : "cognitive interpretive bias affecting analysis","definition" : "A bias related to the analytic process due to the subjective nature of human interpretation.","property" : [{"code" : "comment","valueString" : "The Cognitive Interpretive Bias affecting analysis can be mitigated by masking the analyst as to the assignments for the groups, and by specification of the analysis prior to data availability."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2022-11-18 vote 6-0 by Mahnoor Ahmed, Yuan Gao, Harold Lehmann, Jesus Lopez-Alcalde, Paul Whaley, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00379","display" : "cognitive interpretive bias affecting analysis selection","definition" : "A bias related to selection of the analysis due to the subjective nature of human interpretation.","property" : [{"code" : "comment","valueString" : "Bias related to selection of the analysis is defined as an analysis bias due to inappropriate choice of analysis methods before the analysis is applied.\n\nThe Cognitive Interpretive Bias affecting analysis selection can be mitigated by masking the analyst as to the assignments for the groups, and by specification of the analysis prior to data availability."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-29 vote 5-0 by Janice Tufte, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00315","display" : "availability bias affecting analysis selection","definition" : "A Cognitive Interpretive Bias due to the use of information which is most readily available, rather than information which is most representative, affecting analysis selection.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Janice Tufte, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "Catalogue of Bias:\nAvailability bias\nA distortion that arises from the use of information which is most readily available, rather than that which is necessarily most representative."},{"code" : "negative-vote","valueString" : "2022-08-12 vote 4-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey\n2022-08-19 vote 5-1 by Paul Whaley, Mario Tristan, Harold Lehmann, Janice Tufte, Eric Harvey, Philippe Rocca-Serra"},{"code" : "expert-comments","valueString" : "2022-08-12 comment: Clarify as to whether this is exclusively about cognitive availability? Seems ambiguous in current phrasing. Would suggest comment for application to make clear specific circumstances in which this applies.\n\n2022-08-19 comment: The definition is ambiguous about whether limits on access to the information is cognitive (e.g. familiarity) or otherwise. Also, the definition specifies \"information\" when the thing being selected is a technique for analysing information."},{"code" : "comment","valueString" : "Selection of inappropriate data or variables for analysis is an availability bias when the appropriate data or variables are not readily available to the analyst and therefore the appropriate analysis is not selected.\n\nSelection of an inappropriate analysis due to familiarity with the analytic techniques is an availability bias when the appropriate technique is unfamiliar and therefore not selected. \n\nThe term \"Availability bias affecting analysis selection\" is about selection of the analysis and not about missing data."},{"code" : "approval","valueString" : "2022-08-26 vote 7-0 by nisha mathew, Philippe Rocca-Serra, Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey"}]}]},{"code" : "SEVCO:00380","display" : "cognitive interpretive bias affecting execution of the analysis","definition" : "A bias in processing of data due to the subjective nature of human interpretation.","property" : [{"code" : "comment","valueString" : "Bias in processing of data is defined as an analysis bias due to inappropriate decisions pertaining to preparation of data for analysis and/or conduct of the analysis.\n\nThis bias may be mitigated by the partial masking or blinding of the individuals conducting the analysis."},{"code" : "editors","valueString" : "Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte, Paul Whaley, Yuan Gao, Harold Lehmann, Brian S. Alper"},{"code" : "approval","valueString" : "2022-12-02 vote 6-0 by Mario Tristan,  Yuan Gao, Mahnoor Ahmed, Muhammad Afzal, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00296","display" : "lack of blinding of data analysts","definition" : "A cognitive interpretive bias affecting execution of the analysis due to the analyst's awareness of the participants' status with respect to the variables defining the comparison groups.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lack of masking of data analysts"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Janice Tufte, Joanne Dehnbostel, Paul Whaley"},{"code" : "approval","valueString" : "2022-12-02 vote 5-0 by Mario Tristan, Mahnoor Ahmed, Muhammad Afzal, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-12-02 comment: Should it be participants' statuses --- EWG discussion notes that \"status\" can be used for the plural"}]}]}]},{"code" : "SEVCO:00392","display" : "inappropriate weighting bias","definition" : "An analysis bias in which the weights used in model construction do not align with the target of estimation or estimand.","property" : [{"code" : "comment","valueString" : "This bias often occurs with the omission of sampling weights in a model or in the process of trying to mitigate misrepresentation of a population due to sampling.\nOne example is use of an unweighted model with National Health and Nutrition Examination Survey (NHANES) data.\nThis bias occurs when attempting to reweight imbalanced classes in a model to make them representative of the source population, when weights drive estimation away from the target."},{"code" : "approval","valueString" : "2023-10-13 vote 6-0 by Louis Leff, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley, Janice Tufte"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins"}]},{"code" : "SEVCO:00026","display" : "synthesis bias","definition" : "A bias in the conduct of an analysis combining two or more studies or datasets.","property" : [{"code" : "comment","valueString" : "A synthesis bias results from methods used to select, manipulate or interpret data for evidence synthesis."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-05-17 vote 5-0 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Harold Lehmann"}],"concept" : [{"code" : "SEVCO:00346","display" : "bias related to selection of the analytic framework for synthesis","definition" : "A synthesis bias resulting from an analytic approach that is not suitable for the included studies.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.3 Was the synthesis appropriate given the nature and similarity in the research questions, study designs and outcomes across included studies?"},{"code" : "comment","valueString" : "The term 'synthesis bias related to selection of the analytic framework' used for a systematic review or synthesis is equivalent to the term  [bias related to selection of the analytic framework](#SEVCO:00378) used for a single study. An analytic framework is the model, scaffolding, or organizational representation of concepts used in analyzing the data. The concepts included in an analytic framework may involve data, variables, formulas, assumptions, and adjustments.\nIf the analytic framework selected for synthesis does not match the data and research question, there is a risk of distorted results which constitutes bias.\nThe term 'bias related to selection of the analytic framework for synthesis' matches the ROBIS signaling question 4.3 'Was the synthesis appropriate given the nature and similarity in the research questions, study designs and outcomes across included studies?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-06-07 vote 5-1 by Sean Grant, Sheyu Li, Lenny Vasanthan, Harold Lehmann, Eric Harvey, Carlos Alva-Diaz\n2024-06-14 vote 8-1 by Carlos Alva-Diaz, Yaowaluk Ngoenwiwatkul, Homa Keshavarz, Sean Grant, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte"},{"code" : "expert-comments","valueString" : "2024-06-07 comment:  The term itself is new to me: is there a more established term?\n\n2024-06-14  comments re: \"bias related to selection of the analytic framework for synthesis\" = \"A synthesis bias resulting from an analytic approach that is not suitable for the included studies.\"\n1N) As above, I understand the concept though I am not clear how this is a \"bias\"? \"Not suitable\" also sounds like poor study execution rather than a bias.\n2) Have we been consistent in other Comments for application in matching the signaling questions?"},{"code" : "approval","valueString" : "2024-06-21 vote 8-0 by Cauê Monaco, Lenny Vasanthan, Homa Keshavarz, Yaowaluk Ngoenwiwatkul, Harold Lehmann, Sean Grant, Eric Harvey, Carlos Alva-Diaz"}]},{"code" : "SEVCO:00347","display" : "inadequate accounting for heterogeneity","definition" : "A synthesis bias due to inadequate approach to determine the magnitude, cause, or implications of variation among studies.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 4.4 Was between-study variation (heterogeneity) minimal or addressed in the synthesis?"},{"code" : "comment","valueString" : "Adequate accounting for variation among studies includes measuring the variation among studies, determining if substantial variation is systematic or random, and addressing the implications of substantial variation if present.\nThe term 'inadequate accounting for heterogeneity' matches the ROBIS signaling question 4.4 'Was between-study variation (heterogeneity) minimal or addressed in the synthesis?'\n\n[Bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00001) is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). [Synthesis bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00026) is defined as a bias in the conduct of an analysis combining two or more studies or datasets. An inadequate approach to the accounting for heterogeneity in the conduct of an evidence synthesis can introduce or obscure a systematic distortion in research results."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Homa Keshavarz, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-06-21 vote 5-2 by Cauê Monaco, Lenny Vasanthan, Homa Keshavarz, Yaowaluk Ngoenwiwatkul, Harold Lehmann, Sean Grant, Eric Harvey\n2024-06-28 vote 6-1 by Harold Lehmann, Lenny Vasanthan, Homa Keshavarz, Sean Grant, Philippe Rocca-Serra, Eric Harvey, Sheyu Li"},{"code" : "expert-comments","valueString" : "2024-06-21 comments re: \"bias related to accounting for heterogeneity\" = \"A synthesis bias due to inadequate accounting for variation among studies.\"\n1N) Missing text: \"The term \" matches...\"\n2N) Not clear how this is a \"bias\" rather than a low-quality review?\n\n2024-06-28 comment re: \"inadequate accounting for heterogeneity\" = \"A synthesis bias due to inadequate approach to determine the magnitude, cause, or implications of variation among studies.\"\nThis again does not sound like a \"bias\" to me. Perhaps it contributes to a bias, though it sounds more like poor execution of an evidence synthesis rather than a \"bias\""},{"code" : "approval","valueString" : "2024-07-05 vote 6-0 by Cauê Monaco, C P Ooi, Sheyu Li, Lenny Vasanthan, Eric Harvey, Harold Lehmann"}]},{"code" : "SEVCO:00349","display" : "inadequate accounting for bias in constituent studies","definition" : "A synthesis bias due to inadequate approach to determine the risks of bias in the studies selected for synthesis or the implications of those risks.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.4 Was risk of bias (or methodological quality) formally assessed using appropriate criteria?\nROBIS 3.5 Were efforts made to minimise error in risk of bias assessment?\nROBIS 4.6 Were biases in primary studies minimal or addressed in the synthesis?"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}],"concept" : [{"code" : "SEVCO:00353","display" : "inadequate criteria for methodologic quality assessment","definition" : "A synthesis bias due to inadequate criteria to determine the risks of bias in the studies selected for synthesis.","property" : [{"code" : "comment","valueString" : "The term 'inadequate criteria for methodologic quality assessment' matches the ROBIS signaling question 3.4 'Was risk of bias (or methodological quality) formally assessed using appropriate criteria?'"},{"code" : "external-definitions","valueString" : "ROBIS 3.4 Was risk of bias (or methodological quality) formally assessed using appropriate criteria?"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00354","display" : "inadequate process for methodologic quality assessment","definition" : "A synthesis bias due to inadequate process to determine the risks of bias in the studies selected for synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.5 Were efforts made to minimise error in risk of bias assessment?"},{"code" : "comment","valueString" : "The term 'inadequate process for methodologic quality assessment' matches the ROBIS signaling question 3.5 'Were efforts made to minimise error in risk of bias assessment?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00396","display" : "inadequate adjusting for bias in constituent studies","definition" : "A synthesis bias due to inadequate approach to determine the implications of bias in the studies selected for synthesis.","property" : [{"code" : "comment","valueString" : "The term 'inadequate adjusting for bias in constituent studies' matches the ROBIS signaling question 4.6 'Were biases in primary studies minimal or addressed in the synthesis?'"},{"code" : "external-definitions","valueString" : "ROBIS 4.6 Were biases in primary studies minimal or addressed in the synthesis?"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Homa Keshavarz, Airton Stein"},{"code" : "approval","valueString" : "2024-07-26 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]}]},{"code" : "SEVCO:00369","display" : "inadequate process for data extraction","definition" : "A synthesis bias due to inadequate process to select and abstract the data from the included studies or datasets.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.1 Were efforts made to minimise error in data collection?"},{"code" : "comment","valueString" : "The term 'inadequate process for data extraction' matches the ROBIS signaling question 3.1 'Were efforts made to minimise error in data collection?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-08-02 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00351","display" : "inadequate study characteristics available for results interpretation","definition" : "A synthesis bias due to inadequate availability of information regarding design, data collection, analysis or reporting for the study results or datasets collected for synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.2 Were sufficient study characteristics available for both review authors and readers to be able to interpret the results?"},{"code" : "comment","valueString" : "The term 'inadequate study characteristics available for results interpretation' matches the ROBIS signaling question 3.2 'Were sufficient study characteristics available for both review authors and readers to be able to interpret the results?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-08-02 vote 5-0 by Harold Lehmann, Homa Keshavarz, Lenny Vasanthan, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00352","display" : "bias related to selection of the data for synthesis","definition" : "A synthesis bias due to inappropriate choice of study results included in the synthesis.","property" : [{"code" : "external-definitions","valueString" : "ROBIS 3.3 Were all relevant study results collected for use in the synthesis?"},{"code" : "comment","valueString" : "Selection of study results may occur before or after data extraction and transformation. The process of extracting results from a study involves identifying, collecting, and recording the findings (quantitative or qualitative) that are relevant for synthesis. The process of transformation may include unit of measure changes, other data harmonization, or statistical transformations so the data can be integrated into a meta-analysis.\nAnother reason for not including a relevant study result is the failure to contact the study investigators for missing data.\nIf the data selected for synthesis does not match the data that is available, there is a risk of distorted results which constitutes bias.\nThe term 'bias related to selection of the data for synthesis' matches the ROBIS signaling question 3.3 'Were all relevant study results collected for use in the synthesis?'"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein"},{"code" : "negative-vote","valueString" : "2024-08-09 vote 6-1 by Harold Lehmann, Homa Keshavarz, Sheyu Li, Sean Grant, Eric Harvey, Lenny Vasanthan, Airton Tetelbom Stein\n2024-08-16 vote 5-1 by Cauê Monaco, Bhagvan Kommadi, Jennifer Hunter, Eric Harvey, Harold Lehmann, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-08-09 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of study results included in the synthesis before the synthesis is applied.\"\n1N)\nOnce again, what is the difference between this bias and selection bias?  Similar comments with above. \n\n\n2024-08-16 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of study results included in the synthesis.\"\n1N)\nI'm unsure that \"and appropriate for synthesis\" is correct. For instance, an included study may have measured the outcome of interest but not reported the results in a way that can be used in the planned meta-analysis (e.g., only the p value is reported, or no SDM/SE is reported). Even though the results cannot be used (i.e., are not appropriate) for the meta-analysis, there is still a risk of distorted results which constitutes bias. Perhaps I am mistaken, and this bias only refers to errors of judgement by the reviewers.\n\nDo we need to mention some examples relevant to selection bias arising after data extraction? e.g., failing to undertake appropriate statistical transformations so that the reported results can be used in a meta-analysis.\n\nAnother reason for not including a relevant study result is the failure to contact the study investigators for missing data. Does this need to be mentioned here or is it covered under a different term? If this term is supposed to map to  ROBIS 3.3., then this is another example of not collecting relevant results.\n\n2024-08-23 comment re: \"bias related to selection of the data for synthesis\" = \"A synthesis bias due to inappropriate choice of study results included in the synthesis.\"\n1Y)\nIt might be good to mention conditions when the study selection happens after data extraction and transformation.\n\nOne question - if anyone is working on an update of a review and if the previous author team havent selected the appropriate data in their included studies and the current team have published an update without updating the study results of the previously included studies, how do we handle that here?"},{"code" : "approval","valueString" : "2024-08-23 vote 9-0 by Carlos Alva-Diaz, Elma OMERAGIC, Lenny Vasanthan, Harold Lehmann, Philippe Rocca-Serra, Eric Harvey, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz"}]}]},{"code" : "SEVCO:00320","display" : "inappropriate evaluation of predictive model performance measures","definition" : "An analysis bias in which the method for analysis of a performance measure (such as calibration or discrimination) is not adequate or suitable for the predictive model.","property" : [{"code" : "comment","valueString" : "According to PROBAST explanation, to fully gauge the predictive performance of a model, reviewers must assess both model calibration and discrimination (such as the c-index) addressing the entire range of the model-predicted probabilities. (https://www.acpjournals.org/doi/10.7326/M18-1377)"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley, Janice Tufte"}],"concept" : [{"code" : "SEVCO:00393","display" : "inappropriate evaluation of calibration of predictive model","definition" : "An analysis bias in which the method for analysis of calibration is not adequate or suitable for the predictive model.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-06 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley, Janice Tufte"},{"code" : "expert-comments","valueString" : "2023-10-06 comment: Is the bias because an analyst prefers one model over another when there might be a more appropriate one ( perhaps the analyst is not familiar with?)"}]},{"code" : "SEVCO:00394","display" : "inappropriate evaluation of discrimination of predictive model","definition" : "An analysis bias in which the method for analysis of discrimination is not adequate or suitable for the predictive model.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-13 vote 5-0 by Louis Leff, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey, Paul Whaley"}]},{"code" : "SEVCO:00321","display" : "model overfitting","definition" : "An analysis bias, specific to predictive model development studies, in which strategies to mitigate overfitting are not adequately applied.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "comment","valueString" : "Predictive model performance measures (calibration and discrimination) may be misinterpreted if there are no strategies to mitigate overfitting.  This applies to development studies without external validation studies. Strategies to mitigate overfitting may include penalization/regularization, k-fold cross validation, train-test/validation split, etc.\n\nFrom the PROBAST explanation (https://www.acpjournals.org/doi/10.7326/M18-1377):  \"quantifying the predictive performance of a model on the same data from which the model was developed (apparent performance) tends to give optimistic estimates of performance due to overfitting—that is, the model is too much adapted to the development data set. This optimism is higher when any of the following are present: too few outcome events in total, too few outcome events relative to the number of candidate predictors (small EPV), dichotomization of continuous predictors, use of predictor selection strategies based on univariable analyses, or use of traditional stepwise predictor selection strategies (for example, forward or backward selection) in multivariable analysis in small data sets (small EPV)\""},{"code" : "negative-vote","valueString" : "2023-10-06 vote 3-1 by Jesus Lopez-Alcalde, Eric Harvey, Paul Whaley, Janice Tufte"},{"code" : "expert-comments","valueString" : "2023-10-06 comments: I am not sure about having a preferred term that actually consists of two terms - overfit and optimism. Is one a synonym of the other?\nOptimism- being too over optimistic and fitting things into the model that really were not defined early on? (adding inappropriate data that can skew the outcomes?)"},{"code" : "approval","valueString" : "2023-10-20 vote 5-0 by Muhammad Afzal, Eric Harvey, Harold Lehmann, Louis Leff, Joanne Dehnbostel"}]}]}]},{"code" : "SEVCO:00023","display" : "reporting bias","definition" : "A bias due to distortions in the selection of or representation of information in study results or research findings.","property" : [{"code" : "external-definitions","valueString" : "CoB: Reporting biases = A systematic distortion that arises from the selective disclosure or withholding of information by parties involved in the design, conduct, analysis, or dissemination of a study or research findings (https://catalogofbias.org/biases/reporting-biases/) also notes: The Dictionary of Epidemiology defines reporting bias as the “selective revelation or suppression of information (e.g., about past medical history, smoking, sexual experiences) or of study results.”\nThe Cochrane Handbook states it arises “when the dissemination of research findings is influenced by the nature and direction of results.”\nThe James Lind Library states “biased reporting of research occurs when the direction or statistical significance of results influence whether and how research is reported.”\nQUIPS: The Statistical Analysis and Reporting domain addresses the appropriateness of the study’s statistical analysis and completeness of reporting. It helps the assessor judge whether results are likely to be spurious or biased because of analysis or reporting. To make this judgment, the assessor considers the data presented to determine the adequacy of the analytic strategy and model-building process and investigates concerns about selective reporting. Selective reporting is an important issue in prognostic factor reviews because studies commonly report only factors positively associated with outcomes. A study would be considered to have low risk of bias if the statistical analysis is appropriate for the data, statistical assumptions are satisfied, and all primary outcomes are reported.\nROB2 = This domain addresses bias that arises because the reported result is selected (based on its direction, magnitude or statistical significance) from among multiple intervention effect estimates that were calculated by the trial investigators. We call this bias in selection of the reported result. Consideration of risk of bias requires distinction between:\n• An outcome domain. This is a state or endpoint of interest, irrespective of how it is measured (e.g. severity\nof depression);\n• An outcome measurement. This is a specific way in which an outcome domain is measured (e.g. measurement of depression using the Hamilton rating scale 6 weeks after starting intervention); and \n• An outcome analysis. This is a specific result obtained by analysing one or more outcome measurements (e.g. the difference in mean change in Hamilton rating scale scores from baseline to 6 weeks between experimental and comparator groups). This domain does not address bias due to selective non-reporting (or incomplete reporting) of outcome domains that were measured and analysed by the trial investigators (115). For example, deaths of trial participants may be recorded by the trialists, but the reports of the trial might contain no mortality data, or state only that the intervention effect estimate for mortality was not statistically significant. Such bias puts the result of a synthesis at risk because results are omitted based on their direction, magnitude or statistical significance. It should therefore be addressed at the review level, as part of an integrated assessment of the risk of reporting bias (116).\nROBINS-I = Bias in selection of the reported result"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao"},{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])."},{"code" : "approval","valueString" : "2022-10-21 vote 7-0 by Philippe Rocca-Serra, Harold Lehmann, Joanne Dehnbostel, Mario Tristan, Brian Alper, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00024","display" : "selective reporting bias","definition" : "A reporting bias due to inappropriate selection of the results or research findings that are reported.","property" : [{"code" : "external-definitions","valueString" : "MASTER-31. There was no discernible data dredging or selective reporting of the outcomes"},{"code" : "comment","valueString" : "A <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao, Janice Tufte"},{"code" : "approval","valueString" : "2023-01-06 vote 5-0 by Harold Lehmann, Yuan Gao, Janice Tufte, Eric Harvey, Mario Tristan"}],"concept" : [{"code" : "SEVCO:00330","display" : "selective outcome reporting","definition" : "A selective reporting bias due to inappropriate selection of which outcomes are reported within results or research findings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "outcome reporting bias"}],"property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-01-13 vote 5-0 by Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00336","display" : "selective outcome measure reporting","definition" : "A selective reporting bias due to inappropriate selection of which outcome measures are reported for an outcome.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective outcome measure reporting within outcome domain"}],"property" : [{"code" : "comment","valueString" : "Selective outcome measure reporting may be considered a type of selective outcome reporting in which the measurement method for determination of the outcome is interpreted as a distinct outcome.\nA selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Paul Whaley"},{"code" : "approval","valueString" : "2023-01-13 vote 5-0 by Harold Lehmann, Joanne Dehnbostel, Paul Whaley, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00331","display" : "selective subgroup reporting","definition" : "A selective reporting bias due to inappropriate selection of subsets of groups of participants for which results or research findings are reported.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subgroup reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "subgroup analysis reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective subgroup analysis reporting"}],"property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings.\nSelective subgroup reporting relates to choice of attributes of participants within cohorts, for example reporting limited to male patients."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Paul Whaley, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-01-27 vote 7-0 by Janice Tufte, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Yuan Gao, Paul Whaley, Eric Harvey"}]},{"code" : "SEVCO:00331a","display" : "selective comparison reporting","definition" : "A selective reporting bias due to inappropriate selection of comparison groups for which results or research findings are reported.","property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings.\nSelective comparison reporting relates to choice of cohort definitions, for example an intention-to-treat analysis (as-randomized analysis) vs. an as-treated analysis."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Paul Whaley, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2023-01-20 vote 2-1 by Yuan Gao, Paul Whaley, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-01-20 comment: I don't see enough of a connection between the term (selective comparison) and the definition, which does not seem to talk about comparisons."},{"code" : "approval","valueString" : "2023-01-27 vote 6-0 by Janice Tufte, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Yuan Gao, Eric Harvey"}]},{"code" : "SEVCO:00333","display" : "selective analysis reporting from repeated analyses at multiple times","definition" : "A selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed at multiple points in time in a longitudinal study.","property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Janice Tufte, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-01-27 vote 6-0 by Janice Tufte, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Yuan Gao, Eric Harvey"}]},{"code" : "SEVCO:00334","display" : "selective analysis reporting from multiple analytic models","definition" : "A selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed in multiple ways.","property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings.\nAdjustment reporting bias, or selective reporting of adjusted estimates, is a type of selective analysis reporting from multiple analytic models."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-02-10 vote 6-0 by Cauê Monaco, Paul Whaley, Janice Tufte, Brian S. Alper, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00335","display" : "selective threshold reporting bias","definition" : "A selective reporting bias due to inappropriate selection of which thresholds (used for definitions of the variables) are reported.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective cutoff reporting bias"}],"property" : [{"code" : "comment","valueString" : "A selective reporting bias is a reporting bias due to inappropriate selection of the results or research findings that are reported.\nA <a href=\"https://fevir.net/resources/CodeSystem/27270#SEVCO:00023\" target=\"_blank\">reporting bias</a> is a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2023-02-10 vote 5-1 by Cauê Monaco, Paul Whaley, Janice Tufte, Brian S. Alper, Jesus Lopez-Alcalde, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-02-10 comment: I'm not clear how the definition relates specifically to reporting bias."},{"code" : "approval","valueString" : "2023-02-24 vote 7-0 by Harold Lehmann, Yasser Sami Amer, Mario Tristan, Paul Whaley, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey"}]}]},{"code" : "SEVCO:00025","display" : "cognitive interpretive bias in reporting","definition" : "A distortion in the representation of study results or research findings due to the subjective nature of human interpretation.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "spin bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cognitive interpretive bias for reporting"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective interpretation reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective representation reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cognitive interpretive reporting bias"}],"property" : [{"code" : "external-definitions","valueString" : "CoB: Spin bias = The intentional or unintentional distorted interpretation of research results, unjustifiably suggesting favourable or unfavourable findings that can result in misleading conclusions (https://catalogofbias.org/biases/spin-bias/)"},{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is about interpretation of the results rather than the choice of which results are presented (which would be Selective Reporting Bias).\nCognitive interpretive biases in reporting include selective theory reporting, confirmation bias, bias of rhetoric, novelty bias, popularity bias, and positive results bias."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Harold Lehmann, Janice Tufte, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2023-02-10 vote 4-1 by Cauê Monaco, Paul Whaley, Jesus Lopez-Alcalde, Janice Tuft, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-02-10 comment: I think the definition is sound but the comment for application should be extended to make it clearer that this is about interpretation of the results rather than the choice of which results are presented."},{"code" : "approval","valueString" : "2023-02-24 vote 7-0 by Harold Lehmann, Yasser Sami Amer, Mario Tristan, Paul Whaley, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00338","display" : "interpretation of results not addressing potential for bias","definition" : "A cognitive interpretive bias in reporting whereby the reported interpretation of results does not adequately address potential for bias.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interpretation of results not addressing risk of bias"}],"property" : [{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is defined as a distortion in the representation of study results or research findings due to the subjective nature of human interpretation.\nInterpretation of results not addressing potential for bias occurs when there is an absence of risk of bias assessment or incomplete inclusion of a risk of bias assessment in the interpretation of findings."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-03-03 vote 6-0 by A.G. Radhika, Cauê Monac, Janice Tufte, Harold Lehmann, Yasser Sami Amer, Eric Harvey"}]},{"code" : "SEVCO:00328","display" : "results emphasized based on statistical significance","definition" : "A cognitive interpretive bias in reporting whereby results with statistical significance are given exaggerated attention.","property" : [{"code" : "comment","valueString" : "This bias may occur in several ways. Results may be interpreted as \"positive\" or \"conclusive\" if below the significance threshold and \"negative\" or \"inconclusive\" if above the significance threshold without proper interpretation of the meaning of the significance threshold.  Results may be selectively emphasized in overall summarization of the results based on whether or not they are under the significance threshold. Results may be interpreted based on statistical significance instead of clinical significance, or results may misrepresent statistical significance and clinical significance as synonymous."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-04-07 vote 5-0 by Paul Whaley, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2023-04-07 comments:\nI support this term as written, although I would suggest that we consider adding that assessment of statistical significance without assessing clinical significance often  leads to this bias.\nI might suggest adding to Comment for application: \"Another mis-interpretation is when statistical significance confused with clinical significance.\""}]},{"code" : "SEVCO:00340","display" : "confirmation bias in reporting","definition" : "A cognitive interpretive bias in reporting due to the influence of an individual’s ideas, beliefs or hypotheses.","property" : [{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is defined as a distortion in the representation of study results or research findings due to the subjective nature of human interpretation."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-03-10 vote 8-0 by Joanne Dehnbostel, Mario Tristan, Harold Lehmann, Jesus Lopez-Alcalde, A.G. Rradhika, Janice Tufte, Eric Harvey, Cauê Monaco"}]},{"code" : "SEVCO:00329","display" : "external validity bias","definition" : "A cognitive interpretive bias in reporting due to a mismatch between what the observed data represent and the results that were reported.","property" : [{"code" : "external-definitions","valueString" : "derived from ROBIS https://www.bristol.ac.uk/media-library/sites/social-community-medicine/robis/ROBIS%201.2%20Clean.pdf"},{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings.\nCognitive interpretive bias in reporting is defined as a distortion in the representation of study results or research findings due to the subjective nature of human interpretation.\nIn the assessment of systematic reviews, this type of bias can be phrased as \"Relevance of studies to research question not appropriately considered\"."},{"code" : "editors","valueString" : "Brian S. Alper, Paul Whaley, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-4-14 by Janice Tufte, Eric Harvey, Harold Lehmann, Joanne Dehnbostel, Jesus Lopez-Alcalde"}]}]},{"code" : "SEVCO:00327","display" : "early dissemination bias","definition" : "A reporting bias due to publication or reporting of results or research findings that change in subsequent reports.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "preliminary reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "early reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interim reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "early publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "interim publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "premature publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "preliminary publication bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "premature reporting bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "premature dissemination bias"}],"property" : [{"code" : "comment","valueString" : "One form of Early dissemination bias is the reporting of results in preprints or early versions during the peer review and publication process not matching the subsequent reports.\nAnother form of Early dissemination bias is the reporting of interim results (even if fully peer reviewed) when a study is ongoing and more data will be analyzed for the final results.\nThis bias may result from failure to disclose that the results are preliminary or subject to change.\nThis definition is not meant to indicate that preprints are inherently biased."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Paul Whaley"},{"code" : "negative-vote","valueString" : "2023-04-07 vote 3-1 by Eric Harvey, Harold Lehmann, Paul Whaley, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2023-04-14 comments:\nShould we make clear in Comment for Application that preprints represent *potential* bias, because preprinting does not prima facie mean bias?\nIt seems to me that the bias falls where the results do ot carefully convey that they are preliminary or early AND not to be read as final results -maybe could be word smithed Do you mean someone is reporting without full disclosure\n2023-04-07 comments:\nI would suggest \"One form of potential Premature...\", since prima facie, premature reporting does not *have* to be biased.\nI feel that \"reporting bias\" has the same issue of being semantically loaded as \"publication bias\" - the problem is premature dissemination of results, via reporting them, publishing them, putting them in a press release, etc. So maybe \"premature dissemination bias\" could be considered as the preferred term? And then we could even consider \"early dissemination bias\" as that feels more objective than \"premature\", now that it is phrased this way."},{"code" : "approval","valueString" : "2023-04-14 by Janice Tufte, Eric Harvey, Harold Lehmann, Jesus Lopez-Alcalde, Joanne Dehnbostel"}]},{"code" : "SEVCO:00384","display" : "fabrication bias","definition" : "A reporting bias resulting from intentional misrepresentation of any part of the study.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "fraud"}],"property" : [{"code" : "comment","valueString" : "Examples include plagiarism, unjustified authorship, data manipulation, and intentional misrepresentation of figures and charts. Applying this code is a serious allegation of wrongdoing."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2023-04-21 vote 5-0 by Brian S. Alper, Janice Tufte, Harold Lehmann, Cauê Monaco, Eric Harvey"}]},{"code" : "SEVCO:00359","display" : "unsubstantiated interpretation of results","definition" : "A reporting bias in which the interpretation of results is not adequately supported by the data collected.","property" : [{"code" : "comment","valueString" : "Reporting bias is defined as a bias due to distortions in the selection of or representation of information in study results or research findings."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Caue Monaco, Li Wang, Harold Lehmann"},{"code" : "approval","valueString" : "2023-12-22 vote 5-0 Eric Harvey, Caue Monaco, Janice Tufte, Paul Whaley, Joanne Dehnbostel"}]},{"code" : "SEVCO:00271","display" : "one-sided reference bias","definition" : "A reporting bias in which included citations are limited to those that represent only some of the perspectives.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "selective citation bias"}],"property" : [{"code" : "external-definitions","valueString" : "Catalogue of Bias (https://catalogofbias.org/biases/one-sided-reference-bias/) One-sided reference bias\nWhen authors restrict their references to only those works that support their position.\nOne-sided reference bias occurs when a study author cites only publications that demonstrate one side of the picture of available evidence. This bias may arise when researchers cite publications that support their preconceptions or hypotheses, ignoring evidence that does not support their view. This can happen in any study report, but a particular problem arises when this occurs in literature reviews, which are supposed to represent a comprehensive collection of all relevant information, along with description and appraisal of quality and content. The result can be a misrepresentation of the current totality of evidence and can lead to spurious claims or needless additional research.\nCatalogue of Bias Collaboration, Spencer EA, Brassey J, Heneghan C. One-sided reference bias. In: Catalogue of Bias 2017 https://www.catalogofbias.org/biases/one-sided-reference-bias"},{"code" : "editors","valueString" : "Joanne Dehnbostel, Brian S. Alper, Kenneth Wilkins, Sheyu Li, Janice Tufte, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-05-17 comment: \"Perspective\" needs to be clarified in the Comment for application. For instance, \"perspective\" could mean patient vs provider vs society OR in favor of drug A vs in favor of drug B. [In general, considering that there's always discussion about a term, there should be some Comment for application.]\n\n2024-05-24 comment: Can we consider rephrasing the definition to -  A study selection bias in which included studies are limited to those that represent \"only \" one perspective"},{"code" : "negative-vote","valueString" : "2024-05-17 vote 4-1 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Harold Lehmann\n2024-05-24 vote 7-0 by Homa Keshavarz, Sheyu Li, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Janice Tufte, Saphia Mokrane"},{"code" : "comment","valueString" : "The term \"perspective\" covers a variety of contexts, such as a side of an argument or point of view."},{"code" : "approval","valueString" : "2024-05-31 vote 5-0 by Saphia Mokrane, Lenny Vasanthan, Sheyu Li, Eric Harvey, Homa Keshavarz"}]},{"code" : "SEVCO:00325","display" : "inadequate reporting of methods","definition" : "A reporting bias due to insufficient reporting of methods to determine the validity of the results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate reporting to assess analytic strategy"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate methods reporting bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2023-03-17 vote on \"Inadequate Reporting Bias\" 2-1 by Eric Harvey, Jesus Lopez-Alcalde, Janice Tufte\n2023-03-17 comment on \"Inadequate Reporting Bias\": Inadequate reporting of methods is covered by another term. Recommend changing this term to \"inadequate reporting of results\" or deleting this term if terms covering \"reporting results biases\" have already been established."},{"code" : "approval","valueString" : "2023-03-31 vote 5-0 by Harold Lehmann, Eric Harvey, Janice Tufte, Paola Rosati, Jesus Lopez-Alcalde"}]},{"code" : "SEVCO:00326","display" : "inadequate explanation of participant withdrawals","definition" : "A reporting bias due to insufficient reporting of reasons for withdrawals of participants after study enrollment.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate explanation of participant attrition"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "2023-03-31 vote 5-0 by Harold Lehmann, Eric Harvey, Janice Tufte, Paola Rosati, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2023-03-31 comment: Somewhere in this entry should be a link to the \"withdrawal\" SEVCO term. Or terms."}]}]},{"code" : "SEVCO:00028","display" : "qualitative research bias","definition" : "A bias specific to the design, conduct, analysis or reporting of qualitative research.","property" : [{"code" : "external-definitions","valueString" : "MMAT = “Qualitative research is an approach for exploring and understanding the meaning individuals or groups ascribe to a social or human problem” (Creswell, 2013b, p. 3)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Caue Monaco, Li Wang"},{"code" : "comment","valueString" : "Qualitative research is a research approach that studies subjective aspects of social phenomenon, human behavior, and human perception. Qualitative research may encompass any non-quantitative method of analysis. Qualitative research often explores the meaning individuals or groups assign to concepts.\n\nBias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand."},{"code" : "negative-vote","valueString" : "2023-12-08 vote 5-1 by Cauê Monaco, Harold Lehmann, Javier Bracchiglione, Janice Tufte, Yasser Sami Amer, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-12-08 comments:  Are the initial letters of each word really meant to be capitalized? Or they are this way by error?\nAs SEVCO states, bias relates to differences between the reported results and the actuality (the truth, the estimand). Qualitative research usually does not adopt a positivist approach, therefore, it does not assume there is necessarily one truth to be found. I think at some point (maybe in comments for application) this should be described.\n\n2023-12-15 comment: Qualitative research covers more than, \"subjective aspects of social phenomenon and human behavior\". For instance, I'm not sure this Comment covers usability or pain perception. How about, \"human perception\"?"},{"code" : "approval","valueString" : "2023-12-22 Vote 5-0 Caue Monaco, Eric Harvey, Janice Tufte, Paul Whaley, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00356","display" : "bias in qualitative research design","definition" : "A qualitative research bias in which the qualitative approach used in a study is not appropriate for the research question and problem.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Li Wang, Caue Monaco"},{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand.\n\nThe qualitative approach used in a study should be appropriate for the research question and problem.\n\nCommon qualitative research approaches include (this list is not exhaustive): \n\nEthnography - The aim of the study is to describe and interpret the shared cultural behavior of a group of individuals.\nPhenomenology - The study focuses on the subjective experiences and interpretations of a phenomenon encountered by individuals.\nNarrative research - The study analyzes life experiences of an individual or a group.\nGrounded theory - Generation of theory from data in the process of conducting research (data collection occurs first).\nCase study - In-depth exploration and/or explanation of issues intrinsic to a particular case. A case can be anything from a decision-making process, to a person, an organization, or a country.\nQualitative description - There is no specific methodology, but a qualitative data collection and analysis, e.g., in-depth interviews or focus groups, and hybrid thematic analysis (inductive and deductive). \n\nReference - Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon M-P, Griffiths F, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552), Canadian Intellectual Property Office, Industry Canada. Accessed at: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf"},{"code" : "expert-comments","valueString" : "2023-12-15 comment: (Ethnography could include grounded theory, so these are not a great pair.)\n\n2024-01-05 comment:\nI think there are some major problems with the definition and comment for application:\n- First, the definition is almost the same as the term, using basically the same words (so, it adds no new knowledge to the reader).\n- Second, the comment for application provides a more detailed approach to a definition than the definition itself (\"The qualitative approach used in a study should be appropriate for the research question and problem\").\n- Third, among the common qualitative research approaches included, there are some in which the term \"bias\" may not be so applicable. Hierarchically, this term comes from \"bias\", which is defined as \"A systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])\". So, we need an assumption of \"actuality\" for bias to exist. \nSome of the qualitative approaches described do not have that assumption. For example, phenomenology focuses on \"subjective experiences\", and grounded theory \"generates a theory\", which is not an \"actuality\" by itself. I think this comment is applicable to all of the terms related to qualitative bias."},{"code" : "negative-vote","valueString" : "2024-01-05 vote 4-1 by Javier Bracchiglione, Joanne Dehnbostel, Janice Tufte, Eric Harvey, Cauê Monaco"},{"code" : "approval","valueString" : "2024-01-19 vote 5-0 by Harold Lehmann, Brian S. Alper, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00357","display" : "bias in qualitative data collection methods","definition" : "A qualitative research bias in which the data sources, the methods of data collection, and the forms of data are not adequate or appropriate to address the research question.","property" : [{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand.\n\nThe data sources (e.g., archives, documents), the methods of data collection (e.g., in depth interviews, group interviews, and/or observations), and the forms of the data (e.g., tape recording, video material, diary, photo, and/or field notes) should be adequate and appropriate to address the research question. The term 'bias in qualitative data collection methods' may be supplemental to other terms for types of detection bias or types of selection bias."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Caue Monaco, Li Wang"},{"code" : "negative-vote","valueString" : "2024-01-05 vote 3-1 by Javier Bracchiglione, Janice Tufte, Eric Harvey, Cauê Monaco"},{"code" : "expert-comments","valueString" : "2024-01-05 comment: see 'bias in qualitative research design'"},{"code" : "approval","valueString" : "2024-01-19 vote 5-0 by Harold Lehmann, Brian S. Alper, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00358","display" : "bias in qualitative analysis","definition" : "A qualitative research bias in which the analysis approach is not appropriate for the research question and qualitative approach.","property" : [{"code" : "comment","valueString" : "Bias is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]). In qualitative research, the actuality may include multiple meanings that individuals or groups assign to concepts, and there is no quantitative estimand.\n\nThe analysis approach should be appropriate for the research question and qualitative approach (design). The term 'bias in qualitative analysis' may be supplemental to other terms for types of analysis bias.\nWhen interpretation is an integral part of qualitative analysis, bias in the interpretive analysis should use the term 'bias in qualitative analysis' rather than 'cognitive interpretive bias in reporting'."},{"code" : "editors","valueString" : "Brian S. Alper, Li Wang, Caue Monaco, Joanne Dehnbostel"},{"code" : "expert-comments","valueString" : "2023-12-15 comments: I suppose a \"guard rail\" would be, \"Were the methods described adequately, that they could be reproduced\", which is different from the bias itself\n\nI am not sure why sometimes terms include the word \"inadequate\" and sometimes \"inappropriate\"\n\n2024-01-05 comment: see 'bias in qualitative research design'"},{"code" : "negative-vote","valueString" : "2024-01-05 vote 3-1 by Javier Bracchiglione, Janice Tufte, Eric Harvey, Cauê Monaco"},{"code" : "approval","valueString" : "2024-01-19 vote 5-0 by Harold Lehmann, Brian S. Alper, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"}]},{"code" : "SEVCO:00360","display" : "incoherence among qualitative data, analysis, and interpretation","definition" : "A qualitative research bias in which there is any mismatch among hypothesis, data collected, data analysis, and results interpretation.","property" : [{"code" : "comment","valueString" : "The term mismatch applies to an inappropriate or wrong or inadequate relationship."},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Khalid Shahin, Xing Song"},{"code" : "negative-vote","valueString" : "2024-01-19 vote 3-1 by Harold Lehmann, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-01-19 comment: I think the definition should not start with \"There are...\". Maybe it should be more straightforward: \"Mismatch among (...)\"\n2024-02-02 comment: Does the phrase \"in the study report\" add value to the definition or add an unnecessary clause?\n2024-02-16 comment: The definition sounds coherent, but, as it is, I would argue that other previous concepts (e.g. \"study eligibility criteria not appropriate for review question\") could also be interpreted by this term."},{"code" : "approval","valueString" : "2024-03-08 vote 5-0 Homa Keshavarz, Eric Harvey, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan"}]}]},{"code" : "SEVCO:00029","display" : "mixed methods research bias","definition" : "A bias specific to the alignment of design, conduct, analysis or reporting of qualitative research and quantitative research within the same research project.","property" : [{"code" : "external-definitions","valueString" : "MMAT: Mixed methods (MM) research involves combining qualitative (QUAL) and quantitative (QUAN) methods. In this tool, to be considered MM, studies have to meet the following criteria (Creswell and Plano Clark, 2017): (a) at least one QUAL method and one QUAN method are combined; (b) each method is used rigorously in accordance to the generally accepted criteria in the area (or tradition) of research invoked; and (c) the combination of the methods is carried out at the minimum through a MM design (defined a priori, or emerging) and the integration of the QUAL and QUAN phases, results, and data"},{"code" : "comment","valueString" : "Mixed methods research is a research approach that combines both qualitative and quantitative research methods within a single study or research project. This methodology aims to provide a more comprehensive understanding of a research problem by integrating the strengths of both qualitative and quantitative research.\nExamples of mixed methods research include combining surveys with in-depth interviews, using quantitative data to identify patterns and trends followed by qualitative data to explore the underlying reasons and meanings, or incorporating qualitative findings to help interpret and validate quantitative results.\nOverall, mixed methods research provides a more holistic understanding of a research question by acknowledging and leveraging the strengths of both qualitative and quantitative approaches."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Javier Bracchiglione, Lenny Vasanthan, Eric Harvey"},{"code" : "negative-vote","valueString" : "2024-01-19 vote 3-1 by Harold Lehmann, Homa Keshavarz, Javier Bracchiglione, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-01-19 comment: I would say a bias is not applied to the \"coordination\" (this sounds more like an administrative issue)"}],"concept" : [{"code" : "SEVCO:00361","display" : "bias in mixed methods research design","definition" : "A mixed methods research bias in which the mixed methods approach used in a study is not appropriate for the research question and problem.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate rationale for mixed methods design"}],"property" : [{"code" : "comment","valueString" : "This signaling question in the Mixed Methods Assessment Tool (MMAT) is 5.1. Is there an adequate rationale for using a mixed methods design to address the research question? \n\nCommon mixed methods designs include:\n\nConvergent design\nThe QUAL and QUAN components are usually (but not necessarily) concomitant. The purpose is to examine the same phenomenon by interpreting QUAL and QUAN results (bringing data analysis together at the interpretation stage), or by integrating QUAL and QUAN datasets (e.g., data on same cases), or by transforming data (e.g., quantization of qualitative data).\n\nSequential explanatory design\nResults of the phase 1 - QUAN component inform the phase 2 - QUAL component. The purpose is to explain QUAN results using QUAL findings. E.g., the QUAN results guide the selection of QUAL data sources and data collection, and the QUAL findings contribute to the interpretation of QUAN results.\n\nSequential exploratory design\nResults of the phase 1 - QUAL component inform the phase 2 - QUAN component. The purpose is to explore, develop and test an instrument (or taxonomy), or a conceptual framework (or theoretical model). E.g., the QUAL findings inform the QUAN data collection, and the QUAN results allow a statistical generalization of the QUAL findings.\n\nKey references: Creswell et al. (2011); Creswell and Plano Clark, (2017); O'Cathain (2010)\n\nReference - Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon M-P, Griffiths F, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552), Canadian Intellectual Property Office, Industry Canada. Accessed at: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Brian S. Alper, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00362","display" : "ineffective integration of qualitative and quantitative study components","definition" : "A mixed methods research bias in which the qualitative research and quantitative research components are not adequately combined.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Brian S. Alper, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00363","display" : "inappropriate interpretation of integration of qualitative and quantitative findings","definition" : "A mixed methods research bias in which the process of combining the results of the constituent analyses is flawed.","property" : [{"code" : "comment","valueString" : "This criterion is related to meta-inference, which is defined as the overall interpretations derived from integrating qualitative and\nquantitative findings (Teddlie and Tashakkori, 2009). Meta-inference occurs during the interpretation of the findings from the\nintegration of the qualitative and quantitative components, and shows the added value of conducting a mixed methods study\nrather than having two separate studies. (Pluye et al 2018)"},{"code" : "editors","valueString" : "Harold Lehmann, Joanne Dehnbostel, Caue Monaco, Muhammad Afzal, Homa Keshavarz, Brian S. Alper, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "Pluye, P., Bengoechea, E.G., Granikov, V., Kaur, N., & Tang, D.L. (2018). A World of Possibilities in Mixed Methods: Review of the Combinations of Strategies Used to Integrate Qualitative and Quantitative Phases, Results and Data. INTERNATIONAL JOURNAL OF MULTIPLE RESEARCH APPROACHES. https://www.semanticscholar.org/paper/A-World-of-Possibilities-in-Mixed-Methods%3A-Review-Pluye-Bengoechea/21f292d0cb5cc07a982b240b17ff077fe4646632\n\nTeddlie, C. and Tashakkori, A. (2009) Foundations of Mixed Methods Research: Integrating Quantitative and Qualitative Approaches in the Social and Behavioral Sciences. Sage, London."},{"code" : "negative-vote","valueString" : "2024-01-19 vote 3-0 by Harold Lehmann, Eric Harvey, Homa Keshavarz BUT then the definition was changed in conference"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Brian S. Alper, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00364","display" : "inadequate handling of inconsistency between qualitative and quantitative findings","definition" : "A mixed methods research bias in which discrepancies in the results from the qualitative and quantitative components are not adequately addressed.","property" : [{"code" : "comment","valueString" : "When integrating the findings from the qualitative and quantitative components, divergences and inconsistencies (also called conflicts, contradictions, discordances, discrepancies, and dissonances) can be found. It is not sufficient to only report the divergences; they need to be explained. Different strategies to address the divergences have been suggested such as reconciliation, initiation, bracketing and exclusion (Pluye et al., 2009b). (Reference - Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon M-P, Griffiths F, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552), Canadian Intellectual Property Office, Industry Canada. Accessed at: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf)"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-02-23 vote 5-0 by Homa Keshavarz, Harold Lehmann, Xing Song, Lenny Vasanthan, Eric Harvey"}]}]},{"code" : "SEVCO:00030","display" : "bias in validation assessment","definition" : "A bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "validation bias"}],"property" : [{"code" : "external-definitions","valueString" : "PROBAST = ROB, which was defined to occur when shortcomings in study design, conduct, or analysis lead to systematically distorted estimates of model predictive performance. PROBAST enables a focused and transparent approach to assessing the ROB and applicability of studies that develop, validate, or update prediction models for individualized predictions. Prediction models are sometimes described as risk prediction models, predictive models, prediction indices or rules, or risk scores."},{"code" : "comment","valueString" : "Bias in validation assessment is often used for predictive model research and diagnostic research where optimal research design includes derivation studies and external validation studies.\n\nA 'validation study' has a validation goal where validation goal {SEVCO:01098} is defined as a study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nProcedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. External validation is tested in populations that differ from the source used for derivation of the procedure."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-10-27 vote 5-0 by Brian S. Alper, Eric Harvey, Yasser Sami Amer, Janice Tufte, Harold Lehmann"}],"concept" : [{"code" : "SEVCO:00368","display" : "bias in external validation assessment","definition" : "A bias in validation assessment using a sample source that differs from those used in the derivation of the procedure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate external validation assessment"}],"property" : [{"code" : "comment","valueString" : "Validation assessment is often used for predictive model research and diagnostic research where optimal research design includes derivation studies and external validation studies.\n\nA 'validation study' has a validation goal where validation goal {SEVCO:01098} is defined as a study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nProcedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. External validation is tested in populations that differ from the source used for derivation of the procedure.\n\nBias in validation assessment is defined as a bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nBias in external validation assessment may be used for absence of any external validation assessment or inadequacy in external validation assessment."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-11-26 vote 5-0 by Harold Lehmann, Muhammad Afzal, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "SEVCO:00367","display" : "bias in internal validation assessment","definition" : "A bias in validation assessment specific to a validation assessment that uses the same sample source that was used in the derivation of the procedure.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "inadequate internal validation assessment"}],"property" : [{"code" : "comment","valueString" : "Validation assessment is often used for predictive model research and diagnostic research where optimal research design includes derivation studies and external validation studies.\n\nA 'validation study' has a validation goal where validation goal {SEVCO:01098} is defined as a study goal with the intent to determine the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nProcedures that may be assessed in validation studies include predictive algorithms, measurement instruments, and educational materials. Internal validation is tested in populations from the source used for derivation of the procedure. \n\nModel derivation is often based on a portion of data available from a sample source, and internal validation is performed using the same sample data but a different set of data. \n\nWhereas external validation is tested in populations that differ from the source used for derivation of the procedure, internal validation is tested in the same population.\n\nBias in validation assessment is defined as a bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.\n\nBias in internal validation assessment may be used for absence of any internal validation assessment or inadequacy in internal validation assessment. A common cause of bias in internal validation assessment is validation using the same data that was used for derivation."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-12-01 vote 5-0 by Xing Song, Javier Bracchiglione, Harold Lehmann, Eric Harvey, Caue Monaco"}]}]},{"code" : "SEVCO:00370","display" : "early study termination bias","definition" : "A bias due to the decision to end the study earlier than planned.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "bias due to early study termination"}],"property" : [{"code" : "comment","valueString" : "Child terms (types of Early Study Termination Bias) may be used to report the reasons for bias in the decision to end the study earlier than planned. Bias resulting from the early study termination may be described with other terms in the code system."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Mario Tristan, Khalid Shahin, Harold Lehmann, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-04-01 vote 4-1 by Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Robin Ann Yurk, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-04-01 comment: Term Definition:  Simplify so it reads.\nA bias in the reported results due to early termination of a study resulting in incomplete data collection."},{"code" : "approval","valueString" : "2022-04-08 vote 6-0 by nelle.stocquart, nisha mathew, Mario Tristan, Robin Ann Yurk, Harold Lehmann, Joanne Dehnbostel"}],"concept" : [{"code" : "SEVCO:00371","display" : "early study termination bias due to competing interests","definition" : "An early study termination bias due to the decision to end the study being influenced by financial, commercial, legal, political, social, professional, or intellectual  interests.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Mario Tristan, Khalid Shahin"},{"code" : "approval","valueString" : "2022-04-01 vote 6-0 by Brian S. Alper, Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan"}]},{"code" : "SEVCO:00372","display" : "early study termination bias due to unplanned use of interim analysis","definition" : "An early study termination bias due to awareness of study results without following a preplanned protocol for how interim results will influence the decision to terminate the study.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Mario Tristan, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-04-01 vote 5-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan"}]},{"code" : "SEVCO:00373","display" : "early study termination bias due to inappropriate statistical stopping rule","definition" : "An early study termination bias due to use of an inappropriate model or threshold in the analysis used for determination to end the study.","property" : [{"code" : "comment","valueString" : "An example of an inappropriate statistical stopping rule is one that does not account for multiple analyses (i.e. does not use a lower p value threshold) for a conclusion of benefit warranting early termination of the study."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Mario Tristan, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-04-01 vote 6-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan, Robin Ann Yurk"}]},{"code" : "SEVCO:00374","display" : "early study termination bias due to external factors","definition" : "An early study termination bias due to a decision to end the study based on factors other than the results of interim analysis.","property" : [{"code" : "comment","valueString" : "Examples of external factors may include cessation of funding, and safety or efficacy results reported by other studies."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Mario Tristan, Khalid Shahin, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-04-01 vote 6-0 by Joanne Dehnbostel, Jesus Lopez-Alcalde, Harold Lehmann, Cauê Monaco, Mario Tristan, Robin Ann Yurk"}]}]},{"code" : "SEVCO:00399","display" : "late study termination bias","definition" : "A bias due to the decision to end the study later than planned.","property" : [{"code" : "comment","valueString" : "When the study is allowed to continue longer than a pre-planned stopping point, then there is a risk of bias in that the results from the study may differ from the results that would occur according to the study plan. When the study termination is pre-planned to vary by events or results of interim analyses (e.g., in an adaptive design), this is not a 'late study termination bias'."},{"code" : "external-definitions","valueString" : "This term was added after evaluation of [A comprehensive item bank of internal validity issues of relevance to in vitro toxicology studies](https://www.tandfonline.com/doi/full/10.1080/2833373X.2024.2418045) which included a concept of 'Timing of study termination bias' defined as a bias due to the decision to end the study earlier or later than planned, and modified from the original SEVCO term “[early study termination bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00370),” defined as “a bias due to the decision to end the study earlier than planned”"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Airton Stein, Joanne Dehnbostel, Homa Keshavarz, Khalid Shahin, Cauê Monaco"},{"code" : "negative-vote","valueString" : "2024-12-06 vote 7-1 by Homa Keshavarz, Sheyu Li, Cauê Monaco, Javier Bracchiglione, Lara Kahaleh, Bhagvan Kommadi, Saphia Mokrane, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-12-06 comment re: \"late study termination bias\" = \"A bias due to the decision to end the study later than planned.\"\n1No)\nThis bias highly relies on the reason of the late termination, which warrants discussion. It is also helpful to differentiate two situations, i.e., post-trial follow up (analysis based on the follow up data after the termination of the trial) and delayed termination based on the adaptive design (it is not a real delay)."},{"code" : "approval","valueString" : "2024-12-13 vote 5-0 by Cauê Monaco, Saphia Mokrane, Bhagvan Kommadi, Paul Whaley, Airton Tetelbom Stein"}]}]},{"code" : "SEVCO:00027","display" : "conflict of interest","definition" : "A risk factor for bias in which persons influencing research design, conduct, analysis or reporting have motivations that could compromise their impartiality.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "conflicted interests"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "conflicts of interest"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "competing interest"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "competing interests"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "duality of interest"}],"property" : [{"code" : "external-definitions","valueString" : "MASTER-28. Conflict of interests were declared and absent"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Javier Bracchiglione, Janice Tufte, Muhammad Afzal, Caue Monaco"},{"code" : "negative-vote","valueString" : "2023-11-10 vote 4-1 by Brian S. Alper, Harold Lehmann, Janice Tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2023-11-10 comment: I do not think the term should be limited to goals and motivations this seems judgmental and manipulative. COI can be based on intellectual property and or current research work along the same subject where a researcher or partner is too involved with a project or paper on the same subject"},{"code" : "comment","valueString" : "Motivations may be explicit or implicit. Motivations may be unconscious or unrecognized. Conflict of interest is sometimes phrased \"potential conflict of interest\" or \"perceived conflict of interest\"."},{"code" : "approval","valueString" : "2023-12-01 vote 6-0 by Cauê Monaco, Xing Song, Javier Bracchiglione, Harold Lehmann, Janice Tufte, Eric Harvey"}],"concept" : [{"code" : "SEVCO:00355","display" : "financial conflict of interest","definition" : "A risk factor for bias in which persons influencing research design, conduct, analysis or reporting have financial motivations that could compromise their impartiality.","property" : [{"code" : "comment","valueString" : "Motivations may be explicit or implicit. Motivations may be unconscious or unrecognized. The financial motivations may be direct (e.g. salary or consulting fees) or indirect (e.g. stock interests or spousal financial interests). Conflict of interest is sometimes phrased \"potential conflict of interest\" or \"perceived conflict of interest\"."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Javier Bracchiglione, Janice Tufte, Muhammad Afzal, Caue Monaco"},{"code" : "approval","valueString" : "2023-12-01 vote 6-0 by Cauê Monaco, Xing Song, Javier Bracchiglione, Harold Lehmann, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-12-01 comment: I agree with the definition of the term, but I think it will be better to further explicit what \"financial\" means in the comments for application (e.g. salary, stocks, paid assistance to congress)"}]},{"code" : "SEVCO:00252","display" : "nonfinancial conflict of interest","definition" : "A risk factor for bias in which persons influencing research design, conduct, analysis or reporting have non-financial motivations that could compromise their impartiality.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "non-financial conflict of interest"}],"property" : [{"code" : "comment","valueString" : "Motivations may be explicit or implicit. Motivations may be unconscious or unrecognized. The non-financial motivations may be related to social, political, professional, ideological, or other factors. Conflict of interest is sometimes phrased \"potential conflict of interest\" or \"perceived conflict of interest\"."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Javier Bracchiglione, Janice Tufte, Muhammad Afzal, Caue Monaco"},{"code" : "approval","valueString" : "2023-12-01 vote 6-0 by Cauê Monaco, Xing Song, Javier Bracchiglione, Harold Lehmann, Janice Tufte, Eric Harvey"},{"code" : "expert-comments","valueString" : "2023-12-01 comment: I agree with the definition of the term, but I think it will be better to further explicit what \"non-financial\" means in the comments for application (e.g. intellectual)"}]}]},{"code" : "SEVCO:00007","display" : "rating of bias risk","definition" : "The result of a qualitative assessment of the likelihood and potential impact of systematic distortion in research results.","property" : [{"code" : "comment","valueString" : "[Bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00001) is defined as a systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation]).\n\nAll terms defined here are qualitative classifications of the risk of bias. Although a risk of bias can conceptually be quantified, there is no common agreed method on how to quantify a risk of bias."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Carlos Alva-Diaz, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"},{"code" : "negative-vote","valueString" : "2024-08-30 vote 7-0 by Saphia Mokrane, Sheyu Li, Lenny Vasanthan, Eric Harvey, Janice Tufte, Homa Keshavarz, Airton Tetelbom Stein BUT THEN DEFINITION CHANGED to add \"The result of \" based on feedback on child terms."}],"concept" : [{"code" : "SEVCO:00186","display" : "low risk of bias","definition" : "The result of a qualitative assessment that there is a low likelihood and potential impact of systematic distortion in research results.","property" : [{"code" : "comment","valueString" : "A 'low risk of bias' rating denotes a judgment that there are no serious concerns for bias. The 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "external-definitions","valueString" : "In the Cochrane Handbook (https://training.cochrane.org/handbook/current/chapter-08#section-8-7):\nOnce the signalling questions are answered, the next step is to reach a risk-of-bias judgement, and assign one of three levels to each domain:\n\nLow risk of bias;\nSome concerns; or\nHigh risk of bias."},{"code" : "negative-vote","valueString" : "2024-09-06 vote 5-1 by Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comment re: \"low risk of bias\" = \"A qualitative assessment that there is a low likelihood and potential impact of systematic distortion in research results.\"\n1N)\nA qualitative judgement that the the systematic distortion is unlikely to impact the clinical interpretation or conclusion of the study findings. \n\nThe rating of low, moderate, and high are subjective judgement or the result of an assessment based on a particular context. It is thus not a asessment per se. As a clinician, I would prefer to the term ending up with a clinical interpretation or decision. But other conclusion can be possible even for clinical research."},{"code" : "approval","valueString" : "2024-09-20 vote 8-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan, Eric Harvey, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00187","display" : "moderate risk of bias","definition" : "The result of a qualitative assessment that there is some likelihood and potential impact of systematic distortion in research results, and this likelihood and potential impact is between low and high.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "some concerns for risk of bias"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "medium risk of bias"}],"property" : [{"code" : "external-definitions","valueString" : "In the Cochrane Handbook (https://training.cochrane.org/handbook/current/chapter-08#section-8-7):\nOnce the signalling questions are answered, the next step is to reach a risk-of-bias judgement, and assign one of three levels to each domain:\n\nLow risk of bias;\nSome concerns; or\nHigh risk of bias."},{"code" : "comment","valueString" : "The 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings.\n\nThe term 'unclear risk of bias' is not explicitly defined because it could be used to represent 'moderate risk of bias' or [undetermined risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00192)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann, Carlos Alva-Diaz"},{"code" : "negative-vote","valueString" : "2024-09-06 vote 5-2 by Airton Tetelbom Stein, Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comments re: \"moderate risk of bias\" = \"A qualitative assessment that there is some likelihood and potential impact of systematic distortion in research results, but this likelihood and potential impact is neither low nor high.\"\n1N)\nI think that the term' undetermined risk of bias' is opposed to any other positive assertions of concern (low, moderate or high risk of bias). \n2N)\nSame with above. But it is a bit confusing for stating as 'neither low nor high', which leads people have to refer to the definition of low to high."},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan"}]},{"code" : "SEVCO:00188","display" : "high risk of bias","definition" : "The result of a qualitative assessment that there is a high likelihood and potential impact of systematic distortion in research results.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "serious risk of bias"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "comment","valueString" : "A 'high risk of bias' rating denotes a judgment that there are serious concerns for bias. The 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings."},{"code" : "external-definitions","valueString" : "In the Cochrane Handbook (https://training.cochrane.org/handbook/current/chapter-08#section-8-7):\nOnce the signalling questions are answered, the next step is to reach a risk-of-bias judgement, and assign one of three levels to each domain:\n\nLow risk of bias;\nSome concerns; or\nHigh risk of bias."},{"code" : "negative-vote","valueString" : "2024-09-06 vote 6-1 by Airton Tetelbom Stein, Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comment re: \"high risk of bias\" = \"A qualitative assessment that there is a high likelihood and potential impact of systematic distortion in research results.\"\n1N)\nA qualitative judgement that the the systematic distortion is unlikely to impact the clinical interpretation or conclusion of the study findings. \n\nThe rating of low, moderate, and high are subjective judgement or the result of an assessment based on a particular context. It is thus not a asessment per se. As a clinician, I would prefer to the term ending up with a clinical interpretation or decision. But other conclusion can be possible even for clinical research."},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan"}]},{"code" : "SEVCO:00190","display" : "critical risk of bias","definition" : "The result of a qualitative assessment that there is such a high likelihood and potential impact of systematic distortion in research results that the findings are not valid.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "extreme risk of bias"}],"property" : [{"code" : "comment","valueString" : "The colloquial term 'fatal flaw' is sometimes used to report a critical risk of bias, signifying no further use of the study being assessed."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Airton Stein, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-09-20 vote 7-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan, Eric Harvey"}]},{"code" : "SEVCO:00192","display" : "undetermined risk of bias","definition" : "There is insufficient information to make a qualitative assessment regarding the likelihood and potential impact of systematic distortion in research results.","property" : [{"code" : "comment","valueString" : "Unlike the terms [low risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00186), [moderate risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00187), and [high risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00188), the term 'undetermined risk of bias' does not express a positive assertion of concern. \n\nThe term 'unclear risk of bias' is not explicitly defined because it could be used to represent 'undetermined risk of bias' or [moderate risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00187). Some guidance has suggested to use 'unclear risk of bias' to mean 'undetermined risk of bias' but others have interpreted it to mean [moderate risk of bias](https://fevir.net/resources/CodeSystem/27270#SEVCO:00187).\n\nThe 'potential impact of systematic distortion in research results' may include the impact on the clinical interpretation or conclusion of the study findings."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann, Carlos Alva-Diaz"},{"code" : "negative-vote","valueString" : "2024-09-06 vote 5-2 by Airton Tetelbom Stein, Carlos Alva-Diaz, Cauê Monaco, Sheyu Li, janice tufte, Eric Harvey, Javier Bracchiglione"},{"code" : "expert-comments","valueString" : "2024-09-06 comments re: \"undetermined risk of bias\" = \"A qualitative assessment that there is insufficient information to make a qualitative assessment regarding the likelihood and potential impact of systematic distortion in research results.\"\n1N)\nThe term' undetermined risk of bias' is opposed to any other positive assertions of concern (low, moderate or high risk of bias). \n\nI think that a better explication is\n\n\"As opposed to the term low, moderate or high risk of bias, the term 'undetermined risk of bias' does not express a positive assertion of concern.\"\n\n2N)\nSame with above. \n3Y)\nis this a cop out though possibly?\n4Y)\nI would suggest \"unclear risk of bias\" as an alternative term.\n\n\n2024-09-20 comment re: \"undetermined risk of bias\" = \"There is insufficient information to make a qualitative assessment regarding the likelihood and potential impact of systematic distortion in research results.\"\nYes\nAs I understand, at least the Cochrane RoB1 tool guidance specified that \"unclear risk of bias\" referred to undetermined and not moderate. Its use, however, was often seen as moderate risk of bias, but this was not the guidance. I don't know if you are thinking of other tools that also specify \"unclear risk of bias\" as a category."},{"code" : "approval","valueString" : "2024-09-20 vote 6-0 by Carlos Alva-Diaz, Saphia Mokrane, Javier Bracchiglione, C P Ooi, Bhagvan Kommadi, Lenny Vasanthan"}]}]},{"code" : "SEVCO:00193","display" : "rating of factor presence","definition" : "The result of a qualitative assessment of the likelihood of a situation or event.","property" : [{"code" : "comment","valueString" : "For approaches to assessment of the risk of bias (which includes bias presence and potential impact) in which multiple factors are separately considered, the 'rating of factor presence' may be applied to each of the factors considered."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Carlos Alva-Diaz, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-09-27 comment re: \"rating of presence of cause of bias\" = \"The result of a qualitative assessment of the likelihood of a situation leading to systematic distortion in research results.\"\n1Yes)\nPossible alternatives: \"rating of presence of biasing factor\" \"judgment regarding presence of factor introducing possible bias\" \"presence or absence of possible biasing factor\"\n\n2 No) Rating of presence of cause of bias just doesn't read well. Rating of factor presence was better, rating of bias presence would work. Likelihood of bias presence would also work."},{"code" : "negative-vote","valueString" : "2024-09-27 vote 5-1 by Joanne Dehnbostel, Brian S. Alper, Carlos Alva-Diaz, Homa Keshavarz, Arnav Agarwal, Airton Tetelbom Stein"}],"concept" : [{"code" : "SEVCO:00194","display" : "factor present","definition" : "The result of a qualitative assessment that a situation exists or an event has occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00195","display" : "factor likely present","definition" : "The result of a qualitative assessment that a situation probably exists or an event has probably occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey\nYes"}]},{"code" : "SEVCO:00196","display" : "factor likely absent","definition" : "The result of a qualitative assessment that a situation probably does not exist or an event has probably not occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00197","display" : "factor absent","definition" : "The result of a qualitative assessment that a situation does not exist or an event has not occurred.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-10-04 vote 5-0 by Joanne Dehnbostel, Saphia Mokrane, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"}]},{"code" : "SEVCO:00199","display" : "undetermined factor presence or absence","definition" : "There is insufficient information to make a qualitative assessment regarding whether a situation exists or an event has occurred.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "factor presence or absence undetermined"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Homa Keshavarz, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2024-10-11 vote 7-2 by Javier Bracchiglione, Saphia Mokrane, Harold Lehmann, Arnav Agarwal, Lenny Vasanthan, Joanne Dehnbostel, Airton Tetelbom Stein, Homa Keshavarz, Eric Harvey"},{"code" : "expert-comments","valueString" : "2024-10-11 comments re: \"factor presence or absence unclear\" = \"There is insufficient information to make a qualitative assessment regarding whether a situation exists or an event has occurred.\"\n1No)\nTo be consistent with the previous terms under \"rating of factor presence\", I would suggest rephrasing the term, as for example : \"factor unclearly present of absent\" \nSuggestion for the definition : \"The result of a qualitative assessment of the presence or the absence of a situation or an event due to insufficient information to make the assessment.\" \n2No)\n\"Situation\" is especially vague; \"event\" mildly suggestive. Sounds like we need a Comment for application---either here or in the parent term---that puts these terms into perspective. E.g., \"Assessment of presence of a factor depends on the definition of the factor. Assessing such presence depends on whether a situation"},{"code" : "comment","valueString" : "The presence or absence of a factor may be undetermined because a qualitative assessment was attempted and concluded that there was insufficient information to rate the factor presence, or because a qualitative assessment was not done."},{"code" : "approval","valueString" : "2024-10-18 vote 5-0 by Saphia Mokrane, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan, Eric Harvey"}]}]},{"code" : "SEVCO:00200","display" : "rating of bias direction","definition" : "The result of a qualitative assessment of the direction of influence on research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The meaning of direction of influence on research results changes with the type of estimation. For an estimation of comparative effect, the direction may be favoring a side being compared or towards no effect. For an estimation of prevalence, the direction may be overestimation or underestimation.\nBias is defined as a systematic distortion of research results."},{"code" : "approval","valueString" : "2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"},{"code" : "external-definitions","valueString" : "https://training.cochrane.org/handbook/current/chapter-08\n\nRoB 2 includes optional judgements of the direction of the bias for each domain and overall. For some domains, the bias is most easily thought of as being towards or away from the null. For example, high levels of switching of participants from their assigned intervention to the other intervention may have the effect of reducing the observed difference between the groups, leading to the estimated effect of adhering to intervention (see Section 8.2.2) being biased towards the null. For other domains, the bias is likely to favour one of the interventions being compared, implying an increase or decrease in the effect estimate depending on which intervention is favoured. Examples include manipulation of the randomization process, awareness of interventions received influencing the outcome assessment and selective reporting of results. If review authors do not have a clear rationale for judging the likely direction of the bias, they should not guess it and can leave this response blank.\n\nCite this chapter as: Higgins JPT, Savović J, Page MJ, Elbers RG, Sterne JAC. Chapter 8: Assessing risk of bias in a randomized trial [last updated October 2019]. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.5. Cochrane, 2024. Available from www.training.cochrane.org/handbook.\n\nhttps://onlinelibrary-wiley-com.ezproxy3.library.arizona.edu/doi/10.1111/acem.12255"}],"concept" : [{"code" : "SEVCO:00201","display" : "risk of bias favoring experimental exposure","definition" : "The result of a qualitative assessment that a bias, if present, would influence the effect estimate in a direction that suggests greater benefit or less harm from the experimental exposure compared to the comparator exposure.","property" : [{"code" : "comment","valueString" : "The experimental exposure is the exposure of interest, whether the study is interventional or observational, the exposure of interest is an intervention or an exposure, or the outcome of interest is desirable or undesirable. The desirability of the outcome of interest determines whether an increase or decrease in the value of the effect estimate is considered beneficial or harmful."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein"},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00202","display" : "risk of bias favoring comparator exposure","definition" : "The result of a qualitative assessment that a bias, if present, would influence the effect estimate in a direction that suggests greater benefit or less harm from the comparator exposure compared to the experimental exposure.","property" : [{"code" : "comment","valueString" : "The experimental exposure is the exposure of interest, whether the study is interventional or observational, the exposure of interest is an intervention or an exposure, or the outcome of interest is desirable or undesirable. The desirability of the outcome of interest determines whether an increase or decrease in the value of the effect estimate is considered beneficial or harmful."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein"},{"code" : "approval","valueString" : "2024-11-22 vote 5-0 by Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00203","display" : "risk of bias towards the null hypothesis","definition" : "The result of a qualitative assessment that a bias, if present, would increase the likelihood of failing to reject the null hypothesis.","property" : [{"code" : "external-definitions","valueString" : "\"there are many exceptions to the heuristic for which bias towards the null cannot be assumed.\" Yland JJ, Wesselink AK, Lash TL, Fox MP. Misconceptions About the Direction of Bias From Nondifferential Misclassification. Am J Epidemiol. 2022 Jul 23;191(8):1485-1495. doi: 10.1093/aje/kwac035. Erratum in: Am J Epidemiol. 2022 Nov 19;191(12):2123. doi: 10.1093/aje/kwac129. PMID: 35231925; PMCID: PMC9989338. https://pmc.ncbi.nlm.nih.gov/articles/PMC9989338/"},{"code" : "comment","valueString" : "A risk of bias towards the null hypothesis increases the likelihood of a type 2 error (mistaken failure to reject the null hypothesis when the null hypothesis is false)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00204","display" : "risk of bias away from the null hypothesis","definition" : "The result of a qualitative assessment that a bias, if present, would increase the likelihood of rejecting the null hypothesis.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "risk of bias against the null hypothesis"}],"property" : [{"code" : "comment","valueString" : "A risk of bias away from the null hypothesis increases the likelihood of a type 1 error (mistaken rejection of the null hypothesis when the null hypothesis is true)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Airton Stein, Homa Keshavarz"},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Lara Kahaleh, Airton Tetelbom Stein"}]},{"code" : "SEVCO:00205","display" : "risk of bias direction unpredictable","definition" : "The result of a qualitative assessment that a bias, if present, cannot be classified as to whether the bias would lead to an increase or a decrease in the estimate.","property" : [{"code" : "editors","valueString" : "Brian S. Alper"},{"code" : "approval","valueString" : "2024-11-22 vote 5-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Lara Kahaleh, Airton Tetelbom Stein"}]}]},{"code" : "SEVCO:00206","display" : "rating of potential influence on research results","definition" : "The result of a qualitative assessment of, if a cause of bias were present, the potential impact on the research results.","property" : [{"code" : "comment","valueString" : "For approaches to assessment of the risk of bias (which includes bias presence and potential impact) in which multiple factors are separately considered, the 'rating of potential influence' may be applied to each of the factors considered."},{"code" : "editors","valueString" : "Brian S. Alper, Airton Stein, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-10-25 vote 7-0 by Saphia Mokrane, Harold Lehmann, Lenny Vasanthan, Bhagvan Kommadi, Homa Keshavarz, Eric Harvey, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-10-18 comment re: \"rating of potential influence\" = \"The result of a qualitative assessment of, if a cause of bias were present, the potential impact on the research results.\"\n1Yes)\nthe 'rating of potential influence'' => the 'rating of potential influence'"},{"code" : "negative-vote","valueString" : "2024-10-18 vote 5-0 by Saphia Mokrane, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan, Eric Harvey BUT THEN THE TERM CHANGED"}],"concept" : [{"code" : "SEVCO:00207","display" : "high potential to influence research results","definition" : "High certainty that a cause of bias, if present, has an impact on the research results.","property" : [{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'high potential to influence research results' matches an answer of Yes (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2024-11-01 vote 5-0 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein BUT THEN COMMENT ADDED"},{"code" : "expert-comments","valueString" : "2024-11-01 comment:\n1Yes)\nConsider a Comment for application that says something like, \"There is no agreed-upon quantitative scale on which to base this qualitative assessment.\""},{"code" : "approval","valueString" : "2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00208","display" : "some potential to influence research results","definition" : "Low to moderate certainty that a cause of bias, if present, has an impact on the research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-11-01 comment:\n1Yes)\nConsider a Comment for application that says something like, \"There is no agreed-upon quantitative scale on which to base this qualitative assessment.\"\n\n\n2024-11-08 comment re: \"some potential to influence research results\" = \"Low to moderate certainty that a cause of bias, if present, has an impact on the research results.\"\n1Yes)\ninstead of some, it can be worded as significant potential\n\n\n2024-11-15  comment re: \"significant potential to influence research results\" = \"Low to moderate certainty that a cause of bias, if present, has an impact on the research results.\"\n1No)\nSignificant can be interpreted as substantial or important -- that does not match the described use of 'Likely Yes' as distinct from 'Yes' in response to whether there is a potential to impact research results."},{"code" : "negative-vote","valueString" : "2024-11-01 vote 5-0 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein BUT THEN COMMENT ADDED \n2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey BUT THEN TERM CHANGED DUE TO COMMENT\n2024-11-15 vote 6-1 by Brian S. Alper, Cauê Monaco, Airton Tetelbom Stein, Homa Keshavarz, Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Eric Harvey"},{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'some potential to influence research results' matches an answer of Likely Yes (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "approval","valueString" : "2024-11-22 vote 6-0 by Saphia Mokrane, Sheyu Li, Homa Keshavarz, Eric Harvey, Airton Tetelbom Stein, Lara Kahaleh"}]},{"code" : "SEVCO:00209","display" : "limited potential to influence research results","definition" : "Low to moderate certainty that a cause of bias, if present, does NOT have an impact on the research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'limited potential to influence research results' matches an answer of Likely No (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "negative-vote","valueString" : "2024-11-01 vote 4-1 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2014-11-01 comment re: \"Low to moderate certainty that a cause of bias, if present, has little to no impact on the research results.\":\n1No)\nDefinition is too similar to 'some potential'"},{"code" : "approval","valueString" : "2024-11-08 vote 5-0 by 2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"}]},{"code" : "SEVCO:00210","display" : "no potential to influence research results","definition" : "High certainty that a cause of bias, if present, has NO impact on the research results.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The rating of potential influence on research results is a qualitative assessment; there is no agreed-upon quantitative scale of certainty. The rating of 'no potential to influence research results' matches an answer of No (from an option list of Yes/Likely Yes/Likely No/No) in the ROB2 risk of bias assessment tool."},{"code" : "expert-comments","valueString" : "2024-11-01 comment re:  \"no potential to influence research results\" = \"High certainty that a cause of bias, if present, has no impact on the research results.\"\n1No)\nWeird that both \"High potential\" and \"No potential\" start with \"High certainty...\" The negation in the definition here is too buried"},{"code" : "negative-vote","valueString" : "2024-11-01 vote 4-1 by Harold Lehmann, Saphia Mokrane, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "approval","valueString" : "2024-11-08 vote 6-0 by Saphia Mokrane, Homa Keshavarz, Lara Kahaleh, Bhagvan Kommadi, Airton Tetelbom Stein, Eric Harvey"}]}]},{"code" : "STATO:0000039","display" : "statistic","definition" : "An information content entity that is a formalization of relationships between variables and value specification.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistic type"}],"property" : [{"code" : "comment","valueString" : "The 'statistic' does not include the numerical value for which the statistic is used--that would be the statistic value, and the 'statistic' does not include the model characteristics."},{"code" : "editors","valueString" : "Brian S. Alper, Philippe Rocca-Serra, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "revision 6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca; original approval 6/6 as of 9/27/2021: Harold Lehmann, Bhagvan Kommadi, Louis Leff, Janice Tufte, Joanne Dehnbostel, Mario Tristan"}],"concept" : [{"code" : "STATO:0000668","display" : "absolute value","definition" : "A statistic that represents the distance of a value from zero.","property" : [{"code" : "comment","valueString" : "The | symbol is used around the value to denote the absolute value, e.g. |x|, such that if x = -3, then |x| = 3."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2024-04-15 vote 5-0 by Harold Lehmann, Janice Tufte, Eric Harvey, Homa Keshavarz, Lenny Vasanthan"}]},{"code" : "STATO:0000047","display" : "count","definition" : "A statistic that represents the number of instances or occurrences of something.","property" : [{"code" : "comment","valueString" : "A count can only be denoted by non-negative integer values."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Kenneth Wilkins"},{"code" : "approval","valueString" : "6/6 as of 9/27/2021: Harold Lehmann, Bhagvan Kommadi, Louis Leff, Janice Tufte, Joanne Dehnbostel, Mario Tristan"}]},{"code" : "STATO:0000669","display" : "sum","definition" : "A statistic that represents the result of adding all the values in a collection of values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "total"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000151","display" : "maximum observed value","definition" : "A statistic that represents the largest non-null value in a collection of values that can be ordered by magnitude.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000150","display" : "minimum observed value","definition" : "A statistic that represents the smallest non-null value in a collection of values that can be ordered by magnitude.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000666","display" : "maximum possible value","definition" : "A statistic that represents the largest value that could occur.","property" : [{"code" : "comment","valueString" : "This term may be used to denote the upper limit of a scale or score."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000667","display" : "minimum possible value","definition" : "A statistic that represents the smallest value that could occur.","property" : [{"code" : "comment","valueString" : "This term may be used to denote the lower limit of a scale or score."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel,Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Khalid Shahin"},{"code" : "approval","valueString" : "6/6 as of 10/4/2021: Alejandro Piscoya, Bhagvan Kommadi, Brian S. Alper, Janice Tufte, Louis Leff, Sorana D. Bolboaca"}]},{"code" : "STATO:0000029","display" : "measure of central tendency","definition" : "A statistic that represents a central value for a set of data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "central tendency measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "centrality measure"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte,  Kenneth Wilkins, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"}],"concept" : [{"code" : "STATO:0000573","display" : "mean","definition" : "A measure of central tendency calculated as the sum of a set of values divided by the number of values in the set.","designation" : [{"language" : "fi","use" : {"system" : "http://snomed.info/sct","code" : "900000000000003001","display" : "Fully specified name"},"value" : "keskiarvo"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "arithmetic mean"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical mean"}],"property" : [{"code" : "comment","valueString" : "A=sum[Ai] / n where i ranges from 1 to n and Ai represents the value of individual observations."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte,  Kenneth Wilkins, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}],"concept" : [{"code" : "STATO:0000664","display" : "mean of differences","definition" : "A mean of values in which each value is the subtraction of one quantity from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean of paired differences"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average of differences"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean difference"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average difference"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Janice Tufte, Muhammad Afzal, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2021-12-01 vote 6-1 by Louis Leff, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte, C P Ooi"},{"code" : "expert-comments","valueString" : "2021-12-01 comment: 'Difference in means' may be more appropriate. 'Mean value from one population subtract the mean value of another population' may be clearer reflecting the definition"},{"code" : "comment","valueString" : "The primary use of this term is in analyzing within-individual differences."},{"code" : "approval","valueString" : "2021-12-15 vote 5-0 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, Paola Rosati, Brian S. Alper"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"},{"code" : "external-definitions","valueString" : "http://purl.obolibrary.org/obo/STATO_0000664"}]},{"code" : "STATO:0000658","display" : "mean time-to-event","definition" : "A mean of values in which each value is the duration of time between the start of observation and the occurrence of an event.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean TTE"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao"},{"code" : "approval","valueString" : "2022-10-19 vote 5-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey"}]}]},{"code" : "STATO:0000396","display" : "geometric mean","definition" : "A measure of central tendency calculated as the nth root of the product of all of the observations in a data set (n being the number of all observations).","property" : [{"code" : "comment","valueString" : "For n observations with values x1, x2, … xn, the product of all the values P = x1 * x2 … xn [also expressed as P = (x1)(x2)...(xn)].  The nth root of the product = (P)^(1/n)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte,  Kenneth Wilkins, Philippe Rocca-Serra"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}]},{"code" : "STATO:0000574","display" : "median","definition" : "A measure of central tendency equal to the middle value (or mean of the two middle values) of a set of ordered data.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "center value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical median"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "middle value"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "comment","valueString" : "The median value is equal to the middle value of a set of ordered data with an odd number of values. The median value is calculated as the mean of the two middle values of a set of ordered data with an even number of values. The median is sometimes called the second quartile or fiftieth percentile."},{"code" : "negative-vote","valueString" : "6-1 on 2021-11-01 by Louis Leff, Vignesh Subbian, Pentti Nieminen, Bhagvan Kommadi, Janice Tufte, Sorana D. Bolboaca, Robin Ann Yurk\n2021-12-01 vote 5-1 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"},{"code" : "expert-comments","valueString" : "2021-11-01 comment: the definition is appropriate. Suggest use Alternative terms: center value, statistical median or middle value. I don't recommend using fiftieth percentile or second quartile\n2021-12-01 comment: I would change definition to: A measure of central tendency equal to the middle value of a set of ordered data with an odd number of values. It could be calculated also as  the mean of the two middle values of a set of ordered data with an even number of values. ((Perhaps simpler as: A measure of central tendency equal to the middle value of a set of ordered data. In a set of ordered data with an even number of values, the middle value is calculated as the mean of the two middle values.))"},{"code" : "approval","valueString" : "2021-12-15 vote 6-0 by Robin Ann Yurk, Muhammad Afzal, Harold Lehmann, Janice Tufte, Paola Rosati, Khalid Shahin"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}],"concept" : [{"code" : "STATO:0000659","display" : "median time-to-event","definition" : "A median of values in which each value is the duration of time between the start of observation and the occurrence of an event.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "median TTE"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao"},{"code" : "approval","valueString" : "2022-10-19 vote 5-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey"}]}]},{"code" : "STATO:0000033","display" : "mode","definition" : "A measure of central tendency that is the most frequently occurring value in a data set. If no value is repeated, there is no mode. If more than one value occurs with the same greatest frequency, each of these values is a mode.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical mode"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "most common value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "most frequent value"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "7/7 on 2021-11-01 by Louis Leff, Vignesh Subbian, Pentti Nieminen, Bhagvan Kommadi, Janice Tufte, Sorana D. Bolboaca, Robin Ann Yurk"},{"code" : "statistical-purpose","valueString" : "Measure of Central Tendency"}]},{"code" : "STATO:0000397","display" : "harmonic mean","definition" : "A measure of central tendency calculated by dividing the total number of observations by the sum of the reciprocals of each observed value.","property" : [{"code" : "external-definitions","valueString" : "STATO:\nThe harmonic mean is a kind of mean which is calculated by dividing the total number of observations by the reciprocal of each number in a series. Harmonic Mean = N/(1/a1+1/a2+1/a3+1/a4+.......+1/aN) where a(i)= Individual score and N = Sample size (Number of scores)"},{"code" : "comment","valueString" : "Harmonic Mean = N/(1/a1+1/a2+1/a3+1/a4+...+1/aN) where a(i)= Individual observed value and N = Sample size (Number of observations)"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-10-19 vote 6-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey, Yuan Gao"}]}]},{"code" : "STATO:0000291","display" : "quantile","definition" : "A statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.","property" : [{"code" : "external-definitions","valueString" : "STATO-a quantile is a data item which corresponds to specific elements x in the range of a variate X. the k-th n-tile P_k is that value of x, say x_k, which corresponds to a cumulative frequency of Nk/n (Kenney and Keeping 1962). If n=4, the quantity is called a quartile, and if n=100, it is called a percentile."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "comment","valueString" : "Quantile is a type of statistic but not used without specification of the portion it represents. Typically, the specification of the portion it represents includes both the number of equal portions (e.g., percentile for 100 equal portions, or quartile for 4 equal portions) and selection of one of these portions (e.g., 25th percentile or first quartile).\n\nFor common uses in communicating statistic values, more specific types of quantiles (such as percentile, decile, or quartile) would be used instead of the term *quantile*."},{"code" : "negative-vote","valueString" : "2024-04-15 vote 2-1 by Lenny Vasanthan, Harold Lehmann, Eric Harvey\n2024-04-22 vote 5-1 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-04-15 comment: \nCan we add information about quartiles also here. \neg. Quartile is a type of quantile that divides the distribution into four equal halves (Q1, Q2, Q3, Q4)\n\n2024-04-22 comment:\nIt is confusing in the comments whether the quantile refers to 25% percentile, 50% percentile and 75% percentile. What is the difference between quantile and percentile?"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}],"concept" : [{"code" : "STATO:0000293","display" : "percentile","definition" : "A quantile in which the specific portion of the number of data points is expressed as a percentage.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "centile"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "%ile"}],"property" : [{"code" : "external-definitions","valueString" : "STATO-a percentile is a quantile which splits data into sections accrued of 1% of data, so the first percentile delineates 1% of the data, the second quartile delineates 2% of the data and the 99th percentile, 99 % of the data"},{"code" : "comment","valueString" : "Quantile is defined as a statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.\n\nPercentile is a type of statistic but not used to define a statistic value without specification of the portion it represents. For example, one may report a fortieth percentile (40%ile) but one does not report a percentile without specification of which percentile. 40% of the data is at or below the 40%ile.\n\nMost statistic values can be reported in FHIR Evidence Resources with a statisticType element including the SEVCO term as a CodeableConcept. To report a specific percentile (such as the fortieth percentile), one may use the attributeEstimate element containing a type element with the SEVCO term for percentile as a CodeableConcept and a level element with the corresponding value (such as 40)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2024-04-22 comment:\nIt is unclear if it is OK to say 50% percentile, or it is recommended to say 50% percentile."},{"code" : "negative-vote","valueString" : "2024-04-22 vote 5-1 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]},{"code" : "STATO:0000292","display" : "decile","definition" : "A quantile in which the specific portion of the number of data points is expressed as a number of tenths.","property" : [{"code" : "external-definitions","valueString" : "STATO-a decile is a quantile where n=10 and which splits data into sections accrued of 10% of data, so the first decile delineates 10% of the data, the second decile delineates 20% of the data and the nineth decile, 90 % of the data"},{"code" : "comment","valueString" : "Quantile is defined as a statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.\n\nDecile is a type of statistic but not used to define a statistic value without specification of the portion it represents. For example, one may report a fourth decile but one does not report a decile without specification of which decile. 40% of the data is at or below the fourth decile.\n\nMost statistic values can be reported in FHIR Evidence Resources with a statisticType element including the SEVCO term as a CodeableConcept. To report a specific decile (such as the fourth decile), one may use the attributeEstimate element containing a type element with the SEVCO term for decile as a CodeableConcept and a level element with the corresponding value (such as 4)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-22 vote 6-0 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin\n2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]},{"code" : "STATO:0000152","display" : "quartile","definition" : "A quantile in which the specific portion of the number of data points is expressed as a number of fourths.","property" : [{"code" : "external-definitions","valueString" : "STATO-a quartile is a quantile which splits data into sections accrued of 25% of data, so the first quartile delineates 25% of the data, the second quartile delineates 50% of the data and the third quartile, 75% of the data"},{"code" : "comment","valueString" : "Quantile is defined as a statistic that represents the value for which the number of data points at or below it constitutes a specific portion of the total number of data points.\n\nQuartile is a type of statistic but not used to define a statistic value without specification of the portion it represents. For example, one may report a third quartile but one does not report a quartile without specification of which quartile. 75% of the data is at or below the third quartile. The second quartile is also called the median.\n\nTo report the first quartile, use the SEVCO term for <a href=\"https://fevir.net/resources/CodeSystem/27270#TBD:first-quartile\" target=\"_blank\">first quartile</a>. To report the second quartile, use the SEVCO term for <a href=\"https://fevir.net/resources/CodeSystem/27270#STATO:0000574\" target=\"_blank\">median</a>. To report the third quartile, use the SEVCO term for <a href=\"https://fevir.net/resources/CodeSystem/27270#TBD:third-quartile\" target=\"_blank\">third quartile</a>. To report the fourth quartile, use the SEVCO term for maximum observed value."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-22 vote 6-0 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li, Khalid Shahin\n2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}],"concept" : [{"code" : "STATO:0000167","display" : "first quartile","definition" : "A quantile for which the number of data points at or below it constitutes a 25% of the total number of data points.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]},{"code" : "STATO:0000170","display" : "third quartile","definition" : "A quantile for which the number of data points at or below it constitutes a 75% of the total number of data points.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-04-29 vote 6-0 by Lenny Vasanthan, Brian S. Alper, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant"}]}]}]},{"code" : "STATO:0000613","display" : "difference","definition" : "A statistic that is a subtraction of one quantity from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "delta"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Muhammad Afzal, Khalid Shahin, Philippe Rocca-Serra, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2021-12-01 vote 5-0 by Philippe Rocca-Serra, Paola Rosati, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"}],"concept" : [{"code" : "STATO:0000614","display" : "absolute difference","definition" : "A statistic that is a subtraction of one quantity from another, with no modification of the resulting value.","property" : [{"code" : "comment","valueString" : "As a type of statistic, \"Absolute Difference\" is the actual difference between two quantities and can be positive or negative depending on the order of subtraction. The term \"Absolute Difference\" should not be confused with the mathematical term 'absolute value' which is a numerical value without a negative sign."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Janice Tufte"},{"code" : "approval","valueString" : "2021-12-01 vote 5-0 by Philippe Rocca-Serra, Paola Rosati, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"}],"concept" : [{"code" : "STATO:0000616","display" : "count difference","definition" : "A statistic that is a subtraction of one count from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference in counts"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number difference"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Muhammad Afzal, Khalid Shahin, Philippe Rocca-Serra, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "negative-vote","valueString" : "2021-12-01 vote 5-1 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte\n2021-12-08 vote 6-1 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2021-12-01 comment: Suggest include as an Alternative term under difference and remove this term as unclear on distinction as a separate term.\n2021-12-08 comment: Suggest removing this term and adding as an Alternative term to Difference {(atlernative term and Comment for application added in response}}"},{"code" : "comment","valueString" : "The term Count Difference is used to specify the Absolute Difference is with respect to a count or number of items (such as number of events, platelet counts, sample size e.g. number of people in the group) to distinguish from differences in other types of statistics (mean difference, median difference, risk difference, etc.)"},{"code" : "approval","valueString" : "2021-12-15 vote 6-0 by Robin Ann Yurk, Janice Tufte, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"}]},{"code" : "STATO:0000457","display" : "difference in means","definition" : "A statistic that is a subtraction of one mean from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference of means"}],"property" : [{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Muhammad Afzal, Khalid Shahin, Philippe Rocca-Serra, Kenneth Wilkins, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2021-12-01 vote 6-0 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte\n2021-12-01 Steering group added comment for application and decided not to send out for vote again."},{"code" : "comment","valueString" : "The primary use of this term is in analyzing between-group differences."}]},{"code" : "STATO:0000617","display" : "difference in medians","definition" : "A statistic that is a subtraction of one median from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference of medians"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Janice Tufte, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2021-12-01 vote 6-0 by Philippe Rocca-Serra, Paola Rosati, Robin Ann Yurk, Joanne Dehnbostel, Jesus Lopez-Alcalde, Janice Tufte"}]},{"code" : "STATO:0000424","display" : "risk difference","definition" : "A measure of association that is the subtraction of the risk of an event in one group from the risk of the same event in another group.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "absolute risk difference"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "RD"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ARD"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: risk difference = The risk difference is the difference between the observed risks (proportions of individuals with the outcome of interest) in the two groups.\nThe risk difference is straightforward to interpret: it describes the actual difference in the observed risk of events between experimental and control interventions."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel, Harold Lehmann, Janice Tufte"},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}]},{"code" : "STATO:0000665","display" : "difference-in-differences","definition" : "A statistic that is a subtraction of one difference from another.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "difference in differences"}],"property" : [{"code" : "comment","valueString" : "The term 'Difference-in-differences' may be used to assess the incremental benefit or harm of an intervention or exposure, where the effect of the exposure is measured as a difference (for example, pre-post testing comparison of values before and after the exposure) in two groups being compared."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "2022-06-08 vote 6-0 by Robin Ann Yurk, Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-08 comment: do you want to add to comment for application, pre-post testing or as an Alternative term?"}]}]},{"code" : "STATO:0000615","display" : "relative difference","definition" : "A statistic that is a difference between 1 and a ratio of the two quantities being compared.","property" : [{"code" : "comment","valueString" : "Relative Difference = 1 - ( a / b ).   Because 1 - ( a / b ) is not equal to 1 - ( b / a ), Relative Difference may be expressed as \"Relative Difference with respect to b\" when referring to 1 - ( a / b ).\n\nThe relative difference can also be defined as a statistic that is a ratio of the absolute difference (of the two quantities being compared) to the reference value (one of the quantities being compared). Relative Difference = ( b - a ) / ( b ) where b is the reference value and this may also be called \"Relative Difference with respect to b\""},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "Example of a relative difference (relative to placebo) that is not a relative mean difference or a relative risk difference:\n\nRelative median difference (%) = [(active median - placebo median) / placebo median] x 100. \nThis can be transformed to:\nRelative median difference = (active median / placebo median) - 1."},{"code" : "negative-vote","valueString" : "2022-06-15 vote 2-2 by Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte\n2022-06-22 vote 4-2 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-06-15 comments: Suggest combining this set of terms(relative difference, relative mean difference and relative risk difference  and summarizing the comment for applications so it is one term.\n\nTo me this definition is unclear...sorry, what it means? Is it weird to a have a ratio of a difference to a reference value? Sorry, but I am unable to understand this definition.\n\nrelative and absolute difference seems confusing to me"},{"code" : "approval","valueString" : "2022-06-29 vote 5-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000625","display" : "relative mean difference","definition" : "A statistic that is a difference between 1 and a ratio of the two mean values being compared.","property" : [{"code" : "comment","valueString" : "Relative Mean Difference = 1 - ( a / b ) where a and b are mean values.\n\nThe relative mean difference can also be defined as a statistic that is a ratio of the difference in means to the reference mean value. Relative Mean Difference = ( b - a ) / ( b ) where b is the reference mean value and a is another mean value."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-06-15 vote 3-1 by Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte\n2022-06-22 vote 5-1 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-06-15 comment: Suggest combining this set of terms(relative difference, relative mean difference and relative risk difference  and summarizing the comment for applications so it is one term.  \n2022-06-29 comment: Relative Mean Difference is_a kind of Relative difference where the quantities being compared are two means, one of which is or acts as reference mean value  (additional comment: define 'reference mean value' if it refers to something more specific"},{"code" : "approval","valueString" : "2022-06-29 vote 6-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000626","display" : "relative risk difference","definition" : "A statistic that is a difference between 1 and a ratio of the two risk values being compared.","property" : [{"code" : "comment","valueString" : "Relative Risk Difference = 1 - ( a / b ) where a and b are risk values.\n\nThe relative risk difference can also be defined as a statistic that is a ratio of the risk difference to the risk used as a reference. Relative Risk Difference = ( b - a ) / ( b ) where b is the reference risk value and a is another risk value."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-06-15 vote 3-1 by Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte\n2022-06-22 vote 5-1 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-06-15 comment: Suggest combining this set of terms(relative difference, relative mean difference and relative risk difference  and summarizing the comment for applications so it is one term."},{"code" : "approval","valueString" : "2022-06-22 vote 6-0 by Mario Tristan, Eric M Harvey, Jesus Lopez-Alcalde, Robin Ann Yurk, Paola Rosati, Janice Tufte"}]}]},{"code" : "STATO:0000100","display" : "standardized mean difference","definition" : "A statistic that is a difference between two means, divided by a statistical measure of dispersion.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "smd"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: standardized mean difference (Cohen's d statistic, SMD) = standardized mean difference is data item computed by forming the difference between two means, divided by an estimate of the within-group standard deviation.\nIt is used to provide an estimatation of the effect size between two treatments when the predictor (independent variable) is categorical and the response(dependent) variable is continuous"},{"code" : "comment","valueString" : "In English, \"standardized\" is often used to express relative comparison to any reference value. However, in SEVCO, \"standardized\" is used to express relative comparison to a statistical measure of dispersion.\nIn SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nFor example, in Cohen's d statistic, the statistical measure of dispersion is specified as the square root of an average of the variances of the two groups being compared."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2022-07-06 vote 3-1 by Paola Rosati, Harold Lehmann, Robin Ann Yurk, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-06 comment: Consider listing Cohen's D statistic as an Alternative term or selecting one of the two terms to be the term to evaluate as the definition are similar."},{"code" : "approval","valueString" : "2022-07-20 vote 6-0 by Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000618","display" : "Cohen’s d statistic","definition" : "A standardized mean difference which is calculated as a difference between two means, divided by a square root of an average of the variances of the two groups.","property" : [{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Cohen's d statistic, the statistical measure of dispersion is specified as the square root of an average of the variances of the two groups being compared. The variances of the two groups are based on within-group standard deviations.\n\nFor sample sizes < 50, a correction factor is used."},{"code" : "external-definitions","valueString" : "STATO: standardized mean difference (Cohen's d statistic, SMD) = standardized mean difference is data item computed by forming the difference between two means, divided by an estimate of the within-group standard deviation.\nIt is used to provide an estimatation of the effect size between two treatments when the predictor (independent variable) is categorical and the response(dependent) variable is continuous"},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "negative-vote","valueString" : "2022-07-06 vote 3-1 by Paola Rosati, Harold Lehmann, Robin Ann Yurk, Eric Harvey"},{"code" : "expert-comments","valueString" : "2022-07-06  comment: Consider listing SMD statistic as an Alternative term or selecting one of the two terms to be the term to evaluate as the definition are similar and the other term to be the Alternative term."},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000135","display" : "strictly standardized mean difference","definition" : "A standardized mean difference which is calculated as a difference between two means, divided by the standard error of the difference between the two means.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "ssmd"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: strictly standardized mean difference (SSMS) is a standardized mean difference which corresponds to the ratio of mean to the standard deviation of the difference between two groups. SSMD directly measures the magnitude of difference between two groups. SSMD is widely used in High Content Screen for hit selection and quality control. When the data is preprocessed using log-transformation as normally done in HTS experiments, SSMD is the mean of log fold change divided by the standard deviation of log fold change with respect to a negative reference. In other words, SSMD is the average fold change (on the log scale) penalized by the variability of fold change (on the log scale). For quality control, one index for the quality of an HTS assay is the magnitude of difference between a positive control and a negative reference in an assay plate. For hit selection, the size of effects of a compound (i.e., a small molecule or an siRNA) is represented by the magnitude of difference between the compound and a negative reference. SSMD directly measures the magnitude of difference between two groups. Therefore, SSMD can be used for both quality control and hit selection in HTS experiments."},{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Strictly standardized mean difference, the statistical measure of dispersion is specified as the standard error of the difference between means [SEVCO TBD:0000063]."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 6-0 by Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000319","display" : "Hedges’s g","definition" : "A standardized mean difference which is calculated as a difference between two means, divided by the pooled standard deviation.","property" : [{"code" : "external-definitions","valueString" : "STATO: Hedges's g = Hedges's g is an estimator of effect size, which is similar to Cohen's d and is a measure based on a standardized difference. However, the denominator, corresponding to a pooled standard deviation, is computed differently from Cohen's d coefficient, by applying a correction factor (which involves a Gamma function)."},{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Hedges’s g, the statistical measure of dispersion is specified as the pooled standard deviation. There is a correction factor for small sample sizes."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000320","display" : "Glass’s delta","definition" : "A standardized mean difference which is calculated as a difference between two means (of an experimental group and a control group), divided by the standard deviation of the control group.","property" : [{"code" : "external-definitions","valueString" : "STATO: Glass's delta is an estimator of effect size which is similar to Cohen's d but where the denominator corresponds only to the standard deviation of the control group (or second group). It is considered less bias than the Cohen's d for estimating effect sizes based on means and distances between means."},{"code" : "comment","valueString" : "A standardized mean difference is a statistic that is a difference between two means, divided by a statistical measure of dispersion. In SEVCO, the term Standardized Mean Difference is a description of the concept without an explicit type of statistical measure of dispersion. If the statistical measure of dispersion is specified, then a type (child term) of Standardized Mean Difference is preferred.\n\nIn Glass's delta, the statistical measure of dispersion is specified as the standard deviation of the control group. There is a correction factor for small sample sizes."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]}]}]},{"code" : "STATO:0000634","display" : "reciprocal of difference","definition" : "A statistic that is a quotient of one and a difference.","property" : [{"code" : "comment","valueString" : "A difference is a statistic that is a subtraction of one quantity from another."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-07-20 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000635","display" : "number needed to treat","definition" : "A statistic that represents the number of units that needs to be treated to prevent one additional undesired outcome. The Number Needed to Treat is calculated as the reciprocal of a treatment effect estimate, where the effect estimate is expressed as a risk difference.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number needed to treat to benefit"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNT"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNTB"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Treat (NNT) value is often rounded up to the next highest whole integer."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "external-definitions","valueString" : "Centre for Evidence-Based Medicine\nNumber Needed to Treat (NNT)\nThe Number Needed to Treat (NNT) is the number of patients you need to treat to prevent one additional bad outcome (death, stroke, etc.).\nhttps://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt"},{"code" : "approval","valueString" : "2022-07-20 vote 7-0 by Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000637","display" : "number needed to screen to detect","definition" : "A statistic that represents the number of units that needs to be tested to identify one additional case. The Number Needed to Screen to Detect is calculated as the reciprocal of a difference in rate of detected cases with and without screening.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNS"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Screen (NNS) value is often rounded up to the next highest whole integer.  The Number Needed to Screen to Detect is distinct from the Number Needed to Screen to Prevent as the formulas to calculate are different, even though both may be abbreviated as NNS."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "approval","valueString" : "2022-08-03 vote 5-0 by Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Philippe Rocca-Serra, Harold Lehmann"}]},{"code" : "STATO:0000636","display" : "number needed to screen to prevent","definition" : "A statistic that represents the number of units that needs to be tested to prevent one additional adverse outcome, assuming that positive testing will lead to preventive intervention. The Number Needed to Screen to Prevent is calculated as the Number Needed to Treat divided by the prevalence.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNS"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Screen (NNS) value is often rounded up to the next highest whole integer.  The Number Needed to Screen to Detect is distinct from the Number Needed to Screen to Prevent as the formulas to calculate are different, even though both may be abbreviated as NNS.\n\nThe formula may be adjusted for test performance characteristics (e.g. dividing by the sensitivity) or assumptions regarding acceptance or adherence of interventions."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "external-definitions","valueString" : "BMJ 1998;317: 307 Number needed to screen: development of a statistic for disease screening\nNumber needed to screen is defined as the number of people that need to be screened for a given duration to prevent one death or adverse event.\nNumber needed to screen was then calculated by dividing the number needed to treat for treating risk factors by the prevalence of disease that was unrecognised or untreated. \nhttps://www.bmj.com/content/317/7154/307.long"},{"code" : "approval","valueString" : "2022-08-03 vote 5-0 by Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Philippe Rocca-Serra, Harold Lehmann"}]},{"code" : "STATO:0000638","display" : "number needed to harm","definition" : "A statistic that represents the number of units that, if treated or exposed to the intervention, to lead to one additional undesired outcome. The Number Needed to Harm is calculated as the reciprocal of a treatment effect estimate, where the effect estimate is expressed as a risk difference.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number needed to treat to harm"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNH"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NNTH"}],"property" : [{"code" : "comment","valueString" : "The Number Needed to Harm (NNH) value is often rounded down to the next lowest whole integer."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte"},{"code" : "external-definitions","valueString" : "Centre for Evidence-Based Medicine\nNumber needed to treat (NNT): The number of patients who need to be treated to prevent one bad outcome. It is the inverse of the ARR: NNT=1/ARR. Numbers needed to harm (NNH)-the number of patients who, if they received the experimental treatment, would lead to one additional person being harmed compared with patients who receive the control treatment; calculated as 1/ARI.\nhttps://www.cebm.ox.ac.uk/resources/ebm-tools/glossary"},{"code" : "approval","valueString" : "2022-07-20 vote 7-0 by Cauê Monaco, Janice Tufte, Philippe Rocca-Serra, Mario Tristan, Jesus Lopez-Alcalde, Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000184","display" : "ratio","definition" : "A statistic that is a quotient of two quantities.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "STATO: A ratio is a data item which is formed with two numbers r and s is written r/s, where r is the numerator and s is the denominator. The ratio of r to s is equivalent to the quotient r/s.\nNCIt:  The quotient of one quantity divided by another, with the same units of measurement.\nUMLS: Quotient of quantities of the same kind for different components within the same system.\nOECD: A ratio is a number that expresses the relative size of two other numbers.\nOCRe: A ratio is a quotient of quantities of the same kind for different components within the same system.\nSCO: A ratio is a relationship between two numbers of the same kind expressed arithmetically as a dimensionless quotient of the two which explicitly indicates how many times the first number contains the second.\nQuotient of quantities of the same kind for different components within the same system."},{"code" : "comment","valueString" : "Although some definitions for Ratio include \"with the same units of measurement\" and some definitions for Ratio include \"a dimensionless quotient\", not all definitions have these concepts, and there are ratios with units of measurement that are different for numerator and denominator such as event rate, body mass index, and cost-effectiveness ratio."},{"code" : "negative-vote","valueString" : "2021-12-22 vote 3-1 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, Jesus Lopez-Alcalde\n2021-12-29 vote 3-1 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, C P Ooi"},{"code" : "expert-comments","valueString" : "2021-12-22 comment: I suggest adding \"with the same measurement units\"\n2021-12-29 comment: I agree with the term definition.  However, the comment could be improved and I would not include BMI as an example as an index may not necessarily be a ratio but a more complex statistic or calculation\n2022-01-05 comment: Comment,  I would remove body mass index from the comment section as an example as an index is a unique statistical defnition."},{"code" : "approval","valueString" : "2022-01-05 vote 6-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde"}],"concept" : [{"code" : "STATO:0000639","display" : "percentage","definition" : "A ratio that is multiplied by 100, and has the same units of measurement in the numerator and the denominator.","property" : [{"code" : "comment","valueString" : "When a percentage is a fraction of hundred or proportion per hundred, then the percentage is the proportion multiplied by 100. However, a percentage can be greater than 100% so the definition is a ratio that is multiplied by 100.\nProportion is SEVCO code of TBD:0000018, Ratio is SEVCO code of STATO:0000184"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Janice Tufte, Muhammad Afzal, Khalid Shahin"},{"code" : "external-definitions","valueString" : "NCIt-A fraction or ratio with 100 understood as the denominator. Alt definition One hundred times the quotient of one quantity divided by another, with the same units of measurement.\nOECD-A percentage is a special type of proportion where the ratio is multiplied by a constant, 100, so that the ratio is expressed per 100.\nSCO-A fraction or ratio with 100 understood as the denominator.\nUMLS-A unit for expressing a number as a fraction of hundred (on the basis of a rate or proportion per hundred)-NCI"},{"code" : "negative-vote","valueString" : "2022-01-05 vote 5-1 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-05 comment: Instead of \"A ratio\" I would propose \"A proportion that is multiplied by 100, [...]\""},{"code" : "approval","valueString" : "2022-01-07 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde, Mario Tristan"}],"concept" : [{"code" : "STATO:0000705","display" : "measurement accuracy","definition" : "A percentage in which the numerator represents the absolute value of one minus the difference between the true value and the observed value, and the denominator represents the true value.","property" : [{"code" : "external-definitions","valueString" : "from https://www.sciencedirect.com/topics/engineering/measurement-accuracy\nMeasurement Accuracy\nMeasurement accuracy is defined as the closeness of agreement between a measured quantity value and a true quantity value of a measurand (i.e., the quantity intended to be measured) (ISO-JCGM 200, 2008), and is often limited by calibration errors."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-08-24 vote 5-0 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey"}]}]},{"code" : "STATO:0000607","display" : "proportion","definition" : "A ratio in which the numerator represents a part, fraction or share of the amount represented by the denominator.","property" : [{"code" : "external-definitions","valueString" : "STATO: observed risk [as a data item STATO_0000423] = the proportion of individuals in a population with the outcome of interest\n\nNCIt: A part, fraction, share, or number considered in relation to the whole amount or number.\n\nOECD Definition:\nA proportion is a special type of ratio in which the denominator includes the numerator.\n\nAn example is the proportion of deaths that occurred to males which would be deaths to males divided by deaths to males plus deaths to females (i.e. the total population).\n\nOCRe: A proportion is a measure of the frequency of some phenomenon of interest within an average population"},{"code" : "comment","valueString" : "The value of a proportion must be between 0 and 1 (inclusive). Proportions may represent the frequency of some phenomenon of interest within a population, or may represent a subset of a whole."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2021-12-29 vote 3-1 by Robin Ann Yurk, Harold Lehmann, Janice Tufte, C P Ooi"},{"code" : "expert-comments","valueString" : "2021-12-29 comment: I agree with the term definition.  However, for the comment, I would edit to include the OCRe defintion:  A proportion is a measure of the frequency of some phenomenon of interest within a population."},{"code" : "approval","valueString" : "2022-01-07 vote 7-0 by Harold Lehmann, Robin Ann Yurk, Janice Tufte, C P Ooi, Louis Leff, Jesus Lopez-Alcalde, Mario Tristan"}],"concept" : [{"code" : "STATO:0000413","display" : "incidence","definition" : "A proportion in which the numerator represents new events.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cumulative incidence"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incidence proportion"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Incidence is the ratio of the number of new cases of a disease divided by the number of persons at risk for the disease.\n\nNCIt The relative frequency of occurrence of something.\n\nOBCS A data item that refers to the number of new events that have occurred in a specific time interval divided by the population at risk at the beginning of the time interval. The result gives the likelihood of developing an event in that time interval.\n\nUMLS The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases in the population at a given time. (MSH)\nThe relative frequency of occurrence of something. (NCI)\nThe number of new cases of a disease diagnosed each year. (NCI)\n\nCDC: https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html\nIncidence refers to the occurrence of new cases of disease or injury in a population over a specified period of time. Although some epidemiologists use incidence to mean the number of new cases in a community, others use incidence to mean the number of new cases per unit of population.\n\nTwo types of incidence are commonly used — incidence proportion and incidence rate.\n\nIncidence proportion or risk\n\nSynonyms for incidence proportion\n\nAttack rate\nRisk\nProbability of developing disease\nCumulative incidence\n\n\nDefinition of incidence proportion\n\nIncidence proportion is the proportion of an initially disease-free population that develops disease, becomes injured, or dies during a specified (usually limited) period of time. Synonyms include attack rate, risk, probability of getting disease, and cumulative incidence. Incidence proportion is a proportion because the persons in the numerator, those who develop disease, are all included in the denominator (the entire population)."},{"code" : "comment","valueString" : "Outside of the Scientific Evidence Code System (SEVCO), there is substantial inconsistency in the terms and definitions used for incidence and related concepts.\n\nWithin SEVCO, Incidence is a proportion in which the numerator represents new events. The denominator may represent the entire population or may represent that population at risk (i.e., those without prior events). \n\nDisease incidence is the ratio of the number of new cases of a disease divided by the number of persons at risk for the disease. Incidence is a proportion because the persons in the numerator, those who develop disease, are all included in the denominator (the entire population).\n\nWhen a time period or a duration of time is used to define the period of time in which the incidence is measured, the statistic type is Incidence. Examples include 1-year incidence, in-hospital incidence, and cumulative incidence.\n\nWhen time is considered as a variable in the formalization of the statistic, such as incidence per unit of time, then the statistic type is Incidence Rate (SEVCO code of TBD:0000024)"},{"code" : "negative-vote","valueString" : "2022-01-05 vote 2-2 by Robin Ann Yurk, janice tufte, Jesus Lopez-Alcalde, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-01-05 comments: I propose \"The number of new occurrences of an event (for example, infection) in a population at risk over a particular period of time.\n\nDoesn't denominator need to include a time component? Even if not, the time component should be referenced in the Comment. Also, do note that, in public health, the numerator *attempts* to be a subset of the denominator, but that relationship cannot be assured. (E.g., fertility incidence may be number of births (vital statistics) with denominator of number of women of child bearing age (census).\n\n2022-06-15 Expert Working Group/Steering Committee removed 'Risk' as Alternative term as we created a separate term for 'Risk' (TBD:0000185)"},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel, Janice Tufte"},{"code" : "approval","valueString" : "2022-01-12 vote 6-0 by Harold Lehman, Mario Tristan, janice tufte, Andrew Beck, Robin Ann Yurk, Paul Harris"}]},{"code" : "STATO:0000412","display" : "prevalence","definition" : "A proportion in which the numerator represents all events of interest (for example, both new and preexisting cases of a disease) in the population, which is represented by the denominator.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "period prevalence"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "point prevalence"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "lifetime prevalence"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: prevalence is a ratio formed by the number of subjects diagnosed with a disease divided by the total population size.\n\nPeriod prevalence:\nThe ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population.\na prevalence rate that occurs at a specific period of time\n\n\nPoint prevalence:\nNCIt The ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population.\nOBCS a prevalence rate that occurs at a specific point of time\n\nUMLS:\nThe total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time. (MSH)\nThe ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population. (NCI)\nProportion of the people having a certain disease or condition in a given population (CHV)\n\nCDC https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html\nPoint prevalence = Number of current cases (new and preexisting) at a specified point in time / Population at the same specified point in time\nPeriod prevalence = Number of current cases (new and preexisting) over a specified period of time / Average or mid-interval population\n\nDefinition of prevalence\nPrevalence, sometimes referred to as prevalence rate, is the proportion of persons in a population who have a particular disease or attribute at a specified point in time or over a specified period of time. Prevalence differs from incidence in that prevalence includes all cases, both new and preexisting, in the population at the specified time, whereas incidence is limited to new cases only.\n\nPoint prevalence refers to the prevalence measured at a particular point in time. It is the proportion of persons with a particular disease or attribute on a particular date.\n\nPeriod prevalence refers to prevalence measured over an interval of time. It is the proportion of persons with a particular disease or attribute at any time during the interval."},{"code" : "comment","valueString" : "Prevalence is the proportion of persons in a population who have a particular disease or attribute at a specified point in time or over a specified period of time.\nPrevalence differs from incidence in that prevalence includes all cases, both new and preexisting, in the population at the specified time, whereas incidence is limited to new cases only.\nIn Bayesian calculations, the prevalence value is often used as the pre-test probability or prior probability value, but these probability values are not always based on or derived from the prevalence value."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel, Janice Tufte, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-01-12 vote 6-1 by Robin Ann Yurk, janice tufte, Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Andrew Beck, Paul Harris\n2022-01-19 vote 2-1 by Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya\n2022-01-26 vote 7-1 by Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Robin Ann Yurk, Brian S. Alper, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-12 comments: I propose \"A proportion in which the numerator represents all events (new and preexisting).\" I think it is very important to detail \"new and preexisting\"\n2022-01-03 comment: The comment here is better than for incidence (why not copy this comment into \"Incidence,\" and edit?). But it still feels like the denominator should be called out in the definition.\n2022-01-19 comment:  I would edit the term definition to include ...as part of a denominator of a broader population.\n2022-01-26 comments: (1) suggestion: alter the definition to: A proportion in which the numerator represents all events of interest (e.g. both new and preexisting cases of a disease) in the population, which is represented by the denominator.\n(2) I would delete this sentence from the comment for application. \" Prevalence is a proportion because the persons in the numerator, those who develop or have disease, are all included in the denominator (the entire population)\"\n(3) Probability should be a type of Proportion but distinct from Prevalence. Probability relates to the likelihood of something, but in that sense incidence and prevalence are both probabilities.  If Prevalence and Probability were considered synonyms then one would still not call it the same as \"Pre-test\" or \"Prior\" probability.  The term pre-test probability could be a type of (child of) probability.\n\n2022-02-02 comment: I would remove the statement ..In Bayesian calculations, as the pre-test probability is a formula with new variables."},{"code" : "approval","valueString" : "2022-02-02 vote 5-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]},{"code" : "STATO:0000233","display" : "sensitivity","definition" : "A proportion in which the numerator represents the detected items within the denominator that represents all items with the targeted attribute.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "recall"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "true positive rate"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: true positive rate (recall, sensitivity) = sensitivity is a measurement datum qualifying a binary classification test and is computed by substracting the false negative rate to the integral numeral 1\nNCIt diagnostic sensitivity The probability that a test will produce a true positive result when used on effected subjects as compared to a reference or \"gold standard\". The sensitivity of a test can be determined by calculating: number of true positive results divided by the sum of true positive results plus number of false negative results.\nOBCS-\na data item that measures the proportion of actual positives which are correctly identified as such (e.g. the percentage of sick people who are correctly identified as having the condition).\nOCRe\nAn index of performance of a discriminant test calculated as the percentage of correct positives in all true positives\nSTATO\nsensitivity is a measurement datum qualifying a binary classification test and is computed by subtracting the false negative rate to the integral numeral 1\nNICE glossary-Sensitivity of a test-How well a test detects what it is testing for. It is the proportion of people with the disease or condition that are correctly identified by the study test. For example, a test with a sensitivity of 96% will, on average, correctly identify 96 people in every 100 who truly have the condition, but incorrectly identify as not having the condition 4 people in every 100 who truly have it. It is different from positive predictive value.\n\nMeSH scope note-sensitivity and specificity-Scope Note\nBinary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)"},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the sensitivity is the proportion of true positives (all people with the disease who test positive) within all people with the disease (true positives plus false negatives). Sn = TP / (TP + FN).\nIn information retrieval, recall is the proportion of items correctly retrieved within all relevant items.\nTrue positive rate (TPR) is listed as an Alternative term because of common usage, but TPR is not a Rate as defined in SEVCO."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-01-19 vote 3-1 by Paul Harris, Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya"},{"code" : "expert-comments","valueString" : "2022-01-19 comment: I would remove recall from Alternative terms and comment for applications, as it is a specialized informatics measures and list it as a separate term. (EWG discussion: This comment is not persuasive. If the same statistic type (formula) has different names in different contexts we still want one common code for the concept. This consolidation of terms is the purpose of a standardized terminology or controlled vocabulary where we are controlling the code for the concept, not the name for common use.)"},{"code" : "approval","valueString" : "2022-01-26 vote 10-0 by Paul Harris, Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya, Janice Tufte, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "STATO:0000134","display" : "specificity","definition" : "A proportion in which the numerator represents the non-detected items within the denominator that represents all items without the targeted attribute.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "true negative rate"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: true negative rate (specificity) = specificity is a measurement datum qualifying a binary classification test and is computed by substracting the false positive rate to the integral numeral 1\n\n\nNCIt The probability that a test will produce a true negative result when used on non-effected subjects as compared to a reference or \"gold standard\". The specificity of a test can be determined by calculating: number of true negative results divided by the sum of true negative results plus number of false positive results.\n\nOBCS a data item that refers to the proportion of negatives in a binary classification test which are correctly identified\n\nOCRe An index of performance of a discriminant test calculated as the percentage of negatives in all true negatives\n\nNICE glossary-Specificity (of a test)\nHow well a test correctly identifies people who do not have what it is testing for. It is the proportion of people without the disease or condition that are correctly identified by the study test. For example, a test with a specificity of 96% will, on average, correctly identify 96 people in every 100 who truly do not have the condition, but incorrectly identify as having the condition 4 people in every 100 who truly do not have it. It is different from negative predictive value.\n\nMeSH scope note-sensitivity and specificity-Scope Note\nBinary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)"},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the specificity is the proportion of true negatives (all people without the disease who test negative) within all people without the disease (true negatives plus false positives). Sp = TN / (TN + FP).\nTrue Negative Rate (TNR) is listed as an Alternative term because of common usage, but TNR is not a Rate as defined in SEVCO."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-01-19 vote 5-0 by Paul Harris, Harold Lehmann, Robin Ann Yurk, Alejandro Piscoya, Janice Tufte"}]},{"code" : "STATO:0000416","display" : "positive predictive value","definition" : "A proportion in which the numerator represents the correctly detected items within the denominator that represents all items detected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "precision (as used in information retrieval)"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "PPV"}],"property" : [{"code" : "external-definitions","valueString" : "NCIt The probability that an individual is affected with the condition when a positive test result is observed. Predictive values should only be calculated from cohort studies or studies that legitimately reflect the number of people in the population who have the condition of interest at that time since predictive values are inherently dependent upon the prevalence. PPVDT can be determined by calculating: number of true positive results divided by the sum of true positive results plus number of false positive results."},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the positive predictive value is the proportion of true positives (all people with the disease who test positive) within all the people with a positive test (true positives plus false positives). PPV = TP / (TP + FP).\nIn information retrieval, 'precision' is the proportion of items correctly retrieved within all retrieved items.\nIn Bayesian calculations, the 'Positive Predictive Value' is equivalent to the 'post-test probability' or 'posterior probability' following a positive test."},{"code" : "negative-vote","valueString" : "2022-01-26 vote 7-1 by Robin Ann Yurk, Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"},{"code" : "expert-comments","valueString" : "2022-01-26 comments: (1) I would remove precision from Alternative terms\n(2) minor change=quote terms of interest: In information retrieval, `precision` is the proportion of items correctly retrieved within all retrieved items.\nThe terms `post-test probability` and `posterior probability` are used in Bayesian calculations.\n(3) Post-test probability is not fully synonymous with positive predictrive value.  A negative predictive value is also the \"post-test\" probability of a true negative if the test has a negative result.  And a test with a continuous rather than binary result could have a post-test probability that is neither positive nor negative predictive value.  Post-test probability (and posterior probability) should become a child of probability.\n2022-02-02 comment: I would remove the alternate term Precision and the comment for application for precision."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Phillippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-02-02 vote 5-0 by Paola Rosati, Mario Tristan, Robin Ann Yurk, Janice Tufte, Brian S. Alper"}]},{"code" : "STATO:0000619","display" : "negative predictive value","definition" : "A proportion in which the numerator represents the correctly non-detected items within the denominator that represents all items not detected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "NPV"}],"property" : [{"code" : "external-definitions","valueString" : "NCIt The probability that an individual is not affected with the condition when a negative test result is observed. This measure of accuracy should only be used if the data on the prevalence of condition of interest in given population is available. NPVDT can be determined by calculating: number of true negative results divided by the sum of true negative results plus number of false negative results."},{"code" : "comment","valueString" : "In a population of people with and without a disease, and a test which is positive (suggesting the disease) or negative (suggesting not having the disease), the negative predictive value is the proportion of true negatives (all people without the disease who test negative) within all the people with a negative test (true negatives plus false negatives). NPV = TN / (TN + FN)."},{"code" : "editors","valueString" : "Harold Lehmann, Ken Wilkins, Phillippe Rocca-Serra, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-01-26 vote 8-0 by Robin Ann Yurk, Janice Tufte, Harold Lehmann, Philippe Rocca-Serra, Paola Rosati, Mario Tristan, Brian S. Alper, Jesus Lopez-Alcalde"}]},{"code" : "STATO:0000621","display" : "diagnostic yield","definition" : "A proportion in which the numerator represents the correctly detected items within the denominator that represents all items tested.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "external-definitions","valueString" : "\"Diagnostic yield was defined as the number of participants with positive findings for advanced neoplasia relative to all participants\" in https://pubs.rsna.org/doi/10.1148/radiol.12112486\nOther 'definitions' found include synonymous use with sensitivity, and 'diagnostic yield' describing the statistic array of TP, FP, TN, and FN data.\n\nhttps://medical-dictionary.thefreedictionary.com/diagnostic+yield\nDiagnostic yield The likelihood that a test or procedure will provide the information needed to establish a diagnosis."},{"code" : "approval","valueString" : "2022-08-10 vote 5-0 by Philippe Rocca-Serra, Mario Tristan, Harold Lehmann, Eric Harvey, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-08-10 comment:  I would simply suggest to simplify the definition to:\n\nA proportion obtained by dividing the number of correctly detected items (numerator) by the number of all items tested (denominator)"}]},{"code" : "STATO:0000620","display" : "risk","definition" : "A proportion in which the numerator represents the cases in which an event or characteristic occurs and the denominator represents all possible cases.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "probability"}],"property" : [{"code" : "comment","valueString" : "In the English language, 'risk' may be used synonymously with 'hazard', 'chance', 'likelihood', 'relative likelihood', 'probability' and many other terms. In SEVCO the term 'risk' is explicitly defined for how it is used in other terms such as 'Risk Ratio' and 'Relative Risk Difference'  The statistical definition of 'risk' does not have a negative or undesirable connotation.\n\nRisk may be conditioned on many factors.  In such cases the statistic type is Risk and the statistic may be reported as a conditional risk (for example, predicted risk).\n\nWhen a time period or a duration of time is used to define the period of time in which the risk is measured, the statistic type is Risk. Examples include 1-year risk, in-hospital risk, and cumulative risk.\n\nIn frequentist statistics, the risk is a ratio of the number of events to the number of possible cases. In subjective Bayesian statistics, the risk is a proportion as a whole that represents degree of belief, where 0 represents certainty that an event will not occur and 1 represents certainty that the event will occur."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte"},{"code" : "negative-vote","valueString" : "2022-06-22 vote 4-1 by Eric Harvey, Janice Tufte, Mario Tristan, Muhammad Afza, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-06-22 comment: It is confusing to consider \"conditional probability\" as an Alternative term for \"risk.\" \n\nGenerally; \n\"Conditional probability\" refers to a probability whose value is dependent upon the occurrence of some process/event. In contrast, \"risk\" refers to the probability that an event will occur. \n\nMathematically;\n\"Conditional probability\" is a measure of the probability of an event occurring, given that another event has already occurred. Let us have two events, A and B, and we want to know P(A) given P(B); notationally, P(A|B). Here the word 'given' defines a subset of the population of events because it applies condition on B. For example, if we care about the incidence of COVID-19 in men only, we might want to know P(COVID-19 | male). This means that first, pick out all the males, and second, figure out the probability they will get COVID-19. More formally, what P(A|B) says is: pick out the events to which both P(A) and P(B) apply and consider them as part of the subset of events to which only P(B) applies: hence P(A/B) = P(A and B)/P(B).\nIn simple words, what we are doing with P(A|B) = P(A and B) | P(B) is selecting out the same subset of the event population in both the\nthe numerator and the denominator: in this case, only men.\nWhile \"risk\" by definition involves no condition. Taking the same example, we can say, \"what is the risk of COVID-19?\" here, we refer to the whole population; however, we can apply can make a condition over it like \"what is the risk of COVID-19 in males?\" This risk may be taken as \"conditional risk,\" and it could be taken as an Alternative term to conditional probability.  \nConclusion: Let us define two terms, \"risk\" and \"conditional risk,\" as a subset of \"risk.\" Then \"conditional probability\" shall be taken as an Alternative term to \"conditional risk.\"\n\nOne more important point about the current definition of \"Risk,\" i.e., \nRisk = A proportion in which the numerator represents the probability that an event or characteristic occurs and the denominator represents the probability that the event or characteristic occurs or does not occur.\nIf we write symbolically, it will look like this; P(A)/P(A or B), where A indicates \"positive,\" which is the occurrence of something, and B indicates \"negative,\" which is the non-occurrence of the same. We can write it formally as P(A) / P(AUB). In set theory, when there is \"OR,\" in other words, \"Union\" infer the True value when either of them is True. It means A is true, or B is true, or both are true; we will get the true result. Interestingly, occurrence and non-occurrence are mutually exclusive, so two situations arise.\nI) when the event occurs: P(A) / P(AUB)  --> P(A)/P(A) = 1\nII) when the event does not occur: P(A) / P(AUB)  --> P(A)/P(B)  = Odds\nTherefore the definition needs to be revised for the correct meaning of the denominator. I believe the denominator refers to the whole population where some people are at risk and some are not, while the numerator refers to only those at risk."},{"code" : "approval","valueString" : "2022-06-29 vote 6-0 by Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Janice Tufte, Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000627","display" : "odds","definition" : "A ratio in which the numerator represents the probability that an event will occur and the denominator represents the probability that an event will not occur.","property" : [{"code" : "external-definitions","valueString" : "OCRe:\nOdds is a quotient in which the relative likelihood that an event will occur is divided by the the relative likelihood that it won't. In probability theory and statistics, where the variable \"p\" is the probability in favor of the event, and the probability against the event is 1-p, \"the odds\" of the event are the quotient of the two, or p / (1-p)"},{"code" : "comment","valueString" : "'Odds' and 'Odds ratio' are different terms. 'Odds' is a ratio of probabilities. 'Odds ratio' is a ratio of two different odds.\n\nOdds are calculated as p / (1-p) where p is the probability of event occurrence.  When p = 0, the odds = 0. When p = 1, the odds may be expressed as not calculable or as \"odds against = 0\".\n\nOdds may be expressed as p:(1-p). Odds may be expressed as p:q where q = 1-p. Odds may be expressed as a:b where a and b are multiples of p and (1-p). Examples of different expressions of the same odds include 3:2, 3/2, 0.6:0.4, 0.6/0.4, and 1.5.\n\nOdds may be expressed as \"odds for\" or \"odds in favor\" (e.g. 1:5 for a \"3\" on a 6-sided die) or \"odds against\" (e.g. 5:1 against a \"3\" on a 6-sided die).\n\nThe term \"betting odds\" used in gambling that involves financial amounts in the formulation is not an \"Odds\" in the definition of the Scientific Evidence Code System."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Khalid Shahin, Kenneth Wilkins, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2022-02-16 vote 4-2 by Janice Tufte, Paola Rosati, Eric Moyer,  Harold Lehmann, Robin Ann Yurk, Jesus Lopez-Alcalde\n2022-02-23 vote 5-2 by nisha mathew, Harold Lehman, Paola Rosati, Sunu Alice Cherian, Robin Ann Yurk,  Joanne Dehnbostel, Sumalatha A\n2022-03-09 vote 3-1 by Robin Ann Yurk, Janice Tufte, Eric Moyer, nisha mathew\n2022-03-16 vote 8-1 by Robin Ann Yurk, Janice Tufte, Eric Moyer, nisha mathew, Harold Lehmann, Philippe Rocca-Serra, Louis Leff, Paola Rosati, Mario Tristan"},{"code" : "expert-comments","valueString" : "2022-02-16 comments: The term definition and comment for application are clear and well written.  It would help to have a discussion on the Parent and Child relationships for this term as right now you only have Statistic, Ratio, Odds.  In statistics for the scientific code system is Statistic, Ratio, Odds Ratio a better sequence and put the Odds under comment for application.  \n\nThis term needs two Alternative terms: \"Odds For\" and \"Odds in Favor.\" The definition needs to deal with the cases p=1 and p=0. (I can think of 3 questions regarding these cases. (1) Are they defined? (2) Is p=1 the same as 8. (3) Does 3:0=1:0?)\n\nWe should mention that this term does not include gambling odds. (As I understand it, gambling odds are the ratio of stake to winnings with several representations and frequently have a \"rounding\" factor to ensure a profit for the bookmaker).\n\nAnother issue is whether to represent \"Odds Against\" in the vocabulary. It could come up when annotating an immutable pre-existing source that gives odds as odds against; for example, an NLP system that scans published works to output labels for sections of the text.\n\nA term related to \"Odds\" missing from the parent branch, \"Ratio,\" is \"Log Odds.\"\n\n(Not unique to this term, but I noticed it here) The children of \"Statistic\" should inherit the application comment from \"Statistic\" about distinguishing between the statistic and statistic value. That way, a reader will not need to read the whole tree to know that 1.5 is not \"Odds\"; it is \"Odds statistic value.\" (However, I do not see a place for \"Odds statistic value\" in the tree.)\n\nFinally, the repetition of \"Odds may be expressed as\" is awkward.\n\n2022-02-23 comments: \"Odds may be expressed as p:(1-p). Odds may be expressed as p:q where q = 1-p. \" Sounds redundant.\nAlternative terms: Probablity likelihood, chance ---{{Group meeting decided that 'probability' and 'likelihood' are terms we may consider adding to the SEVCO but they are not Alternative terms for odds, 'chance' is considered a lay term and not a specific statistical term for the code system}}\nOdds is a computational function such as addition, subtraction, multiplication.  Odds Ratio may be better term for the term definition.  This comment is based on your term definition and comment for application.  \n\n2022-03-09 comment: Edit the term definition:  A ratio of probabilities in which the numerator represents the probability of the number of times an event will occur and the denominator represents the probability of the number of time an event will not occur.  (Steering group 2022-03-09 considers the suggested change does not add clarification or improved understanding.)\n\n2022-03-16 comment: I would delete likelihood from the term definition as in statistics it introduces a different formula such as likelihood ratio.\nMy suggestion is to simplify to a ration in which the numerator represents the number of times an event will occur and the denominator represents the number of times an event will not occur. (Steering group 2022-03-16 again considers the suggested change to include \"number of times\" not persuasive, but changed \"relative likelihood\" to \"probability\" in the definition to avoid the potential confusion with likelihood ratio.)"},{"code" : "approval","valueString" : "2022-03-22 vote 5-0 by Muhammad Afzal, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk"}]},{"code" : "STATO:0000645","display" : "rate","definition" : "A ratio in which the numerator represents any quantity and the denominator represents an interval of time.","property" : [{"code" : "comment","valueString" : "When the numerator represents a count, the rate is an Event Rate."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "NCIt\nRate = A measurement of degree, speed, or frequency relative to time.\n\nOBCS\nrate= A quality of a single process inhering in a bearer by virtue of the bearer's occurrence per unit time.\n\nOCRe\nRate = A rate is a quantity per unit of time."},{"code" : "negative-vote","valueString" : "2022-03-30 vote 4-2 by Cauê Monaco, Muhammad Afzal, Jesus Lopez-Alcalde, Philippe Rocca-Serra, Mario Tristan, Robin Ann Yurk\n2022-04-06 vote 3-2 by Mario Tristan, Robin Ann Yurk, Paola Rosati, Jesus Lopez-Alcalde, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-03-30 comments: A rate does not necessarily represent time. \"In math, a rate is a special ratio in which the two terms are in different units\"\nEdit term definition:  A proportion represented by a rate of an event count for another quantified measure.\n My comments are more focused on in the term definition and comment you have incomplete definitions or comments as you only describe in the term definition the denominator and in the comment you only describe the numerator.\nImprovement Suggestion:  By definition, a rate would have both a numerator and denominator so it is important for your to include in a definition both numerator and denominator.\n\nThe term definition should read:  A ratio in which the numerator represents an event count and the denominator represents the total sum of the events considered as a count and non count.\n\nThe underlying concept for Rate is that the Denominator is a measure of time.   So we need a definition where the numerator is X and the denominator is a measure time.\n \nOur approach to definitions has been:\n \nRatio = A statistic that is a quotient of two quantities.  [[By definition any statistic that is a ratio has a numerator and a denominator.   Any statistic that has a numerator and a denominator is a Ratio, and may be given a more specific term when it is a type of Ratio.]]   The Ratio definition inherits the Statistic definition so we do not re-define statistic.\n \nRate = A ratio in which the denominator represents a duration of time.     This means that when we constrain the definition of ratio to limit to statistics where the denominator represents a duration of time, then the type of Ratio is a Rate.   There is a logic to this approach to setting a definition, but your comment shows that it feel lacking because it does not mention the numerator.  There is no constraint or modification being applied to the numerator.\n \nPerhaps we can try “Rate = A ratio in which the numerator represents any quantity and the denominator represents a duration of time.”\n \nWould that help clarify this item?\n\n2022-04-06 comments: I would insert in the term definition, the numerator represents a quantity defined as a unit which is a smaller part of the denominator divided by the total sum of units in the denominator.\n\nthe concepts,  \"frequency of events\" and  \"over a specified period of time\"  are not reflected in this definition \n\n2022-04-27 comment: Edit term definition:  A proportion represented by a rate of an event count or another quantified measure divided by the total sum of units.  {{Discussion by Expert Working Group: The proposed definition describes a Proportion, but a Rate is NOT a Proportion.}}"},{"code" : "approval","valueString" : "2022-05-12 vote 9-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"}],"concept" : [{"code" : "STATO:0000670","display" : "incidence rate","definition" : "A rate in which the number of new events per total at risk is divided by an interval of time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "incidence density"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "average hazard rate"}],"property" : [{"code" : "comment","valueString" : "Incidence is defined as a proportion in which the numerator represents new events and the denominator represents the total at risk for events. Rate is defined as a ratio in which the numerator represents any quantity and the denominator represents an interval of time. The interval of time used for the denominator may be data-dependent when the duration of observation varies across the observations.\n\nIn the method for calculating incidence rate (described at https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html), the numerator is the \"Number of new cases of disease or injury during the specified period\" and the denominator is the \"Time each person was observed, totaled for all persons\""},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "NCIt \nIncidence Rate = The frequency of new occurrences of an event during a specified time period.\n\nCDC: https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html\nIncidence refers to the occurrence of new cases of disease or injury in a population over a specified period of time. Although some epidemiologists use incidence to mean the number of new cases in a community, others use incidence to mean the number of new cases per unit of population.\n\nTwo types of incidence are commonly used — incidence proportion and incidence rate.\n\nSynonyms for incidence rate\n\nPerson-time rate\n\n\nDefinition of incidence rate\n\nIncidence rate or person-time rate is a measure of incidence that incorporates time directly into the denominator. A person-time rate is generally calculated from a long-term cohort follow-up study, wherein enrollees are followed over time and the occurrence of new cases of disease is documented. Typically, each person is observed from an established starting time until one of four “end points” is reached: onset of disease, death, migration out of the study (“lost to follow-up”), or the end of the study. Similar to the incidence proportion, the numerator of the incidence rate is the number of new cases identified during the period of observation. However, the denominator differs. The denominator is the sum of the time each person was observed, totaled for all persons. This denominator represents the total time the population was at risk of and being watched for disease. Thus, the incidence rate is the ratio of the number of cases to the total time the population is at risk of disease.\n\n\nAlternative terms for incidence rate (incidence density, average hazard) noted at https://www.sjsu.edu/faculty/gerstman/eks/formula_sheet.pdf"},{"code" : "negative-vote","valueString" : "2022-05-11 vote 7-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Janice Tufte, Harold Lehmann, Paola Rosati, Robin Ann Yurk"},{"code" : "expert-comments","valueString" : "2022-05-11 comment: Suggest improving current term definition with the definition in comment for application.  The Alternative terms I am not sure fit here--you may want to add more detail for the alternate terms to the comment for application.\n2022-05-25 comment: The definition defines the ideal (\"at risk\"); very often, however, incidence rates are calculated more grossly. While they are semantically wrong, they are quantitatively correct. Classic: birth incidence. The proper denominator would be fertile women, but *could * be calculated \"per woman\" or even \"per capita\"."},{"code" : "approval","valueString" : "2022-05-25 vote 6-0 by Jesus Lopez-Alcalde, Brian S. Alper, Joanne Dehnbostel, Eric M Harvey, Mario Tristan, Harold Lehmann"}]},{"code" : "STATO:0000671","display" : "hazard rate","definition" : "A conditional instantaneous rate in which the numerator represents an incidence conditioned on survival to a specified time, and the denominator represents a time interval with a duration approaching zero.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hazard"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hazard function"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "instantaneous hazard rate"}],"property" : [{"code" : "comment","valueString" : "In the definition of Hazard Rate, the term \"survival\" is not literally about life and death but is used to represent existence without experiencing the event. \"Hazard\" as a statistical term is not specific to \"bad\" or \"dangerous\" events.\nA hazard rate is expressed as a unitless numerator per unit of time, occurring at a specified time, and conditioned on survival to that time. \nA hazard rate is mathematically the negative derivative of the log of the survival function. The survival function is the probability of surviving past a specified point in time, expressed as Pr{ T >= t }. \nA hazard rate is also mathematically defined as lim(dt -> 0) [ Pr{ ( t <= T < t + dt ) | ( T >= t ) } / dt ]."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Brian S. Alper"},{"code" : "external-definitions","valueString" : "A Dictionary of Epidemiology (5 ed.) by Miquel Porta\nHazard rate = A theoretical measure of the probability of occurrence of an event per unit time at risk; e.g., death or new disease, at a point in time, t, defined mathematically as the limit, as ?t approaches zero, of the probability that an individual well at time t will experience the event by t + ?t, divided by ?t.\n\nformula expressed at https://data.princeton.edu/wws509/notes/c7s1"},{"code" : "negative-vote","valueString" : "2022-04-06 vote 4-3 by Mario Tristan, Robin Ann Yurk, Cauê Monaco, Harold Lehmann, Paola Rosati, Jesus Lopez-Alcalde, nisha mathew"},{"code" : "expert-comments","valueString" : "2022-04-06 comments: An instantaneous rate in which the numerator represents an incidence and the denominator represents a time interval conditioned on survival to a specified time with a duration approaching zero\n\nA hazard is any danger or peril. It does not necessarily represent a survival/death relationship.\n\nI would add a vote choice:  No Comment-Specialized Term or Not Applicable or some other choice as this is specialized formula."},{"code" : "approval","valueString" : "2022-05-12 vote 8-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew"}]},{"code" : "STATO:0000672","display" : "event rate","definition" : "The number of occurrences per unit of time.","property" : [{"code" : "comment","valueString" : "An event rate is a ratio in which the numerator represents a count and the denominator represents an interval of time.\nWhen the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2022-04-27 comment: The term definition and comment for application are comprehensive.  However, for your comment for application I would only use the following...\nAn event rate is a ratio in which the numerator represents a count and the denominator represents an interval of time.\nWhen the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n{{Expert Working Group discussion: the comment providing instructions for choosing among 4 related and confusing terms is considered useful for guidance, and purposefully mentions other terms that may be more appropriate.}}"},{"code" : "approval","valueString" : "2022-05-12 vote 8-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew"}]},{"code" : "STATO:0000673","display" : "event frequency rate","definition" : "A ratio in which the numerator represents an event frequency and the denominator represents an interval of time.","property" : [{"code" : "comment","valueString" : "When the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-12 vote 9-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"}]}]},{"code" : "STATO:0000674","display" : "event frequency","definition" : "A ratio in which the numerator represents a count and the denominator represents a count (without involving an interval of time).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "frequentist probability"}],"property" : [{"code" : "comment","valueString" : "When the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-12 vote 9-0 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"}]},{"code" : "STATO:0000675","display" : "density","definition" : "A ratio in which the numerator represents any quantity and the denominator represents an interval of space (distance, area, or volume).","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-08 vote 7-0 by Mario Tristan, Janice Tufte, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Eric M Harvey"},{"code" : "expert-comments","valueString" : "2022-05-08 comment: Examples would be nice, since \"linear density\" is not a traditional measure"}],"concept" : [{"code" : "STATO:0000676","display" : "number density","definition" : "A ratio in which the numerator represents a count and the denominator represents an interval of space (distance, area, or volume).","property" : [{"code" : "comment","valueString" : "When the numerator represents a count: \n--If the denominator includes an interval of time, the type of ratio is an Event Rate. \n--If the denominator includes a count without an interval of time, the type of ratio is an Event Frequency. \n--If the denominator includes a count and an interval of time, the type of ratio is an Event Frequency Rate. \n--If the denominator includes an interval of space, the type of ratio is a Number Density"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-05-12 vote 8-1 by Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-05-12 comment: I wonder if we could define better \"Number Density\" as Density ratio {{2022-05-18 discussion found 2 instances of the term 'Number density' matching our definition, and the term 'density ratio' defines a density divided by a density which does not match this concept.}}"},{"code" : "external-definitions","valueString" : "Wikipedia https://en.wikipedia.org/wiki/Number_density \nThe number density (symbol: n or ?N) is an intensive quantity used to describe the degree of concentration of countable objects (particles, molecules, phonons, cells, galaxies, etc.) in physical space: three-dimensional volumetric number density, two-dimensional areal number density, or one-dimensional linear number density. Population density is an example of areal number density.\n\nIUPAC Gold Book https://goldbook.iupac.org/terms/view/N04262\nnumber density, n\nNumber of particles divided by the volume they occupy."},{"code" : "approval","valueString" : "2022-05-27 vote 10-0 by Khalid Shahin, Joanne Dehnbostel, Eric Harvey, raradhikaag@gmail.com, Jesus Lopez-Alcalde, Mario Tristan, Harold Lehmann, Muhammad Afzal, nisha mathew, Janice Tufte"}]}]},{"code" : "STATO:0000704","display" : "concentration","definition" : "A ratio in which the numerator is a measure of the solute and the denominator is a measure of the solvent.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins, Harold Lehmann"},{"code" : "approval","valueString" : "2022-05-08 vote 6-0 by Mario Tristan, Harold Lehmann, Paola Rosati, Muhammad Afzal, nisha mathew, Eric M Harvey"}]}]},{"code" : "STATO:0000610","display" : "measure of association","definition" : "A statistic that quantitatively represents a relationship between two or more variables.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Neeraj Ojha"},{"code" : "expert-comments","valueString" : "2022-02-24 comment: There are measures of association between more than two variables, for example, an estimator of interaction information. So, this should be \"two or more variables\" (or just \"variables\"). \n\nAlso, I don't like the term \"represents\", I'd prefer to say \"A statistic that quantifies a relationship between variables.\""},{"code" : "approval","valueString" : "2022-03-16 vote 7-0 by Mario Tristan, Paola Rosati, Louis Leff, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte"}],"concept" : [{"code" : "STATO:0000622","display" : "ratio-based measure of association","definition" : "A measure of association expressed as a ratio.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Janice Tufte, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2022-02-24 comment: I think we should replace \"represents\" with \"quantifies\" and remove the restriction to two variables.\n\n\"A statistic that is a ratio and quantifies a relationship between variables.\"\n\nSecond, I think you want a more restrictive definition than a statistic that is a ratio. For example, the uncertainty coefficient, I(X;Y)/H(Y), is a ratio and a measure of association, but I don't think you'd consider it a ratio-based measure of association (maybe you would, in which case this is OK).\n\nYou should also consider whether monotonic transformations of ratios count as ratio-based measures. It is common for people to take logarithms of ratios.\n\nI'm not sure what the utility is of this category. When does someone need it? Could we just put all its children Measure of Association?"},{"code" : "comment","valueString" : "This categorical (parent) term can be used for a statistic that is a ratio, quantifies a relationship between two variables, and is not found in the child terms."},{"code" : "approval","valueString" : "2022-12-28 vote 7-0 by Janice Tufte, Mario Tristan, Joanne Dehnbostel, Harold Lehman, Yuan Gao, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "STATO:0000677","display" : "hazard ratio","definition" : "A measure of association that is the ratio of the hazard rate of an event in one group to the hazard rate of the same event in another group.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "external-definitions","valueString" : "NCIt:\nHazard ratio = A measure of how often a particular event happens in one group compared to how often it happens in another group, over time. In cancer research, hazard ratios are often used in clinical trials to measure survival at any point in time in a group of patients who have been given a specific treatment compared to a control group given another treatment or a placebo. A hazard ratio of one means that there is no difference in survival between the two groups. A hazard ratio of greater than one or less than one means that survival was better in one of the groups.\n\nhttps://www.statisticshowto.com/hazard-ratio/\nThe hazard ratio is a comparison between the probability of events in a treatment group, compared to the probability of events in a control group.\n\nHazard Ratio in Clinical Trials (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC478551/)\nThe hazard ratio is an estimate of the ratio of the hazard rate in the treated versus the control group. The hazard rate is the probability that if the event in question has not already occurred, it will occur in the next time interval, divided by the length of that interval. The time interval is made very short, so that in effect the hazard rate represents an instantaneous rate.\n\nThe Hazards of Hazard Ratios (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3653612/)\nThe hazard ratio (HR) is the main, and often the only, effect measure reported in many epidemiologic studies. For dichotomous, non–time-varying exposures, the HR is defined as the hazard in the exposed groups divided by the hazard in the unexposed groups. For all practical purposes, hazards can be thought of as incidence rates and thus the HR can be roughly interpreted as the incidence rate ratio. The HR is commonly and conveniently estimated via a Cox proportional hazards model, which can include potential confounders as covariates."},{"code" : "comment","valueString" : "Hazard rate (SEVCO TBD:0000025) is defined as: A conditional instantaneous rate in which the numerator represents an incidence conditioned on survival to a specified time, and the denominator represents a time interval with a duration approaching zero.\n\nThe groups being compared are often the exposed group versus the unexposed group, but hazard ratio can also be applied to comparisons of one exposure relative to another exposure.\n\nA hazard ratio of one means there is no difference between two groups in terms of their hazard rates, based on whether or not they were exposed to a certain substance or factor, or how they responded to two interventions being compared. A hazard ratio of greater than one implies an association of greater risk, and a hazard ratio of less than one implies an association of lower risk.\n\nThe hazard ratio can be calculated from studies in which the proportion of exposed participants who had the event is known, the proportion of unexposed participants who had the event is known, and the timing of events for each participant is known or estimable, such as a cohort study or clinical trial."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}]},{"code" : "STATO:0000680","display" : "incidence rate ratio","definition" : "A measure of association that is the ratio of two incidence rates.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "IRR"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "Incidence Rate (SEVCO TBD:0000024) is defined as: A rate in which the number of new events per total at risk is divided by an interval of time.\n\nThe incidence rates may refer to the same event comparing two different groups, or the same group comparing two different events."},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}],"concept" : [{"code" : "STATO:0000681","display" : "standardized incidence ratio","definition" : "An incidence rate ratio in which the numerator is the incidence rate in a group and the denominator is the incidence rate for a reference population.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SIR"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The incidence rate used for the denominator may be an expected incidence rate for a reference population. The reference population may refer to a general population of the geographic area from which the cohort was selected."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-08 comment: ... and the denominator is the incidence rate or expected incidence rate for a reference population.\n\nComment for application: The reference population may refer to a general population of the geographic area from which the cohort was selected."}]}]},{"code" : "STATO:0000182","display" : "odds ratio","definition" : "A measure of association that is the ratio of two odds.","property" : [{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Janice Tufte"},{"code" : "external-definitions","valueString" : "STATO: odds ratio (OR) = Odds ratio is a ratio that measures effect size, that is the strength of association between 2 dichotomous variables, one describing an exposure and one describing an outcome.\nIt represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure ( the probability of the event occuring divided by the probability of an event not occurring). The odds ratio is a ratio of describing the strength of association or non-independence between two binary data values by forming the ratio of the odds for the first group and the odds for the second group. Odds ratio are used when one wants to compare the odds of something occurring to two different groups.\n\nUMLS: The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases. (MSH)\nA measure of the odds of an event happening in one group compared to the odds of the same event happening in another group. In cancer research, odds ratios are most often used in case-control (backward looking) studies to find out if being exposed to a certain substance or other factor increases the risk of cancer. For example, researchers may study a group of individuals with cancer (cases) and another group without cancer (controls) to see how many people in each group were exposed to a certain substance or factor. They calculate the odds of exposure in both groups and then compare the odds. An odds ratio of one means that both groups had the same odds of exposure and, therefore, the exposure probably does not increase the risk of cancer. An odds ratio of greater than one means that the exposure may increase the risk of cancer, and an odds ratio of less than one means that the exposure may reduce the risk of cancer. (NCI)\nThe ratio of the odds of an event occurring in one group to the odds of it occurring in another group, or to a sample-based estimate of that ratio. (NCI)\n\nNICE: Compares the odds (probability) of something happening in 1 group with the odds of it happening in another. An odds ratio of 1 shows that the odds of the event happening (for example, a person developing a disease or a treatment working) is the same for both groups. An odds ratio of greater than 1 means that the event is more likely in the first group than the second. An odds ratio of less than 1 means that the event is less likely in the first group than in the second group."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "approval","valueString" : "2022-03-16 vote 8-0 by Mario Tristan, Paola Rosati, Louis Leff, nisha mathew, Philippe Rocca-Serra, Harold Lehmann, Janice Tufte, Eric Moyer"}]},{"code" : "STATO:0000678","display" : "prevalence ratio","definition" : "A measure of association that is the ratio of two prevalences.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "external-definitions","valueString" : "https://www.ctspedia.org/do/view/CTSpedia/PrevalenceRatio#:~:text=Reference-,Definition%20of%20Prevalence%20Ratio,the%20proportion%20with%20the%20exposure.\nThe ratio of the proportion of the persons with disease over the proportion with the exposure.\n\nCalculation is described here:\nhttps://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module3-Frequency-Association/PH717-Module3-Frequency-Association12.html"},{"code" : "comment","valueString" : "Prevalence (SEVCO STATO:0000412) is defined as: A proportion in which the numerator represents all events of interest (for example, both new and preexisting cases of a disease) in the population, which is represented by the denominator.\n\nThe Prevalence Ratio indicates the magnitude of the prevalence of an event/outcome in one group of subjects/individuals (with characteristics/attribute) relative to another group (with different characteristics/attributes), such as the prevalence of the disease among the exposed persons to the prevalence of the disease among the unexposed persons."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal, Janice Tufte"},{"code" : "approval","valueString" : "2022-06-08 vote 5-0 by Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"},{"code" : "expert-comments","valueString" : "2022-06-08 comment: Comment for application: The prevalence Ratio indicates how large is the prevalence of an event/outcome in one group of subjects/individuals (with characteristics/attribute) relative to another group (without the characteristics/attributes), such as the prevalence of the disease among the exposed persons to the prevalence of the disease among the unexposed persons."}]},{"code" : "STATO:0000245","display" : "risk ratio","definition" : "A measure of association that is the ratio of the risk of an event in one group to the risk of the same event in another group.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "relative risk"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: relative risk (risk ratio) = Relative risk is a measurement datum which denotes the risk of an 'event' relative to an 'exposure'. Relative risk is calculated by forming the ratio of the probability of the event occurring in the exposed group versus the probability of this event occurring in the non-exposed group.\n\nNCIt\tRelative Risk\tA measure of the risk of a certain event happening in one group compared to the risk of the same event happening in another group. In cancer research, risk ratios are used in prospective (forward looking) studies, such as cohort studies and clinical trials. A risk ratio of one means there is no difference between two groups in terms of their risk of cancer, based on whether or not they were exposed to a certain substance or factor, or how they responded to two treatments being compared. A risk ratio of greater than one or of less than one usually means that being exposed to a certain substance or factor either increases (risk ratio greater than one) or decreases (risk ratio less than one) the risk of cancer, or that the treatments being compared do not have the same effects\n\nOBCS\trelative risk  A data item that equals the incidence in exposed individuals divided by the incidence in unexposed individuals. The relative risk can be calculated from studies in which the proportion of patients exposed and unexposed to a risk is known, such as a cohort study.\n\nCDC https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section5.html:\nA risk ratio (RR), also called relative risk, compares the risk of a health event (disease, injury, risk factor, or death) among one group with the risk among another group. It does so by dividing the risk (incidence proportion, attack rate) in group 1 by the risk (incidence proportion, attack rate) in group 2. The two groups are typically differentiated by such demographic factors as sex (e.g., males versus females) or by exposure to a suspected risk factor (e.g., did or did not eat potato salad). Often, the group of primary interest is labeled the exposed group, and the comparison group is labeled the unexposed group."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The groups being compared are often the exposed group versus the unexposed group, but risk ratio can also be applied to comparisons of one exposure relative to another exposure.\n\nA risk ratio of one means there is no difference between two groups in terms of their risk, based on whether or not they were exposed to a certain substance or factor, or how they responded to two interventions being compared. A risk ratio of greater than one implies an association of greater risk, and a risk ratio of less than one implies an association of lower risk.\n\nThe risk ratio can be calculated from studies in which the proportion of exposed participants who had the event is known and the proportion of unexposed participants who had the event is known, such as a cohort study or clinical trial."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-06-08 vote 6-0 by Robin Ann Yurk, Harold Lehmann, Mario Tristan, Eric M Harvey, Muhammad Afzal, Paola Rosati"}]},{"code" : "STATO:0000411","display" : "likelihood ratio positive","definition" : "A measure of association that is the ratio of the probability of the test giving a positive result when testing an affected subject and the probability of the test giving a positive result when a subject is not affected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "positive likelihood ratio"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "+LR"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "LR+"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: positive likelihood ratio (likelihood ratio for positive results) = the likelihood ratio of positive results is a ratio which is form by dividing the sensitivity value of a test by the difference between 1 and specificity of the test. This can be expressed also as dividing the probability of the test giving a positive result when testing an affected subject versus the probability of the test giving a positive result when a subject is not affected.\n\nAHRQ https://effectivehealthcare.ahrq.gov/products/test-performance-metrics/appendixes:\nThe positive and negative likelihood ratios (LR+ and LR-, respectively) quantify the change in the certainty of the “diagnosis” conferred by test results. More specifically, the likelihood ratios transform the pretest odds to the posttest odds of a given (positive or negative) diagnosis:\n\nposttest odds = pretest odds x LR\n\nFor a positive result with the medical test, the positive likelihood ratio would be used in the above relationship; for a negative result with the medical test portable monitor, the negative likelihood ratio would be used.\n\nIf a given medical test has very good ability to predict the “true disease status,” its positive likelihood ratio will be high (i.e., will greatly increase the odds of a positive diagnosis) and its negative likelihood ratio will be low (i.e., will diminish substantially the likelihood of the positive diagnosis). A completely non-informative portable monitor would have likelihood ratios equal to 1 (i.e., does not transform the pre-test odds substantially in the equation above). Typically, a positive likelihood ratio of 10 or more and a negative likelihood ratio of 0.1 or less are considered to represent informative tests.3 We note that other, more lenient boundaries for LR+ and LR- can be used3 and that the choice of the boundaries is a subjective decision. It is interesting to note that studies with high LR+ and low LR- can be readily identified in the square sensitivity/100 percent-specificity plot, as shown in the Appendix Figure above."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The probability of the test giving a positive result when testing an affected subject is also called the sensitivity [SEVCO term STATO:0000233] or true positive rate. The probability of the test giving a positive result when a subject is not affected is called the false positive rate and is calculated as 1 minus the specificity [SEVCO term STATO:0000134]. The Likelihood Ratio Positive (LR+) is calculated as Sensitivity / (1 - Specificity).\n\nThe Likelihood Ratio Positive may also be calculated as the posterior probability (positive predictive value) divided by the prior probability (prevalence).\n\nWhen the test result is a specific value on a continuous scale, the Likelihood Ratio Positive is the ratio of the likelihood of the test giving the specific value when testing an affected subject and the likelihood of the test giving the specific value when a subject is not affected. \n\nIn the context of a probability distribution function, e.g. normal distribution, the x axis is the value and y axis is the likelihood."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-08-10 vote 5-0 by Robin Ann Yurk, Mario Tristan, Harold Lehmann, Eric Harvey, Paola Rosati"}]},{"code" : "STATO:0000410","display" : "likelihood ratio negative","definition" : "A measure of association that is the ratio of the probability of the test giving a negative result when testing an affected subject and the probability of the test giving a negative result when a subject is not affected.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "negative likelihood ratio"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "LR-"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "-LR"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: negative likelihood ratio (likelihood ratio for negative results) = the likelihood ratio of negative results is a ratio which is formed  by dividing the difference between 1 and sensitivity of the test by the specificity value of a test.. This can be expressed also as dividing the probability of a person who has the disease testing negative by the probability of a person who does not have the disease testing negative.\n\nAHRQ https://effectivehealthcare.ahrq.gov/products/test-performance-metrics/appendixes:\nThe positive and negative likelihood ratios (LR+ and LR-, respectively) quantify the change in the certainty of the “diagnosis” conferred by test results. More specifically, the likelihood ratios transform the pretest odds to the posttest odds of a given (positive or negative) diagnosis:\n\nposttest odds = pretest odds x LR\n\nFor a positive result with the medical test, the positive likelihood ratio would be used in the above relationship; for a negative result with the medical test portable monitor, the negative likelihood ratio would be used.\n\nIf a given medical test has very good ability to predict the “true disease status,” its positive likelihood ratio will be high (i.e., will greatly increase the odds of a positive diagnosis) and its negative likelihood ratio will be low (i.e., will diminish substantially the likelihood of the positive diagnosis). A completely non-informative portable monitor would have likelihood ratios equal to 1 (i.e., does not transform the pre-test odds substantially in the equation above). Typically, a positive likelihood ratio of 10 or more and a negative likelihood ratio of 0.1 or less are considered to represent informative tests.3 We note that other, more lenient boundaries for LR+ and LR- can be used3 and that the choice of the boundaries is a subjective decision. It is interesting to note that studies with high LR+ and low LR- can be readily identified in the square sensitivity/100 percent-specificity plot, as shown in the Appendix Figure above."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "The probability of the test giving a negative result when testing an affected subject is also called the false negative rate and is calculated as 1 minus the sensitivity [SEVCO term STATO:0000233]. The probability of the test giving a negative result when a subject is not affected is called the specificity [SEVCO term STATO:0000134] or true negative rate. The Likelihood Ratio Negative (LR-) is calculated as (1 - Sensitivity ) / Specificity.\n\nThe Likelihood Ratio Negative may also be calculated as the posterior probability (1 - negative predictive value) divided by the prior probability (prevalence)."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-08-10 vote 5-0 by Robin Ann Yurk, Mario Tristan, Harold Lehmann, Eric Harvey, Paola Rosati"}]},{"code" : "STATO:0000415","display" : "diagnostic accuracy","definition" : "A measure of association that is the ratio of the number of correct results to the total number tested.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "categorical accuracy"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "classification accuracy"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"accuracy (Rand accuracy, Rand index) = in the context of binary classification, accuracy is defined as the proportion of true results (both true positives and true negatives) to the total number of cases examined (the sum of true positive, true negative, false positive and false negative).\n\nIt can be understood as a measure of the proximity of measurement results to the true value.\""},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "Where results are reported as positive or negative, correct results are reported as true, and incorrect results are reported as false, the diagnostic accuracy is calculated as ( True Positives + True Negatives ) / ( True Positives + True Negatives + False Positives + False Negatives ).\nFor continuous values, Measurement Accuracy (SEVCO term: TBD:MeasAccu) would be used instead of Diagnostic Accuracy."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-08-24 vote 6-0 by Jesus Lopez-Alcalde, Harold Lehmann, Mario Tristan, Cauê Monaco, Eric Harvey, Janice Tufte"}]},{"code" : "STATO:0000679","display" : "diagnostic odds ratio","definition" : "A measure of association that is the ratio of the odds of a positive test in those with disease relative to the odds of a positive test in those without disease.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "DOR"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "external-definitions","valueString" : "AHRQ https://effectivehealthcare.ahrq.gov/products/test-performance-metrics/appendixes: \nThe diagnostic odds ratio (DOR) describes the odds of a positive test in those with disease relative to the odds of a positive test in those without disease.4 It can be computed in terms of sensitivity and specificity as well as in terms of positive and negative likelihood ratios (DOR = LR+/LR-). Thus this single measure includes information about both sensitivity and specificity and tends to be reasonably constant despite diagnostic threshold. However, it is impossible to use diagnostic odds ratios to weigh sensitivity and specificity separately, and to distinguish between tests with high sensitivity and low specificity and tests with low sensitivity and high specificity.\n\nAnother disadvantage is that it is difficult for clinicians to understand and apply, limiting its clinical value. This is partly because they are not often exposed to diagnostic odds ratios. A diagnostic odds ratio is similar to an odds ratio that measures strength of association in an observational study or effect size in a trial. However, contrary to the typical effect size magnitudes of such odds ratios (often between 0.5 and 2), diagnostic odds ratios can attain much larger values (often greater than 100)."},{"code" : "comment","valueString" : "The Diagnostic Odds Ratio may be calculated as the Likelihood Ratio Positive divided by the Likelihood Ratio Negative. The Diagnostic Odds Ratio is an overall measure of the discriminatory power of a test and does not distinguish between the power to detect (rule in) or exclude (rule out)."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-08-31 vote 6-0 by Janice Tufte, nisha mathew, Muhammad Afza, Harold Lehmann, Philippe Rocca-Serra, Eric Harvey"}]},{"code" : "STATO:0000524","display" : "phi coefficient","definition" : "A measure of association, ranging from -1 to 1, that measures the strength and direction of the linear relationship between two binary variables.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "mean square contingency coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Yule phi"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Matthews correlation coefficient"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Matthews correlation coefficient (MCC) = Matthews Correlation Coefficient (or MCC) is a correlation coefficient which is a measure of the quality of binary (two-class) classifications, introduced by biochemist Brian W. Matthews in 1975."},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal"},{"code" : "comment","valueString" : "For a 2×2 contingency table \n\n<table align='center'>\n   <thead>\n      <tr>\n         <th></th>\n         <th>Variable 1 Value 1</th>\n         <th>Variable 1 Value 2</th>\n      </tr>\n   </thead>\n   <tbody>\n      <tr>\n         <td>Variable 2 Value 1</td>\n         <td align='center'>A</td>\n         <td align='center'>B</td>\n      </tr>\n      <tr>\n         <td>Variable 2 Value 2</td>\n         <td align='center'>C</td>\n         <td align='center'>D</td>\n      </tr>\n   </tbody>\n</table>\n\nwhere A, B, C, and D represent the observation frequencies (the cell count), the formula for the phi coefficient ($\\Phi$) is:\n\n$$\\Phi = \\frac{AD - BC}{\\sqrt{(A+B)(C+D)(A+C)(B+D)}}$$"},{"code" : "approval","valueString" : "2023-01-25 vote 6-0 by Mario Tristan, Jesus Lopez-Alcalde, Joanne Dehnbostel,  Harold Lehmann, Yuan Gao, Eric Harvey"}]}]},{"code" : "STATO:0000623","display" : "measure of agreement","definition" : "A measure of association of two variables representing measurements of the same attribute of an entity.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "comment","valueString" : "The term 'Measure of Agreement' is primarily used as a class for types of measure of agreement listed in the hierarchy but may be used as the code for a measure of agreement that is not listed."},{"code" : "approval","valueString" : "2022-12-21 vote 5-0 by Mario Tristan, Philippe Rocca-Serra, Eric Harvey, Janice Tuft, Harold Lehmann"}],"concept" : [{"code" : "STATO:0000682","display" : "kappa","definition" : "A measure of agreement among categorical assessments, corrected for chance agreement.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "kappa statistic"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Muhammad Afzal"},{"code" : "external-definitions","valueString" : "OBCS kappa statistic = a generic term for several similar measures of agreement used with categorical data; typically used in assessing the degree to which two or more raters, examining the same data, agree on assigning data to categories"},{"code" : "comment","valueString" : "In the literature, the same eponymic term (e.g., 'Cohen's kappa') is used with different formulas. In SEVCO, we define each term with a single formula, and recommend annotators to choose the SEVCO term based on the formula.\n\nThis is a widely used term to measure inter-rater reliability. Refer to measures of association to see other terms: for example, intra-class correlation coefficient (ICC)."},{"code" : "approval","valueString" : "2022-09-14 (After deleting one \"yes\" vote at the request of the voter) vote 6-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2022-09-14 Comment  \"I recommend adding ....is a measure of interrater reliability or is this an Interrater reliability testing an alternate term.\""}],"concept" : [{"code" : "STATO:0000683","display" : "simple chance-corrected agreement coefficient","definition" : "A Kappa statistic in which the expected agreement by chance is based on an assumption that all possible categories for assignment are equally likely.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Bennett’s Kappa"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Brennan-Prediger agreement coefficient"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "comment","valueString" : "A Kappa statistic is a measure of agreement among categorical assessments, corrected for chance agreement.\n\nIn the simple chance-corrected agreement coefficient, the expected chance agreement is modeled as the inverse of the number of categories (1/q) where q is the number of possible categories for assignment.\n\nThe simple chance-corrected agreement coefficient is calculated as ( p[a] - 1/q ) / ( 1 - 1/q ) where p[a] is the observed percent agreement and q is the number of possible categories for assignment."},{"code" : "external-definitions","valueString" : "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965565\nGwet KL. Testing the Difference of Correlated Agreement Coefficients for Statistical Significance. Educ Psychol Meas. 2016 Aug;76(4):609-637. doi: 10.1177/0013164415596420. Epub 2015 Jul 28. PMID: 29795880; PMCID: PMC5965565.\n\nBrennan and Prediger (1981) proposed a simple chance-corrected agreement coefficient, which generalizes to multiple raters and multiple categories, the G-index previously proposed by Holley and Guilford (1964) for two raters and two categories. What is known as the Holley–Guilford G-index was previously proposed independently by various authors under different names. Among them are Guttman (1945), Bennett, Alpert, and Goldstein (1954), and Maxwell (1977). For an interrater reliability experiment involving r raters who classify n subjects into one of q possible categories, the Brennan-Prediger coefficient is given by\n\n?[BP] = ( p[a] - 1/q ) / ( 1 - 1/q ),\nwhere the percent agreement p[a] is defined by Equation (3 -- see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965565/#disp-formula3-0013164415596420), and the percent chance agreement is a constant representing the inverse of the number of categories."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-14 vote 6-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde, Khalid Shahin"}]},{"code" : "STATO:0000630","display" : "Cohen’s kappa","definition" : "A Kappa statistic in which the expected agreement by chance is based on an assumption that the likelihood of each category for assignment is based on the proportion observed, and the number of raters is 2.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "external-definitions","valueString" : "OBCS Cohen's kappa measurement (inter-rater agreement, inter-annotator agreement; inter-rater agreement, inter-annotator agreement) = a statistical measure of agreement for categorical data; a measure of inter-rater agreement or inter-annotator agreement"},{"code" : "comment","valueString" : "A Kappa statistic is a measure of agreement among categorical assessments, corrected for chance agreement.\n\nIn Cohen's kappa, the expected chance agreement is modeled as the summation of the differences, between the square of the expected probability of the category and the quotient of its variance divided by 2 (the number of raters), for each category.\n\nCohen's kappa is calculated as ( p[a] - p[e] ) / ( 1 - p[e] ) where p[a] is the observed percent agreement and p[e] is the expected chance agreement."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-14 vote 6-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde, Khalid Shahin"}]},{"code" : "STATO:0000631","display" : "modified Cohen’s kappa for more than 2 raters","definition" : "A Kappa statistic in which the expected agreement by chance is based on an assumption that the likelihood of each category for assignment is based on the proportion observed, and the number of raters is more than 2.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "external-definitions","valueString" : "OBCS Cohen's kappa measurement (inter-rater agreement, inter-annotator agreement; inter-rater agreement, inter-annotator agreement) = a statistical measure of agreement for categorical data; a measure of inter-rater agreement or inter-annotator agreement"},{"code" : "comment","valueString" : "A Kappa statistic is a measure of agreement among categorical assessments, corrected for chance agreement.\n\nIn the modified Cohen's kappa for more than 2 raters, the expected chance agreement is modeled as the summation of the differences, between the square of the expected probability of the category and the quotient of its variance divided by the number of raters, for each category.\n\nThe modified Cohen's kappa for more than 2 raters is calculated as ( p[a] - p[e] ) / ( 1 - p[e] ) where p[a] is the observed percent agreement and p[e] is the expected chance agreement."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2022-09-14 vote 5-0 by Nisha Mathew, Philippe Rocca-Serra, Harold Lehmann, Eric Harvey, Jesus Lopez-Alcalde"}]},{"code" : "STATO:0000629","display" : "Scott’s pi","definition" : "A Kappa statistic where the expected agreement between two raters is expressed in terms of the square of arithmetic means of marginal proportions of each assessment category.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "comment","valueString" : "Scott's pi is a kappa statistic for two raters that assumes the likelihood of each category for assignment is based on the same distribution of rater responses, leading to the use of squared arithmetic means of the marginal proportion of each assessment category as its estimate of \"chance agreement.\"\n\nPr(expected) is calculated using squared \"joint proportions\" which are squared arithmetic means of the marginal proportions of each assessment category, in contrast to Cohen's Kappa which uses squared geometric means.\n\nScott's pi = ( p[a] - p[e] ) / ( 1 - p[e] ) where p[a] is the observed percent agreement and p[e] is the expected chance agreement expressed as the squared joint proportions of the marginal sums."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "expert-comments","valueString" : "2022-09-21 comment: I think there should be a formula included in the comment for application as with all the other Kappa terms\n2022-09-28 adjustment: Steering Group changed the first sentence of Comment for application to better represent the assumption."},{"code" : "approval","valueString" : "2022-10-19 vote 6-0 by Joanne Dehnbostel, Muhammad Afzal, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey, Harold Lehmann"}]}]},{"code" : "STATO:0000632","display" : "misclassification rate","definition" : "A ratio of the number of incorrect results to the total number tested.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "classification error"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "misclassification error"}],"property" : [{"code" : "comment","valueString" : "Where results are reported as positive or negative, incorrect results are reported as false, and correct results are reported as true, the misclassification rate is calculated as ( False Positives + False Negatives ) / ( True Positives + True Negatives + False Positives + False Negatives )."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2022-10-19 vote 5-0 by Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Mario Tristan, Eric Harvey"}]},{"code" : "STATO:0000628","display" : "F1-score","definition" : "A ratio representing the harmonic mean of recall and precision.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F1 score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F1 measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F-score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F-measure"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "F1-measure"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Agreement"},{"code" : "external-definitions","valueString" : "OCRe F measure [not used due to inaccuracy in the definition]"},{"code" : "comment","valueString" : "The F1-score is used as a measure of quality for classification algorithms and information retrieval strategies, where 1 represents the best precision and recall and 0 represents the worst precision and recall.\n\nA harmonic mean of a set of quantities is the reciprocal of the arithmetic mean of the reciprocals of each quantity.  The F score is thus calculated as 1 / (the arithmetic mean of the reciprocals), or:\n\nF = 1 / ( ( (1/recall) + (1/precision) ) / 2 )\n\nF = 2*( (precision*recall) / (precision+recall) )\n\nRecall is sensitivity STATO:0000233\nPrecision (PPV) is SEVCO TBD:0000022\n\n[[F-beta will be defined elsewhere in the code system.]]"},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Brian S. Alper"},{"code" : "approval","valueString" : "2022-10-19 vote 6-0 by Joanne Dehnbostel, Muhammad Afzal, Jesus Lopez-Alcalde, Mario Tristan, Eric Harvey, Harold Lehmann"}]}]},{"code" : "STATO:0000611","display" : "measure of correlation","definition" : "A measure of association between ordinal or continuous variables.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "correlation"}],"property" : [{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Yuan Gao, Kenneth Wilkins, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2022-10-26 vote 6-1 by Yuan Gao, Philippe Rocca-Serra, Eric Harvey, Paola Rosati, Harold Lehmann, Joanne Dehnbostel, Janice Tufte"},{"code" : "expert-comments","valueString" : "2022-10-26 comments: there are measures of correlation which characterise non-linear relation between 2 variables . so I was wondering if there was a need to specify \"measure of linear correlation\" , where a subclass would be 'correlation coefficient). The type 'measure of correlation' becoming a parent class for the 'measure of non-linear correlation'\nShould we say, \"A value of 0 means no linear association, a value of +1 mean perfect positive linear (a positive slope) association, and a value of -1 means perfect negative association (a negative slope).\""},{"code" : "comment","valueString" : "A value of 0 means no association. A positive value means a positive association (as one variable increases, the other variable increases). A negative value means a negative association (as one variable increases, the other variable decreases). \nFor correlation coefficients, the possible values range from +1 (perfect positive association) to -1 (perfect negative association)."},{"code" : "approval","valueString" : "2022-11-16 vote 5-0 by Brian S. Alper, Philippe Rocca-Serra, Harold Lehman, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "STATO:0000301","display" : "covariance","definition" : "A measure of correlation that is not normalized by the variances of the variables.","property" : [{"code" : "external-definitions","valueString" : "STATO: \"covariance = The covariance is a measurement data item about the strength of correlation between a set (2 or more) of random variables.\nThe covariance is obtained by forming:\ncov(X,Y)=E([X-E(X)][Y-E(Y)] where E(X), E(Y) is the expected value (mean) of variable X and Y respectively.\n\ncovariance is symmetric so cov(X,Y)=cov(Y,X).\n\nThe covariance is usefull when looking at the variance of the sum of the 2 random variables since:\nvar(X+Y) = var(X) +var(Y) +2cov(X,Y)\n\nThe covariance cov(x,y) is used to obtain the coefficient of correlation cor(x,y) by normalizing (dividing) cov(x,y) but the product of the standard deviations of x and y.\""},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables.\n\nCovariance is used in the calculation of other measures of correlation. Covariance can only be calculated for interval or continuous variables.\n\nBecause the covariance is not normalized by the variances of the variables, the magnitude of the covariance is not informative without consideration of the magnitude of the respective variances. Covariance is informative regarding whether both variables vary in the same direction (positive covariance) or in the opposite direction (negative covariance).\n\nCovariance for a sample is calculated as the mean of the products of deviations from the sample mean for the variables.\nCov(X,Y) = S (($x_i – \\overline{x}$) ($y_i – \\overline{y}$)) / (n-1) where $x_i$ is one the observed values of X, $\\overline{x}$ is the sample mean of X,  $y_i$ is one the observed values of Y, and $\\overline{y}$ is the sample mean of Y.\n\nCovariance as the population-level quantity is given by the expected value of the product of deviations from the mean for the variables.\nCov(X, Y) = E [ (X - µ) (Y - ?) ] where µ = E(X) and ? = E(Y)\n\nCovariance is a continuous value with a range of negative infinity to positive infinity."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Kenneth Wilkins, Yuan Gao, Khalid Shahin, Muhammad Afzal"},{"code" : "approval","valueString" : "2022-11-23 vote 5-0 by Mario Tristan, Yuan Gao, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann"}]},{"code" : "STATO:0000280","display" : "Pearson correlation coefficient","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the linear relationship between values of two continuous variables.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "product moment"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "product moment correlation"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"Pearson's correlation coefficient (Pearson product-moment correlation coefficient; Pearson's r; r statistics) = The Pearson's correlation coefficient is a correlation coefficient which evaluates two continuous variables for association strength in a data sample. It assumes that both variables are normally distributed and linearity exists. \nThe coefficient is calculated by dividing their covariance with the product of their individual standard deviations. It is a normalized measurement of how the two are linearly related.\""},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables. Pearson correlation coefficient is designed to be used between continuous variables.\nPearson correlation coefficient for a sample ($r$) is calculated as $r = \\dfrac{\\widehat{cov}(x,y)}{s_x*s_y}$ where $ \\widehat{cov}(x,y)$ is the estimated covariance, and $s_x$ and $s_y$ are the sample standard deviations.\nPearson correlation coefficient for a population ($\\rho$) is defined as $\\rho= \\dfrac{cov(X,Y)}{\\sigma_X*\\sigma_Y}$ where cov(X,Y) is covariance of X and Y and $\\sigma_X$ and $\\sigma_Y$ are the population standard deviations.\n\nAssumptions for computing Pearson's correlation coefficient include a linear relationship between 2 continuous variables and each of the variables approximates a normal distribution.\n\nCovariance is [defined in SEVCO](https://fevir.net/resources/CodeSystem/27270#STATO:0000301)."},{"code" : "editors","valueString" : "Kenneth Wilkins, Muhammad Afzal, Yuan Gao, Khalid Shahin, Joanne Dehnbostel, Brian S. Alper, Harold Lehmann"},{"code" : "approval","valueString" : "2022-12-07 vote 5-0 by Muhammad Afzal, Mario Tristan, Eric Harvey, Yuan Gao, Mahnoor Ahmed"}]},{"code" : "STATO:0000201","display" : "Spearman rank-order correlation coefficient","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the relationship between ranks by value of two ordinal or continuous variables, and is calculated as the Pearson correlation coefficient between the rank values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Spearman's rank correlation coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Spearman's rho"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"Spearman's rank correlation coefficient (Spearman's rho) = Spearman's rank correlation coefficient is a correlation coefficient which is a nonparametric measure of statistical dependence between two ranked variables. It assesses how well the relationship between two variables can be described using a monotonic function. If there are no repeated data values, a perfect Spearman correlation of +1 or -1 occurs when each of the variables is a perfect monotone function of the other.\nSpearman's coefficient may be used when the conditions for computing Pearson's correlation are not met (e.g linearity, normality of the 2 continuous variables) but may require a ranking transformation of the variables\""},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Kenneth Wilkins, Muhammad Afzal, Yuan Gao, Joanne Dehnbostel, Brian S. Alper, Harold Lehmann, Noor Ahmed"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables. Spearman rank-order correlation coefficient is designed to be used between ordinal and/or continuous variables.\n\nThe Spearman rank-order correlation coefficient can identify monotonic (i.e. consistently non-increasing or consistently non-decreasing) relationships, whether the relationships are linear or non-linear.\n\nThe Spearman rank-order correlation coefficient between two variables is equal to the [Pearson correlation coefficient](https://fevir.net/resources/CodeSystem/27270#STATO:0000280) between the rank values of those two variables.\n\nThe Spearman rank-order correlation coefficient is the nonparametric counterpart to the Pearson correlation coefficient and may be used when the assumptions for computing Pearson's correlation coefficient (include a linear relationship between 2 continuous variables and each of the variables approximates a normal distribution) are not met. The Spearman rank-order correlation coefficient is appropriate when either variable has outliers, is ordinal, or is not normally distributed; when the variances of the two variables are unequal; or when the apparent relationship between the variables is non-linear. The assumptions for computing Spearman rank-order correlation coefficient include a monotonic relationship between 2 continuous or ordinal variables."},{"code" : "expert-comments","valueString" : "2022-12-07 comment: The fundamental difference between the two correlation coefficients is that the Pearson coefficient works with a linear relationship between the two variables whereas the Spearman Coefficient works with monotonic relationships as well."},{"code" : "approval","valueString" : "2022-12-14 vote 5-0 by Jesus Lopez-Alcalde, Yuan Gao, Mario Tristan, Eric Harvey, Harold Lehmann"}]},{"code" : "STATO:0000240","display" : "Kendall correlation coefficient","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the relationship between ranks by value of two ordinal or continuous variables, and is calculated based on the difference in the number of concordant and discordant pairs of rankings divided by the number of all possible pairs of rankings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's tau coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's tau"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's t"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall rank correlation coefficient"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Kendall's tau-b"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Kendall's correlation coefficient (Kendall's tau (t) coefficient; Kendall rank correlation coefficient) = Kendall's correlation coefficient is a correlation coefficient between 2 ordinal variables (natively or following a ranking procedure) and may be used when the conditions for computing Pearson's correlation are not met (e.g linearity, normality of the 2 continuous variables)"},{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel"},{"code" : "comment","valueString" : "A measure of correlation is a measure of association between ordinal or continuous variables. Kendall's correlation coefficient is designed to be used between ordinal variables (or continuous variables converted to ordinal variables).\n\nThe Kendall's correlation coefficient can identify monotonic (i.e. consistently non-increasing or consistently non-decreasing) relationships, whether the relationships are linear or non-linear.\n\nThe Kendall's correlation coefficient between two variables is calculated by determining the concordance or discordance of each pair of ranked values (whether or not two raters are concordant in one value being ranked equal or higher to the other value), and then dividing the difference between the number of concordant values ($n_c$) and the number of discordant values ($n_d$) by the number of pairs of ranked values ($\\frac{1}{2}n(n-1)$).\n\n$$\\tau =  \\dfrac{n_c - n_d}{\\frac{1}{2}n(n-1)}$$\n\n\nThe Kendall's correlation coefficient is a nonparametric statistic and may be used when the assumptions for computing Pearson's correlation coefficient (include a linear relationship between 2 continuous variables and each of the variables approximates a normal distribution) are not met. The Kendall's correlation coefficient is appropriate when either variable has outliers, is ordinal, or is not normally distributed; when the variances of the two variables are unequal; or when the apparent relationship between the variables is non-linear. The assumptions for computing Kendall's correlation coefficient include a monotonic relationship between 2 ordinal variables."},{"code" : "negative-vote","valueString" : "2022-12-21 vote 5-0 by Joanne Dehnbostel, Mario Trista, Philippe Rocca-Serra, Eric Harvey, Harold Lehmann\n2023-01-04 definition change by Steering Committee"},{"code" : "approval","valueString" : "2023-01-25 vote 6-0 by Mario Tristan, Jesus Lopez-Alcalde, Joanne Dehnbostel,  Harold Lehmann, Yuan Gao, Eric Harvey"}]},{"code" : "STATO:0000612","display" : "Goodman and Kruskal’s gamma","definition" : "A measure of correlation, ranging from -1 to 1, that measures the strength and direction of the relationship between ranks by value of two ordinal or continuous variables, and is calculated based on the difference in the number of concordant and discordant pairs of rankings divided by the total number of pairs of rankings, where ties are not counted among the pairs of rankings.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Goodman-Kruskal gamma"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "gamma statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "gamma coefficient"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "https://stats.stackexchange.com/questions/18112/how-do-the-Goodman-Kruskal-gamma-and-the-Kendall-tau-or-Spearman-rho-correlation"},{"code" : "approval","valueString" : "2023-01-25 vote 5-0 by Mario Tristan, Jesus Lopez-Alcalde, Joanne Dehnbostel,  Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000565","display" : "regression coefficient","definition" : "A measure of association that is used as the coefficient of an independent variable in a regression model, of the dependent variable, which is linear in its parameters.","property" : [{"code" : "external-definitions","valueString" : "STATO: regression coefficient = a regression coefficient is a data item generated by a type of data transformation called a regression, which aims to model a response variable by expression the predictor variables as part of a function where variable terms are modified by a number. A regression coefficient is one such number."},{"code" : "statistical-purpose","valueString" : "Measure of Association"},{"code" : "comment","valueString" : "A value of zero means no association. The sign (positive or negative) reflects the direction of association."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-02-07 vote 5-0 by Cauê Monaco, Harold Lehmann, Mario Tristan, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "STATO:0000685","display" : "measure of calibration","definition" : "A measure of association between a variable representing known or true values and a variable representing measured or predicted values.","property" : [{"code" : "comment","valueString" : "Calibration is often used for measurement devices. The known or true values may be called the reference standard.\nCalibration is also used for predictive models and other contexts comparing computed or expected probabilities with empirical frequencies.\nA measure of calibration indicates the degree to which the computed values are underestimated or overestimated."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Harold Lehmann, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-12-18 vote 6-0 by Janice Tufte, Eric Harvey, Caue Monaco, Philippe Rocca-Serra, Harold Lehmann, Jesus Lopez-Alcalde"}],"concept" : [{"code" : "STATO:0000686","display" : "mean calibration","definition" : "A measure of calibration that is the average of a function of the difference between the expected values and the observed values.","property" : [{"code" : "statistical-purpose","valueString" : "Measure of Calibration"},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Brian S. Alper"},{"code" : "comment","valueString" : "For predictive modeling of non-continuous variables, the mean calibration is a measure of calibration that is the average of a function of the difference between the expected probabilities and the observed frequencies.\nThe expected values may be computed (as in predictive models) or may be derived from reference data (as typical for a measurement device).\nWhen the function is the square of the difference and the variables are binary (0 or 1), the measure is called the Brier score."},{"code" : "approval","valueString" : "2024-01-22 vote 5-0 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Janice Tufte, Cauê Monaco"}]},{"code" : "STATO:0000688","display" : "calibration intercept","definition" : "A measure of calibration that is the difference between the mean expected value and the mean observed value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "calibration-in-the-large"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Calibration"},{"code" : "comment","valueString" : "For calibration of binary outcome variables (0 or 1), the calibration intercept is computed from a statistical model where the log odds of the predicted probabilities is a linear function of the empirical frequencies.\nFor calibration of count outcome variables (0, 1, 2, 3, ...), the calibration intercept may be computed from a statistical model where the log of the predicted mean counts is a linear function of the empirical frequencies determined by unique combinations of the covariates.\nThere are other types of outcome variables for which the calibration-in-the-large measure may be obtained.\nThe notion of calibration in the large is that the intercept is a gross assessment of whether the average prediction matches the average outcome, however, this interpretation is exquisitely sensitive to the choice of referent factors within the prediction model."},{"code" : "editors","valueString" : "Harold Lehmann, Ken Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "negative-vote","valueString" : "2024-02-05 vote 4-0 by Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-05 comment: The definition looks good to me. Only comment is that the first comment about \"calibration of binary variable\" made it is sounds like this concept is only for binary outcomes, while I think calibration is a generic measure for all generalized linear models."},{"code" : "approval","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"}]},{"code" : "STATO:0000687","display" : "calibration slope","definition" : "A measure of calibration that is the rate of change in the appropriately transformed value per unit change of the correspondingly transformed predicted value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "calibration-in-the-small"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Correlation"},{"code" : "comment","valueString" : "For calibration of binary outcome variables (0 or 1), the calibration slope is computed from a statistical model where the log odds of the predicted probabilities is a linear function of the empirical frequencies (logistical regression). The transformation is log odds (logit, the link function for a generalized linear model for the expected value of the outcome).\n \nFor calibration of count outcome variables (0, 1, 2, 3, ...), the calibration slope may be computed from a statistical model where the log of the predicted mean counts is a linear function of the empirical frequencies determined by unique combinations of the covariates. The transformation is log, the link function, of the counts.\n \nThere are other types of outcome variables for which the calibration slope may be obtained.\n \nSlopes further away from 1.0 indicate, at upper and lower values, over- or under-confidence in the prediction."},{"code" : "editors","valueString" : "Harold Lehmann, Ken Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2024-03-11 vote 6-0 by Eric Harvey, Xing Song, Lenny Vasanthan, Elma OMERAGIC, Homa Keshavarz, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-02-12 comment: Again, the first comment about \"calibration of binary variable\" made it is sounds like this concept is only for binary outcomes. Logistic regression could be used as an example for this concept."},{"code" : "negative-vote","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz BUT THEN term definition changed in response to the comment"}]}]}]},{"code" : "STATO:0000028","display" : "measure of dispersion","definition" : "A statistic that represents the variation or spread among data values in a dataset or data distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measure of variation"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "dispersion"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "statistical dispersion"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: measure of variation (measure of dispersion) = measure of variation or statistical dispersion is a data item which describes how much a theoritical distribution or dataset is spread.\n\nNCIt: \"Statistical dispersion-\t\nThe variation between data values in a sample.\"\n\nUMLS: \"Dispersion (C0332624)\nDefinition: The variation between data values in a sample.\nSemantic Types: Spatial Concept\""},{"code" : "comment","valueString" : "This categorical (parent) term can be used for a statistic that is a measure of dispersion and is not found in the child terms."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Yuan Gao, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-02-07 vote 5-0 by Cauê Monaco, Harold Lehmann, Janice Tufte, Jesus Lopez-Alcalde, Eric Harvey"}],"concept" : [{"code" : "STATO:0000035","display" : "range","definition" : "A measure of dispersion calculated as the difference between the maximum observed value and the minimum observed value.","property" : [{"code" : "external-definitions","valueString" : "STATO: range = the range is a measure of variation which describes the difference between the lowest score and the highest score in a set of numbers (a data set)"},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "A measure of dispersion is a statistic that represents the variation or spread among data values in a dataset or data distribution.\nThe maximum observed value is a statistic that represents the largest non-null value in a collection of values that can be ordered by magnitude.\nThe minimum observed value is a statistic that represents the smallest non-null value in a collection of values that can be ordered by magnitude.\nA range (as a statistic) is represented as a single value (the difference between maximum and minimum observed values) while, in common language, the term range is often expressed with two values (from the minimum to maximum values, or from the lower limit to the higher limit)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-02-20 vote 5-0 by Philippe Rocca-Serra, Janice Tufte, Harold Lehmann, Mario Tristan, Eric Harvey"}]},{"code" : "STATO:00000164","display" : "interquartile range","definition" : "A measure of dispersion calculated as the difference between the 75th percentile and the 25th percentile.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "middle range"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "midspread"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "IQR"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "median IQR"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: \"inter quartile range = The interquartile range is a data item which corresponds to the difference between the upper quartile (3rd quartile) and lower quartile (1st quartile).\nThe interquartile range contains the second quartile or median.\nThe interquartile range is a data item providing a measure of data dispersion\""},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "A measure of dispersion is a statistic that represents the variation or spread among data values in a dataset or data distribution.\n\nThe 75th percentile is the median of the portion of the dataset or distribution with values greater than the median value.\n\nThe 25th percentile is the median of the portion of the dataset or distribution with values lesser than the median value.\n\nAn interquartile range (as a statistic) is represented as a single value (the difference between 75th and 25th percentiles) while, in common language, the term interquartile  range is often expressed with two values (the 25th percentile and the 75th percentile)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-02-20 vote 5-0 by Philippe Rocca-Serra, Janice Tufte, Harold Lehmann, Mario Tristan, Eric Harvey"}]},{"code" : "STATO:0000237","display" : "standard deviation","definition" : "A measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SD"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: standard deviation (s) = The standard deviation of a random variable, statistical population, data set, or probability distribution is a measure of variation which correspond to the average distance from the mean of the data set to any given point of that dataset. It also corresponds to the square root of its variance."},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Kenneth Wilkins"},{"code" : "comment","valueString" : "Standard deviation for sample is a standard deviation in which the dataset is a sample. Standard deviation for population, when used as a statistical model parameter, is not a standard deviation as a type of statistic."},{"code" : "approval","valueString" : "2023-05-15 vote 6-0 by Muhammad Afzal, Brian S. Alper, Jesus Lopez-Alcalde, Janice Tufte, Eric Harvey, Harold Lehmann"}],"concept" : [{"code" : "STATO:0000684","display" : "standard deviation for sample","definition" : "A standard deviation that is the square root of the quotient of the summation across data points of the square of the distance from each data point to the sample mean, and the degrees of freedom (where the degrees of freedom is sample size minus one).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "sample standard deviation"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "sample SD"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "S"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "s"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "Standard deviation is defined as a measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.\nStandard deviation for sample is a standard deviation in which the dataset is a sample.\nThe formula for the standard deviation for sample ($s$) is:\n$$s = \\sqrt \\frac{\\sum\\\\{\\substack{n\\\\i=1}} (x_i - \\overline{x})^2}{n - 1}$$\nwhere $n$ is the sample size (the number of independent observations, indexed by $i$), $x$ is observed value, and $\\overline{x}$ is the sample mean.\nThe formula to calculate degrees of freedom depends on the model. For the degrees of freedom for a sample standard deviation, given the sample mean, it is n-1, because the nth observation is no longer independent, given the n-1 other observations and the sample mean."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin, Kenneth Wilkins"},{"code" : "approval","valueString" : "2023-05-15 vote 5-0 by Muhammad Afzal, Brian S. Alper, Jesus Lopez-Alcalde, Eric Harvey, Harold Lehmann"}]}]},{"code" : "STATO:0000113","display" : "variance","definition" : "A measure of dispersion that represents the square of the standard deviation.","property" : [{"code" : "external-definitions","valueString" : "STATO: variance (s2) = variance is a data item about a random variable or probability distribution. it is equivalent to the square of the standard deviation.  It is one of several descriptors of a probability distribution, describing how far the numbers lie from the mean (expected value).The variance is the second moment of a distribution."},{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "Standard deviation is defined as a measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.\n\nVariance for sample is a variance in which the dataset is a sample. Variance for population, when used as a probability distribution parameter, is not a variance as a type of statistic."},{"code" : "editors","valueString" : "Brian S. Alper, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2023-11-20 vote 5-0 by Brian S. Alper, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Eric Harvey"}],"concept" : [{"code" : "STATO:0000643","display" : "variance for sample","definition" : "A variance that is the quotient of the summation across data points of the square of the distance from each data point to the sample mean, and the degrees of freedom (where the degrees of freedom is sample size minus one).","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "sample variance"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "s^2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "V"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Var"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "Variance is defined as a measure of dispersion that represents the square of the standard deviation. Standard deviation is defined as a measure of dispersion that represents the average of the distances from the mean of the dataset to each data point in the dataset.\n\nVariance for sample is a variance in which the dataset is a sample.\nThe formula for the variance for sample ($s^2$) is:\n$$s^2 = \\frac{\\sum\\\\{\\substack{n\\\\i=1}} (x_i - \\overline{x})^2}{n - 1}$$\nwhere $n$ is the sample size (the number of independent observations, indexed by $i$), $x$ is observed value, and $\\overline{x}$ is the sample mean.\nThe formula to calculate degrees of freedom depends on the model. For the degrees of freedom for a sample variance, given the sample mean, it is n-1, because the nth observation is no longer independent, given the n-1 other observations and the sample mean."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-11-20 vote 5-0 by Brian S. Alper, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Eric Harvey"}]}]},{"code" : "STATO:0000624","display" : "Gini index","definition" : "A measure of dispersion that is half the relative mean absolute difference between all pairs of observed values.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Gini coefficient"}],"property" : [{"code" : "statistical-purpose","valueString" : "Measure of Dispersion"},{"code" : "comment","valueString" : "The Gini index is typically used as a measure of inequality for income, wealth, or resource distribution."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2023-11-20 vote 5-0 by Brian S. Alper, Jesus Lopez-Alcalde, Harold Lehmann, Muhammad Afzal, Eric Harvey BUT comment of \"between all pairs of observed values?\" led to recognition of incorrect definition"},{"code" : "approval","valueString" : "2023-12-04 vote 5-0 by Yasser Sami Amer, Xing Song, Eric Harvey, Harold Lehmann, Brian S. Alper"}]},{"code" : "STATO:0000562","display" : "standard error","definition" : "A measure of dispersion applied to estimates across hypothetical repeated random samples.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SE"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "standard error of the estimate"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: It is a measure of how precise is an estimate of the statistical parameter is. Standard error is the estimated standard deviation of an estimate. It measures the uncertainty associated with the estimate. Compared with the standard deviations of the underlying distribution, which are usually unknown, standard errors can be calculated from observed data."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper, Xing Song, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error."},{"code" : "approval","valueString" : "2023-12-18 vote 7-0 by Xing Song, Muhammad Afzal, Yasser Sami Amer, Eric Harvey, Harold Lehmann, Janice Tufte, Caue Monaco"}],"concept" : [{"code" : "STATO:0000037","display" : "standard error of the mean","definition" : "A measure of dispersion applied to means across hypothetical repeated random samples.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "SEM"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: The standard error of the mean (SEM) is data item denoting the standard deviation of the sample-mean's estimate of a population mean. It is calculated by dividing the sample standard deviation (i.e., the sample-based estimate of the standard deviation of the population) by the square root of n , the size (number of observations) of the sample."},{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\nThe standard error of the mean is calculated by dividing the sample standard deviation (STATO:0000237) by the square root of n, the size (number of observations) of the sample."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Muhammad Afzal, Xing Song, Kenneth Wilkins, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-01-22 vote 5-0 by Homa Keshavarz, Eric Harvey, Cauê Monaco, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "STATO:0000647","display" : "standard error of the proportion","definition" : "A measure of dispersion applied to proportions across hypothetical repeated random samples.","property" : [{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\n\nThe formula for the standard error of the sample proportion ($SE(\\hat{p})$) is:\n$$SE(\\hat{p}) = \\sqrt \\frac{\\hat{p}(1-\\hat{p})} {n}$$\nwhere $\\hat{p}$ is the sample proportion and $n$ is the size (number of observations) of the sample."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Xing Song, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-01-22 vote 5-0 by Homa Keshavarz, Eric Harvey, Brian S. Alper, Harold Lehmann, Yasser Sami Amer"}]},{"code" : "STATO:0000648","display" : "standard error of the difference between independent means","definition" : "A measure of dispersion applied to differences between means of independent groups across hypothetical repeated random samples.","property" : [{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\n\nIn cases where the samples are assumed to have unequal population variances for X, the formula for the standard error of the sample difference between means $(SE_{unequal}(\\overline{x}_{1} - \\overline{x}_{2}))$ is:\n$$SE_{unequal}(\\overline{x}_{1} - \\overline{x}_{2}) = \\sqrt{\\frac{s^2_1}{n_1}+\\frac{s^2_2}{n_2}}$$\nwhere $\\overline{x}_{1}$ and $\\overline{x}_{2}$ are the sample means, $s^2_1$ and $s^2_2$ are the sample standard deviations, and $n_1$ and $n_2$ are the sizes (number of observations) of the samples.\n\nIn cases where the samples are assumed to have the same (equal) population variance for X, the formula for the standard error of the sample difference between means $(SE_{equal}(\\overline{x}_{1} - \\overline{x}_{2}))$ is:\n$$SE_{equal}(\\overline{x}_{1} - \\overline{x}_{2}) = \\sqrt{\\frac{n_1 s^2_1 + n_2 s^2_2}{n_1 + n_2 - 2}}$$\nwhere $\\overline{x}_{1}$ and $\\overline{x}_{2}$ are the sample means, $s^2_1$ and $s^2_2$ are the sample standard deviations, and $n_1$ and $n_2$ are the sizes (number of observations) of the samples. In cases where the samples are assumed to have the same (equal) population variance for X, the standard error of the sample difference between means is also called the pooled standard deviation."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-12 comment: We may consider including the term of \"pooled standard deviation\" to describe the SE_equal(x1-x2), SE when assuming equal variance."}]},{"code" : "STATO:0000649","display" : "standard error of the difference between independent proportions","definition" : "A measure of dispersion applied to differences between proportions arising from independent groups across hypothetical repeated random samples.","property" : [{"code" : "comment","valueString" : "A standard error is used to quantify the uncertainty around a statistical estimate due to random sampling error.\n\nThe formula for the standard error of the sample difference between proportions $(SE(\\hat{p}_1 - \\hat{p}_2))$ is:\n$$SE(\\hat{p}_1 - \\hat{p}_2) =  \\sqrt {\\frac{\\hat{p}_1(1-\\hat{p}_1)} {n_1} + \\frac{\\hat{p}_2(1-\\hat{p}_2)} {n_2}}$$\nwhere $\\hat{p}_1$ and $\\hat{p}_2$ are the sample proportions and $n_1$ and $n_2$ are the sizes (number of observations) of the samples."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2024-02-12 vote 5-0 by Lenny Vasanthan, Xing Song, Eric Harvey, Harold Lehmann, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-02-12 comment: In hypothesis testing for p1 = p2, I think the typical way of calculating standard error of proportion difference, is using the formula with pooled proportion, should we also include that in the comment?"}]}]},{"code" : "STATO:0000455","display" : "credible interval","definition" : "The range in which the value of the parameter of interest is likely to reside, typically within a posterior probability distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "region of highest posterior density"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: In Bayesian statistics context, a credible interval is an interval of a posterior distribution which is such that the density at any point inside the interval is greater than the density at any point outside and that the area under the curve for that interval is equal to a prespecified probability level. For any probability level there is generally only one such interval, which is also often known as the highest posterior density region. Unlike the usual confidence interval associated with frequentist inference, here the intervals specify the range within which parameters lie with a certain probability. The Bayesian counterparts of the confidence interval used in Frequentists Statistics.\n\nUMLS: \"Interval (C1272706)\nDefinition: The period of time or the distance separating two instances, events, or occurrences.\nSemantic Types: Temporal Concept\"\n\nOBCS: A quantitative confidence value that is used in Bayesian analysis to describe the range in which a posterior probability estimate is likely to reside.\n\nOECD: calculated interval-The interval containing possible values for a suppressed cell in a table, given the table structure and the values published.\n\nSCO: interval-An interval is a set of real numbers that includes all numbers between any two numbers in the set."},{"code" : "comment","valueString" : "The credible interval is used in Bayesian analysis and plays an analogous role to the confidence interval in frequentist statistics."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Kenneth Wilkins, Muhammad Afzal"},{"code" : "approval","valueString" : "2023-11-27 vote 5-0 by Xing Song, Yasser Sami Amer, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "STATO:0000196","display" : "confidence interval","definition" : "The estimated range of values that encompasses the point estimate and quantifies the uncertainty about that estimate in terms of a prespecified level of coverage, expected to include the true value between upper and lower bounds, across hypothetically repeated random samples, with all assumptions regarding the sampling distribution across random samples having been fully met.","property" : [{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Ken Wilkins, Joanne Dehnbostel, Robin Ann Yurk, Janice Tufte"},{"code" : "external-definitions","valueString" : "STATO: A confidence interval is a data item which defines an range of values in which a measurement or trial falls corresponding to a given probability. also confidence interval calculation is a data transformation which determines a confidence interval for a given statistical parameter\n\nNCIt: A range of values for a parameter that may contain the parameter and the degree of confidence that it is in fact there. A measure of the precision of an estimated value. The interval represents the range of values, consistent with the data, that is believed to encompass the \"true\" value with high probability (usually 95%). The confidence interval is expressed in the same units as the estimate. Wider intervals indicate lower precision; narrow intervals, greater precision. [CONSORT Statement]\n\nOBCS: A quantitative confidence value that refers to an interval give values within which there is a high probability (95 percent by convention) that the true population value can be found. The calculation of a confidence interval considers the standard deviation of the data and the number of observations. Thus, a confidence interval narrows as the number of observations increases, or its variance (dispersion) decreases.\n\nCDISC Glossary: A measure of the precision of an estimated value. The interval represents the range of values, consistent with the data, that is believed to encompass the \"true\" value with high probability (usually 95%). The confidence interval is expressed in the same units as the estimate. Wider intervals indicate lower precision; narrow intervals, greater precision. [CONSORT Statement]\n\nNICE: \"Confidence interval\nA way of expressing how certain we are about the findings from a study, using statistics. It gives a range of results that is likely to include the 'true' value for the population. A wide confidence interval (CI) indicates a lack of certainty about the true effect of the test or treatment - often because a small group of patients has been studied. A narrow CI indicates a more precise estimate (for example, if a large number of patients have been studied).\n\nThe CI is usually stated as '95% CI', which means that the range of values has a 95 in a 100 chance of including the 'true' value. For example, a study may state that 'based on our sample findings, we are 95% certain that the 'true' population blood pressure is not higher than 150 and not lower than 110'. In such a case the 95% CI would be 110 to 150.\"\n\nOECD: A confidence interval is an interval which has a known and controlled probability (generally 95% or 99%) to contain the true value.\n\n\"Rothman textbook: confidence interval, which provides a range of values for the association, under the hypothesis that only random variation has created discrepancies between the true value of the association under study and the value observed in the data (Altman et al., 2000; see Chapters 13 through 16) Altman DG, Machin D, Bryant TN, Gardner MJ, eds. Statistics with confidence, 2nd ed. London: BMJ Books, 2000\n\""},{"code" : "comment","valueString" : "The prespecified level of coverage is commonly 0.95 or 95%. \n\nConfidence cannot be directly interpreted as a probability. This is in contrast to credibility for credible intervals. Confidence only conveys uncertainty indirectly by reflecting a long term relative frequency across hypothetically repeated sample estimates.\n\nWidth of a confidence interval can convey precision. This precision can be increased by increasing the sample size in most cases assuming variability in sample is only due to random sample-to-sample variation."},{"code" : "approval","valueString" : "2023-11-27 vote 5-0 by Xing Song, Yasser Sami Amer, Harold Lehmann, Jesus Lopez-Alcalde, Eric Harvey"}]},{"code" : "STATO:0000418","display" : "measure of heterogeneity","definition" : "A statistic that represents the variation or spread among values in the set of estimates across studies.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "measure of statistical heterogeneity"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: a measure of heterogeneity in meta-analysis is a data item which aims to describe the variation in study outcomes between studies.\nCochrane Handbook 10.10.4 (August 2023)\nAnalysing data and undertaking meta-analyses \nVariability in the intervention effects being evaluated in the different studies is known as statistical heterogeneity, and is a consequence of clinical or methodological diversity, or both, among the studies. Statistical heterogeneity manifests itself in the observed intervention effects being more different from each other than one would expect due to random error (chance) alone. We will follow convention and refer to statistical heterogeneity simply as heterogeneity.\nhttps://training.cochrane.org/handbook/current/chapter-10#section-10-10-4\nThere are types of heterogeneity (or diversity) other than statistical heterogeneity which are important factors in whether or not evidence can be pooled. Clinical heterogeneity may refer to variations in the population, intervention, comparator, or outcome. Methodological heterogeneity may refer to variations in study design."},{"code" : "comment","valueString" : "There are several types of heterogeneity (or diversity) which are important factors which determine whether or not evidence should be pooled. Qualitative descriptors of explainable sources of heterogeneity include clinical heterogeneity and methodological heterogeneity. Clinical heterogeneity may refer to variations in the population, intervention, comparator, or outcome. Methodological heterogeneity may refer to variations in study design. Statistical heterogeneity, which is a quantitative measure of heterogeneity, whether explained or not, is described here.\n\nA measure of dispersion is defined as a statistic that represents the variation or spread among data values in a dataset or data distribution. In the context of a meta-analysis, a measure of heterogeneity is a measure of dispersion in which the dataset is the set of estimates across studies."},{"code" : "editors","valueString" : "Brian Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-03-11 vote 5-0 by Eric Harvey, Xing Song, Lenny Vasanthan, Harold Lehmann, Homa Keshavarz\n2024-05-06 vote 5-0 by Harold Lehmann, Cauê Monaco, Homa Keshavarz, Eric Harvey, Lenny Vasanthan"},{"code" : "expert-comments","valueString" : "2024-04-29 Comment for application revised during the Statistic Terminology Working Group meeting"}],"concept" : [{"code" : "STATO:0000419","display" : "Cochran's Q","definition" : "A measure of heterogeneity, based on the chi-square statistic, for reporting an analytic finding regarding whether two or more multinomial distributions are equal, accounting for chance variability.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi square for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi² heterogeneity statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² test statistic for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² heterogeneity statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-square test statistic for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-square test statistic for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "𝜒² test statistic for heterogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi square for homogeneity"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran Q"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran Q statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran's Q statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran Q test statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran's Q test statistic"}],"property" : [{"code" : "comment","valueString" : "A measure of heterogeneity is defined as a statistic that represents the variation or spread among values in the set of estimates across studies.\nChi square for homogeneity assesses whether observed differences in results are compatible with chance alone.\nA chi square for homogeneity is a hypothesis testing measure that is testing the hypothesis of heterogeneity. A chi square for homogeneity is distinct from a chi square for independence (also called Pearson's chi square). A chi square test for homogeneity is based on testing whether the distributions across two or more populations are the same."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Harold Lehmann, Muhammad Afzal, Joanne Dehnbostel"},{"code" : "external-definitions","valueString" : "STATO: Cochran's Q test is a statistical test used for unreplicated randomized block design experiments with a binary response variable and paired data. In the analysis of two-way randomized block designs where the response variable can take only two possible outcomes (coded as 0 and 1), Cochran's Q test is a non-parametric statistical test to verify whether k treatments have identical effects.\n\nfrom Cochrane Handbook https://training.cochrane.org/handbook/current/chapter-10\nMore formally, a statistical test for heterogeneity is available. This Chi2 (χ2, or chi-squared) test is included in the forest plots in Cochrane Reviews. It assesses whether observed differences in results are compatible with chance alone. A low P value (or a large Chi2 statistic relative to its degree of freedom) provides evidence of heterogeneity of intervention effects (variation in effect estimates beyond chance).\nCare must be taken in the interpretation of the Chi2 test, since it has low power in the (common) situation of a meta-analysis when studies have small sample size or are few in number. This means that while a statistically significant result may indicate a problem with heterogeneity, a non-significant result must not be taken as evidence of no heterogeneity. This is also why a P value of 0.10, rather than the conventional level of 0.05, is sometimes used to determine statistical significance. A further problem with the test, which seldom occurs in Cochrane Reviews, is that when there are many studies in a meta-analysis, the test has high power to detect a small amount of heterogeneity that may be clinically unimportant.\n\nHoaglin DC. Misunderstandings about Q and 'Cochran's Q test' in meta-analysis. Stat Med. 2016 Feb 20;35(4):485-95. doi: 10.1002/sim.6632. Epub 2015 Aug 24. PMID: 263037 and discussions"},{"code" : "negative-vote","valueString" : "2024-05-13 vote 3-1 by Eric Harvey, Harold Lehmann, Saphia Mokrane, Sheyu Li\n2024-05-06 vote 5-2 by Cauê Monaco, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Harold Lehmann, Sean Grant, Sheyu Li"},{"code" : "expert-comments","valueString" : "2024-05-13 comments\nCochran's Q may be the most accepted name. I would thus suggest changing the term. Actually, Cochran's Q is Chi square contributed and theoretically there can be other Chi square distributed in testing heterogeneity or homogeneity (although current Cochran's Q may be the only one). \n\n2024-04-29 comments:\n1) Add to \"comment for application\" the following from the Cochrane Handbook: \"Chi square for homogeneity assesses whether observed differences in results are compatible with chance alone.\"\n\n2) Is it chi square or Chi square? \n\nIs it Chi square for homogeneity or Chin square for heterogeneity? \n\nX2 test is a very common statistic. To avoid confusion, should we add some detailed statistical explanation regarding the difference between this x2 test and other x2 tests?"},{"code" : "approval","valueString" : "2024-05-28 vote 7-0 by Carlos Alva-Diaz, Homa Keshavarz, Sheyu Li, Harold Lehmann, Saphia Mokrane, Eric Harvey, Lenny Vasanthan"}]},{"code" : "STATO:0000420","display" : "I-squared","definition" : "A measure of heterogeneity that estimates the proportion of variability across studies that is in excess of the expected variability due to chance.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "I2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "I²"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "I-square"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: I-squared = The quantity called I2, describes the percentage of total variation across studies that is due to heterogeneity rather than chance. I2 can be readily calculated from basic results obtained from a typical meta-analysis as I2 = 100%×(Q - df)/Q, where Q is Cochran's heterogeneity statistic and df the degrees of freedom. Negative values of I2 are put equal to zero so that I2 lies between 0% and 100%. A value of 0% indicates no observed heterogeneity, and larger values show increasing heterogeneity. Unlike Cochran's Q, it does not inherently depend upon the number of studies considered. A confidence interval for I² is constructed using either i) the iterative non-central chi-squared distribution method of Hedges and Piggott (2001); or ii) the test-based method of Higgins and Thompson (2002). The non-central chi-square method is currently the method of choice (Higgins, personal communication, 2006) – it is computed if the 'exact' option is selected. (STATO:0000420)\n\nHedges, L. V., & Pigott, T. D. (2001). The power of statistical tests in meta-analysis. Psychological methods, 6(3), 203–217.https://pubmed.ncbi.nlm.nih.gov/11570228/\n\nHiggins, J. P., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in medicine, 21(11), 1539–1558. https://doi.org/10.1002/sim.1186 https://pubmed.ncbi.nlm.nih.gov/12111919/"},{"code" : "comment","valueString" : "A measure of heterogeneity is defined as a statistic that represents the variation or spread among values in the set of estimates across studies. $I^2$ = 100%×(Q - df)/Q, where Q is Cochran's heterogeneity statistic and df is the degrees of freedom. $I^2$ is strictly non-negative and lies between 0 and 100%. (If Q is less than df and the calculation would result in a negative value, then $I^2$ is defined as zero.) There are competing methods of calculating the confidence interval such as Hedges and Piggott (2001) and Higgins and Thompson (2002)."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "expert-comments","valueString" : "2024-05-20 comment:\n\"df, the degrees of freedom.\" Note punctuation needs.\n\"(If calculation results in a negative value, Q is less than df, \n𝐼2 is defined as zero.)\" Is that supposed or be \"if Q is less than df\" or, \"and Q is less than df\" or \"because\"?\n\n2024-05-28 comment:\nIs the most commonly used name I square or I squared?  [[[so added as an alternative term]]]"},{"code" : "approval","valueString" : "2024-05-28 vote 7-0 by Lenny Vasanthan, Carlos Alva-Diaz, Saphia Mokrane, Homa Keshavarz, Sheyu Li, Brian S. Alper, Eric Harvey"}]},{"code" : "STATO:0000421","display" : "tau squared","definition" : "A measure of heterogeneity that estimates the variance of the distribution of true effect sizes.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "tau²"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "τ2"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "τ²"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "tau square"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "tau2"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Tau-squared is an estimate of the between-study variance in a random-effects meta-analysis. The square root of this number (i.e. tau) is the estimated standard deviation of underlying effects across studies. (STATO:0000421)"},{"code" : "comment","valueString" : "A measure of heterogeneity is defined as a statistic that represents the variation or spread among values in the set of estimates across studies. The tau squared estimates the between-study variance in a random-effects meta-analysis or hierarchical multilevel model meta-analysis."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper"},{"code" : "approval","valueString" : "2024-05-28 vote 6-0 by Lenny Vasanthan, Carlos Alva-Diaz, Saphia Mokrane, Homa Keshavarz, Sheyu Li, Eric Harvey"}]}]}]},{"code" : "STATO:0000209","display" : "area under the curve","definition" : "A statistic that summarizes the variation of a quantity of interest across a domain interval of interest.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUC"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: area under curve is a measurement datum which corresponds to the surface define by the x-axis and bound by the line graph represented in a 2 dimensional plot resulting from an integration or integrative calculus. The interpretation of this measurement datum depends on the variables plotted in the graph"},{"code" : "comment","valueString" : "As examples, in classification tasks, the quantity of interest is the true positive rate and the domain interval of interest is the false positive rate; in pharmacodynamic studies, the quantity of interest is the concentration of a drug and the domain interval of interest is time; and in assessment of lung barotrauma in intensive care, the quantity of interest is pressure and the domain interval of interest is time. \n\nIn general, the average quantity is calculated as the area under the curve divided by the range of the domain interval of interest."},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Joanne Dehnbostel, Muhammad Afzal, Khalid Shahin"},{"code" : "approval","valueString" : "2024-03-11 vote 5-0 by Eric Harvey, Xing Song, Lenny Vasanthan, Harold Lehmann, Homa Keshavarz"}],"concept" : [{"code" : "STATO:0000608","display" : "area under the ROC curve","definition" : "An area under the curve where the curve is the true positive rate and the range of interest is the false positive rate.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUC"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUROC"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the receiver operating characteristic curve"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "c-statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "C-statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Harrell's C"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "concordance index"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "concordance statistic"}],"property" : [{"code" : "external-definitions","valueString" : "One of the earliest descriptions of this concept is found in \"The area above the ordinal dominance graph and the area below the receiver operating characteristic graph\" (https://doi.org/10.1016/0022-2496(75)90001-2)"},{"code" : "comment","valueString" : "ROC stands for Receiver Operating Characteristic. The area under the ROC curve is used to assess the performance of a classifier used to distinguish between two or more groups. Another term for true positive rate is sensitivity and another term for false positive rate is 1-specificity. \n\nThe c-statistic is the area under the ROC curve calculated with the full range of possible values for true positive rate and false positive rate. Another interpretation of the c-statistic is similar without explicitly referencing the ROC curve: \"The C statistic is the probability that, given 2 individuals (one who experiences the outcome of interest and the other who does not or who experiences it later), the model will yield a higher risk for the first patient than for the second. It is a measure of concordance (hence, the name “C statistic”) between model-based risk estimates and observed events. C statistics measure the ability of a model to rank patients from high to low risk but do not assess the ability of a model to assign accurate probabilities of an event occurring (that is measured by the model’s calibration). C statistics generally range from 0.5 (random concordance) to 1 (perfect concordance).\" (JAMA. 2015;314(10):1063-1064. doi:10.1001/jama.2015.11082)"},{"code" : "editors","valueString" : "Harold Lehmann, Kenneth Wilkins, Muhammad Afzal, Joanne Dehnbostel, Khalid Shahin"},{"code" : "approval","valueString" : "2024-04-22 vote 6-0 by Cauê Monaco, Harold Lehmann, Eric Harvey, Homa Keshavarz, Lenny Vasanthan, Sheyu Li"},{"code" : "negative-vote","valueString" : "area under the ROC curve was approved 2024-03-18 vote 6-0 by Cauê Monaco, Homa Keshavarz, Elma OMERAGIC, Xing Song, Lenny Vasanthan, Eric Harvey BUT then ...\nc-statistic had 2024-04-01 vote 4-2 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-03-18 comment: Can we consider having the statement on \"ROC stands for Receiver Operating Characteristic\" in the first line followed by the area under the ROC curve?\n\n 2024-04-01 comments for c-statistic:\n1) isn't this a synonym for AUROC ? (with the assumption that AUROC refers to the totality of the space located below the curve.\n2) Is it c-statistic or C statistic (capitaled)? \nQuote: The C statistic is the probability that, given 2 individuals (one who experiences the outcome of interest and the other who does not or who experiences it later), the model will yield a higher risk for the first patient than for the second. It is a measure of concordance (hence, the name “C statistic”) between model-based risk estimates and observed events. C statistics measure the ability of a model to rank patients from high to low risk but do not assess the ability of a model to assign accurate probabilities of an event occurring (that is measured by the model’s calibration). C statistics generally range from 0.5 (random concordance) to 1 (perfect concordance).I would use discrimination rather than distinguish for the purpose of C-statistic. (JAMA. 2015;314(10):1063-1064. doi:10.1001/jama.2015.11082)\nI am also worried about the definition is highly relied on the definition of ROC. A link of ROC may be better for users. Discrimination rather than distinguish could be a better word to describe C statistic. \nC statistic also refers to concordance statistic."}]},{"code" : "STATO:0000689","display" : "partial area under the ROC curve","definition" : "An area under the curve where the curve is the true positive rate and the range of interest is a specified portion of the range of possible values for the false positive rate and/or range of possible values for the true positive rate.","property" : [{"code" : "comment","valueString" : "Area under the ROC curve is defined as an area under the curve where the curve is the true positive rate and the range of interest is the false positive rate. ROC stands for Receiver Operating Characteristic. The area under the ROC curve is used to assess the performance of a classifier used to distinguish between two or more groups. Another term for true positive rate is sensitivity and another term for false positive rate is 1-specificity."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Muhammad Afzal, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2024-04-01 vote 4-2 by Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey, Homa Keshavarz\n2024-04-15 vote 3-1 by Harold Lehmann, Eric Harvey, Lenny Vasanthan, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-04-01 comments:\n1) i assume 'area under the curve' to equate the entire area located under the curve, so 'a part' can not be a subtype of the whole.\n2) Similar concerns with the definition of C statistic. \n\n2024-04-15 comment:\nI think we have to add, to the definition, \"and/or range of possible values for the true positive rate\" as well. My apologies, but I didn't catch this during our dicussions."},{"code" : "approval","valueString" : "2024-04-22 vote 5-0 by Lenny Vasanthan, Homa Keshavarz, Eric Harvey, Harold Lehmann, Sheyu Li"}]},{"code" : "STATO:0000691","display" : "area under the precision-recall curve","definition" : "An area under the curve where the curve is the precision and the domain of interest is the recall.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUPRC"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUCPR"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "AUC-PR"}],"property" : [{"code" : "comment","valueString" : "In information retrieval, recall is a synonym for sensitivity and precision is a synonym for positive predictive value."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Brian S. Alper"},{"code" : "approval","valueString" : "2024-04-01 vote 6-0 by Homa Keshavarz, Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey"}]},{"code" : "STATO:0000690","display" : "area under the value-time curve","definition" : "An area under the curve where the curve is the repeated measures of a variable over time and the domain of interest is time.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the value-by-time curve"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the value vs. time curve"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "area under the value versus time curve"}],"property" : [{"code" : "comment","valueString" : "The area under the value-by-time curve is used for pharmacokinetics, pharmacodynamics, and physiological monitoring."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann"},{"code" : "expert-comments","valueString" : "2024-04-01 comment: Is it value-time curve?"},{"code" : "negative-vote","valueString" : "2024-04-01 vote 5-1 by Homa Keshavarz, Philippe Rocca-Serra, Sheyu Li, Harold Lehmann, Lenny Vasanthan, Eric Harvey"},{"code" : "approval","valueString" : "2024-04-29 vote 7-0 by Lenny Vasanthan, Harold Lehmann, Eric Harvey, Homa Keshavarz, Sean Grant, Philippe Rocca-Serra, Sheyu Li"}]}]},{"code" : "STATO:0000633","display" : "threshold","definition" : "A statistic that represents the boundary at which something changes.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cutoff"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "threshold value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cutoff value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "cutoff threshold"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "limit"}],"property" : [{"code" : "comment","valueString" : "The thing that changes at the threshold value may be relevant for function, application, classification, or detection."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Kenneth Wilkins, Khalid Shahin"},{"code" : "approval","valueString" : "5/5 as of 10/11/2021: Janice Tufte, Joanne Dehnbostel, Louis Leff, Vignesh Subbian, Robin Ann Yurk"}]},{"code" : "STATO:0000069","display" : "degrees of freedom","definition" : "A statistic that represents the number of independent values used to calculate a statistical estimate. The number of degrees of freedom ν is equal to the number of independent units of information given the model.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "number of degrees of freedom"}],"property" : [{"code" : "comment","valueString" : "The formula to calculate degrees of freedom will depend on the model. For example, the degrees of freedom for a sample standard deviation, given the sample mean, is N-1, because the Nth observation is no longer independent, given the N-1 other observations and the sample mean."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Janice Tufte, Bhagvan Kommadi, Kenneth Wilkins, Khalid Shahin, Harold Lehmann"},{"code" : "approval","valueString" : "6/6 as of 10/27/2021: Janice Tufte, Louis Leff, Vignesh Subbian, Robin Ann Yurk, Harold Lehmann, Muhammad Afzal, Pentti Nieminen"},{"code" : "expert-comments","valueString" : "Include * in P = x1 * x2...to clarify this is a product."}]},{"code" : "STATO:0000609","display" : "hypothesis testing measure","definition" : "A statistic that represents the relative support for competing hypotheses, based on the observed data under an assumed modeling framework.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hypothesis testing statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "hypothesis test statistic"}],"property" : [{"code" : "comment","valueString" : "A hypothesis testing measure may be used within the frequentist framework (Neyman-Pearson framework) or the Bayesian framework. Within the frequentist framework, the criterion for rejecting the null hypothesis is typically expressed as a [p-value](https://fevir.net/resources/CodeSystem/27270#TBD:0000076) that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081). Within the Bayesian framework, the approach for rejecting the null hypothesis is typically based on a Bayes factor."},{"code" : "editors","valueString" : "Brian S. Alper, Kenneth Wilkins, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2024-06-10 vote 4-1 by Harold Lehmann, Lenny Vasanthan, Sean Grant, Eric Harvey, Sheyu Li\n2024-06-17 vote 7-0 by Harold Lehmann, Sean Grant, Carlos Alva-Diaz, Lenny Vasanthan, Eric Harvey, Yaowaluk Ngoenwiwatkul, Homa Keshavarz BUT ALTERNATIVE TERMS AND COMMENT MODIFIED\n2024-06-24 vote 7-1 by Sean Grant, Philippe Rocca-Serra, Sheyu Li, Saphia Mokrane, Cauê Monaco, Eric Harvey, Lenny Vasanthan, Homa Keshavarz"},{"code" : "expert-comments","valueString" : "2024-06-10 comments re: \"hypothesis testing measure\" = \"A statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\"\n1) I guess we'll add \"hypothesis\" to our emerging glossary.\n2N) Would Bayesians say that they are \"testing\" a hypothesis?\n3) The definition looks fine but the comment seems confusing and unnecessary. \n\n\n2024-06-17 comment re: \"hypothesis testing measure\" = \"A statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\"\n\"Hypothesis testing statistic\" as an alternative term?\n\n2024-06-24 comment re: \"hypothesis testing measure\" = \"A statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\"\nThe definition seems wordy. Why not: A statistic that represents the strength (or value?) of a statistical test (or: between the hypothesis and the observation)."},{"code" : "approval","valueString" : "2024-07-08 vote 6-0 by Saphia Mokrane, C P Ooi, Harold Lehmann, Eric Harvey, Lenny Vasanthan, Homa Keshavarz"}],"concept" : [{"code" : "STATO:0000700","display" : "p-value","definition" : "A hypothesis testing measure that represents the probability of obtaining a result at least as far from the value actually obtained as the value expected, assuming the null hypothesis is true.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "P value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "P-value"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: A quantitative confidence value that represents the probability of obtaining a result at least as extreme as that actually obtained, assuming that the actual value was the result of chance alone. (OBI:0000175)\n\n\"You may summarize this comparison using a Bayesian p-value (Gelman et al., 1996, 2004), the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\" -- https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-use-bayesian-statistics-medical-device-clinical-trials"},{"code" : "comment","valueString" : "[Hypothesis testing measure](https://fevir.net/resources/CodeSystem/27270#TBD:0000073) is defined as a statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\n\nWithin the frequentist framework, a p-value is typically a [p-value for two-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-two-sided) and the criterion for rejecting the null hypothesis is typically expressed as a p-value that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081) divided by 2. In some cases, the p-value is a [p-value for one-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-one-sided), and the criterion for rejecting the null hypothesis is typically expressed as a p-value that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081). A p-value is preferably coded more precisely as a [p-value for two-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-two-sided) or a [p-value for one-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-one-sided) rather than using the code for p-value without specification. The code for p-value (without specification) may be used in contexts where the p-value reported is ambiguous.\n\nWithin the Bayesian framework, use the [posterior predictive p-value](https://fevir.net/resources/CodeSystem/27270#TBD:Bayesianp)."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2024-06-17 vote 7-1 by Harold Lehmann, Sean Grant, Khalid Shahin, Carlos Alva-Diaz, Lenny Vasanthan, Eric Harvey, Yaowaluk Ngoenwiwatkul, Homa Keshavarz\n2024-07-01 vote 8-1 by Harold Lehmann, Sean Grant, Philippe Rocca-Serra, Sheyu Li, Saphia Mokrane, Cauê Monaco, Eric Harvey, Lenny Vasanthan, Homa Keshavarz\n2024-07-08 vote 3-0 by Saphia Mokrane, Eric Harvey, C P Ooi BUT THEN THE DEFINITION CHANGED\n2024-07-15 vote 4-2 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan"},{"code" : "expert-comments","valueString" : "2024-06-17 comments re: \"p value\" = \"A hypothesis testing measure that represents the probability of obtaining a result at least as extreme as that actually obtained, assuming that the actual value was the result of chance alone.\"\n1) \"Within the frequentist framework...\"\n2N) The threshold is the alpha-level, not the p-value\n3) I personally prefer p-value, but I'm fine with \"p value\"\n\n2024-07-01 comments re: \"p-value\" = \"A hypothesis testing measure that represents the probability of obtaining a result at least as extreme as that actually obtained, assuming the null hypothesis is true.\"\n1) suggestion: add a sentence to also cover Bayesian framework\n2N) The hypothesis can be null or not null (non-inferior test for example). \n\n\n2024-07-15 comments re: \"p-value\" = \"A hypothesis testing measure that represents the probability of obtaining a result at least as far from the value actually obtained as the value expected, assuming the null hypothesis is true.\"\n1N)\nwith the distinction with posterior predictive p-value, one-sided pvalue and two-sided pvalue, is pvalue still needed?\nwhen should the term be used? if used to annotate data, is it imprecise as one would not know if both hypotheses have been tested. The introduction of more specific terms may render this type moot.\nAlso in the 'comment for application', if pvalue is parent term, the statement 'typically expressed as a p-value lesss than an alpha setting ' would not be true for 'two-sided pvalue'.\n2N)\nI am wondering if it might be helpful to add a statement on how 'p' value can help to identify if the desired effect is due to 'chance' or if there is an actual difference"},{"code" : "approval","valueString" : "2024-07-22 vote 7-0 by Saphia Mokrane, Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey"}],"concept" : [{"code" : "STATO:0000661","display" : "p-value for one-sided test","definition" : "A p-value which represents the probability of obtaining a result at least as far, in one direction, from the value actually obtained as the value expected, assuming the null hypothesis is true. A p-value for one-sided test interprets 'at least as far from' with only one of two directions, either the direction of 'greater than' or the direction of 'less than'.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-value for one-tailed test"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "one-sided p-value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "one-tailed p-value"}],"property" : [{"code" : "comment","valueString" : "[P-value](https://fevir.net/resources/CodeSystem/27270#TBD:0000076) is defined as a hypothesis testing measure that represents the probability of obtaining a result at least as far from the value actually obtained as the value expected, assuming the null hypothesis is true. For p-value for one-sided test, the criterion for rejecting the null hypothesis is typically expressed as a p-value that is less than an [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081)."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Harold Lehmann, Kenneth Wilkins"},{"code" : "negative-vote","valueString" : "2024-07-08 vote 8-1 by C P Ooi, Harold Lehmann, Sean Grant, Philippe Rocca-Serra, Sheyu Li, Saphia Mokrane, Eric Harvey, Lenny Vasanthan, Homa Keshavarz\n2024-07-15 vote 5-1 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan"},{"code" : "expert-comments","valueString" : "2024-07-08 comment re: \"p-value for one-sided test\" = \"A p-value which represents the probability of obtaining a result at least as extreme, in one direction, as that actually obtained.\"\n1N) The word 'one direction' did not explain 'one sided'. \n\n2024-07-15 comment re: \"p-value for one-sided test\" = \"A p-value which represents the probability of obtaining a result at least as far, in one direction, from the value actually obtained as the value expected, assuming the null hypothesis is true.\"\n1N) from an end user perspective, i feel that the definition should included the last statement found in the 'comment for application' = \" A p-value for two-sided test interprets 'at least as far from' with both the direction of 'greater than' and the direction of 'less than'. For hypothesis test interpretation, the one-tailed p-value is compared to the alpha setting\""},{"code" : "approval","valueString" : "2024-07-22 vote 6-0 by Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey"}]},{"code" : "STATO:0000662","display" : "p-value for two-sided test","definition" : "A p-value which represents the probability of obtaining a result at least as far, in either direction, from the value actually obtained as the value expected, assuming the null hypothesis is true. A p-value for two-sided test interprets 'at least as far from' with both the direction of 'greater than' and the direction of 'less than'.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "p-value for two-tailed test"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "two-sided p-value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "two-tailed p-value"}],"property" : [{"code" : "comment","valueString" : "[P-value](https://fevir.net/resources/CodeSystem/27270#TBD:0000076) is defined as a hypothesis testing measure that represents the probability of obtaining a result at least as  far from the value actually obtained as the value expected, assuming the null hypothesis is true. For hypothesis test interpretation, the two-tailed p-value is compared to the [alpha setting](https://fevir.net/resources/CodeSystem/27270#TBD:0000081) divided by 2."},{"code" : "editors","valueString" : "Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal, Harold Lehmann, Kenneth Wilkins"},{"code" : "expert-comments","valueString" : "2024-07-15 comment re: \"p value for two-sided test\" = \"A p-value which represents the probability of obtaining a result at least as far, in either direction, from the value actually obtained as the value expected, assuming the null hypothesis is true.\"\n1N) from an end user perspective, i feel that the definition should included the last statement found in the 'comment for application' = \" A p-value for two-sided test interprets 'at least as far from' with both the direction of 'greater than' and the direction of 'less than'. For hypothesis test interpretation, the two-tailed p-value is compared to the alpha setting divided by 2\""},{"code" : "negative-vote","valueString" : "2024-07-15 vote 5-1 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan"},{"code" : "approval","valueString" : "2024-07-22 vote 6-0 by Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey"}]}]},{"code" : "STATO:0000030","display" : "chi-square statistic","definition" : "A hypothesis testing measure that is assumed to follow a chi-square distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Chi-squared statistic is a statistic computed from observations and used to produce a p-value in statistical test when compared to a Chi-Squared distribution. (STATO:0000030)"},{"code" : "comment","valueString" : "A hypothesis testing measure is defined as a statistic that represents the relative support for competing hypotheses, based on the observed data under an assumed modeling framework."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-10-28 vote 6-0 by Saphia Mokrane, Eric Harvey, Harold Lehmann, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan"}],"concept" : [{"code" : "STATO:0000081","display" : "chi-square statistic for independence","definition" : "A chi-square statistic used to test whether two categorical or nominal variables are associated.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic for independence"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: Chi-squared statistic is a statistic computed from observations and used to produce a p-value in statistical test when compared to a Chi-Squared distribution. (STATO:0000030)"},{"code" : "comment","valueString" : "Types of chi-square statistic for independence include the Pearson's chi-square statistic for independence and the Yate's corrected chi-square statistic. The chi-square statistic for independence is a chi-square statistic used for testing for an association."},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-04 vote 6-0 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-10-28 comment re: \"chi-square statistic for independence\" = \"A chi-square statistic used to determine whether two categorical or nominal variables are likely to be related.\"\n1Yes)\nCan we consider adding in \"chi-squared statistic for association\" along with this."},{"code" : "negative-vote","valueString" : "2024-10-28 vote 6-0 by Saphia Mokrane, Eric Harvey, Harold Lehmann, Homa Keshavarz, Airton Tetelbom Stein, Lenny Vasanthan BUT THEN COMMENT CHANGED DEFINITION AND COMMENT FOR APPLICATION"}]},{"code" : "STATO:0000708","display" : "Cochran-Armitage chi-square statistic for trend","definition" : "A chi-square statistic used to test whether a dichotomous variable and an ordinal variable are related.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran-Armitage chi-squared statistic for trend"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran-Armitage chi-square statistic"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Cochran-Armitage statistic"}],"property" : [{"code" : "comment","valueString" : "There are types of chi-square statistic for trend other than the Cochran-Armitage statistic."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-04 vote 6-0 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"}]},{"code" : "STATO:0000698","display" : "chi-square statistic for homogeneity","definition" : "A chi-square statistic used to test whether observed data from two or more groups follow the same distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic for homogeneity"}],"property" : [{"code" : "comment","valueString" : "In meta-analysis, a chi-square statistic for homogeneity is often used to determine the appropriateness of combining the statistics to represent a common population."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel, Harold Lehmann"},{"code" : "negative-vote","valueString" : "2024-11-04 vote 5-1 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"},{"code" : "expert-comments","valueString" : "2024-11-04 comment re: \"chi-square statistic for homogeneity\" = \"A chi-square statistic used to test whether observed data from two or more groups follow the same distribution.\"\n1No)\nI recall that there used to be considerable controversy about the value of statistical tests applied to baseline characteristics, the recommendation being to avoid such tests. If this remains the case, shouldn't we note that here?"},{"code" : "approval","valueString" : "2024-11-11 vote 7-0 by Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Cauê Monaco, Saphia Mokrane, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000309","display" : "chi-square statistic for goodness of fit","definition" : "A chi-square statistic used to test whether observed data follows a specified distribution.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "chi-squared statistic for goodness of fit"}],"property" : [{"code" : "comment","valueString" : "There are types of chi-square statistic for goodness of fit with named tests based on the specified distribution, such as the Hosmer–Lemeshow test for a given logistic regression model and the Shapiro–Wilk test for a normal (Gaussian) distribution."},{"code" : "editors","valueString" : "Kenneth Wilkins, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-04 vote 6-0 by Lara Kahaleh, Bhagvan Kommadi, Harold Lehmann, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein"}]}]},{"code" : "STATO:0000376","display" : "z-statistic","definition" : "A hypothesis testing measure that is a z-score where the specified mean is based on the null hypothesis and the standard deviation is based on the observed data.","property" : [{"code" : "external-definitions","valueString" : "STATO: A z-score (also known as z-value, standard score, or normal score) is a measure of the divergence of an individual experimental result from the most probable result, the mean. Z is expressed in terms of the number of standard deviations from the mean value. (STATO:0000104)   Z-statistic is a statistic computed from observations and used to produce a p-value when compared to a Standard Normal Distribution in a statistical test called the Z-test. (STATO:0000376)"},{"code" : "editors","valueString" : "Kenneth Wilkins, Joanne Dehnbostel, Harold Lehmann, Brian S. Alper"},{"code" : "comment","valueString" : "A [z-score](#STATO:0000104) is defined as a statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\nA z-statistic is a z-score of a sample in the conduct of a Z-test."},{"code" : "approval","valueString" : "2024-08-12 vote 7-0 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Sean Grant"}]},{"code" : "STATO:0000176","display" : "t-statistic","definition" : "A hypothesis testing measure that is a t-score where the specified mean is based on the null hypothesis, the standard error is based on the observed data, and the degrees of freedom is based on the sample size.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Student's t"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Student's t statistic"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: t-statistic is a statistic computed from observations and used to produce a p-value in statistical test when compared to a Student's t distribution. (STATO:0000176)"},{"code" : "comment","valueString" : "A t-score is defined as a statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\nA t-statistic is a t-score of a sample in the conduct of a t-test."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "approval","valueString" : "2024-10-14 vote 5-0 by Lenny Vasanthan, Harold Lehmann, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000266","display" : "Bayes factor","definition" : "A hypothesis testing measure that is a ratio of the probability of the observed data under one hypothesis divided by the probability of the same observed data under a different hypothesis.","property" : [{"code" : "external-definitions","valueString" : "STATO: Bayes factor is a ratio between 2 probabilities of observing data according 2 distinct models. It is used in Bayes model selection to evaluate which model best explains the data. if K<0, the model used in the denominator term is supported, if K>1, the model used in the numerator term is supported. The Bayes factor is about the plausibility of 2 different models\n\nNCI Code         CDISC Submission Value      CDISC Synonym          NCI Preferred Term    CDISC Definition\n\nC142403          Bayesian approaches             _                                           Bayesian Approach        \n\nApproaches to data analysis that provide a posterior probability distribution for some parameter (e.g., treatment effect), derived from the observed data and a prior probability distribution for the parameter. The posterior distribution is then used as the basis for statistical inference. [ICH E9 Glossary]\n\nC142404          Bayesian statistics                   _                                           Bayesian Statistics        \n\nStatistical approach named for Thomas Bayes (1701-1761) that has among its features giving a subjective interpretation to probability, accepting the idea that it is possible to talk about the probability of hypotheses being true and of parameters having particular values."},{"code" : "comment","valueString" : "The Bayes factor numerator and denominator take into account the prior probabilities of each hypothesis. The Bayes factor represents the relative plausibility between competing hypotheses, taking the prior probabilities into account."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel"},{"code" : "approval","valueString" : "2024-11-11 vote 7-0 by Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Cauê Monaco, Saphia Mokrane, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000660","display" : "posterior predictive p-value","definition" : "A hypothesis testing measure that is the probability that a statistic value derived from a posterior predictive distribution under the assumptions of the model is equal to or more extreme than the observed posterior value of the statistic.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Bayesian p-value"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Bayes p-value"}],"property" : [{"code" : "comment","valueString" : "[Hypothesis testing measure](https://fevir.net/resources/CodeSystem/27270#TBD:0000073) is defined as a statistic that represents the result of evaluating the congruence between a hypothesis and the statistics derived from the observed data.\n\nA posterior predictive p-value includes assumptions of prior probability of the hypothesis or parameters in the model.\n\nThe term 'posterior predictive p-value' is used within the Bayesian framework. Within the frequentist framework, use [p-value for two-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-two-sided) or [p-value for one-sided test](https://fevir.net/resources/CodeSystem/27270#TBD:p-value-one-sided).\n\nNote that in the Bayesian case, one generally focuses on the posterior probability distribution of the parameter of interest, not on this posterior probability of a statistic."},{"code" : "external-definitions","valueString" : "\"You may summarize this comparison using a Bayesian p-value (Gelman et al., 1996, 2004), the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\" -- https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-use-bayesian-statistics-medical-device-clinical-trials"},{"code" : "editors","valueString" : "Kenneth Wilkins, Harold Lehmann, Philippe Rocca-Sera, Brian S. Alper"},{"code" : "negative-vote","valueString" : "2024-07-08 vote 3-1 by C P Ooi, Sheyu Li, Eric Harvey, Harold Lehmann\n2024-07-15 vote 5-1 by Homa Keshavarz, Cauê Monaco, Sheyu Li, Eric Harvey, Philippe Rocca-Serra, Lenny Vasanthan\n2024-07-22 vote 6-0 by Carlos Alva-Diaz, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Harold Lehmann, Eric Harvey (Comment led us to reopen this term for voting)"},{"code" : "expert-comments","valueString" : "2024-07-08 comment re: \"posterior predictive p-value\" = \"A hypothesis testing measure that is the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\"\n1N) I think \"Bayesian\" should be the primary name, and something about priors and data should be included in the comment for application, since this is an atypical measure. (Sorry not having pointed this out during the session.)\n\n2024-07-15 comment re: \"posterior predictive p-value\" = \"A hypothesis testing measure that is the predictive probability that a statistic is equal to or more extreme than that observed under the assumptions of the model.\"\n1N) add \"Within the frequentist framework, use 'one-sided or two sided pvalue\" (or pvalue if kept) to the 'comment for application' for consistency and reciprocity\n\n2024-07-22 comment re: \"posterior predictive p-value\" = \"A hypothesis testing measure that is the probability that a statistic value derived from a posterior predictive distribution under the assumptions of the model is equal to or more extreme than the observed posterior value of the statistic.\"\n1Y) Because most \"posteriors\" in Bayesian statistics are about the parameter we really care about, let me suggest saying something like: \"Note that in the Bayesian case, one generally focuses on the posterior probability distribution of the parameter of interest, not on this posterior probability of a statistic.\"  And we will need a SEVCO term for \"posterior probability,\" to go under Bayes factor (not a child)."},{"code" : "approval","valueString" : "2024-07-29 vote 5-0 by Lenny Vasanthan, Airton Tetelbom Stein, Eric Harvey, Harold Lehmann, Homa Keshavarz"}]}]},{"code" : "STATO:0000104","display" : "z-score","definition" : "A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Z-score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "z score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "Z score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "z-value"}],"property" : [{"code" : "external-definitions","valueString" : "STATO: A z-score (also known as z-value, standard score, or normal score) is a measure of the divergence of an individual experimental result from the most probable result, the mean. Z is expressed in terms of the number of standard deviations from the mean value. (STATO:0000104)"},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2024-08-12 vote 7-1 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Elma OMERAGIC, Airton Tetelbom Stein, Sean Grant\n2024-08-19 vote 6-1 by Philippe Rocca-Serra, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz, Cauê Monaco, Eric Harvey, Brian S. Alper"},{"code" : "expert-comments","valueString" : "2024-08-12\nComment for application maybe should include: \"A z-score can be calculated for a statistic for a sample z-statistic or may be calculated for an individual, using a reference mean and standard deviation, as in an IQ score.\"\n\n2024-08-19 comment re: \"z-score\" = \"A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\"\n1N)\nDoes 'calculated for a statistic for a sample z-statistic' mean that you calculate the z-score from the z-statistic and they are 2 different values, or does it mean that z-statistic is the term for z-score when it is calculated for a sample?  This ambiguity can be avoided by making the comment for application 2 separate sentences, one clearly describing \"for a sample\" and the other clearly describing \"for an individual observation\" -- note individual needs to be an adjective and not a noun in the second sentence.  An individual person can be the population for a sample of observations about the individual.\nre: \"z-score\" = \"A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\"\n\n2024-08-26 comment re: \"z-score\" = \"A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, expressed in terms of the number of standard deviations from the mean value.\"\n1Y)\nOnly a petit change in comment for application...\"A z-score can also be calculated for a statistic for a sample, such as a z-statistic, which is a hypothesis testing measure. The z-score for the sample is based on the null hypothesis mean, and the standard deviation is based on the observed data.\""},{"code" : "comment","valueString" : "A z-score can be calculated for an individual observation, using a reference mean and standard deviation, such as in an IQ score or a weight-for-age-and-sex value in a pediatric growth chart.\nA z-score can also be calculated for a statistic for a sample, such as a [z-statistic](https://fevir.net/resources/CodeSystem/27270#STATO:0000376), which is a hypothesis testing measure. The z-score for the sample is based on the null hypothesis mean, and the standard deviation is based on the observed data."},{"code" : "approval","valueString" : "2024-08-26 vote 7-0 by Carlos Alva-Diaz, Elma OMERAGIC, Lenny Vasanthan, Eric Harvey, Homa Keshavarz, Airton Tetelbom Stein, Harold Lehmann"}]},{"code" : "STATO:0000699","display" : "t-score","definition" : "A statistic that represents a measure of the divergence of an individual experimental result from a specified mean, taking sample size into account and expressed in terms of the number of standard errors from the mean value.","designation" : [{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "T-score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "t score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "T score"},{"use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym (core metadata concept)"},"value" : "t-value"}],"property" : [{"code" : "comment","valueString" : "A t-score can be calculated for an individual observation, using a reference mean and standard error, such as in a bone mineral density value with a reference mean and standard error for young adult men.\nA t-score can also be calculated for a statistic for a sample, such as a t-statistic, which is a hypothesis testing measure. The t-score for the sample is based on the null hypothesis mean, and the standard error is based on the observed data.\nA t-score is used preferentially to a z-score when the sample size is low (e.g. < 30 for a unimodal symmetric distribution), the population standard deviation is unknown, or when the sample distribution cannot be assumed to follow a normal distribution."},{"code" : "editors","valueString" : "Brian S. Alper, Harold Lehmann, Joanne Dehnbostel, Muhammad Afzal, Kenneth Wilkins"},{"code" : "approval","valueString" : "2024-10-14 vote 5-0 by Lenny Vasanthan, Harold Lehmann, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000702","display" : "prior probability","definition" : "A statistic that represents the likelihood of a parameter of interest, before accounting for the observed data from the study.","property" : [{"code" : "comment","valueString" : "This term is core to Bayesian statistics, where the focus is on estimation of the parameter of interest (unlike frequentist statistics, where the focus is on the likelihood of producing an estimate given a specific value of the parameter).\nThe prior probability may be constructed in several ways: from prior research, from raw data in a database, from expert opinion, or specified as \"non-informative\" (meaning pure ignorance).\nThe likelihood of the parameter is usually represented as a distribution over all possible values of the parameter."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "expert-comments","valueString" : "2024-08-12  comments:\n1N)\nI would suggest including Bayersian analysis as a context in the definition but not only in the comments. \n2Y)\nJust a comment for us: Note that this may be the first time that \"statistic\" is used NOT to mean a function of the observed data, but is still covered by our SEVCO definition for \"statistic.\"\n\n\n2024-08-19 comment re: \"prior probability\" = \"A statistic that represents the uncertainty of a parameter of interest, before accounting for the observed data from the study.\"\n1N)\nUncertainty and likelihood are not synonymous.  The word 'uncertainty' does in the proposed definition of prior probability does not match the parallel definition of posterior probability (using 'likelihood') and does not match the comment in posterior probability which states 'The prior probability is the likelihood of a parameter of interest'"},{"code" : "negative-vote","valueString" : "2024-08-12 vote 6-1 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Sean Grant\n2024-08-19 vote 6-1 by Philippe Rocca-Serra, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz, Cauê Monaco, Eric Harvey, Brian S. Alper"},{"code" : "external-definitions","valueString" : "NCI Code         CDISC Submission Value      CDISC Synonym          NCI Preferred Term    CDISC Definition\n\nC142403          Bayesian approaches             _                                           Bayesian Approach        \n\nApproaches to data analysis that provide a posterior probability distribution for some parameter (e.g., treatment effect), derived from the observed data and a prior probability distribution for the parameter. The posterior distribution is then used as the basis for statistical inference. [ICH E9 Glossary]\n\nC142404          Bayesian statistics                   _                                           Bayesian Statistics        \n\nStatistical approach named for Thomas Bayes (1701-1761) that has among its features giving a subjective interpretation to probability, accepting the idea that it is possible to talk about the probability of hypotheses being true and of parameters having particular values."},{"code" : "approval","valueString" : "2024-11-11 vote 7-0 by Lenny Vasanthan, Yaowaluk Ngoenwiwatkul, Cauê Monaco, Saphia Mokrane, Eric Harvey, Airton Tetelbom Stein, Homa Keshavarz"}]},{"code" : "STATO:0000703","display" : "posterior probability","definition" : "A statistic that represents the likelihood of a parameter of interest, after updating its prior probability with the observed data from the study.","property" : [{"code" : "comment","valueString" : "This term is core to Bayesian statistics, where the focus is on estimation of the parameter of interest (unlike frequentist statistics, where the focus is on the likelihood of producing an estimate given a specific value of the parameter). The [prior probability](#TBD:priorprobability) is the likelihood of a parameter of interest from before the study. For calculating the posterior probability of a parameter, the  [prior probability](#TBD:priorprobability) is updated using Bayes' Theorem' and the likelihood function."},{"code" : "editors","valueString" : "Harold Lehmann, Brian S. Alper, Joanne Dehnbostel, Muhammad Afzal"},{"code" : "negative-vote","valueString" : "2024-08-12 vote 6-1 by Harold Lehmann, Homa Keshavarz, Eric Harvey, Lenny Vasanthan, Sheyu Li, Airton Tetelbom Stein, Sean Grant"},{"code" : "expert-comments","valueString" : "2024-08-12\n1N)\nI would suggest including Bayersian analysis as a context in the definition but not only in the comments. \n2Y)\nI would amend the last sentence of the Comment for application as, \"For calculating the posterior probability of a parameter, the prior probabilty is updated using Bayes' Theorem' \""},{"code" : "approval","valueString" : "2024-08-19 vote 7-0 by Philippe Rocca-Serra, Brian S. Alper, Sean Grant, Airton Tetelbom Stein, Homa Keshavarz, Cauê Monaco, Eric Harvey"}]}]}]}

#25

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#26

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"http://unitsofmeasure.org","code" : "umol/h","display" : "umol/h"},{"system" : "http://unitsofmeasure.org","code" : "umol/h/L","display" : "umol/h/L"},{"system" : "http://unitsofmeasure.org","code" : "umol/h/g","display" : "umol/h/g"},{"system" : "http://unitsofmeasure.org","code" : "umol/h/mg","display" : "umol/h/mg"},{"system" : "http://unitsofmeasure.org","code" : "umol/kg","display" : "umol/kg"},{"system" : "http://unitsofmeasure.org","code" : "umol/m","display" : "umol/m"},{"system" : "http://unitsofmeasure.org","code" : "umol/mL","display" : "umol/mL"},{"system" : "http://unitsofmeasure.org","code" : "umol/mL/min","display" : "umol/mL/min"},{"system" : "http://unitsofmeasure.org","code" : "umol/mg","display" : "umol/mg"},{"system" : "http://unitsofmeasure.org","code" : "umol/min","display" : "umol/min"},{"system" : "http://unitsofmeasure.org","code" : "umol/min/L","display" : "umol/min/L"},{"system" : "http://unitsofmeasure.org","code" : "umol/min/g","display" : 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#27

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
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200
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#28

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fdicom.nema.org%2Fresources%2Fontology%2FDCM HTTP/1.0
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Tomography based on other principles, such as ultrasound, is excluded."},{"code" : "OPV","display" : "Ophthalmic Visual Field","definition" : "An acquisition device, process or method that measures visual fields and perform visual perimetry."},{"code" : "OSS","display" : "Optical Surface Scanner","definition" : "An acquisition device, process or method that performs optical surface scanning."},{"code" : "OT","display" : "Other Modality","definition" : "Other Modality device."},{"code" : "PA","display" : "Photoacoustic","definition" : "An acquisition device, process or method that performs imaging by means of tissue excitation through the absorption of short light pulses and detection of the resultant acoustic emission."},{"code" : "PLAN","display" : "Plan","definition" : "A device, process or method that produces treatment plans, e.g., delivery instructions for RT."},{"code" : "POS","display" : "Position Sensor","definition" : "A device or sensor measuring the orientation of the patient’s body."},{"code" : "PR","display" : "Presentation State","definition" : "A device, process or method that creates Presentation State objects."},{"code" : "PRINT","display" : "Hard Copy Print Server","definition" : "Hard Copy Print Server; includes printers with embedded DICOM print server."},{"code" : "PT","display" : "Positron emission tomography","definition" : "An acquisition device, process or method that performs positron emission tomography (PET)."},{"code" : "PX","display" : "Panoramic X-Ray","definition" : "An acquisition device, process or method that performs panoramic X-Rays."},{"code" : "REG","display" : "Registration","definition" : "An image processing device, process or method that creates Registration objects."},{"code" : "RESP","display" : "Respiratory","definition" : "A device, process or method that produces waveforms of electrical signals from the patient’s respiratory system."},{"code" : "RF","display" : "Radiofluoroscopy","definition" : "An acquisition device, process or method that performs radiofluoroscopy."},{"code" : "RG","display" : "Radiographic imaging","definition" : "An acquisition device, process or method that performs radiographic imaging (conventional film/screen)."},{"code" : "RT","display" : "Radiation Therapy Device","definition" : "A device, process or method that delivers radiation therapy; includes linear accelerator, proton therapy."},{"code" : "RTDOSE","display" : "RT Dose","definition" : "A device, process or method that records radiotherapy dose."},{"code" : "RTIMAGE","display" : "RT Image","definition" : "An acquisition device, process or method that performs radiotherapy imaging; includes portal imaging."},{"code" : "RTPLAN","display" : "RT Plan","definition" : "A device, process or method that produces radiotherapy plans."},{"code" : "RTRECORD","display" : "RT Treatment Record","definition" : "A device, process or method that records radiotherapy treatment records."},{"code" : "RTSTRUCT","display" : "RT Structure Set","definition" : "A device, process or method that produces Radiotherapy Structure Sets."},{"code" : "RWV","display" : "Real World Value Map","definition" : "A device, process or method that produces mappings between image pixel values and some real-world values."},{"code" : "SEG","display" : "Segmentation","definition" : "An image processing device, process or method that performs segmentation."},{"code" : "SM","display" : "Slide Microscopy","definition" : "An acquisition device, process or method that performs slide microscopy."},{"code" : "SMR","display" : "Stereometric Relationship","definition" : "A device, process or method that records relationships between stereometric image pairs."},{"code" : "SR","display" : "Structured Report Document","definition" : "A device, process or method that creates Structured Report documents."},{"code" : "SRF","display" : "Subjective Refraction","definition" : "An acquisition device, process or method that records subjective refraction."},{"code" : "ST","display" : "Single-photon emission computed tomography","definition" : "An acquisition device, process or method that performs single-photon emission computed tomography (SPECT)."},{"code" : "STAIN","display" : "Automated Slide Stainer","definition" : "A device, process or method that applies, in an automated manner, a stain, or reagent, to microscopy slides in preparation for imaging."},{"code" : "TEXTUREMAP","display" : "Texture Map","definition" : "A device, process or method that produces texture maps."},{"code" : "TG","display" : "Thermography","definition" : "An acquisition device, process or method that performs thermography."},{"code" : "U","display" : "Unknown Sex","definition" : "Unknown Sex."},{"code" : "UNAVAILABLE","display" : "Unavailable","definition" : "Instances cannot be retrieved."},{"code" : "US","display" : "Ultrasound","definition" : "An acquisition device, process or method that performs ultrasound."},{"code" : "VA","display" : "Visual Acuity","definition" : "An acquisition device, process or method that measures visual acuity."},{"code" : "VF","display" : "Videofluorography","definition" : "An acquisition device, process or method that measures videofluorography."},{"code" : "VIDD","display" : "Video Tape Digitizer Equipment","definition" : "A device, process or method that digitizes video tape and imports it."},{"code" : "WSD","display" : "Workstation","definition" : "A networked computer equipped with a display and software for performing specific types of work, generally intended to be operated by a single user."},{"code" : "XA","display" : "X-Ray Angiography","definition" : "An acquisition device, process or method that performs X-Ray angiography."},{"code" : "XC","display" : "External-camera Photography","definition" : "An acquisition device, process or method that performs photography with an external camera."},{"code" : "109001","display" : "Digital timecode (NOS)","definition" : "A signal transmitted for the purpose of interchange of the current time, not specific to any source or methodology."},{"code" : "109002","display" : "ECG-based gating signal, processed","definition" : "A signal that is generated for each detection of a heart beat."},{"code" : "109003","display" : "IRIG-B timecode","definition" : "A signal transmitted by the Inter-Range Instrumentation Group for the purpose of synchronizing time clocks."},{"code" : "109004","display" : "X-Ray Fluoroscopy On Signal","definition" : "A signal that indicates that X-Ray source has been activated for fluoroscopy use."},{"code" : "109005","display" : "X-Ray On Trigger","definition" : "A signal that indicated that the X-Ray source has been activated for image recording."},{"code" : "109006","display" : "Differential signal","definition" : "An electrical signal derived from two electrodes."},{"code" : "109007","display" : "His bundle electrogram","definition" : "An electrophysiological recording from the HIS nerve bundle."},{"code" : "109008","display" : "Monopole signal","definition" : "An electrical signal from one electrode relative to an indifferent potential."},{"code" : "109009","display" : "Pacing (electrical) stimulus, voltage","definition" : "The voltage stimulus during cardiac pacing."},{"code" : "109010","display" : "Radio frequency ablation, power","definition" : "The power injected during RF ablation procedure."},{"code" : "109011","display" : "Voltage measurement by basket catheter","definition" : "Electrophysiological signals acquired using a multi-splined catheter each equipped with multiple electrodes."},{"code" : "109012","display" : "Voltage measurement by mapping catheter","definition" : "Electrophysiological signals acquired using a steerable catheter."},{"code" : "109013","display" : "Voltage measurement","definition" : "A voltage measurement not otherwise specified."},{"code" : "109014","display" : "35% of thermal/dye dilution CO","definition" : "A signal point that is 35% of the peak thermal cardiac output signal."},{"code" : "109015","display" : "70% of thermal/dye dilution CO","definition" : "A signal point that is 70% of the peak thermal cardiac output signal."},{"code" : "109016","display" : "A wave peak pressure","definition" : "The peak pressure of each heart beat in the atrium caused by the atrial contraction."},{"code" : "109017","display" : "A wave pressure, average","definition" : "The average of several A wave pressure measurements."},{"code" : "109018","display" : "Beat detected (accepted)","definition" : "An identified cardiac beat used in the determination of a measurement."},{"code" : "109019","display" : "Beat detected (rejected)","definition" : "An identified cardiac beat not used in the determination of a measurement."},{"code" : "109020","display" : "Diastolic pressure, average","definition" : "The average of several diastolic pressure measurements"},{"code" : "109021","display" : "Diastolic pressure nadir","definition" : "The lowest pressure value excluding any undershoot artifact."},{"code" : "109022","display" : "End diastole","definition" : "The moment at the end of the diastolic phase of the cardiac cycle."},{"code" : "109023","display" : "End of expiration","definition" : "The moment at the end of respiratory expiration."},{"code" : "109024","display" : "End of inspiration","definition" : "The moment at the end of respiratory inspiration."},{"code" : "109025","display" : "Max dp/dt","definition" : "The maximum positive rate of change of pressure."},{"code" : "109026","display" : "Max neg dp/dt","definition" : "The maximum negative rate of change of pressure."},{"code" : "109027","display" : "Mean blood pressure","definition" : "The average blood pressure value, generally over 2 or more seconds"},{"code" : "109028","display" : "Peak of thermal cardiac output bolus","definition" : "The peak change in blood temperature during a thermal cardiac output measurement."},{"code" : "109029","display" : "Start of expiration","definition" : "The moment respiratory expiration begins."},{"code" : "109030","display" : "Start of inspiration","definition" : "The moment of respiratory inspiration begins."},{"code" : "109031","display" : "Start of thermal CO","definition" : "The first discernible blood temperature change following the injectate during a thermal cardiac output measurement."},{"code" : "109032","display" : "Systolic pressure, average","definition" : "The average of several systolic blood pressure measurements."},{"code" : "109033","display" : "Systolic peak pressure","definition" : "The highest systolic blood pressure value excluding any overshoot artifact"},{"code" : "109034","display" : "V wave peak pressure","definition" : "The peak pressure of each heart beat in the atrium caused by the filling of the atrium."},{"code" : "109035","display" : "V wave pressure, average","definition" : "The average of several V wave pressure measurements."},{"code" : "109036","display" : "Valve close","definition" : "The moment at which a heart valve closes."},{"code" : "109037","display" : "Valve open","definition" : "The moment at which a heart valve opens."},{"code" : "109038","display" : "Ablation off","definition" : "The moment when RF ablation current is turned off."},{"code" : "109039","display" : "Ablation on","definition" : "The moment when RF ablation current is turned on."},{"code" : "109040","display" : "HIS bundle wave","definition" : "The moment in the cardiac cycle when the HIS bundle nerves depolarize."},{"code" : "109041","display" : "P wave","definition" : "The surface electrocardiogram of the atrial contraction."},{"code" : "109042","display" : "Q wave","definition" : "The first negative deflection of the electrocardiogram cause by ventricular depolarization."},{"code" : "109043","display" : "R wave","definition" : "The first positive deflection the electrocardiogram cause by ventricular depolarization."},{"code" : "109044","display" : "S wave","definition" : "The first negative deflection after the R wave."},{"code" : "109045","display" : "Start of atrial contraction","definition" : "The beginning of the atrial contraction."},{"code" : "109046","display" : "Start of atrial contraction (subsequent)","definition" : "The beginning of the second atrial contraction of two consecutive beats."},{"code" : "109047","display" : "Stimulation at rate 1 interval","definition" : "The stimulation interval during cardiac stimulation first used in a pacing train."},{"code" : "109048","display" : "Stimulation at rate 2 interval","definition" : "The stimulation interval different from the first stimulation interval used in a pacing train."},{"code" : "109049","display" : "Stimulation at rate 3 interval","definition" : "A stimulation interval different from and subsequent to the second interval in a pacing train."},{"code" : "109050","display" : "Stimulation at rate 4 interval","definition" : "Describes a stimulation interval different from and subsequent to the third interval in a pacing train."},{"code" : "109051","display" : "T wave","definition" : "The electrocardiogram deflection caused by ventricular repolarization."},{"code" : "109052","display" : "V wave","definition" : "The peak pressure of each heart beat monitored in the atrium caused by the filling of the atrium."},{"code" : "109053","display" : "V wave of next beat","definition" : "The second V wave measurement of two consecutive beats."},{"code" : "109054","display" : "Patient State","definition" : "A description of the physiological condition of the patient."},{"code" : "109055","display" : "Protocol Stage","definition" : "The exercise level during a progressive cardiac stress test."},{"code" : "109056","display" : "Stress Protocol","definition" : "A series of physiological challenges designed to progressively increase the work of the heart."},{"code" : "109057","display" : "Catheterization Procedure Phase","definition" : "A subpart of a cardiac catheterization procedure"},{"code" : "109058","display" : "Contrast Phase","definition" : "The subpart of a cardiac catheterization procedure in which a radio-opaque contrast medium is injected into the patient."},{"code" : "109059","display" : "Physiological challenges","definition" : "Physical changes administered to a patient in order to elicit an physiological response."},{"code" : "109060","display" : "Procedure Step Number","definition" : "Enumeration of a subpart of a catheterization procedure."},{"code" : "109061","display" : "EP Procedure Phase","definition" : "A subpart of en electrophysiological procedure."},{"code" : "109063","display" : "Pulse train definition","definition" : "A means of defining a series of cardiac stimulation pulses."},{"code" : "109070","display" : "End of systole"},{"code" : "109071","display" : "Indicator mean transit time","definition" : "Time for a median particle to travel from point of injection to point of detection."},{"code" : "109072","display" : "Tau","definition" : "The time constant of isovolumic pressure fall."},{"code" : "109073","display" : "V max myocardial","definition" : "Maximum velocity of myocardial contractility."},{"code" : "109080","display" : "Real time acquisition","definition" : "Total time for the acquisition is shorter than cardiac cycle, no gating is applied."},{"code" : "109081","display" : "Prospective gating","definition" : "Certain thresholds have been set for a gating window that defines the acceptance of measurement data during the acquisition."},{"code" : "109082","display" : "Retrospective gating","definition" : "Certain thresholds have been set for a gating window that defines the acceptance of measurement data after the acquisition."},{"code" : "109083","display" : "Paced","definition" : "There is a constant RR interval, which makes thresholding not required; see Cardiac Synchronization Technique (0018,9037)."},{"code" : "109091","display" : "Cardiac Stress State","definition" : "Imaging after injection of tracer during increased cardiac workload or increased myocardial blood flow, achieved by either exercise or pharmacologic means."},{"code" : "109092","display" : "Reinjection State","definition" : "Imaging after injection of additional tracer under resting conditions."},{"code" : "109093","display" : "Redistribution State","definition" : "Imaging after allowing a moderate amount of time for tracer to move from its initial sites of uptake.Example: For Thallium imaging this would correspond to imaging 2-6 hours after injection."},{"code" : "109094","display" : "Delayed Redistribution State","definition" : "Imaging after allowing an extended amount of time for tracer to move from its initial sites of uptake.Example: For Thallium imaging this would correspond to imaging more than 6 hours after injection."},{"code" : "109095","display" : "Peak stress state","definition" : "Peak Cardiac stress state"},{"code" : "109096","display" : "Recovery state","definition" : "Recovery from cardiac stress"},{"code" : "109100","display" : "Synthesizing Equipment","definition" : "Equipment that created artificial data."},{"code" : "109101","display" : "Acquisition Equipment","definition" : "Equipment that originally acquired the data stored within composite instances."},{"code" : "109102","display" : "Processing Equipment","definition" : "Equipment that has processed composite instances to create new composite instances."},{"code" : "109103","display" : "Modifying Equipment","definition" : "Equipment that has modified existing composite instances (without creating new composite instances)."},{"code" : "109104","display" : "De-identifying Equipment","definition" : "Equipment that has modified an existing composite instance to remove patient identifying information."},{"code" : "109105","display" : "Frame Extracting Equipment","definition" : "Equipment that has processed composite instances to create new composite instances by extracting selected frames from the original instance."},{"code" : "109106","display" : "Enhanced Multi-frame Conversion Equipment","definition" : "Equipment that has processed composite instances to create new composite instances by converting classic single frame images to enhanced multi-frame image, or vice versa and updating other instances to maintain referential integrity."},{"code" : "109110","display" : "Voice","definition" : "The sound of a human's speech, recorded during a procedure."},{"code" : "109111","display" : "Operator's narrative","definition" : "The voice of a device operator, recorded during a procedure."},{"code" : "109112","display" : "Ambient room environment","definition" : "The ambient sound recorded during a procedure, which may or may not include voice and other types of sound."},{"code" : "109113","display" : "Doppler audio","definition" : "The Doppler waveform recorded as an audible signal."},{"code" : "109114","display" : "Phonocardiogram","definition" : "The sound of the human heart beating."},{"code" : "109115","display" : "Physiological audio signal","definition" : "Any sound made by the human body."},{"code" : "109116","display" : "Arterial Pulse Waveform","definition" : "A digitized signal from the patient arterial system collected through pulse oximetry or other means."},{"code" : "109117","display" : "Respiration Waveform","definition" : "A digitized signal from the patient respiratory system representing respiration."},{"code" : "109120","display" : "On admission to unit","definition" : "The occasion on which a procedure was performed on admission to a specialist unit."},{"code" : "109121","display" : "On discharge","definition" : "The occasion on which a procedure was performed on discharge from hospital as an in-patient."},{"code" : "109122","display" : "On discharge from unit","definition" : "The occasion on which a procedure was performed on discharge from a specialist unit."},{"code" : "109123","display" : "Pre-intervention","definition" : "The occasion on which a procedure was performed immediately prior to non-surgical intervention. E.g, percutaneous angioplasty, biopsy."},{"code" : "109124","display" : "Post-intervention","definition" : "The occasion on which a procedure was performed immediately after to non-surgical intervention. E.g, percutaneous angioplasty, biopsy."},{"code" : "109125","display" : "At last appointment","definition" : "The occasion on which a procedure was performed at the most recent outpatient visit."},{"code" : "109132","display" : "Joint position method","definition" : "The active or passive joint positioning during acquisition."},{"code" : "109133","display" : "Physical force","definition" : "A physical force applied during acquisition."},{"code" : "109134","display" : "Prior to voiding","definition" : "Prior to voiding urine from the bladder."},{"code" : "109135","display" : "Post voiding","definition" : "Post voiding urine from the bladder."},{"code" : "109136","display" : "Neutral musculoskeletal position","definition" : "Neutral musculoskeletal position."},{"code" : "109137","display" : "During voiding","definition" : "During voiding urine from the bladder."},{"code" : "109200","display" : "America Kennel Club","definition" : "America Kennel Club."},{"code" : "109201","display" : "America's Pet Registry Inc.","definition" : "America's Pet Registry Inc."},{"code" : "109202","display" : "American Canine Association","definition" : "American Canine Association."},{"code" : "109203","display" : "American Purebred Registry","definition" : "American Purebred Registry."},{"code" : "109204","display" : "American Rare Breed Association","definition" : "American Rare Breed Association."},{"code" : "109205","display" : "Animal Registry Unlimited","definition" : "Animal Registry Unlimited."},{"code" : "109206","display" : "Animal Research Foundation","definition" : "Animal Research Foundation."},{"code" : "109207","display" : "Canadian Border Collie Association","definition" : "Canadian Border Collie Association."},{"code" : "109208","display" : "Canadian Kennel Club","definition" : "Canadian Kennel Club."},{"code" : "109209","display" : "Canadian Livestock Records Association","definition" : "Canadian Livestock Records Association."},{"code" : "109210","display" : "Canine Federation of Canada","definition" : "Canine Federation of Canada."},{"code" : "109211","display" : "Continental Kennel Club","definition" : "Continental Kennel Club."},{"code" : "109212","display" : "Dog Registry of America","definition" : "Dog Registry of America."},{"code" : "109213","display" : "Federation of International Canines","definition" : "Federation of International Canines."},{"code" : "109214","display" : "International Progressive Dog Breeders' Alliance","definition" : "International Progressive Dog Breeders' Alliance."},{"code" : "109215","display" : "National Kennel Club","definition" : "National Kennel Club."},{"code" : "109216","display" : "North American Purebred Dog Registry","definition" : "North American Purebred Dog Registry."},{"code" : "109217","display" : "United All Breed Registry","definition" : "United All Breed Registry."},{"code" : "109218","display" : "United Kennel Club","definition" : "United Kennel Club."},{"code" : "109219","display" : "Universal Kennel Club International","definition" : "Universal Kennel Club International."},{"code" : "109220","display" : "Working Canine Association of Canada","definition" : "Working Canine Association of Canada."},{"code" : "109221","display" : "World Kennel Club","definition" : "World Kennel Club."},{"code" : "109222","display" : "World Wide Kennel Club","definition" : "World Wide Kennel Club."},{"code" : "109701","display" : "Overall image quality evaluation","definition" : "Evaluation of overall image quality as described in section 7.3.2 of ."},{"code" : "109702","display" : "Grayscale resolution evaluation","definition" : "Visual verification of sufficient grayscale resolution based on 8 and 10-bit markers as described in section 7.3.3 of ."},{"code" : "109703","display" : "Luminance response evaluation","definition" : "Visual evaluation of luminance response using the TG18-CT test pattern as described in section 7.3.4 of ."},{"code" : "109704","display" : "Luminance uniformity evaluation","definition" : "Visual detection of luminance non-uniformities as described in section 7.3.5 of ."},{"code" : "109705","display" : "Chromaticity evaluation","definition" : "Visual verification of color uniformity as described in section 7.3.6 of ."},{"code" : "109706","display" : "Pixel faults evaluation","definition" : "Visual detection of defective pixels on dark (TG18-UN80) and bright (TG18-UN10) images as described in section 7.3.7 of ."},{"code" : "109707","display" : "Veiling glare evaluation","definition" : "Visual evaluation of veiling glare by looking at low contrast objects on 2 test patterns as described in section 7.3.8 of ."},{"code" : "109708","display" : "Geometrical image evaluation","definition" : "Visual evaluation of geometry, phase/clock correction and clipping as described in section 7.3.9 of ."},{"code" : "109709","display" : "Angular viewing evaluation","definition" : "Visual evaluation of viewing angle as described in section 7.3.10 of ."},{"code" : "109710","display" : "Clinical evaluation","definition" : "Visual evaluation of the appearance of clinical images as described in section 7.3.11 of ."},{"code" : "109801","display" : "TG18-QC Pattern","definition" : "AAPM TG18-QC Pattern used for evaluation of resolution, luminance, distortion, artifacts.See ."},{"code" : "109802","display" : "TG18-BR Pattern","definition" : "AAPM TG18-BR Pattern used for the evaluation of the display of low-contrast, fine-detail image structuresSee ."},{"code" : "109803","display" : "TG18-PQC Pattern","definition" : "AAPM TG18-PQC Pattern used for evaluation of resolution, luminance, contrast transfer for prints.See ."},{"code" : "109804","display" : "TG18-CT Pattern","definition" : "AAPM TG18-CT Pattern used for evaluation of luminance response.See ."},{"code" : "109805","display" : "TG18-LN8-01 Pattern","definition" : "The 1st image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109806","display" : "TG18-LN8-02 Pattern","definition" : "The 2nd image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109807","display" : "TG18-LN8-03 Pattern","definition" : "The 3rd image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109808","display" : "TG18-LN8-04 Pattern","definition" : "The 4th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109809","display" : "TG18-LN8-05 Pattern","definition" : "The 5th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109810","display" : "TG18-LN8-06 Pattern","definition" : "The 6th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109811","display" : "TG18-LN8-07 Pattern","definition" : "The 7th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109812","display" : "TG18-LN8-08 Pattern","definition" : "The 8th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109813","display" : "TG18-LN8-09 Pattern","definition" : "The 9th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109814","display" : "TG18-LN8-10 Pattern","definition" : "The 10th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration series.See ."},{"code" : "109815","display" : "TG18-LN8-11 Pattern","definition" : "The 11th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109816","display" : "TG18-LN8-12 Pattern","definition" : "The 12th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109817","display" : "TG18-LN8-13 Pattern","definition" : "The 13th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109818","display" : "TG18-LN8-14 Pattern","definition" : "The 14th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109819","display" : "TG18-LN8-15 Pattern","definition" : "The 15th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109820","display" : "TG18-LN8-16 Pattern","definition" : "The 16th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109821","display" : "TG18-LN8-17 Pattern","definition" : "The 17th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109822","display" : "TG18-LN8-18 Pattern","definition" : "The 18th image in the AAPM TG18-LN8- set used for DICOM grayscale calibration.See ."},{"code" : "109823","display" : "TG18-LN12-01 Pattern","definition" : "The 1st image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109824","display" : "TG18-LN12-02 Pattern","definition" : "The 2 nd image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109825","display" : "TG18-LN12-03 Pattern","definition" : "The 3rd image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109826","display" : "TG18-LN12-04 Pattern","definition" : "The 4th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109827","display" : "TG18-LN12-05 Pattern","definition" : "The 5th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109828","display" : "TG18-LN12-06 Pattern","definition" : "The 6th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109829","display" : "TG18-LN12-07 Pattern","definition" : "The 7th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109830","display" : "TG18-LN12-08 Pattern","definition" : "The 8th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109831","display" : "TG18-LN12-09 Pattern","definition" : "The 9th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109832","display" : "TG18-LN12-10 Pattern","definition" : "The 10th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109833","display" : "TG18-LN12-11 Pattern","definition" : "The 11th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109834","display" : "TG18-LN12-12 Pattern","definition" : "The 12th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109835","display" : "TG18-LN12-13 Pattern","definition" : "The 13th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109836","display" : "TG18-LN12-14 Pattern","definition" : "The 14th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109837","display" : "TG18-LN12-15 Pattern","definition" : "The 15th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109838","display" : "TG18-LN12-16 Pattern","definition" : "The 16th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109839","display" : "TG18-LN12-17 Pattern","definition" : "The 17th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109840","display" : "TG18-LN12-18 Pattern","definition" : "The 18th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109841","display" : "TG18-UN10 Pattern","definition" : "The AAPM TG18-UN10 Pattern used for evaluation of luminance and color uniformity, and angular response.See ."},{"code" : "109842","display" : "TG18-UN80 Pattern","definition" : "The AAPM TG18-UN80 Pattern used for evaluation of luminance and color uniformity, and angular response.See ."},{"code" : "109843","display" : "TG18-UNL10 Pattern","definition" : "The AAPM TG18-UNL10 Pattern is the AAPM TG-18 UN10 Pattern with added defining lines.See ."},{"code" : "109844","display" : "TG18-UNL80 Pattern","definition" : "The AAPM TG18-UNL80 Pattern is the AAPM TG-18 UN80 Pattern with added defining lines.See ."},{"code" : "109845","display" : "TG18-AD Pattern","definition" : "The AAPM TG18-AD Pattern used for visual evaluation of the reflection of ambient light from the display.See ."},{"code" : "109846","display" : "TG18-MP Pattern","definition" : "The AAPM TG18-MP Pattern used for evaluation of Luminance response (bit-depth resolution).See ."},{"code" : "109847","display" : "TG18-RH10 Pattern","definition" : "The AAPM TG18-RH10 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 10% luminance level.See ."},{"code" : "109848","display" : "TG18-RH50 Pattern","definition" : "The AAPM TG18-RH50 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 50% luminance level.See ."},{"code" : "109849","display" : "TG18-RH89 Pattern","definition" : "The AAPM TG18-RH89 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 89% luminance level.See ."},{"code" : "109850","display" : "TG18-RV10 Pattern","definition" : "The AAPM TG18-RV10 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 10% luminance level.See ."},{"code" : "109851","display" : "TG18-RV50 Pattern","definition" : "The AAPM TG18-RV50 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 50% luminance level.See ."},{"code" : "109852","display" : "TG18-RV89 Pattern","definition" : "The AAPM TG18-RV89 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 89% luminance level.See ."},{"code" : "109853","display" : "TG18-PX Pattern","definition" : "The AAPM TG18-PX Pattern used for the assessment of display resolution.See ."},{"code" : "109854","display" : "TG18-CX Pattern","definition" : "The AAPM TG18-CX Pattern used to assess display resolution and resolution uniformity.See ."},{"code" : "109855","display" : "TG18-LPH10 Pattern","definition" : "The AAPM TG18-LPH10 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 10% background level of the maximum pixel value.See ."},{"code" : "109856","display" : "TG18-LPH50 Pattern","definition" : "The AAPM TG18-LPH50 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 50% positive contrast against 10% background level of the maximum pixel value.See ."},{"code" : "109857","display" : "TG18-LPH89 Pattern","definition" : "The AAPM TG18-LPH89 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 89% background level of the maximum pixel value.See ."},{"code" : "109858","display" : "TG18-LPV10 Pattern","definition" : "The AAPM TG18-LPV10 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 10% background level of the maximum pixel value.See ."},{"code" : "109859","display" : "TG18-LPV50 Pattern","definition" : "The AAPM TG18-LPV50 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 50% background level of the maximum pixel value.See ."},{"code" : "109860","display" : "TG18-LPV89 Pattern","definition" : "The AAPM TG18-LPV89 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 89% background level of the maximum pixel value.See ."},{"code" : "109861","display" : "TG18-AFC Pattern","definition" : "The AAPM TG18-AFC Pattern used to assess display noise.See"},{"code" : "109862","display" : "TG18-NS10 Pattern","definition" : "The AAPM TG18-NS10 Pattern is AAPM TG18-RV10/RH10 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code" : "109863","display" : "TG18-NS50 Pattern","definition" : "The AAPM TG18-NS50 Pattern is AAPM TG18-RV50/RH50 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code" : "109864","display" : "TG18-NS89 Pattern","definition" : "The AAPM TG18-NS89 Pattern is AAPM TG18-RV89/RH89 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code" : "109865","display" : "TG18-GV Pattern","definition" : "The TG18-GV Pattern used to assess display veiling.See ."},{"code" : "109866","display" : "TG18-GVN Pattern","definition" : "The TG18-GVN Pattern used to assess display veiling. This pattern is identical to AAPM TG18-GV Pattern except that the large-diameter white circle is replaced with a black circle, creating a completely black pattern except for the presence of low-contrast targets.See ."},{"code" : "109867","display" : "TG18-GQ Pattern","definition" : "The TG18-GQ Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GV except that is lacks the central low-contrast objects.See ."},{"code" : "109868","display" : "TG18-GQN Pattern","definition" : "TG18-GQN Pattern used for the quantitative assessment of veiling glare. This pattern is identical to AAPM TG18-GQ Pattern except that the large-diameter white circle is replaced with a black circle, creating a completely black pattern except for the presence of low-contrast targets.See ."},{"code" : "109869","display" : "TG18-GQB Pattern","definition" : "The TG18-GQB Pattern used for the quantitative assessment of veiling glare. This pattern is identical to AAPM TG18-GQ Pattern except eliminating the central black circle.See ."},{"code" : "109870","display" : "TG18-GA03 Pattern","definition" : "The TG18-GA03 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 3.See ."},{"code" : "109871","display" : "TG18-GA05 Pattern","definition" : "The TG18-GA05 Pattern This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 5.See ."},{"code" : "109872","display" : "TG18-GA08 Pattern","definition" : "The TG18-GA08 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 8.See ."},{"code" : "109873","display" : "TG18-GA10 Pattern","definition" : "The TG18-GA10 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 10.See ."},{"code" : "109874","display" : "TG18-GA15 Pattern","definition" : "The TG18-GA15 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 15."},{"code" : "109875","display" : "TG18-GA20 Pattern","definition" : "The TG18-GA20 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 20.See ."},{"code" : "109876","display" : "TG18-GA25 Pattern","definition" : "The TG18-GA25 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 25.See ."},{"code" : "109877","display" : "TG18-GA30 Pattern","definition" : "The TG18-GA30 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 30.See ."},{"code" : "109878","display" : "TG18-CH Image","definition" : "The AAPM TG18-CH Image is a reference anatomical PA chest image.See ."},{"code" : "109879","display" : "TG18-KN Image","definition" : "The AAPM TG18-KN Image is a reference anatomical knee image.See ."},{"code" : "109880","display" : "TG18-MM1 Image","definition" : "The AAPM TG18-MM1 Image is a reference anatomical mammogram image.See ."},{"code" : "109881","display" : "TG18-MM2 Image","definition" : "The AAPM TG18-MM2 Image is a reference anatomical mammogram image.See ."},{"code" : "109901","display" : "OIQ Pattern","definition" : "The IEC OIQ Pattern is used as an alternative to the TG18-QC Pattern.See ."},{"code" : "109902","display" : "ANG Pattern","definition" : "The IEC ANG Pattern used for angular viewing evaluation.See ."},{"code" : "109903","display" : "GD Pattern","definition" : "The IEC GD Pattern used for geometrical image evaluation.See ."},{"code" : "109904","display" : "BN01 Pattern","definition" : "The IEC BN01 Pattern is used as an alternative to the TG18-LN-01 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109905","display" : "BN02 Pattern","definition" : "The IEC BN02 Pattern is used as an alternative to the TG18-LN-02 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109906","display" : "BN03 Pattern","definition" : "The IEC BN03 Pattern is used as an alternative to the TG18-LN-03 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109907","display" : "BN04 Pattern","definition" : "The IEC BN04 Pattern is used as an alternative to the TG18-LN-04 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109908","display" : "BN05 Pattern","definition" : "The IEC BN05 Pattern is used as an alternative to the TG18-LN-05 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109909","display" : "BN06 Pattern","definition" : "The IEC BN06 Pattern is used as an alternative to the TG18-LN-06 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109910","display" : "BN07 Pattern","definition" : "The IEC BN07 Pattern is used as an alternative to the TG18-LN-07 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109911","display" : "BN08 Pattern","definition" : "The IEC BN08 Pattern is used as an alternative to the TG18-LN-08 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109912","display" : "BN09 Pattern","definition" : "The IEC BN09 Pattern is used as an alternative to the TG18-LN-09 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109913","display" : "BN10 Pattern","definition" : "The IEC BN10 Pattern is used as an alternative to the TG18-LN-10 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109914","display" : "BN11 Pattern","definition" : "The IEC BN11 Pattern is used as an alternative to the TG18-LN-11 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109915","display" : "BN12 Pattern","definition" : "The IEC BN12 Pattern is used as an alternative to the TG18-LN-12 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109916","display" : "BN13 Pattern","definition" : "The IEC BN13 Pattern is used as an alternative to the TG18-LN-13 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109917","display" : "BN14 Pattern","definition" : "The IEC BN14 Pattern is used as an alternative to the TG18-LN-14 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109918","display" : "BN15 Pattern","definition" : "The IEC BN15 Pattern is used as an alternative to the TG18-LN-15 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109919","display" : "BN16 Pattern","definition" : "The IEC BN16 Pattern is used as an alternative to the TG18-LN-16 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109920","display" : "BN17 Pattern","definition" : "The IEC BN17 Pattern is used as an alternative to the TG18-LN-17 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109921","display" : "BN18 Pattern","definition" : "The IEC BN18 Pattern is used as an alternative to the TG18-LN-18 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109931","display" : "DIN Grayscale Pattern","definition" : "Test image \"Bild 2\" for the gray-scale reproduction of imaging devices.See ."},{"code" : "109932","display" : "DIN Geometry Pattern","definition" : "Test image \"Bild 3\" for the geometrical imaging properties of imaging devices.See ."},{"code" : "109933","display" : "DIN Resolution Pattern","definition" : "Test image \"Bild 5\" for displaying the spatial and contrast resolution as well as the line structure of imaging devices.See ."},{"code" : "109941","display" : "White Pattern","definition" : "An alternative to AAPM TG18-UN80, specified at 100% of maximum pixel value."},{"code" : "109943","display" : "SMPTE Pattern","definition" : "A standard display test pattern.See .A pattern is available at ."},{"code" : "109991","display" : "CRT Display","definition" : "A Display Device that displays images on a Cathode Ray Tube."},{"code" : "109992","display" : "Liquid Crystal Display","definition" : "A Display Device that displays images on a Liquid Crystal Display."},{"code" : "109993","display" : "Plasma Display","definition" : "A Display Device that displays images on a Plasma Display."},{"code" : "109994","display" : "OLED","definition" : "A Display Device that displays images on an Organic Light Emitting Diode based display."},{"code" : "109995","display" : "DLP Rear Projection System","definition" : "A Display Device that projects images on a surface from behind using a Digital Light Processing Projector."},{"code" : "109996","display" : "DLP Front Projection System","definition" : "A Display Device that projects images on a surface from in front using a Digital Light Processing Projector."},{"code" : "109997","display" : "CRT Rear Projection System","definition" : "A Display Device that projects images on a surface from behind using a Cathode Ray Tube."},{"code" : "109998","display" : "CRT Front Projection System","definition" : "A Display Device that projects images on a surface from in front using a Cathode Ray Tube."},{"code" : "109999","display" : "Other Projection System","definition" : "A Display Device that projects images on a surface from an unspecified direction using an unspecified means."},{"code" : "110001","display" : "Image Processing","definition" : "Image processing work item."},{"code" : "110002","display" : "Quality Control","definition" : "Quality control work item."},{"code" : "110003","display" : "Computer Aided Diagnosis","definition" : "Computer aided diagnosis work item."},{"code" : "110004","display" : "Computer Aided Detection","definition" : "Computer aided detection work item."},{"code" : "110005","display" : "Interpretation","definition" : "The work item task is to prepare a report that contains the interpretation of an imaging study."},{"code" : "110006","display" : "Transcription","definition" : "Transcription work item."},{"code" : "110007","display" : "Report Verification","definition" : "Report verification work item."},{"code" : "110008","display" : "Print","definition" : "Print work item."},{"code" : "110009","display" : "No subsequent Workitems","definition" : "There will be no more work items scheduled."},{"code" : "110010","display" : "Film","definition" : "Film type of output."},{"code" : "110011","display" : "Dictation","definition" : "Dictation type of output."},{"code" : "110012","display" : "Transcription","definition" : "Transcription type of output."},{"code" : "110013","display" : "Media Import","definition" : "The procedure to read DICOM instances from DICOM interchange media, coerce identifying Attributes into the local namespace if necessary, and make the instances available."},{"code" : "110020","display" : "Sheet Film Digitized","definition" : "Digitization of Sheet Film."},{"code" : "110021","display" : "Cine Film Digitized","definition" : "Digitization of Cine Film."},{"code" : "110022","display" : "Video Tape Digitized","definition" : "Digitization of Video Tape."},{"code" : "110023","display" : "Paper Digitized","definition" : "Digitization of pages of a paper document (Units may be specified as Pages, Documents)."},{"code" : "110024","display" : "CD Imported","definition" : "Importation of CD."},{"code" : "110025","display" : "DVD Imported","definition" : "Importation of DVD."},{"code" : "110026","display" : "MOD Imported","definition" : "Importation of MOD."},{"code" : "110027","display" : "Studies Imported","definition" : "Importation of DICOM Studies."},{"code" : "110028","display" : "Instances Imported","definition" : "Importation of DICOM Composite Instances."},{"code" : "110030","display" : "USB Disk Emulation","definition" : "A device that connects using the USB hard drive interface. These may be USB-Sticks, portable hard drives, and other technologies."},{"code" : "110031","display" : "Email","definition" : "Email and email attachments used as a media for data transport."},{"code" : "110032","display" : "CD","definition" : "CD-R, CD-ROM, and CD-RW media used for data transport."},{"code" : "110033","display" : "DVD","definition" : "DVD, DVD-RAM, and other DVD formatted media used for data transport."},{"code" : "110034","display" : "Compact Flash","definition" : "Media that comply with the Compact Flash standard."},{"code" : "110035","display" : "Multi-media Card","definition" : "Media that comply with the Multi-media Card standard."},{"code" : "110036","display" : "Secure Digital Card","definition" : "Media that comply with the Secure Digital Card standard."},{"code" : "110037","display" : "URI","definition" : "URI Identifier for network or other resource, see RFC3968."},{"code" : "110038","display" : "Paper Document","definition" : "Any paper or similar document."},{"code" : "110100","display" : "Application Activity","definition" : "Audit event: Application Activity has taken place."},{"code" : "110101","display" : "Audit Log Used","definition" : "Audit event: Audit Log has been used."},{"code" : "110102","display" : "Begin Transferring DICOM Instances","definition" : "Audit event: Storage of DICOM Instances has begun."},{"code" : "110103","display" : "DICOM Instances Accessed","definition" : "Audit event: DICOM Instances have been created, read, updated, or deleted -audit event."},{"code" : "110104","display" : "DICOM Instances Transferred","definition" : "Audit event: Storage of DICOM Instances has been completed."},{"code" : "110105","display" : "DICOM Study Deleted","definition" : "Audit event: Entire Study has been deleted."},{"code" : "110106","display" : "Export","definition" : "Audit event: Data has been exported out of the system."},{"code" : "110107","display" : "Import","definition" : "Audit event: Data has been imported into the system."},{"code" : "110108","display" : "Network Entry","definition" : "Audit event: System has joined or left network."},{"code" : "110109","display" : "Order Record","definition" : "Audit event: Order has been created, read, updated or deleted."},{"code" : "110110","display" : "Patient Record","definition" : "Audit event: Patient Record has been created, read, updated, or deleted."},{"code" : "110111","display" : "Procedure Record","definition" : "Audit event: Procedure Record has been created, read, updated, or deleted."},{"code" : "110112","display" : "Query","definition" : "Audit event: Query has been made."},{"code" : "110113","display" : "Security Alert","definition" : "Audit event: Security Alert has been raised."},{"code" : "110114","display" : "User Authentication","definition" : "Audit event: User Authentication has been attempted."},{"code" : "110119","display" : "Station AE Title","definition" : "Application Entity Title of a device."},{"code" : "110120","display" : "Application Start","definition" : "Audit event: Application Entity has started."},{"code" : "110121","display" : "Application Stop","definition" : "Audit event: Application Entity has stopped."},{"code" : "110122","display" : "Login","definition" : "Audit event: User login has been attempted."},{"code" : "110123","display" : "Logout","definition" : "Audit event: User logout has been attempted."},{"code" : "110124","display" : "Attach","definition" : "Audit event: Node has been attached."},{"code" : "110125","display" : "Detach","definition" : "Audit event: Node has been detached."},{"code" : "110126","display" : "Node Authentication","definition" : "Audit event: Node Authentication has been attempted."},{"code" : "110127","display" : "Emergency Override Started","definition" : "Audit event: Emergency Override has started."},{"code" : "110128","display" : "Network Configuration","definition" : "Audit event: Network configuration has been changed."},{"code" : "110129","display" : "Security Configuration","definition" : "Audit event: Security configuration has been changed."},{"code" : "110130","display" : "Hardware Configuration","definition" : "Audit event: Hardware configuration has been changed."},{"code" : "110131","display" : "Software Configuration","definition" : "Audit event: Software configuration has been changed."},{"code" : "110132","display" : "Use of Restricted Function","definition" : "Audit event: A use of a restricted function has been attempted."},{"code" : "110133","display" : "Audit Recording Stopped","definition" : "Audit event: Audit recording has been stopped."},{"code" : "110134","display" : "Audit Recording Started","definition" : "Audit event: Audit recording has been started."},{"code" : "110135","display" : "Object Security Attributes Changed","definition" : "Audit event: Security attributes of an object have been changed."},{"code" : "110136","display" : "Security Roles Changed","definition" : "Audit event: Security roles have been changed."},{"code" : "110137","display" : "User security Attributes Changed","definition" : "Audit event: Security attributes of a user have been changed."},{"code" : "110138","display" : "Emergency Override Stopped","definition" : "Audit event: Emergency Override has Stopped."},{"code" : "110139","display" : "Remote Service Operation Started","definition" : "Audit event: Remote Service Operation has Begun."},{"code" : "110140","display" : "Remote Service Operation Stopped","definition" : "Audit event: Remote Service Operation has Stopped."},{"code" : "110141","display" : "Local Service Operation Started","definition" : "Audit event: Local Service Operation has Begun."},{"code" : "110142","display" : "Local Service Operation Stopped","definition" : "Audit event: Local Service Operation Stopped."},{"code" : "110143","display" : "Authentication Decision","definition" : "Audit event: An authentication decision has been made."},{"code" : "110144","display" : "Authorization Decision","definition" : "Audit event: An authorization decision has been made."},{"code" : "110145","display" : "Session start","definition" : "Audit event: A persistent session has started."},{"code" : "110146","display" : "Session stop","definition" : "Audit event: A persistent session has stopped."},{"code" : "110147","display" : "Access Control Decision","definition" : "Audit event: An access control decision has been made."},{"code" : "110150","display" : "Application","definition" : "Audit participant role ID of software application."},{"code" : "110151","display" : "Application Launcher","definition" : "Audit participant role ID of software application launcher, i.e., the entity that started or stopped an application."},{"code" : "110152","display" : "Destination Role ID","definition" : "Audit participant role ID of the receiver of data."},{"code" : "110153","display" : "Source Role ID","definition" : "Audit participant role ID of the sender of data."},{"code" : "110154","display" : "Destination Media","definition" : "Audit participant role ID of media receiving data during an export."},{"code" : "110155","display" : "Source Media","definition" : "Audit participant role ID of media providing data during an import."},{"code" : "110180","display" : "Study Instance UID","definition" : "ParticipantObjectID type: Study Instance UID."},{"code" : "110181","display" : "SOP Class UID","definition" : "ParticipantObjectID type: SOP Class UID."},{"code" : "110182","display" : "Node ID","definition" : "ID of a node that is a participant object of an audit message."},{"code" : "110190","display" : "Issuer of Identifier","definition" : "System, organization, agency, or department that has assigned an instance identifier (such as placer or filler number, patient or provider identifier, etc.)."},{"code" : "110500","display" : "Doctor canceled procedure","definition" : "Procedure order canceled by requesting physician or other authorized physician."},{"code" : "110501","display" : "Equipment failure","definition" : "Equipment failure prevented completion of procedure."},{"code" : "110502","display" : "Incorrect procedure ordered","definition" : "Procedure discontinued due to incorrect procedure being ordered."},{"code" : "110503","display" : "Patient allergic to media/contrast","definition" : "Procedure discontinued due to patient allergy to media/contrast (reported or reaction)."},{"code" : "110504","display" : "Patient died","definition" : "Procedure discontinued due to death of Patient."},{"code" : "110505","display" : "Patient refused to continue procedure","definition" : "Procedure discontinued due to patient refusal to continue procedure."},{"code" : "110506","display" : "Patient taken for treatment or surgery","definition" : "Procedure discontinued due to patient being taken for treatment or surgery."},{"code" : "110507","display" : "Patient did not arrive","definition" : "Patient did not arrive for procedure."},{"code" : "110508","display" : "Patient pregnant","definition" : "Procedure discontinued due to patient pregnancy (reported or determined)."},{"code" : "110509","display" : "Change of procedure for correct charging","definition" : "Procedure discontinued to restart with new procedure code for correct charging."},{"code" : "110510","display" : "Duplicate order","definition" : "Procedure discontinued due to duplicate orders received for same procedure."},{"code" : "110511","display" : "Nursing unit cancel","definition" : "Procedure order canceled by nursing unit."},{"code" : "110512","display" : "Incorrect side ordered","definition" : "Procedure discontinued due to incorrect side (laterality) being ordered."},{"code" : "110513","display" : "Discontinued for unspecified reason","definition" : "Procedure discontinued for unspecified reason."},{"code" : "110514","display" : "Incorrect worklist entry selected","definition" : "Procedure discontinued due to incorrect patient or procedure step selected from modality worklist."},{"code" : "110515","display" : "Patient condition prevented continuing","definition" : "Patient condition prevented continuation of procedure."},{"code" : "110516","display" : "Equipment change","definition" : "Procedure step is discontinued to change to other equipment or modality."},{"code" : "110518","display" : "Patient Movement","definition" : "A movement of the patient preventing continuation of procedure or affecting result quality."},{"code" : "110519","display" : "Operator Error","definition" : "An error of the operator preventing continuation of procedure or affecting result quality."},{"code" : "110520","display" : "Channel Obstruction","definition" : "The brachytherapy channel is obstructed and the treatment in this channel cannot proceed."},{"code" : "110521","display" : "Objects incorrectly formatted","definition" : "One or more of the objects is malformed."},{"code" : "110522","display" : "Object Types not supported","definition" : "Receiving System is unable to accept the object type."},{"code" : "110523","display" : "Object Set incomplete","definition" : "One or more objects associated with the object set is missing."},{"code" : "110524","display" : "Media Failure","definition" : "The contents of the Media could not be accessed properly."},{"code" : "110526","display" : "Resource pre-empted","definition" : "Procedure discontinued due to necessary equipment, staff or other resource becoming (temporarily) unavailable to the procedure."},{"code" : "110527","display" : "Resource inadequate","definition" : "Procedure discontinued due to necessary equipment, staff or other resource being inadequate to complete the procedure."},{"code" : "110528","display" : "Discontinued Procedure Step rescheduled","definition" : "A new Procedure Step has been scheduled to replace the Discontinued Procedure Step."},{"code" : "110529","display" : "Discontinued Procedure Step rescheduling recommended","definition" : "It is recommended that a new Procedure Step be scheduled to replace the Discontinued Procedure Step."},{"code" : "110530","display" : "Workitem assignment rejected by assigned resource","definition" : "The resource to which a workitem has been assigned has rejected the assignment."},{"code" : "110531","display" : "Insufficient quality for interpretation","definition" : "Reporting not possible due to lack of quality of the images provided."},{"code" : "110532","display" : "Interpretation requires specialist expertise","definition" : "The nature of the clinical problem means that reporting of the study requires a subject matter expert."},{"code" : "110533","display" : "Workitem expired","definition" : "The expiration date/time of the workitem has been exceeded."},{"code" : "110700","display" : "Ventral Diencephalon","definition" : "Ventral structures of the diencephalon that cannot readily be distinguished on MR imaging, including the hypothalamus, mammillary body, subthalamic nuclei, substantia nigra, red nucleus, lateral geniculate nucleus, medial geniculate nucleus, zona incerta, cerebral peduncle, lenticular fasciculus, medial lemniscus, and optic tract.See and ."},{"code" : "110701","display" : "White Matter T1 Hypointensity","definition" : "Area(s) of reduced intensity on T1 weighted images relative to the surrounding white matter.These may be indicative of age-related or neurodegenerative white matter lesions, and may be co-located with areas of white matter T2 hyperintensity, but the concept is specifically confined to the MR appearance on T1 weighted images."},{"code" : "110702","display" : "White Matter T2 Hyperintensity","definition" : "Area(s) of increased intensity on T2 weighted images relative to the surrounding white matter.These may be indicative of age-related or neurodegenerative white matter lesions, and may be co-located with areas of white matter T1 hypointensity, but the concept is specifically confined to the MR appearance on T2 weighted images."},{"code" : "110703","display" : "superior longitudinal fasciculus I","definition" : "The dorsal component of the SLF originating from the medial and dorsal parietal cortex and ending in the dorsal and medial part of the frontal lobe.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code" : "110704","display" : "superior longitudinal fasciculus II","definition" : "The major component of the SLF, derived from the caudal-inferior parietal region corresponding to the angular gyrus in the human and terminating within the dorsolateral frontal region.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code" : "110705","display" : "superior longitudinal fasciculus III","definition" : "The ventral component of the SLF, originating from the supramarginal gyrus and terminating predominantly in the ventral premotor and prefrontal areas.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code" : "110706","display" : "Perilesional White Matter","definition" : "White matter that surrounds a lesion of interest."},{"code" : "110800","display" : "Spin Tagging Perfusion MR Signal Intensity","definition" : "Signal intensity of a Spin tagging Perfusion MR image. Spin tagging is a technique for the measurement of blood perfusion, based on magnetically labeled arterial blood water as an endogenous tracer."},{"code" : "110801","display" : "Contrast Agent Angio MR Signal Intensity","definition" : "Signal intensity of a Contrast Agent Angio MR image."},{"code" : "110802","display" : "Time Of Flight Angio MR Signal Intensity","definition" : "Signal intensity of a Time-of-flight (TOF) MR image. Time-of-flight (TOF) is based on the phenomenon of flow-related enhancement of spins entering into an imaging slice. As a result of being unsaturated, these spins give more signal that surrounding stationary spins."},{"code" : "110803","display" : "Proton Density Weighted MR Signal Intensity","definition" : "Signal intensity of a Proton Density Weighted MR image. All MR images have intensity proportional to proton density. Images with very little T1 or T2 weighting are called 'PD-weighted'."},{"code" : "110804","display" : "T1 Weighted MR Signal Intensity","definition" : "Signal intensity of T1 Weighted MR image. A T1 Weighted MR image is created typically by using short TE and TR times."},{"code" : "110805","display" : "T2 Weighted MR Signal Intensity","definition" : "Signal intensity of a T2 Weighted MR image. T2 Weighted image contrast state is approached by imaging with a TR long compared to tissue T1 (to reduce T1 contribution to image contrast) and a TE between the longest and shortest tissue T2s of interest."},{"code" : "110806","display" : "T2* Weighted MR Signal Intensity","definition" : "Signal intensity of a T2* Weighted MR image. The T2* phenomenon results from molecular interactions (spin spin relaxation) and local magnetic field non-uniformities, which cause the protons to precess at slightly different frequencies."},{"code" : "110807","display" : "Field Map MR Signal Intensity","definition" : "Signal intensity of a Field Map MR image. A Field Map MR image provides a direct measure of the B0 inhomogeneity at each point in the image."},{"code" : "110808","display" : "Fractional Anisotropy","definition" : "Coefficient reflecting the fractional anisotropy of the tissues, derived from a diffusion weighted MR image. Fractional anisotropy is proportional to the square root of the variance of the Eigen values divided by the square root of the sum of the squares of the Eigen values."},{"code" : "110809","display" : "Relative Anisotropy","definition" : "Coefficient reflecting the relative anisotropy of the tissues, derived from a diffusion weighted MR image."},{"code" : "110810","display" : "Volumetric Diffusion Dxx Component","definition" : "Dxx Component of the diffusion tensor, quantifying the molecular mobility along the X axis."},{"code" : "110811","display" : "Volumetric Diffusion Dxy Component","definition" : "Dxy Component of the diffusion tensor, quantifying the correlation of molecular displacements in the X and Y directions."},{"code" : "110812","display" : "Volumetric Diffusion Dxz Component","definition" : "Dxz Component of the diffusion tensor, quantifying the correlation of molecular displacements in the X and Z directions."},{"code" : "110813","display" : "Volumetric Diffusion Dyy Component","definition" : "Dyy Component of the diffusion tensor, quantifying the molecular mobility along the Y axis."},{"code" : "110814","display" : "Volumetric Diffusion Dyz Component","definition" : "Dyz Component of the diffusion tensor, quantifying the correlation of molecular displacements in the Y and Z directions."},{"code" : "110815","display" : "Volumetric Diffusion Dzz Component","definition" : "Dzz Component of the diffusion tensor, quantifying the molecular mobility along the Z axis."},{"code" : "110816","display" : "T1 Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition" : "Signal intensity of a T1 Weighted Dynamic Contrast Enhanced MR image. A T1 Weighted Dynamic Contrast Enhanced MR image reflects the dynamics of diffusion of the exogenous contrast media from the blood pool into the extra vascular extracellular space (EES) of the brain at a rate determined by the blood flow to the tissue, the permeability of the Brain Blood Barrier (BBB), and the surface area of the perfusing vessels."},{"code" : "110817","display" : "T2 Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition" : "Signal intensity of a T2 Weighted Dynamic Contrast Enhanced MR image. A T2 Weighted Dynamic Contrast Enhanced MR image reflects the T2 of tissue decrease as the Gd contrast agent bolus passes through the brain."},{"code" : "110818","display" : "T2* Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition" : "Signal intensity of a T2* Weighted Dynamic Contrast Enhanced MR image. A T2* Weighted Dynamic Contrast Enhanced MR image reflects the T2* of tissue decrease as the Gd contrast agent bolus passes through the brain."},{"code" : "110819","display" : "Blood Oxygenation Level","definition" : "Signal intensity of a Blood Oxygenation Level image. Used in Photoacoustic Imaging and functional MR. In functional MR BOLD imaging it is used for detecting brain activation and is sensitive to blood oxygenation (but also to cerebral blood flow and volume)."},{"code" : "110820","display" : "Nuclear Medicine Projection Activity","definition" : "Accumulated decay event counts in a nuclear medicine projection image."},{"code" : "110821","display" : "Nuclear Medicine Tomographic Activity","definition" : "Accumulated decay event counts in a Nuclear Medicine Tomographic image (including PET)."},{"code" : "110822","display" : "Spatial Displacement X Component","definition" : "Spatial Displacement along axis X of a non linear deformable spatial registration image. The X axis is defined in reference to the patient's orientation, and is increasing to the left hand side of the patient."},{"code" : "110823","display" : "Spatial Displacement Y Component","definition" : "Spatial Displacement along axis Y of a non linear deformable spatial registration image. The Y axis is defined in reference to the patient's orientation, and is increasing to the posterior side of the patient."},{"code" : "110824","display" : "Spatial Displacement Z Component","definition" : "Spatial Displacement along axis Z of a Non linear deformable spatial registration image. The Z axis is defined in reference to the patient's orientation, and is increasing toward the head of the patient."},{"code" : "110825","display" : "Hemodynamic Resistance","definition" : "Measured resistance to the flow of blood."},{"code" : "110826","display" : "Indexed Hemodynamic Resistance","definition" : "Measured resistance to the flow of blood."},{"code" : "110827","display" : "Tissue Velocity","definition" : "Velocity of tissue based on Doppler measurements."},{"code" : "110828","display" : "Flow Velocity","definition" : "Velocity of blood flow based on Doppler measurements."},{"code" : "110829","display" : "Flow Variance","definition" : "Statistical variance of blood velocity relative to mean."},{"code" : "110830","display" : "Elasticity","definition" : "Scalar value related to the elastic properties of the tissue."},{"code" : "110831","display" : "Perfusion","definition" : "Scalar value related to the volume of blood perfusing into tissue."},{"code" : "110832","display" : "Speed of sound","definition" : "Speed of sound in tissue."},{"code" : "110833","display" : "Ultrasound Attenuation","definition" : "Reduction in strength of ultrasound signal as the wave."},{"code" : "110834","display" : "RGB R Component","definition" : "Red component of a true color image (RGB)."},{"code" : "110835","display" : "RGB G Component","definition" : "Green component of a true color image (RGB)."},{"code" : "110836","display" : "RGB B Component","definition" : "Blue component of a true color image (RGB)."},{"code" : "110837","display" : "YBR FULL Y Component","definition" : "Y (Luminance) component of a YBR FULL image, as defined in JPEG 2000."},{"code" : "110838","display" : "YBR FULL CB Component","definition" : "CB (Blue chrominance) component of a YBR FULL image, as defined in JPEG 2000."},{"code" : "110839","display" : "YBR FULL CR Component","definition" : "CR (Red chrominance) component of a YBR FULL image, as defined in JPEG 2000."},{"code" : "110840","display" : "YBR PARTIAL Y Component","definition" : "Y (Luminance) component of a YBR PARTIAL image, as defined in JPEG 2000."},{"code" : "110841","display" : "YBR PARTIAL CB Component","definition" : "CB (Blue chrominance) component of a YBR PARTIAL image, as defined in JPEG 2000."},{"code" : "110842","display" : "YBR PARTIAL CR Component","definition" : "CR (Red chrominance) component of a YBR PARTIAL image, as defined in JPEG 2000."},{"code" : "110843","display" : "YBR ICT Y Component","definition" : "Y (Luminance) component of a YBR ICT image (Irreversible Color Transform), as defined in JPEG 2000."},{"code" : "110844","display" : "YBR ICT CB Component","definition" : "CB (Blue chrominance) component of a YBR ICT image (Irreversible Color Transform), as defined in JPEG 2000."},{"code" : "110845","display" : "YBR ICT CR Component","definition" : "CR (Red chrominance) component of a YBR ICT image (Irreversible Color Transform), as defined in JPEG 2000."},{"code" : "110846","display" : "YBR RCT Y Component","definition" : "Y (Luminance) component of a YBR RCT image (Reversible Color Transform), as defined in JPEG 2000."},{"code" : "110847","display" : "YBR RCT CB Component","definition" : "CB (Blue chrominance) component of a YBR RCT image (Reversible Color Transform), as defined in JPEG 2000."},{"code" : "110848","display" : "YBR RCT CR Component","definition" : "CR (Red chrominance) component of a YBR RCT image (Reversible Color Transform), as defined in JPEG 2000."},{"code" : "110849","display" : "Echogenicity","definition" : "The ability of a material to create an ultrasound return echo."},{"code" : "110850","display" : "X-Ray Attenuation","definition" : "Decrease in the number of photons in an X-Ray beam due to interactions with the atoms of a material substance. Attenuation is due primarily to two processes, absorption and scattering."},{"code" : "110851","display" : "X-Ray Attenuation Coefficient","definition" : "Coefficient that describes the fraction of a beam of X-Rays or gamma rays that is absorbed or scattered per unit thickness of the absorber. This value basically accounts for the number of atoms in a cubic cm volume of material and the probability of a photon being scattered or absorbed from the nucleus or an electron of one of these atoms."},{"code" : "110852","display" : "MR signal intensity","definition" : "Signal intensity of an MR image, not otherwise specified."},{"code" : "110853","display" : "Binary Segmentation","definition" : "Binary value denoting that the segmented property is present."},{"code" : "110854","display" : "Fractional Probabilistic Segmentation","definition" : "Probability, defined as a percentage, that the segmented property occupies the spatial area defined by the voxel."},{"code" : "110855","display" : "Fractional Occupancy Segmentation","definition" : "Percentage of the voxel area occupied by the segmented property."},{"code" : "110856","display" : "Linear Displacement","definition" : "Spatial dimension, denoting a linear displacement."},{"code" : "110857","display" : "Photon Energy","definition" : "Dimension denoting the energy (frequency or wavelength) of photons."},{"code" : "110858","display" : "Time","definition" : "Dimension used to sequence events, to compare the duration of events and the intervals between events."},{"code" : "110859","display" : "Angle","definition" : "Spatial dimension, denoting an angle."},{"code" : "110860","display" : "Left-Right Axis","definition" : "A spatial dimension axis running along a line between the patient's left and right side."},{"code" : "110861","display" : "Head-Foot Axis","definition" : "A spatial dimension axis running along a line between the patient's head and foot."},{"code" : "110862","display" : "Anterior-Posterior Axis","definition" : "A spatial dimension axis running along a line between the patient's anterior and posterior sides."},{"code" : "110863","display" : "Apex-Base Axis","definition" : "A spatial dimension axis running along a line between the apex and base of an organ, object, or chamber."},{"code" : "110864","display" : "Anterior-Inferior Axis","definition" : "A spatial dimension axis running along a line between the anterior and inferior sides of an organ, object, or chamber."},{"code" : "110865","display" : "Septum-Wall Axis","definition" : "A spatial dimension axis running along a line between the septum and wall of a chamber."},{"code" : "110866","display" : "Right To Left","definition" : "Orientation of a spatial dimension where increasing values run from the right to the left side of the patient."},{"code" : "110867","display" : "Left To Right","definition" : "Orientation of a spatial dimension where increasing values run from the left to the right side of the patient."},{"code" : "110868","display" : "Head To Foot","definition" : "Orientation of a spatial dimension where increasing values run from the head to the foot of the patient."},{"code" : "110869","display" : "Foot To Head","definition" : "Orientation of a spatial dimension where increasing values run from the foot to the head of the patient."},{"code" : "110870","display" : "Anterior To Posterior","definition" : "Orientation of a spatial dimension where increasing values run from the anterior to the posterior side of the patient."},{"code" : "110871","display" : "Posterior To Anterior","definition" : "Orientation of a spatial dimension where increasing values run from the posterior to the anterior side of the patient."},{"code" : "110872","display" : "Apex To Base","definition" : "Orientation of a spatial dimension where increasing values run from the apex to the base."},{"code" : "110873","display" : "Base To Apex","definition" : "Orientation of a spatial dimension where increasing values run from the base to the apex."},{"code" : "110874","display" : "Anterior To Inferior","definition" : "Orientation of a spatial dimension where increasing values run from the anterior to the inferior."},{"code" : "110875","display" : "Inferior To Anterior","definition" : "Orientation of a spatial dimension where increasing values run from the inferior to the anterior."},{"code" : "110876","display" : "Septum To Wall","definition" : "Orientation of a spatial dimension where increasing values run from the septum of a chamber to the opposite wall."},{"code" : "110877","display" : "Wall To Septum","definition" : "Orientation of a spatial dimension where increasing values run from the opposite wall to the septum of a chamber."},{"code" : "110901","display" : "Image Position (Patient) X","definition" : "The x coordinate of the upper left hand corner (center of the first voxel transmitted) of the image, with respect to the patient-based coordinate system."},{"code" : "110902","display" : "Image Position (Patient) Y","definition" : "The y coordinate of the upper left hand corner (center of the first voxel transmitted) of the image, with respect to the patient-based coordinate system."},{"code" : "110903","display" : "Image Position (Patient) Z","definition" : "The z coordinate of the upper left hand corner (center of the first voxel transmitted) of the image, with respect to the patient-based coordinate system."},{"code" : "110904","display" : "Image Orientation (Patient) Row X","definition" : "The x value of the first row direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110905","display" : "Image Orientation (Patient) Row Y","definition" : "The y value of the first row direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110906","display" : "Image Orientation (Patient) Row Z","definition" : "The z value of the first row direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110907","display" : "Image Orientation (Patient) Column X","definition" : "The x value of the first column direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110908","display" : "Image Orientation (Patient) Column Y","definition" : "The y value of the first column direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110909","display" : "Image Orientation (Patient) Column Z","definition" : "The z value of the first column direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110910","display" : "Pixel Data Rows","definition" : "Number of rows in the pixel data of the image."},{"code" : "110911","display" : "Pixel Data Columns","definition" : "Number of columns in the pixel data of the image."},{"code" : "111000","display" : "Algorithm Family","definition" : "The family of algorithm(s) that best describes the software algorithm used."},{"code" : "111001","display" : "Algorithm Name","definition" : "The name assigned by a manufacturer to a specific software algorithm."},{"code" : "111002","display" : "Algorithm Parameters","definition" : "The input parameters used by a manufacturer to configure the behavior of a specific software algorithm."},{"code" : "111003","display" : "Algorithm Version","definition" : "The software version identifier assigned by a manufacturer to a specific software algorithm."},{"code" : "111004","display" : "Analysis Performed","definition" : "The type of correlation applied to detection results."},{"code" : "111005","display" : "Assessment Category","definition" : "Assignment of intermediate or overall interpretation results to a general category."},{"code" : "111006","display" : "Breast composition","definition" : "Assessment of annotating tissues in breast; generally including fatty, mixed or dense"},{"code" : "111007","display" : "Breast Outline including Pectoral Muscle Tissue","definition" : "Purpose of reference for an SCOORD Content Item that is an outline of the breast that includes the pectoral muscle tissue"},{"code" : "111008","display" : "Calcification Distribution","definition" : "The type of distribution associated with detected calcifications."},{"code" : "111009","display" : "Calcification Type","definition" : "Identification of the morphology of detected calcifications."},{"code" : "111010","display" : "Center","definition" : "The central point of a finding or feature."},{"code" : "111011","display" : "Certainty of Feature","definition" : "The likelihood that the feature analyzed is in fact the type of feature identified."},{"code" : "111012","display" : "Certainty of Finding","definition" : "The likelihood that the finding detected is in fact the type of finding identified."},{"code" : "111013","display" : "Certainty of Impression","definition" : "The certainty that a device places on an impression, where 0 equals no certainty and 100 equals certainty."},{"code" : "111014","display" : "Clockface or region","definition" : "A location identifier based on clockface numbering or anatomic subregion."},{"code" : "111015","display" : "Composite Feature","definition" : "An item that is an inferred correlation relating two or more individual findings or features."},{"code" : "111016","display" : "Composite type","definition" : "The inferred relationship between the findings or features making up a composite feature."},{"code" : "111017","display" : "CAD Processing and Findings Summary","definition" : "General assessment of whether or not CAD processing was successful, and whether any findings resulted."},{"code" : "111018","display" : "Content Date","definition" : "The date the data creation started."},{"code" : "111019","display" : "Content Time","definition" : "The time the data creation started."},{"code" : "111020","display" : "Depth","definition" : "A location identifier based on a feature's inferred distance from the surface of the associated anatomy."},{"code" : "111021","display" : "Description of Change","definition" : "A textual description of the change that occurred over time in a qualitative characteristic of a feature."},{"code" : "111022","display" : "Detection Performed","definition" : "The type of finding sought after by a specific algorithm applied to one image."},{"code" : "111023","display" : "Differential Diagnosis/Impression","definition" : "A general change that occurred within an imaged area between a prior imaging procedure and the current imaging procedure."},{"code" : "111024","display" : "Failed Analyses","definition" : "A group of analysis algorithms that were attempted, but failed."},{"code" : "111025","display" : "Failed Detections","definition" : "A group of detection algorithms that were attempted, but failed."},{"code" : "111026","display" : "Horizontal Pixel Spacing","definition" : "For projection radiography, the horizontal physical distance measured at the front plane of an Image Receptor housing between the center of each pixel (spacing between the centers of adjacent columns). For tomographic images, the horizontal physical distance in the patient between the center of each pixel."},{"code" : "111027","display" : "Image Laterality","definition" : "Laterality of (possibly paired) body part contained in an image."},{"code" : "111028","display" : "Image Library","definition" : "A container that references all image data used as evidence to produce a report."},{"code" : "111029","display" : "Image Quality Rating","definition" : "A numeric value in the range 0 to 100, inclusive, where 0 is worst quality and 100 is best quality."},{"code" : "111030","display" : "Image Region","definition" : "Purpose of reference for an SCOORD Content Item that identifies a specific region of interest within an image"},{"code" : "111031","display" : "Image View","definition" : "The projection of the anatomic region of interest on an image receptor."},{"code" : "111032","display" : "Image View Modifier","definition" : "Modifier for Image View."},{"code" : "111033","display" : "Impression Description","definition" : "Free-form text describing the overall or an individual impression."},{"code" : "111034","display" : "Individual Impression/​Recommendation","definition" : "A container for a group of related results from interpretation of one or more images and associated clinical information."},{"code" : "111035","display" : "Lesion Density","definition" : "The X-Ray attenuation of a lesion relative to the expected attenuation of an equal volume of fibroglandular breast tissue."},{"code" : "111036","display" : "Mammography CAD Report","definition" : "A structured report containing the results of computer-aided detection or diagnosis applied to breast imaging and associated clinical information."},{"code" : "111037","display" : "Margins","definition" : "The characteristic of the boundary, edges or border of a detected lesion."},{"code" : "111038","display" : "Number of calcifications","definition" : "The quantity of calcifications detected within an identified group or cluster."},{"code" : "111039","display" : "Object type","definition" : "A non-lesion object identified within one or more images."},{"code" : "111040","display" : "Original Source","definition" : "Purpose of reference for a COMPOSITE Content Item that identifies it as the original source of evidence for another Content Item in the report"},{"code" : "111041","display" : "Outline","definition" : "The outline of a finding or feature."},{"code" : "111042","display" : "Pathology","definition" : "The inferred type of disease associated with an identified feature."},{"code" : "111043","display" : "Patient Orientation Column","definition" : "The patient orientation relative to the image plane, specified by a value that designates the anatomical direction of the positive column axis (top to bottom)."},{"code" : "111044","display" : "Patient Orientation Row","definition" : "The patient orientation relative to the image plane, specified by a value that designates the anatomical direction of the positive row axis (left to right)."},{"code" : "111045","display" : "Pectoral Muscle Outline","definition" : "Purpose of reference for an SCOORD Content Item that is an outline of the pectoral muscle tissue only"},{"code" : "111046","display" : "Percent Fibroglandular Tissue","definition" : "Percent of breast area that is mammographically dense, excluding pectoralis muscle."},{"code" : "111047","display" : "Probability of cancer","definition" : "The likelihood that an identified finding or feature is cancerous."},{"code" : "111048","display" : "Quadrant location","definition" : "A location identifier based on the division of an area into four regions."},{"code" : "111049","display" : "Qualitative Difference","definition" : "A qualitative characteristic of a feature that has changed over time."},{"code" : "111050","display" : "Quality Assessment","definition" : "The effect of the quality of an image on its usability."},{"code" : "111051","display" : "Quality Control Standard","definition" : "The quality control standard used to make a quality assessment."},{"code" : "111052","display" : "Quality Finding","definition" : "A specific quality related deficiency detected within an image."},{"code" : "111053","display" : "Recommended Follow-up","definition" : "Recommended type of follow-up to an imaging procedure, based on interpreted results."},{"code" : "111054","display" : "Recommended Follow-up Date","definition" : "Recommended follow-up date to an imaging procedure, based on interpreted results."},{"code" : "111055","display" : "Recommended Follow-up Interval","definition" : "Recommended follow-up interval to an imaging procedure, based on interpreted results."},{"code" : "111056","display" : "Rendering Intent","definition" : "The recommendation of the producer of a Content Item regarding presentation of the Content Item by recipients of the report."},{"code" : "111057","display" : "Scope of Feature","definition" : "An indication of how widespread the detection of a feature is within the analyzed image data."},{"code" : "111058","display" : "Selected Region Description","definition" : "A textual description of the contents of a selected region identified within an image."},{"code" : "111059","display" : "Single Image Finding","definition" : "An item that was detected on one image."},{"code" : "111060","display" : "Study Date","definition" : "Date on which the acquisition of the study information was started."},{"code" : "111061","display" : "Study Time","definition" : "Time at which the acquisition of the study information was started."},{"code" : "111062","display" : "Successful Analyses","definition" : "A group of analysis algorithms that were attempted and completed successfully."},{"code" : "111063","display" : "Successful Detections","definition" : "A group of detection algorithms that were attempted and completed successfully."},{"code" : "111064","display" : "Summary of Detections","definition" : "An overall indication of whether the CAD detection algorithms applied were completed successfully."},{"code" : "111065","display" : "Summary of Analyses","definition" : "An overall indication of whether the CAD analysis algorithms applied were completed successfully."},{"code" : "111066","display" : "Vertical Pixel Spacing","definition" : "For projection radiography, the vertical physical distance measured at the front plane of an Image Receptor housing between the center of each pixel (spacing between the centers of adjacent rows). For tomographic images, the vertical physical distance in the patient between the center of each pixel."},{"code" : "111069","display" : "Crosstable","definition" : "A radiographic projection that has been with the patient lying on a table with the X-Ray source on one side of the table and the detector on the other."},{"code" : "111071","display" : "CAD Operating Point","definition" : "One of a number of discrete points on the Receiver-Operator Characteristics (ROC) curve that reflects the expected sensitivity and specificity of a CAD algorithm, where zero indicates the highest specificity, lowest sensitivity operating point. The value should not exceed the Maximum CAD Operating Point."},{"code" : "111072","display" : "Maximum CAD Operating Point","definition" : "The maximum value of CAD Operating Point for the specific CAD algorithm used."},{"code" : "111081","display" : "CAD Operating Point Description","definition" : "The intended interpretation of a CAD Operating Point."},{"code" : "111086","display" : "False Markers per Image","definition" : "The number of false CAD markers per image. Correlates to inverse of Image Specificity."},{"code" : "111087","display" : "False Markers per Case","definition" : "The number of false markers per collection of images that are CAD processed as a group. Correlates to inverse of Case Specificity."},{"code" : "111088","display" : "Case Sensitivity","definition" : "The percentage of cancers that should be detected by a CAD algorithm where CAD marks the cancers in at least one view."},{"code" : "111089","display" : "Lesion Sensitivity","definition" : "The percentage of cancers that should be detected by a CAD algorithm where CAD marks the cancers in each view."},{"code" : "111090","display" : "Case Specificity","definition" : "The percentage of cases (collections of images CAD processed as a group) without cancer that have no CAD findings whatsoever. Correlates to inverse of False Markers per Case."},{"code" : "111091","display" : "Image Specificity","definition" : "The percentage of images without cancer that have no CAD findings whatsoever. Correlates to inverse of False Markers per Image."},{"code" : "111092","display" : "Recommended CAD Operating Point","definition" : "The CAD operating point that is recommended for initial display by the creator of the structured report."},{"code" : "111093","display" : "CAD Operating Point Table","definition" : "A list of CAD operating points including their corresponding characteristics."},{"code" : "111099","display" : "Selected region","definition" : "A specific area of interest noted within an image."},{"code" : "111100","display" : "Breast geometry","definition" : "The surface shape of all or a portion of breast related anatomy."},{"code" : "111101","display" : "Image Quality","definition" : "Image quality incorporates the following clinical image evaluation parameters: assessment of positioning, compression, artifacts, exposure, contrast, sharpness, and labeling."},{"code" : "111102","display" : "Non-lesion","definition" : "A finding or feature that is identified as a non-anatomic foreign object."},{"code" : "111103","display" : "Density","definition" : "A space-occupying lesion identified in a single image or projection"},{"code" : "111104","display" : "Individual Calcification","definition" : "A single identified calcification"},{"code" : "111105","display" : "Calcification Cluster","definition" : "Multiple calcifications identified as occupying a small area of tissue (less than 2 cc)"},{"code" : "111111","display" : "Cooper's ligament changes","definition" : "Straightening or thickening of Cooper's ligaments."},{"code" : "111112","display" : "Mass in the skin","definition" : "An abnormality noted at imaging within the dermis of the breast."},{"code" : "111113","display" : "Mass on the skin","definition" : "An abnormality noted at imaging on the epidermis of the breast."},{"code" : "111120","display" : "Post Procedure Mammograms for Marker Placement","definition" : "An assessment category to indicate that images have been acquired to assess marker placement following a breast interventional procedure."},{"code" : "111121","display" : "Follow-up post biopsy as directed by clinician","definition" : "An indication that the patient should seek post procedural follow-up directives from a clinical health care provider."},{"code" : "111122","display" : "Known biopsy proven malignancy - take appropriate action","definition" : "A recommendation on a patient with known cancer to take steps appropriate to the diagnosis."},{"code" : "111123","display" : "Marker placement","definition" : "Positioning of a radiopaque marker."},{"code" : "111124","display" : "Personal history of breast cancer with mastectomy","definition" : "Patient has previous diagnosis of breast cancer resulting in mastectomy."},{"code" : "111125","display" : "Known biopsy proven malignancy","definition" : "Patient has had biopsy containing proven malignancy."},{"code" : "111126","display" : "Image detected mass","definition" : "Patient has a finding of mass reported on a prior imaging study."},{"code" : "111127","display" : "Targeted","definition" : "A breast imaging procedure performed on a specific area of the breast."},{"code" : "111128","display" : "Survey","definition" : "A breast imaging procedure performed on the entire breast."},{"code" : "111129","display" : "Clustered microcysts","definition" : "A cluster of tiny anechoic foci each smaller than 2-3 mm in diameter with thin (less than 0.5 mm) intervening septations and no discrete solid components."},{"code" : "111130","display" : "Complicated cyst","definition" : "A fluid filled mass most commonly characterized by homogeneous low-level internal echoes on ultrasound."},{"code" : "111135","display" : "Additional projections","definition" : "Views not inclusive of MLO and CC (BI-RADS®)."},{"code" : "111136","display" : "Spot magnification view(s)","definition" : "A spot or coned down compression of the breast providing a reduction in the thickness and a magnification of the localized area of interest and improved separation of breast tissue."},{"code" : "111137","display" : "Ultrasound"},{"code" : "111138","display" : "Old films for comparison","definition" : "Obtain previous mammography studies to compare to present study."},{"code" : "111139","display" : "Ductography","definition" : "A medical procedure used for the sampling of mammary duct tissue"},{"code" : "111140","display" : "Normal interval follow-up","definition" : "Follow up study at 12 months for women ≥ 40 years of age having a prior negative study and no mitigating risk factors for breast cancer."},{"code" : "111141","display" : "Any decision to biopsy should be based on clinical assessment","definition" : "Any decision to perform tissue acquisition should be based on clinical assessment."},{"code" : "111142","display" : "Follow-up at short interval (1-11 months)","definition" : "Follow-up at short interval (1-11 months)."},{"code" : "111143","display" : "Biopsy should be considered","definition" : "Tissue acquisition should be considered."},{"code" : "111144","display" : "Needle localization and biopsy","definition" : "Breast tissue acquisition following the identification of an area of concern with the placement of a needle or needle-wire assembly."},{"code" : "111145","display" : "Histology using core biopsy","definition" : "Pathologic analysis of breast tissue and lesions using core tissue samples."},{"code" : "111146","display" : "Suggestive of malignancy - take appropriate action","definition" : "Lesions that do not have the characteristic morphologies of breast cancer but have a definite probability of being malignant. There is a sufficient concern to urge a biopsy."},{"code" : "111147","display" : "Cytologic analysis","definition" : "Cellular analysis of specimen."},{"code" : "111148","display" : "Biopsy should be strongly considered","definition" : "Tissue acquisition should be strongly considered."},{"code" : "111149","display" : "Highly suggestive of malignancy - take appropriate action","definition" : "Lesions have a high probability of being cancer, which require additional action."},{"code" : "111150","display" : "Presentation Required: Rendering device is expected to present","definition" : "The producer of a report intends for a recipient of the report to present or display the associated Content Item."},{"code" : "111151","display" : "Presentation Optional: Rendering device may present","definition" : "The producer of a report considers the presentation or display of the associated Content Item by a recipient to be optional."},{"code" : "111152","display" : "Not for Presentation: Rendering device expected not to present","definition" : "The producer of a report intends for a recipient of the report NOT to present or display the associated Content Item."},{"code" : "111153","display" : "Target Content Items are related temporally","definition" : "The associated Content Items are identified as being the same finding or feature at different points in time."},{"code" : "111154","display" : "Target Content Items are related spatially","definition" : "The associated Content Items are identified as being the same finding or feature on different projections taken at the same point in time."},{"code" : "111155","display" : "Target Content Items are related contra-laterally","definition" : "The associated Content Items are identified as being related side-to-side."},{"code" : "111156","display" : "Feature detected on the only image","definition" : "There is one image in the interpreted data."},{"code" : "111157","display" : "Feature detected on only one of the images","definition" : "There is more than one image of the same modality in the interpreted data."},{"code" : "111158","display" : "Feature detected on multiple images","definition" : "There is more than one image of the same modality in the interpreted data."},{"code" : "111159","display" : "Feature detected on images from multiple modalities","definition" : "The interpreted data contains images from multiple modalities."},{"code" : "111168","display" : "Scar tissue","definition" : "The fibrous tissue replacing normal tissues destroyed by disease or injury"},{"code" : "111170","display" : "J Wire","definition" : "A medical appliance used for localization of non palpable breast lesions to insure that the proper area is removed in a surgical biopsy"},{"code" : "111171","display" : "Pacemaker","definition" : "A medical appliance used for regulating cardiac rhythms"},{"code" : "111172","display" : "Paddle","definition" : "A compression device used for obtaining mammographic images"},{"code" : "111173","display" : "Collimator","definition" : "A device used for restricting an X-Ray beam"},{"code" : "111174","display" : "ID Plate","definition" : "An area designated on a radiographic film for facility and patient ID information"},{"code" : "111175","display" : "Other Marker","definition" : "Site specific markers."},{"code" : "111176","display" : "Unspecified","definition" : "The value of the concept is not specified"},{"code" : "111177","display" : "View and Laterality Marker is missing","definition" : "Image quality deficiency according to MQSA."},{"code" : "111178","display" : "View and Laterality Marker does not have both view and laterality","definition" : "Image quality deficiency according to MQCM."},{"code" : "111179","display" : "View and Laterality Marker does not have approved codes","definition" : "Image quality deficiency according to MQCM."},{"code" : "111180","display" : "View and Laterality Marker is not near the axilla","definition" : "Image quality deficiency according to MQCM."},{"code" : "111181","display" : "View and Laterality Marker overlaps breast tissue","definition" : "Image quality deficiency according to MQCM."},{"code" : "111182","display" : "View and Laterality Marker is partially obscured","definition" : "Image quality deficiency according to MQCM."},{"code" : "111183","display" : "View and Laterality Marker is incorrect","definition" : "Image quality deficiency."},{"code" : "111184","display" : "View and Laterality Marker is off image","definition" : "Image quality deficiency."},{"code" : "111185","display" : "Flash is not near edge of film","definition" : "Image quality deficiency according to MQCM."},{"code" : "111186","display" : "Flash is illegible, does not fit, or is lopsided","definition" : "Image quality deficiency according to MQSA."},{"code" : "111187","display" : "Flash doesn't include patient name and additional patient id","definition" : "Image quality deficiency according to MQCM."},{"code" : "111188","display" : "Flash doesn't include date of examination","definition" : "Image quality deficiency according to MQCM."},{"code" : "111189","display" : "Flash doesn't include facility name and location","definition" : "Image quality deficiency according to MQSA."},{"code" : "111190","display" : "Flash doesn't include technologist identification","definition" : "Image quality deficiency according to MQCM."},{"code" : "111191","display" : "Flash doesn't include cassette/screen/detector identification","definition" : "Image quality deficiency according to MQCM."},{"code" : "111192","display" : "Flash doesn't include mammography unit identification","definition" : "Image quality deficiency according to MQCM."},{"code" : "111193","display" : "Date sticker is missing","definition" : "Image quality deficiency according to MQCM."},{"code" : "111194","display" : "Technical factors missing","definition" : "Image quality deficiency according to MQCM."},{"code" : "111195","display" : "Collimation too close to breast","definition" : "Image quality deficiency according to MQCM."},{"code" : "111196","display" : "Inadequate compression","definition" : "Image quality deficiency according to MQCM."},{"code" : "111197","display" : "MLO Insufficient pectoral muscle","definition" : "Image quality deficiency according to MQCM."},{"code" : "111198","display" : "MLO No fat is visualized posterior to fibroglandular tissues","definition" : "Image quality deficiency according to MQCM."},{"code" : "111199","display" : "MLO Poor separation of deep and superficial breast tissues","definition" : "Image quality deficiency according to MQCM."},{"code" : "111200","display" : "MLO Evidence of motion blur","definition" : "Image quality deficiency according to MQCM."},{"code" : "111201","display" : "MLO Inframammary fold is not open","definition" : "Image quality deficiency according to MQCM."},{"code" : "111202","display" : "CC Not all medial tissue visualized","definition" : "Image quality deficiency according to MQCM."},{"code" : "111203","display" : "CC Nipple not centered on image","definition" : "Image quality deficiency according to MQCM."},{"code" : "111204","display" : "CC Posterior nipple line does not measure within 1 cm of MLO","definition" : "Image quality deficiency according to MQCM."},{"code" : "111205","display" : "Nipple not in profile","definition" : "Image quality deficiency."},{"code" : "111206","display" : "Insufficient implant displacement incorrect","definition" : "Image quality deficiency according to MQCM."},{"code" : "111207","display" : "Image artifact(s)","definition" : "Signals that do not faithfully reproduce actual anatomic structures because of distortion or of addition or deletion of information."},{"code" : "111208","display" : "Grid artifact(s)","definition" : "Feature(s) arising from the acquisition unit's anti-scatter grid mechanism. For two-dimensional systems, such features include those of mechanically damaged or incorrectly positioned grids. For moving or Bucky grids, artifacts may result from intentional grid motion that is inadequate in duration or velocity uniformity."},{"code" : "111209","display" : "Positioning","definition" : "Inadequate arrangement of the anatomy of interest with respect to the X-Ray field and image detector sensitive area. Examples: 1) positioning is \"cutoff\" when the projection of anatomy of interest falls outside the sensitive area of the detector; 2) \"cone cut\", in which the X-Ray field does not adequately cover the anatomy of interest; 3) detector's sensitive surface is too small to cover the projection of the anatomy of interest; 4) improper angular orientation or \"rotation\" of anatomy of interest with respect to the X-Ray source, or detector; 5) projection of other anatomy or clothing over the anatomy of interest in the image."},{"code" : "111210","display" : "Motion blur","definition" : "Unacceptable image blur resulting from motion of the anatomy of interest during exposure or the inadequately compensated motion of X-Ray source with respect to the image detector during exposure."},{"code" : "111211","display" : "Under exposed","definition" : "Inadequate number of quanta reached the detector during exposure. Reasons for under exposed images include low kVp, low mAs product, excess Source Image Distance. Under exposed images have inadequate signal and higher noise in the areas of interest."},{"code" : "111212","display" : "Over exposed","definition" : "An excess number of quanta reached the detector during exposure. Reasons for over exposed images include high kVp, high mAs product, short Source Image Distance. Over exposed images have high signal and lower noise in the areas of interest. Over exposed area may demonstrate lack of contrast from over saturation of the detector."},{"code" : "111213","display" : "No image","definition" : "No evidence of a patient exposure."},{"code" : "111214","display" : "Detector artifact(s)","definition" : "Superposed features or flaws of the detector."},{"code" : "111215","display" : "Artifact(s) other than grid or detector artifact","definition" : "Features or discontinuities arising from causes other than the anti-scatter grid and image detector."},{"code" : "111216","display" : "Mechanical failure","definition" : "Failure of the device to operate according to mechanical design specifications."},{"code" : "111217","display" : "Electrical failure","definition" : "Failure of a device to operate according to electrical design specifications."},{"code" : "111218","display" : "Software failure","definition" : "Attributable to software used in generation or handling of image."},{"code" : "111219","display" : "Inappropriate image processing","definition" : "Images processed inappropriately, not following appropriate protocol."},{"code" : "111220","display" : "Other failure","definition" : "Failure that is not mechanical or electrical or otherwise described."},{"code" : "111221","display" : "Unknown failure","definition" : "Unidentified or unknown cause of failure."},{"code" : "111222","display" : "Succeeded","definition" : "The attempted process was completely successful."},{"code" : "111223","display" : "Partially Succeeded","definition" : "The attempted process succeeded in some ways, but failed in others."},{"code" : "111224","display" : "Failed","definition" : "The attempted process completely failed."},{"code" : "111225","display" : "Not Attempted","definition" : "No process was performed."},{"code" : "111233","display" : "Individual Impression/​Recommendation Analysis","definition" : "Analysis of a related group of findings or features detected during image data inspection, to produce a summary impression and/or recommendation."},{"code" : "111234","display" : "Overall Impression/​Recommendation Analysis","definition" : "Analysis of all groups of findings or features, to produce a single impression and/or recommendation."},{"code" : "111235","display" : "Unusable - Quality renders image unusable","definition" : "Quality of an image renders it unusable for the intended purpose."},{"code" : "111236","display" : "Usable - Does not meet the quality control standard","definition" : "Quality of an image is usable for the intended purpose, but does not meet the quality control standard."},{"code" : "111237","display" : "Usable - Meets the quality control standard","definition" : "Quality of an image is usable for the intended purpose and meets the quality control standard."},{"code" : "111238","display" : "Mammography Quality Control Manual 1999, ACR","definition" : "An image quality control standard specified by the American College of Radiology."},{"code" : "111239","display" : "Title 21 CFR Section 900, Subpart B","definition" : "An image quality control standard in the US Code of Federal Regulations."},{"code" : "111240","display" : "Institutionally defined quality control standard","definition" : "An image quality control standard specified or adopted by the institution responsible for the document."},{"code" : "111241","display" : "All algorithms succeeded; without findings","definition" : "No findings resulted upon successful completion of all attempted computer-aided detection and/or analysis."},{"code" : "111242","display" : "All algorithms succeeded; with findings","definition" : "One or more findings resulted upon successful completion of all attempted computer-aided detection and/or analysis."},{"code" : "111243","display" : "Not all algorithms succeeded; without findings","definition" : "No findings resulted from the attempted computer-aided detection and/or analysis, but one or more failures occurred in the process."},{"code" : "111244","display" : "Not all algorithms succeeded; with findings","definition" : "One or more findings resulted from the attempted computer-aided detection and/or analysis, but one or more failures occurred in the process."},{"code" : "111245","display" : "No algorithms succeeded; without findings","definition" : "All of the attempted computer-aided detection and/or analysis failed, so there could be no findings."},{"code" : "111248","display" : "Adenolipoma","definition" : "A benign tumor having glandular characteristics but composed of fat, with the presence of normal mammary ducts"},{"code" : "111249","display" : "Ductal hyperplasia"},{"code" : "111250","display" : "Adenomyoepithelioma","definition" : "Neoplasms composed of myoepithelial cells"},{"code" : "111251","display" : "Normal axillary node","definition" : "Axillary node that is normal in appearance with no associated pathology."},{"code" : "111252","display" : "Axillary node with calcifications","definition" : "Axillary node containing calcifications."},{"code" : "111253","display" : "Axillary node hyperplasia","definition" : "Excessive proliferation of normal tissue arrangement of the axillary node."},{"code" : "111254","display" : "Asynchronous involution"},{"code" : "111255","display" : "Benign cyst with blood","definition" : "Cyst with benign morphology containing blood."},{"code" : "111256","display" : "Benign Calcifications","definition" : "Calcifications having typically benign morphology. They are not of intermediate or high probability of concern for malignancy."},{"code" : "111257","display" : "Intracystic papilloma","definition" : "Growing within a cystic adenoma, filling the cavity with a mass of branching epithelial processes"},{"code" : "111258","display" : "Ductal adenoma","definition" : "Adenoma located in mammary duct, present as discrete sclerotic nodules, solitary or multiple."},{"code" : "111259","display" : "Diabetic fibrous mastopathy","definition" : "The occurrence of fibrous tumor-forming stromal proliferation in patients with diabetes mellitus."},{"code" : "111260","display" : "Extra abdominal desmoid","definition" : "A deep seated firm tumor frequently occurring on the chest consisting of collagenous tissue that infiltrates surround muscle; frequently recurs but does not metastasize"},{"code" : "111262","display" : "Epidermal inclusion cyst","definition" : "A cyst formed of a mass of epithelial cells, as a result of trauma has been pushed beneath the epidermis. The cyst is lined with squamous epithelium and contains concentric layers or keratin"},{"code" : "111263","display" : "Fibroadenomatoid hyperplasia","definition" : "Excessive proliferation of fibroadenoma tissue."},{"code" : "111264","display" : "Fibroadenolipoma","definition" : "A lipoma with an abundant stroma of fibrous tissue."},{"code" : "111265","display" : "Foreign body (reaction)"},{"code" : "111269","display" : "Galactocele","definition" : "Retention cyst caused by occlusion of a lactiferous duct"},{"code" : "111271","display" : "Hemangioma - nonparenchymal, subcutaneous","definition" : "A congenital anomaly that leads to a proliferation of blood vessels leading to a mass that resembles a neoplasm, not located in parenchymal areas but subcutaneous"},{"code" : "111273","display" : "Hyperplasia, usual"},{"code" : "111277","display" : "Juvenile papillomatosis","definition" : "A form of fibrocystic disease in young woman with florid and sclerosing adenosis that microscopically may suggest carcinoma."},{"code" : "111278","display" : "Lactating adenoma","definition" : "Enlarging masses during lactation. A circumscribed benign tumor composed primarily of glandular structures with scanty stroma, with prominent secretory changes in the duct"},{"code" : "111279","display" : "Lactational change","definition" : "Changes related to the process of lactation."},{"code" : "111281","display" : "Large duct papilloma","definition" : "A papilloma pertaining to large mammary duct."},{"code" : "111283","display" : "Myofibroblastoma","definition" : "Solitary or multiple tumors of muscles and fibrous tissues, or tumors composed of myofibroblasts"},{"code" : "111284","display" : "Microglandular adenosis","definition" : "Irregular clusters of small tubules are present in adipose or fibrous tissue, resembling tubular carcinoma but lacking stromal fibroblastic proliferation."},{"code" : "111285","display" : "Multiple Intraductal Papillomas","definition" : "Papilloma typically involving an aggregate of adjacent ducts in the periphery of the breast, likely representing involvement of several foci of one or two duct systems."},{"code" : "111286","display" : "No abnormality","definition" : "No abnormality."},{"code" : "111287","display" : "Normal breast tissue","definition" : "Normal breast tissue."},{"code" : "111288","display" : "Neurofibromatosis","definition" : "Condition in which there are tumors of various sizes on peripheral nerves. They may be neuromas or fibromas"},{"code" : "111290","display" : "Oil cyst (fat necrosis cyst)","definition" : "A cyst resulting from the loss of the epithelial lining of a sebaceous dermoid or lacteal cyst."},{"code" : "111291","display" : "Post reduction mammoplasty","definition" : "Breast tissue with characteristics of a benign nature, following breast reduction surgery."},{"code" : "111292","display" : "Pseudoangiomatous stromal hyperplasia","definition" : "A benign stromal lesion composed of intermixed stromal and epithelial elements. The lobular and duct structures of the breast parenchyma are separated by an increased amount of stroma, non specific proliferative epithelial changes include hyperplasia of duct and lobular epithelium often with accentuation of myoepithelial cells and aprocine metaplasia with or without cyst formation."},{"code" : "111293","display" : "Radial scar","definition" : "An nonencapsulated stellate lesion consisting of a fibroelastic core and radiating bands of fibrous connective tissue containing lobules manifesting adenosis and ducts with papillary or diffuse intraductal hyperplasia"},{"code" : "111294","display" : "Sclerosing adenosis","definition" : "Prominent interductal fibrosis of the terminal ductules"},{"code" : "111296","display" : "Silicone granuloma","definition" : "Nodular inflammatory lesions due to the presence of silicone in the breast tissue."},{"code" : "111297","display" : "Nipple Characteristic","definition" : "The morphologic status of the nipple."},{"code" : "111298","display" : "Virginal hyperplasia","definition" : "Spontaneous excessive proliferation of breast tissue, usually found in younger women."},{"code" : "111299","display" : "Peripheral duct papillomas","definition" : "Papilloma(s) pertaining the peripheral ducts."},{"code" : "111300","display" : "Axillary node with lymphoma","definition" : "Axillary node with lymphoid tissue neoplasm."},{"code" : "111301","display" : "Axillary nodal metastases","definition" : "Metastatic disease to the axillary node."},{"code" : "111302","display" : "Angiosarcoma","definition" : "A malignant neoplasm occurring most often in breast and skin, believed to originate from endothelial cells of blood vessels, microscopically composed of closely packed round or spindle shaped cells, some of which line small spaces resembling vascular clefts"},{"code" : "111303","display" : "Blood vessel (vascular) invasion","definition" : "Histological changes to the vascular system related to an invasive process."},{"code" : "111304","display" : "Carcinoma in children","definition" : "Carcinoma of the breast found in patients less than 20 years of age."},{"code" : "111305","display" : "Carcinoma in ectopic breast","definition" : "A carcinoma found in supernumerary breasts and aberrant breast tissue."},{"code" : "111306","display" : "Carcinoma with endocrine differentiation","definition" : "A carcinoma that synthesizes substances, including hormones, not considered to be normal products of the breast."},{"code" : "111307","display" : "Basal cell carcinoma of nipple","definition" : "A basal cell carcinoma that arises in the nipple of the breast."},{"code" : "111308","display" : "Carcinoma with metaplasia"},{"code" : "111309","display" : "Cartilaginous and osseous change","definition" : "Tissue changes to bones and cartilage."},{"code" : "111310","display" : "Carcinoma in pregnancy and lactation","definition" : "Carcinoma of the breast presenting during pregnancy or lactation."},{"code" : "111311","display" : "Carcinosarcoma","definition" : "A malignant neoplasm that contains elements of carcinoma and sarcoma, so extensively intermixed as to indicate neoplasia of epithelial and mesenchymal tissue"},{"code" : "111312","display" : "Intraductal comedocarcinoma with necrosis","definition" : "Comedocarcinoma of a duct with areas of necrotic tissue."},{"code" : "111313","display" : "Intraductal carcinoma, low grade","definition" : "A non-invasive carcinoma restricted to the glandular lumen characterized by less aggressive malignant cytologic features and behavior."},{"code" : "111314","display" : "Intraductal carcinoma micro-papillary"},{"code" : "111315","display" : "Intracystic papillary carcinoma","definition" : "A malignant neoplasm characterized by the formation of numerous, irregular, finger-like projections of fibrous stroma that is covered with a surface layer of neoplastic epithelial cells found in a cyst."},{"code" : "111316","display" : "Invasive and in-situ carcinoma","definition" : "Carcinoma with both characteristics of localized and spreading disease."},{"code" : "111317","display" : "Invasive lobular carcinoma"},{"code" : "111318","display" : "Leukemic infiltration","definition" : "Mammary infiltrates as a secondary manifestation in patients with established leukemia."},{"code" : "111320","display" : "Lympathic vessel invasion","definition" : "Histological changes to the lymphatic system related to an invasive process."},{"code" : "111321","display" : "Lymphoma","definition" : "A heterogeneous group of neoplasms arising in the reticuloendoethelial and lymphatic systems"},{"code" : "111322","display" : "Occult carcinoma presenting with axillary lymph node metastases","definition" : "A small carcinoma, either asymptomatic or giving rise to metastases without symptoms due to the primary carcinoma presenting with metastatic disease in the axillary lymph nodes."},{"code" : "111323","display" : "Metastatic cancer to the breast","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a non-mammary malignant neoplasm."},{"code" : "111324","display" : "Metastatic cancer to the breast from the colon","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a neoplasm in the colon."},{"code" : "111325","display" : "Metastatic cancer to the breast from the lung","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a neoplasm in the lung."},{"code" : "111326","display" : "Metastatic melanoma to the breast","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a melanoma."},{"code" : "111327","display" : "Metastatic cancer to the breast from the ovary","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a neoplasm in the ovary."},{"code" : "111328","display" : "Metastatic sarcoma to the breast","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a sarcoma."},{"code" : "111329","display" : "Multifocal intraductal carcinoma","definition" : "Multiple foci of non-invasive carcinoma restricted to the glandular lumen."},{"code" : "111330","display" : "Metastatic disease to axillary node","definition" : "A malignant lesion in an axillary node arising from a non-axillary neoplasm."},{"code" : "111331","display" : "Malignant fibrous histiocytoma"},{"code" : "111332","display" : "Multifocal invasive ductal carcinoma","definition" : "Multiple sites of ductal carcinoma."},{"code" : "111333","display" : "Metastasis to an intramammary lymph node","definition" : "A malignant lesion in a intramammary lymph node arising from a non-intramammary lymph node neoplasm."},{"code" : "111334","display" : "Malignant melanoma of nipple","definition" : "A malignant melanoma of the skin that arises in the nipple of the breast."},{"code" : "111335","display" : "Neoplasm of the mammary skin"},{"code" : "111336","display" : "Papillary carcinoma in-situ"},{"code" : "111338","display" : "Recurrent malignancy","definition" : "Recurrent malignancy."},{"code" : "111340","display" : "Squamous cell carcinoma of the nipple","definition" : "Squamous cell carcinoma to the terminal portion of the alveolar."},{"code" : "111341","display" : "Intraductal carcinoma, high grade","definition" : "A non-invasive carcinoma restricted to the glandular lumen characterized by more aggressive malignant cytologic features and behavior."},{"code" : "111342","display" : "Invasive cribriform carcinoma"},{"code" : "111343","display" : "Angular margins","definition" : "An indication that some or all of the margin of a lesion has sharp corners, often forming acute angles."},{"code" : "111344","display" : "Fine pleomorphic calcification","definition" : "Calcifications that vary in sizes and shapes and are usually smaller than0.5 mm in diameter."},{"code" : "111345","display" : "Macrocalcifications","definition" : "Coarse calcifications that are 0.5 mm or greater in size."},{"code" : "111346","display" : "Calcifications within a mass","definition" : "An indicator that calcifications are imbedded within a mass."},{"code" : "111347","display" : "Calcifications outside of a mass","definition" : "An indicator that calcifications are imaged outside of a mass finding."},{"code" : "111350","display" : "Breast background echotexture","definition" : "Tissue composition of the breast noted on sonography."},{"code" : "111351","display" : "Homogeneous fat echotexture","definition" : "Fat lobules and uniformly echogenic bands of supporting structures comprise the bulk of breast tissue."},{"code" : "111352","display" : "Homogeneous fibroglandular echotexture","definition" : "A uniformly echogenic layer of fibroglandular tissue is seen beneath a thin layer of subcutaneous fat."},{"code" : "111353","display" : "Heterogeneous echotexture","definition" : "The breast texture is characterized by multiple small areas of increased and decreased echogenicity."},{"code" : "111354","display" : "Orientation","definition" : "Referential relationship of the finding to the imaging device as noted on sonography."},{"code" : "111355","display" : "Parallel","definition" : "The long axis of a lesion parallels the skin line (\"wider-than-tall\" or in a horizontal orientation)."},{"code" : "111356","display" : "Not parallel","definition" : "The anterior-posterior or vertical dimension is greater than the transverse or horizontal dimension."},{"code" : "111357","display" : "Lesion boundary","definition" : "The lesion boundary describes the transition zone between the mass and the surrounding tissue."},{"code" : "111358","display" : "Abrupt interface","definition" : "The sharp demarcation between the lesion and surrounding tissue can be imperceptible or a distinct well-defined echogenic rim of any thickness."},{"code" : "111359","display" : "Echogenic halo","definition" : "There is no sharp demarcation between the mass and the surrounding tissue, which is bridged by an echogenic transition zone."},{"code" : "111360","display" : "Echo pattern","definition" : "An imaging characteristic of resonance noted during sonography."},{"code" : "111361","display" : "Anechoic","definition" : "Without internal echoes."},{"code" : "111362","display" : "Hyperechoic","definition" : "Having increased echogenicity relative to fat or equal to fibroglandular tissue."},{"code" : "111363","display" : "Complex","definition" : "Mass contains both anechoic and echogenic components."},{"code" : "111364","display" : "Hypoechoic","definition" : "Defined relative to fat; masses are characterized by low-level echoes throughout."},{"code" : "111365","display" : "Isoechoic","definition" : "Having the same echogenicity as fat (a complicated cyst or fibroadenoma may be isoechoic or hypoechoic)."},{"code" : "111366","display" : "Posterior acoustic features","definition" : "The attenuation characteristics of a mass with respect to its acoustic transmission."},{"code" : "111367","display" : "No posterior acoustic features","definition" : "No posterior shadowing or enhancement."},{"code" : "111368","display" : "Posterior enhancement","definition" : "Increased posterior echoes."},{"code" : "111369","display" : "Posterior shadowing","definition" : "Decreased posterior echoes; edge shadows are excluded."},{"code" : "111370","display" : "Combined posterior enhancement and shadowing","definition" : "More than one pattern of posterior attenuation, both shadowing and enhancement."},{"code" : "111371","display" : "Identifiable effect on surrounding tissues","definition" : "Sonographic appearance of adjacent structures relative to a mass finding."},{"code" : "111372","display" : "Vascularity","definition" : "Characterization of vascularization in region of interest."},{"code" : "111373","display" : "Vascularity not present","definition" : "Vascularity not evident, such as on ultrasound."},{"code" : "111374","display" : "Vascularity not assessed","definition" : "Vascularity not evaluated."},{"code" : "111375","display" : "Vascularity present in lesion","definition" : "Vascularity on imaging is seen within a lesion."},{"code" : "111376","display" : "Vascularity present immediately adjacent to lesion","definition" : "Vascularity on imaging is seen immediately adjacent to a lesion."},{"code" : "111377","display" : "Diffusely increased vascularity in surrounding tissue","definition" : "Vascularity on imaging is considered diffusely elevated within the surrounding breast tissue."},{"code" : "111380","display" : "Correlation to other Findings","definition" : "Relationship of the new anomaly to other clinical or imaging anomalies."},{"code" : "111381","display" : "Correlates to physical examination findings","definition" : "An indication that the current imaging finding relates to a finding from a clinical breast examination."},{"code" : "111382","display" : "Correlates to mammography findings","definition" : "An indication that the current imaging finding relates to a finding from a mammography study."},{"code" : "111383","display" : "Correlates to MRI findings","definition" : "An indication that the current imaging finding relates to a finding from a breast MRI study."},{"code" : "111384","display" : "Correlates to ultrasound findings","definition" : "An indication that the current imaging finding relates to a finding from a breast ultrasound study."},{"code" : "111385","display" : "Correlates to other imaging findings","definition" : "An indication that the current imaging finding relates to a finding from an imaging study."},{"code" : "111386","display" : "No correlation to other imaging findings","definition" : "An indication that the current imaging finding has no relation to findings from any other imaging study."},{"code" : "111387","display" : "No correlation to clinical findings","definition" : "An indication that the current imaging finding has no relation to any other clinical findings."},{"code" : "111388","display" : "Malignancy Type","definition" : "Classification of the cancer as invasive, DCIS, or other."},{"code" : "111389","display" : "Invasive breast carcinoma","definition" : "A malignancy that has spread beyond an area of focus."},{"code" : "111390","display" : "Other malignancy type","definition" : "A breast cancer with malignant pathology findings that are not classified as invasive or in situ."},{"code" : "111391","display" : "Menstrual Cycle Phase","definition" : "A specific timeframe during menses."},{"code" : "111392","display" : "1st week","definition" : "In the first week of the menstrual cycle phase, that is, one week following menses."},{"code" : "111393","display" : "2nd week","definition" : "In the second week of the menstrual cycle phase, that is, two weeks following menses."},{"code" : "111394","display" : "3rd week","definition" : "In the third week of the menstrual cycle phase, that is, three weeks following menses."},{"code" : "111395","display" : "Estimated Timeframe","definition" : "An estimated period of time."},{"code" : "111396","display" : "< 3 months ago","definition" : "An event occurred less than 3 months ago."},{"code" : "111397","display" : "4 months to 1 year ago","definition" : "An event occurred between 4 months and 1 year ago."},{"code" : "111398","display" : "> 1 year ago","definition" : "An event occurred longer than 1 year ago."},{"code" : "111399","display" : "Timeframe uncertain","definition" : "The timing of an event is not recalled."},{"code" : "111400","display" : "Breast Imaging Report","definition" : "Report title for the diagnostic report for one or more breast imaging or intervention procedures."},{"code" : "111401","display" : "Reason for Procedure","definition" : "Concept name for the description of why a procedure has been performed."},{"code" : "111402","display" : "Clinical Finding","definition" : "A finding during clinical examination (i.e., history and physical examination) such as pain, palpable mass or discharge."},{"code" : "111403","display" : "Baseline screening mammogram","definition" : "First screening mammogram taken for patient that is used as a comparison baseline for further examinations."},{"code" : "111404","display" : "First mammogram ever","definition" : "First mammogram taken for a patient without regard to whether it was for screening or a diagnostic procedure."},{"code" : "111405","display" : "Implant type","definition" : "Concept name for the material of which a breast prosthetic device is constructed."},{"code" : "111406","display" : "Number of similar findings","definition" : "A numeric count of findings classified as similar in nature."},{"code" : "111407","display" : "Implant finding","definition" : "Concept name for the status of a breast prosthetic device as noted by imaging."},{"code" : "111408","display" : "Film Screen Mammography","definition" : "Mammogram using traditional X-Ray film."},{"code" : "111409","display" : "Digital Mammography","definition" : "Mammogram using a digital image acquisition system."},{"code" : "111410","display" : "Surgical consult","definition" : "Referred for evaluation by a surgeon."},{"code" : "111411","display" : "Mammography CAD","definition" : "Computer aided detection and/or computer aided diagnosis for mammography."},{"code" : "111412","display" : "Narrative Summary","definition" : "Concept name for a text-based section of a report."},{"code" : "111413","display" : "Overall Assessment","definition" : "A title for a report section that summarizes all interpretation results for a report with one overriding assessment."},{"code" : "111414","display" : "Supplementary Data","definition" : "Concept name for a collection of supporting evidence for a report."},{"code" : "111415","display" : "Additional evaluation requested from prior study","definition" : "Prior study indicates that additional imaging be performed to further evaluate a suspicious or questionable anatomic region."},{"code" : "111416","display" : "Follow-up at short interval from prior study","definition" : "The prior study recommended a follow-up breast imaging study in 1 to 11 months (generally in 6 months)."},{"code" : "111417","display" : "History of breast augmentation, asymptomatic","definition" : "Prior breast augmentation (breast enlargement) and is not presenting with any symptoms."},{"code" : "111418","display" : "Review of an outside study","definition" : "Review or second opinion made on an image performed outside of the facility."},{"code" : "111419","display" : "Additional evaluation requested from abnormal screening study","definition" : "Additional breast imaging performed at the time of the patient's screening mammogram."},{"code" : "111420","display" : "History of benign breast biopsy","definition" : "Patient has had previous benign breast biopsies."},{"code" : "111421","display" : "Personal history of breast cancer with breast conservation therapy","definition" : "Patient has had a prior surgery such as a lumpectomy or quadrantectomy to remove malignant breast tissue, but breast tissue remains."},{"code" : "111423","display" : "Physical Examination Results","definition" : "The results of a physical examination performed on the patient, possibly including the results of inspection, palpation, auscultation, or percussion."},{"code" : "111424","display" : "Comparison to previous studies","definition" : "The result of assessing the current imaging study in comparison to previous imaging studies."},{"code" : "111425","display" : "Intraluminal filling defect","definition" : "An abnormality observed during ductography where the ductal system within the breast fills in an abnormal pattern. Ductography is an imaging study in which a radio opaque contrast media is introduced into the ductal system of the breast through the nipple and images of the ductal system are obtained."},{"code" : "111426","display" : "Multiple filling defect","definition" : "During ductography an observation of more than one filling abnormality within the breast ductal system."},{"code" : "111427","display" : "Abrupt duct termination","definition" : "An abnormality observed during ductography where the ductal system within the breast terminates in an unusual fashion."},{"code" : "111428","display" : "Extravasation","definition" : "Abnormal flowage of contrast media within the breast noted on ductography."},{"code" : "111429","display" : "Duct narrowing","definition" : "An abnormality observed during ductography where the ductal system within the breast appears narrow."},{"code" : "111430","display" : "Cyst fill","definition" : "During ductography an observation of the contrast media filling a cyst within the breast."},{"code" : "111431","display" : "Instrument Approach","definition" : "The area and line within the anatomy through which a needle or instrument passes during an interventional procedure."},{"code" : "111432","display" : "Inferolateral to superomedial","definition" : "The line within the anatomy from the lower outer to the upper inner aspect."},{"code" : "111433","display" : "Inferomedial to superolateral","definition" : "The line within the anatomy from the lower inner to the upper outer aspect."},{"code" : "111434","display" : "Superolateral to inferomedial","definition" : "The line within the anatomy from the upper outer to the lower inner aspect."},{"code" : "111435","display" : "Superomedial to inferolateral","definition" : "The line within the anatomy from the upper inner to the lower outer aspect."},{"code" : "111436","display" : "Number of passes","definition" : "The number of times a biopsy instrument is passed through an area of interest."},{"code" : "111437","display" : "Number of specimens","definition" : "The number of biopsy specimens obtained from an interventional procedure."},{"code" : "111438","display" : "Needle in target","definition" : "An indicator of whether or not a biopsy or localizing needle in an interventional procedure is seen to be in the area of interest."},{"code" : "111439","display" : "Number of needles around target","definition" : "The number of localizing needles placed around the area of interest in an interventional procedure."},{"code" : "111440","display" : "Incision made","definition" : "An indicator of whether or not an incision was made in the anatomy during an interventional procedure."},{"code" : "111441","display" : "Microclip placed","definition" : "An indicator of whether or not a radio opaque microclip was placed in the anatomy during an interventional procedure."},{"code" : "111442","display" : "Confirmation of target","definition" : "An indicator of the degree of success of an interventional procedure."},{"code" : "111443","display" : "Target completely contained in the specimen","definition" : "An indicator that during an interventional procedure the area of interest was fully excised and is noted in the resultant biopsy specimen."},{"code" : "111444","display" : "Target partially obtained in the specimen","definition" : "An indicator that during an interventional procedure the area of interest was partially excised and is noted in the resultant biopsy specimen."},{"code" : "111445","display" : "Target not in the specimen","definition" : "An indicator that following an interventional procedure the area of interest is not seen in the resultant biopsy specimen."},{"code" : "111446","display" : "Calcifications seen in the core","definition" : "An indicator that following an interventional procedure the targeted calcifications are noted in the resultant biopsy specimen."},{"code" : "111447","display" : "Lesion completely removed","definition" : "An indicator that during an interventional procedure the area of interest was fully excised and is noted in the resultant biopsy specimen."},{"code" : "111448","display" : "Lesion partially removed","definition" : "An indicator that during an interventional procedure the area of interest was partially excised and is noted in the resultant biopsy specimen."},{"code" : "111449","display" : "Fluid obtained","definition" : "An indicator that during an interventional procedure fluid was successfully aspirated."},{"code" : "111450","display" : "Light brown color","definition" : "Color that is a light shade of brown."},{"code" : "111451","display" : "Dark red color","definition" : "Color that is a dark shade of red."},{"code" : "111452","display" : "Dark brown color","definition" : "Color that is a dark shade of brown."},{"code" : "111453","display" : "Bright red color","definition" : "Color that is a bright shade of red."},{"code" : "111454","display" : "Blood tinged color","definition" : "Color that is tinged with the color of blood."},{"code" : "111455","display" : "Occult blood test result","definition" : "An indicator of whether or not the fluid obtained during an interventional procedure contains red blood cells."},{"code" : "111456","display" : "Action on fluid","definition" : "An indicator of whether or not fluid during an interventional procedure was sent for cytological analysis or simply discarded."},{"code" : "111457","display" : "Sent for analysis","definition" : "An indicator that fluid obtained during an interventional procedure was sent to a laboratory for analysis."},{"code" : "111458","display" : "Discarded","definition" : "An indicator that fluid obtained during an interventional procedure was discarded."},{"code" : "111459","display" : "Mass with calcifications","definition" : "A radiopaque density noted during diagnostic imaging that has associated calcific densities."},{"code" : "111460","display" : "Complex cyst","definition" : "A fluid-filled sac with greater than normal characteristics."},{"code" : "111461","display" : "Intracystic lesion","definition" : "A tumor within a cyst."},{"code" : "111462","display" : "Solid mass","definition" : "A tumor or lesion."},{"code" : "111463","display" : "Supplementary Data for Intervention","definition" : "Supporting evidence for interpretation results of an interventional procedure."},{"code" : "111464","display" : "Procedure Modifier","definition" : "A descriptor that further qualifies or characterizes a type of procedure."},{"code" : "111465","display" : "Needle Gauge","definition" : "Needle size (diameter) characterization."},{"code" : "111466","display" : "Severity of Complication","definition" : "An indicator of the gravity of a problem experienced by a patient, related to a procedure that was performed."},{"code" : "111467","display" : "Needle Length","definition" : "Distance from the hub or bushing to the tip of the needle."},{"code" : "111468","display" : "Pathology Results","definition" : "The collection of observations and findings from pathologic analysis."},{"code" : "111469","display" : "Sampling DateTime","definition" : "The date and time that the sample was collected from the patient."},{"code" : "111470","display" : "Uninvolved","definition" : "Indicates that the margin of the biopsy specimen was not involved with the tumor."},{"code" : "111471","display" : "Involved","definition" : "Indicates that the margin of the biopsy specimen was involved with the tumor."},{"code" : "111472","display" : "Nipple involved","definition" : "Indicates whether the nipple was involved in an interventional procedure or pathologic analysis."},{"code" : "111473","display" : "Number of nodes removed","definition" : "Indicates the number of lymph nodes removed."},{"code" : "111474","display" : "Number of nodes positive","definition" : "Indicates the number of lymph nodes removed that contain cancer cells."},{"code" : "111475","display" : "Estrogen receptor","definition" : "The result of a test for the presence of a protein that binds with estrogen."},{"code" : "111476","display" : "Progesterone receptor","definition" : "The result of a test for the presence of a protein that binds with progesterone."},{"code" : "111477","display" : "S Phase","definition" : "Indicates the percentage of cells in S phase. Cell division is defined by phases; the S phase is the stage during which DNA replicates."},{"code" : "111478","display" : "Non-bloody discharge (from nipple)","definition" : "The visible emission of non-bloody fluid from the nipple."},{"code" : "111479","display" : "Difficult physical/clinical examination","definition" : "The inability to discern normal versus abnormal breast tissue during palpation."},{"code" : "111480","display" : "Cancer elsewhere","definition" : "An indication that a patient has or had a malignant occurrence in an area of the body other than the breast."},{"code" : "111481","display" : "Saline implant","definition" : "A salt water filled prosthetic device implanted in the breast."},{"code" : "111482","display" : "Polyurethane implant","definition" : "A polymer based (plastic) prosthetic device implanted in the breast."},{"code" : "111483","display" : "Percutaneous silicone injection","definition" : "The introduction of polymeric organic silicon based material through the skin, as for breast augmentation or reconstruction."},{"code" : "111484","display" : "Combination implant","definition" : "A prosthetic device that contains more than one material implanted in the breast."},{"code" : "111485","display" : "Pre-pectoral implant","definition" : "A breast implant placed in front of the pectoralis major muscle."},{"code" : "111486","display" : "Retro-pectoral implant","definition" : "A breast implant placed behind the pectoralis major muscle."},{"code" : "111487","display" : "Mammographic (crosshair)","definition" : "Using X-Ray technique and a superimposed set of crossed lines for detection or placement."},{"code" : "111488","display" : "Mammographic (grid)","definition" : "Using X-Ray technique and a superimposed aperture for detection or placement."},{"code" : "111489","display" : "Palpation guided","definition" : "Using physical touch for detection or placement."},{"code" : "111490","display" : "Vacuum assisted","definition" : "The performance of a biopsy procedure using a vacuum device attached to the biopsy needle."},{"code" : "111491","display" : "Abnormal discharge","definition" : "Unusual or unexpected emission of fluid."},{"code" : "111492","display" : "No complications","definition" : "Having experienced no adverse medical conditions related to or resulting from an interventional procedure."},{"code" : "111494","display" : "Stage 0","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is Tis, regional lymph node is N0, and distant metastasis is M0."},{"code" : "111495","display" : "Stage I","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T1, regional lymph node is N0, and distant metastasis is M0."},{"code" : "111496","display" : "Stage IIA","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T0 or T1, with regional lymph node N1 and distant metastasis is M0, or T2 with N0 and M0."},{"code" : "111497","display" : "Stage IIB","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T2, with regional lymph node N1 and distant metastasis is M0, or T3 with N0 and M0."},{"code" : "111498","display" : "Stage IIIA","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T0, T1 or T2, with regional lymph node N2 and distant metastasis is M0, or T3 with N1 or N2 and M0."},{"code" : "111499","display" : "Stage IIIB","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T4, regional lymph node is N0, N1 or N2, and distant metastasis is M0."},{"code" : "111500","display" : "Stage IIIC","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is any T value, regional lymph node is N3, and distant metastasis is M0."},{"code" : "111501","display" : "Stage IV","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is any T value, regional lymph node is any N value, and distant metastasis is M1."},{"code" : "111502","display" : "Bloom-Richardson Grade","definition" : "Histologic tumor grade (sometimes called Scarff-Bloom-Richardson grade) is based on the arrangement of the cells in relation to each other -- whether they form tubules, how closely they resemble normal breast cells (nuclear grade) and how many of the cancer cells are in the process of dividing (mitotic count)."},{"code" : "111503","display" : "Normal implants","definition" : "Breast prosthetic devices are intact, not leaking, and are in a normal shape and form."},{"code" : "111504","display" : "Asymmetric implants","definition" : "Breast prosthetic devices are not symmetric, equal, corresponding in form, or are in one breast (unilateral)."},{"code" : "111505","display" : "Calcified implant","definition" : "Fibrous or calcific contracture of the tissue capsule that forms around a breast prosthetic device."},{"code" : "111506","display" : "Distorted implant","definition" : "Breast prosthetic device is twisted out of normal shape or form."},{"code" : "111507","display" : "Silicone-laden lymph nodes","definition" : "Silicone from breast prosthetic device found in lymphatic tissue."},{"code" : "111508","display" : "Free silicone","definition" : "Silicone found in breast tissue outside of the prosthetic capsule or implant membrane."},{"code" : "111509","display" : "Herniated implant","definition" : "Protrusion of part of the structure normally encapsulating the content of the breast prosthetic device."},{"code" : "111510","display" : "Explantation","definition" : "Evidence of removal of a breast prosthetic device."},{"code" : "111511","display" : "Relevant Patient Information for Breast Imaging","definition" : "Historical patient health information of interest to the breast health clinician."},{"code" : "111512","display" : "Medication History","definition" : "Information regarding usage by the patient of certain medications, such as hormones."},{"code" : "111513","display" : "Relevant Previous Procedures","definition" : "Interventional or non-interventional procedures previously performed on the patient, such as breast biopsies."},{"code" : "111514","display" : "Relevant Indicated Problems","definition" : "Abnormal conditions experienced by the patient that serve as the reason for performing a procedure, such as a physical breast examination."},{"code" : "111515","display" : "Relevant Risk Factors","definition" : "Personal, familial, and other health factors that may indicate an increase in the patient's chances of developing a health condition or disease, such as breast cancer."},{"code" : "111516","display" : "Medication Type","definition" : "A classification of a medicinal substance, such as hormonal contraceptive or antibiotic."},{"code" : "111517","display" : "Relevant Patient Information","definition" : "Historical patient health information for general purpose use."},{"code" : "111518","display" : "Age when first menstrual period occurred","definition" : "The age of the patient at the first occurrence of menses."},{"code" : "111519","display" : "Age at First Full Term Pregnancy","definition" : "The age of the patient at the time of her first full term pregnancy."},{"code" : "111520","display" : "Age at Menopause","definition" : "The age of the patient at the cessation of menses."},{"code" : "111521","display" : "Age when hysterectomy performed","definition" : "The age of the patient at the time her uterus was removed."},{"code" : "111522","display" : "Age when left ovary removed","definition" : "The age of the patient at the time she had her left ovary removed."},{"code" : "111523","display" : "Age when right ovary removed","definition" : "The age of the patient at the time she had her right ovary removed."},{"code" : "111524","display" : "Age Started","definition" : "The age of a patient on the first occurrence of an event, such as the first use of a medication."},{"code" : "111525","display" : "Age Ended","definition" : "The age of a patient on the last occurrence of an event, such as the last use of a medication."},{"code" : "111526","display" : "DateTime Started","definition" : "The date and time of the first occurrence of an event, such as the first use of a medication."},{"code" : "111527","display" : "DateTime Ended","definition" : "The date and time of the last occurrence of an event, such as the last use of a medication."},{"code" : "111528","display" : "Ongoing","definition" : "An indicator of whether an event is still in progress, such as the use of a medication or substance, or environmental exposure."},{"code" : "111529","display" : "Brand Name","definition" : "Product name of a device or substance, such as medication, to identify it as the product of a single firm or manufacturer."},{"code" : "111530","display" : "Risk Factor modifier","definition" : "A descriptor that further qualifies or characterizes a risk factor."},{"code" : "111531","display" : "Previous Procedure","definition" : "A prior non-interventional study or interventional procedure performed on a patient."},{"code" : "111532","display" : "Pregnancy Status","definition" : "Describes the pregnancy state of a referenced subject."},{"code" : "111533","display" : "Indicated Problem","definition" : "A symptom experienced by a patient that is used as the reason for performing a study or procedure."},{"code" : "111534","display" : "Role of person reporting","definition" : "The function of the individual who is reporting information on a patient, which could be a specific health care related profession, the patient him/herself, or a relative or friend."},{"code" : "111535","display" : "DateTime problem observed","definition" : "The date and time that a symptom was noted."},{"code" : "111536","display" : "DateTime of last evaluation","definition" : "The date and time of the most recent evaluation of an indicated problem."},{"code" : "111537","display" : "Family Member with Risk Factor","definition" : "A patient's biological relative who exhibits a health factor that may indicate an increase in the patient's chances of developing a particular disease or medical problem."},{"code" : "111538","display" : "Age at Occurrence","definition" : "The age at which an individual experienced a specific event, such as breast cancer."},{"code" : "111539","display" : "Menopausal phase","definition" : "The current stage of an individual in her gynecological development."},{"code" : "111540","display" : "Side of Family","definition" : "An indicator of paternal or maternal relationship."},{"code" : "111541","display" : "Maternal","definition" : "Relating to biological female parentage."},{"code" : "111542","display" : "Unspecified gynecological hormone","definition" : "A gynecological hormone for which the specific type is not specified."},{"code" : "111543","display" : "Breast feeding history","definition" : "An indicator of whether or not a patient ever provided breast milk to her offspring."},{"code" : "111544","display" : "Average breast feeding period","definition" : "The average length of time that a patient provided breast milk to her offspring."},{"code" : "111545","display" : "Substance Use History","definition" : "Information regarding usage by the patient of certain legal or illicit substances."},{"code" : "111546","display" : "Used Substance Type","definition" : "A classification of a substance, such as alcohol or a legal or illicit drug."},{"code" : "111547","display" : "Environmental Exposure History","definition" : "Information regarding exposure of the patient to potentially harmful environmental factors."},{"code" : "111548","display" : "Environmental Factor","definition" : "A classification of a potentially harmful substance or gas in a subject's environment, such as asbestos, lead, or carcinogens."},{"code" : "111549","display" : "Previous Reports","definition" : "Previous Structured Reports that could have relevant information for a current imaging service request."},{"code" : "111550","display" : "Personal breast cancer history","definition" : "An indication that a patient has had a previous malignancy of the breast."},{"code" : "111551","display" : "History of endometrial cancer","definition" : "Indicates a previous occurrence of cancer of the lining of the uterus."},{"code" : "111552","display" : "History of ovarian cancer","definition" : "Indicates a previous occurrence of cancer of the lining of the ovary."},{"code" : "111553","display" : "History of high risk lesion on previous biopsy","definition" : "Indicates a prior diagnosis of pre-cancerous cells or tissue removed for pathologic evaluation."},{"code" : "111554","display" : "Post menopausal patient","definition" : "A female patient whose menstrual periods have ceased."},{"code" : "111555","display" : "Late child bearing (after 30)","definition" : "A female patient whose first child was born after the patient was 30 years old."},{"code" : "111556","display" : "BRCA1 breast cancer gene","definition" : "The first level genetic marker indicating risk for breast cancer."},{"code" : "111557","display" : "BRCA2 breast cancer gene","definition" : "The second level genetic marker indicating risk for breast cancer."},{"code" : "111558","display" : "BRCA3 breast cancer gene","definition" : "The third level genetic marker indicating risk for breast cancer."},{"code" : "111559","display" : "Weak family history of breast cancer","definition" : "A patient's biological aunt, grandmother, or female cousin was diagnosed with breast cancer. Definition from BI-RADS®."},{"code" : "111560","display" : "Intermediate family history of breast cancer","definition" : "A patient's biological mother or sister was diagnosed with breast cancer after they had gone through menopause. Definition from BI-RADS®."},{"code" : "111561","display" : "Very strong family history of breast cancer","definition" : "A patient's biological mother or sister was diagnosed with breast cancer before they had gone through menopause, or more than one of the patient's first-degree relatives (biological mother or sister) were diagnosed with breast cancer after they had gone through menopause. Definition from BI-RADS®."},{"code" : "111562","display" : "Family history of prostate cancer","definition" : "Previous diagnosis of a malignancy of the prostate gland in a biological relative."},{"code" : "111563","display" : "Family history unknown","definition" : "The health record of a patient's biological relatives is not known."},{"code" : "111564","display" : "Nipple discharge cytology","definition" : "The study of cells obtained from fluid emitted from the breast."},{"code" : "111565","display" : "Uterine malformations","definition" : "A developmental abnormality resulting in an abnormal shape of the uterus."},{"code" : "111566","display" : "Spontaneous Abortion","definition" : "A naturally occurring premature expulsion from the uterus of the products of conception - the embryo or a nonviable fetus."},{"code" : "111567","display" : "Gynecologic condition","definition" : "An ailment/abnormality or state of the female reproductive tract."},{"code" : "111568","display" : "Gynecologic surgery","definition" : "A surgical operation performed on any portion of the female reproductive tract."},{"code" : "111569","display" : "Previous LBW or IUGR birth","definition" : "Prior pregnancy with a low birth weight baby or a fetus with Intrauterine Growth Restriction or Retardation."},{"code" : "111570","display" : "Previous fetal malformation/syndrome","definition" : "History of at least one prior pregnancy with fetal anatomic abnormality(s)."},{"code" : "111571","display" : "Previous RH negative or blood dyscrasia at birth","definition" : "History of delivering a Rhesis Isoimmunization affected child(ren) or a child(ren) with another blood disorder."},{"code" : "111572","display" : "History of multiple fetuses","definition" : "History of at least one pregnancy that contained more than one fetus."},{"code" : "111573","display" : "Current pregnancy, known or suspected malformations/syndromes","definition" : "At least one fetus of this pregnancy has an anatomic abnormality(s) that is known to exist, or a \"marker\" is present that suggests the abnormality(s) may be present."},{"code" : "111574","display" : "Family history, fetal malformation/syndrome","definition" : "Biological relatives have previously conceived a fetus with an anatomic abnormality(s)."},{"code" : "111575","display" : "High","definition" : "A subjective descriptor for an elevated amount of exposure, use, or dosage, incurring high risk of adverse effects."},{"code" : "111576","display" : "Medium","definition" : "A subjective descriptor for a moderate amount of exposure, use, or dosage, incurring medium risk of adverse effects."},{"code" : "111577","display" : "Low","definition" : "A subjective descriptor for a limited amount of exposure, use, or dosage, incurring low risk of adverse effects."},{"code" : "111578","display" : "Dose frequency","definition" : "A measurement of the rate of occurrence of which a patient takes a certain medication."},{"code" : "111579","display" : "Rate of exposure","definition" : "The quantity per unit of time that a patient was or is being exposed to an environmental irritant."},{"code" : "111580","display" : "Volume of use","definition" : "The quantity per unit of time that a medication or substance was or is being used."},{"code" : "111581","display" : "Relative dose amount","definition" : "A qualitative descriptor for the amount of a medication that was or is being taken."},{"code" : "111582","display" : "Relative amount of exposure","definition" : "A qualitative descriptor for the amount of present or past exposure to an environmental irritant."},{"code" : "111583","display" : "Relative amount of use","definition" : "A qualitative descriptor for the amount of a medication or substance that was or is being used."},{"code" : "111584","display" : "Relative dose frequency","definition" : "A qualitative descriptor for the frequency with which a medication was or is being taken."},{"code" : "111585","display" : "Relative frequency of exposure","definition" : "A qualitative descriptor for the frequency of present or past exposure to an environmental irritant."},{"code" : "111586","display" : "Relative frequency of use","definition" : "A qualitative descriptor for the frequency with which a medication or substance was or is being used."},{"code" : "111587","display" : "No known exposure","definition" : "Patient is not known to have been exposed to or used the substance or medication."},{"code" : "111590","display" : "Recall for technical reasons","definition" : "Patient returns for additional images to improve the quality of the most recent study."},{"code" : "111591","display" : "Recall for imaging findings","definition" : "Patient returns for additional images to clarify findings from the most recent study."},{"code" : "111592","display" : "Recall for patient symptoms/ clinical findings","definition" : "Patient returns for additional images to clarify symptoms or signs reported by the patient or a healthcare professional at the time of the most recent study."},{"code" : "111593","display" : "LBW or IUGR","definition" : "Number of births with low birth weight or intrauterine growth restriction."},{"code" : "111601","display" : "Green filter","definition" : "Filter that transmits green light while blocking the other colors, typically centered at 510-540 nm"},{"code" : "111602","display" : "Red filter","definition" : "Filter that transmits red light while blocking the other colors, typically centered at 630-680 nm"},{"code" : "111603","display" : "Blue filter","definition" : "Filter that transmits blue while blocking the other colors, typically centered at 460-480 nm"},{"code" : "111604","display" : "Yellow-green filter","definition" : "A filter of 560nm that is used for retinal imaging and can provide good contrast and good visibility of the retinal vasculature"},{"code" : "111605","display" : "Blue-green filter","definition" : "A filter of 490nm that is used for retinal imaging because of excessive scattering of some retinal structures at very short wavelengths"},{"code" : "111606","display" : "Infrared filter","definition" : "Filter that transmits the infrared spectrum, which is light that lies outside of the visible spectrum, with wavelengths longer than those of red light, while blocking visible light"},{"code" : "111607","display" : "Polarizing filter","definition" : "A filter that reduces reflections from non-metallic surfaces such as glass or water by blocking light waves that are vibrating at selected angles to the filter."},{"code" : "111609","display" : "No filter","definition" : "No filter used."},{"code" : "111621","display" : "Field 1 for Joslin 3 field","definition" : "Joslin NM-1 is a 45 degree field focused centrally between the temporal margin of optic disc and the center of the macula: Center the camera on the papillomacular bundle midway between the temporal margin of the optic disc and the center of the macula. The horizontal centerline of the image should pass directly through the center of the disc."},{"code" : "111622","display" : "Field 2 for Joslin 3 field","definition" : "Joslin NM-2 is a 45 degree field focused superior temporal to the optic disc: Center the camera laterally approximately one-half disc diameter temporal to the center of the macula. The lower edge of the field is tangent to a horizontal line passing through the upper edge of the optic disc. The image is taken temporal to the macula but includes more retinal nasal and superior to the macula than standard field 2."},{"code" : "111623","display" : "Field 3 for Joslin 3 field","definition" : "Joslin NM-3 is a 45 degree field focused nasal to the optic disc: This field is nasal to the optic disc and may include part of the optic disc. The horizontal centerline of the image should pass tangent to the lower edge of the optic disc."},{"code" : "111625","display" : "Diffuse direct illumination","definition" : "A broad or \"soft\" light supplied from a single source."},{"code" : "111626","display" : "Scheimpflug Camera","definition" : "A slit reflected light microscope, which has the ability to form an image of the back scattered light from the eye in a sagittal plane. Scheimpflug cameras are able to achieve a wide depth of focus by employing the \"Sheimpflug principle\" where the lens and image planes are not parallel with each other. Rotating Sheimplug cameras are able to generate three-dimensional images and calculate measurements of the anterior chamber of the eye."},{"code" : "111627","display" : "Scotopic light","definition" : "Lighting condition approximately 0.04 lux."},{"code" : "111628","display" : "Mesopic light","definition" : "Lighting condition approximately 4 lux."},{"code" : "111629","display" : "Photopic light","definition" : "Lighting condition approximately 40 lux."},{"code" : "111630","display" : "Dynamic light","definition" : "Acquisition preceded by intense light."},{"code" : "111631","display" : "Average Glandular Dose","definition" : "Calculated from values of entrance exposure in air, the X-Ray beam quality (half-value layer), and compressed breast thickness, is the energy deposited per unit mass of glandular tissue averaged over all the glandular tissue in the breast."},{"code" : "111632","display" : "Anode Target Material","definition" : "The primary material in the anode of an X-Ray source."},{"code" : "111633","display" : "Compression Thickness","definition" : "The average thickness of the body part examined when compressed, if compression has been applied during X-Ray exposure."},{"code" : "111634","display" : "Half Value Layer","definition" : "Thickness of Aluminum required to reduce the X-Ray output at the patient entrance surface by a factor of two."},{"code" : "111635","display" : "X-Ray Grid","definition" : "An anti-scatter device based on radiation absorbing strips above the detector."},{"code" : "111636","display" : "Entrance Exposure at RP","definition" : "Exposure measurement in air at the reference point that does not include back scatter, according to MQCM 1999."},{"code" : "111637","display" : "Accumulated Average Glandular Dose","definition" : "Average Glandular Dose to a single breast accumulated over multiple images."},{"code" : "111638","display" : "Patient Equivalent Thickness","definition" : "Value of the control variable used to parametrize the Automatic Exposure Control (AEC) closed loop."},{"code" : "111640","display" : "Virtual grid","definition" : "A processing algorithm used to reduce the effect of X-Ray scatter on image quality, similar to the use of a physical X-Ray anti-scatter grid."},{"code" : "111641","display" : "Fixed grid","definition" : "A physical X-Ray anti-scatter grid that does not move during exposure."},{"code" : "111642","display" : "Focused grid","definition" : "A physical X-Ray anti-scatter grid with radiation absorbing strips that are focused toward the focal spot, to eliminate grid cutoff."},{"code" : "111643","display" : "Reciprocating grid","definition" : "A physical X-Ray anti-scatter grid that is designed to move during exposure, to eliminate the appearance of grid lines on the image."},{"code" : "111644","display" : "Parallel grid","definition" : "A physical X-Ray anti-scatter grid with radiation absorbing strips that are parallel to each other and that is used only with long source to image distances."},{"code" : "111645","display" : "Crossed grid","definition" : "A physical X-Ray anti-scatter grid with crossed radiation absorbing strips used for more complete cleanup of scatter radiation."},{"code" : "111646","display" : "No grid","definition" : "No physical X-Ray anti-scatter grid was used due to low scatter conditions."},{"code" : "111647","display" : "Compression Force","definition" : "The compression force applied to the body part during exposure."},{"code" : "111648","display" : "Compression Pressure","definition" : "The average compression pressure applied to the body part during exposure."},{"code" : "111649","display" : "Compression Contact Area","definition" : "The area of the body part to which compression has been applied during exposure."},{"code" : "111671","display" : "Spectacle Prescription Report","definition" : "The spectacle prescription for a patient."},{"code" : "111672","display" : "Add Near","definition" : "Refractive measurements of the eye to correct for inability to focus at near while wearing the distance prescription."},{"code" : "111673","display" : "Add Intermediate","definition" : "Refractive measurements of the eye to correct for inability to focus at intermediate distance while wearing the distance prescription."},{"code" : "111674","display" : "Add Other","definition" : "Refractive measurements of the eye to correct for inability to focus at the specified distance while wearing the distance prescription."},{"code" : "111675","display" : "Horizontal Prism Power","definition" : "The power of a prism to bend light in the horizontal direction, in prism diopters."},{"code" : "111676","display" : "Horizontal Prism Base","definition" : "Direction of the base of a horizontal prism -- either in (toward the nose), or out (away from the nose)."},{"code" : "111677","display" : "Vertical Prism Power","definition" : "The power of a prism to bend light in the vertical direction, in prism diopters."},{"code" : "111678","display" : "Vertical Prism Base","definition" : "Direction of the base of a vertical prism -- either up, or down."},{"code" : "111679","display" : "Distance Pupillary Distance","definition" : "Distance in mm between the pupils when the patient's object of regard is in the distance."},{"code" : "111680","display" : "Near Pupillary Distance","definition" : "Distance in mm between the pupils when the patient's object of regard is at near."},{"code" : "111681","display" : "SMILE","definition" : "Small Incision Lenticule Extraction. Refractive surgery procedure where a thin lenticule is cleaved from the corneal stroma using a femtosecond laser and then extracted through a small incision in the corneal periphery."},{"code" : "111685","display" : "Autorefraction Visual Acuity","definition" : "A patient's vision with the correction measured by an autorefractor in place."},{"code" : "111686","display" : "Habitual Visual Acuity","definition" : "A patient's vision with whichever vision correction the patient customarily wears."},{"code" : "111687","display" : "Prescription Visual Acuity","definition" : "A patient's vision with the final spectacle prescription in place."},{"code" : "111688","display" : "Right Eye Rx","definition" : "The spectacle prescription for the right eye."},{"code" : "111689","display" : "Left Eye Rx","definition" : "The spectacle prescription for the left eye."},{"code" : "111690","display" : "Macular Grid Thickness and Volume Report","definition" : "A macular grid thickness and volume report for a patient. The macular grid is an analytic tool described in ."},{"code" : "111691","display" : "Number of Images Used for Macular Measurements","definition" : "Number of images used for the macular grid measurement."},{"code" : "111692","display" : "Number of Samples Used per Image","definition" : "Number of samples used per Image for analysis."},{"code" : "111693","display" : "Analysis Quality Rating","definition" : "A numeric rating of the quality of the entire analysis with respect to grading and diagnostic purposes.Higher numbers indicate greater quality."},{"code" : "111694","display" : "Image Set Quality Rating","definition" : "A numeric rating of the quality of an entire image set with respect to grading and diagnostic purposes.Higher numbers indicate greater quality."},{"code" : "111695","display" : "Interfering Tears or Drops","definition" : "Tear film or drops affecting test quality."},{"code" : "111696","display" : "Visual Fixation Quality During Acquisition","definition" : "The assessment of the centricity and persistence of the visual fixation (direction of gaze) during the acquisition."},{"code" : "111697","display" : "Visual Fixation Quality Problem","definition" : "The reason why the patient's visual fixation was not steady or was indeterminate."},{"code" : "111698","display" : "Ophthalmic Macular Grid Problem","definition" : "The reason why the macular grid measurements may be questionable."},{"code" : "111700","display" : "Specimen Container Identifier","definition" : "Identifier of container (box, block, microscope slide, etc.) for the specimen under observation."},{"code" : "111701","display" : "Processing type","definition" : "Type of processing that tissue specimen underwent."},{"code" : "111702","display" : "DateTime of processing","definition" : "Date and time of processing step."},{"code" : "111703","display" : "Processing step description","definition" : "Description of the individual step in the tissue processing sequence."},{"code" : "111704","display" : "Sampling Method","definition" : "Method of sampling used to derive specimen from its parent."},{"code" : "111705","display" : "Parent Specimen Identifier","definition" : "Identifier of the parent specimen that gave rise to the current specimen."},{"code" : "111706","display" : "Issuer of Parent Specimen Identifier","definition" : "Assigning authority for parent specimen's identifier."},{"code" : "111707","display" : "Parent specimen type","definition" : "Parent specimen type that gave rise to current specimen."},{"code" : "111708","display" : "Position Frame of Reference","definition" : "Description of coordinate system and origin reference point on parent specimen, or parent specimen container, or image used for localizing the sampling site or location within container or image."},{"code" : "111709","display" : "Location of sampling site","definition" : "Reference to image of parent specimen localizing the sampling site; may include referenced Presentation State object."},{"code" : "111710","display" : "Location of sampling site X offset","definition" : "Location of sampling site of specimen (nominal center) relative to the Position Frame of Reference."},{"code" : "111711","display" : "Location of sampling site Y offset","definition" : "Location of sampling site of specimen (nominal center) relative to the Position Frame of Reference."},{"code" : "111712","display" : "Location of sampling site Z offset","definition" : "Location of sampling site of specimen (nominal center) relative to the Position Frame of Reference."},{"code" : "111718","display" : "Location of Specimen","definition" : "Description of specimen location, either in absolute terms or relative to the Position Frame of Reference."},{"code" : "111719","display" : "Location of Specimen X offset","definition" : "Location of specimen (nominal center) relative to the Position Frame of Reference in the X dimension."},{"code" : "111720","display" : "Location of Specimen Y offset","definition" : "Location of specimen (nominal center) relative to the Position Frame of Reference in the Y dimension."},{"code" : "111721","display" : "Location of Specimen Z offset","definition" : "Location of specimen (nominal center) relative to the Position Frame of Reference in the Z dimension."},{"code" : "111723","display" : "Visual Marking of Specimen","definition" : "Description of visual distinguishing identifiers."},{"code" : "111724","display" : "Issuer of Specimen Identifier","definition" : "Assigning authority for specimen identifier."},{"code" : "111726","display" : "Dissection with entire specimen submission","definition" : "Dissection of specimen with submission of all its sections for further processing or examination."},{"code" : "111727","display" : "Dissection with representative sections submission","definition" : "Dissection of specimen with submission of representative sections for further processing or examination."},{"code" : "111729","display" : "Specimen storage","definition" : "A workflow step, during which tissue specimens are stored in a climate-controlled environment."},{"code" : "111741","display" : "Transmission illumination","definition" : "Transmission illumination method for specimen microscopy."},{"code" : "111742","display" : "Reflection illumination","definition" : "Reflection illumination method for specimen microscopy."},{"code" : "111743","display" : "Epifluorescence illumination","definition" : "Epifluorescence illumination method for specimen microscopy."},{"code" : "111744","display" : "Brightfield illumination","definition" : "Brightfield illumination method for specimen microscopy."},{"code" : "111745","display" : "Darkfield illumination","definition" : "Darkfield illumination method for specimen microscopy."},{"code" : "111746","display" : "Oblique illumination","definition" : "Oblique illumination method for specimen microscopy."},{"code" : "111747","display" : "Phase contrast illumination","definition" : "Phase contrast illumination method for specimen microscopy."},{"code" : "111748","display" : "Differential interference contrast","definition" : "Differential interference contrast method for specimen microscopy."},{"code" : "111749","display" : "Total internal reflection fluorescence","definition" : "Total internal reflection fluorescence method for specimen microscopy."},{"code" : "111750","display" : "Ultrasound Contact","definition" : "A method of obtaining ophthalmic axial measurements that uses ultrasound, and that requires applanation of the cornea."},{"code" : "111751","display" : "Ultrasound Immersion","definition" : "A method of obtaining ophthalmic axial measurements that uses ultrasound, and that requires immersion of the patient's eye in fluid as he lies in a supine position."},{"code" : "111752","display" : "Optical","definition" : "A method of obtaining ophthalmic axial measurements that uses light."},{"code" : "111753","display" : "Manual Keratometry","definition" : "Measurements taken of the corneal curvature using a manual keratometer."},{"code" : "111754","display" : "Auto Keratometry","definition" : "Measurements taken of the corneal curvature using an automated keratometer."},{"code" : "111755","display" : "Simulated Keratometry","definition" : "Simulated Keratometry measurements derived from corneal topography."},{"code" : "111756","display" : "Equivalent K-reading","definition" : "Corneal power measurements using Scheimpflug camera."},{"code" : "111757","display" : "Keratometry Measurements SOP Instance","definition" : "Keratometry Measurements DICOM SOP Instance."},{"code" : "111758","display" : "Total Cornea Power Measurement Method","definition" : "Method of determining the total cornea power from measuring the curvature of both anterior and posterior surface of the cornea."},{"code" : "111759","display" : "Posterior Cornea Surface Measurement Method","definition" : "Method of measuring the curvature of posterior surface of the cornea and determining its refractive power."},{"code" : "111760","display" : "Haigis","definition" : "The Haigis IOL calculation formula.Haigis W, Lege B, Miller N, Schneider B. Comparison of immersion ultrasound biometry and partial coherence interferometry for intraocular lens calculation according to Haigis. Graefes Arch Clin Exp Ophthalmol 2000;238:765-73."},{"code" : "111761","display" : "Haigis-L","definition" : "The Haigis-L IOL calculation formula.Haigis W. Intraocular lens calculation after refractive surgery for myopia: Haigis-L formula. J Cataract Refract Surg. 2008 Oct;34(10):1658-63."},{"code" : "111762","display" : "Holladay 1","definition" : "The Holladay 1 IOL calculation formula.Holladay JT, Prager TC, Chandler TY, Musgrove KH, Lewis JW, Ruiz RS. A three-part system for refining intraocular lens power calculations. J Cataract Refract Surg. 1988; 14:17-24."},{"code" : "111763","display" : "Holladay 2","definition" : "The Holladay 2 IOL calculation formula."},{"code" : "111764","display" : "Hoffer Q","definition" : "The Hoffer Q IOL calculation formula. Hoffer KJ. The Hoffer Q formula: a comparison of theoretic and regression formulas. J Cataract Refract Surg 1993;19:700-12. Errata. J Cataract Refract Surg 1994;20:677 and 2007;33:2-3."},{"code" : "111765","display" : "Olsen","definition" : "The Olsen IOL calculation formula. Olsen T. Calculation of intraocular lens power: a review. Acta Ophthalmol. Scand. 2007: 85: 472-485."},{"code" : "111766","display" : "SRKII","definition" : "The SRKII IOL calculation formula. Sanders DR, Retzlaff J, Kraff MC. Comparison of the SRK II formula and other second generation formulas. J Cataract Refract Surg. 1988 Mar;14(2):136-41."},{"code" : "111767","display" : "SRK-T","definition" : "The SRK-T IOL calculation formula.Retzlaff JA, Sanders DR, Kraff MC. Development of the SRK/T intraocular lens implant power calculation formula. J Cataract Refract Surg 1990;16:333-40. Erratum 1990;16:528."},{"code" : "111768","display" : "ACD Constant","definition" : "The \"ACD Constant\" used in IOL calculation."},{"code" : "111769","display" : "Haigis a0","definition" : "The \"Haigis a0\" constant used in IOL calculation."},{"code" : "111770","display" : "Haigis a1","definition" : "The \"Haigis a1\" constant used in IOL calculation."},{"code" : "111771","display" : "Haigis a2","definition" : "The \"Haigis a2\" constant used in IOL calculation."},{"code" : "111772","display" : "Hoffer pACD Constant","definition" : "The \"Hoffer pACD Constant\" used in IOL calculation."},{"code" : "111773","display" : "Surgeon Factor","definition" : "The \"Surgeon Factor\" constant used in IOL calculation."},{"code" : "111776","display" : "Front Of Cornea To Front Of Lens","definition" : "Anterior chamber depth defined as the front of the cornea to the front of the lens."},{"code" : "111777","display" : "Back Of Cornea To Front Of Lens","definition" : "Anterior chamber depth defined as the back of the cornea to the front of the lens."},{"code" : "111778","display" : "Single or Anterior Lens","definition" : "Refers to the anterior lens when there are two lenses in the eye. The distance, in mm, from the anterior surface of the lens to the posterior surface of the lens."},{"code" : "111779","display" : "Posterior Lens","definition" : "Refers to the posterior lens when there are two lenses in the eye. The distance, in mm, from the anterior surface of the lens to the posterior surface of the lens."},{"code" : "111780","display" : "Measurement From This Device","definition" : "Value obtained from measurements taken by the device creating this SOP Instance."},{"code" : "111781","display" : "External Data Source","definition" : "Value obtained by data transfer from an external source - not from measurements taken by the device providing the value."},{"code" : "111782","display" : "Axial Measurements SOP Instance","definition" : "Axial Measurements DICOM SOP Instance."},{"code" : "111783","display" : "Refractive Measurements SOP Instance","definition" : "Refractive Measurements DICOM SOP Instance."},{"code" : "111784","display" : "Autorefraction Measurements SOP Instance","definition" : "Autorefraction Measurements DICOM SOP Instance."},{"code" : "111786","display" : "Standard Deviation of measurements used","definition" : "Standard Deviation is a simple measure of the variability of data."},{"code" : "111787","display" : "Signal to Noise Ratio","definition" : "Signal to Noise Ratio of the data samples taken to create a measurement."},{"code" : "111791","display" : "Spherical projection","definition" : "Projection from 2D image pixels to 3D Cartesian coordinates based on a spherical mathematical model."},{"code" : "111792","display" : "Surface contour mapping","definition" : "Mapping from 2D image pixels to 3D Cartesian coordinates based on measurements of the retinal surface."},{"code" : "111800","display" : "Visual Field 24-2 Test Pattern","definition" : "Test pattern, nominally covering an area within 24° of fixation. Consists of 54 test points a minimum of 3° from each meridian and placed 6° apart.The \"-2\" distinguishes this from another 24° pattern (no longer supported)."},{"code" : "111801","display" : "Visual Field 10-2 Test Pattern","definition" : "Test pattern, nominally covering an area within 10° of fixation. Consists of 68 test points a minimum of 1° from each meridian and placed 2° apart.The \"-2\" in this case indicates its point layout to be similar to the 30-2 and 24-2."},{"code" : "111802","display" : "Visual Field 30-2 Test Pattern","definition" : "Test pattern consisting of test point locations within 30° of fixation. Consists of 76 test points a minimum of 3° from each meridian and placed 6° apart.The \"-2\" distinguishes this from another 30° pattern (no longer supported)."},{"code" : "111803","display" : "Visual Field 60-4 Test Pattern","definition" : "Test pattern consisting of 60 test point locations between 30° and 60° of fixation a minimum of 6° from each meridian and placed 12° apart.The \"-4\" distinguishes this from a similar 60° pattern having 4 additional points."},{"code" : "111804","display" : "Visual Field Macula Test Pattern","definition" : "Test pattern consisting of 16 test point locations within 10° of fixation a minimum of 1° from each meridian and placed 2° apart."},{"code" : "111805","display" : "Visual Field Central 40 Point Test Pattern","definition" : "Test pattern consisting of 40 test point locations within 30° of fixation that spread out radially from fixation."},{"code" : "111806","display" : "Visual Field Central 76 Point Test Pattern","definition" : "Test pattern consisting of 76 test point locations within 30° of fixation a minimum of 3° from each meridian and placed 6° apart."},{"code" : "111807","display" : "Visual Field Peripheral 60 Point Test Pattern","definition" : "Test pattern consisting of 60 test point locations between 30° and 60° of fixation a minimum of 6° from each meridian and placed 12° apart."},{"code" : "111808","display" : "Visual Field Full Field 81 Point Test Pattern","definition" : "Test pattern consisting of 81 test point locations within 60° of fixation that spread out radially from fixation."},{"code" : "111809","display" : "Visual Field Full Field 120 Point Test Pattern","definition" : "Test pattern consisting of 120 test point locations within 60° of fixation that spread out radially from fixation, concentrated in the nasal hemisphere."},{"code" : "111810","display" : "Visual Field G Test Pattern","definition" : "Test pattern for Glaucoma and general visual field assessment with 59 test locations of which 16 test locations are in the macular area (up to 10° eccentricity) and where the density of test location is reduced with eccentricity. The test can be extended with the inclusion of 14 test locations between 30° and 60° eccentricity, 6 of which are located at the nasal step."},{"code" : "111811","display" : "Visual Field M Test Pattern","definition" : "Test pattern for the macular area. Orthogonal test pattern with 0.7° spacing within the central 4° of eccentricity and reduced density of test locations between 4 and 10, 5° of eccentricity. 81 test locations over all. The test can be extended to include the test locations of the Visual Field G Test Pattern between 10, 5° and 60°."},{"code" : "111812","display" : "Visual Field 07 Test Pattern","definition" : "Full field test pattern with 48 test locations from 0-30° and 82 test locations from 30-70°. Reduced test point density with increased eccentricity. Can be combined with screening and threshold strategies."},{"code" : "111813","display" : "Visual Field LVC Test Pattern","definition" : "Low Vision Central. Orthogonal off-center test pattern with 6° spacing. 75 test locations within the central 30°. Corresponds with the 32/30-2 excluding the 2 locations at the blind spot, including a macular test location. The LVC is linked with a staircase threshold strategy starting at 0 dB intensity and applies stimulus area V."},{"code" : "111814","display" : "Visual Field Central Test Pattern","definition" : "General test corresponding to the 30-2 but excluding the 2 test locations in the blind spot area, hence with 74 instead of 76 test locations."},{"code" : "111815","display" : "Visual Field SITA-Standard Test Strategy","definition" : "Swedish Interactive Thresholding Algorithm (SITA). Strategy gains testing efficiency through use of visual field and information theory models.In: Bengtsson B, Olsson J, Heijl A, Rootzen H. A new generation of algorithms for computerized threshold perimetry, SITA. Acta Ophthalmologica Scandinavica, 1997, 75: 368-375."},{"code" : "111816","display" : "Visual Field SITA-SWAP Test Strategy","definition" : "Adaptation of SITA testing methods to Blue-Yellow testing."},{"code" : "111817","display" : "Visual Field SITA-Fast Test Strategy","definition" : "Similar to SITA-Standard but with less strict criteria for closing test points. Intended for patients who must be tested in the shortest possible time.In: Bengtsson B, Hejl A. SITA Fast, a new rapid perimetric threshold test. Description of methods and evaluation in patients with manifest and suspect glaucoma. Acta Ophthalmologica Scandinavica, 1998, 76: 431-437."},{"code" : "111818","display" : "Visual Field Full Threshold Test Strategy","definition" : "Threshold test algorithm that determines a patient's sensitivity at each test point in the threshold test pattern by adjusting intensity by 4 dB steps until the patient changes their response, and then adjusts the intensity in the opposite direction by 2 dB steps until the patient changes their response again. The last stimulus seen by the patient is recognized as the threshold for that point.The starting values are determined by first thresholding a \"primary\" point in each quadrant then using the results of each primary point to determine the starting values for neighboring points."},{"code" : "111819","display" : "Visual Field FastPac Test Strategy","definition" : "Similar to the Full Threshold algorithm except that it steps by 3 dB and only crosses the threshold only once.In: Flanagan JG, Wild JM, Trope GE. Evaluation of FASTPAC, a new strategy for threshold estimation with the Humphrey Field Analyzer, in a glaucomatous population. Ophthalmology, 1993, 100: 949-954."},{"code" : "111820","display" : "Visual Field Full From Prior Test Strategy","definition" : "Identical to Full Threshold except that starting values are determined by the results of a previous test performed using the same test pattern and the Full Threshold test strategy."},{"code" : "111821","display" : "Visual Field Optima Test Strategy","definition" : "Similar to FastPac except that the steps are pseudo-dynamic (differ based on the intensity of the last presentation)."},{"code" : "111822","display" : "Visual Field Two-Zone Test Strategy","definition" : "Suprathreshold testing strategy, in which each point is initially tested using stimulus that is 6 dB brighter than the expected hill of vision. If the patient does not respond, the stimulus is presented a second time at the same brightness. If the patient sees either presentation, the point is marked as \"seen\"; otherwise it is marked as \"not seen\"."},{"code" : "111823","display" : "Visual Field Three-Zone Test Strategy","definition" : "An extension of the two-zone strategy in which test points where the second stimulus is not seen are presented with a third stimulus at maximum brightness."},{"code" : "111824","display" : "Visual Field Quantify-Defects Test Strategy","definition" : "An extension of the two-zone strategy, in which test points where the second stimulus is not seen receive threshold testing to quantify the depth of any detected scotomas."},{"code" : "111825","display" : "Visual Field TOP Test Strategy","definition" : "Tendency Oriented Perimetry. Fast thresholding algorithm. Test strategy makes use of the interaction between neighboring test locations to reduce the test time compared to normal full threshold strategy by 60-80%.In: Morales J, Weitzman ML, Gonzalez de la Rosa M. Comparison between Tendency-Oriented Perimetry (TOP) and octopus threshold perimetry. Ophthalmology, 2000, 107: 134-142."},{"code" : "111826","display" : "Visual Field Dynamic Test Strategy","definition" : "Dynamic strategy is a fast thresholding strategy reducing test duration by adapting the dB step sizes according to the frequency-of-seeing curve of the threshold. Reduction of test time compared to normal full threshold strategy 30-50%."},{"code" : "111827","display" : "Visual Field Normal Test Strategy","definition" : "Traditional full threshold staircase strategy. Initial intensities are presented, based on anchor point sensitivities in each quadrant and based on already known neighboring sensitivities. In a first run, thresholds are changed in 4dB steps until the first response reversal. Then the threshold is changed in 2 dB steps until the second response reversal. The threshold is calculated as the average between the last seen and last not-seen stimulus, supposed to correspond with the 50% point in the frequency-of-seeing curve."},{"code" : "111828","display" : "Visual Field 1-LT Test Strategy","definition" : "One level screening test: Each test location is tested with a single intensity. The result is shown as seen or not-seen. The intensity can either be a 0 dB stimulus or a predefined intensity."},{"code" : "111829","display" : "Visual Field 2-LT Test Strategy","definition" : "Two level screening test: Each test location is initially tested 6 dB brighter than the age corrected normal value."},{"code" : "111830","display" : "Visual Field LVS Test Strategy","definition" : "Low Vision Strategy is a full threshold normal strategy with the exception that it starts at 0 dB intensity and applies stimulus area V."},{"code" : "111831","display" : "Visual Field GATE Test Strategy","definition" : "German Adaptive Threshold Estimation is a fast strategy based on a modified 4-2 staircase algorithm, using prior visual fields to calculate the starting intensity. In: Chiefer U, Pascual JP, Edmunds B, Feudner E, Hoffmann EM, Johnson CA, Lagreze WA, Pfeiffer N, Sample PA, Staubach F, Weleber RG, Vonthein R, Krapp E, Paetzold J. Comparison of the new perimetric GATE strategy with conventional full-threshold and SITA standard strategies. Investigative Ophthalmology and Visual Science, 2009, 51: 488-494."},{"code" : "111832","display" : "Visual Field GATEi Test Strategy","definition" : "Similar to GATE. The i stands for initial. If there was no prior visual field test to calculate the starting values, an anchor point method is used to define the local start values."},{"code" : "111833","display" : "Visual Field 2LT-Dynamic Test Strategy","definition" : "A test started as two level screening test. In the course of the test, the threshold of relative defects and/or normal test locations has been quantified using the dynamic threshold strategy."},{"code" : "111834","display" : "Visual Field 2LT-Normal Test Strategy","definition" : "A test started as two level screening test. In the course of the test, the threshold of relative defects and/or normal test locations has been quantified using the normal full threshold strategy."},{"code" : "111835","display" : "Visual Field Fast Threshold Test Strategy","definition" : "Takes neighborhood test point results into account and offers stimuli with an adapted value to save time."},{"code" : "111836","display" : "Visual Field CLIP Test Strategy","definition" : "Continuous Luminance Incremental Perimetry, which measures at first the individual reaction time of the patient and threshold values in every quadrant. The starting value for the main test is slightly below in individual threshold."},{"code" : "111837","display" : "Visual Field CLASS Strategy","definition" : "A supra threshold screening strategy. The starting stimuli intensities depend on the classification of the patient's visual hill by measuring the central (fovea) or peripheral (15° meridian) threshold. The result of each dot slightly underestimates the sensitivity value (within 5 dB)."},{"code" : "111838","display" : "Age corrected","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance s is chosen based on the age of the patient."},{"code" : "111839","display" : "Threshold related","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance is chosen based on the results of thresholding a set of \"primary\" test points (one in each quadrant)."},{"code" : "111840","display" : "Single luminance","definition" : "Mode for determining the starting luminance for screening test points - in this case, all starting luminance is set to the same value."},{"code" : "111841","display" : "Foveal sensitivity related","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance is chosen based on the result of the foveal threshold value."},{"code" : "111842","display" : "Related to non macular sensitivity","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance is chosen based on the result of four threshold values measured near the 15° meridian (one in each quadrant)."},{"code" : "111843","display" : "Automated Optical","definition" : "Real time evaluation of the camera image to recognize blinks and fixation losses with influence on the test procedure. Blinks that interfere with stimuli presentation cause the automated repetition of such stimulus presentations. Fixation losses can be used to delay the stimulus presentation until correct fixation is regained."},{"code" : "111844","display" : "Blind Spot Monitoring","definition" : "A method of monitoring the patient's fixation by periodically presenting stimulus in a location on the background surface that corresponds to the patient's blind spot."},{"code" : "111845","display" : "Macular Fixation Testing","definition" : "A method of monitoring the patient's fixation by presenting the stimulus to the patient's macula."},{"code" : "111846","display" : "Observation by Examiner","definition" : "A method of monitoring the patient's fixation by observation from the examiner of the patient."},{"code" : "111847","display" : "Outside normal limits","definition" : "Analysis Results are outside normal limits."},{"code" : "111848","display" : "Borderline","definition" : "Analysis Results are borderline."},{"code" : "111849","display" : "Abnormally high sensitivity","definition" : "Analysis Results identify abnormally high sensitivity."},{"code" : "111850","display" : "General reduction in sensitivity","definition" : "Analysis Results identify general reduction in sensitivity."},{"code" : "111851","display" : "Borderline and general reduction in sensitivity","definition" : "Analysis Results identify Borderline and general reduction in sensitivity."},{"code" : "111852","display" : "Visual Field Index","definition" : "Index of a patient's remaining visual field normalized for both age and generalized defect."},{"code" : "111853","display" : "Visual Field Loss Due to Diffuse Defect","definition" : "Estimate of the portion of a patient's visual field loss that is diffuse (i.e., spread evenly across all portions of the visual field)."},{"code" : "111854","display" : "Visual Field Loss Due to Local Defect","definition" : "Estimate of the portion of a patient's visual field loss that is local (i.e., not spread evenly across all portions of the visual field)."},{"code" : "111855","display" : "Glaucoma Hemifield Test Analysis","definition" : "An analysis of asymmetry between zones of the superior and inferior visual field. It is designed to be specific for defects due to glaucoma."},{"code" : "111856","display" : "Optical Fixation Measurements","definition" : "The data output of an optical fixation monitoring process, consisting of a list of positive and negative numbers indicating the quality of patient fixation over the course of a visual field test. The value 0 represents the initial fixation. Negative numbers indicate a measuring error (i.e., the patient blinked). Positive numbers quantify the degree of eccentricity from initial fixation."},{"code" : "111860","display" : "Haigis Toric","definition" : "The Haigis Toric IOL calculation formula.Haigis, Wolfgang. Toric Iol Power Calculation. 2014."},{"code" : "111861","display" : "Haigis-L Toric","definition" : "The Haigis-L Toric IOL calculation formula.Haigis W, Intraocular lens calculation after refractive surgery for myopia: Haigis-L formula. J Cataract Refract Surg, 2008. 34(10): 1658-63. doi:10.1016/j.jcrs.2008.06.029."},{"code" : "111862","display" : "Barrett Toric","definition" : "The Barrett Toric IOL calculation formula.Abulafia, A., et al., Prediction of refractive outcomes with toric intraocular lens implantation. J Cataract Refract Surg, 2015. 41(5): p. 936-44. doi:10.1016/j.jcrs.2014.08.036."},{"code" : "111863","display" : "Barrett True-K","definition" : "The Barrett True-K IOL calculation formula.Abulafia, A., et al., Accuracy of the Barrett True-K formula for intraocular lens power prediction after laser in situ keratomileusis or photorefractive keratectomy for myopia. J Cataract Refract Surg, 2016. 42(3): p. 363-9. doi:10.1016/j.jcrs.2015.11.039."},{"code" : "111864","display" : "Barrett True-K Toric","definition" : "The Barrett True-K Toric IOL calculation formula.Barrett G.D., Barrett True-K toric calculator."},{"code" : "111865","display" : "Barrett Universal II","definition" : "The Barrett Universal II IOL calculation formula.Barrett, G.D., An improved universal theoretical formula for intraocular lens power prediction. J Cataract Refract Surg, 1993. 19: p. 713-720. doi:10.1016/S0886-3350(13)80339-2"},{"code" : "111866","display" : "Barrett Lens Factor","definition" : "The \"Barrett Lens Factor\" constant used in IOL calculation."},{"code" : "111867","display" : "Barrett Design Factor","definition" : "The \"Barrett Design Factor\" constant used in IOL calculation."},{"code" : "111868","display" : "Kane","definition" : "The Kane intraocular lens calculation formula.Connell BJ, Kane JX. Comparison of the Kane formula with existing formulas for intraocular lens power selection. BMJ Open Ophthalmol. 2019 Apr 1;4(1):e000251. doi:10.1136/bmjophth-2018-000251. PMID: 31179396; PMCID: PMC6528763."},{"code" : "111869","display" : "Kane Toric","definition" : "The Kane Toric intraocular lens calculation formula.Kane JX, Connell B. A Comparison of the Accuracy of 6 Modern Toric Intraocular Lens Formulas. Ophthalmology. 2020 Nov;127(11):1472-1486. doi:10.1016/j.ophtha.2020.04.039. Epub 2020 May 1. PMID: 32371252."},{"code" : "111870","display" : "Kane Keratoconus","definition" : "The Kane Keratoconus intraocular lens calculation formula.Kane JX, Connell B, Yip H, McAlister JC, Beckingsale P, Snibson GR, Chan E. Accuracy of Intraocular Lens Power Formulas Modified for Patients with Keratoconus. Ophthalmology. 2020 Aug;127(8):1037-1042. doi:10.1016/j.ophtha.2020.02.008. Epub 2020 Apr 9. PMID: 32279887."},{"code" : "111871","display" : "Barrett Keratoconus","definition" : "The Barrett Keratoconus intraocular lens calculation formula.Ton, Yokrat MD; Barrett, Graham D. MD, FRANZCO; Kleinmann, Guy MD; Levy, Adi MHA; Assia, Ehud I. MD. Toric intraocular lens power calculation in cataract patients with keratoconus. Journal of Cataract & Refractive Surgery 47(11):p 1389-1397, November 2021. doi:10.1097/j.jcrs.0000000000000638."},{"code" : "111872","display" : "Barrett Rx","definition" : "The Barrett Rx intraocular lens calculation formula.Barrett GD. The Barrett Rx formula: predicting IOL power based on refraction after cataract surgery. Barcelona. Spain: European Society of Cataract & Refractive Surgeons; 2015."},{"code" : "111873","display" : "EVO","definition" : "The Emmetropia Verifying Optical (EVO) intraocular lens calculation formula.Yeo, T.K. (2024). Emmetropia Verifying Optical (EVO) Formula. In: Aramberri, J., Hoffer, K.J., Olsen, T., Savini, G., Shammas, H.J. (eds) Intraocular Lens Calculations. Essentials in Ophthalmology. Springer, Cham. doi:10.1007/978-3-031-50666-6_40."},{"code" : "111874","display" : "Shammas No-History","definition" : "The Shammas no-history method using Shammas-PL IOL calculation formula.Shammas HJ, Shammas MC. No-history method of intraocular lens power calculation for cataract surgery after myopic laser in situ keratomileusis. J Cataract Refract Surg. 2007 Jan;33(1):31-6. doi:10.1016/j.jcrs.2006.08.045. PMID: 17189790."},{"code" : "111875","display" : "Camellin-Calossi","definition" : "The Camellin and Calossi IOL calculation formula.Camellin M, Calossi A. A new formula for intraocular lens power calculation after refractive corneal surgery. J Refract Surg. 2006 Feb;22(2):187-99. doi:10.3928/1081-597X-20060201-18. PMID: 16523839."},{"code" : "111876","display" : "Hill RBF 3.0","definition" : "The Hill Radial Basis Function (RBF) Formula Version 3.0.Hill Radial Basis Function calculator ."},{"code" : "111877","display" : "PEARL-DGS","definition" : "The PEARL-DGS IOL calculation formula.Debellemanie`re G, Dubois M, Gauvin M, Wallerstein A, Brenner L, Rampat R, Saad A, Gatinel D. The PEARL-DGS formula: the development of an open-source machine learning-based thick IOL calculation formula. Am J Ophthalmol. 2021;232:58–69. doi:10.1016/j.ajo.2021.05.004."},{"code" : "111900","display" : "Macula centered","definition" : "An image of at least 15° angular subtend that is centered on the macula."},{"code" : "111901","display" : "Disc centered","definition" : "An image of at least 15° angular subtend that is centered on the optic disc."},{"code" : "111902","display" : "Lesion centered","definition" : "An image of any angular subtend that is centered on a lesion located in any region of the fundus."},{"code" : "111903","display" : "Disc-macula centered","definition" : "An image of at least 15° angular subtend centered midway between the disc and macula and containing at least a portion of the disc and both the disc and the macula."},{"code" : "111904","display" : "Mid-peripheral-superior","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the superior-temporal and superior-nasal quadrants of the fundus."},{"code" : "111905","display" : "Mid-peripheral-superior temporal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the superior-temporal quadrant of the fundus."},{"code" : "111906","display" : "Mid-peripheral-temporal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the superior-temporal and inferior-temporal quadrants of the fundus."},{"code" : "111907","display" : "Mid-peripheral-inferior temporal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the inferior-temporal quadrant of the fundus."},{"code" : "111908","display" : "Mid-peripheral-inferior","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the inferior-temporal and inferior-nasal quadrants of the fundus."},{"code" : "111909","display" : "Mid-peripheral-inferior nasal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the inferior-nasal quadrant of the fundus."},{"code" : "111910","display" : "Mid-peripheral-nasal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the superior-nasal and inferior-nasal quadrants of the fundus."},{"code" : "111911","display" : "Mid-peripheral-superior nasal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the superior-nasal quadrant of the fundus."},{"code" : "111912","display" : "Peripheral-superior","definition" : "An image of at least 15° angular subtend positioned between the equator and the ora serrata, and spanning both the superior temporal and superior nasal quadrants of the fundus."},{"code" : "111913","display" : "Peripheral-superior temporal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the superior-temporal quadrant of the fundus."},{"code" : "111914","display" : "Peripheral-temporal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata, and spanning both the superior-temporal and inferior-temporal quadrants of the fundus."},{"code" : "111915","display" : "Peripheral-inferior temporal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the inferior-temporal quadrant of the fundus."},{"code" : "111916","display" : "Peripheral-inferior","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata, and spanning both the inferior-temporal and inferior-nasal quadrants of the fundus."},{"code" : "111917","display" : "Peripheral-inferior nasal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the inferior-nasal quadrant of the fundus."},{"code" : "111918","display" : "Peripheral-nasal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata, and spanning both the superior-nasal and inferior-nasal quadrants of the fundus."},{"code" : "111919","display" : "Peripheral-superior nasal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the superior-nasal quadrant of the fundus."},{"code" : "111920","display" : "Time domain","definition" : "Identifies the use of physical signals with respect to time to capture information."},{"code" : "111921","display" : "Spectral domain","definition" : "Identifies the use of physical signals with respect to multiple frequencies to capture information."},{"code" : "111922","display" : "No corneal compensation","definition" : "No compensation algorithm for corneal birefringence."},{"code" : "111923","display" : "Corneal birefringence compensation","definition" : "Algorithm to compensate for variability in corneal birefringence."},{"code" : "111924","display" : "Retinal topography","definition" : "Measurement of the retinal surface contour relative to an assigned datum plane."},{"code" : "111925","display" : "Retinal nerve fiber layer thickness","definition" : "Measurement approximating the distance related to the structure between the internal limiting membrane (ILM) and the outer boarder of the retinal nerve fiber layer (RNFL)."},{"code" : "111926","display" : "Ganglion cell complex thickness","definition" : "Measurement approximating the distance related to the structure between the ILM and the outer border of the inner plexiform layer (IPL), called the ganglion cell complex (GCC)."},{"code" : "111927","display" : "Total retinal thickness (ILM to IS-OS)","definition" : "Measurement approximating the distance related to the structure between the ILM and the inner-outer segment junction (IS-OS)."},{"code" : "111928","display" : "Total retinal thickness (ILM to RPE)","definition" : "Measurement approximating the distance related to the structure between the ILM and the retinal pigment epithelium (RPE)."},{"code" : "111929","display" : "Total retinal thickness (ILM to BM)","definition" : "Measurement approximating the distance related to the structure between the ILM and the Bruch's membrane (BM)."},{"code" : "111930","display" : "Absolute ophthalmic thickness","definition" : "Thickness of a component of the posterior segment of the eye."},{"code" : "111931","display" : "Thickness deviation category from normative data","definition" : "Ophthalmic Thickness map based upon statistical significance category (such as percentile) from normative data."},{"code" : "111932","display" : "Thickness deviation from normative data","definition" : "Ophthalmic Thickness map based upon deviation (such as microns) from normative data."},{"code" : "111933","display" : "Related ophthalmic thickness map","definition" : "Ophthalmic Thickness Map related to another Ophthalmic Thickness Map or another SOP Instance."},{"code" : "111934","display" : "Disc-Fovea","definition" : "An anatomic point centered midway between the disc and fovea centralis."},{"code" : "111935","display" : "p>5%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is not statistically significant."},{"code" : "111936","display" : "p<5%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 95% unlikely to happen by chance."},{"code" : "111937","display" : "p<2%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 98% unlikely to happen by chance."},{"code" : "111938","display" : "p<1%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 99% unlikely to happen by chance."},{"code" : "111939","display" : "p<0.5%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 99.5% unlikely to happen by chance."},{"code" : "111940","display" : "Corneal axial power map","definition" : "A two dimensional representation of the axial curvature of the cornea. Axial curvature is calculated from the reciprocal of the distance from a point on a meridian normal at the point to the corneal topographer axis. Also known as sagittal curvature."},{"code" : "111941","display" : "Corneal instantaneous power map","definition" : "A two dimensional representation of the instantaneous curvature of the cornea. Instantaneous curvature is calculated from the reciprocal of the distance from a point on a meridian normal at the point to the center of curvature of that point. Also called tangential curvature."},{"code" : "111942","display" : "Corneal refractive power map","definition" : "A two dimensional representation of the refractive power of the cornea. Corneal refractive power is calculated using Snell's Law."},{"code" : "111943","display" : "Corneal elevation map","definition" : "A two dimensional representation of the elevation of the cornea. Elevation is calculated as the distance from a point on the corneal surface to a point on a reference surface along a line parallel to the corneal topographer axis. For the purpose of visualization the reference surface is usually a sphere or an ellipse."},{"code" : "111944","display" : "Corneal wavefront map","definition" : "A two dimensional representation of a wavefront aberration surface of the cornea. Wavefront aberration surface is calculated from the corneal elevation data fit with either the Zernike polynomial series or the Fourier Series. Maps generally display total aberrations and selectable higher order aberrations."},{"code" : "111945","display" : "Elevation-based corneal tomographer","definition" : "A device that measures corneal anterior surface shape using elevation-based methods (stereographic and light slit-based). Rasterstereography images a grid pattern illuminating the fluorescein dyed tear film with 2 cameras to produce 3D. Slit-based devices scan the cornea, usually by rotation about the instrument axis centered on the cornea vertex."},{"code" : "111946","display" : "Reflection-based corneal topographer","definition" : "A reflection-based device that projects a pattern of light onto the cornea and an image of the reflection of that pattern from the tear film is recorded in one video frame. Light patterns include the circular mire pattern (Placido disc) and spot matrix patterns. Sequential scanning of light spots reflected from the corneal surface is also used requiring multiple video frames for recording."},{"code" : "111947","display" : "Interferometry-based corneal tomographer","definition" : "An Interference-based device that projects a beam of light onto and through the cornea. Light reflected from within the cornea is combined with a reference beam giving rise to an interference pattern. Appropriately scanned, this imaging is used to construct 3-dimensional images of the cornea from anterior to posterior surfaces."},{"code" : "112000","display" : "Chest CAD Report","definition" : "A structured report containing the results of computer-aided detection or diagnosis applied to chest imaging and associated clinical information."},{"code" : "112001","display" : "Opacity","definition" : "The shadow of an absorber that attenuates the X-Ray beam more effectively than do surrounding absorbers. In a radiograph, any circumscribed area that appears more nearly white (of lesser photometric density) than its surround [Fraser and Pare]."},{"code" : "112002","display" : "Series Instance UID","definition" : "A unique identifier for a series of DICOM SOP instances."},{"code" : "112003","display" : "Associated Chest Component","definition" : "A named anatomic region within the chest cavity."},{"code" : "112004","display" : "Abnormal interstitial pattern","definition" : "A collection of opacities detected within the continuum of loose connective tissue throughout the lung, that is not expected in a diagnostically normal radiograph."},{"code" : "112005","display" : "Radiographic anatomy","definition" : "A type of anatomy that is expected to be detectable on a radiographic (X-Ray based) image."},{"code" : "112006","display" : "Distribution Descriptor","definition" : "Characteristic of the extent of spreading of a finding or feature."},{"code" : "112007","display" : "Border definition","definition" : "Characteristic of the clarity of the boundary or edges of a finding or feature."},{"code" : "112008","display" : "Site involvement","definition" : "The part(s) of the anatomy affected or encompassed by a finding or feature."},{"code" : "112009","display" : "Type of Content","definition" : "Characteristic of the matter or substance within a finding or feature."},{"code" : "112010","display" : "Texture Descriptor","definition" : "Characteristic of the surface or consistency of a finding or feature."},{"code" : "112011","display" : "Positioner Primary Angle","definition" : "Position of the X-Ray beam about the patient from the RAO to LAO direction where movement from RAO to vertical is positive."},{"code" : "112012","display" : "Positioner Secondary Angle","definition" : "Position of the X-Ray beam about the patient from the caudal to cranial direction where movement from caudal to vertical is positive."},{"code" : "112013","display" : "Location in Chest","definition" : "The zone, lobe or segment within the chest cavity in which a finding or feature is situated."},{"code" : "112014","display" : "Orientation Descriptor","definition" : "Vertical refers to orientation parallel to the superior-inferior (cephalad-caudad) axis of the body, with horizontal being perpendicular to this, and an oblique orientation having projections in both the horizontal and vertical."},{"code" : "112015","display" : "Border shape","definition" : "Characteristic of the shape formed by the boundary or edges of a finding or feature."},{"code" : "112016","display" : "Baseline Category","definition" : "Indicates whether a finding was considered a target lesion, non-target lesion, or non-lesion during evaluation of a baseline series, according to a method such as RECIST."},{"code" : "112017","display" : "Cavity extent as percent of volume","definition" : "The extent of a detected cavity, represented as the percent of the surrounding volume that it occupies."},{"code" : "112018","display" : "Calcification extent as percent of surface","definition" : "The extent of a detected calcification, represented as the percent of the surrounding surface that it occupies."},{"code" : "112019","display" : "Calcification extent as percent of volume","definition" : "The extent of a detected calcification, represented as the percent of the surrounding volume that it occupies."},{"code" : "112020","display" : "Response Evaluation","definition" : "A heading for the reporting of response evaluation for treatment of solid tumors."},{"code" : "112021","display" : "Response Evaluation Method","definition" : "The system applied in the reporting of response evaluation for treatment of solid tumors."},{"code" : "112022","display" : "RECIST","definition" : "Response Evaluation Criteria In Solid Tumors."},{"code" : "112023","display" : "Composite Feature Modifier","definition" : "A term that further specifies the name of an item that is an inferred correlation relating two or more individual findings or features."},{"code" : "112024","display" : "Single Image Finding Modifier","definition" : "A term that further specifies the name of an item that was detected on one image."},{"code" : "112025","display" : "Size Descriptor","definition" : "A qualitative descriptor for the extent of a finding or feature."},{"code" : "112026","display" : "Width Descriptor","definition" : "A qualitative descriptor for the thickness of tubular structures, such as blood vessels."},{"code" : "112027","display" : "Opacity Descriptor","definition" : "A characteristic that further describes the nature of an opacity."},{"code" : "112028","display" : "Abnormal Distribution of Anatomic Structure","definition" : "The type of adverse affect that a finding or feature is having on the surrounding anatomy."},{"code" : "112029","display" : "WHO","definition" : "Response evaluation method as defined in chapter 5, \"Reporting of Response\" of the WHO Handbook for Reporting Results for Cancer Treatment."},{"code" : "112030","display" : "Calcification Descriptor","definition" : "Identification of the morphology of detected calcifications."},{"code" : "112031","display" : "Attenuation Coefficient","definition" : "A quantitative numerical statement of the relative attenuation of the X-Ray beam at a specified point. Coefficient that describes the fraction of a beam of X-Rays or gamma rays that is absorbed or scattered per unit thickness of the absorber. This value basically accounts for the number of atoms in a cubic cm volume of material and the probability of a photon being scattered or absorbed from the nucleus or an electron of one of these atoms. Usually expressed in Hounsfield units [referred to as CT Number in Fraser and Pare]."},{"code" : "112032","display" : "Threshold Attenuation Coefficient","definition" : "An X-Ray attenuation coefficient that is used as a threshold."},{"code" : "112033","display" : "Abnormal opacity","definition" : "An opacity that is not expected in a diagnostically normal radiograph."},{"code" : "112034","display" : "Calculation Description","definition" : "A textual description of the mathematical method of calculation that resulted in a calculated value."},{"code" : "112035","display" : "Performance of Pediatric and Adult Chest Radiography, ACR","definition" : "American College of Radiology. ACR Standard for the Performance of Pediatric and Adult Chest Radiography. In: Standards. Reston, Va: 2001:95-98."},{"code" : "112036","display" : "ACR Position Statement","definition" : "American College of Radiology. ACR Position Statement for Quality Control and Improvement, Safety, Infection Control, and Patient Concerns. In: Practice Guidelines and Technical Standards. Reston, Va: 2001:iv."},{"code" : "112037","display" : "Non-lesion Modifier","definition" : "A descriptor for a non-lesion object finding or feature, used to indicate whether the object was detected as being internal or external to the patient's body."},{"code" : "112038","display" : "Osseous Modifier","definition" : "A concept modifier for an Osseous Anatomy, or bone related, finding."},{"code" : "112039","display" : "Tracking Identifier","definition" : "A text label used for tracking a finding or feature, potentially across multiple reporting objects, over time. This label shall be unique within the domain in which it is used. Corresponds to Tracking ID (0062,0020)."},{"code" : "112040","display" : "Tracking Unique Identifier","definition" : "A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time. Corresponds to Tracking UID (0062,0021)."},{"code" : "112041","display" : "Target Lesion Complete Response","definition" : "Disappearance of all target lesions."},{"code" : "112042","display" : "Target Lesion Partial Response","definition" : "At least a 30% decrease in the sum of the Longest Diameter of target lesions, taking as reference the baseline sum Longest Diameter."},{"code" : "112043","display" : "Target Lesion Progressive Disease","definition" : "At least a 20% increase in the sum of the Longest Diameter of target lesions, taking as reference the smallest sum Longest Diameter recorded since the treatment started, or the appearance of one or more new lesions."},{"code" : "112044","display" : "Target Lesion Stable Disease","definition" : "Neither sufficient shrinkage to qualify for Partial Response nor sufficient increase to qualify for Progressive Disease, taking as reference the smallest sum Longest Diameter since the treatment started."},{"code" : "112045","display" : "Non-Target Lesion Complete Response","definition" : "Disappearance of all non-target lesions and normalization of tumor marker level."},{"code" : "112046","display" : "Non-Target Lesion Incomplete Response or Stable Disease","definition" : "Persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits."},{"code" : "112047","display" : "Non-Target Lesion Progressive Disease","definition" : "Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions."},{"code" : "112048","display" : "Current Response","definition" : "The current response evaluation for treatment of solid tumors, according to a method such as RECIST."},{"code" : "112049","display" : "Best Overall Response","definition" : "Best response recorded from the start of the treatment until disease progression/recurrence, taking as reference for Progressive Disease the smallest measurements recorded since the treatment started, according to a method such as RECIST."},{"code" : "112050","display" : "Anatomic Identifier","definition" : "A text identifier of an anatomic feature when a multiplicity of features of that type may be present, such as \"Rib 1\", \"Rib 2\" or thoracic vertebrae \"T1\" or \"T2\"."},{"code" : "112051","display" : "Measurement of Response","definition" : "A measured or calculated evaluation of response."},{"code" : "112052","display" : "Bronchovascular","definition" : "Of or relating to a bronchial (lung) specific channel for the conveyance of a body fluid."},{"code" : "112053","display" : "Osseous","definition" : "Of, relating to, or composed of bone."},{"code" : "112054","display" : "Secondary pulmonary lobule","definition" : "The smallest unit of lung surrounded by connective tissue septa; the unit of lung subtended by any bronchiole that gives off three to five terminal bronchioles [Fraser and Pare]."},{"code" : "112055","display" : "Agatston scoring method","definition" : "A method of calculating an overall calcium score, reflecting the calcification of coronary arteries, based on the maximum X-Ray attenuation coefficient and the area of calcium deposits."},{"code" : "112056","display" : "Volume scoring method","definition" : "A method of calculating an overall calcium score, reflecting the calcification of coronary arteries, based on the volume of each calcification, typically expressed in mm3."},{"code" : "112057","display" : "Mass scoring method","definition" : "A method of calculating an overall calcium score, reflecting the calcification of coronary arteries, based on the total mass of calcification, typically expressed in mg."},{"code" : "112058","display" : "Calcium score","definition" : "A measure often arrived at through calculation of findings from CT examination, which is a common predictor of significant stenosis of the coronary arteries."},{"code" : "112059","display" : "Primary complex","definition" : "The combination of a focus of pneumonia due to a primary infection with granulomas in the draining hilar or mediastinal lymph nodes [Fraser and Pare]."},{"code" : "112060","display" : "Oligemia","definition" : "General or local decrease in the apparent width of visible pulmonary vessels, suggesting less than normal blood flow (reduced blood flow) [Fraser and Pare]."},{"code" : "112061","display" : "Abnormal lines (1D)","definition" : "Linear opacity of very fine width, i.e., a nearly one dimensional opacity."},{"code" : "112062","display" : "Abnormal lucency","definition" : "Area of abnormal very low X-Ray attenuation, typically lower than aerated lung when occurring in or projecting over lung, or lower than soft tissue when occurring in or projecting over soft tissue."},{"code" : "112063","display" : "Abnormal calcifications","definition" : "A calcific opacity within the lung that may be organized, but does not display the trabecular organization of true bone [Fraser and Pare]."},{"code" : "112064","display" : "Abnormal texture","definition" : "Relatively homogeneous, extended, pattern of abnormal opacity in the lung, typically low in contrast."},{"code" : "112065","display" : "Reticulonodular pattern","definition" : "A collection of innumerable small, linear, and nodular opacities that together produce a composite appearance resembling a net with small superimposed nodules. The reticular and nodular elements are dimensionally of similar magnitude [Fraser and Pare]."},{"code" : "112066","display" : "Beaded septum sign","definition" : "Irregular septal thickening that suggests the appearance of a row of beads; usually a sign of lymphangitic carcinomatosis, but may also occur rarely in sarcoidosis [Fraser and Pare]."},{"code" : "112067","display" : "Nodular pattern","definition" : "A collection of innumerable, small discrete opacities ranging in diameter from 2-10 mm, generally uniform in size and widespread in distribution, and without marginal spiculation [Fraser and Pare]."},{"code" : "112068","display" : "Pseudoplaque","definition" : "An irregular band of peripheral pulmonary opacity adjacent to visceral pleura that simulates the appearance of a pleural plaque and is formed by coalescence of small nodules [Fraser and Pare] ."},{"code" : "112069","display" : "Signet-ring sign","definition" : "A ring of opacities (usually representing a dilated, thick-walled bronchus) in association with a smaller, round, soft tissue opacity (the adjacent pulmonary artery) suggesting a \"signet ring\" [Fraser and Pare]."},{"code" : "112070","display" : "Air bronchiologram","definition" : "Equivalent of air bronchogram, but in airways assumed to be bronchioles because of peripheral location and diameter [Fraser and Pare]."},{"code" : "112071","display" : "Air bronchogram","definition" : "Radiographic shadow of an air-containing bronchus; presumed to represent an air-containing segment of the bronchial tree (identity often inferred) [Fraser and Pare]."},{"code" : "112072","display" : "Air crescent","definition" : "Air in a crescentic shape in a nodule or mass, in which the air separates the outer wall of the lesion from an inner sequestrum, which most commonly is a fungus ball of Aspergillusspecies [Fraser and Pare]."},{"code" : "112073","display" : "Halo sign","definition" : "Ground-glass opacity surrounding the circumference of a nodule or mass. May be a sign of invasive aspergillosis or hemorrhage of various causes [Fraser and Pare]."},{"code" : "112074","display" : "Target Lesion at Baseline","definition" : "Flag denoting that this lesion was identified, at baseline, as a target lesion intended for tracking over time [RECIST]."},{"code" : "112075","display" : "Non-Target Lesion at Baseline","definition" : "Flag denoting that this lesion was not identified, at baseline, as a target lesion, and was not intended for tracking over time [RECIST]."},{"code" : "112076","display" : "Non-Lesion at Baseline","definition" : "Flag denoting that this finding was identified, at baseline, as a category other than a lesion, and was not intended for tracking over time [RECIST]."},{"code" : "112077","display" : "Vasoconstriction","definition" : "Local or general reduction in the caliber of visible pulmonary vessels, presumed to result from decreased flow occasioned by contraction of muscular pulmonary arteries [Fraser and Pare]."},{"code" : "112078","display" : "Vasodilation","definition" : "Local or general increase in the width of visible pulmonary vessels resulting from increased pulmonary blood flow [Fraser and Pare]."},{"code" : "112079","display" : "Architectural distortion","definition" : "A manifestation of lung disease in which bronchi, pulmonary vessels, a fissure or fissures, or septa of secondary pulmonary lobules are abnormally displaced [Fraser and Pare]."},{"code" : "112080","display" : "Mosaic perfusion","definition" : "A patchwork of regions of varied attenuation, interpreted as secondary to regional differences in perfusion [Fraser and Pare]."},{"code" : "112081","display" : "Pleonemia","definition" : "Increased blood flow to the lungs or a portion thereof, manifested by a general or local increase in the width of visible pulmonary vessels [Fraser and Pare]."},{"code" : "112082","display" : "Interface","definition" : "The common boundary between the shadows of two juxtaposed structures or tissues of different texture or opacity (edge, border) [Fraser and Pare]."},{"code" : "112083","display" : "Line","definition" : "A longitudinal opacity no greater than 2 mm in width [Fraser and Pare]."},{"code" : "112084","display" : "Lucency","definition" : "The shadow of an absorber that attenuates the primary X-Ray beam less effectively than do surrounding absorbers. In a radiograph, any circumscribed area that appears more nearly black (of greater photometric density) than its surround [Fraser and Pare]."},{"code" : "112085","display" : "Midlung window","definition" : "A midlung region, characterized by the absence of large blood vessels and by a paucity of small blood vessels, that corresponds to the minor fissure and adjacent peripheral lung [Fraser and Pare]."},{"code" : "112086","display" : "Carina angle","definition" : "The angle formed by the right and left main bronchi at the tracheal bifurcation [Fraser and Pare]."},{"code" : "112087","display" : "Centrilobular structures","definition" : "The pulmonary artery and its immediate branches in a secondary lobule; HRCT depicts these vessels in certain cases; a.k.a. core structures or lobular core structures [Fraser and Pare]."},{"code" : "112088","display" : "Anterior junction line","definition" : "A vertically oriented linear or curvilinear opacity approximately 1-2 mm wide, commonly projected on the tracheal air shadow [Fraser and Pare]."},{"code" : "112089","display" : "Posterior junction line","definition" : "A vertically oriented, linear or curvilinear opacity approximately 2 mm wide, commonly projected on the tracheal air shadow, and usually slightly concave to the right [Fraser and Pare]."},{"code" : "112090","display" : "Azygoesophageal recess interface","definition" : "A space in the right side of the mediastinum into which the medial edge of the right lower lobe extends [Fraser and Pare]."},{"code" : "112091","display" : "Paraspinal line","definition" : "A vertically oriented interface usually seen in a frontal chest radiograph to the left of the thoracic vertebral column [Fraser and Pare]."},{"code" : "112092","display" : "Posterior tracheal stripe","definition" : "A vertically oriented linear opacity ranging in width from 2-5 mm, extending from the thoracic inlet to the bifurcation of the trachea, and visible only on lateral radiographs of the chest [Fraser and Pare]."},{"code" : "112093","display" : "Right tracheal stripe","definition" : "A vertically oriented linear opacity approximately 2-3 mm wide extending from the thoracic inlet to the right tracheobronchial angle [Fraser and Pare]."},{"code" : "112094","display" : "Stripe","definition" : "A longitudinal composite opacity measuring 2-5 mm in width; acceptable when limited to anatomic structures within the mediastinum [Fraser and Pare]."},{"code" : "112095","display" : "Hiatus","definition" : "A gap or passage through an anatomical part or organ; especially: a gap through which another part or organ passes."},{"code" : "112096","display" : "Rib Scalene Tubercle","definition" : "A small rounded elevation or eminence on the first rib for the attachment of the scalenus anterior."},{"code" : "112097","display" : "Vertebral Intervertebral Notch","definition" : "A groove that serves for the transmission of the vertebral artery."},{"code" : "112098","display" : "Subscapular Fossa","definition" : "The concave depression of the anterior surface of the scapula."},{"code" : "112099","display" : "Scapular Spine","definition" : "A sloping ridge dividing the dorsal surface of the scapula into the supraspinatous fossa (above), and the infraspinatous fossa (below)."},{"code" : "112100","display" : "Scapular Supraspinatus Fossa","definition" : "The portion of the dorsal surface of the scapula above the scapular spine."},{"code" : "112101","display" : "Scapular Infraspinatus Fossa","definition" : "The portion of the dorsal surface of the scapula below the scapular spine."},{"code" : "112102","display" : "Aortic knob","definition" : "The portion of the aortic arch that defines the transition between its ascending and descending limbs."},{"code" : "112103","display" : "Arch of the Azygos vein","definition" : "Section of Azygos vein near the fourth thoracic vertebra, where it arches forward over the root of the right lung, and ends in the superior vena cava, just before that vessel pierces the pericardium."},{"code" : "112104","display" : "Air-fluid level","definition" : "A local collection of gas and liquid that, when traversed by a horizontal X-Ray beam, creates a shadow characterized by a sharp horizontal interface between gas density above and liquid density below [Fraser and Pare]."},{"code" : "112105","display" : "Corona radiata","definition" : "A circumferential pattern of fine linear spicules, approximately 5 mm long, extending outward from the margin of a solitary pulmonary nodule through a zone of relative lucency [Fraser and Pare]."},{"code" : "112106","display" : "Honeycomb pattern","definition" : "A number of closely approximated ring shadows representing air spaces 5-10 mm in diameter with walls 2-3 mm thick that resemble a true honeycomb; implies \"end-stage\" lung [Fraser and Pare]."},{"code" : "112107","display" : "Fleischner's line(s)","definition" : "A straight, curved, or irregular linear opacity that is visible in multiple projections; usually situated in the lower half of the lung; vary markedly in length and width [Fraser and Pare]."},{"code" : "112108","display" : "Intralobular lines","definition" : "Fine linear opacities present in a lobule when the intralobular interstitium is thickened. When numerous, they may appear as a fine reticular pattern [Fraser and Pare]."},{"code" : "112109","display" : "Kerley A line","definition" : "Essentially straight linear opacity 2-6 cm in length and 1-3 mm in width, usually in an upper lung zone [Fraser and Pare]."},{"code" : "112110","display" : "Kerley B line","definition" : "A straight linear opacity 1.5-2 cm in length and 1-2 mm in width, usually at the lung base [Fraser and Pare]."},{"code" : "112111","display" : "Kerley C lines","definition" : "A group of branching, linear opacities producing the appearing of a fine net, at the lung base [Fraser and Pare]."},{"code" : "112112","display" : "Parenchymal band","definition" : "Elongated opacity, usually several millimeters wide and up to about 5 cm long, often extending to the pleura, which may be thickened and retracted at the site of contact [Fraser and Pare]."},{"code" : "112113","display" : "Reticular pattern","definition" : "A collection of innumerable small linear opacities that together produce an appearance resembling a net [Fraser and Pare]."},{"code" : "112114","display" : "Septal line(s)","definition" : "Usually used in the plural, a generic term for linear opacities of varied distribution produced when the interstitium between pulmonary lobules is thickened [Fraser and Pare]."},{"code" : "112115","display" : "Subpleural line","definition" : "A thin curvilinear opacity, a few millimeters or less in thickness, usually less than 1 cm from the pleural surface and paralleling the pleura [Fraser and Pare]."},{"code" : "112116","display" : "Tramline shadow","definition" : "Parallel or slightly convergent linear opacities that suggest the planar projection of tubular structures and that correspond in location and orientation to elements of the bronchial tree [Fraser and Pare]."},{"code" : "112117","display" : "Tubular shadow","definition" : "Paired, parallel, or slightly convergent linear opacities presumed to represent the walls of a tubular structure seen en face; used if the anatomic nature of a shadow is obscure [Fraser and Pare]."},{"code" : "112118","display" : "Density","definition" : "The opacity of a radiographic shadow to visible light; film blackening; the term should never be used to mean an \"opacity\" or \"radiopacity\" [Fraser and Pare]."},{"code" : "112119","display" : "Dependent opacity","definition" : "Subpleural increased attenuation in dependent lung. The increased attenuation disappears when the region of lung is nondependent; a.k.a. dependent increased attenuation [Fraser and Pare]."},{"code" : "112120","display" : "Ground glass opacity","definition" : "Hazy increased attenuation of lung, but with preservation of bronchial and vascular margins; caused by partial filling of air spaces, interstitial thickening, partial collapse of alveoli, normal expiration, or increased capillary blood volume [Fraser and Pare]."},{"code" : "112121","display" : "Infiltrate","definition" : "Any ill-defined opacity in the lung [Fraser and Pare]."},{"code" : "112122","display" : "Micronodule","definition" : "Discrete, small, round, focal opacity of at least soft tissue attenuation and with a diameter no greater than 7 mm [Fraser and Pare]."},{"code" : "112123","display" : "Phantom tumor (pseudotumor)","definition" : "A shadow produced by a local collection of fluid in one of the interlobar fissures, usually elliptic in one radiographic projection and rounded in the other, resembling a tumor [Fraser and Pare]."},{"code" : "112124","display" : "Shadow","definition" : "Any perceptible discontinuity in film blackening attributed to the attenuation of the X-Ray beam by a specific anatomic absorber or lesion on or within the body of the patient; to be employed only when more specific identification is not possible [Fraser and Pare]."},{"code" : "112125","display" : "Small irregular opacities","definition" : "Term used to define a reticular pattern specific to pneumoconioses [Fraser and Pare]."},{"code" : "112126","display" : "Small rounded opacities","definition" : "Term used to define a nodular pattern specific to pneumoconioses [Fraser and Pare]."},{"code" : "112127","display" : "Tree-in-bud sign","definition" : "Nodular dilation of centrilobular branching structures that resembles a budding tree and represents exudative bronchiolar dilation [Fraser and Pare]."},{"code" : "112128","display" : "Granular pattern","definition" : "Any extended, finely granular pattern of pulmonary opacity within which normal anatomic details are partly obscured [Fraser and Pare]."},{"code" : "112129","display" : "Miliary pattern","definition" : "A collection of tiny discrete opacities in the lungs, each measuring 2 mm or less in diameter, generally uniform in size and widespread in distribution [Fraser and Pare]."},{"code" : "112130","display" : "Mosaic pattern","definition" : "Generalized pattern of relatively well defined areas in the lung having different X-Ray attenuations due to a longstanding underlyingpulmonary disease."},{"code" : "112131","display" : "Extremely small","definition" : "A qualitative descriptor of a size that is dramatically less than typical."},{"code" : "112132","display" : "Very small","definition" : "A qualitative descriptor of a size that is considerably less than typical."},{"code" : "112133","display" : "Too small","definition" : "A qualitative descriptor of a size that is so small as to be abnormal versus expected size."},{"code" : "112134","display" : "Elliptic","definition" : "Shaped like an ellipse (oval)."},{"code" : "112135","display" : "Lobulated","definition" : "A border shape that is made up of, provided with, or divided into lobules (small lobes, curved or rounded projections or divisions)."},{"code" : "112136","display" : "Spiculated","definition" : "Radially orientated border shape."},{"code" : "112137","display" : "Sharply defined","definition" : "The border of a shadow (opacity) is sharply defined [Fraser and Pare]."},{"code" : "112138","display" : "Distinctly defined","definition" : "The border of a shadow (opacity) is distinctly defined [Fraser and Pare]."},{"code" : "112139","display" : "Well demarcated","definition" : "The border of a shadow (opacity) is well distinct from adjacent structures [Fraser and Pare]."},{"code" : "112140","display" : "Sharply demarcated","definition" : "The border of a shadow (opacity) is sharply distinct from adjacent structures [Fraser and Pare]."},{"code" : "112141","display" : "Poorly demarcated","definition" : "The border of a shadow (opacity) is poorly distinct from adjacent structures [Fraser and Pare]."},{"code" : "112142","display" : "Circumscribed","definition" : "A shadow (opacity) possessing a complete or nearly complete visible border [Fraser and Pare]."},{"code" : "112143","display" : "Air","definition" : "Inspired atmospheric gas. The word is sometimes used to describe gas within the body regardless of its composition or site [Fraser and Pare]."},{"code" : "112144","display" : "Soft tissue","definition" : "Material having X-Ray attenuation properties similar to muscle."},{"code" : "112145","display" : "Calcium","definition" : "Material having X-Ray attenuation properties similar to calcium, a silver-white bivalent metallic element occurring in plants and animals."},{"code" : "112146","display" : "Acinar","definition" : "A pulmonary opacity 4-8 mm in diameter, presumed to represent anatomic acinus, or a collection of opacities in the lung, each measuring 4-8 mm in diameter, and together producing an extended, homogeneous shadow [Fraser and Pare]."},{"code" : "112147","display" : "Air space","definition" : "The gas-containing portion of the lung parenchyma, including the acini and excluding the interstitium [Fraser and Pare]."},{"code" : "112148","display" : "Fibronodular","definition" : "Sharply defined, approximately circular opacities occurring singly or in clusters, usually in the upper lobes [Fraser and Pare]."},{"code" : "112149","display" : "Fluffy","definition" : "A shadow (opacity) that is ill-defined, lacking clear-cut margins [Fraser and Pare]."},{"code" : "112150","display" : "Linear","definition" : "A shadow resembling a line; any elongated opacity of approximately uniform width [Fraser and Pare]."},{"code" : "112151","display" : "Profusion","definition" : "The number of small opacities per unit area or zone of lung. In the International Labor Organization (ILO) classification of radiographs of the pneumoconioses, the qualifiers 0 through 3 subdivide the profusion into 4 categories. The profusion categories may be further subdivided by employing a 12-point scale [Fraser and Pare]."},{"code" : "112152","display" : "Silhouette sign","definition" : "The effacement of an anatomic soft tissue border by either a normal anatomic structure or a pathologic state such as airlessness of adjacent lung or accumulation of fluid in the contiguous pleural space; useful in detecting and localizing an opacity along the axis of the X-Ray beam [Fraser and Pare]."},{"code" : "112153","display" : "Subpleural","definition" : "Situated or occurring between the pleura and the body wall."},{"code" : "112154","display" : "Bat's wing distribution","definition" : "Spatial arrangement of opacities that bears vague resemblance to the shape of a bat in flight; bilaterally symmetric [Fraser and Pare]."},{"code" : "112155","display" : "Butterfly distribution","definition" : "Spatial arrangement of opacities that bears vague resemblance to the shape of a butterfly in flight; bilaterally symmetric [Fraser and Pare]."},{"code" : "112156","display" : "Centrilobular","definition" : "Referring to the region of the bronchioloarteriolar core of a secondary pulmonary lobule [Fraser and Pare]."},{"code" : "112157","display" : "Coalescent","definition" : "The joining together of a number of opacities into a single opacity [Fraser and Pare]."},{"code" : "112158","display" : "Lobar","definition" : "Of or relating to a lobe (a curved or rounded projection or division)."},{"code" : "112159","display" : "Hyper-acute","definition" : "Extremely or excessively acute, as a qualitative measure of severity."},{"code" : "112160","display" : "Homogeneous","definition" : "Of uniform opacity or texture throughout [Fraser and Pare]."},{"code" : "112161","display" : "Inhomogeneous","definition" : "Lack of homogeneity in opacity or texture."},{"code" : "112162","display" : "Target","definition" : "Discrete opacity centrally within a larger opacity, as a calcification descriptor."},{"code" : "112163","display" : "Fibrocalcific","definition" : "Pertaining to sharply defined, linear, and/or nodular opacities containing calcification(s) [Fraser and Pare]."},{"code" : "112164","display" : "Flocculent","definition" : "Calcifications made up of loosely aggregated particles, resembling wool."},{"code" : "112165","display" : "Difference in border shape","definition" : "A change in the shape formed by the boundary or edges of a finding or feature."},{"code" : "112166","display" : "Difference in border definition","definition" : "A change in the clarity of the boundary or edges of a finding or feature."},{"code" : "112167","display" : "Difference in distribution","definition" : "A change in the extent of spreading of a finding or feature."},{"code" : "112168","display" : "Difference in site involvement","definition" : "A change in the part(s) of the anatomy affected or encompassed by a finding or feature."},{"code" : "112169","display" : "Difference in Type of Content","definition" : "A change in the matter or substance within a finding or feature."},{"code" : "112170","display" : "Difference in Texture","definition" : "A change in the surface or consistency of a finding or feature."},{"code" : "112171","display" : "Fiducial mark","definition" : "A location in image space, which may or may not correspond to an anatomical reference, which is often used for registering data."},{"code" : "112172","display" : "Portacath","definition" : "Connected to an injection chamber placed under the skin in the upper part of the chest. When it is necessary to inject some drug, a specific needle is put in the chamber through the skin and a silicon membrane. The advantage of a portacath is that it may be left in place several months contrarily of \"classical\" catheters."},{"code" : "112173","display" : "Chest tube","definition" : "A tube inserted into the chest wall from outside the body, for drainage. Sometimes used for collapsed lung. Usually connected to a receptor placed lower than the insertion site."},{"code" : "112174","display" : "Central line","definition" : "A tube placed into the subclavian vein to deliver medication directly into the venous system."},{"code" : "112175","display" : "Kidney stent","definition" : "A stent is a tube inserted into another tube. Kidney stent is a tube that is inserted into the kidney, ureter, and bladder, to help drain urine. Usually inserted through a scoping device presented through the urethra."},{"code" : "112176","display" : "Pancreatic stent","definition" : "A stent is a tube inserted into another tube. Pancreatic stent is inserted through the common bile duct to the pancreatic duct, to drain bile."},{"code" : "112177","display" : "Nipple ring","definition" : "A non-lesion object that appears to be a circular band, attached to the body via pierced nipple."},{"code" : "112178","display" : "Coin","definition" : "A non-lesion object that appears to be a flat round piece of metal."},{"code" : "112179","display" : "Minimum Attenuation Coefficient","definition" : "The least quantity assignable, admissible, or possible; the least of a set of X-Ray attenuation coefficients."},{"code" : "112180","display" : "Maximum Attenuation Coefficient","definition" : "The greatest quantity or value attainable or attained; the largest of a set of X-Ray attenuation coefficients."},{"code" : "112181","display" : "Mean Attenuation Coefficient","definition" : "The value that is computed by dividing the sum of a set of X-Ray attenuation coefficients by the number of values ."},{"code" : "112182","display" : "Median Attenuation Coefficient","definition" : "The value in an ordered set of X-Ray attenuation coefficients, below and above which there is an equal number of values."},{"code" : "112183","display" : "Standard Deviation of Attenuation Coefficient","definition" : "For a set of X-Ray attenuation coefficients: 1) a measure of the dispersion of a frequency distribution that is the square root of the arithmetic mean of the squares of the deviation of each of the class frequencies from the arithmetic mean of the frequency distribution; 2) a parameter that indicates the way in which a probability function or a probability density function is centered around its mean and that is equal to the square root of the moment in which the deviation from the mean is squared."},{"code" : "112184","display" : "Performance of Pediatric and Adult Thoracic CT","definition" : "American College of Radiology. ACR Standard for the Performance of Pediatric and Adult Thoracic Computed Tomography (CT). In: Standards. Reston, Va: 2001:103-107."},{"code" : "112185","display" : "Performance of CT for Detection of Pulmonary Embolism in Adults","definition" : "American College of Radiology. ACR Standard for the Performance of Computed Tomography for the Detection of Pulmonary Embolism in Adults. In: Standards. Reston, Va: 2001:109-113."},{"code" : "112186","display" : "Performance of High-Resolution CT of the Lungs in Adults","definition" : "American College of Radiology. ACR Standard for the Performance of High-Resolution Computed Tomography (HRCT) of the Lungs in Adults. In: Standards. Reston, Va: 2001:115-118."},{"code" : "112187","display" : "Unspecified method of calculation","definition" : "The method of calculation of a measurement or other type of numeric value is not specified."},{"code" : "112188","display" : "Two-dimensional method","definition" : "The calculation method was performed in two-dimensional space."},{"code" : "112189","display" : "Three-dimensional method","definition" : "The calculation method was performed in three-dimensional space."},{"code" : "112191","display" : "Breast tissue density","definition" : "The relative density of parenchymal tissue as a proportion of breast volume."},{"code" : "112192","display" : "Volume of parenchymal tissue","definition" : "The volume of parenchymal tissue."},{"code" : "112193","display" : "Volume of breast","definition" : "The volume of the breast."},{"code" : "112194","display" : "Mass of parenchymal tissue","definition" : "The mass of parenchymal tissue."},{"code" : "112195","display" : "Mass of breast","definition" : "The mass of the breast."},{"code" : "112196","display" : "Area of Vascular Calcification","definition" : "A measured or calculated area of vascular calcification."},{"code" : "112197","display" : "Volume of Vascular Calcification","definition" : "A measured or calculated volume of vascular calcification."},{"code" : "112198","display" : "Percentage of Vascular Calcification","definition" : "A measured or calculated percentage of vascular calcification."},{"code" : "112199","display" : "Mass of Vascular Calcification","definition" : "A measured or calculated mass of vascular calcification."},{"code" : "112200","display" : "Average calcification distance in a calcification cluster","definition" : "The average nearest neighbor distance of all individual microcalcifications in a cluster."},{"code" : "112201","display" : "Standard deviation distance of calcifications in a cluster","definition" : "The standard deviation of nearest neighbor distance of all individual microcalcifications in a cluster."},{"code" : "112220","display" : "Colon CAD Report","definition" : "A structured report containing the results of computer-aided detection or diagnosis applied to colon imaging and associated clinical information."},{"code" : "112222","display" : "Colon Overall Assessment","definition" : "Overall interpretation of the colon using C-RADS categorization system."},{"code" : "112224","display" : "Image Set Properties","definition" : "Characteristics of a set of images."},{"code" : "112225","display" : "Slice Thickness","definition" : "Nominal slice thickness, in mm."},{"code" : "112226","display" : "Spacing between slices","definition" : "Distance between contiguous images, measured from the center-to-center of each image."},{"code" : "112227","display" : "Frame of Reference UID","definition" : "Uniquely identifies groups of composite instances that have the same coordinate system that conveys spatial and/or temporal information."},{"code" : "112228","display" : "Recumbent Patient Position with respect to gravity","definition" : "Patient orientation with respect to downward direction (gravity)."},{"code" : "112229","display" : "Identifying Segment","definition" : "Distinguishes a part of a segmentation."},{"code" : "112232","display" : "Polyp stalk width","definition" : "The diameter of a polyp stalk measured perpendicular to the axis of the stalk."},{"code" : "112233","display" : "Distance from anus","definition" : "The length of the path following the centerline of the colon from the anus to the area of interest."},{"code" : "112238","display" : "Anatomic non-colon","definition" : "A location in the body that is outside the colon."},{"code" : "112240","display" : "C0 - Inadequate Study/Awaiting Prior Comparisons","definition" : "An inadequate study or a study that is awaiting prior comparisons. The study may have inadequate preparation and cannot exclude lesions greater than or equal to ten millimeters owing to presence of fluid or feces. The study may have inadequate insufflation where one or more colonic segments collapsed on both views. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112241","display" : "C1 - Normal Colon or Benign Lesion","definition" : "The study has a normal colon or benign lesion, with the recommendation to continue routine screening. The study has no visible abnormalities of the colon. The study has no polyps greater than six millimeters. The study may have lipoma, inverted diverticulum, or nonneoplastic findings, such as colonic diverticula. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112242","display" : "C2 - Intermediate Polyp or Indeterminate Finding","definition" : "The study has an intermediate polyp or indeterminate finding and surveillance or colonoscopy is recommended. There may be intermediate polyps between six and nine millimeters and there are less than three in number. The study may have an intermediate finding and cannot exclude a polyp that is greater than or equal to six millimeters in a technically adequate study. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112243","display" : "C3 - Polyp, Possibly Advanced Adenoma","definition" : "The study has a polyp, possibly advanced adenoma, and a follow-up colonoscopy is recommended. The study has a polyp greater than or equal to ten millimeters or the study has three or more polyps that are each between six to nine millimeters. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112244","display" : "C4 - Colonic Mass, Likely Malignant","definition" : "The study has a colonic mass, likely malignant, and surgical consultation is recommended. The lesion compromises bowel lumen and demonstrates extracolonic invasion. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112248","display" : "ACR Guideline, Performance of Adult CT Colonography","definition" : "American College of Radiology Practice Guideline for the Performance of Computed Tomography (CT) Colonography in Adults. In: Practice Guidelines and Technical Standards.Reston, Va: American College of Radiology;2006:371-376."},{"code" : "112249","display" : "ACR Standard, CT medical physics performance monitoring","definition" : "American College of Radiology Technical Standard for Diagnostic Medical Physics Performance Monitoring of Computed Tomography (CT) Equipment. In: Practice Guidelines and Technical Standards.Reston, Va: American College of Radiology;2006:945-948."},{"code" : "112300","display" : "AP+45","definition" : "View Orientation Modifier indicates that the view orientation of the imaging plane is rotated +45° along the cranial-caudal axis."},{"code" : "112301","display" : "AP-45","definition" : "View Orientation Modifier indicates that the view orientation of the imaging plane is rotated -45° along the cranial-caudal axis."},{"code" : "112302","display" : "Anatomical axis of femur","definition" : "The axis following the shaft of the femur."},{"code" : "112303","display" : "Acetabular Center of Rotation","definition" : "Center of Rotation of the natural Acetabulum."},{"code" : "112304","display" : "Femur Head Center of Rotation","definition" : "Center of Rotation of the natural femur head."},{"code" : "112305","display" : "Acetabular Cup Shell","definition" : "Prosthetic component implanted into the acetabulum. Provides hold for the insert that is mounted inside the cup."},{"code" : "112306","display" : "Acetabular Cup Insert","definition" : "Prosthetic pelvic joint component. Inserted into the cup, takes in the femoral head replacement."},{"code" : "112307","display" : "Acetabular Cup Monoblock","definition" : "Prosthetic pelvic joint cup including insert."},{"code" : "112308","display" : "Femoral Head Ball Component","definition" : "Component for Femoral Head Prosthesis where the conic intake for the stem neck can be exchanged.Combined with a Femoral Head Cone Taper Component."},{"code" : "112309","display" : "Femoral Head Cone Taper Component","definition" : "Exchangeable neck intake for composite femoral head prosthesis.Combined with a Femoral Head Ball Component."},{"code" : "112310","display" : "Femoral Stem","definition" : "Prosthesis Implanted into the femoral bone to provide force transmission between joint replacement and bone. On the proximal end a conic neck holds the femoral head replacement."},{"code" : "112311","display" : "Femoral Stem Distal Component","definition" : "Distal half of a modular stem prosthesis system.Combined with a Stem Proximal Component."},{"code" : "112312","display" : "Femoral Stem Proximal Component","definition" : "Proximal half of a modular stem prosthesis system.Combined with a Stem Distal Component."},{"code" : "112313","display" : "Femoral Stem Component","definition" : "Stem prosthetic component with a modular insert for an exchangeable neck component.Combined with a Neck Component."},{"code" : "112314","display" : "Neck Component","definition" : "Prosthetic Neck to be combined with a Stem Component."},{"code" : "112315","display" : "Monoblock Stem","definition" : "Prosthetic Stem and Femoral Head in one piece."},{"code" : "112316","display" : "Prosthetic Shaft Augment","definition" : "A proximal attachment to the shaft used to compensate for bone deficiencies or bone loss."},{"code" : "112317","display" : "Femoral Head Resurfacing Component","definition" : "Artificial femur head surface needed for the partial replacement of the femoral head where only the surface is replaced."},{"code" : "112318","display" : "Pinning","definition" : "Fixation using a pin."},{"code" : "112319","display" : "Sewing","definition" : "Fixation sewing several objects together."},{"code" : "112320","display" : "Bolting","definition" : "Fixation using a bolt."},{"code" : "112321","display" : "Wedging","definition" : "Fixation due to forcing an object into a narrow space."},{"code" : "112325","display" : "Distal Centralizer","definition" : "Attachment to the distal end of a cemented stem assuring that the stem is in a central position inside the drilled femoral canal before cementation."},{"code" : "112340","display" : "Generic 2D Planning","definition" : "Planning by an unspecified 2D method."},{"code" : "112341","display" : "Generic 3D Planning","definition" : "Planning by an unspecified 3D method."},{"code" : "112342","display" : "Generic Planning for Hip Replacement","definition" : "Planning of a Hip Replacement, by an unspecified method."},{"code" : "112343","display" : "Generic Planning for Knee Replacement","definition" : "Planning of Knee Replacement, by an unspecified method."},{"code" : "112344","display" : "Müller Method Planning for Hip Replacement","definition" : "Planning of Hip Replacement according to the procedure of M. E. Müller [Eggli et. al.1998]."},{"code" : "112345","display" : "Implantation Plan","definition" : "A Report containing the results of an Implantation Planning Activity."},{"code" : "112346","display" : "Selected Implant Component","definition" : "A selection of one Implant Component."},{"code" : "112347","display" : "Component ID","definition" : "Identification ID of an Implant Component."},{"code" : "112348","display" : "Implant Template","definition" : "An implant template describing the properties (2D/3D geometry and other data) of one Implant Component."},{"code" : "112350","display" : "Component Connection","definition" : "A connection of two Connected Implantation Plan Components."},{"code" : "112351","display" : "Mating Feature Set ID","definition" : "ID of a Mating Feature Set in an Implant Component."},{"code" : "112352","display" : "Mating Feature ID","definition" : "ID of the Mating Feature in a Mating Feature Set in an Implant Component."},{"code" : "112353","display" : "Spatial Registration","definition" : "The Spatial Registration of one or more Implant Components."},{"code" : "112354","display" : "Patient Image","definition" : "Patient Images used for an implantation planning activity."},{"code" : "112355","display" : "Assembly","definition" : "A collection of Component Connections of Implant Components."},{"code" : "112356","display" : "User Selected Fiducial","definition" : "Fiducials that are selected by the user and may or may not belong to anatomical landmarks."},{"code" : "112357","display" : "Derived Fiducial","definition" : "Fiducials that represent geometric characteristics, such as center of rotation, and are derived from other fiducials."},{"code" : "112358","display" : "Information used for planning","definition" : "All parameters and data that were used for the planning activity."},{"code" : "112359","display" : "Supporting Information","definition" : "A description of the plan as encapsulated PDF SOP Instance."},{"code" : "112360","display" : "Implant Component List","definition" : "A list of all Implant Components selected for an implantation."},{"code" : "112361","display" : "Patient Data Used During Planning","definition" : "Reference to objects containing patient data that is used for planning."},{"code" : "112362","display" : "Degrees of Freedom Specification","definition" : "A specification of the values from one or more Degrees of Freedom."},{"code" : "112363","display" : "Degree of Freedom ID","definition" : "ID of one Degree of Freedom."},{"code" : "112364","display" : "Related Patient Data Not Used During Planning","definition" : "Reference to objects containing patient data that were not used for planning but are somehow related."},{"code" : "112365","display" : "Related Implantation Reports","definition" : "Implantation Reports that are somehow related."},{"code" : "112366","display" : "Implant Assembly Template","definition" : "Implant Assembly Template."},{"code" : "112367","display" : "Planning Information for Intraoperative Usage","definition" : "Information that is intended to be used intra-operatively."},{"code" : "112368","display" : "Implantation Patient Positioning","definition" : "Position of the patient on the operating room table."},{"code" : "112369","display" : "Fiducial Intent","definition" : "Intended use of the fiducial."},{"code" : "112370","display" : "Component Type","definition" : "Type of an Implant Component."},{"code" : "112371","display" : "Manufacturer Implant Template","definition" : "Implant Template released by the Manufacturer."},{"code" : "112372","display" : "Derived Planning Images","definition" : "Images that are created by a planning application."},{"code" : "112373","display" : "Other Derived Planning Data","definition" : "Data that is created by a planning application."},{"code" : "112374","display" : "Connected Implantation Plan Component","definition" : "One Implant Component that is connected to another Implant Component."},{"code" : "112375","display" : "Planning Method","definition" : "The method used for planning."},{"code" : "112376","display" : "Degree of Freedom Exact Translational Value","definition" : "Defines the exact value that was planned for translation."},{"code" : "112377","display" : "Degree of Freedom Minimum Translational Value","definition" : "Defines the minimum value that was planned for translation."},{"code" : "112378","display" : "Degree of Freedom Maximum Translational Value","definition" : "Defines the maximum value that was planned for translation."},{"code" : "112379","display" : "Degree of Freedom Exact Rotational Translation Value","definition" : "Defines the exact value that was planned for rotation."},{"code" : "112380","display" : "Degree of Freedom Minimum Rotational Value","definition" : "Defines the minimum value that was planned for rotation."},{"code" : "112381","display" : "Degree of Freedom Maximum Rotational Value","definition" : "Defines the maximum value that was planned for rotation."},{"code" : "112700","display" : "Peri-operative Photographic Imaging","definition" : "Procedure step protocol for photographic imaging of surgical procedures, including photography of specimens collected."},{"code" : "112701","display" : "Gross Specimen Imaging","definition" : "Procedure step protocol for imaging gross specimens, typically with a photographic camera (modality XC), and planning further dissection."},{"code" : "112702","display" : "Slide Microscopy","definition" : "Procedure step protocol for imaging slide specimens."},{"code" : "112703","display" : "Whole Slide Imaging","definition" : "Procedure step protocol for imaging slide specimens using a whole slide scanner."},{"code" : "112704","display" : "WSI 20X RGB","definition" : "Procedure step protocol for imaging slide specimens using a whole slide scanner with a 20X nominal objective lens, in full color, with a single imaging focal plane across the image."},{"code" : "112705","display" : "WSI 40X RGB","definition" : "Procedure step protocol for imaging slide specimens using a whole slide scanner with a 40X nominal objective lens, in full color, with a single imaging focal plane across the image."},{"code" : "112706","display" : "Illumination Method","definition" : "Technique of illuminating specimen."},{"code" : "112707","display" : "Number of focal planes","definition" : "Number of focal planes for a microscopy image acquisition."},{"code" : "112708","display" : "Focal plane Z offset","definition" : "Nominal distance above a reference plane (typically a slide glass substrate top surface) of the focal plane."},{"code" : "112709","display" : "Magnification selection","definition" : "Microscope magnification based on nominal objective lens power."},{"code" : "112710","display" : "Illumination wavelength","definition" : "Nominal center wavelength for an imaging spectral band."},{"code" : "112711","display" : "Illumination spectral band","definition" : "Name (coded) for an imaging spectral band."},{"code" : "112712","display" : "Optical filter type","definition" : "Type of filter inserted into the optical imaging path."},{"code" : "112713","display" : "Tissue selection method","definition" : "Technique for identifying tissue to be imaged versus area of slide not to be imaged."},{"code" : "112714","display" : "Multiple planes","definition" : "Imaging performed at multiple imaging (focal) planes."},{"code" : "112715","display" : "5X","definition" : "Nominal 5 power objective lens, resulting in a digital image at approximately 2 um/pixel spacing."},{"code" : "112716","display" : "10X","definition" : "Nominal 10 power objective lens, resulting in a digital image at approximately 1 um/pixel spacing."},{"code" : "112717","display" : "20X","definition" : "Nominal 20 power microscope objective lens, resulting in a digital image at approximately 0.5 um/pixel spacing."},{"code" : "112718","display" : "40X","definition" : "Nominal 40 power microscope objective lens, with a combined condenser and objective lens numerical aperture of approximately 1.3, resulting in a digital image at approximately 0.25 um/pixel spacing."},{"code" : "112719","display" : "Nominal empty tile suppression","definition" : "Equipment-specific nominal or default method for identifying tiles without tissue imaged for suppression from inclusion in image object."},{"code" : "112720","display" : "High threshold empty tile suppression","definition" : "Equipment-specific high threshold method for identifying tiles without tissue imaged for suppression from inclusion in image object."},{"code" : "112721","display" : "No empty tile suppression","definition" : "Tiles without tissue imaged are not suppressed from inclusion in image object."},{"code" : "113000","display" : "Of Interest","definition" : "Of Interest."},{"code" : "113001","display" : "Rejected for Quality Reasons","definition" : "Rejected for Quality Reasons."},{"code" : "113002","display" : "For Referring Provider","definition" : "For Referring Provider."},{"code" : "113003","display" : "For Surgery","definition" : "For Surgery."},{"code" : "113004","display" : "For Teaching","definition" : "For Teaching."},{"code" : "113005","display" : "For Conference","definition" : "For Conference."},{"code" : "113006","display" : "For Therapy","definition" : "For Therapy."},{"code" : "113007","display" : "For Patient","definition" : "For Patient."},{"code" : "113008","display" : "For Peer Review","definition" : "For Peer Review."},{"code" : "113009","display" : "For Research","definition" : "For Research."},{"code" : "113010","display" : "Quality Issue","definition" : "Quality Issue."},{"code" : "113011","display" : "Document Title Modifier","definition" : "Document Title Modifier."},{"code" : "113012","display" : "Key Object Description","definition" : "Key Object Description."},{"code" : "113013","display" : "Best In Set","definition" : "A selection that represents the \"best\" chosen from a larger set of items."},{"code" : "113014","display" : "Study","definition" : "A study is a collection of one or more series of medical images, presentation states, and/or SR documents that are logically related for the purpose of diagnosing a patient. A study may include composite instances that are created by a single modality, multiple modalities or by multiple devices of the same modality. [From ]"},{"code" : "113015","display" : "Series","definition" : "A distinct logical set used to group composite instances. All instances within a Series are of the same modality, in the same Frame of Reference (if any), and created by the same equipment. [See ]"},{"code" : "113016","display" : "Performed Procedure Step","definition" : "An arbitrarily defined unit of service that has actually been performed (not just scheduled). [From ]"},{"code" : "113017","display" : "Stage-View","definition" : "An image or set of images illustrating a specific stage (phase in a stress echo study protocol) and view (combination of the transducer position and orientation at the time of image acquisition)."},{"code" : "113018","display" : "For Printing","definition" : "For Printing."},{"code" : "113020","display" : "For Report Attachment","definition" : "Selection of information objects for attachment to the clinical report of the Current Requested Procedure."},{"code" : "113021","display" : "For Litigation","definition" : "List of objects that are related to litigation and should be specially handled."},{"code" : "113022","display" : "Collection of Presentation States","definition" : "This Key Object Selection Document references Presentation State instances that are related, which may or may not share a value of Presentation Display Collection UID (0070,1101) or Presentation Sequence Collection UID (0070,1102)."},{"code" : "113026","display" : "Double exposure","definition" : "Double exposure."},{"code" : "113030","display" : "Manifest","definition" : "A list of objects that have been exported out of one organizational domain into another domain. Typically, the first domain has no direct control over what the second domain will do with the objects."},{"code" : "113031","display" : "Signed Manifest","definition" : "A signed list of objects that have been exported out of one organizational domain into another domain, referenced securely with either Digital Signatures or MACs. Typically, the first domain has no direct control over what the second domain will do with the objects."},{"code" : "113032","display" : "Complete Study Content","definition" : "The list of objects that constitute a study at the time that the list was created."},{"code" : "113033","display" : "Signed Complete Study Content","definition" : "The signed list of objects that constitute a study at the time that the list was created, referenced securely with either Digital Signatures or MACs."},{"code" : "113034","display" : "Complete Acquisition Content","definition" : "The list of objects that were generated in a single procedure step."},{"code" : "113035","display" : "Signed Complete Acquisition Content","definition" : "The signed list of objects that were generated in a single procedure step, referenced securely with either Digital Signatures or MACs."},{"code" : "113036","display" : "Group of Frames for Display","definition" : "A list of frames or single-frame or entire multi-frame instances that together constitute a set for some purpose, such as might be displayed together in the same viewport, as distinct from another set that might be displayed in a separate viewport."},{"code" : "113037","display" : "Rejected for Patient Safety Reasons","definition" : "List of objects whose use is potentially harmful to the patient."},{"code" : "113038","display" : "Incorrect Modality Worklist Entry","definition" : "List of objects that were acquired using an incorrect modality worklist entry, and that should not be used, since they may be incorrectly identified."},{"code" : "113039","display" : "Data Retention Policy Expired","definition" : "List of objects that have expired according to a defined data retention policy."},{"code" : "113040","display" : "Lossy Compression","definition" : "Lossy compression has been applied to an image."},{"code" : "113041","display" : "Apparent Diffusion Coefficient","definition" : "Values are derived by calculation of the apparent diffusion coefficient. This concept may be used for the diffusion coefficient of various different models, e.g., mono-exponential (ADCm), kurtosis (ADCk), stretched-exponential (ADCs).The \"apparent\" appellation is because the diffusion images from which the ADC is computed may also be affected by T2 contrast (T2 \"shine-through\"), so this concept is distinguished from a \"pure\" diffusion coefficient that is not so affected."},{"code" : "113042","display" : "Pixel by pixel addition","definition" : "Values are derived by the pixel by pixel addition of two images."},{"code" : "113043","display" : "Diffusion weighted","definition" : "Values are derived by calculation of the diffusion weighting."},{"code" : "113044","display" : "Diffusion Anisotropy","definition" : "Values are derived by calculation of the diffusion anisotropy."},{"code" : "113045","display" : "Diffusion Attenuated","definition" : "Values are derived by calculation of the diffusion attenuation."},{"code" : "113046","display" : "Pixel by pixel division","definition" : "Values are derived by the pixel by pixel division of two images."},{"code" : "113047","display" : "Pixel by pixel mask","definition" : "Values are derived by the pixel by pixel masking of one image by another."},{"code" : "113048","display" : "Pixel by pixel Maximum","definition" : "Values are derived by calculating the pixel by pixel maximum of two or more images."},{"code" : "113049","display" : "Pixel by pixel mean","definition" : "Values are derived by calculating the pixel by pixel mean of two or more images."},{"code" : "113050","display" : "Metabolite Maps from spectroscopy data","definition" : "Values are derived by calculating from spectroscopy data pixel values localized in two dimensional space based on the concentration of specific metabolites (i.e, at specific frequencies)."},{"code" : "113051","display" : "Pixel by pixel Minimum","definition" : "Values are derived by calculating the pixel by pixel minimum of two or more images."},{"code" : "113052","display" : "Mean Transit Time","definition" : "The time required for blood to pass through a region of tissue."},{"code" : "113053","display" : "Pixel by pixel multiplication","definition" : "Values are derived by the pixel by pixel multiplication of two images."},{"code" : "113054","display" : "Negative Enhancement Integral","definition" : "The area described by the baseline and the signal loss due to passage of contrast bolus in tissue in a perfusion experiment. Abbreviated NEI or N1."},{"code" : "113055","display" : "Regional Cerebral Blood Flow","definition" : "The absolute flow rate of blood perfusing a region of the brain as volume per mass per unit of time. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "113056","display" : "Regional Cerebral Blood Volume","definition" : "The absolute volume of blood perfusing a region of brain as volume per mass. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "113057","display" : "R-Coefficient","definition" : "Correlation Coefficient, r."},{"code" : "113058","display" : "Proton Density","definition" : "Values are derived by calculating proton density values."},{"code" : "113059","display" : "Signal Change","definition" : "The relative change in signal."},{"code" : "113060","display" : "Signal to Noise","definition" : "The ratio of the desired signal to the level of noise."},{"code" : "113061","display" : "Standard Deviation","definition" : "Values are derived by calculating the standard deviation of two or more images."},{"code" : "113062","display" : "Pixel by pixel subtraction","definition" : "Values are derived by the pixel by pixel subtraction of two images."},{"code" : "113063","display" : "T1","definition" : "The time constant for the decay of longitiudinal magnetization caused by spin-lattice relaxation. The inverse of the longitudinal relaxation rate constant, i.e., T1 = 1/R1."},{"code" : "113064","display" : "T2*","definition" : "The time constant for the decay of transverse magnetization caused by a combination of spin-spin relaxation and magnetic field inhomogeneity. The inverse of the transverse relaxation rate constant, i.e., T2* = 1/R2*."},{"code" : "113065","display" : "T2","definition" : "The time constant for the decay of transverse magnetization caused by spin-spin relaxation. The inverse of the transverse relaxation rate constant, i.e., T2 = 1/R2."},{"code" : "113066","display" : "Time Course of Signal","definition" : "The time course of signal."},{"code" : "113067","display" : "Temperature encoded","definition" : "Values are derived by calculating values based on temperature encoding."},{"code" : "113068","display" : "Student's T-Test","definition" : "Values are derived by calculating the value of the Student's T-Test statistic from multiple image samples."},{"code" : "113069","display" : "Time To Peak","definition" : "The time from the start of the contrast agent injection to the maximum enhancement value."},{"code" : "113070","display" : "Velocity encoded","definition" : "Values are derived by calculating values based on velocity encoded."},{"code" : "113071","display" : "Z-Score","definition" : "Values are derived by calculating the value of the Z-Score statistic from multiple image samples."},{"code" : "113072","display" : "Multiplanar reformatting","definition" : "Values are derived by reformatting in a flat plane other than that originally acquired."},{"code" : "113073","display" : "Curved multiplanar reformatting","definition" : "Values are derived by reformatting in a curve plane other than that originally acquired."},{"code" : "113074","display" : "Volume rendering","definition" : "Values are derived by volume rendering of acquired data."},{"code" : "113075","display" : "Surface rendering","definition" : "Values are derived by surface rendering of acquired data."},{"code" : "113076","display" : "Segmentation","definition" : "Values are derived by segmentation (classification into tissue types) of acquired data."},{"code" : "113077","display" : "Volume editing","definition" : "Values are derived by selectively editing acquired data (removing values from the volume), such as in order to remove obscuring structures or noise."},{"code" : "113078","display" : "Maximum intensity projection","definition" : "Values are derived by maximum intensity projection of acquired data."},{"code" : "113079","display" : "Minimum intensity projection","definition" : "Values are derived by minimum intensity projection of acquired data."},{"code" : "113080","display" : "Glutamate and glutamine","definition" : "For single-proton MR spectroscopy, the resonance peak corresponding to glutamate and glutamine."},{"code" : "113081","display" : "Choline/Creatine Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the Choline and Creatine resonance peaks."},{"code" : "113082","display" : "N-acetylaspartate/Creatine Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the N-acetylaspartate and Creatine resonance peaks."},{"code" : "113083","display" : "N-acetylaspartate/Choline Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the N-acetylaspartate and Choline resonance peaks."},{"code" : "113084","display" : "Tmax","definition" : "The time delay to the maximum of the residue function after deconvolution.Shih LC, Saver JL, Alger JR, Starkman S, Leary MC, Vinuela F, et al. Perfusion-Weighted Magnetic Resonance Imaging Thresholds Identifying Core, Irreversibly Infarcted Tissue. Stroke. 2003 Jun 1;34(6):1425-30. doi:10.1161/01.STR.0000072998.70087.E9. Østergaard L, Weisskoff RM, Chesler DA, Gyldensted C, Rosen BR. High resolution measurement of cerebral blood flow using intravascular tracer bolus passages. Part I: Mathematical approach and statistical analysis. Magnetic Resonance in Medicine. 1996;36(5):715-25. doi:10.1002/mrm.1910360510."},{"code" : "113085","display" : "Spatial resampling","definition" : "Values are derived by spatial resampling of acquired data."},{"code" : "113086","display" : "Edge enhancement","definition" : "Values are derived by edge enhancement."},{"code" : "113087","display" : "Smoothing","definition" : "Values are derived by smoothing."},{"code" : "113088","display" : "Gaussian blur","definition" : "Values are derived by Gaussian blurring."},{"code" : "113089","display" : "Unsharp mask","definition" : "Values are derived by unsharp masking."},{"code" : "113090","display" : "Image stitching","definition" : "Values are derived by stitching two or more images together."},{"code" : "113091","display" : "Spatially-related frames extracted from the volume","definition" : "Spatially-related frames in this image are representative frames from the referenced 3D volume data."},{"code" : "113092","display" : "Temporally-related frames extracted from the set of volumes","definition" : "Temporally-related frames in this image are representative frames from the referenced 3D volume data."},{"code" : "113093","display" : "Polar to Rectangular Scan Conversion","definition" : "Conversion of a polar coordinate image to rectangular (Cartesian) coordinate image."},{"code" : "113094","display" : "Creatine and Choline","definition" : "For single-proton MR spectroscopy, the resonance peak corresponding to creatine and choline."},{"code" : "113095","display" : "Lipid and Lactate","definition" : "For single-proton MR spectroscopy, the resonance peak corresponding to lipid and lactate."},{"code" : "113096","display" : "Creatine+Choline/Citrate Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the Choline and Creatine resonance peak and the Citrate resonance peak."},{"code" : "113097","display" : "Multi-energy proportional weighting","definition" : "Image pixels created through proportional weighting of multiple acquisitions at distinct X-Ray energies."},{"code" : "113098","display" : "Magnetization Transfer Ratio","definition" : "Magnetization Transfer Ratio (MTR) is the ratio of magnetization transfer, Mo - Ms/Mo, where Ms represents the magnitude of signal of tissues with the saturation pulse used to saturate macromolecular protons on, and Mo is the magnitude of signal without saturation.See Dousset V, Grossman RI, Ramer KN, Schnall MD, Young LH, Gonzalez-Scarano F, et al. Experimental allergic encephalomyelitis and multiple sclerosis: lesion characterization with magnetization transfer imaging. Radiology. 1992 Feb 1;182(2):483-91. http://dx.doi.org/10.1148/radiology.182.2.1732968"},{"code" : "113100","display" : "Basic Application Confidentiality Profile","definition" : "De-identification using a profile defined in that requires removing all information related to the identity and demographic characteristics of the patient, any responsible parties or family members, any personnel involved in the procedure, the organizations involved in ordering or performing the procedure, additional information that could be used to match instances if given access to the originals, such as UIDs, dates and times, and Private Attributes, when that information is present in the non-Pixel Data Attributes, including graphics or overlays."},{"code" : "113101","display" : "Clean Pixel Data Option","definition" : "Additional de-identification according to an option defined in that requires any information burned in to the Pixel Data corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113102","display" : "Clean Recognizable Visual Features Option","definition" : "Additional de-identification according to an option defined in that requires that sufficient removal or distortion of the Pixel Data shall be applied to prevent recognition of an individual from the instances themselves or a reconstruction of a set of instances."},{"code" : "113103","display" : "Clean Graphics Option","definition" : "Additional de-identification according to an option defined in that requires that any information encoded in graphics, text annotations or overlays corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113104","display" : "Clean Structured Content Option","definition" : "Additional de-identification according to an option defined in that requires that any information encoded in SR Content Items or Acquisition Context Sequence Items corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113105","display" : "Clean Descriptors Option","definition" : "Additional de-identification according to an option defined in that requires that any information that is embedded in text or string Attributes corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113106","display" : "Retain Longitudinal Temporal Information Full Dates Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any dates and times be retained,."},{"code" : "113107","display" : "Retain Longitudinal Temporal Information Modified Dates Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any dates and times be modified in a manner that preserves temporal relationships."},{"code" : "113108","display" : "Retain Patient Characteristics Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any physical characteristics of the patient, which are descriptive rather than identifying information per se, be retained."},{"code" : "113109","display" : "Retain Device Identity Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any information that identifies a device be retained."},{"code" : "113110","display" : "Retain UIDs Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that UIDs be retained."},{"code" : "113111","display" : "Retain Safe Private Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that Private Attributes that are known not to contain identity information be retained."},{"code" : "113112","display" : "Retain Institution Identity Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any information that identifies an institution be retained."},{"code" : "113130","display" : "Predecessor containing group of imaging subjects","definition" : "Images used as the source for an image processing operation that extracts data for a single subject from an image containing data for multiple subjects (e.g., a group of animals imaged simultaneously)."},{"code" : "113131","display" : "Extraction of individual subject from group","definition" : "An image processing operation that extracts data for a single subject from an image containing data for multiple subjects (e.g., a group of animals imaged simultaneously)."},{"code" : "113132","display" : "Single subject extracted from group","definition" : "A single subject that has been selected from amongst multiple subjects (e.g., a group of animals imaged simultaneously), and whose data has been extracted."},{"code" : "113201","display" : "Trace","definition" : "Sum of the diffusion tensor eigenvalues.I.e.: Tr = λ1+ λ2+ λ3, where λ1 ≥ λ2 ≥ λ3.Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113202","display" : "Mean Diffusivity","definition" : "Average of the diffusion tensor eigenvalues in all directions.I.e.: MD = (λ1+ λ2+ λ3) /3Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113203","display" : "Radial Diffusivity","definition" : "Average of the two non-principal (i.e., perpendicular) diffusion tensor eigenvalues(also known as transverse diffusivity, perpendicular diffusivity).I.e.: DR= (λ2+ λ3) /2Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113204","display" : "Axial Diffusivity","definition" : "Diffusion tensor eigenvalue of the principal axis (also known as longitudinal diffusivity, parallel diffusivity).I.e.: DA = λ1Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113205","display" : "Mean Kurtosis","definition" : "MK = diffusional kurtosis averaged over all gradient directionsReference: Tabesh A, Jensen JH, Ardekani BA, Helpern JA. Estimation of Tensors and Tensor-Derived Measures in Diffusional Kurtosis Imaging. Magnetic Resonance in Medicine. 2011;65(3) :823-836. doi:10.1002/mrm.22655. ()Reference: Liu C, Mang SC, Moseley ME. In VivoGeneralized Diffusion Tensor Imaging (GDTI) Using Higher-Order Tensors (HOT). Magnetic resonance in medicine/: official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine. 2010;63(1) :243-252. doi:10.1002/mrm.22192. ()"},{"code" : "113206","display" : "Apparent Kurtosis Coefficient","definition" : "AKC = diffusional kurtosis in a given directionReference: Liu C, Mang SC, Moseley ME. In VivoGeneralized Diffusion Tensor Imaging (GDTI) Using Higher-Order Tensors (HOT). Magnetic resonance in medicine/: official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine. 2010;63(1) :243-252. doi:10.1002/mrm.22192. ()"},{"code" : "113207","display" : "Radial Kurtosis","definition" : "KR = diffusional kurtosis perpendicular to the direction of the highest diffusion (also known as transverse kurtosis, perpendicular kurtosis)Reference: Tabesh A, Jensen JH, Ardekani BA, Helpern JA. Estimation of Tensors and Tensor-Derived Measures in Diffusional Kurtosis Imaging. Magnetic Resonance in Medicine. 2011;65(3) :823-836. doi:10.1002/mrm.22655. ()"},{"code" : "113208","display" : "Axial Kurtosis","definition" : "KA = diffusional kurtosis in the direction of the highest diffusion (also known as longitudinal kurtosis, parallel kurtosis)Reference: Tabesh A, Jensen JH, Ardekani BA, Helpern JA. Estimation of Tensors and Tensor-Derived Measures in Diffusional Kurtosis Imaging. Magnetic Resonance in Medicine. 2011;65(3) :823-836. doi:10.1002/mrm.22655. ()"},{"code" : "113209","display" : "Fractional Kurtosis Anisotropy","definition" : "FKA = fractional kurtosis of diffusion in tissuesReference: Liu C, Mang SC, Moseley ME. In VivoGeneralized Diffusion Tensor Imaging (GDTI) Using Higher-Order Tensors (HOT). Magnetic resonance in medicine/: official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine. 2010;63(1) :243-252. doi:10.1002/mrm.22192. ()"},{"code" : "113211","display" : "Deterministic","definition" : "Tracking based on local directionalityReference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113212","display" : "Probabilistic","definition" : "Tracking using local fiber orientation likelihood derive global connectivity likelihoodReference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113213","display" : "Global","definition" : "Tracking allfibers simultaneously, searching for a global optimum.Reference: Reisert M, Mader I, Anastasopoulos C, Weigel M, Schnell S, Kiselev V. Global fiber reconstruction becomes practical. NeuroImage. 2011 Jan 15;54(2) :955-62. ()"},{"code" : "113214","display" : "FACT","definition" : "Fiber Assessment by Continuous TrackingReference: Mori S, Crain BJ, Chacko VP, van Zijl PC. Three-dimensional tracking of axonal projections in the brain by magnetic resonance imaging. Ann Neurol . 1999 Feb;45(2) :265-9 ()Reference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113215","display" : "Streamline","definition" : "Streamline tracking techniques (STT)Reference: Basser PJ, Pajevic S, Pierpaoli C, Duda J, Aldroubi A. In vivo fiber tractography using DT-MRI data. Magn Reson Med. 2000 Oct;44(4) :625-32 ()"},{"code" : "113216","display" : "TEND","definition" : "Tensor DeflectionReference: Lazar M, Weinstein DM, Tsuruda JS, Hasan KM, Arfanakis K, Meyerand ME, Badie B, Rowley HA, Haughton V, Field A, Alexander AL. White matter tractography using diffusion tensor deflection. Hum Brain Mapp.2003 Apr;18(4) :306-21. ()"},{"code" : "113217","display" : "Bootstrap","definition" : "Non-parametric estimation of fiber tracking dispersionReference: Lazar M, Alexander AL. Bootstrap white matter tractography (BOOT-TRAC). Neuroimage. 2005 Jan 15;24(2) :524-32. Epub 2004 Nov 24. ()Reference: Jones DK, Pierpaoli C. Confidence mapping in diffusion tensor magnetic resonance imaging tractography using a bootstrap approach. Magn Reson Med.2005 May;53(5) :1143-9. ()"},{"code" : "113218","display" : "Euler","definition" : "Integration method, 1st orderReference: Basser PJ, Pajevic S, Pierpaoli C, Duda J, Aldroubi A. In vivo fiber tractography using DT-MRI data. Magn Reson Med. 2000 Oct;44(4) :625-32 ()Reference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113219","display" : "Runge-Kutta","definition" : "Integration method, 2nd or 4th orderReference: Basser PJ, Pajevic S, Pierpaoli C, Duda J, Aldroubi A. In vivo fiber tractography using DT-MRI data. Magn Reson Med. 2000 Oct;44(4) :625-32 ()"},{"code" : "113221","display" : "HARDI","definition" : "High Angular Resolution Diffusion ImagingReference: Tuch DS, Reese TG, Wiegell MR, Makris N, Belliveau JW, Wedeen VJ. High angular resolution diffusion imaging reveals intravoxel white matter fiber heterogeneity. Magn Reson Med.2002 Oct;48(4) :577-82. ()Reference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113222","display" : "DKI","definition" : "Diffusion(al) Kurtosis ImagingReference: Jensen JH, Helpern JA, Ramani A, Lu H, Kaczynski K. Diffusional kurtosis imaging: the quantification of non-gaussian water diffusion by means of magnetic resonance imaging. Magn Reson Med. 2005 Jun;53(6) :1432-40. ()"},{"code" : "113223","display" : "DTI","definition" : "Diffusion Tensor ImagingReference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113224","display" : "DSI","definition" : "Diffusion Spectrum ImagingReference: Wedeen VJ, Wang RP, Schmahmann JD, Benner T, Tseng WY, Dai G, Pandya DN, Hagmann P, D'Arceuil H, de Crespigny AJ. Diffusion spectrum magnetic resonance imaging (DSI) tractography of crossing fibers. Neuroimage. 2008 Jul 15;41(4) :1267-77. doi:10.1016/j.neuroimage.2008.03.036. ()Reference: Hagmann P, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics.2006 Oct;26 Suppl 1:S205-23. ()"},{"code" : "113225","display" : "LSDI","definition" : "Line Scan Diffusion Imaging sequenceReference: Gudbjartsson H, Maier SE, Mulkern RV, Mórocz IA, Patz S, Jolesz FA. Line scan diffusion imaging. Magn Reson Med.1996 Oct;36(4) :509-19. ()"},{"code" : "113226","display" : "Single Shot EPI","definition" : "An Echo Planar Imaging sequence in which the entire range of phase encoding steps is acquired in one repetition.Reference: Turner R, Le Bihan D, Chesnick AS. Echo-planar imaging of diffusion and perfusion. Magn Reson Med.1991 Jun;19(2) :247-53. ()"},{"code" : "113227","display" : "Multiple Shot EPI","definition" : "An Echo Planar Imaging sequence in which separate parts of the range of phase encoding steps are acquired in multiple repetitions.Reference: Robson MD, Anderson AW, Gore JC. Diffusion-weighted multiple shot echo planar imaging of humans without navigation. Magn Reson Med.1997 Jul;38(1) :82-8. ()"},{"code" : "113228","display" : "Parallel Imaging","definition" : "A imaging sequence that uses a subset of k-space data from an array of receiver coils, e.g., Sensitivity Encoding.Reference: Pruessmann KP, Weiger M, Scheidegger MB, Boesiger P. SENSE: sensitivity encoding for fast MRI. Magn Reson Med.1999 Nov;42(5) :952-62. ()Reference: Deshmane A, Gulani V, Griswold MA, Seiberlich N. Parallel MR imaging. J Magn Reson Imaging. 2012 Jul;36(1) :55-72. ()"},{"code" : "113231","display" : "Single Tensor","definition" : "Modeling anisotropic diffusion in a volume with a tensor following a Gaussian distribution (six degrees of freedom)Reference: Basser PJ, Mattiello J, LeBihan D. Estimation of the effective self-diffusion tensor from the NMR spin echo. J Magn Reson B.1994 Mar;103(3) :247-54. ()Reference: Hagmann P1, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics.2006 Oct;26 Suppl 1:S205-23. ()"},{"code" : "113232","display" : "Multi Tensor","definition" : "Modeling anisotropic diffusion in a volume by fitting of multiple tensorsReference: Ozarslan E, Mareci TH. Generalized diffusion tensor imaging and analytical relationships between diffusion tensor imaging and high angular resolution diffusion imaging. Magn Reson Med.2003 Nov;50(5) :955-65. ()Reference: Pasternak O, Assaf Y, Intrator N, Sochen N. Variational multiple-tensor fitting of fiber-ambiguous diffusion-weighted magnetic resonance imaging voxels. Magn Reson Imaging.2008 Oct;26(8) :1133-44. doi:10.1016/j.mri.2008.01.006. ()"},{"code" : "113233","display" : "Model Free","definition" : "Reconstruction of anisotropic diffusion in a volume without imposing an underlying statistical model (data-driven approach)Reference: Wedeen VJ, Hagmann P, Tseng WY, Reese TG, Weisskoff RM. Mapping complex tissue architecture with diffusion spectrum magnetic resonance imaging. Magn Reson Med.2005 Dec;54(6) :1377-86. ()Reference: Hagmann P, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics.2006 Oct;26 Suppl 1:S205-23. ()"},{"code" : "113234","display" : "CHARMED","definition" : "Composite Hindered and Restricted Model of DiffusionReference: Assaf Y, Basser PJ. Composite hindered and restricted model of diffusion (CHARMED) MR imaging of the human brain. Neuroimage.2005 Aug 1;27(1) :48-58. ()"},{"code" : "113236","display" : "DOT","definition" : "Diffusion Orientation TransformReference: Ozarslan E, Shepherd TM, Vemuri BC, Blackband SJ, Mareci TH. Resolution of complex tissue microarchitecture using the diffusion orientation transform (DOT). Neuroimage. 2006 Jul 1;31(3) :1086-103. Epub 2006 Mar 20. ()"},{"code" : "113237","display" : "PAS","definition" : "Persistent Angular StructureReference: Jansons KM, Alexander DC. Persistent Angular Structure: new insights from diffusion MRI data. Dummy version. Inf Process Med Imaging.2003 Jul;18:672-83. ()"},{"code" : "113238","display" : "Spherical Deconvolution","definition" : "A method to estimate the distribution of fiber orientations by deconvolution of the diffusion-weighted signal attenuation measured over the surface of a sphere expressed as the convolution over the sphere of a response function.Reference: Tournier JD, Calamante F, Gadian DG, Connelly A. Direct estimation of the fiber orientation density function from diffusion-weighted MRI data using spherical deconvolution. NeuroImage. 2004 Nov;23(3) :1176-85. ()"},{"code" : "113240","display" : "Source image diffusion b-value","definition" : "The diffusion sensitization factor (b value) used during acquisition of the source image used for a diffusion model."},{"code" : "113241","display" : "Model fitting method","definition" : "The method used to fit a set of data to a mathematical model."},{"code" : "113250","display" : "Mono-exponential diffusion model","definition" : "Mono-exponential (single compartment) Apparent Diffusion Coefficient (ADC) model."},{"code" : "113251","display" : "Bi-exponential (IVIM) diffusion model","definition" : "Bi-exponential intravoxel incoherent motion (IVIM) model."},{"code" : "113252","display" : "Kurtosis diffusion model","definition" : "."},{"code" : "113253","display" : "Gamma distribution model","definition" : "."},{"code" : "113254","display" : "Stretched exponential diffusion model","definition" : "."},{"code" : "113255","display" : "Truncated Gaussian diffusion model","definition" : "."},{"code" : "113260","display" : "Log of ratio of two samples","definition" : "Model fitting by using the log of the ratio of the two samples."},{"code" : "113261","display" : "Least squares fit of multiple samples","definition" : "Model fitting by least squares method from more than two samples."},{"code" : "113265","display" : "Levenberg-Marquardt","definition" : "Model fitting by Levenberg-Marquardt method."},{"code" : "113266","display" : "Trust-Region","definition" : "Model fitting by Trust-Region method."},{"code" : "113267","display" : "Fixed-Dp","definition" : "Model fitting by Fixed-Dp method."},{"code" : "113268","display" : "Segmented-Unconstrained","definition" : "Model fitting by Segmented-Unconstrained method."},{"code" : "113269","display" : "Segmented-Constrained","definition" : "Model fitting by Segmented-Constrained method."},{"code" : "113270","display" : "Bayesian-Probability","definition" : "Model fitting by Bayesian-Probability method."},{"code" : "113285","display" : "Voxelwise selection of b-value","definition" : "Diffusion modeling by voxelwise selection of b-values."},{"code" : "113288","display" : "Volume Ratio","definition" : "Coefficient reflecting the anisotropy of the tissues, derived from a diffusion weighted MR image. It represents the volume of an ellipsoid whose semimajor axes are the three eigenvalues of the diffusion tensor divided by the volume of a sphere whose radius is the mean diffusivity."},{"code" : "113289","display" : "Diffusion Coefficient","definition" : "The pure diffusion coefficient, i.e., one that is not affected by T2 contrast effects."},{"code" : "113290","display" : "Mono-exponential Apparent Diffusion Coefficient","definition" : "The diffusion coefficient of a mono-exponential diffusion model (ADCm)."},{"code" : "113291","display" : "Slow Diffusion Coefficient","definition" : "The slow diffusion coefficient (Ds) of a bi-exponential intravoxel incoherent motion (IVIM) diffusion model."},{"code" : "113292","display" : "Fast Diffusion Coefficient","definition" : "The fast diffusion coefficient (Df) of a bi-exponential intravoxel incoherent motion (IVIM) diffusion model."},{"code" : "113293","display" : "Fast Diffusion Coefficient Fraction","definition" : "The fast diffusion fraction of a bi-exponential intravoxel incoherent motion (IVIM) diffusion model."},{"code" : "113294","display" : "Kurtosis Diffusion Coefficient","definition" : "The diffusion coefficient of a kurtosis diffusion model (ADCk)."},{"code" : "113295","display" : "Gamma Distribution Scale Parameter","definition" : "The scale (theta) parameter of a gamma distribution diffusion model."},{"code" : "113296","display" : "Gamma Distribution Shape Parameter","definition" : "The shape (k) parameter of a gamma distribution diffusion model."},{"code" : "113297","display" : "Gamma Distribution Mode","definition" : "The mode (maximum value of probability density function) of a gamma distribution diffusion model. Computed as (k-1)*theta, for k >= 1."},{"code" : "113298","display" : "Distributed Diffusion Coefficient","definition" : "The distributed diffusion coefficient of a stretched-exponential diffusion model (ADCs)."},{"code" : "113299","display" : "Anomalous Exponent Parameter","definition" : "The anomalous exponent (stretching, alpha) parameter of a stretched-exponential diffusion model. This describes the deviation of the signal attenuation from mono-exponential behavior"},{"code" : "113500","display" : "Radiopharmaceutical Radiation Dose Report","definition" : "The procedure report is a Radiopharmaceutical Radiation Dose report"},{"code" : "113502","display" : "Radiopharmaceutical Administration","definition" : "Information pertaining to the administration of a radiopharmaceutical"},{"code" : "113503","display" : "Radiopharmaceutical Administration Event UID","definition" : "Unique identification of a single radiopharmaceutical administration event."},{"code" : "113505","display" : "Intravenous Extravasation Symptoms","definition" : "Initial signs or symptoms of extravasation"},{"code" : "113506","display" : "Estimated Extravasation Activity","definition" : "The estimated percentage of administered activity lost at the injection site. The estimation includes extravasation, paravenous administration and leakage at the injection site."},{"code" : "113507","display" : "Administered activity","definition" : "The calculated activity at the Radiopharmaceutical Start Time when the radiopharmaceutical is administered to the patient. The residual activity (i.e., radiopharmaceutical not administered) , if measured, is reflected in the calculated value. The estimated extravasation is not reflected in the calculated value."},{"code" : "113508","display" : "Pre-Administration Measured Activity","definition" : "Radioactivity measurement of radiopharmaceutical before or during the administration."},{"code" : "113509","display" : "Post-Administration Measured Activity","definition" : "Radioactivity measurement of radiopharmaceutical after the administration."},{"code" : "113510","display" : "Drug Product Identifier","definition" : "Registered drug establishment code for product, Coding Scheme example is NDC or RxNorm"},{"code" : "113511","display" : "Radiopharmaceutical Dispense Unit Identifier","definition" : "The human readable identification of the specific radiopharmaceutical dispensed quantity or dose (\"dose\" as unit of medication delivery, not radiation dose measure) to be administered to the patient."},{"code" : "113512","display" : "Radiopharmaceutical Lot Identifier","definition" : "Identifies the vial, batch or lot number from which the individual dispense radiopharmaceutical quantity (dose) is produced. The Radiopharmaceutical Dispense Unit Identifier records the identification for each individual dose."},{"code" : "113513","display" : "Reagent Vial Identifier","definition" : "Identifies the lot or unit serial number for the reagent component for the radiopharmaceutical."},{"code" : "113514","display" : "Radionuclide Vial Identifier","definition" : "Identifies the lot or unit serial number for the radionuclide component for the radiopharmaceutical."},{"code" : "113516","display" : "Prescription Identifier","definition" : "Administered Product's Prescription Number"},{"code" : "113517","display" : "Organ Dose Information","definition" : "Information pertaining to the estimated absorbed radiation dose to an organ."},{"code" : "113518","display" : "Organ Dose","definition" : "The absorbed radiation dose to organ"},{"code" : "113520","display" : "MIRD Pamphlet 1","definition" : "Reference authorityMIRD Pamphlet No.1 (rev) ,Society of Nuclear Medicine, 1976"},{"code" : "113521","display" : "ICRP Publication 53","definition" : "Reference authorityICRP, 1988. Radiation Dose to Patients from Radiopharmaceuticals. ICRP Publication 53. Ann. ICRP 18 (1-4)."},{"code" : "113522","display" : "ICRP Publication 80","definition" : "Reference authorityICRP, 1998. Radiation Dose to Patients from Radiopharmaceuticals (Addendum to ICRP Publication 53). ICRP Publication 80. Ann. ICRP 28 (3)."},{"code" : "113523","display" : "ICRP Publication 106","definition" : "Reference authorityICRP, 2008. Radiation Dose to Patients from Radiopharmaceuticals - Addendum 3 to ICRP Publication 53. ICRP Publication 106. Ann. ICRP 38 (1-2)."},{"code" : "113526","display" : "MIRDOSE","definition" : "Reference authorityStabin MG, Sparks RB, Crowe E (1994)MIRDOSE: personal computer software for internal dose assessment in nuclear medicine [Computer program]"},{"code" : "113527","display" : "OLINDA-EXM","definition" : "Reference authorityStabin MG, Sparks RB, Crowe E (2005) OLINDA/EXM: The Second-Generation Personal Computer Software for Internal Dose Assessment in Nuclear Medicine [Computer program]"},{"code" : "113528","display" : "Package Insert","definition" : "Reference authorityThe reported organ dose is based on radiopharmaceutical's package insert."},{"code" : "113529","display" : "Institutionally Approved Estimates","definition" : "Reference authorityThe reported organ dose is based on Institutionally approved estimates from the Radioactive Drug Research Committee (RDRC) of the institution itself."},{"code" : "113530","display" : "Investigational New Drug","definition" : "Reference authorityThe reported organ dose is based on an Investigation new drug."},{"code" : "113540","display" : "Activity Measurement Device","definition" : "The type of device that performed the activity measurement."},{"code" : "113541","display" : "Dose Calibrator","definition" : "The device that measures the radiation activity of the radiopharmaceutical"},{"code" : "113542","display" : "Infusion System","definition" : "Radiopharmaceutical Infusion System"},{"code" : "113543","display" : "Radioisotope Generator","definition" : "Radioisotope Generator"},{"code" : "113550","display" : "Fasting Duration","definition" : "The number hours the patient has gone without food."},{"code" : "113551","display" : "Hydration Volume","definition" : "The amount of fluids the patient has consumed before the procedure."},{"code" : "113552","display" : "Recent Physical Activity","definition" : "A description of physical activity the patient performed before the start of the procedure, such as that which may affect imaging agent biodistribution."},{"code" : "113560","display" : "Acute unilateral renal blockage","definition" : "Blockage in one of the tubes (ureters) that drain urine from the kidneys"},{"code" : "113561","display" : "Low Thyroid Uptake","definition" : "5% or less Thyroid Uptake of Iodine"},{"code" : "113562","display" : "High Thyroid Uptake","definition" : "25% or higher Thyroid Uptake of Iodine"},{"code" : "113563","display" : "Severely Jaundiced","definition" : "The patient exhibits symptoms severe of jaundice and/or has a Bilirubin >10 mg/dL."},{"code" : "113568","display" : "Extravasation visible in image","definition" : "Extravasation or paravenous administration of the product is visible in the images."},{"code" : "113570","display" : "Cockroft-Gault Formula estimation of GFR","definition" : "The measurement method of the Glomerular Filtration Rate is Cockroft-Gault Formula"},{"code" : "113571","display" : "CKD-EPI Formula estimation of GFR","definition" : "The measurement method of the Glomerular Filtration Rate is CKD-EPI Formula"},{"code" : "113572","display" : "Glomerular Filtration Rate (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is MDRD"},{"code" : "113573","display" : "Glomerular Filtration Rate non-black (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is non-black MDRD"},{"code" : "113574","display" : "Glomerular Filtration Rate black (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is black (MDRD)"},{"code" : "113575","display" : "Glomerular Filtration Rate female (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is female (MDRD)"},{"code" : "113576","display" : "Glomerular Filtration Rate Cystatin-based formula","definition" : "The measurement method of the Glomerular Filtration Rate is Cystatin-based formula"},{"code" : "113577","display" : "Glomerular Filtration Rate Creatinine-based formula (Schwartz)","definition" : "The measurement method of the Glomerular Filtration Rate is Creatinine-based formula (Schwartz)"},{"code" : "113601","display" : "Small: < 32.0 cm lateral thickness","definition" : "Small body thickness for calcium scoring adjustment. Lateral thickness is measured from skin-to-skin, at the level of the proximal ascending aorta, from an A/P localizer image."},{"code" : "113602","display" : "Medium: 32.0-38.0 cm lateral thickness","definition" : "Medium body thickness for calcium scoring adjustment. Lateral thickness is measured from skin-to-skin, at the level of the proximal ascending aorta, from an A/P localizer image."},{"code" : "113603","display" : "Large: > 38.0 cm lateral thickness","definition" : "Large body thickness for calcium scoring adjustment. Lateral thickness is measured from skin-to-skin, at the level of the proximal ascending aorta, from an A/P localizer image."},{"code" : "113605","display" : "Irradiation Event Label","definition" : "A human-readable label identifying an irradiation event."},{"code" : "113606","display" : "Label Type","definition" : "The type of a human-readable label."},{"code" : "113607","display" : "Series Number","definition" : "A number that identifies a Series. Corresponds to Series Number (0020,0011) of the ."},{"code" : "113608","display" : "Acquisition Number","definition" : "A number that identifies an Acquisition. Corresponds to Acquisition Number (0020,0012) of the ."},{"code" : "113609","display" : "Instance Number","definition" : "A number that identifies an Instance. Corresponds to Instance Number (0020,0013) of the ."},{"code" : "113611","display" : "Stationary Acquisition","definition" : "Acquisition where the X-Ray source does not move in relation to the patient."},{"code" : "113612","display" : "Stepping Acquisition","definition" : "Acquisition where the X-Ray source moves laterally in relation to the patient."},{"code" : "113613","display" : "Rotational Acquisition","definition" : "Acquisition where the X-Ray source moves angularly in relation to the patient."},{"code" : "113620","display" : "Plane A","definition" : "Primary plane of a Biplane acquisition equipment."},{"code" : "113621","display" : "Plane B","definition" : "Secondary plane of a Biplane acquisition equipment."},{"code" : "113622","display" : "Single Plane","definition" : "Single plane acquisition equipment."},{"code" : "113630","display" : "Continuous","definition" : "Continuous X-Ray radiation is applied during an irradiation event."},{"code" : "113631","display" : "Pulsed","definition" : "Pulsed X-Ray radiation is applied during an irradiation event."},{"code" : "113650","display" : "Strip filter","definition" : "Filter with uniform thickness."},{"code" : "113651","display" : "Wedge filter","definition" : "Filter with variation in thickness from one edge to the opposite edge."},{"code" : "113652","display" : "Butterfly filter","definition" : "Filter with two triangular sections."},{"code" : "113653","display" : "Flat filter","definition" : "Filter with uniform thickness that is for spectral filtering only."},{"code" : "113661","display" : "Outline of lobulations","definition" : "A polyline defining the outline of a lobulated finding."},{"code" : "113662","display" : "Inner limits of fuzzy margin","definition" : "A polyline defining the inner limits of a finding with fuzzy margin."},{"code" : "113663","display" : "Outer limits of fuzzy margin","definition" : "A polyline defining the outer limits of a finding with fuzzy margin."},{"code" : "113664","display" : "Outline of spiculations","definition" : "A polyline defining the outline of the spiculations of a finding."},{"code" : "113665","display" : "Linear spiculation","definition" : "A polyline segment graphically indicating the location and direction of a spiculation of a finding."},{"code" : "113666","display" : "Pixelated spiculations","definition" : "A collection of points indicating the pixel locations of the spiculations of a finding."},{"code" : "113669","display" : "Orthogonal location arc","definition" : "Connected line segments indicating the center of location of a finding on an orthogonal view."},{"code" : "113670","display" : "Orthogonal location arc inner margin","definition" : "Connected line segments indicating the inner margin of the location of a finding on an orthogonal view."},{"code" : "113671","display" : "Orthogonal location arc outer margin","definition" : "Connected line segments indicating the outer location of a finding on an orthogonal view."},{"code" : "113680","display" : "Quality Control Intent","definition" : "This procedure is intended to gather data that is used for calibration or other quality control purposes."},{"code" : "113681","display" : "Phantom","definition" : "An artificial subject of an imaging study."},{"code" : "113682","display" : "ACR Accreditation Phantom - CT","definition" : "A phantom acceptable for the ACR Computed Tomography Accreditation program."},{"code" : "113683","display" : "ACR Accreditation Phantom - MR","definition" : "A phantom acceptable for the ACR Magnetic Resonance Imaging Accreditation program."},{"code" : "113684","display" : "ACR Accreditation Phantom - Mammography","definition" : "A phantom acceptable for the ACR Mammography Accreditation program."},{"code" : "113685","display" : "ACR Accreditation Phantom - Stereotactic Breast Biopsy","definition" : "A phantom acceptable for the ACR Stereotactic Breast Biopsy Accreditation program."},{"code" : "113686","display" : "ACR Accreditation Phantom - ECT","definition" : "A phantom acceptable for the ACR SPECT Accreditation program (but not for PET)."},{"code" : "113687","display" : "ACR Accreditation Phantom - PET","definition" : "A phantom acceptable for the ACR PET Accreditation program (but not for SPECT)."},{"code" : "113688","display" : "ACR Accreditation Phantom - ECT/PET","definition" : "A SPECT phantom with a PET faceplate acceptable for both the ACR SPECT and PET Accreditation programs."},{"code" : "113689","display" : "ACR Accreditation Phantom - PET Faceplate","definition" : "A PET faceplate (made to fit an existing flangeless or flanged ECT phantom) acceptable for the ACR PET Accreditation program."},{"code" : "113690","display" : "IEC 160mm Head CT Dosimetry Phantom","definition" : "A phantom used for CTDI measurement in head modes according to , Ed.2.1 (Head 16 cm diameter Polymethyl methacrylate PMMA)."},{"code" : "113691","display" : "IEC 320mm Body CT Dosimetry Phantom","definition" : "A phantom used for CTDI measurement in body modes according to , Ed.2.1 (Body 32cm diameter Polymethyl methacrylate PMMA)."},{"code" : "113692","display" : "NEMA XR21-2000 Phantom","definition" : "A phantom in accordance with NEMA standard XR-21-2000."},{"code" : "113701","display" : "X-Ray Radiation Dose Report","definition" : "X-Ray Radiation Dose Report."},{"code" : "113702","display" : "Accumulated X-Ray Dose Data","definition" : "X-Ray dose data accumulated over multiple irradiation events."},{"code" : "113704","display" : "Projection X-Ray","definition" : "Imaging using a point X-Ray source with a diverging beam projected onto a 2 dimensional detector."},{"code" : "113705","display" : "Scope of Accumulation","definition" : "Entity over which dose accumulation values are integrated."},{"code" : "113706","display" : "Irradiation Event X-Ray Data","definition" : "X-Ray dose data for a single Irradiation Event."},{"code" : "113710","display" : "Niobium or Niobium compound","definition" : "Material containing Niobium or a Niobium compound"},{"code" : "113711","display" : "Europium or Europium compound","definition" : "Material containing Europium or a Europium compound"},{"code" : "113720","display" : "Calibration Protocol","definition" : "Describes the method used to derive the calibration factor."},{"code" : "113721","display" : "Irradiation Event Type","definition" : "Denotes the type of irradiation event recorded."},{"code" : "113722","display" : "Dose Area Product Total","definition" : "Total calculated Dose Area Product (in the scope of the including report)."},{"code" : "113723","display" : "Calibration DateTime","definition" : "Last calibration DateTime for the integrated dose meter or dose calculation."},{"code" : "113724","display" : "Calibration Responsible Party","definition" : "Individual or organization responsible for calibration."},{"code" : "113725","display" : "Dose (RP) Total","definition" : "Total Dose related to Reference Point (RP). (in the scope of the including report)."},{"code" : "113726","display" : "Fluoro Dose Area Product Total","definition" : "Total calculated Dose Area Product applied in Fluoroscopy Modes (in the scope of the including report)."},{"code" : "113727","display" : "Acquisition Dose Area Product Total","definition" : "Total calculated Dose Area Product applied in Acquisition Modes (in the scope of the including report)."},{"code" : "113728","display" : "Fluoro Dose (RP) Total","definition" : "Dose applied in Fluoroscopy Modes, related to Reference Point (RP). (in the scope of the including report)."},{"code" : "113729","display" : "Acquisition Dose (RP) Total","definition" : "Dose applied in Acquisition Modes, related to Reference Point (RP). (in the scope of the including report)."},{"code" : "113730","display" : "Total Fluoro Time","definition" : "Total accumulated clock time of Fluoroscopy in the scope of the including report (i.e., the sum of the Irradiation Duration values for accumulated fluoroscopy irradiation events)."},{"code" : "113731","display" : "Total Number of Radiographic Frames","definition" : "Accumulated Count of exposure pulses (single or multi-frame encoded) created from irradiation events performed with high dose (acquisition)."},{"code" : "113732","display" : "Fluoro Mode","definition" : "Mode of application of X-Rays during Fluoroscopy."},{"code" : "113733","display" : "KVP","definition" : "Applied X-Ray Tube voltage at peak of X-Ray generation, in kilovolts; Mean value if measured over multiple peaks (pulses)."},{"code" : "113734","display" : "X-Ray Tube Current","definition" : "Mean value of applied Tube Current."},{"code" : "113735","display" : "Exposure Time","definition" : "Cumulative time the patient has received X-Ray exposure during the irradiation event"},{"code" : "113736","display" : "Exposure","definition" : "Mean value of X-Ray Current Time product."},{"code" : "113737","display" : "Distance Source to Reference Point","definition" : "Distance to the Reference Point (RP) defined according to IEC 60601-2-43 or equipment defined."},{"code" : "113738","display" : "Dose (RP)","definition" : "Dose applied at the Reference Point (RP)."},{"code" : "113739","display" : "Positioner Primary End Angle","definition" : "Positioner Primary Angle at the end of an irradiation event. For further definition see (112011, DCM, \"Positioner Primary Angle\")."},{"code" : "113740","display" : "Positioner Secondary End Angle","definition" : "Positioner Secondary Angle at the end of an irradiation event. For further definition see (112012, DCM, \"Positioner Secondary Angle\")."},{"code" : "113742","display" : "Irradiation Duration","definition" : "Clock time from the start of loading time of the first pulse until the loading time trailing edge of the final pulse in the same irradiation event.Loading time is defined in IEC 60601-1-3:2008, 3.37, and described in IEC 60601-2-54:2009, 203.4.101.3."},{"code" : "113743","display" : "Patient Orientation","definition" : "Orientation of the Patient with respect to Gravity."},{"code" : "113744","display" : "Patient Orientation Modifier","definition" : "Enhances or modifies the Patient orientation specified in Patient Orientation."},{"code" : "113745","display" : "Patient Table Relationship","definition" : "Orientation of the Patient with respect to the Head of the Table."},{"code" : "113748","display" : "Distance Source to Isocenter","definition" : "Distance from the X-Ray Source to the Equipment C-Arm Isocenter.(Center of Rotation)."},{"code" : "113750","display" : "Distance Source to Detector","definition" : "Measured or calculated distance from the X-Ray source to the detector plane in the center of the beam."},{"code" : "113751","display" : "Table Longitudinal Position","definition" : "Table Longitudinal Position with respect to an arbitrary reference chosen by the equipment. Table longitudinal motion is positive towards the left of the patient assuming the patient is positioned HEAD FIRST SUPINE."},{"code" : "113752","display" : "Table Lateral Position","definition" : "Table Lateral Position with respect to an arbitrary reference chosen by the equipment. Table lateral motion is positive towards the head of the patient assuming the patient is positioned HEAD FIRST."},{"code" : "113753","display" : "Table Height Position","definition" : "Table Height Position with respect to an arbitrary chosen reference by the equipment in (mm). Table motion downwards is positive."},{"code" : "113754","display" : "Table Head Tilt Angle","definition" : "Angle of the head-feet axis of the table in degrees relative to the horizontal plane. Positive values indicate that the head of the table is upwards."},{"code" : "113755","display" : "Table Horizontal Rotation Angle","definition" : "Rotation of the table in the horizontal plane (clockwise when looking from above the table)."},{"code" : "113756","display" : "Table Cradle Tilt Angle","definition" : "Angle of the left-right axis of the table in degrees relative to the horizontal plane. Positive values indicate that the left of the table is upwards."},{"code" : "113757","display" : "X-Ray Filter Material","definition" : "X-Ray absorbing material used in the filter."},{"code" : "113758","display" : "X-Ray Filter Thickness Minimum","definition" : "The minimum thickness of the X-Ray absorbing material used in the filters."},{"code" : "113759","display" : "Table Longitudinal End Position","definition" : "Table Longitudinal Position at the end of an irradiation event."},{"code" : "113760","display" : "Table Lateral End Position","definition" : "Table Lateral Position at the end of an irradiation event."},{"code" : "113761","display" : "Table Height End Position","definition" : "Table Height Position at the end of an irradiation event."},{"code" : "113763","display" : "Calibration Uncertainty","definition" : "Uncertainty of the 'actual' value."},{"code" : "113764","display" : "Acquisition Plane","definition" : "Identification of Acquisition Plane with Biplane systems."},{"code" : "113766","display" : "Focal Spot Size","definition" : "Nominal Size of Focal Spot of X-Ray Tube."},{"code" : "113767","display" : "Average X-Ray Tube Current","definition" : "Average X-Ray Tube Current averaged over time for pulse or for continuous Fluoroscopy."},{"code" : "113768","display" : "Number of Pulses","definition" : "Number of pulses applied by X-Ray systems during an irradiation event (acquisition run or pulsed fluoro)."},{"code" : "113769","display" : "Irradiation Event UID","definition" : "Unique identification of a single irradiation event."},{"code" : "113770","display" : "Column Angulation","definition" : "Angle of the X-Ray beam in degree relative to an orthogonal axis to the detector plane."},{"code" : "113771","display" : "X-Ray Filters","definition" : "Devices used to modify the energy or energy distribution of X-Rays."},{"code" : "113772","display" : "X-Ray Filter Type","definition" : "Type of filter(s) inserted into the X-Ray beam."},{"code" : "113773","display" : "X-Ray Filter Thickness Maximum","definition" : "The maximum thickness of the X-Ray absorbing material used in the filters."},{"code" : "113780","display" : "Reference Point Definition","definition" : "System provided definition of the Reference Point used for Dose calculations."},{"code" : "113788","display" : "Collimated Field Height","definition" : "Distance between the collimator blades in pixel column direction as projected at the detector plane."},{"code" : "113789","display" : "Collimated Field Width","definition" : "Distance between the collimator blades in pixel row direction as projected at the detector plane."},{"code" : "113790","display" : "Collimated Field Area","definition" : "Collimated field area at image receptor. Area for compatibility with IEC 60601-2-43."},{"code" : "113791","display" : "Pulse Rate","definition" : "Pulse rate applied by equipment during Fluoroscopy."},{"code" : "113792","display" : "Distance Source to Table Plane","definition" : "Measured or calculated distance from the X-Ray source to the table plane in the center of the beam."},{"code" : "113793","display" : "Pulse Width","definition" : "(Average) X-Ray pulse width."},{"code" : "113794","display" : "Dose Measurement Device","definition" : "Calibrated device to perform dose measurements."},{"code" : "113795","display" : "Acquired Image","definition" : "Image acquired during a specified event."},{"code" : "113800","display" : "DLP to E conversion via MC computation","definition" : "Effective Dose evaluation from the product of Dose Length Product (DLP) and the Effective Dose Conversion Factor (E/DLP in units of mSv/mGy-cm), where the ratio is derived by means of Monte Carlo computations."},{"code" : "113801","display" : "CTDIfreeair to E conversion via MC computation","definition" : "Effective Dose evaluation from the product of the Mean CTDIfreeair and the ratio E/CTDIfreeair (mSv/mGy), where the ratio is derived by means of Monte Carlo computations."},{"code" : "113802","display" : "DLP to E conversion via measurement","definition" : "Effective Dose evaluation from the product of Dose Length Product (DLP) and the Effective Dose Conversion Factor (E/DLP in units of mSv/mGy-cm), where the ratio is derived by means of dosimetric measurements with an anthropomorphic phantom."},{"code" : "113803","display" : "CTDIfreeair to E conversion via measurement","definition" : "Effective Dose evaluation from the product of the Mean CTDIfreeair and the ratio E/CTDIfreeair (mSv/mGy), where the ratio is derived by means of dosimetric measurements with an anthropomorphic phantom."},{"code" : "113804","display" : "Sequenced Acquisition","definition" : "The CT acquisition was performed by acquiring single or multi detector data while rotating the source about the gantry while the table is not moving. Additional slices are acquired by incrementing the table position and again rotating the source about the gantry while the table is not moving."},{"code" : "113805","display" : "Constant Angle Acquisition","definition" : "The CT acquisition was performed by holding the source at a constant angle and moving the table to obtain a projection image."},{"code" : "113806","display" : "Stationary Acquisition","definition" : "The CT acquisition was performed by holding the table at a constant position and acquiring multiple slices over time at the same location."},{"code" : "113807","display" : "Free Acquisition","definition" : "The CT acquisition was performed while rotating the source about the gantry while the table movement is under direct control of a human operator or under the control of an analysis application."},{"code" : "113808","display" : "ICRP Pub 60","definition" : "Reference authority1990 Recommendations of the International Commission on Radiological Protection (ICRP Publication 60, published as the Annals of the ICRP Vol. 21, No. 1-3, Pergamon Press,1991)."},{"code" : "113809","display" : "Start of X-Ray Irradiation","definition" : "Start DateTime of the first X-Ray Irradiation Event of the accumulation within a Study."},{"code" : "113810","display" : "End of X-Ray Irradiation","definition" : "End DateTime of the last X-Ray Irradiation Event of the accumulation within a Study."},{"code" : "113811","display" : "CT Accumulated Dose Data","definition" : "X-Ray dose accumulated over multiple CT irradiation events."},{"code" : "113812","display" : "Total Number of Irradiation Events","definition" : "Total number of events during the defined scope of accumulation."},{"code" : "113813","display" : "CT Dose Length Product Total","definition" : "The total dose length product for the defined scope of accumulation."},{"code" : "113814","display" : "CT Effective Dose Total","definition" : "The total Effective Dose at the defined scope of accumulation."},{"code" : "113815","display" : "Patient Model","definition" : "Identification of the reference-patient model used when Effective Dose is evaluated via Monte Carlo calculations or from a Dose Length Product conversion factor based on Monte Carlo calculations."},{"code" : "113816","display" : "Condition Effective Dose measured","definition" : "References the physical phantom and the type of dosimeter used when measurements are done to establish Effective Dose Conversion Factors (E/DLP) or ratios E/CTDIfreeair."},{"code" : "113817","display" : "Effective Dose Phantom Type","definition" : "Type of Effective Dose phantom used."},{"code" : "113818","display" : "Dosimeter Type","definition" : "Type of dosimeter used."},{"code" : "113819","display" : "CT Acquisition","definition" : "General description of the CT Irradiation event."},{"code" : "113820","display" : "CT Acquisition Type","definition" : "Method of the CT acquisition."},{"code" : "113821","display" : "X-Ray Filter Aluminum Equivalent","definition" : "Thickness of an equivalent filter in mm in Aluminum."},{"code" : "113822","display" : "CT Acquisition Parameters","definition" : "General description of the acquisition parameters."},{"code" : "113823","display" : "Number of X-Ray Sources","definition" : "Number of X-Ray sources."},{"code" : "113824","display" : "Exposure Time","definition" : "Total time the patient has received X-Ray exposure during the irradiation event."},{"code" : "113825","display" : "Scanning Length","definition" : "For Spiral scanning, the scanning length is the table travel in mm during the tube loading, adjusted for dynamic collimation if applicable. In the case of Spiral scanning with dynamic collimation, one may approximate scanning length as the FWHM along a line perpendicular to the tomographic plane at isocenter of the free-in-air dose profile for the entire scan.For Sequenced scanning, the scanning length is the table travel between consecutive scans times the number of scans.For Stationary and Free scanning, the scanning length is the nominal width of the total collimation.For Shuttle Mode scanning, the scanning length is the nominal width of the total collimation plus the distance between the two scanning positions.Scanning Length might be longer than the programmed acquisition length (Length of Reconstructable Volume)"},{"code" : "113826","display" : "Nominal Single Collimation Width","definition" : "The value of the nominal width referenced to the location of the isocenter along the z axis of a single row of acquired data in mm."},{"code" : "113827","display" : "Nominal Total Collimation Width","definition" : "The value of the nominal width referenced to the location of the isocenter along the z axis of the total collimation in mm over the area of active X-Ray detection."},{"code" : "113828","display" : "Pitch Factor","definition" : "For Spiral scanning: Pitch Factor = (Table Feed per Rotation (mm)) /(Nominal Total Collimation Width (mm))For Sequenced scanning: Pitch Factor = (Table Feed per single Sequenced scan (mm)) /(Nominal Total Collimation Width (mm))."},{"code" : "113829","display" : "CT Dose","definition" : "General description of CT dose values."},{"code" : "113830","display" : "Mean CTDIvol","definition" : "\"Mean CTDIvol\" refers to the average value of the CTDIvol associated with this acquisition."},{"code" : "113831","display" : "CT X-Ray Source Parameters","definition" : "Identification, tube-potential, tube-current, and exposure-time parameters associated with an X-Ray source during an acquisition."},{"code" : "113832","display" : "Identification of the X-Ray Source","definition" : "Identifies the particular X-Ray source (in a multi-source CT system) for which the set of X-Ray source parameter values is reported."},{"code" : "113833","display" : "Maximum X-Ray Tube Current","definition" : "Maximum X-Ray tube current."},{"code" : "113834","display" : "Exposure Time per Rotation","definition" : "The exposure time for one rotation of the source around the object in s."},{"code" : "113835","display" : "CTDIw Phantom Type","definition" : "A label describing the type of phantom used for CTDIw measurement."},{"code" : "113836","display" : "CTDIfreeair Calculation Factor","definition" : "The CTDIfreeair Calculation Factor is the CTDIfreeair per mAs, expressed in units of mGy/mAs. The CTDIfreeair Calculation Factor may be used in one method calculating Dose."},{"code" : "113837","display" : "Mean CTDIfreeair","definition" : "The average value of the free-in-air CTDI associated with this acquisition."},{"code" : "113838","display" : "DLP","definition" : "Dose Length Product (DLP), expressed in mGy-cm, is an index characterizing the product of the CTDIvol and the length scanned.For Spiral scanning, DLP = CTDIvol ✕ Scanning Length.For Sequenced scanning, DLP = CTDIvol ✕ Table Travel Between Consecutive Scans ✕ Number of Scans.For Stationary and Free scanning, DLP = CTDIvol ✕ Nominal Total Collimation Width.For Shuttle Mode scanning, DLP = CTDIvol ✕ (Nominal Total Collimation Width + Distance Between the Two Scan Positions)"},{"code" : "113839","display" : "Effective Dose","definition" : "Effective dose in mSv."},{"code" : "113840","display" : "Effective Dose Conversion Factor","definition" : "Effective Dose per DLP, reference value for Effective Dose calculation, expressed in mSv/mGY.cm."},{"code" : "113841","display" : "ICRP Pub 103","definition" : "Effective Dose Reference authority2007 Recommendations of the International Commission on Radiological Protection (ICRP Publication 103, published as the Annals of the ICRP Vol. 37, No. 2-4, Elsevier, 2007)."},{"code" : "113842","display" : "X-Ray Modulation Type","definition" : "The type of exposure modulation used for the purpose of limiting the dose."},{"code" : "113845","display" : "Exposure Index","definition" : "Measure of the detector response to radiation in the relevant image region of an image acquired with a digital X-Ray imaging system as defined in IEC 62494-1."},{"code" : "113846","display" : "Target Exposure Index","definition" : "The target value used to calculate the Deviation Index as defined in IEC 62494-1."},{"code" : "113847","display" : "Deviation Index","definition" : "A scaled representation of the accuracy of the Exposure Index compared to the Target Exposure Index as defined in IEC 62494-1."},{"code" : "113850","display" : "Irradiation Authorizing","definition" : "The clinician responsible for determining that the irradiating procedure was appropriate for the indications."},{"code" : "113851","display" : "Irradiation Administering","definition" : "The person responsible for the administration of radiation."},{"code" : "113852","display" : "Irradiation Event","definition" : "An irradiation event is the loading of X-Ray equipment caused by a single continuous actuation of the equipment's irradiation switch, from the start of the loading time of the first pulse until the loading time trailing edge of the final pulse. Any automatic on-off switching of the irradiation source during the event is not treated as separate events, rather the event includes the time between start and stop of irradiation as triggered by the user."},{"code" : "113853","display" : "Irradiation Event UID","definition" : "Unique Identifier of an Irradiation Event."},{"code" : "113854","display" : "Source of Dose Information","definition" : "Method by which dose-related details of an Irradiation Event were obtained."},{"code" : "113855","display" : "Total Acquisition Time","definition" : "Total accumulated acquisition clock time in the scope of the including report (i.e., the sum of the Irradiation Duration values for accumulated acquisition irradiation events)."},{"code" : "113856","display" : "Automated Data Collection","definition" : "Direct recording of data by a relevant system."},{"code" : "113857","display" : "Manual Entry","definition" : "Recording of data by a human operator, including manual transcription of electronic data."},{"code" : "113858","display" : "MPPS Content","definition" : "The data is taken from an MPPS SOP Instance."},{"code" : "113859","display" : "Irradiating Device","definition" : "A device exposing a patient to ionizing radiation."},{"code" : "113860","display" : "15cm from Isocenter toward Source","definition" : "15cm from the isocenter towards the X-Ray source; See IEC 60601-2-43."},{"code" : "113861","display" : "30cm in Front of Image Input Surface","definition" : "30cm in front (towards the tube) of the input surface of the image receptor; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113862","display" : "1cm above Tabletop","definition" : "1cm above the patient tabletop or cradle; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113863","display" : "30cm above Tabletop","definition" : "30cm above the patient tabletop of cradle; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113864","display" : "15cm from Table Centerline","definition" : "15cm from the centerline of the X-Ray table and in the direction of the X-Ray source; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113865","display" : "4.2cm above Breast Support Surface","definition" : "4.2cm from the breast support surface in the direction orthogonal to the support surface. This point represents the entrance point for radiation to a standard 4.2cm thick compressed breast.See Department of Health and Human Services, Food and Drug Administration. Mammography quality standards; final rule. Federal Register. Oct. 28, 1997; 68(208):55852-55994."},{"code" : "113866","display" : "Copied From Image Attributes","definition" : "The data is copied from information present in the image Attributes."},{"code" : "113867","display" : "Computed From Image Attributes","definition" : "The data is computed from information present in the image Attributes."},{"code" : "113868","display" : "Derived From Human-Readable Reports","definition" : "The data is derived from human-readable reports."},{"code" : "113870","display" : "Person Name","definition" : "The name of a specific person."},{"code" : "113871","display" : "Person ID","definition" : "An identification number or code for a specific person."},{"code" : "113872","display" : "Person ID Issuer","definition" : "The organization that issued a Person ID."},{"code" : "113873","display" : "Organization Name","definition" : "The name of an organization."},{"code" : "113874","display" : "Person Role in Organization","definition" : "The role played by a person in an organization."},{"code" : "113875","display" : "Person Role in Procedure","definition" : "The role played by a person in a procedure."},{"code" : "113876","display" : "Device Role in Procedure","definition" : "The role played by a device in a procedure."},{"code" : "113877","display" : "Device Name","definition" : "The name used to refer to a device; usually locally unique."},{"code" : "113878","display" : "Device Manufacturer","definition" : "Manufacturer of a device."},{"code" : "113879","display" : "Device Model Name","definition" : "Model Name of a device."},{"code" : "113880","display" : "Device Serial Number","definition" : "Serial Number of a device."},{"code" : "113890","display" : "All Planes","definition" : "All planes of a multi-plane acquisition equipment."},{"code" : "113893","display" : "Length of Reconstructable Volume","definition" : "The length from which images may be reconstructed (i.e., excluding any overranging performed in a spiral acquisition that is required for data interpolation).Value is distinct from (1113825, DCM, \"Scanning Length\"), which includes any overranging and any effects from dynamic collimation. Also distinct from any actual Reconstructed Volume, which may depend on the slice thickness chosen for a particular reconstruction."},{"code" : "113895","display" : "Top Z Location of Reconstructable Volume","definition" : "The Z location that is the top (highest Z value) of the Reconstructable Volume. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113896","display" : "Bottom Z Location of Reconstructable Volume","definition" : "The Z location that is the bottom (lowest Z value) of the Reconstructable Volume. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113897","display" : "Top Z Location of Scanning Length","definition" : "The Z location that is the top (highest Z value) of the scanning length. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113898","display" : "Bottom Z Location of Scanning Length","definition" : "The Z location that is the bottom (lowest Z value) of the scanning length. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113899","display" : "Exposed Range","definition" : "The range along the z axis of the total volume irradiated, per , Ed. 3, 203.115(b).The start and stop of loading corresponding to the outer edge of the full width half maximum of the free-in-air dose profile for the beam collimation used."},{"code" : "113900","display" : "Dose Check Alert Details","definition" : "Report section about cumulative dose alerts during an examination."},{"code" : "113901","display" : "DLP Alert Value Configured","definition" : "Flag denoting whether a DLP Alert Value was configured."},{"code" : "113902","display" : "CTDIvol Alert Value Configured","definition" : "Flag denoting whether a CTDIvol Alert Value was configured."},{"code" : "113903","display" : "DLP Alert Value","definition" : "Cumulative Dose Length Product value configured to trigger an alert."},{"code" : "113904","display" : "CTDIvol Alert Value","definition" : "Cumulative CTDIvol value configured to trigger an alert."},{"code" : "113905","display" : "Accumulated DLP Forward Estimate","definition" : "A forward estimate of the accumulated DLP plus the estimated DLP for the next Protocol Element Group."},{"code" : "113906","display" : "Accumulated CTDIvol Forward Estimate","definition" : "A forward estimate at a given location of the accumulated CTDIvol plus the estimated CTDIvol for the next Protocol Element Group."},{"code" : "113907","display" : "Reason for Proceeding","definition" : "Reason provided for proceeding with a procedure that is projected to exceed a configured dose value."},{"code" : "113908","display" : "Dose Check Notification Details","definition" : "Report section about dose notifications during a protocol element."},{"code" : "113909","display" : "DLP Notification Value Configured","definition" : "Flag denoting whether a DLP Notification Value was configured."},{"code" : "113910","display" : "CTDIvol Notification Value Configured","definition" : "Flag denoting whether a CTDIvol Notification Value was configured."},{"code" : "113911","display" : "DLP Notification Value","definition" : "Dose Length Product value configured to trigger a notification for a given protocol element."},{"code" : "113912","display" : "CTDIvol Notification Value","definition" : "CTDIvol value configured to trigger a notification for a given protocol element."},{"code" : "113913","display" : "DLP Forward Estimate","definition" : "A forward estimate of the DLP for the next Protocol Element Group."},{"code" : "113914","display" : "CTDIvol Forward Estimate","definition" : "A forward estimate of the CTDIvol for the next Protocol Element Group."},{"code" : "113915","display" : "Alternative dose alert behavior active","definition" : "Flag denoting whether alternative dose alert behavior has been active for CT guided interventional procedure according to the NEMA Dose Check Standard ."},{"code" : "113921","display" : "Radiation Exposure","definition" : "The amount of ionizing radiation to which the patient was exposed."},{"code" : "113922","display" : "Radioactive Substance Administered","definition" : "Type, amount and route of radioactive substance administered."},{"code" : "113923","display" : "Radiation Exposure and Protection Information","definition" : "Exposure to ionizing radiation and associatedpreventive measures used to reduce the exposure of parts of the body like lead apron or eye, thyroid gland or gonad protection."},{"code" : "113930","display" : "Size Specific Dose Estimate","definition" : "The Size-Specific Dose Estimate is a patient dose estimate that takes into account the size of the patient, such as described in or ."},{"code" : "113931","display" : "Measured Lateral Dimension","definition" : "The side-to-side (left to right) dimension of the body part being scanned (per )."},{"code" : "113932","display" : "Measured AP Dimension","definition" : "The thickness of the body part being scanned, in the antero-posterior dimension (per )."},{"code" : "113933","display" : "Derived Effective Diameter","definition" : "The diameter of the patient at a given location along the Z-axis of the patient, assuming that the patient has a circular cross-section (per )."},{"code" : "113934","display" : "AAPM 204 Lateral Dimension","definition" : "The Size Specific Dose Estimate is computed using Table 1B (32cm phantom) or Table 2B (16cm phantom) of ."},{"code" : "113935","display" : "AAPM 204 AP Dimension","definition" : "The Size Specific Dose Estimate is computed using Table 1C (32cm phantom) or Table 2C (16cm phantom) of ."},{"code" : "113936","display" : "AAPM 204 Sum of Lateral and AP Dimension","definition" : "The Size Specific Dose Estimate is computed using Table 1A (32cm phantom) or Table 2A (16cm phantom) of ."},{"code" : "113937","display" : "AAPM 204 Effective Diameter Estimated From Patient Age","definition" : "The Size Specific Dose Estimate is computed using Table 1D (32cm phantom) or Table 2D (16cm phantom) using an effective diameter estimated from the patient's age using Table 3 of ."},{"code" : "113940","display" : "System Calculated","definition" : "Values calculated from other existing parameters."},{"code" : "113941","display" : "In Detector Plane","definition" : "A segmented region of the detector surface within the irradiated area (but might not be near the center of the detector)."},{"code" : "113942","display" : "X-Ray Reading Device","definition" : "A device that creates digital images from X-Ray detectors (Direct, Indirect or Storage)."},{"code" : "113943","display" : "X-Ray Source Data Available","definition" : "Parameters related to the X-Ray source (generator, tube, etc) are available to the recording application."},{"code" : "113944","display" : "X-Ray Mechanical Data Available","definition" : "Parameters related to the X-Ray Mechanical System (Stand, Table) are available to the recording application."},{"code" : "113945","display" : "X-Ray Detector Data Available","definition" : "Parameters related to the X-Ray Detector are available to the recording application."},{"code" : "113946","display" : "Projection Eponymous Name","definition" : "Describes the radiographic method of patient, tube and detector positioning to achieve a well described projection or view."},{"code" : "113947","display" : "Detector Type","definition" : "Type of Detector used to acquire data."},{"code" : "113948","display" : "Direct Detector","definition" : "Detector that directly transforms the input signal to pixel values."},{"code" : "113949","display" : "Indirect Detector","definition" : "Detector that transforms an intermediate signal into pixel values."},{"code" : "113950","display" : "Storage Detector","definition" : "Storage detector that stores a signal that is later transformed by a reader into pixel values."},{"code" : "113951","display" : "Film","definition" : "Film that is scanned to create pixel values."},{"code" : "113952","display" : "Table Mount","definition" : "The cassette/detector is mounted in the patient table."},{"code" : "113953","display" : "Unmounted Detector","definition" : "The cassette/detector is not mounted.."},{"code" : "113954","display" : "Upright Stand Mount","definition" : "The cassette/detector is mounted in an upright stand."},{"code" : "113955","display" : "C-Arm Mount","definition" : "The cassette/detector is mounted on a c-arm."},{"code" : "113956","display" : "CR/DR Mechanical Configuration","definition" : "Method of mounting or positioning a CR/DR cassette or detector."},{"code" : "113957","display" : "Fluoroscopy-Guided Projection Radiography System","definition" : "An integrated projection radiography system capable of fluoroscopy."},{"code" : "113958","display" : "Integrated Projection Radiography System","definition" : "A projection radiography system where the X-Ray detector, X-Ray Source and gantry components are integrated and the managing system is able to access details of each component."},{"code" : "113959","display" : "Cassette-based Projection Radiography System","definition" : "A projection radiography system where the X-Ray detector, X-Ray Source and gantry components are not integrated."},{"code" : "113961","display" : "Reconstruction Algorithm","definition" : "Description of the algorithm used when reconstructing the image from the data acquired during the acquisition process."},{"code" : "113962","display" : "Filtered Back Projection","definition" : "An algorithm for reconstructing an image from multiple projections by back-projecting the measured values along the line of the projection and filtering the result to reduce blurring."},{"code" : "113963","display" : "Iterative Reconstruction","definition" : "An algorithm for reconstructing an image from multiple projections by starting with an assumed reconstructed image, computing projections from the image, comparing the original projection data and updating the reconstructed image based upon the difference between the calculated and the actual projections."},{"code" : "113964","display" : "At Surface of Patient","definition" : "A point at the surface of the patient within the irradiated area where the X-Ray beam enters the patient (i.e. towards the tube)."},{"code" : "113965","display" : "100cm from X-Ray Source","definition" : "100cm from the X-Ray source along the central ray of the X-Ray beam."},{"code" : "113970","display" : "Procedure Step To This Point","definition" : "The period of time from the start of a Procedure Step until the time point established by the context of the reference."},{"code" : "113980","display" : "Water Equivalent Diameter","definition" : "The diameter of a cylinder of water having the same X-Ray attenuation as the patient for a specified reconstructed slice (e.g., as described in )."},{"code" : "113981","display" : "Water Equivalent Diameter Representative Value","definition" : "The Water Equivalent Diameter is a value at a single location sufficiently representative of the body region."},{"code" : "113982","display" : "Water Equivalent Diameter Integrated Across Scan Range","definition" : "The Water Equivalent Diameter integrates values for a sample of reconstructed slices across the entire scan range."},{"code" : "113983","display" : "Water Equivalent Diameter From Raw Data","definition" : "The Water Equivalent Diameter value is derived from Raw Data rather than reconstructed slices.See ."},{"code" : "113984","display" : "Water Equivalent Diameter From Localizer","definition" : "The Water Equivalent Diameter value is derived from a Localizer image.See ."},{"code" : "113985","display" : "Series or Instance used for Water Equivalent Diameter estimation","definition" : "Unique identifier of the Series or Instance(s) used for Water Equivalent Diameter estimation, whether it be a Series of reconstructed single slice images or one or more Enhanced Multi-frame images or a Raw Data Series or Instance."},{"code" : "113986","display" : "Z value of location of Water Equivalent Diameter estimation","definition" : "The Z location used for Water Equivalent Diameter estimation at a single location whether it be computed using a reconstructed slice or Localizer or Raw Data. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113987","display" : "AAPM 220","definition" : "A report describing methods of calculation of diameters of cylinders of water having the same X-Ray attenuation as reconstructed CT slices of patients described in ."},{"code" : "113988","display" : "Estimated from Water Equivalent Diameter","definition" : "The Size Specific Dose Estimate is calculated from a single Water Equivalent Diameter value using a conversion factor as described in ."},{"code" : "113989","display" : "Arithmetic Average of SSDE(z)","definition" : "The Size Specific Dose Estimate is an arithmetic average of SSDE(z), calculated from Dw(z) at several z-positions over the reconstruction length. The z-positions may or may not correspond to reconstructed slices. See ."},{"code" : "113990","display" : "Arithmetic Average of Dw(z)","definition" : "The Water Equivalent Diameter is an arithmetic average of Dw(z) at several z-positions over the reconstruction length. The z-positions may or may not correspond to reconstructed slices. See ."},{"code" : "113991","display" : "Dw Conversion Factor Coefficients","definition" : "The a and b coefficients of an exponential function as described in . The function generates a conversion factor based on a Water Equivalent Diameter value (Dw). Multiplying the Dw value by the conversion factor produces a Size Specific Dose Estimate."},{"code" : "113992","display" : "Water Equivalent Diameter From Limited FOV Images","definition" : "The Water Equivalent Diameter is derived from reconstructed images that do not cover the full FOV."},{"code" : "113993","display" : "Size Specific Dose Estimate At Longitudinal Position Z","definition" : "Estimate of the average absorbed dose to the material contained in an axial plane at longitudinal position z of the object scanned. See ."},{"code" : "113994","display" : "Longitudinal Position Z","definition" : "The patient relative longitudinal position at which other value(s) have been estimated."},{"code" : "113995","display" : "Water Equivalent Diameter At Longitudinal Position Z","definition" : "Diameter of a cylinder of water having the same averaged absorbed dose as the material contained in an axial plane at longitudinal position z of the object scanned, calculable for a material of any composition, and quantifying the attenuation of any material in terms of the attenuation of water. See ."},{"code" : "114000","display" : "Not a number","definition" : "Measurement not available: Not a number (per IEEE 754)."},{"code" : "114001","display" : "Negative Infinity","definition" : "Measurement not available: Negative Infinity (per IEEE 754)."},{"code" : "114002","display" : "Positive Infinity","definition" : "Measurement not available: Positive Infinity (per IEEE 754)."},{"code" : "114003","display" : "Divide by zero","definition" : "Measurement not available: Divide by zero (per IEEE 754)."},{"code" : "114004","display" : "Underflow","definition" : "Measurement not available: Underflow (per IEEE 754)."},{"code" : "114005","display" : "Overflow","definition" : "Measurement not available: Overflow (per IEEE 754)."},{"code" : "114006","display" : "Measurement failure","definition" : "Measurement not available: Measurement failure."},{"code" : "114007","display" : "Measurement not attempted","definition" : "Measurement not available: Measurement not attempted."},{"code" : "114008","display" : "Calculation failure","definition" : "Measurement not available: Calculation failure."},{"code" : "114009","display" : "Value out of range","definition" : "Measurement not available: Value out of range."},{"code" : "114010","display" : "Value unknown","definition" : "Measurement not available: Value unknown."},{"code" : "114011","display" : "Value indeterminate","definition" : "Measurement not available: Value indeterminate."},{"code" : "114201","display" : "Time of flight","definition" : "Measures the time-of-flight of a light signal between the camera and the subject for each point of the image."},{"code" : "114202","display" : "Interferometry","definition" : "Interferometry is a family of techniques in which waves are superimposed in order to extract depth information about the scanned object."},{"code" : "114203","display" : "Laser scanning","definition" : "Laser scanning describes the general method to sample or scan a surface using laser technology."},{"code" : "114204","display" : "Pattern projection","definition" : "Projecting a narrow band of light onto a three-dimensionally shaped surface produces a line of illumination that appears distorted from other perspectives than that of the projector. It can be used for an exact geometric reconstruction of the surface shape."},{"code" : "114205","display" : "Shape from shading","definition" : "A technique for estimating the surface normal of an object by observing that object under different lighting conditions."},{"code" : "114206","display" : "Shape from motion","definition" : "A technique for estimating the surface normal of an object by observing that object under different motions."},{"code" : "114207","display" : "Confocal imaging","definition" : "An optical imaging technique used to increase optical resolution and contrast of a micrograph by using point illumination and a spatial pinhole to eliminate out-of-focus light in specimens that are thicker than the focal plane. It enables the reconstruction of 3D structures from the obtained images."},{"code" : "114208","display" : "Point Cloud Algorithmic","definition" : "Point cloud that was calculated by an algorithm."},{"code" : "114209","display" : "Turntable Scan Method","definition" : "Scanning the object from different views by placing it on a rotating table."},{"code" : "114210","display" : "High resolution","definition" : "Higher resolution with a longer acquisition time."},{"code" : "114211","display" : "Fast mode","definition" : "Lower resolution with a shorter acquisition time."},{"code" : "114213","display" : "Iterative Closest Point","definition" : "An algorithm employed to minimize the difference between two clouds of points. It iteratively revises the transformation (translation, rotation) needed to minimize the distance between the points of two point clouds."},{"code" : "114215","display" : "Freehand","definition" : "Human controlled minimization of the distance between the points of two point clouds."},{"code" : "114216","display" : "Checkerboard","definition" : "Scanning the object from different views by placing it in front of a checkerboard pattern."},{"code" : "120999","display" : "Device Description","definition" : "Description in free form text describing the device."},{"code" : "121000","display" : "Unique Device Identifiers","definition" : "Unique Device Identifiers (UDIs) of the entire equipment."},{"code" : "121001","display" : "Quotation Mode","definition" : "Type of source for observations quoted from an external source."},{"code" : "121002","display" : "Quoted Source","definition" : "Reference to external source of quoted observations."},{"code" : "121003","display" : "Document","definition" : "Documentary source of quoted observations."},{"code" : "121004","display" : "Verbal","definition" : "Verbal source of quoted observations."},{"code" : "121005","display" : "Observer Type","definition" : "Type of observer that created the observations."},{"code" : "121006","display" : "Person","definition" : "Human observer created the observations."},{"code" : "121007","display" : "Device","definition" : "Automated device created the observations."},{"code" : "121008","display" : "Person Observer Name","definition" : "Name of human observer that created the observations."},{"code" : "121009","display" : "Person Observer's Organization Name","definition" : "Organization or institution with which the human observer is affiliated for the context of the current observation."},{"code" : "121010","display" : "Person Observer's Role in the Organization","definition" : "Organizational role of human observer for the context of the current observation."},{"code" : "121011","display" : "Person Observer's Role in this Procedure","definition" : "Procedural role of human observer for the context of the current observation."},{"code" : "121012","display" : "Device Observer UID","definition" : "Unique identifier of automated device that created the observations."},{"code" : "121013","display" : "Device Observer Name","definition" : "Institution-provided identifier of automated device that created the observations."},{"code" : "121014","display" : "Device Observer Manufacturer","definition" : "Manufacturer of automated device that created the observations."},{"code" : "121015","display" : "Device Observer Model Name","definition" : "Manufacturer-provided model name of automated device that created the observations."},{"code" : "121016","display" : "Device Observer Serial Number","definition" : "Manufacturer-provided serial number of automated device that created the observations."},{"code" : "121017","display" : "Device Observer Physical Location During Observation","definition" : "Location of automated device that created the observations whilst the observations were being made."},{"code" : "121018","display" : "Procedure Study Instance UID","definition" : "Unique identifier for the Study or Requested Procedure."},{"code" : "121019","display" : "Procedure Study Component UID","definition" : "Unique identifier for the Performed Procedure Step."},{"code" : "121020","display" : "Placer Number","definition" : "Identifier for the Order (or Service Request) assigned by the order placer system."},{"code" : "121021","display" : "Filler Number","definition" : "Identifier for the Order (or Service Request) assigned by the order filler system."},{"code" : "121022","display" : "Accession Number","definition" : "A departmental Information System generated number that identifies the Imaging Service Request."},{"code" : "121023","display" : "Procedure Code","definition" : "Type of procedure scheduled or performed."},{"code" : "121024","display" : "Subject Class","definition" : "Type of observation subject."},{"code" : "121025","display" : "Patient","definition" : "A patient is the subject of observations."},{"code" : "121026","display" : "Fetus","definition" : "Fetus of patient is the subject of observations."},{"code" : "121027","display" : "Specimen","definition" : "Specimen is the subject of observations."},{"code" : "121028","display" : "Subject UID","definition" : "Unique Identifier of patient or fetus who is the subject of observations."},{"code" : "121029","display" : "Subject Name","definition" : "Name of patient who is the subject of observations."},{"code" : "121030","display" : "Subject ID","definition" : "Identifier of patient or fetus who is the subject of observations."},{"code" : "121031","display" : "Subject Birth Date","definition" : "Birth Date of patient who is the subject of observations."},{"code" : "121032","display" : "Subject Sex","definition" : "Sex of patient who is the subject of observations."},{"code" : "121033","display" : "Subject Age","definition" : "Age of patient who is the subject of observations."},{"code" : "121034","display" : "Subject Species","definition" : "Species of patient who is the subject of observations."},{"code" : "121035","display" : "Subject Breed","definition" : "The breed of the subject."},{"code" : "121036","display" : "Mother of fetus","definition" : "Name of mother of fetus that is the subject of observations."},{"code" : "121037","display" : "Fetus number"},{"code" : "121038","display" : "Number of Fetuses"},{"code" : "121039","display" : "Specimen UID","definition" : "Unique Identifier of specimen that is the subject of observations."},{"code" : "121040","display" : "Specimen Accession Number","definition" : "Accession Number of specimen that is the subject of observations"},{"code" : "121041","display" : "Specimen Identifier","definition" : "Identifier of specimen that is the subject of observations."},{"code" : "121042","display" : "Specimen Type","definition" : "Coded category of specimen that is the subject of observations"},{"code" : "121043","display" : "Slide Identifier","definition" : "Identifier of specimen microscope slide that is the subject of observations"},{"code" : "121044","display" : "Slide UID","definition" : "Unique Identifier of specimen microscope slide that is the subject of observations"},{"code" : "121045","display" : "Language","definition" : "The language of the content, being a language that is primarily used for human communication."},{"code" : "121046","display" : "Country of Language","definition" : "The country-specific variant of language."},{"code" : "121047","display" : "Language of Value","definition" : "The language of the value component of a name-value pair."},{"code" : "121048","display" : "Language of Name and Value","definition" : "The language of both the name component and the value component of a name-value pair."},{"code" : "121049","display" : "Language of Content Item and Descendants","definition" : "The language of the current Content Item (node in a tree of content) and all its descendants."},{"code" : "121050","display" : "Equivalent Meaning of Concept Name","definition" : "A precoordinated coded concept or text meaning for the name component of a name-value pair that is equivalent to the post-coordinated meaning conveyed by the coded name and its concept modifier children."},{"code" : "121051","display" : "Equivalent Meaning of Value","definition" : "A precoordinated coded concept or text meaning for the value component of a name-value pair that is equivalent to the post-coordinated meaning conveyed by the coded value and its concept modifier children."},{"code" : "121052","display" : "Presence of property","definition" : "Whether or not the property concept being modified is present or absent."},{"code" : "121053","display" : "Present"},{"code" : "121054","display" : "Absent"},{"code" : "121055","display" : "Path","definition" : "A set of points on an image, that when connected by line segments, provide a polyline from which a linear measurement was inferred."},{"code" : "121056","display" : "Area outline","definition" : "A set of points on an image, that when connected by line segments, provide a closed polyline that is the border of a defined region from which an area, or two-dimensional measurement, was inferred."},{"code" : "121057","display" : "Perimeter outline","definition" : "A set of points on an image, that when connected by line segments, provide a closed polyline that is a two-dimensional border of a three-dimensional region's intersection with, or projection into the image."},{"code" : "121058","display" : "Procedure reported","definition" : "The imaging procedure whose results are reported."},{"code" : "121059","display" : "Presence Undetermined","definition" : "Presence or absence of a property is undetermined"},{"code" : "121060","display" : "History"},{"code" : "121061","display" : "Device Observer Manufacturer Class UID","definition" : "Manufacturer-provided Class UID(s) of device that created the observations."},{"code" : "121062","display" : "Request"},{"code" : "121064","display" : "Current Procedure Descriptions"},{"code" : "121065","display" : "Procedure Description","definition" : "A description of the imaging procedure."},{"code" : "121066","display" : "Prior Procedure Descriptions"},{"code" : "121068","display" : "Previous Findings"},{"code" : "121069","display" : "Previous Finding","definition" : "An observation found on a prior imaging study."},{"code" : "121070","display" : "Findings"},{"code" : "121071","display" : "Finding","definition" : "An observation found on an imaging study."},{"code" : "121072","display" : "Impressions"},{"code" : "121073","display" : "Impression","definition" : "An interpretation in the clinical context of the finding(s) on an imaging study."},{"code" : "121074","display" : "Recommendations"},{"code" : "121075","display" : "Recommendation","definition" : "A recommendation for management or investigation based on the findings and impressions of an imaging study."},{"code" : "121076","display" : "Conclusions"},{"code" : "121077","display" : "Conclusion","definition" : "An interpretation in the clinical context of the finding(s) on an imaging study."},{"code" : "121078","display" : "Addendum"},{"code" : "121079","display" : "Baseline","definition" : "Initial images used to establish a beginning condition that is used for comparison over time to look for changes. [Paraphrases NCI-PT (C1442488, UMLS, \"Baseline\"), which is defined as \"An initial measurement that is taken at an early time point to represent a beginning condition, and is used for comparison over time to look for changes. For example, the size of a tumor will be measured before treatment (baseline) and then afterwards to see if the treatment had an effect. A starting point to which things may be compared.\"]"},{"code" : "121080","display" : "Best illustration of finding","definition" : "A selection of composite instances that best illustrates a particular finding."},{"code" : "121081","display" : "Physician"},{"code" : "121082","display" : "Nurse"},{"code" : "121083","display" : "Technologist"},{"code" : "121084","display" : "Radiographer"},{"code" : "121085","display" : "Intern"},{"code" : "121086","display" : "Resident"},{"code" : "121087","display" : "Registrar"},{"code" : "121088","display" : "Fellow","definition" : "A medical practitioner undergoing sub-specialty training."},{"code" : "121089","display" : "Attending [Consultant]"},{"code" : "121090","display" : "Scrub nurse"},{"code" : "121091","display" : "Surgeon"},{"code" : "121092","display" : "Sonologist","definition" : "A medical practitioner with sub-specialty training in Ultrasound."},{"code" : "121093","display" : "Sonographer"},{"code" : "121094","display" : "Performing","definition" : "The person responsible for performing the procedure."},{"code" : "121095","display" : "Referring","definition" : "The person responsible for referring the patient for the procedure."},{"code" : "121096","display" : "Requesting","definition" : "The person responsible for requesting the procedure."},{"code" : "121097","display" : "Recording","definition" : "The person responsible for recording the procedure or observation."},{"code" : "121098","display" : "Verifying","definition" : "The person responsible for verifying the recorded procedure or observation."},{"code" : "121099","display" : "Assisting","definition" : "The person responsible for assisting with the procedure."},{"code" : "121100","display" : "Circulating","definition" : "The person responsible for making preparations for and monitoring the procedure."},{"code" : "121101","display" : "Standby","definition" : "The person responsible for standing by to assist with the precedure if required."},{"code" : "121102","display" : "Other sex","definition" : "Other sex."},{"code" : "121103","display" : "Undetermined sex","definition" : "Sex of subject undetermined at time of encoding."},{"code" : "121104","display" : "Ambiguous sex","definition" : "Ambiguous sex."},{"code" : "121105","display" : "Radiation Physicist","definition" : "Radiation Physicist."},{"code" : "121106","display" : "Comment","definition" : "Comment."},{"code" : "121109","display" : "Indications for Procedure","definition" : "Indications for Procedure"},{"code" : "121110","display" : "Patient Presentation","definition" : "Patient condition at the beginning of a healthcare encounter"},{"code" : "121111","display" : "Summary","definition" : "Summary of a procedure, including most significant findings"},{"code" : "121112","display" : "Source of Measurement","definition" : "Image or waveform used as source for measurement."},{"code" : "121113","display" : "Complications","definition" : "Complications from a procedure"},{"code" : "121114","display" : "Performing Physician","definition" : "Physician who performed a procedure."},{"code" : "121115","display" : "Discharge Summary","definition" : "Summary of patient condition upon Discharge from a healthcare facility."},{"code" : "121116","display" : "Proximal Finding Site","definition" : "Proximal Anatomic Location for a differential measurement; may be considered subtype of term (363698007, SCT, \"Finding Site\")."},{"code" : "121117","display" : "Distal Finding Site","definition" : "Distal Anatomic Location for a differential measurement; may be considered subtype of term (363698007, SCT, \"Finding Site\")."},{"code" : "121118","display" : "Patient Characteristics","definition" : "Patient Characteristics (findings)."},{"code" : "121120","display" : "Cath Lab Procedure Log","definition" : "Time-stamped record of events that occur during a catheterization procedure."},{"code" : "121121","display" : "Room identification","definition" : "Room identification."},{"code" : "121122","display" : "Equipment Identification","definition" : "Equipment identification."},{"code" : "121123","display" : "Patient Status or Event","definition" : "A recorded Patient Status or an event involving a patient."},{"code" : "121124","display" : "Procedure Action Item ID","definition" : "Identification of a step, action, or phase of a procedure."},{"code" : "121125","display" : "DateTime of Recording of Log Entry","definition" : "DateTime of Recording of an Entry in an Event Log."},{"code" : "121126","display" : "Performed Procedure Step SOP Instance UID","definition" : "SOP Instance UID of a Performed Procedure Step."},{"code" : "121127","display" : "Performed Procedure Step SOP Class UID","definition" : "SOP Class UID of a Performed Procedure Step."},{"code" : "121128","display" : "Procedure Action Duration","definition" : "Duration of a step, action, or phase of a procedure."},{"code" : "121130","display" : "Start Procedure Action","definition" : "Beginning of a step, action, or phase of a procedure."},{"code" : "121131","display" : "End Procedure Action","definition" : "End of a step, action, or phase of a procedure."},{"code" : "121132","display" : "Suspend Procedure Action","definition" : "Suspension of a step, action, or phase of a procedure."},{"code" : "121133","display" : "Resume Procedure Action","definition" : "Resumption of a step, action, or phase of a procedure."},{"code" : "121135","display" : "Observation DateTime Qualifier","definition" : "Concept modifier for the DateTime of Recording of an Entry in an Event Log."},{"code" : "121136","display" : "DateTime Unsynchronized","definition" : "Recorded DateTime had its source in a system clock not synchronized to other recorded DateTimes."},{"code" : "121137","display" : "DateTime Estimated","definition" : "Recorded DateTime is estimated."},{"code" : "121138","display" : "Image Acquired","definition" : "Event of the acquisition of an image."},{"code" : "121139","display" : "Modality","definition" : "Type of device, process or method used to acquire or derive data."},{"code" : "121140","display" : "Number of Frames","definition" : "Number of Frames in a multi-frame image."},{"code" : "121141","display" : "Image Type","definition" : "Descriptor of an Image."},{"code" : "121142","display" : "Acquisition Duration","definition" : "Duration of the acquisition of an image or a waveform."},{"code" : "121143","display" : "Waveform Acquired","definition" : "Event of the acquisition of an image."},{"code" : "121144","display" : "Document Title","definition" : "Document Title."},{"code" : "121145","display" : "Description of Material","definition" : "Description of Material used in a procedure."},{"code" : "121146","display" : "Quantity of Material","definition" : "Quantity of Material used in a procedure."},{"code" : "121147","display" : "Billing Code","definition" : "Billing Code for materials used in a procedure."},{"code" : "121148","display" : "Unit Serial Identifier","definition" : "Unit or Device Serial Identifier."},{"code" : "121149","display" : "Lot Identifier","definition" : "Lot Identifier."},{"code" : "121150","display" : "Device Code","definition" : "Vendor or local coded value identifying a device."},{"code" : "121151","display" : "Lesion Identifier","definition" : "Identification of a Lesion observed during an imaging procedure."},{"code" : "121152","display" : "Person administering drug/contrast","definition" : "Person administering drug/contrast."},{"code" : "121153","display" : "Lesion Risk","definition" : "Assessment of the risk a coronary lesion presents to the health of a patient."},{"code" : "121154","display" : "Intervention attempt identifier","definition" : "Identifier for an attempted Intervention."},{"code" : "121155","display" : "Deployment","definition" : "Use of a device to deploy another device."},{"code" : "121156","display" : "Percutaneous Entry Action","definition" : "Action of a clinical professional at the site of percutaneous access to a patient's cardiovascular system."},{"code" : "121157","display" : "Begin Circulatory Support","definition" : "The action or event of beginning circulatory support for a patient."},{"code" : "121158","display" : "End Circulatory Support","definition" : "The action or event of ending circulatory support for a patient."},{"code" : "121160","display" : "Oxygen Administration Rate","definition" : "Rate of Oxygen Administration."},{"code" : "121161","display" : "Begin Oxygen Administration","definition" : "The action or event of beginning administration of oxygen to a patient."},{"code" : "121162","display" : "End oxygen administration","definition" : "The action or event of ending administration of oxygen to a patient."},{"code" : "121163","display" : "Oxygen Administration by ventilator","definition" : "Method of administration of oxygen to a patient by ventilator."},{"code" : "121165","display" : "Patient Assessment Performed","definition" : "The action or event of assessing the clinical status of a patient."},{"code" : "121166","display" : "Begin Pacing","definition" : "The action or event of beginning pacing support for a patient."},{"code" : "121167","display" : "End Pacing","definition" : "The action or event of ending pacing support for a patient."},{"code" : "121168","display" : "Begin Ventilation","definition" : "The action or event of beginning ventilation support for a patient."},{"code" : "121169","display" : "End Ventilation","definition" : "The action or event of ending ventilation support for a patient."},{"code" : "121171","display" : "Tech Note","definition" : "Procedural note originated by a technologist."},{"code" : "121172","display" : "Nursing Note","definition" : "Procedural note originated by a nurse."},{"code" : "121173","display" : "Physician Note","definition" : "Procedural note originated by a Physician."},{"code" : "121174","display" : "Procedure Note","definition" : "General procedural note."},{"code" : "121180","display" : "Key Images","definition" : "List of references to images considered significant"},{"code" : "121181","display" : "DICOM Object Catalog","definition" : "List of references to DICOM SOP Instances."},{"code" : "121190","display" : "Referenced Frames","definition" : "Individual frames selected as a subset of a multi-frame image."},{"code" : "121191","display" : "Referenced Segment","definition" : "Segment selected as a subset of a segmentation image, specifically the pixels/voxels identified as belonging to the classification of the identified segment."},{"code" : "121192","display" : "Device Subject","definition" : "A device is the subject of observations."},{"code" : "121193","display" : "Device Subject Name","definition" : "Name or other identifier of a device that is the subject of observations."},{"code" : "121194","display" : "Device Subject Manufacturer","definition" : "Manufacturer of a device that is the subject of observations."},{"code" : "121195","display" : "Device Subject Model Name","definition" : "Model Name of a device that is the subject of observations."},{"code" : "121196","display" : "Device Subject Serial Number","definition" : "Serial Number of a device that is the subject of observations."},{"code" : "121197","display" : "Device Subject Physical Location during observation","definition" : "Physical Location of a device that is the subject of observations during those observations."},{"code" : "121198","display" : "Device Subject UID","definition" : "Unique Identifier of a device that is the subject of observations."},{"code" : "121200","display" : "Illustration of ROI","definition" : "Illustration of a region of interest."},{"code" : "121201","display" : "Area Outline"},{"code" : "121202","display" : "Area of Defined Region"},{"code" : "121206","display" : "Distance","definition" : "A one dimensional, or linear, numeric measurement between two points or features."},{"code" : "121207","display" : "Height","definition" : "Vertical measurement value."},{"code" : "121208","display" : "Inter-Marker Distance","definition" : "Distance between marks on a device of calibrated size."},{"code" : "121210","display" : "Path"},{"code" : "121211","display" : "Path length","definition" : "A one dimensional, or linear, numeric measurement along a polyline."},{"code" : "121213","display" : "Perimeter Outline"},{"code" : "121214","display" : "Referenced Segmentation Frame","definition" : "Frame selected from a segmentation image, specifically the pixels/voxels identified as belonging to the classification of the segment encompassing the identified frame."},{"code" : "121216","display" : "Volume estimated from single 2D region","definition" : "A three-dimensional numeric measurement that is approximate, based on a two-dimensional region in a single image."},{"code" : "121217","display" : "Volume estimated from three or more non-coplanar 2D regions","definition" : "A three-dimensional numeric measurement that is approximate, based on three or more non-coplanar two-dimensional image regions."},{"code" : "121218","display" : "Volume estimated from two non-coplanar 2D regions","definition" : "A three-dimensional numeric measurement that is approximate, based on two non-coplanar two-dimensional image regions."},{"code" : "121219","display" : "Volume of bounding three dimensional region","definition" : "A three-dimensional numeric measurement of the bounding region of a three-dimensional region of interest in an image set."},{"code" : "121220","display" : "Volume of circumscribed sphere","definition" : "A three-dimensional numeric measurement of the bounding sphere of a three-dimensional region of interest in an image set."},{"code" : "121221","display" : "Volume of ellipsoid","definition" : "A three-dimensional numeric measurement of an ellipsoid shaped three-dimensional region of interest in an image set."},{"code" : "121222","display" : "Volume of sphere","definition" : "A three-dimensional numeric measurement of a sphere shaped three-dimensional region of interest in an image set."},{"code" : "121223","display" : "Arm of angle","definition" : "A line segment that is an arm of a pair of arms that defines an angle, whether or not those line segments share a common vertex."},{"code" : "121224","display" : "Acetabular angle","definition" : "The angle on an AP radiograph of the pelvis between a line drawn parallel to the acetabular roof and a line drawn horizontally through the inferior aspect of both triradiate cartilages (Hilgenreiner's line)."},{"code" : "121225","display" : "Vector","definition" : "An entity that has both a magnitude and a direction."},{"code" : "121226","display" : "Approximate spatial location","definition" : "The approximate geometric location on an image or in space where an entity is located."},{"code" : "121227","display" : "Line segment length","definition" : "The length of that part of a line (a straight object having no curvature) that is bounded by two distinct end points and contains every point on the line between those two end points, including both of the two end points."},{"code" : "121230","display" : "Path Vertex","definition" : "Coordinates of a point on a defined path."},{"code" : "121231","display" : "Volume Surface","definition" : "Surface of an identified or measured volume."},{"code" : "121232","display" : "Source series for segmentation","definition" : "Series of image instances used as source data for a segmentation."},{"code" : "121233","display" : "Source image for segmentation","definition" : "Image instances used as source data for a segmentation."},{"code" : "121242","display" : "Distance from nipple","definition" : "Indicates the location of the area of interest as measured from the nipple of the breast."},{"code" : "121243","display" : "Distance from skin","definition" : "Indicates the location of the area of interest as measured from the most direct skin point of the breast."},{"code" : "121244","display" : "Distance from chest wall","definition" : "Indicates the location of the area of interest as measured from the chest wall."},{"code" : "121290","display" : "Patient exposure to ionizing radiation","definition" : "Patient exposure to ionizing radiation (procedure)."},{"code" : "121291","display" : "Results communicated","definition" : "The act of communicating actionable findings to a responsible receiver."},{"code" : "121301","display" : "Simultaneous Doppler","definition" : "Reference is to a Doppler waveform acquired simultaneously with an image."},{"code" : "121302","display" : "Simultaneous Hemodynamic","definition" : "Reference is to a Hemodynamic waveform acquired simultaneously with an image."},{"code" : "121303","display" : "Simultaneous ECG","definition" : "Reference is to a ECG waveform acquired simultaneously with an image."},{"code" : "121304","display" : "Simultaneous Voice Narrative","definition" : "Reference is to a voice narrative recording acquired simultaneously with an image."},{"code" : "121305","display" : "Simultaneous Respiratory Waveform","definition" : "A waveform representing chest expansion and contraction due to respiratory activity, measured simultaneously with the acquisition of this Image."},{"code" : "121306","display" : "Simultaneous Arterial Pulse Waveform","definition" : "Arterial pulse waveform obtained simultaneously with acquisition of a referencing image."},{"code" : "121307","display" : "Simultaneous Phonocardiographic Waveform","definition" : "Phonocardiographic waveform obtained simultaneously with acquisition of a referencing image."},{"code" : "121310","display" : "RT treatment plan for the position being verified","definition" : "The referenced instance is an RT treatment plan of some type, which contains treatment positioning information, which has been verified using the information in the referencing instance."},{"code" : "121311","display" : "Localizer","definition" : "Image providing an anatomical reference on the patient under examination, for the purpose of defining the location of the ensuing imaging."},{"code" : "121312","display" : "Biopsy localizer","definition" : "Image providing an anatomical reference on the patient under examination, for the purpose of planning or documenting a biopsy."},{"code" : "121313","display" : "Other partial views","definition" : "Image providing a partial view of the target anatomy, when the target anatomy is too large for a single image."},{"code" : "121314","display" : "Other image of biplane pair","definition" : "Image providing a view of the target anatomy in a different imaging plane, typically from a near perpendicular angle."},{"code" : "121315","display" : "Other image of stereoscopic pair","definition" : "Image providing a view of the target anatomy in a different imaging plane, typically with a small angular difference."},{"code" : "121316","display" : "Images related to standalone object","definition" : "Image related to a non-image information object."},{"code" : "121317","display" : "Spectroscopy","definition" : "Image where signals are identified and separated according to their frequencies."},{"code" : "121318","display" : "Spectroscopy Data for Water Phase Correction","definition" : "MR spectroscopy data acquired to correct the phase of the diagnostic data for the phase signal of the Water."},{"code" : "121320","display" : "Uncompressed predecessor","definition" : "An image that has not already been lossy compressed that is used as the source for creation of a lossy compressed image."},{"code" : "121321","display" : "Mask image for image processing operation","definition" : "Image used as the mask for an image processing operation, such as subtraction."},{"code" : "121322","display" : "Source image for image processing operation","definition" : "Image used as the source for an image processing operation."},{"code" : "121323","display" : "Source series for image processing operation","definition" : "Series used as the source for an image processing operation."},{"code" : "121324","display" : "Source Image","definition" : "Image used as the source for a derived or compressed image."},{"code" : "121325","display" : "Lossy compressed image","definition" : "Image encoded with a lossy compression transfer syntax."},{"code" : "121326","display" : "Alternate SOP Class instance","definition" : "SOP Instance encoded with a different SOP Class but otherwise equivalent data."},{"code" : "121327","display" : "Full fidelity image","definition" : "Full fidelity image, uncompressed or lossless compressed."},{"code" : "121328","display" : "Alternate Photometric Interpretation image","definition" : "Image encoded with a different photometric interpretation."},{"code" : "121329","display" : "Source image for montage","definition" : "Image used as a source for a montage (stitched) image."},{"code" : "121330","display" : "Lossy compressed predecessor","definition" : "An image that has previously been lossy compressed that is used as the source for creation of another lossy compressed image."},{"code" : "121331","display" : "Equivalent CDA Document","definition" : "HL7 Document Architecture (CDA) Document that contains clinical content equivalent to the referencing Instance."},{"code" : "121332","display" : "Complete Rendering for Presentation","definition" : "Instance that contains a displayable complete rendering of the referencing Instance."},{"code" : "121333","display" : "Partial Rendering for Presentation","definition" : "Instance that contains a displayable partial rendering of the referencing Instance."},{"code" : "121334","display" : "Extended Rendering for Presentation","definition" : "Instance that contains a displayable complete rendering of the referencing Instance, plus additional content such as inline rendering of referenced images."},{"code" : "121335","display" : "Source Document","definition" : "Document whose content has been wholly or partially transformed to create the referencing document."},{"code" : "121338","display" : "Anatomic image","definition" : "Image showing structural anatomic features."},{"code" : "121339","display" : "Functional image","definition" : "Image showing physical or chemical activity."},{"code" : "121340","display" : "Spectral filtered image","definition" : "Image providing the same view of the target anatomy acquired using only a specific imaging wavelength, frequency or energy."},{"code" : "121341","display" : "Device localizer","definition" : "Image providing an anatomical reference on the patient under examination, for the purpose of documenting the location of device such as a diagnostic or therapeutic catheter."},{"code" : "121342","display" : "Dose Image","definition" : "Image providing a graphic view of the distribution of radiation dose."},{"code" : "121346","display" : "Acquisition frames corresponding to volume","definition" : "The referenced image is the source of spatially-related frames from which the referencing 3D volume data was derived."},{"code" : "121347","display" : "Volume corresponding to spatially-related acquisition frames","definition" : "3D Volume containing the spatially-related frames in the referencing instance."},{"code" : "121348","display" : "Temporal Predecessor","definition" : "Instance acquired prior to the referencing instance in a set of consecutively acquired instances."},{"code" : "121349","display" : "Temporal Successor","definition" : "Instance acquired subsequent to the referencing instance in a set of consecutively acquired instances."},{"code" : "121350","display" : "Same acquisition at lower resolution","definition" : "Image of the same target area at lower resolution acquired in the same acquisition process."},{"code" : "121351","display" : "Same acquisition at higher resolution","definition" : "Image of the same target area at higher resolution acquired in the same acquisition process."},{"code" : "121352","display" : "Same acquisition at different focal depth","definition" : "Image of the same target area at different focal depth (Z-plane) acquired in the same acquisition process."},{"code" : "121353","display" : "Same acquisition at different spectral band","definition" : "Image of the same target area at different spectral band acquired in the same acquisition process."},{"code" : "121354","display" : "Imaged container label","definition" : "Image specifically targeting the container label."},{"code" : "121358","display" : "For Processing predecessor","definition" : "Source image from which FOR PRESENTATION images were created."},{"code" : "121360","display" : "Replaced report","definition" : "The reference is to a predecessor report that has been replaced by the current report."},{"code" : "121361","display" : "Addended report","definition" : "The reference is to a predecessor report to which the current report provides an addendum."},{"code" : "121362","display" : "Preliminary report","definition" : "A report that precedes the final report and may contain only limited information; it may be time sensitive, and it is not expected to contain all the reportable findings."},{"code" : "121363","display" : "Partial report","definition" : "A report that is not complete."},{"code" : "121370","display" : "Composed from prior doses","definition" : "The dose object created was calculated by summation of existing, previously calculated, RT Dose instances."},{"code" : "121371","display" : "Composed from prior doses and current plan","definition" : "The dose object created was calculated by summation of existing, previously calculated, RT Dose instances and dose newly calculated by the application. The newly calculated dose may or may not exist as an independent object."},{"code" : "121372","display" : "Source dose for composing current dose","definition" : "RT Dose Instances used as source for calculated dose."},{"code" : "121373","display" : "RT Pre-Treatment Dose Check","definition" : "An assessment of the dose delivery parameters performed before treatment."},{"code" : "121374","display" : "RT Pre-Treatment Consistency Check","definition" : "An assessment of consistency with a previously quality-assured treatment plan performed before treatment."},{"code" : "121375","display" : "Assessment By Comparison","definition" : "The basis of the assessment was a comparison object."},{"code" : "121376","display" : "Assessment By Rules","definition" : "The basis of the assessment was a set of rules on expected values, ranges and relationships."},{"code" : "121377","display" : "Composed with radiobiological effects","definition" : "The dose object created was calculated using previously calculated RT Dose Instances by taking radiobiological effects into account."},{"code" : "121378","display" : "Composed with weighting for fractions delivered","definition" : "The dose object was calculated based on weighted contributions along the actual number of fractions delivered."},{"code" : "121380","display" : "Active Ingredient Undiluted Concentration","definition" : "Concentration of the chemically or physically interesting (active) ingredient of a drug or contrast agent as delivered in product form from the manufacturer, typically in mg/ml."},{"code" : "121381","display" : "Contrast/Bolus Ingredient Opaque","definition" : "X-Ray absorption of the active ingredient of a contrast agent ingredient is greater than the absorption of water (tissue)."},{"code" : "121382","display" : "Quantity administered","definition" : "Number of units of substance administered to a patient."},{"code" : "121383","display" : "Mass administered","definition" : "Mass of substance administered to a patient."},{"code" : "121384","display" : "RT Plan Label","definition" : "Human readable label of the radiotherapy plan."},{"code" : "121385","display" : "Current Fraction Number","definition" : "The index of the fraction of the radiotherapy plan to be delivered."},{"code" : "121386","display" : "Number of Fractions Planned","definition" : "The total number of prescribed radiotherapy fractions."},{"code" : "121387","display" : "Number of Fractions Completed","definition" : "The number of fully completed radiotherapy fractions of the radiotherapy plan to be delivered. Partially completed fractions are not included."},{"code" : "121388","display" : "Checked-In Status","definition" : "Whether or not the patient has been checked-in, i.e., are physically present and are waiting to be called in to the treatment room."},{"code" : "121389","display" : "Referenced Beam Number","definition" : "The referenced beam number within the radiotherapy plan to be delivered."},{"code" : "121401","display" : "Derivation","definition" : "Method of deriving or calculating a measured value."},{"code" : "121402","display" : "Normality","definition" : "Assessment of a measurement relative to a normal range of values; may be considered subtype of term (363713009, SCT, \"has interpretation\")."},{"code" : "121403","display" : "Level of Significance","definition" : "Significance of a measurement."},{"code" : "121404","display" : "Selection Status","definition" : "Status of selection of a measurement for further processing or use."},{"code" : "121405","display" : "Population description","definition" : "Description of a population of measurements."},{"code" : "121406","display" : "Reference Authority","definition" : "Bibliographic or clinical reference for a Description of a population of measurements."},{"code" : "121407","display" : "Normal Range description","definition" : "Description of a normal range of values for a measurement concept."},{"code" : "121408","display" : "Normal Range Authority","definition" : "Bibliographic or clinical reference for a Description of a normal range of values."},{"code" : "121410","display" : "User chosen value","definition" : "Observation value selected by user for further processing or use, or as most representative."},{"code" : "121411","display" : "Most recent value chosen","definition" : "Observation value is the recently obtained, and has been selected for further processing or use."},{"code" : "121412","display" : "Mean value chosen","definition" : "Observation value is the mean of several measurements, and has been selected for further processing or use."},{"code" : "121414","display" : "Standard deviation of population","definition" : "Standard deviation of a measurement in a reference population."},{"code" : "121415","display" : "Percentile Ranking of measurement","definition" : "Percentile Ranking of an observation value with respect a reference population."},{"code" : "121416","display" : "Z-Score of measurement","definition" : "Z-score of an observation value with respect a reference population, expressed as the dimensionless quantity (x-m) /s, where (x-m) is the deviation of the observation value (x) from the population mean (m), and s is the standard deviation of the population."},{"code" : "121417","display" : "2 Sigma deviation of population","definition" : "2 Sigma deviation of a measurement in a reference population."},{"code" : "121420","display" : "Equation","definition" : "Formula used to compute a derived measurement."},{"code" : "121421","display" : "Equation Citation","definition" : "Bibliographic reference to a formula used to compute a derived measurement; reference may be to a specific equation in a journal article."},{"code" : "121422","display" : "Table of Values Citation","definition" : "Bibliographic reference to a Table of Values used to look up a derived measurement."},{"code" : "121423","display" : "Method Citation","definition" : "Bibliographic reference to a method used to compute a derived measurement."},{"code" : "121424","display" : "Table of Values","definition" : "A Table of Values used to look up a derived measurement."},{"code" : "121425","display" : "Index","definition" : "Factor (divisor or multiplicand) for normalizing a measurement."},{"code" : "121427","display" : "Estimated","definition" : "Measurement obtained by observer estimation, rather than with a measurement tool or by calculation"},{"code" : "121428","display" : "Calculated","definition" : "Measurement obtained by calculation"},{"code" : "121430","display" : "Concern","definition" : "Identified issue about a state or process that has the potential to require intervention or management."},{"code" : "121431","display" : "DateTime Concern Noted","definition" : "DateTime concern noted (noted by whom is determined by context of use)."},{"code" : "121432","display" : "DateTime Concern Resolved","definition" : "DateTime the concern was resolved."},{"code" : "121433","display" : "DateTime Problem Resolved","definition" : "DateTime the problem was resolved."},{"code" : "121434","display" : "Service Delivery Location","definition" : "Place at which healthcare services may be provided."},{"code" : "121435","display" : "Service Performer","definition" : "Identification of a healthcare provider who performed a healthcare service; may be either a person or an organization."},{"code" : "121436","display" : "Medical Device Used","definition" : "Type or identifier of a medical device used on, in, or by a patient."},{"code" : "121437","display" : "Pharmacologic and exercise stress test","definition" : "Cardiac stress test using pharmacologic and exercise stressors"},{"code" : "121438","display" : "Paced stress test","definition" : "Cardiac stress test using an implanted or external cardiac pacing device"},{"code" : "121439","display" : "Correction of congenital cardiovascular deformity","definition" : "Procedure for correction of congenital cardiovascular deformity"},{"code" : "121701","display" : "RT Patient Setup","definition" : "Process of placing patient in the anticipated treatment position, including specification and location of positioning aids, and other treatment delivery accessories."},{"code" : "121702","display" : "RT Patient Position Acquisition, single plane MV","definition" : "Acquisition of patient positioning information, using single-plane megavoltage imaging."},{"code" : "121703","display" : "RT Patient Position Acquisition, dual plane MV","definition" : "Acquisition of patient positioning information, using dual-plane megavoltage imaging."},{"code" : "121704","display" : "RT Patient Position Acquisition, single plane kV","definition" : "Acquisition of patient positioning information, using single-plane kilovoltage imaging."},{"code" : "121705","display" : "RT Patient Position Acquisition, dual plane kV","definition" : "Acquisition of patient positioning information, using dual-plane kilovoltage imaging."},{"code" : "121706","display" : "RT Patient Position Acquisition, dual plane kV/MV","definition" : "Acquisition of patient positioning information, using dual-plane combination kilovoltage and megavoltage imaging."},{"code" : "121707","display" : "RT Patient Position Acquisition, CT kV","definition" : "Acquisition of patient positioning information, using kilovoltage CT imaging.This code encompasses both Cone-Beam CT and conventional CT."},{"code" : "121708","display" : "RT Patient Position Acquisition, CT MV","definition" : "Acquisition of patient positioning information, using megavoltage CT imaging.This code encompasses both Cone-Beam CT and conventional CT."},{"code" : "121709","display" : "RT Patient Position Acquisition, Optical","definition" : "Acquisition of patient positioning information, using optical imaging."},{"code" : "121710","display" : "RT Patient Position Acquisition, Ultrasound","definition" : "Acquisition of patient positioning information, using ultrasound imaging."},{"code" : "121711","display" : "RT Patient Position Acquisition, Spatial Fiducials","definition" : "Acquisition of patient positioning information, using spatial fiducials."},{"code" : "121712","display" : "RT Patient Position Registration, single plane","definition" : "Registration of intended and actual patient position prior to treatment delivery, using single-plane images."},{"code" : "121713","display" : "RT Patient Position Registration, dual plane","definition" : "Registration of intended and actual patient position prior to treatment delivery, using dual-plane images."},{"code" : "121714","display" : "RT Patient Position Registration, 3D CT general","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D CT images and an unspecified registration approach."},{"code" : "121715","display" : "RT Patient Position Registration, 3D CT marker-based","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D CT images and a marker-based registration approach."},{"code" : "121716","display" : "RT Patient Position Registration, 3D CT volume-based","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D CT images and a volume-based registration approach."},{"code" : "121717","display" : "RT Patient Position Registration, 3D on 2D reference","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D verification images and 2D reference images."},{"code" : "121718","display" : "RT Patient Position Registration, 2D on 3D reference","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 2D verification images and 3D reference images."},{"code" : "121719","display" : "RT Patient Position Registration, Optical","definition" : "Registration of intended and actual patient position prior to treatment delivery, using optical images."},{"code" : "121720","display" : "RT Patient Position Registration, Ultrasound","definition" : "Registration of intended and actual patient position prior to treatment delivery, using ultrasound images."},{"code" : "121721","display" : "RT Patient Position Registration, Spatial Fiducials","definition" : "Registration of intended and actual patient position prior to treatment delivery, using spatial fiducials."},{"code" : "121722","display" : "RT Patient Position Adjustment","definition" : "Adjustment of patient position such that the patient is correctly positioned for treatment."},{"code" : "121723","display" : "RT Patient Position In-treatment-session Review","definition" : "Review of patient positioning information in the process of delivering a treatment session."},{"code" : "121724","display" : "RT Treatment Simulation with Internal Verification","definition" : "Simulated radiotherapy treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121725","display" : "RT Treatment Simulation with External Verification","definition" : "Simulated radiotherapy treatment delivery using verification by a external Machine Parameter Verifier."},{"code" : "121726","display" : "RT Treatment with Internal Verification","definition" : "Radiotherapy treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121727","display" : "RT Treatment with External Verification","definition" : "Radiotherapy treatment delivery using verification by a external Machine Parameter Verifier."},{"code" : "121728","display" : "RT Treatment QA with Internal Verification","definition" : "Quality assurance of a radiotherapy treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121729","display" : "RT Treatment QA with External Verification","definition" : "Quality assurance of a radiotherapy treatment delivery using verification by a external Machine Parameter Verifier."},{"code" : "121730","display" : "RT Machine QA","definition" : "Quality assurance of a Treatment Delivery Device."},{"code" : "121731","display" : "RT Treatment QA by RT Plan Dose Check","definition" : "Perform Quality Assurance on an RT Plan by evaluating dosimetric content of the current RT Plan."},{"code" : "121732","display" : "RT Treatment QA by RT Plan Difference Check","definition" : "Perform Quality Assurance on an RT Plan by comparing the content of previously quality-assessed RT Plans with the current RT Plan."},{"code" : "121733","display" : "RT Treatment QA by RT Ion Plan Dose Check","definition" : "Perform Quality Assurance on an RT Ion Plan by evaluating dosimetric content of the current RT Ion Plan."},{"code" : "121734","display" : "RT Treatment QA by RT Ion Plan Difference Check","definition" : "Perform Quality Assurance on an RT Ion Plan by comparing the content of previously quality-assessed RT Ion Plans by the current RT Ion Plan."},{"code" : "121735","display" : "RT Brachy Treatment","definition" : "Brachytherapy Treatment Delivery."},{"code" : "121736","display" : "RT Image-Guided Patient Positioning and Treatment Delivery","definition" : "Radiotherapy image-guided patient positioning and treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121737","display" : "RT Patient Position Acquisition, MR","definition" : "Acquisition of radiotherapy patient positioning information, using magnetic resonance imaging."},{"code" : "121738","display" : "RT Patient Position Registration, MR","definition" : "Registration of intended and actual patient position prior to treatment delivery, using MR images and an unspecified registration approach."},{"code" : "121740","display" : "Treatment Delivery Type","definition" : "Indicates whether the treatment to be delivered is a complete fraction or a continuation of previous incompletely treated fraction."},{"code" : "122001","display" : "Patient called to procedure room","definition" : "Patient called to procedure room."},{"code" : "122002","display" : "Patient admitted to procedure room","definition" : "Patient admitted to procedure room."},{"code" : "122003","display" : "Patient given pre-procedure instruction","definition" : "Patient given pre-procedure instruction."},{"code" : "122004","display" : "Patient informed consent given","definition" : "Patient informed consent given."},{"code" : "122005","display" : "Patient advance directive given","definition" : "Patient advance directive given."},{"code" : "122006","display" : "Nil Per Os (NPO) status confirmed","definition" : "Nil Per Os (NPO) status confirmed."},{"code" : "122007","display" : "Patient assisted to table","definition" : "Patient assisted to table."},{"code" : "122008","display" : "Patient prepped and draped","definition" : "Patient prepped and draped."},{"code" : "122009","display" : "Patient connected to continuous monitoring","definition" : "Patient connected to continuous monitoring."},{"code" : "122010","display" : "Patient transferred to holding area","definition" : "Patient transferred to holding area."},{"code" : "122011","display" : "Patient transferred to surgery","definition" : "Patient transferred to surgery."},{"code" : "122012","display" : "Patient transferred to CCU","definition" : "Patient transferred to CCU."},{"code" : "122020","display" : "Patient disoriented","definition" : "Patient disoriented."},{"code" : "122021","display" : "Patient reports nausea","definition" : "Patient reports nausea."},{"code" : "122022","display" : "Patient reports discomfort","definition" : "Patient reports discomfort."},{"code" : "122023","display" : "Patient reports chest pain","definition" : "Patient reports chest pain."},{"code" : "122024","display" : "Patient reports no pain","definition" : "Patient reports no pain."},{"code" : "122025","display" : "Patient alert","definition" : "Patient alert."},{"code" : "122026","display" : "Patient restless","definition" : "Patient restless."},{"code" : "122027","display" : "Patient sedated","definition" : "Patient sedated."},{"code" : "122028","display" : "Patient asleep","definition" : "Patient asleep."},{"code" : "122029","display" : "Patient unresponsive","definition" : "Patient unresponsive."},{"code" : "122030","display" : "Patient has respiratory difficulty","definition" : "Patient has respiratory difficulty."},{"code" : "122031","display" : "Patient coughed","definition" : "Patient coughed."},{"code" : "122032","display" : "Patient disconnected from continuous monitoring","definition" : "Patient disconnected from continuous monitoring."},{"code" : "122033","display" : "Hemostasis achieved","definition" : "Hemostasis achieved."},{"code" : "122034","display" : "Hemostasis not achieved - oozing","definition" : "Hemostasis not achieved - oozing."},{"code" : "122035","display" : "Hemostasis not achieved - actively bleeding","definition" : "Hemostasis not achieved - actively bleeding."},{"code" : "122036","display" : "Patient given post-procedure instruction","definition" : "Patient given post-procedure instruction."},{"code" : "122037","display" : "Patient discharged from department","definition" : "Patient discharged from department or laboratory."},{"code" : "122038","display" : "Patient pronounced dead","definition" : "Patient pronounced dead."},{"code" : "122039","display" : "Patient transferred to morgue","definition" : "Patient transferred to morgue."},{"code" : "122041","display" : "Personnel Arrived","definition" : "Identified personnel or staff arrived in procedure room."},{"code" : "122042","display" : "Personnel Departed","definition" : "Identified personnel or staff departed procedure room."},{"code" : "122043","display" : "Page Sent To","definition" : "Page sent to identified personnel or staff."},{"code" : "122044","display" : "Consultation With","definition" : "Consultation with identified personnel or staff."},{"code" : "122045","display" : "Office called","definition" : "Office of identified personnel or staff was called."},{"code" : "122046","display" : "Equipment failure","definition" : "Equipment failure"},{"code" : "122047","display" : "Equipment brought to procedure room","definition" : "Equipment brought to procedure room."},{"code" : "122048","display" : "Equipment ready","definition" : "Equipment ready for procedure."},{"code" : "122049","display" : "Equipment removed","definition" : "Equipment removed from procedure room."},{"code" : "122052","display" : "Bioptome","definition" : "Device for obtaining biopsy sample."},{"code" : "122053","display" : "Valvular Intervention","definition" : "Valvular Intervention."},{"code" : "122054","display" : "Aortic Intervention","definition" : "Aortic Intervention."},{"code" : "122055","display" : "Septal Defect Intervention","definition" : "Septal Defect Intervention."},{"code" : "122056","display" : "Vascular Intervention","definition" : "Vascular Intervention."},{"code" : "122057","display" : "Myocardial biopsy","definition" : "Myocardial biopsy."},{"code" : "122058","display" : "Arterial conduit angiography","definition" : "Arterial conduit angiography."},{"code" : "122059","display" : "Single plane Angiography","definition" : "Single plane Angiography."},{"code" : "122060","display" : "Bi-plane Angiography","definition" : "Bi-plane Angiography."},{"code" : "122061","display" : "Percutaneous Coronary Intervention","definition" : "Percutaneous Coronary Intervention."},{"code" : "122062","display" : "15-Lead ECG","definition" : "15-Lead electrocardiography"},{"code" : "122072","display" : "Pre-procedure log","definition" : "Log of events occurring prior to the current procedure."},{"code" : "122073","display" : "Current procedure evidence","definition" : "Analysis or measurements for current procedure (purpose of reference to evidence document)."},{"code" : "122075","display" : "Prior report for current patient","definition" : "Prior report for current patient."},{"code" : "122076","display" : "Consumable taken from inventory","definition" : "Identifier of Consumable taken from inventory."},{"code" : "122077","display" : "Consumable returned to inventory","definition" : "Identifier of Consumable returned to inventory."},{"code" : "122078","display" : "Remaining consumable disposed","definition" : "Identifier of consumable whose remaining content has been disposed."},{"code" : "122079","display" : "Consumable unusable","definition" : "Identifier of Consumable determined to be unusable."},{"code" : "122081","display" : "Drug start","definition" : "Identifier of Drug whose administration has started."},{"code" : "122082","display" : "Drug end","definition" : "Identifier of Drug whose administration has ended."},{"code" : "122083","display" : "Drug administered","definition" : "Identifier of Drug administered as part of procedure."},{"code" : "122084","display" : "Contrast start","definition" : "Identifier of Contrast agent whose administration has started."},{"code" : "122085","display" : "Contrast end","definition" : "Identifier of Contrast agent whose administration has ended."},{"code" : "122086","display" : "Contrast administered","definition" : "Identifier of Contrast agent administered."},{"code" : "122087","display" : "Infusate start","definition" : "Identifier of Infusate whose administration has started."},{"code" : "122088","display" : "Infusate end","definition" : "Identifier of Infusate whose administration has ended."},{"code" : "122089","display" : "Device crossed lesion","definition" : "Action of a device traversing a vascular lesion."},{"code" : "122090","display" : "Intervention Action","definition" : "Action of a clinical professional performed on a patient for therapeutic purpose."},{"code" : "122091","display" : "Volume administered","definition" : "Volume of Drug, Contrast agent, or Infusate administered."},{"code" : "122092","display" : "Undiluted dose administered","definition" : "Undiluted dose of Drug, Contrast agent, or Infusate administered."},{"code" : "122093","display" : "Concentration","definition" : "Concentration of Drug, Contrast agent, or Infusate administered."},{"code" : "122094","display" : "Rate of administration","definition" : "Rate of Drug, Contrast agent, or Infusate administration."},{"code" : "122095","display" : "Duration of administration","definition" : "Duration of Drug, Contrast agent, or Infusate administration."},{"code" : "122096","display" : "Volume unadministered or discarded","definition" : "Volume of Drug, Contrast agent, or Infusate unadministered or discarded."},{"code" : "122097","display" : "Catheter Curve","definition" : "Numeric parameter of Curvature of Catheter."},{"code" : "122098","display" : "Transmit Frequency","definition" : "Transmit Frequency."},{"code" : "122099","display" : "ST change from baseline","definition" : "Measured change of patient electrocardiographic ST level relative to baseline measurement."},{"code" : "122101","display" : "Aneurysm on cited vessel","definition" : "Anatomic term modifier indicating aneurysm on cited vessel is the subject of the finding."},{"code" : "122102","display" : "Graft to cited segment, proximal section","definition" : "Anatomic term modifier indicating proximal section of graft to cited vessel is the subject of the finding."},{"code" : "122103","display" : "Graft to cited segment, mid section","definition" : "Anatomic term modifier indicating mid section of graft to cited vessel is the subject of the finding."},{"code" : "122104","display" : "Graft to cited segment, distal section","definition" : "Anatomic term modifier indicating distal section of graft to cited vessel is the subject of the finding."},{"code" : "122105","display" : "DateTime of Intervention","definition" : "DateTime of Intervention."},{"code" : "122106","display" : "Duration of Intervention","definition" : "Duration of Intervention."},{"code" : "122107","display" : "Baseline Stenosis Measurement","definition" : "Lesion stenosis measured prior to any interventional procedure"},{"code" : "122108","display" : "Post-Intervention Stenosis Measurement","definition" : "Lesion stenosis measured after an interventional procedure"},{"code" : "122109","display" : "Baseline TIMI Flow","definition" : "Assessment of perfusion across a coronary lesion measured prior to any interventional procedure."},{"code" : "122110","display" : "Post-Intervention TIMI Flow","definition" : "Assessment of perfusion across a coronary lesion measured after an interventional procedure."},{"code" : "122111","display" : "Primary Intervention Device","definition" : "Indication that device is the primary (first and/or most significant) device used for interventional therapy of a particular pathology."},{"code" : "122112","display" : "Normal Myocardium","definition" : "Normal Myocardium."},{"code" : "122113","display" : "Scarred Myocardium","definition" : "Scarred Myocardium."},{"code" : "122114","display" : "Thinning Myocardium","definition" : "Thinning Myocardium."},{"code" : "122120","display" : "Hemodynamics Report","definition" : "Hemodynamics Report."},{"code" : "122121","display" : "Atrial pressure measurements","definition" : "Atrial pressure measurements, report section."},{"code" : "122122","display" : "Ventricular pressure measurements","definition" : "Ventricular pressure measurements, report section."},{"code" : "122123","display" : "Gradient assessment","definition" : "Gradient assessment, report section."},{"code" : "122124","display" : "Blood velocity measurements","definition" : "Blood velocity measurements, report section."},{"code" : "122125","display" : "Blood lab measurements","definition" : "Blood lab measurements, report section."},{"code" : "122126","display" : "Derived Hemodynamic Measurements","definition" : "Derived Hemodynamic Measurements, report section."},{"code" : "122127","display" : "Clinical Context","definition" : "Clinical Context, report section."},{"code" : "122128","display" : "Patient Transferred From","definition" : "Location from which the patient was transferred."},{"code" : "122129","display" : "PCI during this procedure","definition" : "Indication that the procedure includes a percutaneous coronary intervention."},{"code" : "122130","display" : "Dose Area Product","definition" : "Radiation dose times area of exposure."},{"code" : "122131","display" : "Degree of Thrombus","definition" : "Finding of probability and/or severity of thrombus."},{"code" : "122132","display" : "Severity of Calcification","definition" : "Severity of Calcification, property of lesion."},{"code" : "122133","display" : "Lesion Morphology","definition" : "Lesion Morphology; form and/or structural properties of lesion."},{"code" : "122134","display" : "Vessel Morphology","definition" : "Vessel Morphology; form and/or structural properties of vessel."},{"code" : "122138","display" : "Circulatory Support","definition" : "Technique (device or procedure) of support for patient circulatory system; hemodynamic support."},{"code" : "122139","display" : "Reason for Study","definition" : "Reason for Study."},{"code" : "122140","display" : "Comparison with Prior Study Done","definition" : "Indication that the current study data has been compared with prior study data."},{"code" : "122141","display" : "Electrode Placement","definition" : "Electrocardiographic electrode placement technique."},{"code" : "122142","display" : "Acquisition Device Type","definition" : "Acquisition Device Type."},{"code" : "122143","display" : "Acquisition Device ID","definition" : "Acquisition Device ID."},{"code" : "122144","display" : "Quantitative Analysis","definition" : "Quantitative Analysis, report section."},{"code" : "122145","display" : "Qualitative Analysis","definition" : "Qualitative Analysis, report section."},{"code" : "122146","display" : "Procedure DateTime","definition" : "The date and time on which a procedure was performed on a patient."},{"code" : "122147","display" : "Clinical Interpretation","definition" : "Clinical Interpretation, report section."},{"code" : "122148","display" : "Lead ID","definition" : "ECG Lead Identifier."},{"code" : "122149","display" : "Beat Number","definition" : "Beat Number; ordinal of cardiac cycle within an acquisition."},{"code" : "122150","display" : "Compound Statement","definition" : "Complex coded semantic unit, consisting of several coded components."},{"code" : "122151","display" : "Trend","definition" : "Trend (temporal progression) of a clinical condition, finding, or disease."},{"code" : "122152","display" : "Statement","definition" : "Coded semantic unit."},{"code" : "122153","display" : "Statement Modifier","definition" : "Coded modifier for a semantic unit."},{"code" : "122154","display" : "Conjunctive Term","definition" : "Conjunctive term between semantic units."},{"code" : "122157","display" : "Probability","definition" : "Probability."},{"code" : "122158","display" : "ECG Global Measurements","definition" : "ECG Global Measurements, report section."},{"code" : "122159","display" : "ECG Lead Measurements","definition" : "ECG Lead Measurements, report section."},{"code" : "122160","display" : "Derived Non-Valve Area","definition" : "Derived cross-sectional area of a vessel or anatomic feature, other than a cardiac valve."},{"code" : "122161","display" : "Pulmonary Flow","definition" : "Rate of blood flow through Pulmonary artery."},{"code" : "122162","display" : "Systemic Flow","definition" : "Rate of blood flow through the aorta."},{"code" : "122163","display" : "Discharge DateTime","definition" : "DateTime of patient discharge from hospital admission."},{"code" : "122164","display" : "Coronary Artery Bypass During This Admission","definition" : "Indication that a Coronary Artery Bypass operation was performed during the current hospital admission."},{"code" : "122165","display" : "DateTime of Death","definition" : "DateTime of Death."},{"code" : "122166","display" : "Death During This Admission","definition" : "Indication that the patient died during the current hospital admission."},{"code" : "122167","display" : "Death During Catheterization","definition" : "Indication that the patient died during the current Catheterization procedure."},{"code" : "122170","display" : "Type of Myocardial Infarction","definition" : "Finding of type of Myocardial Infarction."},{"code" : "122171","display" : "Coronary lesion > = 50% stenosis","definition" : "Finding of Coronary lesion with greater than 50% stenosis."},{"code" : "122172","display" : "Acute MI Present","definition" : "Finding of Acute Myocardial Infarction Presence as indication for interventional procedure."},{"code" : "122173","display" : "ST Elevation Onset DateTime","definition" : "DateTime of first determination of elevated ECG ST segment, as indication of Myocardial Infarction."},{"code" : "122175","display" : "Number of lesion interventions attempted","definition" : "Number of lesion interventions attempted during current procedure."},{"code" : "122176","display" : "Number of lesion interventions successful","definition" : "Number of lesion interventions successful during current procedure, where the residual post intervention stenosis is less than or equal to 50% of the arterial luminal diameter, TIMI Flow is 3 and the minimal decrease in stenosis was 20%."},{"code" : "122177","display" : "Procedure Result","definition" : "Overall success of interventional procedure."},{"code" : "122178","display" : "Lesion Intervention Information","definition" : "Lesion Intervention Information, report section."},{"code" : "122179","display" : "Peri-procedural MI occurred","definition" : "Indication that Myocardial Infarction occurred during current procedure."},{"code" : "122180","display" : "CK-MB baseline","definition" : "Creatine Kinase-MB value at baseline (start of procedure)."},{"code" : "122181","display" : "CK-MB peak","definition" : "Creatine Kinase-MB highest value measured during procedure."},{"code" : "122182","display" : "R-R interval","definition" : "Time interval between ECG R-wave peaks in subsequent cardiac cycles."},{"code" : "122183","display" : "Blood temperature","definition" : "Blood temperature."},{"code" : "122185","display" : "Blood Oxygen content","definition" : "Blood Oxygen content."},{"code" : "122187","display" : "Blood Carbon dioxide saturation","definition" : "Blood Carbon dioxide saturation."},{"code" : "122188","display" : "Pulmonary Arterial Content (FCpa)","definition" : "Pulmonary Arterial Content (FCpa)."},{"code" : "122189","display" : "Pulmonary Venous Content (FCpv)","definition" : "Pulmonary Venous Content (FCpv)."},{"code" : "122190","display" : "Max dp/dt/P","definition" : "Max dp/dt/P."},{"code" : "122191","display" : "Ventricular End Diastolic pressure","definition" : "Ventricular End Diastolic pressure."},{"code" : "122192","display" : "Indicator appearance time","definition" : "Elapsed time from injection of an indicator bolus until it is observed at another location."},{"code" : "122193","display" : "Maximum pressure acceleration","definition" : "Maximum pressure acceleration."},{"code" : "122194","display" : "Ventricular Systolic blood pressure","definition" : "Ventricular Systolic blood pressure."},{"code" : "122195","display" : "Pulse Strength","definition" : "Pulse Strength; palpable strength of systolic flow."},{"code" : "122196","display" : "C wave pressure","definition" : "The secondary peak pressure in the atrium during atrial contraction."},{"code" : "122197","display" : "Gradient pressure, average","definition" : "Gradient pressure, average."},{"code" : "122198","display" : "Gradient pressure, peak","definition" : "Gradient pressure, peak."},{"code" : "122199","display" : "Pressure at dp/dt max","definition" : "Pressure at dp/dt max."},{"code" : "122201","display" : "Diastolic blood velocity, mean","definition" : "Diastolic blood velocity, mean."},{"code" : "122202","display" : "Diastolic blood velocity, peak","definition" : "Diastolic blood velocity, peak."},{"code" : "122203","display" : "Systolic blood velocity, mean","definition" : "Systolic blood velocity, mean."},{"code" : "122204","display" : "Systolic blood velocity, peak","definition" : "Systolic blood velocity, peak."},{"code" : "122205","display" : "Blood velocity, mean","definition" : "Blood velocity, mean."},{"code" : "122206","display" : "Blood velocity, minimum","definition" : "Blood velocity, minimum."},{"code" : "122207","display" : "Blood velocity, peak","definition" : "Blood velocity, peak."},{"code" : "122208","display" : "x-descent pressure","definition" : "Venous or atrial pressure minimum during ventricular systole, after A-wave."},{"code" : "122209","display" : "y-descent pressure","definition" : "Venous or atrial pressure minimum when tricuspid valve opens during diastole, after V-wave."},{"code" : "122210","display" : "z-point pressure","definition" : "Atrial pressure upon closure of tricuspid and mitral valves."},{"code" : "122211","display" : "Left Ventricular ejection time","definition" : "Left Ventricular ejection time."},{"code" : "122212","display" : "Left Ventricular filling time","definition" : "Left Ventricular filling time."},{"code" : "122213","display" : "Right Ventricular ejection time","definition" : "Right Ventricular ejection time."},{"code" : "122214","display" : "Right Ventricular filling time","definition" : "Right Ventricular filling time."},{"code" : "122215","display" : "Total Pulmonary Resistance","definition" : "Total Pulmonary Resistance."},{"code" : "122216","display" : "Total Vascular Resistance","definition" : "Total Vascular Resistance."},{"code" : "122217","display" : "Coronary Flow reserve","definition" : "Coronary Flow reserve."},{"code" : "122218","display" : "Diastolic/Systolic velocity ratio","definition" : "Diastolic/Systolic velocity ratio."},{"code" : "122219","display" : "Hyperemic ratio","definition" : "Hyperemic ratio."},{"code" : "122220","display" : "Hemodynamic Resistance Index","definition" : "Hemodynamic Resistance Index."},{"code" : "122221","display" : "Thorax diameter, sagittal","definition" : "Thorax diameter, sagittal."},{"code" : "122222","display" : "Procedure Environmental Characteristics","definition" : "Environmental characteristics in the procedure room."},{"code" : "122223","display" : "Room oxygen concentration","definition" : "Oxygen concentration in the procedure room."},{"code" : "122224","display" : "Room temperature","definition" : "Temperature in the procedure room."},{"code" : "122225","display" : "Room Barometric pressure","definition" : "Barometric pressure in the procedure room."},{"code" : "122227","display" : "Left to Right Flow","definition" : "Left to Right Flow."},{"code" : "122228","display" : "Right to Left Flow","definition" : "Right to Left Flow."},{"code" : "122229","display" : "Arteriovenous difference","definition" : "Arteriovenous oxygen content difference."},{"code" : "122230","display" : "10 Year CHD Risk","definition" : "Framingham Study 10 Year CHD Risk."},{"code" : "122231","display" : "Comparative Average10 Year CHD Risk","definition" : "Framingham Study Comparative Average10 Year CHD Risk."},{"code" : "122232","display" : "Comparative Low10 Year CHD Risk","definition" : "Framingham Study Comparative Low10 Year CHD Risk."},{"code" : "122233","display" : "LDL Cholesterol Score Sheet for Men","definition" : "Framingham Study LDL Cholesterol Score Sheet for Men."},{"code" : "122234","display" : "LDL Cholesterol Score Sheet for Women","definition" : "Framingham Study LDL Cholesterol Score Sheet for Women."},{"code" : "122235","display" : "Total Cholesterol Score Sheet for Men","definition" : "Framingham Study Total Cholesterol Score Sheet for Men."},{"code" : "122236","display" : "Total Cholesterol Score Sheet for Women","definition" : "Framingham Study Total Cholesterol Score Sheet for Women."},{"code" : "122237","display" : "Corrected Sinus Node Recovery Time","definition" : "Corrected Sinus Node Recovery Time."},{"code" : "122238","display" : "Max volume normalized to 50mmHg pulse pressure","definition" : "Max volume normalized to 50mmHg pulse pressure."},{"code" : "122239","display" : "Oxygen Consumption","definition" : "Oxygen Consumption."},{"code" : "122240","display" : "BSA = 0.003207*WT^(0.7285-0.0188​*log(WT))*HT^0.3","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.003207*WT[g]^(0.7285-0.0188​​*log(WT[g]))*HT[cm]^0.3 [Boyd E, The growth of the surface area of the human body. Minneapolis: University of Minnesota Press, 1935, eq. (36) ]."},{"code" : "122241","display" : "BSA = 0.007184*WT^0.425​*HT^0.725","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.007184*WT[kg]^0.425​*HT[cm]^0.725 [Dubois and Dubois, Arch Int Med 1916 17:863-71]."},{"code" : "122242","display" : "BSA = 0.0235*WT^0.51456​*HT^0.42246","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.0235*WT[kg]^0.51456​​*HT[cm]^0.42246[Gehan EA, George SL, 'Estimation of human body surface area from height and weight', Cancer Chemother Rep 1970 54:225-35]."},{"code" : "122243","display" : "BSA = 0.024265*WT^0.5378​*HT^0.3964","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.024265*WT[kg]^0.5378​*HT[cm]^0.3964[Haycock G.B., Schwartz G.J., Wisotsky D.H. 'Geometric method for measuring body surface area: A height weight formula validated in infants, children and adults.' The Journal of Pediatrics 1978 93:1:62-66]."},{"code" : "122244","display" : "BSA = (HT*WT/36)^0.5","definition" : "Body Surface Area computed from patient height and weight: BSA = (HT[m]*WT[kg]/36)^0.5[Mosteller, R.D. 'Simplified Calculation of Body Surface Area.' N Engl J Med 1987 Oct 22;317(17):1098]."},{"code" : "122245","display" : "BSA = 1321+0.3433*WT","definition" : "Body Surface Area computed from patient weight:BSA = 1321 + 0.3433 * WT[kg] (for pediatrics 3-30 kg) [Current, J.D. 'A Linear Equation For Estimating The Body Surface Area In Infants And Children', The Internet Journal of Anesthesiology. 1998. 2:2]."},{"code" : "122246","display" : "BSA = 0.0004688*WT^(0.8168-0.0154​*log(WT))","definition" : "BSA = 0.0004688*(1000*WT)^(0.8168-0.0154​*log(1000*WT))Where (WT is weight in kilogram)Units = m2Boyd, Edith. The Growth of the Surface Area of the Human Body(originally published in 1935 by the University of Minnesota Press), Greenwood Press, Westport, Connecticut, 1975, p. 102.Equation (35)."},{"code" : "122247","display" : "VO2male = BSA (138.1 - 11.49 * loge(age) + 0.378 * HRf)","definition" : "Equation for estimated oxygen consumption: VO2male = BSA (138.1 - 11.49 * loge(age) + 0.378 * HRf)."},{"code" : "122248","display" : "VO2female = BSA (138.1 - 17.04 * loge(age) + 0.378 * HRf)","definition" : "Equation for estimated oxygen consumption: VO2female = BSA (138.1 - 17.04 * loge(age) + 0.378 * HRf)."},{"code" : "122249","display" : "VO2 = VeSTPD * 10 * (FIO2 - FE02)","definition" : "Equation for estimated oxygen consumption: VO2 = VeSTPD * 10 * (FIO2 - FE02)."},{"code" : "122250","display" : "VO2 = 152 * BSA","definition" : "Equation for estimated oxygen consumption: VO2 = 152 * BSA."},{"code" : "122251","display" : "VO2 = 175 * BSA","definition" : "Equation for estimated oxygen consumption: VO2 = 175 * BSA."},{"code" : "122252","display" : "VO2 = 176 * BSA","definition" : "Equation for estimated oxygen consumption: VO2 = 176 * BSA."},{"code" : "122253","display" : "Robertson & Reid table","definition" : "Robertson & Reid Table for estimated oxygen consumption."},{"code" : "122254","display" : "Fleisch table","definition" : "Fleisch table for estimated oxygen consumption."},{"code" : "122255","display" : "Boothby table","definition" : "Boothby table for estimated oxygen consumption."},{"code" : "122256","display" : "if (prem age< 3days) P50 = 19.9","definition" : "Estimate of Oxygen partial pressure at 50% saturation for premature infants less than 3 days old: P50 = 19.9."},{"code" : "122257","display" : "if (age < 1day) P50 = 21.6","definition" : "Estimate of Oxygen partial pressure at 50% saturation for infants less than 1 day old: P50 = 21.6."},{"code" : "122258","display" : "if (age < 30day) P50 = 24.6","definition" : "Estimate of Oxygen partial pressure at 50% saturation for infants less than 30 days old: P50 = 24.6."},{"code" : "122259","display" : "if (age < 18y) P50 = 27.2","definition" : "Estimate of Oxygen partial pressure at 50% saturation for patients less than 18 years old: P50 = 27.2."},{"code" : "122260","display" : "if (age < 40y) P50 = 27.4","definition" : "Estimate of Oxygen partial pressure at 50% saturation for patients less than 40 years old: P50 = 27.4."},{"code" : "122261","display" : "if (age > 60y) P50 = 29.3","definition" : "Estimate of Oxygen partial pressure at 50% saturation for patients more than 60 years old: P50 = 29.3."},{"code" : "122262","display" : "Area = Flow / 44.5 * sqrt(Gradient[mmHg])","definition" : "Cardiac valve area computed from flow and pressure gradient: Area = Flow / 44.5 * sqrt(Gradient[mmHg]) [Gorlin and Gorlin, Am Heart J, 1951]."},{"code" : "122263","display" : "MVA = Flow / 38.0 * sqrt(Gradient[mmHg])","definition" : "Mitral valve area computed from flow and pressure gradient: Mitral valve Area = Flow / 38.0 * sqrt(Gradient[mmHg]) [Gorlin and Gorlin, Am Heart J, 1951]."},{"code" : "122265","display" : "BMI = Wt / Ht ^ 2","definition" : "Body Mass Index computed from weight and height: BMI = Wt/Ht^2."},{"code" : "122266","display" : "BSA = 0.007358*WT^0.425​*HT^0.725","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.007358*WT[kg]^0.425​*HT[cm]^0.725(for East Asian adult, aged 15+ years) [Kanai Izumi, Masamitsu Kanai, 'Clinical examination method summary']."},{"code" : "122267","display" : "BSA = 0.010265*WT^0.423​*HT^0.651","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.010265*WT[kg]^0.423​*HT[cm]^0.651 (For East Asian child aged 12-14 years)."},{"code" : "122268","display" : "BSA = 0.008883*WT^0.444​*HT^0.663","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.008883*WT[kg]^0.444​*HT[cm]^0.663 (For East Asian child aged 6-11 years)."},{"code" : "122269","display" : "BSA = 0.038189*WT^0.423​*HT^0.362","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.038189*WT[kg]^0.423​*HT[cm]^0.362 (For East Asian child aged 1-5 years)."},{"code" : "122270","display" : "BSA = 0.009568*WT^0.473​*HT^0.655","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.009568*WT[kg]^0.473​*HT[cm]^0.655 (For East Asian child aged 0-12 months)."},{"code" : "122271","display" : "Skin Condition Warm","definition" : "Skin Condition Warm."},{"code" : "122272","display" : "Skin Condition Cool","definition" : "Skin Condition Cool."},{"code" : "122273","display" : "Skin Condition Cold","definition" : "Skin Condition Cold."},{"code" : "122274","display" : "Skin Condition Dry","definition" : "Skin Condition Dry."},{"code" : "122275","display" : "Skin Condition Clammy","definition" : "Skin Condition Clammy."},{"code" : "122276","display" : "Skin Condition Diaphoretic","definition" : "Skin Condition Diaphoretic."},{"code" : "122277","display" : "Skin Condition Flush","definition" : "Skin Condition Flush."},{"code" : "122278","display" : "Skin Condition Mottled","definition" : "Skin Condition Mottled."},{"code" : "122279","display" : "Skin Condition Pale","definition" : "Skin Condition Pale."},{"code" : "122281","display" : "Airway unobstructed","definition" : "Airway unobstructed."},{"code" : "122282","display" : "Airway partially obstructed","definition" : "Airway partially obstructed."},{"code" : "122283","display" : "Airway severely obstructed","definition" : "Airway severely obstructed."},{"code" : "122288","display" : "Not Visualized","definition" : "Anatomy could not be visualized for the purpose of evaluation."},{"code" : "122291","display" : "Quantitative Arteriography Report","definition" : "Quantitative Arteriography Report."},{"code" : "122292","display" : "Quantitative Ventriculography Report","definition" : "Quantitative Ventriculography Report."},{"code" : "122301","display" : "Guidewire crossing lesion unsuccessful","definition" : "Guidewire crossing lesion unsuccessful."},{"code" : "122302","display" : "Guidewire crossing lesion successful","definition" : "Guidewire crossing lesion successful."},{"code" : "122303","display" : "Angioplasty balloon inflated","definition" : "Angioplasty balloon inflated."},{"code" : "122304","display" : "Angioplasty balloon deflated","definition" : "Angioplasty balloon deflated."},{"code" : "122305","display" : "Device deployed","definition" : "Device deployed."},{"code" : "122306","display" : "Stent re-expanded","definition" : "Stent re-expanded."},{"code" : "122307","display" : "Object removed","definition" : "Object removed."},{"code" : "122308","display" : "Radiation applied","definition" : "Radiation applied."},{"code" : "122309","display" : "Radiation removed","definition" : "Radiation removed."},{"code" : "122310","display" : "Interventional device placement unsuccessful","definition" : "Interventional device placement unsuccessful."},{"code" : "122311","display" : "Interventional device placed","definition" : "Interventional device placed."},{"code" : "122312","display" : "Intervention performed","definition" : "Intervention performed."},{"code" : "122313","display" : "Interventional device withdrawn","definition" : "Interventional device withdrawn."},{"code" : "122319","display" : "Catheter Size","definition" : "Catheter Size."},{"code" : "122320","display" : "Injectate Temperature","definition" : "Injectate Temperature."},{"code" : "122321","display" : "Injectate Volume","definition" : "Injectate Volume."},{"code" : "122322","display" : "Calibration Factor","definition" : "Factor by which a measured or calculated value is multiplied to obtain the estimated real-world value."},{"code" : "122325","display" : "IVUS Report","definition" : "Intravascular Ultrasound Report."},{"code" : "122330","display" : "EEM Diameter","definition" : "External Elastic Membrane (EEM) diameter measured through the center point of the vessel. Center point of the vessel is defined as the center of gravity of the EEM area. The EEM is a discrete interface at the border between the media and the adventitia."},{"code" : "122331","display" : "Plaque Plus Media Thickness","definition" : "The distance from intimal leading edge to the external elastic membrane along any line passing through the luminal center, which is defined as the center of gravity of the lumen area."},{"code" : "122332","display" : "Lumen Perimeter","definition" : "Planimetered perimeter of the lumen."},{"code" : "122333","display" : "EEM Cross-Sectional Area","definition" : "Vessel area measured at the External Elastic Membrane (EEM), a discrete interface at the border between the media and the adventitia."},{"code" : "122334","display" : "Plaque plus Media Cross-Sectional Area","definition" : "Area within the EEM occupied by atheroma, regardless of lumen compromise. Plaque plus Media Area = EEM cross-sectional area - vessel lumen cross-sectional area."},{"code" : "122335","display" : "In-Stent Neointimal Cross-Sectional Area","definition" : "Measurement of in-stent restenosis. In-Stent Intimal Area = Stent cross-sectional area - vessel lumen cross-sectional area."},{"code" : "122336","display" : "Vascular Volume measurement length","definition" : "Longitudinal extent of the Vascular Volume Measurement. This is the distance from the distal edge to the proximal edge of the Volume measurement."},{"code" : "122337","display" : "Relative position","definition" : "Longitudinal distance from the closest edge of a fiducial feature or reference location to the start of the vascular measurement. This value will be a positive if the measurement is distal to the fiducial feature or reference location, or negative if the measurement is proximal to the fiducial feature or reference location."},{"code" : "122339","display" : "Stent Volume Obstruction","definition" : "In-Stent Neointimal Volume / Stent Volume."},{"code" : "122340","display" : "Fiducial feature","definition" : "Reference, normally anatomical, which is used for locating the position of a measurement."},{"code" : "122341","display" : "Calcium Length","definition" : "Longitudinal calcium length measurement."},{"code" : "122343","display" : "Lumen Eccentricity Index","definition" : "Measurement of vessel lumen eccentricity. Lumen Eccentricity Index = (maximum vessel lumen diameter - minimum vessel lumen diameter) / maximum vessel lumen diameter. Lumen diameters are measured through the center point of the lumen, which is defined as the center of gravity of the lumen area."},{"code" : "122344","display" : "Plaque plus Media Eccentricity Index","definition" : "Plaque plus Media Eccentricity Index = (maximum Plaque plus media thickness - minimum Plaque plus media thickness) / maximum Plaque plus media thickness."},{"code" : "122345","display" : "Remodeling Index","definition" : "Measurement of increase or decrease in EEM area that occurs during the development of atherosclerosis. Remodeling Index = Lesion EEM area / reference EEM area."},{"code" : "122346","display" : "Stent Symmetry Index","definition" : "Measurement of stent circularity. Stent Symmetry Index = (maximum stent diameter - minimum stent diameter) / maximum stent diameter."},{"code" : "122347","display" : "Stent Expansion Index","definition" : "Measurement of stent area relative to the reference lumen area. Stent Expansion Index = Minimum stent area / reference vessel lumen cross-sectional area."},{"code" : "122348","display" : "Lumen Shape Index","definition" : "Measurement of vessel lumen eccentricity. Lumen Shape Index = (2p * sqrt(Vessel lumen cross-sectional area / p) / Lumen Perimeter) 2Reference: Tobis & Yock, \"Intravascular Ultrasound Imaging\", Chapter 7."},{"code" : "122350","display" : "Lumen Diameter Ratio","definition" : "Lumen diameter ratio = minimum vessel lumen diameter / maximum vessel lumen diameter, measured at the same cross section in the vessel. Lumen diameters are measured through the center point of the lumen, which is defined as the center of gravity of the lumen area."},{"code" : "122351","display" : "Stent Diameter Ratio","definition" : "Stent diameter ratio = Minimum stent diameter / Maximum stent diameter, measured at the same cross section in the vessel. Stent diameters are measured through the center point of the stent, which is defined as the center of gravity of the stent area."},{"code" : "122352","display" : "EEM Diameter Ratio","definition" : "EEM diameter ratio = minimum EEM diameter / maximum EEM diameter. Measured at the same cross section in the vessel."},{"code" : "122354","display" : "Plaque Burden","definition" : "Fractional area within the External Elastic Membrane (EEM) occupied by atheroma. Plaque Burden = (EEM area - vessel lumen cross-sectional area) / EEM area."},{"code" : "122355","display" : "Arc of Calcium","definition" : "Angular measurement of a Calcium deposit with the apex located at the center of the lumen, which is defined as the center of gravity of the lumen area."},{"code" : "122356","display" : "Soft plaque","definition" : "Plaque characterized by low density or echogenicity."},{"code" : "122357","display" : "In-Stent Neointima","definition" : "Abnormal thickening of the intima within the stented segment."},{"code" : "122360","display" : "True Lumen","definition" : "Lumen surrounded by all three layers of the vessel-intima, media, and adventitia."},{"code" : "122361","display" : "False Lumen","definition" : "A channel, usually parallel to the true lumen, which does not communicate with the true lumen over a portion of its length."},{"code" : "122363","display" : "Plaque Rupture","definition" : "Plaque ulceration with a tear detected in a fibrous cap."},{"code" : "122364","display" : "Stent Gap","definition" : "Length of gap between two consecutive stents."},{"code" : "122367","display" : "T-1 Worst","definition" : "Worst stenosis - the stenosis with the smallest lumen size within a vessel segment."},{"code" : "122368","display" : "T-2 Secondary","definition" : "2nd most severe stenosis within a vessel segment."},{"code" : "122369","display" : "T-3 Secondary","definition" : "3rd most severe stenosis within a vessel segment."},{"code" : "122370","display" : "T-4 Secondary","definition" : "4th most severe stenosis within a vessel segment."},{"code" : "122371","display" : "EEM Volume","definition" : "External Elastic Membrane (EEM) volume measured within a specified region. The EEM is a discrete interface at the border between the media and the Adventitia."},{"code" : "122372","display" : "Lumen Volume","definition" : "Lumen volume measured within a specified region."},{"code" : "122374","display" : "In-Stent Neointimal Volume","definition" : "The amount of plaque between the lumen and stent, within the stent region; In-stent restenosis. In-Stent Neointimal Volume = Stent Volume - Lumen Volume."},{"code" : "122375","display" : "Native Plaque Volume","definition" : "The amount of plaque between the stent and the EEM, within the stent region. Native Plaque Volume = EEM Volume - Stent Volume."},{"code" : "122376","display" : "Total Plaque Volume","definition" : "Total amount of plaque between the EEM and the Lumen, over the entire region that is measured. Total Plaque Volume = EEM Volume - Lumen Volume."},{"code" : "122380","display" : "Proximal Reference","definition" : "Proximal reference segment measurement site. Typically the site with the largest lumen proximal to a stenosis but within the same segment (usually within 10 mm of the stenosis with no major intervening branches)."},{"code" : "122381","display" : "Distal Reference","definition" : "Distal reference segment measurement site. Typically the site with the largest lumen distal to a stenosis but within the same segment (usually within 10 mm of the stenosis with no major intervening branches)."},{"code" : "122382","display" : "Site of Lumen Minimum","definition" : "Site of the smallest lumen in a vessel."},{"code" : "122383","display" : "Entire Pullback","definition" : "Measurement region that encompasses the entire vessel imaged in a single pullback acquisition."},{"code" : "122384","display" : "Stented Region","definition" : "Measurement region occupied by the stent."},{"code" : "122385","display" : "Proximal Stent Margin","definition" : "Region starting at the proximal edge of the Stent and extending several millimeters (usually 5 mm) proximal to the Stent edge."},{"code" : "122386","display" : "Distal Stent Margin","definition" : "Region starting at the distal edge of the Stent and extending several millimeters (usually 5 mm) distal to the Stent edge."},{"code" : "122387","display" : "Dissection Classification","definition" : "Classification of dissections in a vessel."},{"code" : "122388","display" : "Intra-stent Dissection","definition" : "Separation of neointimal hyperplasia from stent struts, usually seen only after treatment of in-stent restenosis."},{"code" : "122389","display" : "Vulnerable Plaque","definition" : "Plaque with a thin cap fibrous atheroma that is at increased risk of rupture and thrombosis (or re-thrombosis) and rapid stenosis progression."},{"code" : "122390","display" : "Eroded Plaque","definition" : "Plaque erosions with no structural defect (beyond endothelial injury) or gap in the plaque."},{"code" : "122391","display" : "Relative Stenosis Severity","definition" : "Stenosis severity classifications of multiple lesions in a vessel."},{"code" : "122393","display" : "Restenotic Lesion","definition" : "A finding of a previously treated lesion in which stenosis has reoccurred."},{"code" : "122394","display" : "Fibro-Lipidic Plaque","definition" : "Loosely packed bundles of collagen fibers with regions of lipid deposition present. Region is cellular and no cholesterol clefts or necrosis are present. Somemacrophage infiltration. Increase in extra cellular matrix."},{"code" : "122395","display" : "Necrotic-Lipidic Plaque","definition" : "Area within the plaque with very low echogenicity separated from the lumen and surrounded by more echogenic structures (fibrous cap). Highly lipidic necrotic region with remnants of foam cells and dead lymphocytes present. No collagen fibers are visible and mechanical integrity is poor. Cholesterol clefts and micro calcifications are visible."},{"code" : "122397","display" : "Adventitial Dissection","definition" : "Separation of the layers of an artery involving the adventitia"},{"code" : "122398","display" : "Intimal Dissection","definition" : "Separation of the layers of an artery involving the intima. Dissection limited to the intima or atheroma, and not extending to the media."},{"code" : "122399","display" : "Medial Dissection","definition" : "Separation of the layers of an artery involving the media. Dissection in the arterial Media, extending into the media."},{"code" : "122400","display" : "Simultaneously Acquired","definition" : "The referenced information was acquired simultaneously with the information in the object in which the reference occurs."},{"code" : "122401","display" : "Same Anatomy","definition" : "Information acquired for the same anatomic region."},{"code" : "122402","display" : "Same Indication","definition" : "Information acquired for the same indication."},{"code" : "122403","display" : "For Attenuation Correction","definition" : "The referenced information was used to correct the data for differential attenuation through different anatomic tissue."},{"code" : "122404","display" : "Reconstructed","definition" : "Value estimated for a vessel in the absence of a stenosis."},{"code" : "122405","display" : "Algorithm Manufacturer","definition" : "Manufacturer of application used."},{"code" : "122406","display" : "Left Atrial Ejection Fraction by Angiography","definition" : "Left Atrial Ejection Fraction by Angiography."},{"code" : "122407","display" : "Left Atrial ED Volume","definition" : "Left Atrial End Diastolic Volume."},{"code" : "122408","display" : "Left Atrial ES Volume","definition" : "Left Atrial End Systolic Volume."},{"code" : "122410","display" : "Contour Realignment","definition" : "Contour repositioning of End Diastolic relative to End Systolic contour."},{"code" : "122411","display" : "Threshold Value","definition" : "The minimum standard deviation to define the hypokinesis and hyperkinesis."},{"code" : "122417","display" : "Regional Abnormal Wall Motion","definition" : "Report of differentiation of wall motion compared to normal."},{"code" : "122421","display" : "Calibration Object","definition" : "Object used for Calibration."},{"code" : "122422","display" : "Calibration Method","definition" : "Method used for Calibration."},{"code" : "122423","display" : "Calibration Object Size","definition" : "Size of calibration object."},{"code" : "122428","display" : "Area Length Method","definition" : "Method how long axis is positioned."},{"code" : "122429","display" : "Volume Method","definition" : "Model for cardiac chamber volume calculation."},{"code" : "122430","display" : "Reference Method","definition" : "Method to define original diameter of the artery."},{"code" : "122431","display" : "Regression Slope ED","definition" : "Relation between calculated End Diastolic volume and ventricular End Diastolic volume. The specific meaning is dependent on volume method used."},{"code" : "122432","display" : "Regression Offset ED","definition" : "Correction factor for the calculated End Diastolic volume and ventricular End Diastolic volume. The specific meaning is dependent on volume method used."},{"code" : "122433","display" : "Regression Slope ES","definition" : "Relation between calculated End Systolic volume and ventricular End Systolic volume. The specific meaning is dependent on volume method used."},{"code" : "122434","display" : "Regression Offset ES","definition" : "Correction factor for the calculated End Systolic volume and ventricular End Systolic volume. The specific meaning is dependent on volume method used."},{"code" : "122435","display" : "Regression Volume Exponent","definition" : "Exponent of volume in regression formula."},{"code" : "122438","display" : "Reference Points","definition" : "Container for spatial locations or coordinates used for calculation."},{"code" : "122445","display" : "Wall Thickness","definition" : "Average thickness of the chamber wall in the current view."},{"code" : "122446","display" : "Wall Volume","definition" : "Volume of the chamber wall estimated from the current view."},{"code" : "122447","display" : "Wall Mass","definition" : "Mass of the chamber wall (myocardium)."},{"code" : "122448","display" : "Wall Stress","definition" : "Peak systolic stress of chamber wall."},{"code" : "122449","display" : "Centerline Wall Motion Analysis","definition" : "Method to calculate wall motion [example: Sheehan, 1986]."},{"code" : "122450","display" : "Normalized Chord Length","definition" : "The length between End Diastolic and End Systolic contour perpendicular on the centerline normalized by a method dependent ventricular perimeter length. The centerline is the line equidistant between the End Diastolic and End Systolic contour [example: Sheehan, 1986]."},{"code" : "122451","display" : "Abnormal Region","definition" : "The report of the boundaries of the abnormal (hyperkinetic, hypokinetic, a-kinetic) regions associated with the territory of the artery [example: Sheehan, 1986]."},{"code" : "122452","display" : "First Chord of Abnormal Region","definition" : "The chord number specifying the begin of abnormal region [example: Sheehan, 1986]."},{"code" : "122453","display" : "Last Chord of Abnormal Region","definition" : "The chord number specifying the end of abnormal region [example: Sheehan, 1986]."},{"code" : "122459","display" : "Territory Region Severity","definition" : "Severity at the regional abnormality extent [example: Sheehan, 1986]."},{"code" : "122461","display" : "Opposite Region Severity","definition" : "Severity at the opposite regional abnormality extent [example: Sheehan, 1986]."},{"code" : "122464","display" : "LAD Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO project the range of chords belonging to this circumferential extent lies between 5 - 85. [Sheehan, 1986]."},{"code" : "122465","display" : "RCA Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO project the range of chords belonging to this circumferential extent lies between 25 - 85. [Sheehan, 1986]."},{"code" : "122466","display" : "Single LAD Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 10 - 66 (hypokinetic) and 67 - 80 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122467","display" : "Single RCA Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 51 - 80 (hypokinetic) and 10 - 50 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122468","display" : "Multiple LAD Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 10 - 58 (hypokinetic) and 59 -80 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122469","display" : "Multiple RCA Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 59 - 80 (hypokinetic) and 10 - 58 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122470","display" : "LAD Region in LAO Projection","definition" : "Based on a total number of chords of 100 and LAO projection the range of chords belonging to this regional extent lies between 50 -100 (hypokinetic) and 20 - 49 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122471","display" : "RCA Region in LAO Projection","definition" : "Based on a total number of chords of 100 and LAO projection the range of chords belonging to this regional extent lies between 19 - 67 (hypokinetic) and 68 - 100 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122472","display" : "CFX Region in LAO Projection","definition" : "Based on a total number of chords of 100 and LAO projection the range of chords belonging to this regional extent lies between 38 -74 (hypokinetic) and 75 - 100 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122473","display" : "Circular Method","definition" : "Method based on assumption that the image object is circular."},{"code" : "122474","display" : "Densitometric Method","definition" : "Method based on the gray value distribution of the image."},{"code" : "122475","display" : "Center of Gravity","definition" : "End Systolic contour realigned to End Diastolic contour based on the center of gravity."},{"code" : "122476","display" : "Long Axis Based","definition" : "End Systolic contour realigned to End Diastolic contour based on the mid point of the long axis. The long axis end points are defined as the posterior and apex."},{"code" : "122477","display" : "No Realignment","definition" : "No Contour Realignment applied."},{"code" : "122480","display" : "Vessel Lumen Cross-Sectional Area","definition" : "Calculated Vessel Lumen Cross-Sectional Area based on the referenced method."},{"code" : "122481","display" : "Contour Start","definition" : "Location of the beginning of a contour."},{"code" : "122482","display" : "Contour End","definition" : "Location of the end of a contour."},{"code" : "122485","display" : "Sphere","definition" : "Sphere visible in an image, which is used as a calibration or marker object."},{"code" : "122486","display" : "Geometric Isocenter","definition" : "Object of interest in isocenter of image and pixel separation is calculated from geometric data."},{"code" : "122487","display" : "Geometric Non-Isocenter","definition" : "Object of interest not in isocenter of image and pixel separation is calculated from geometric data and out of isocenter distances."},{"code" : "122488","display" : "Calibration Object Used","definition" : "Object used for calibration."},{"code" : "122489","display" : "Curve Fitted Reference","definition" : "Application dependent method to calculate the reference diameter based on the multiple diameter values."},{"code" : "122490","display" : "Interpolated Local Reference","definition" : "Application dependent method to calculate reference by interpolation, based on the diameter of two or more user defined reference positions."},{"code" : "122491","display" : "Mean Local Reference","definition" : "Application dependent method to calculate by averaging the reference, based on the diameter of one or more user defined reference positions."},{"code" : "122493","display" : "Radial Based Wall Motion Analysis","definition" : "Method to calculate wall motion based on the lengths of the radials in the predefined regions [Ingels]."},{"code" : "122495","display" : "Regional Contribution to Ejection Fraction","definition" : "Contribution of Region to global Ejection factor based on radial or landmark based wall motion method."},{"code" : "122496","display" : "Radial Shortening","definition" : "The reduction of area between End Systolic and End Diastolic based on radial wall motion analysis."},{"code" : "122497","display" : "Landmark Based Wall Motion Analysis","definition" : "Method to calculate wall motion based on the move of landmarks on the wall [Slager]."},{"code" : "122498","display" : "Slice Contribution to Ejection Fraction","definition" : "Contribution to the ejection fraction of a specific slice region [Slager]."},{"code" : "122499","display" : "Frame to Frame Analysis","definition" : "Method to calculate volumes of heart chambers for every image in a range."},{"code" : "122501","display" : "Area of closed irregular polygon","definition" : "The area is derived by considering a set of coordinates as a closed irregular polygon, accounting for inner angles.The exact method, such as by decomposition into triangles or quadrilaterals, is not specified, since it does not affect the numeric result, apart from the effect of numeric precision during computation of intermediate results."},{"code" : "122502","display" : "Area of a closed NURBS","definition" : "The area is derived by using a set of coordinates as control points for a Non Uniform Rational B-Spline (NURBS)."},{"code" : "122503","display" : "Integration of sum of closed areas on contiguous slices method for volume","definition" : "Method of integrating the sum of the areas on adjacent slices across the slice interval to derive a total volume; each area is defined by a regular planar shape or by considering a set of coordinates as a closed irregular polygon, accounting for inner angles."},{"code" : "122505","display" : "Calibration","definition" : "Procedure used to calibrate measurements or measurement devices."},{"code" : "122507","display" : "Left Contour","definition" : "Left contour of lumen (direction proximal to distal)."},{"code" : "122508","display" : "Right Contour","definition" : "Right contour of lumen (direction proximal to distal)."},{"code" : "122509","display" : "Diameter Graph","definition" : "Ordered set of diameters values derived from contours (direction proximal to distal)."},{"code" : "122510","display" : "Length Luminal Segment","definition" : "Length Luminal Segment."},{"code" : "122511","display" : "Graph Increment","definition" : "Increment value along X-axis in Diameter Graph."},{"code" : "122516","display" : "Site of Maximum Luminal","definition" : "Location of the maximum lumen area in a lesion or vessel."},{"code" : "122517","display" : "Densitometric Luminal Cross-sectional Area Graph","definition" : "Ordered set of cross-sectional Vessel Lumen Cross-Sectional Area values derived from contours (direction proximal to distal) based on densitometric method."},{"code" : "122528","display" : "Position of Proximal Border","definition" : "Position of proximal border of segment relative to the contour start (proximal end of analysis area)."},{"code" : "122529","display" : "Position of Distal Border","definition" : "Position of distal border of segment relative to the contour start (proximal end of analysis area)."},{"code" : "122542","display" : "Plaque Area","definition" : "Longitudinal cross sectional area of plaque."},{"code" : "122544","display" : "Diameter Symmetry","definition" : "Symmetry of stenosis (0 = complete asymmetry, 1 = complete symmetry)."},{"code" : "122545","display" : "Area Symmetry","definition" : "Symmetry of plaque (0 = complete asymmetry, 1 = complete symmetry)."},{"code" : "122546","display" : "Inflow Angle","definition" : "The average slope of the diameter function between the position of the minimum luminal diameter and the position of the proximal border of the segment."},{"code" : "122547","display" : "Outflow Angle","definition" : "The average slope of the diameter function between the position of the minimum luminal diameter and the position of the distal border of the segment."},{"code" : "122548","display" : "Stenotic Flow Reserve","definition" : "The relation between coronary pressure and coronary flow."},{"code" : "122549","display" : "Poiseuille Resistance","definition" : "Poiseuille Resistance at the location of the stenosis."},{"code" : "122550","display" : "Turbulence Resistance","definition" : "Turbulence Resistance at the location of the stenosis."},{"code" : "122551","display" : "Pressure Drop at SFR","definition" : "Pressure drop over the stenosis at maximum heart output."},{"code" : "122554","display" : "Segmentation Method","definition" : "Method for selection of vessel sub-segments."},{"code" : "122555","display" : "Estimated Normal Flow","definition" : "Estimate of the volume of blood flow in the absence of stenosis."},{"code" : "122558","display" : "Area Length Kennedy","definition" : "Area Length method defined by Kennedy [Kennedy, 1970]."},{"code" : "122559","display" : "Area Length Dodge","definition" : "Area Length method defined by Dodge [Dodge, 1960]."},{"code" : "122560","display" : "Area Length Wynne","definition" : "Area Length method defined by Wynne [Wynne]."},{"code" : "122562","display" : "Multiple Slices","definition" : "Volume method based on multiple slice."},{"code" : "122563","display" : "Boak","definition" : "Volume method defined by Boak [Boak]."},{"code" : "122564","display" : "TS Pyramid","definition" : "Volume method defined by Ferlinz [Ferlinz]."},{"code" : "122565","display" : "Two Chamber","definition" : "Volume method defined by Graham [Graham]."},{"code" : "122566","display" : "Parallelepiped","definition" : "Volume method defined by Arcilla [Arcilla]."},{"code" : "122572","display" : "BSA^1.219","definition" : "Corrected Body Surface area for indexing the hemodynamic measurements for a pediatric patient."},{"code" : "122574","display" : "Equidistant method","definition" : "Method for selecting sub-segments that are all of the same length."},{"code" : "122575","display" : "User selected method","definition" : "Manually selected start and end of sub-segment."},{"code" : "122582","display" : "Left ventricular posterobasal segment","definition" : "Left ventricular posterobasal segment."},{"code" : "122600","display" : "Cardiovascular Analysis Report","definition" : "Report of a Cardiovascular Analysis, typically from a CT or MR study."},{"code" : "122601","display" : "Ventricular Analysis","definition" : "Ventricular Analysis."},{"code" : "122602","display" : "Myocardial Perfusion Analysis","definition" : "Myocardial Perfusion Analysis."},{"code" : "122603","display" : "Calcium Scoring Analysis","definition" : "Calcium Scoring Analysis."},{"code" : "122604","display" : "Flow Quantification","definition" : "Flow Quantification Analysis."},{"code" : "122605","display" : "Vascular Morphological Analysis","definition" : "Vascular Morphological Analysis."},{"code" : "122606","display" : "Vascular Functional Analysis","definition" : "Vascular Functional Analysis."},{"code" : "122607","display" : "Thickening Analysis","definition" : "Analysis of myocardial wall thickening."},{"code" : "122608","display" : "Absolute Values Of Ventricular Measurements","definition" : "Section Heading for absolute values of ventricular measurements."},{"code" : "122609","display" : "Normalized Values Of Ventricular Measurements","definition" : "Results of normalizing ventricular measurements."},{"code" : "122611","display" : "Reference Point","definition" : "Reference Point of a measurement."},{"code" : "122612","display" : "Central breathing position","definition" : "Central breathing position between inspiration and expiration."},{"code" : "122616","display" : "Peak Ejection Rate","definition" : "Peak of the ventricular ejection rate."},{"code" : "122617","display" : "Peak Ejection Time","definition" : "Time of the peak of ventricular ejection."},{"code" : "122618","display" : "Peak Filling Rate","definition" : "Peak of the fluid filling rate."},{"code" : "122619","display" : "Peak Filling Time","definition" : "Time interval until time of peak filling from a given reference point."},{"code" : "122620","display" : "Papillary Muscle Excluded","definition" : "Papillary muscle was excluded from the measurement."},{"code" : "122621","display" : "Papillary Muscle Included","definition" : "Papillary muscle was included in the measurement."},{"code" : "122624","display" : "Wall Thickness Ratio end-systolic to end-diastolic","definition" : "The ratio of the end-systolic wall thickness compared to the end-diastolic wall thickness."},{"code" : "122627","display" : "Curve Fit Method","definition" : "The method to smooth a ventricular volume as a function of time."},{"code" : "122628","display" : "Baseline Result Correction","definition" : "Baseline correction used in the calculation of the results."},{"code" : "122631","display" : "Signal Earliest Peak Time","definition" : "The time in a dynamic set of images at which the first peak of the signal is observed for the analyzed myocardial wall segments."},{"code" : "122633","display" : "Signal Increase Start Time","definition" : "This is the time at which the signal begins to increase."},{"code" : "122634","display" : "Signal Time to Peak","definition" : "Time interval between the beginning of the signal increase to the time at which the signal intensity reaches its first maximum in a dynamic set of images."},{"code" : "122635","display" : "MR Perfusion Peak","definition" : "Peak of the MR perfusion signal."},{"code" : "122636","display" : "MR Perfusion Slope","definition" : "Signal intensity as a function of time. It is the change in the signal intensity divided by the change in the time."},{"code" : "122637","display" : "MR Perfusion Time Integral","definition" : "MR perfusion time integral from baseline (foot time) to earliest peak."},{"code" : "122638","display" : "Signal Baseline Start","definition" : "First time point in a dynamic set of images used in the calculation of the baseline signal intensity for each myocardial wall segment."},{"code" : "122639","display" : "Signal Baseline End","definition" : "Last time point in a dynamic set of images used in the calculation of the baseline signal intensity for each myocardial wall segment."},{"code" : "122640","display" : "Image Interval","definition" : "The time delta between images in a dynamic set of images."},{"code" : "122642","display" : "Velocity Encoding Minimum Value","definition" : "The minimum velocity encoded by the phase encoding gradient."},{"code" : "122643","display" : "Velocity Encoding Maximum Value","definition" : "The maximum velocity encoded by the phase encoding gradient."},{"code" : "122645","display" : "Net Forward Volume","definition" : "Forward volume-reverse volume."},{"code" : "122650","display" : "Area Based Method","definition" : "Area Based Method for estimating volume or area."},{"code" : "122651","display" : "Diameter Based Method","definition" : "Diameter Based Method for estimating volume, area or diameter."},{"code" : "122652","display" : "Volume Based Method","definition" : "Volume Based Method for estimating volume."},{"code" : "122655","display" : "NASCET","definition" : "A method of diameter measurements according to NASCET (North American Symptomatic Carotid Endarterectomy Trial)."},{"code" : "122656","display" : "ECST","definition" : "A method of diameter measurements according to ECST (European Carotid Surgery Trial)."},{"code" : "122657","display" : "Agatston Score Threshold","definition" : "Agatston Score Threshold."},{"code" : "122658","display" : "Calcium Mass Threshold","definition" : "Calcium Mass Threshold."},{"code" : "122659","display" : "Calcium Scoring Calibration","definition" : "Calcium Scoring Calibration."},{"code" : "122660","display" : "Calcium Volume","definition" : "Calcium Volume."},{"code" : "122661","display" : "Calcium Mass","definition" : "Calcium Mass."},{"code" : "122664","display" : "Late Contrast Enhancement","definition" : "Delayed hyperenhancement of a tissue observed in an image acquired after injection of contrast media."},{"code" : "122665","display" : "Time interval since injection of contrast media","definition" : "Time interval since injection of contrast media."},{"code" : "122666","display" : "Time relative to R-wave peak","definition" : "Time relative to R-wave peak."},{"code" : "122667","display" : "Blood velocity vs. time of cardiac cycle","definition" : "Relationship between blood velocity and time relative to R-wave peak."},{"code" : "122668","display" : "Time interval since detection of contrast bolus","definition" : "Time interval since detection of contrast bolus."},{"code" : "122670","display" : "Papillary Muscle Included/Excluded","definition" : "Indicates if the papillary muscle was included or excluded in the measurement."},{"code" : "122675","display" : "Anterior-Posterior","definition" : "Anterior to Posterior direction."},{"code" : "122680","display" : "endoleak","definition" : "Persistent flow of blood into the stent-grafting."},{"code" : "122683","display" : "Stent Fracture","definition" : "Fracture of a stent."},{"code" : "122684","display" : "Stent Disintegration","definition" : "Disintegration of a stent."},{"code" : "122685","display" : "Stent Composition","definition" : "Material that a stent consists of."},{"code" : "122686","display" : "Parent Vessel Finding","definition" : "Finding about the characteristics of the parent vessel of a vessel."},{"code" : "122687","display" : "Site of Lumen Maximum","definition" : "Site of Maximal lumen diameter of a vessel."},{"code" : "122698","display" : "X-Concept","definition" : "The physical domain (time, space, etc.) to the horizontal axis of the graphical presentation."},{"code" : "122699","display" : "Y-Concept","definition" : "The physical domain (time, space, etc.) to the vertical axis of the graphical presentation."},{"code" : "122700","display" : "Indications for Pharmacological Stress","definition" : "Indications for Pharmacological Stress."},{"code" : "122701","display" : "Procedure time base","definition" : "Reference time for measurement of elapsed time in a procedure."},{"code" : "122702","display" : "Treadmill speed","definition" : "Treadmill speed."},{"code" : "122703","display" : "Treadmill gradient","definition" : "Treadmill gradient."},{"code" : "122704","display" : "Ergometer power","definition" : "Ergometer power."},{"code" : "122705","display" : "Pharmacological Stress Agent Dose Rate","definition" : "Pharmacological Stress Agent Dose Rate."},{"code" : "122706","display" : "Rating of Perceived Exertion","definition" : "Rating of Perceived Exertion."},{"code" : "122707","display" : "Number of Ectopic Beats","definition" : "Number of ectopic beats during a period of collection."},{"code" : "122708","display" : "Double Product","definition" : "Heart rate times systolic blood pressure."},{"code" : "122709","display" : "Activity workload","definition" : "Physical activity workload (intensity) measurement."},{"code" : "122710","display" : "Time since start of stage","definition" : "Elapsed time at stage."},{"code" : "122711","display" : "Exercise duration after stress agent injection","definition" : "Exercise duration after stress agent injection."},{"code" : "122712","display" : "Imaging Start DateTime","definition" : "Imaging Start DateTime."},{"code" : "122713","display" : "Attenuation correction method","definition" : "Attenuation correction method."},{"code" : "122715","display" : "Pharmacological Stress Agent Dose","definition" : "Pharmacological Stress Agent Dose."},{"code" : "122716","display" : "Maximum Power Output Achieved","definition" : "Maximum power output achieved during course of procedure."},{"code" : "122717","display" : "Peak activity workload","definition" : "Peak physical activity intensity measurement during course of procedure."},{"code" : "122718","display" : "Peak Double Product","definition" : "Peak Double Product measurement during course of procedure."},{"code" : "122720","display" : "OSEM algorithm","definition" : "Ordered subsets expectation maximization reconstruction algorithm."},{"code" : "122721","display" : "Chang method","definition" : "Chang attenuation correction method."},{"code" : "122726","display" : "Algorithmic attenuation correction","definition" : "Attenuation correction not based on image-based attenuation maps."},{"code" : "122727","display" : "NM transmission attenuation correction","definition" : "NM transmission attenuation correction."},{"code" : "122728","display" : "CT-based attenuation correction","definition" : "CT-based attenuation correction."},{"code" : "122729","display" : "No Attenuation Correction","definition" : "No attenuation correction."},{"code" : "122730","display" : "Bazett QTc Algorithm","definition" : "Bazett QT Correction Algorithm; QT/(RR ^ 0.5); Bazett HC. \"An analysis of the time-relations of electrocardiograms\" Heart7:353-370 (1920)."},{"code" : "122731","display" : "Hodges QTc Algorithm","definition" : "Hodges QT Correction Algorithm; QT + 1.75 (heart rate-60); Hodges M, Salerno Q, Erlien D. \"Bazett's QT correction reviewed. Evidence that a linear QT correction for heart rate is better.\" J Am Coll Cardiol1:694 (1983)."},{"code" : "122732","display" : "Fridericia QTc Algorithm","definition" : "Fridericia QT Correction Algorithm; QT/(RR ^ 0.333); Fridericia LS. \"The duration of systole in the electrocardiogram of normal subjects and of patients with heart disease\" Acta Med Scand53:469-486 (1920)."},{"code" : "122733","display" : "Framingham QTc Algorithm","definition" : "Framingham QT Correction Algorithm; QT + 0.154 (1- RR); Sagie A, Larson MG, Goldberg RJ, et al. \"An improved method for adjusting the QT interval for heart rate (the Framingham Heart Study).\" Am J Cardiol70:797-801(1992)."},{"code" : "122734","display" : "Borg RPE Scale","definition" : "Borg Rating of Perceived Exertion Scale, range 6:20."},{"code" : "122735","display" : "Borg CR10 Scale","definition" : "Borg category ratio scale, open ended range with nominal range 0:10."},{"code" : "122739","display" : "Overall study quality","definition" : "Quality of a study for the purpose for which it was created."},{"code" : "122740","display" : "Excellent image quality","definition" : "Quality of an image is excellent for the purpose for which it was created."},{"code" : "122741","display" : "Good image quality","definition" : "Quality of an image is good for the purpose for which it was created."},{"code" : "122742","display" : "Poor image quality","definition" : "Quality of an image is poor for the purpose for which it was created."},{"code" : "122743","display" : "Body habitus attenuation","definition" : "Image attenuation due to body physique (overweight)."},{"code" : "122744","display" : "Breast attenuation","definition" : "Image attenuation due to breast tissue."},{"code" : "122745","display" : "Diaphragmatic attenuation","definition" : "Image attenuation due to diaphragm."},{"code" : "122748","display" : "False positive defect finding","definition" : "Finding of a defect is incorrect."},{"code" : "122750","display" : "Non-diagnostic - low heart rate","definition" : "ECG is non-diagnostic due to low heart rate."},{"code" : "122751","display" : "Non-diagnostic - resting ST abnormalities","definition" : "ECG is non-diagnostic due to resting ST abnormalities."},{"code" : "122752","display" : "Non-diagnostic - ventricular pacing or LBBB","definition" : "ECG is non-diagnostic due to ventricular pacing or Left Bundle Branch Block."},{"code" : "122753","display" : "Non-diagnostic ECG","definition" : "ECG is non-diagnostic for presence of acute coronary syndrome."},{"code" : "122755","display" : "Strongly positive","definition" : "Strongly positive finding."},{"code" : "122756","display" : "Strongly positive - ST elevation","definition" : "Strongly positive finding - ST elevation."},{"code" : "122757","display" : "ST Depression - Horizontal","definition" : "Finding of ST segment depression with no slope."},{"code" : "122758","display" : "ST Depression - Upsloping","definition" : "Finding of ST segment depression with upslope."},{"code" : "122759","display" : "ST Depression - Downsloping","definition" : "Finding of ST segment depression with downslope."},{"code" : "122760","display" : "Stress test score","definition" : "Stress test score."},{"code" : "122762","display" : "Number of diseased vessel territories","definition" : "Number of diseased vessel territories."},{"code" : "122764","display" : "Patient weight exceeds equipment limit","definition" : "Patient weight exceeds equipment limit."},{"code" : "122768","display" : "Difference in Ejection Fraction","definition" : "Difference in Ejection Fraction."},{"code" : "122769","display" : "Difference in ED LV Volume","definition" : "Difference in End Diastolic Left Ventricular Volume."},{"code" : "122770","display" : "Ratio of achieved to predicted maximal oxygen consumption","definition" : "Ratio of achieved to predicted maximal oxygen consumption."},{"code" : "122771","display" : "Ratio of achieved to predicted functional capacity","definition" : "Ratio of achieved to predicted functional capacity."},{"code" : "122772","display" : "Aerobic index","definition" : "Workload (Watts) at target heart rate divided by body weight."},{"code" : "122773","display" : "ST/HR Index","definition" : "ST depression at peak exercise divided by the exercise-induced increase in heart rate [Kligfield P, Ameisen O, Okin PM. \"Heart rate adjustment of ST segment depression for improved detection of coronary artery disease.\" Circulation 1989;79:245-55.]."},{"code" : "122775","display" : "Agreement with prior findings","definition" : "Agreement with prior findings."},{"code" : "122776","display" : "Disagreement with prior findings","definition" : "Disagreement with prior findings."},{"code" : "122781","display" : "Rest thallium/stress technetium procedure","definition" : "Nuclear Medicine Rest thallium/stress technetium procedure."},{"code" : "122782","display" : "Rest technetium/stress technetium 1 day procedure","definition" : "Nuclear Medicine Rest technetium/stress technetium 1 day procedure."},{"code" : "122783","display" : "Rest technetium/stress technetium 2 day procedure","definition" : "Nuclear Medicine Rest technetium/stress technetium 2 day procedure."},{"code" : "122784","display" : "Stress technetium/rest technetium 1 day procedure","definition" : "Nuclear Medicine Stress technetium/rest technetium 1 day procedure."},{"code" : "122785","display" : "NM Myocardial Viability procedure","definition" : "Nuclear Medicine Myocardial Viability procedure."},{"code" : "122791","display" : "PET Myocardial Perfusion, Rest only","definition" : "Positron Emission Tomography Perfusion Imaging procedure, rest only."},{"code" : "122792","display" : "PET Myocardial Perfusion, Stress only","definition" : "Positron Emission Tomography Perfusion Imaging procedure, stress only."},{"code" : "122793","display" : "PET Myocardial Perfusion, Rest and Stress","definition" : "Positron Emission Tomography Perfusion Imaging procedure, rest and stress."},{"code" : "122795","display" : "PET Myocardial Viability, Rest only","definition" : "Positron Emission Tomography Myocardial Viability procedure, rest only."},{"code" : "122796","display" : "PET Myocardial Viability, Stress only","definition" : "Positron Emission Tomography Myocardial Viability procedure, stress only."},{"code" : "122797","display" : "PET Myocardial Viability, Rest and Stress","definition" : "Positron Emission Tomography Myocardial Viability procedure, rest and stress."},{"code" : "122799","display" : "Anginal Equivalent","definition" : "Group of symptoms heralding angina pectoris that does not include chest pain (dyspnea, diaphoresis, profuse vomiting in a diabetic patient, or arm or jaw pain)."},{"code" : "123001","display" : "Radiopharmaceutical","definition" : "Active ingredient (molecular) used for radioactive tracing."},{"code" : "123003","display" : "Radiopharmaceutical Start DateTime","definition" : "DateTime of radiopharmaceutical administration to the patient for imaging purposes."},{"code" : "123004","display" : "Radiopharmaceutical Stop DateTime","definition" : "Ending DateTime of radiopharmaceutical administration to the patient for imaging purposes."},{"code" : "123005","display" : "Radiopharmaceutical Volume","definition" : "Volume of radiopharmaceutical administered to the patient."},{"code" : "123006","display" : "Radionuclide Total Dose","definition" : "Total amount of radionuclide administered to the patient at Radiopharmaceutical Start Time."},{"code" : "123007","display" : "Radiopharmaceutical Specific Activity","definition" : "Activity per unit mass of the radiopharmaceutical at Radiopharmaceutical Start Time."},{"code" : "123009","display" : "Radionuclide Syringe Counts","definition" : "Pre-injection syringe acquisition count rate."},{"code" : "123010","display" : "Radionuclide Residual Syringe Counts","definition" : "Syringe acquisition count rate following patient injection."},{"code" : "123011","display" : "Contrast/Bolus Agent","definition" : "Contrast or bolus agent."},{"code" : "123012","display" : "Pre-Medication","definition" : "Medication to be administered at the beginning of the Scheduled Procedure Step."},{"code" : "123014","display" : "Target Region","definition" : "Anatomic Region to be imaged."},{"code" : "123015","display" : "Imaging Direction","definition" : "Direction of imaging (includes view, transducer orientation, patient orientation, and/or projection)."},{"code" : "123016","display" : "Imaging Conditions","definition" : "Imaging condition for refinement of protocol (includes secondary posture, instruction, X-Ray / electron beam energy or nuclide, and ultrasound modes), as used in JJ1017 v3.0."},{"code" : "123019","display" : "Caudal 10 degree distal-cranioproximal oblique","definition" : "Caudal 10 degree distal-cranioproximal oblique radiographic projection, defined per Smallwood et al."},{"code" : "123101","display" : "Neighborhood Analysis","definition" : "Surface processing utilizing predefined weighting factors (i.e., kernels) applied to different data values depending on their location relative to other data values within the data domain. Includes Low Pass, High Pass, Gaussian, Laplacian, etc."},{"code" : "123102","display" : "Adaptive Filtering","definition" : "Surface processing applied non-uniformly utilizing a priori knowledge of the system and/or relative locations of the data values within the data domain. Example: Neighborhood analysis where weighting factors are modified continuously based on predefined criteria."},{"code" : "123103","display" : "Edge Detection","definition" : "Surface processing through the exploitation of discontinuities in the data values within their domain. Includes Gradient filters."},{"code" : "123104","display" : "Morphological Operations","definition" : "Surface processing based on the connectivity of values based on the shape or structure of the data values within their domain. Includes erode, dilate, etc."},{"code" : "123105","display" : "Histogram Analysis","definition" : "Surface processing applied to the distribution of the data values. Includes thresholding, Bayesian Classification, etc."},{"code" : "123106","display" : "Multi-Scale/Resolution Filtering","definition" : "Surface processing accomplished through varying the data domain size. Include deformable models."},{"code" : "123107","display" : "Cluster Analysis","definition" : "Surface processing accomplished by combining data values based on their relative location within their domain or value distribution. Includes K- and C-means, Fuzzy Analysis, Watershed, Seed Growing, etc."},{"code" : "123108","display" : "Multispectral Processing","definition" : "Surface processing accomplished through the weighted combination of multiple sets of data. Includes Principle Component Analysis, linear and non-linear weighed combinations, etc."},{"code" : "123109","display" : "Manual Processing","definition" : "Surface processing accomplished through human interaction. Region drawing."},{"code" : "123110","display" : "Artificial Intelligence","definition" : "Surface processing using Artificial Intelligence techniques, such as Machine Learning, Neural Networks, etc."},{"code" : "123111","display" : "Deformable Models","definition" : "Surface processing using Deformable Model techniques, such as Point Distribution Models, Level Sets, Simplex Meshes, etc."},{"code" : "125000","display" : "OB-GYN Ultrasound Procedure Report","definition" : "Document Title of OB-GYN procedure report."},{"code" : "125001","display" : "Fetal Biometry Ratios","definition" : "Report section for assessment of fetal growth using ratios and indexes."},{"code" : "125002","display" : "Fetal Biometry","definition" : "Report section for assessment of fetal growth."},{"code" : "125003","display" : "Fetal Long Bones","definition" : "Report section for assessment of fetal growth by long bone measurements."},{"code" : "125004","display" : "Fetal Cranium","definition" : "Report section for assessment of fetal cranium growth."},{"code" : "125005","display" : "Biometry Group","definition" : "Biometric assessment of."},{"code" : "125006","display" : "Biophysical Profile","definition" : "Report section for assessment of biophysical observations that evaluate fetal well-being according to Manning, Antepartum Fetal Evaluation: Development of a Fetal Biophysical Profile Score, Am. J Obstet Gynecol, 1980;136:787."},{"code" : "125007","display" : "Measurement Group","definition" : "A grouping of related measurements and calculations that share a common context."},{"code" : "125008","display" : "Fetus Summary","definition" : "Report section for fetus specific procedure summary observations."},{"code" : "125009","display" : "Early Gestation","definition" : "Report section for assessment of early gestation fetus."},{"code" : "125010","display" : "Identifier","definition" : "A name to differentiate between multiple instances of some item."},{"code" : "125011","display" : "Pelvis and Uterus","definition" : "Report section for assessment of pelvis and uterus."},{"code" : "125012","display" : "Growth Percentile rank","definition" : "The rank of a measured growth indicator relative to a normal distribution expressed as a percentage."},{"code" : "125013","display" : "Growth Z-score","definition" : "The rank of a measured growth indicator relative to a normal distribution expressed as the dimensionless quantity z = (x-m) /s where (x-m) is the deviation of the value x, from the distribution mean, m, and s is the standard deviation of the distribution."},{"code" : "125015","display" : "Fetus Characteristics","definition" : "Fetus characteristics (findings section title)."},{"code" : "125016","display" : "Fetal Measurements","definition" : "Fetal Measurements (findings section title)."},{"code" : "125021","display" : "Frame of Reference Identity","definition" : "There is a defined equivalence between the Frame of Reference of the Registration SOP instance and the Frame of Reference of the referenced images."},{"code" : "125022","display" : "Fiducial Alignment","definition" : "The registration is based on fiducials that represent patient or specimen features identified in each set of data."},{"code" : "125023","display" : "Acquisition Equipment Alignment","definition" : "Registration based on a-priori knowledge of the acquisition geometry. This is not an object registration as in fiducial registration. Rather, it specifies a known spatial relationship."},{"code" : "125024","display" : "Image Content-based Alignment","definition" : "Computed registration based on global image information."},{"code" : "125025","display" : "Visual Alignment","definition" : "Registration by visually guided manipulation."},{"code" : "125026","display" : "Image Content and Fiducial Based Alignment","definition" : "The registration is based on fiducials that represent patient or specimen features identified in each data set in combination with global image information."},{"code" : "125027","display" : "Deformed for Registration","definition" : "Values are derived by sampling data from a Source Image into a Registered Reference Coordinate System based on a Deformable Spatial Registration Instance."},{"code" : "125028","display" : "Source Deformable Spatial Registration","definition" : "Deformable Spatial Registration Instance used for image deformation."},{"code" : "125030","display" : "Inter-Hemispheric Plane","definition" : "A plane fiducial that specifies the location of the plane separating the two hemispheres of the brain."},{"code" : "125031","display" : "Right Hemisphere Most Anterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the anterior limit of the right brain hemisphere."},{"code" : "125032","display" : "Right Hemisphere Most Posterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the posterior limit of the right brain hemisphere."},{"code" : "125033","display" : "Right Hemisphere Most Superior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the superior limit of the right brain hemisphere."},{"code" : "125034","display" : "Right Hemisphere Most Inferior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the inferior limit of the Right brain hemisphere."},{"code" : "125035","display" : "Left Hemisphere Most Anterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the anterior limit of the left brain hemisphere."},{"code" : "125036","display" : "Left Hemisphere Most Posterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the posterior limit of the left brain hemisphere."},{"code" : "125037","display" : "Left Hemisphere Most Superior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the superior limit of the left brain hemisphere."},{"code" : "125038","display" : "Left Hemisphere Most Inferior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the inferior limit of the left brain hemisphere."},{"code" : "125040","display" : "Background","definition" : "That which is not part of an object."},{"code" : "125041","display" : "Registration Input","definition" : "A segment for use as an input to an image registration process."},{"code" : "125100","display" : "Vascular Ultrasound Procedure Report","definition" : "Root Document Title for ultrasound vascular evidence reports (worksheets)."},{"code" : "125101","display" : "Vessel Branch","definition" : "The particular vessel branch, such as the inferior, medial or lateral."},{"code" : "125102","display" : "Graft Type","definition" : "A descriptor or elaboration of the type of graft."},{"code" : "125105","display" : "Measurement Orientation","definition" : "A modifier to a 2D distance measurement to describe its orientation."},{"code" : "125106","display" : "Doppler Angle","definition" : "The angle formed between the Doppler beam line and the direction of blood flow within a region of interest in the body defined by the sample volume."},{"code" : "125107","display" : "Sample Volume Depth","definition" : "The depth of the center of the Doppler sample volume measured from skin line along the Doppler line."},{"code" : "125195","display" : "Pediatric Cardiac Ultrasound Report","definition" : "Pediatric Cardiac Ultrasound Report (document title)."},{"code" : "125196","display" : "Fetal Cardiac Ultrasound Report","definition" : "Fetal Cardiac Ultrasound Report (document title)."},{"code" : "125197","display" : "Adult Congenital Cardiac Ultrasound Report","definition" : "Adult Congenital Cardiac Ultrasound Report (document title)."},{"code" : "125200","display" : "Adult Echocardiography Procedure Report","definition" : "Document title of adult echocardiography procedure (evidence) report."},{"code" : "125201","display" : "Illustration of Finding","definition" : "An image that is a pictorial representation of findings. The concept is typically used as a purpose of reference to an image, such as a depiction of myocardium segments depicting wall motion function."},{"code" : "125202","display" : "LV Wall Motion Score Index","definition" : "The average of all scored (non-zero) Left Ventricle segment wall motion scores."},{"code" : "125203","display" : "Acquisition Protocol","definition" : "A type of clinical acquisition protocol for creating images or image-derived measurements. Acquisition protocols may be specific to a manufacturer's product."},{"code" : "125204","display" : "Area-length biplane","definition" : "Method for calculating left ventricular volume from two orthogonal views containing the true long axis (usually the apical 4 and 2 chamber views). Volume = [pL1 / 6] * [(4A1) ¸ (pL1) ] * [(4A2) ¸ (pL2) ]."},{"code" : "125205","display" : "Area-Length Single Plane","definition" : "Method for calculating left ventricular volume from a view containing the true long axis (usually the apical 4-chamber view). Volume = [8(A)2]¸[3pL]."},{"code" : "125206","display" : "Cube Method","definition" : "Method (formula) for calculating left ventricle volumes and function derivatives (EF, SV, SI, etc.) that estimates the volume as the cube of diameter."},{"code" : "125207","display" : "Method of Disks, Biplane","definition" : "Method of calculating volume based on the summation of disk volumes. The disk axis is parallel to the left ventricular long axis and using a disk diameter averaged from the two chamber and four chamber views."},{"code" : "125208","display" : "Method of Disks, Single Plane","definition" : "Method of calculating volume based on the summation of disk volumes. The disk axis is parallel to the left ventricular long axis with disk diameter taken from the four-chamber view."},{"code" : "125209","display" : "Teichholz","definition" : "Method (formula) for calculating left ventricle volumes and function derivatives (EF, SV, SI, etc.) Volume = [7.0/(2.4+D) ]*D3."},{"code" : "125210","display" : "Area by Pressure Half-Time","definition" : "Mitral valve area (cm2) by Pressure Half-time = 220 (cm2.ms) / PHT (ms)."},{"code" : "125211","display" : "Biplane Ellipse","definition" : "Area = P/4 X d1 X d2d1 = anterior/posterior axisd2 = medial/lateral axisHagen-Ansert, Sandra L., Textbook of Diagnostic Ultrasound, ed. 3, The C.V.Mosby Co., 1989, p. 73. ."},{"code" : "125212","display" : "Continuity Equation","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the velocity."},{"code" : "125213","display" : "Continuity Equation by Mean Velocity","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the mean velocity."},{"code" : "125214","display" : "Continuity Equation by Peak Velocity","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the peak velocity."},{"code" : "125215","display" : "Continuity Equation by Velocity Time Integral","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the velocity time integral."},{"code" : "125216","display" : "Proximal Isovelocity Surface Area","definition" : "Utilizes aliasing velocity (by color Doppler) of flow into an orifice (often regurgitant or stenotic) to measure instantaneous flow rate, orifice area, and flow volume.The instantaneous flow rate = (2πr2vav) * (απ) where vav is the constant velocity known as aliasing velocity at radius r, vpis the peak velocity at the orifice, and α is the angle in radians of the constant velocity surface.Estimated Orifice area = Flow rate / vp, where vp is the peak velocity at the orifice and the flow rate is the PISA peak flow rate.The volume flow is then the product of the orifice area and Velocity Time Integral."},{"code" : "125217","display" : "Full Bernoulli","definition" : "ΔP = 4*(V12 - V22)."},{"code" : "125218","display" : "Simplified Bernoulli","definition" : "ΔP = 4*V2."},{"code" : "125219","display" : "Doppler Volume Flow","definition" : "Volume flow = Conduit CSA * (Velocity Time Integral)."},{"code" : "125220","display" : "Planimetry","definition" : "Direct measurement of an area by tracing an irregular perimeter."},{"code" : "125221","display" : "Left Ventricle Mass by M-mode","definition" : "Mass = 1.04 * [(ST+LVID+PWT)3 - LVID3] * 0.8+ 0.6. Mass unit is grams and length in cm."},{"code" : "125222","display" : "Left Ventricle Mass by Truncated Ellipse","definition" : "Mass = 1.05P ((b + t)2 X (2/3 (a + t) + d - d3 /3(a + t)2) - b2 (2/3a + d - d3 /3a2))a = Semi-major axis from widest minor axis radius to apex.b = Short axis radius calculated from short axis cavity areat = Myocardial thickness calculated from short axis epicardial and cavity areasd = Truncated semi-major axis from widest short axis diameter to plane of mitral annulus.Mass unit is grams and length in cm.Schiller NB et al: Recommendations for quantification of the left ventricle by two-dimensional echocardiography, American Society of Echocardiography 2:364, 1989. ."},{"code" : "125223","display" : "4 Point Segment Finding Scale","definition" : "A four point, echocardiographic numeric scoring scheme of myocardium segments based on evaluation of wall motion and ventricle morphology. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, 2:358-367, 1989."},{"code" : "125224","display" : "5 Point Segment Finding Scale","definition" : "A five point, echocardiographic numeric scoring scheme of myocardium segments based on evaluation of wall motion and ventricle morphology. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, 2:358-367, 1989."},{"code" : "125225","display" : "5 Point Segment Finding Scale With Graded Hypokinesis","definition" : "A five point, echocardiographic numeric scoring scheme of myocardium segments based on evaluation of wall motion and ventricle morphology, with severity of hypokinesis graded. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, 2:358-367, 1989."},{"code" : "125226","display" : "Single Plane Ellipse","definition" : "Method of estimating volume from a planar ellipse. Equivalent to Biplane Ellipse with an assumption that the ellipse in the orthogonal plane has identical major and minor diameters."},{"code" : "125227","display" : "Modified Simpson","definition" : "Modified Simpson's Method of estimating ventricular volume, based on the method of disks with paired apical views.Schiller NB, et al. \"Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms\". J Am Soc Echocardiogr.1989 2(5):358-367. Sep-Oct."},{"code" : "125228","display" : "Bullet Method","definition" : "Bullet method of estimating ventricular volume.Volume = 5/6 * L * SL: Left ventricle long axis lengthS: Left ventricle area, SAX view at level of Mitral Valve."},{"code" : "125230","display" : "Power Doppler","definition" : "Color coded ultrasound images of blood flow, which depict the amplitude, or power, of Doppler signals."},{"code" : "125231","display" : "3D mode","definition" : "Volumetric ultrasound imaging"},{"code" : "125233","display" : "Start of drug dose administration","definition" : "Onset of administration of dose of a drug."},{"code" : "125234","display" : "Start of contrast agent administration","definition" : "Onset of contrast agent administration."},{"code" : "125235","display" : "Destruction of microbubbles","definition" : "Destruction of ultrasonic contrast microbubbles by a high-energy ultrasound pulse."},{"code" : "125236","display" : "Onset of exercise","definition" : "Instant at which exercise begins."},{"code" : "125237","display" : "Cessation of exercise","definition" : "Instant at which exercise ends."},{"code" : "125238","display" : "Onset of stimulation","definition" : "Instant at which stimulation begins."},{"code" : "125239","display" : "Cessation of stimulation","definition" : "Instant at which stimulation ends."},{"code" : "125240","display" : "Line scan pattern","definition" : "Ultrasound transducer scan pattern in which information is gathered along a line."},{"code" : "125241","display" : "Plane scan pattern","definition" : "Ultrasound transducer scan pattern in which information is gathered within a plane."},{"code" : "125242","display" : "Volume scan pattern","definition" : "Ultrasound transducer scan pattern in which information is gathered within a volume."},{"code" : "125251","display" : "Non-imaging Doppler ultrasound transducer geometry","definition" : "Ultrasound transducer geometry characterized by a single scan line used for PW or CW Doppler scanning."},{"code" : "125252","display" : "Linear ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by parallel lines."},{"code" : "125253","display" : "Curved linear ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by radial lines normal to the outside of a curved surface."},{"code" : "125254","display" : "Sector ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by lines originating from a common apex."},{"code" : "125255","display" : "Radial ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by lines emanating radially from a single point."},{"code" : "125256","display" : "Ring ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by a circular ring of transducer elements."},{"code" : "125257","display" : "Fixed beam direction","definition" : "Ultrasonic steering technique consisting of a single beam normal to the transducer face steered by the orientation of the probe."},{"code" : "125258","display" : "Mechanical beam steering","definition" : "Ultrasonic steering technique consisting of mechanically directing the beam."},{"code" : "125259","display" : "Phased beam steering","definition" : "Ultrasonic steering technique consisting of electronically-steered beams."},{"code" : "125261","display" : "External Transducer","definition" : "Transducer is designed to be placed onto the surface of the subject."},{"code" : "125262","display" : "Transesophageal Transducer","definition" : "Transducer is designed for insertion into the esophagus."},{"code" : "125263","display" : "Endovaginal Transducer","definition" : "Transducer is designed for insertion into the vagina."},{"code" : "125264","display" : "Endorectal Transducer","definition" : "Transducer is designed for insertion into the rectum."},{"code" : "125265","display" : "Intravascular Transducer","definition" : "Transducer is designed for insertion into the subject via a catheter."},{"code" : "125266","display" : "Endocavitary Transducer","definition" : "Transducer is designed for insertion into either the vaginal cavity or the rectal cavity."},{"code" : "125267","display" : "Intraoperative Transducer","definition" : "Transducer is designed for insertion into the subject via an incision."},{"code" : "125270","display" : "Left Ventricle Mass by Area Length","definition" : "method to measure the mass of the Left Ventricle via the ASE area-length method at end diastole.LV Mass = 1.05*(5/6*(A1*(L+t)) - 5/6*(A2*L))A1 = Left Ventricle epicardial SAX area at the level of the papillary muscle tips at end diastole.A2 = Left Ventricle endocardial SAX area cavity area at the level of the papillary muscle tips at end diastole.L = Left Ventricle apical view long axis length at end diastole.t = Myocardial thickness can be computed as:t = sqrt (A1/3.14) - sqrt (A2/3.14)Reference:1) Schiller, N.B., et al. \"Recommendations for Quantification of the LV by Two-dimensional Echocardiography.\" J Am Soc Echo, Vol. 2, No. 5: 358-367, Sep-Oct 1989.2) Reichek, N., et al. \"Anatomic Validation of Left Ventricular Mass Estimates from Clinical Two-dimensional Echocardiography: Initial Results.\" Circulation, Vol. 67, No. 2: 348-52, February 1983."},{"code" : "125271","display" : "Left Ventricle Mass by M-mode - adjusted by Height","definition" : "Equation = Left Ventricle Mass by M-mode (in gram) / (Height (in meter)) ^2.7Reference:Giovanni De Simone, et al. \"Effect of Growth on Variability of Left Ventricular Mass: Assessment of Allometric Signals in Adults and Children and Their Capacity to Predict Cardiovascular Risk\". New York, New York and Cincinnati, Ohio."},{"code" : "125272","display" : "Left Ventricle Mass by Truncated Ellipse - adjusted by Height","definition" : "Equation = Left Ventricle Mass by Truncated Ellipse / Height^2.7Reference:Giovanni De Simone, et al. \"Effect of Growth on Variability of Left Ventricular Mass: Assessment of Allometric Signals in Adults and Children and Their Capacity to Predict Cardiovascular Risk\". New York, New York and Cincinnati, Ohio."},{"code" : "125273","display" : "Left Ventricle Mass by Area Length - adjusted by Height","definition" : "Equation = Left Ventricle Mass by Area Length / Height^2.7Reference:Giovanni De Simone, et al. \"Effect of Growth on Variability of Left Ventricular Mass: Assessment of Allometric Signals in Adults and Children and Their Capacity to Predict Cardiovascular Risk\". New York, New York and Cincinnati, Ohio."},{"code" : "125301","display" : "Pre-coordinated Measurements","definition" : "Measurements that are described by a single pre-coordinated code."},{"code" : "125302","display" : "Post-coordinated Measurements","definition" : "Measurements that are described by a collection of (generally atomic) post-coordinated codes."},{"code" : "125303","display" : "Adhoc Measurements","definition" : "Measurements taken in an ad hoc fashion without any coordinated semantics."},{"code" : "125304","display" : "Untrackable Measurement","definition" : "The source system of the measurement does not maintain a persistent pre-coordinated code by which different instances of the measurement can be associated and tracked over multiple procedures."},{"code" : "125305","display" : "Finding Observation Type","definition" : "The type of observation made at the finding site, e.g., whether it is an observation of the structure of the finding site, an observation of the behavior of the finding site, or an observation of the blood flow at the finding site."},{"code" : "125306","display" : "Measurement Type","definition" : "The type of derivation used to obtain the measurement value. E.g. whether it is taken directly, formed as a ratio, normalized against an index, or calculated using a more elaborate equation."},{"code" : "125307","display" : "Measured Property","definition" : "The property that is being measured.Examples include mass, diameter, peak blood velocity."},{"code" : "125308","display" : "Measurement Divisor","definition" : "The measurement which is the denominator of a measurement that is divided. This applies to measurements such as ratios or indexed values."},{"code" : "125309","display" : "Short Label","definition" : "A brief label, suitable for display on a screen or report. (Not suitable for matching)."},{"code" : "125310","display" : "Staged Measurements","definition" : "Measurements that need to be associated with a specific stage in a procedure or acquisition protocol."},{"code" : "125311","display" : "Structure of the Finding Site","definition" : "The subject of a measurement is the physical structure of the Finding Site, such as the mass or diameter."},{"code" : "125312","display" : "Behavior of the Finding Site","definition" : "The subject of a measurement is the behavior of the Finding Site, such as the velocity or duration of motion."},{"code" : "125313","display" : "Indexed","definition" : "The measurement has been normalized by dividing it by an index value (such as Body Surface Area)."},{"code" : "125314","display" : "Fractional Change","definition" : "The measurement is a change value expressed as a fraction of its baseline value. E.g. cardiac ejection fraction or fractional shortening."},{"code" : "125315","display" : "Calculated","definition" : "The measurement is calculated by incorporating one or more measured values into an equation other than a ratio, fractional change or indexed calculation."},{"code" : "125316","display" : "Directly measured","definition" : "The measurement is a direct output of the measurement tool."},{"code" : "125317","display" : "Right Ventricle Outflow Tract, Distal","definition" : "The distal portion (at the Pulmonic Valve) of the Right Ventricle Outflow Tract."},{"code" : "125318","display" : "Right Ventricle Outflow Tract, Proximal","definition" : "The proximal portion (subvalvular) of the Right Ventricle Outflow Tract."},{"code" : "125319","display" : "Right Ventricle Anterior Wall","definition" : "The anterior wall of the right ventricle of the heart."},{"code" : "125320","display" : "Electromechanical Delay","definition" : "The period of time between the onset of muscle activation and the onset of force or motion."},{"code" : "125321","display" : "Pre-ejection Period","definition" : "The period between onset of ventricular contraction and the beginning of antegrade blood flow out of the ventricle."},{"code" : "125322","display" : "Atrial Diastolic Filling (D-wave)","definition" : "The period of atrial diastolic filling."},{"code" : "125323","display" : "AR-wave","definition" : "The period of retrograde flow into the pulmonary vein during atrial contraction."},{"code" : "125324","display" : "Full Cardiac Cycle","definition" : "The period of the entire cardiac cycle. E.g. from End Systole of one heartbeat to End Systole of the next heartbeat."},{"code" : "125325","display" : "Dyssynchrony Index","definition" : "The standard deviation over 12 left ventricle myocardial segments of the time to peak myocardial sustained systolic velocity of each segment.See Yu, et al., Circulation, 2002; 105: 438-445"},{"code" : "125326","display" : "Effective Orifice Area","definition" : "The effective area of an orifice (such as the mitral valve orifice) during bloodflow through the orifice."},{"code" : "125327","display" : "Excursion Distance","definition" : "The distance traversed by some tissue over a defined period."},{"code" : "125328","display" : "Maximum Orifice Area","definition" : "The maximum area of an orifice opening over a defined period."},{"code" : "125329","display" : "Peak Blood Pressure","definition" : "The peak pressure of blood over a defined period at a defined location."},{"code" : "125330","display" : "Peak Tissue Velocity","definition" : "The peak velocity of some tissue over a defined period"},{"code" : "125331","display" : "PISA Radius","definition" : "The radius of the proximal isovelocity surface area (PISA) of fluid flow approaching an orifice. It is commonly used to evaluate cardiac valve regurgitation."},{"code" : "125332","display" : "Regurgitation Jet Area","definition" : "A cross-sectional area of a regurgitation jet, taken perpendicular to the primary flow."},{"code" : "125333","display" : "Regurgitation Jet Width","definition" : "A width of a regurgitation jet taken perpendicular to the primary flow."},{"code" : "125334","display" : "Vena Contracta Width","definition" : "The width of the vena contracta of a fluid flow."},{"code" : "125901","display" : "CARDIOsphere","definition" : "CARDIOsphere™ ultrasonic contrast agent produced by POINT Biomedical."},{"code" : "125902","display" : "Echovist","definition" : "Echovist® ultrasonic contrast agent produced by Schering AG."},{"code" : "125903","display" : "Imagify","definition" : "Imagify™ ultrasonic contrast agent produced by Accusphere Inc."},{"code" : "125904","display" : "Levovist","definition" : "Levovist® ultrasonic contrast agent produced by Schering AG."},{"code" : "125905","display" : "Sonazoid","definition" : "Sonazoid™ ultrasonic contrast agent produced by Daiichi Pharmaceutical / General Electric."},{"code" : "125906","display" : "SonoVue","definition" : "SonoVue™ ultrasonic contrast agent produced by Bracco Diagnostics."},{"code" : "125907","display" : "Targestar-B","definition" : "Targestar™-B ultrasonic contrast agent produced by Targeson LLC."},{"code" : "125908","display" : "Targestar-P","definition" : "Targestar™-P ultrasonic contrast agent produced by Targeson LLC."},{"code" : "126000","display" : "Imaging Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of images."},{"code" : "126001","display" : "Oncology Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of images for oncology evaluation."},{"code" : "126002","display" : "Dynamic Contrast MR Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of DCE-MR."},{"code" : "126003","display" : "PET Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of PET images."},{"code" : "126010","display" : "Imaging Measurements","definition" : "Measurements made on images"},{"code" : "126011","display" : "Derived Imaging Measurements","definition" : "Measurements derived from measurements made on images."},{"code" : "126020","display" : "Multiparametric MRI","definition" : "An MRI procedure in which multiple parameters including diffusion, dynamic contrast and T2 are measured."},{"code" : "126021","display" : "Multiparametric MRI of prostate","definition" : "An MRI procedure of the prostate in which multiple parameters including diffusion, dynamic contrast and T2 are measured."},{"code" : "126022","display" : "Multiparametric MRI of whole body","definition" : "An MRI procedure of the whole body in which multiple parameters including diffusion, dynamic contrast and T2 are measured."},{"code" : "126029","display" : "LWH method for volume of ellipsoid","definition" : "Method of calculation of the volume of an ellipsoid as length * width * height * π / 6."},{"code" : "126030","display" : "Sum of segmented voxel method for volume","definition" : "Method of summing the volumes of all the voxels (and partial voxels if the segment contains partially occupied voxels) included in the segment to derive a total volume."},{"code" : "126031","display" : "Peak Value Within ROI","definition" : "Maximum average gray value that is calculated from a 1 cubic centimeter sphere placed within the region of interest.See Wahl RL, Jacene H, Kasamon Y, Lodge MA. From RECIST to PERCIST: Evolving Considerations for PET Response Criteria in Solid Tumors. Journal of Nuclear Medicine. 2009;50(Suppl 1):122S - 150S."},{"code" : "126032","display" : "Metabolic Volume","definition" : "The volume of a lesion (e.g., a tumor) ascertained through information about its metabolic activity (e.g., SUV on PET).Abbreviated \"MV\". Synonymous with Metabolic Tumor Volume (MTV)."},{"code" : "126033","display" : "Total Lesion Glycolysis","definition" : "The total activity of a lesion obtained as the product of its volume and its glycolytic activity (on FDG-PET).The volume may be defined on the same modality (e.g., the MV on FDG-PET by some thresholding or other technique) or on another spatially registered modality (e.g., the lesion outline segmented on CT or MR).Does not apply to other radiopharmaceuticals than those involved in glucose metabolism.Abbreviated TLG. Synonymnous with \"Tumor Lesion Glycolysis\"."},{"code" : "126034","display" : "Glycolysis","definition" : "The amount glycolytic activity summed across all voxels in a defined region or within a defined range of SUV (on FDG-PET)."},{"code" : "126035","display" : "Total Lesion Proliferation","definition" : "The total activity of a lesion obtained as the product of its volume and its proliferative activity (on FLT-PET).The volume may be defined on the same modality (e.g., the MV on FDG-PET by some thresholding or other technique) or on another spatially registered modality (e.g., the lesion outline segmented on CT or MR).Does not apply to other radiopharmaceuticals than those involved in cellular proliferation.Abbreviated TLP. Synonymnous with \"Tumor Lesion Proliferation\"."},{"code" : "126036","display" : "Proliferative Activity","definition" : "The amount proliferative activity summed across all voxels in a defined region or within a defined range of SUV (on FLT-PET)."},{"code" : "126037","display" : "Standardized Added Metabolic Activity","definition" : "A background-corrected, partial volume independent version of TLG.SAM is calculated by drawing a volume of interest (VOI1) around the tumour and a larger VOI (VOI2) around VOI1. Subtracting the background activity in VOI2-VOI1 from VOI1 yields SAM.See Mertens et al. \"Standardized added metabolic activity (SAM): a partial volume independent marker of total lesion glycolysis in liver metastases\". Eur J Nucl Med Mol Imaging (2012) 39:1441-1448."},{"code" : "126038","display" : "Standardized Added Metabolic Activity Background","definition" : "The background value (VOI2-VOI1) used to calculate Standardized Added Metabolic Activity (SAM).SAM is calculated by drawing a volume of interest (VOI1) around the tumour and a larger VOI (VOI2) around VOI1. Subtracting the background activity in VOI2-VOI1 from VOI1 yields SAM.See Mertens et al. \"Standardized added metabolic activity (SAM): a partial volume independent marker of total lesion glycolysis in liver metastases\". Eur J Nucl Med Mol Imaging (2012) 39:1441-1448."},{"code" : "126039","display" : "Lesion to Background SUV Ratio","definition" : "The ratio of the SUV within a tumor to the SUV of a pre-defined background region.A more general concept than Tumor to Background Ratio (TBR)."},{"code" : "126040","display" : "Background for Lesion to Background SUV Ratio","definition" : "The SUV of a pre-defined background region used to compute Lesion to Background SUV Ratio."},{"code" : "126050","display" : "Fractal Dimension","definition" : "A statistical index of complexity comparing how detail in a fractal pattern changes with the scale at which it is measured; a ratio of the change in detail to the change in scale."},{"code" : "126051","display" : "Skewness","definition" : "Measure of the asymmetry of the probability distribution of a real-valued random variable about its mean."},{"code" : "126052","display" : "Kurtosis","definition" : "Measure of the peakedness of the probability distribution of a real-valued random variable."},{"code" : "126060","display" : "Joint Entropy of GLCM","definition" : "The zero order entropy of a Gray Level Co-occurrence Matrix (GLCM). A measure of disorder. Abbreviated ENT.See Fcm.joint.entr in ."},{"code" : "126061","display" : "Root Angular Second Moment of GLCM","definition" : "The square root of the Angular Second Moment (ASM) of a Gray Level Co-occurrence Matrix (GLCM). A measure of orderliness.See ."},{"code" : "126062","display" : "Inverse Difference Moment of GLCM","definition" : "The Inverse Difference Moment (homogeneity) of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated IDM.See Fcm.inv.diff.mom in ."},{"code" : "126063","display" : "Contrast of GLCM","definition" : "The sum of squares of a Gray Level Co-occurrence Matrix (GLCM). A measure of gray level variations. Abbreviated CON.See Fcm.contrast in ."},{"code" : "126064","display" : "Dissimilarity of GLCM","definition" : "The dissimilarity of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated DIS.See Fcm.dissimilarity in ."},{"code" : "126065","display" : "Angular Second Moment of GLCM","definition" : "The Angular Second Moment of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated ASM.See Fcm.energy in ."},{"code" : "126066","display" : "Correlation of GLCM","definition" : "A measure of the linear dependency of gray levels on those of neighbouring pixels of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated COR.See Fcm.corr in ."},{"code" : "126067","display" : "Gray Level Co-occurrence Matrix","definition" : "A tabulation of how often different combinations of pixel values (gray levels) occur in an image. Abbreviated GLCM.See ."},{"code" : "126070","display" : "Subject Time Point Identifier","definition" : "An identifier of a specific time point in a continuum, which is unique within an appropriate local context (such as an entire organization, system or treatment protocol), which identifies the time point for a specific patient."},{"code" : "126071","display" : "Protocol Time Point Identifier","definition" : "An identifier of a specific time point in a continuum, which is unique within an appropriate local context (such as an entire organization, system or treatment protocol), which identifies the time point \"slot\" within a treatment protocol using the same value for all patients in the protocol."},{"code" : "126072","display" : "Time Point Type","definition" : "A pre-defined type of a specific time point in a continuum."},{"code" : "126073","display" : "Time Point Order","definition" : "A number indicating the order of a time point relative to other time points in the same continuum."},{"code" : "126074","display" : "Posttreatment","definition" : "The time after the treatment of interest."},{"code" : "126075","display" : "Eligibility","definition" : "For the purpose of determining eligibility for a protocol."},{"code" : "126080","display" : "RECIST 1.0","definition" : "Response Evaluation Criteria in Solid Tumors version 1.0. See [RECIST] in Normative References."},{"code" : "126081","display" : "RECIST 1.1","definition" : "Response Evaluation Criteria in Solid Tumors Version 1.1. See Eisenhauer et al. \"New Response Evaluation Criteria in Solid Tumours: Revised RECIST Guideline (version 1.1).\" European Journal of Cancer 45, no. 2 (n.d.): 228-47. doi:10.1016/j.ejca.2008.10.026."},{"code" : "126100","display" : "Real World Value Map used for measurement","definition" : "A reference to the Real World Value Map applied to the stored image pixel values before their use for a measurement"},{"code" : "126200","display" : "Image Library Group","definition" : "A container that groups common information about a set of images used as evidence to produce a report."},{"code" : "126201","display" : "Acquisition Date","definition" : "The date the acquisition of data started"},{"code" : "126202","display" : "Acquisition Time","definition" : "The time the acquisition of data started"},{"code" : "126203","display" : "PET Radionuclide Incubation Time","definition" : "The time between the start of injection of the PET radionuclide and the start of acquisition of the PET data."},{"code" : "126220","display" : "R2-Coefficient","definition" : "Coefficient of determination, R2. An indication of goodness of fit."},{"code" : "126221","display" : "Chi-square","definition" : "Pearson's Χ2 test."},{"code" : "126222","display" : "D-W","definition" : "Durbin-Watson statistic for detecting serial correlation in residuals.See ."},{"code" : "126223","display" : "AIC","definition" : "Akaike information criterion. A measure of the balance between goodness of fit and number of free parameters.See Akaike H. A new look at the statistical model identification. IEEE Transactions on Automatic Control. 1974 Dec;19(6):716-23. ."},{"code" : "126224","display" : "BIC","definition" : "Bayesian information criterion. A measure of the balance between goodness of fit and model complexity.See ."},{"code" : "126300","display" : "Perfusion analysis by Stable Xenon CT technique","definition" : "Perfusion analysis by Stable Xenon CT technique"},{"code" : "126301","display" : "Perfusion analysis by IV Iodinated Contrast CT technique","definition" : "Perfusion analysis by IV Iodinated Contrast CT technique"},{"code" : "126302","display" : "Perfusion analysis by Arterial Spin Labeling MR technique","definition" : "Perfusion analysis by Arterial Spin Labeling (ASL) MR technique"},{"code" : "126303","display" : "Perfusion analysis by Susceptibility MR technique","definition" : "Perfusion analysis by Susceptibility (T2*) MR technique"},{"code" : "126310","display" : "Least Mean Square deconvolution","definition" : "Least Mean Square (LMS) deconvolution"},{"code" : "126311","display" : "Singular Value Decomposition deconvolution","definition" : "Singular Value Decomposition (SVD) deconvolution"},{"code" : "126312","display" : "Ktrans","definition" : "Ktrans, the volume transfer constant of a tracer diffusion kinetic model, specifically the volume transfer constant between blood plasma and extravascular extracellular space (EES)See Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126313","display" : "kep","definition" : "kep, the rate constant between extravascular extracellular space (EES) and blood plasmaSee Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126314","display" : "ve","definition" : "ve, the fractional (not absolute) volume of extravascular extracellular space (EES) per unit volume of tissueSee Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126320","display" : "IAUC","definition" : "The initial area under the contrast agent concentration-time curve"},{"code" : "126321","display" : "IAUC60","definition" : "The initial area under the contrast agent concentration-time curve at 60 seconds after the onset time"},{"code" : "126322","display" : "IAUC90","definition" : "The initial area under the contrast agent concentration-time curve at 90 seconds after the onset time"},{"code" : "126323","display" : "IAUC180","definition" : "The initial area under the contrast agent concentration-time curve at 180 seconds after the onset time"},{"code" : "126324","display" : "IAUCBN","definition" : "The initial area under the contrast agent concentration-time curve, normalized with the corresponding arterial input function, such that IAUCBN = IAUC / IAUCAIF."},{"code" : "126325","display" : "IAUC60BN","definition" : "The initial area under the contrast agent concentration-time curve at 60 seconds after the onset time, normalized with the corresponding arterial input function, such that IAUC60BN = IAUC60 / IAUC60AIF."},{"code" : "126326","display" : "IAUC90BN","definition" : "The initial area under the contrast agent concentration-time curve at 90 seconds after the onset time, normalized with the corresponding arterial input function, such that IAUC90BN = IAUC90 / IAUC90AIF."},{"code" : "126327","display" : "IAUC180BN","definition" : "The initial area under the contrast agent concentration-time curve at 180 seconds after the onset time, normalized with the corresponding arterial input function, such that IAUC180BN = IAUC180 / IAUC180AIF."},{"code" : "126330","display" : "tau_m","definition" : "τm. The mean intracellular water lifetime (τi). Used in the Shutter-Speed Model (SSM) of tracer kinetics."},{"code" : "126331","display" : "vp","definition" : "vp. The fractional (not absolute) blood plasma volume per unit volume of tissue.See Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126340","display" : "Standard Tofts Model","definition" : "A tracer diffusion kinetic model in which the permeability is assumed to be isodirectional.See P. Tofts, \"Modeling tracer kinetics in dynamic Gd-DTPA MR imaging\", Journal of Magnetic Resonance Imaging, vol. 7, pp. 91-101, 1997.Mathematically equivalent to the model proposed by Kety in a non-MRI context, hence sometimes refered to as the Tofts-Kety (TK) model. See Kety SS. The Theory and Applications of the Exchange of Inert Gas at the Lungs and Tissues. Pharmacological Reviews. 1951 Mar 1;3(1):1-41."},{"code" : "126341","display" : "Extended Tofts Model","definition" : "A tracer diffusion kinetic model in which the permeability is not assumed to be isodirectional, and which includes the contribution of tracer in the blood plasma to the total tissue concentration.See P. Tofts, \"Modeling tracer kinetics in dynamic Gd-DTPA MR imaging\", Journal of Magnetic Resonance Imaging, vol. 7, pp. 91-101, 1997."},{"code" : "126342","display" : "Model-free concentration-time quantitification","definition" : "A semiquantitative analysis of the contrast-enhancement concentration versus time curve that avoids the use of a pharmacokinetic model."},{"code" : "126343","display" : "First Pass Leakage Profile Model","definition" : "A tracer diffusion kinetic model that accounts for the tumor leakage profile during the first pass of contrast.See Li, Ka-Loh, Xiao Ping Zhu, John Waterton, and Alan Jackson. \"Improved 3D Quantitative Mapping of Blood Volume and Endothelial Permeability in Brain Tumors.\" Journal of Magnetic Resonance Imaging 12, no. 2 (2000): 347-357. doi:​10.1002/​1522-2586(200008)12:​2<347::AID-JMRI19>​3.0.CO;2-7."},{"code" : "126344","display" : "Shutter-Speed Model","definition" : "A tracer diffusion kinetic model that does not assume that intercompartmental water molecule exchange is infinitely fast.See Li, Xin, Wei Huang, Thomas E. Yankeelov, Alina Tudorica, William D. Rooney, and Charles S. Springer. \"Shutter-Speed Analysis of Contrast Reagent Bolus-Tracking Data: Preliminary Observations in Benign and Malignant Breast Disease.\" Magnetic Resonance in Medicine 53, no. 3 (2005): 724-29. doi:10.1002/mrm.20405."},{"code" : "126345","display" : "Gamma Capillary Transit Time Model","definition" : "A tracer diffusion kinetic model that mathematically unifies the Tofts, Extended Tofts, Adiabatic Tissue Homogeneity, and Two Compartment Exchange modelsSee Schabel MC. A unified impulse response model for DCE-MRI. Magnetic Resonance in Medicine. 2012;68(5):1632-46. doi:10.1002/mrm.24162."},{"code" : "126346","display" : "Adiabatic Tissue Homogeneity Model","definition" : "An adiabatic approximation to the tissue homogeneity tracer diffusion kinetic model, which assumes that the tracer concentration in parenchymal tissue changes slowly relative to that in capillaries.See St. Lawrence KS, Lee T-Y. An Adiabatic Approximation to the Tissue Homogeneity Model for Water Exchange in the Brain: I. Theoretical Derivation. J Cereb Blood Flow Metab. 1998 Dec;18(12):1365-77. doi:10.1097/00004647-199812000-00011."},{"code" : "126347","display" : "Two Compartment Exchange Model","definition" : "A tracer diffusion kinetic that incorporates the extracellular space of the lesion as a peripheral compartment, connected to the central (plasma) compartment by linear exchange processes in both directions.See Brix G, Semmler W, Port R, Schad LR, Layer G, Lorenz WJ. Pharmacokinetic Parameters in CNS Gd-DTPA Enhanced MR Imaging. Journal of Computer Assisted Tomography. 1991;15(4):621-8."},{"code" : "126350","display" : "T1 by Multiple Flip Angles","definition" : "T1 measurement by Multiple Flip Angles (MFA) (variable saturation) method"},{"code" : "126351","display" : "T1 by Inversion Recovery","definition" : "T1 measurement by Inversion Recovery (IR) method"},{"code" : "126352","display" : "T1 by Fixed Value","definition" : "Calculation was performed using a fixed value of T1 rather than a measured value. The value could be encoded as the value of (126353, DCM, \"T1 Used For Calculation\")."},{"code" : "126353","display" : "T1 Used For Calculation","definition" : "The fixed value of T1 used for a calculation."},{"code" : "126360","display" : "AIF Ignored","definition" : "No Arterial Input Function was used."},{"code" : "126361","display" : "Population Averaged AIF","definition" : "A population-averaged Arterial Input Function."},{"code" : "126362","display" : "User-defined AIF ROI","definition" : "An Arterial Input Function computed from a user-defined Region of Interest."},{"code" : "126363","display" : "Automatically Detected AIF ROI","definition" : "An Arterial Input Function computed from an automatically detected Region of Interest."},{"code" : "126364","display" : "Blind Estimation of AIF","definition" : "A data-driven blind source separation (BSS) algorithm that estimates AIF from individuals without any presumed AIF model and initialization. See Lin, Yu-Chun, Tsung-Han Chan, Chong-Yung Chi, Shu-Hang Ng, Hao-Li Liu, Kuo-Chen Wei, Yau-Yau Wai, Chun-Chieh Wang, and Jiun-Jie Wang. \"Blind Estimation of the Arterial Input Function in Dynamic Contrast-Enhanced MRI Using Purity Maximization.\" Magnetic Resonance in Medicine 68, no. 5 (November 1, 2012): 1439-49. doi:10.1002/mrm.24144."},{"code" : "126370","display" : "Time of Peak Concentration","definition" : "The time at which the concentration-time curve achieves its peak for the first time. Used as a concept name for a value or as a method."},{"code" : "126371","display" : "Bolus Arrival Time","definition" : "The nominal time at which arrival of a contrast bolus is detected, which is used as a reference point for subsequent calculations. Used as a concept name for a value or as a method. No specific computational method is implied by this general definition. Abbreviated BAT."},{"code" : "126372","display" : "Time of Leading Half-Peak Concentration","definition" : "The time at which the concentration-time curve achieves half of its peak density for the first time. Used as a concept name for a value or as a method."},{"code" : "126373","display" : "Temporal Derivative Exceeds Threshold","definition" : "A method of determining BAT that involves computing the temporal derivative of the concentration-time curve and selecting the time when the temporal derivative exceeds a specified threshold. See Shpilfoygel Med Phys 2008. doi:10.1118/1.1288669."},{"code" : "126374","display" : "Temporal Derivative Threshold","definition" : "A threshold applied to the temporal derivative of the concentration-time curve."},{"code" : "126375","display" : "Maximum Slope","definition" : "The maximum rate of signal intensity change within a measured region of a time-activity curve. See Boonsirikamchai, Piyaporn, Harmeet Kaur, Deborah A. Kuban, Edward Jackson, Ping Hou, and Haesun Choi. \"Use of Maximum Slope Images Generated From Dynamic Contrast-Enhanced MRI to Detect Locally Recurrent Prostate Carcinoma After Prostatectomy: A Practical Approach.\" American Journal of Roentgenology 198, no. 3 (March 1, 2012): W228-W236. doi:10.2214/AJR.10.6387."},{"code" : "126376","display" : "Maximum Difference","definition" : "The maximum degree of signal intensity change within a measured region of a time-activity curve. See Boonsirikamchai, Piyaporn, Harmeet Kaur, Deborah A. Kuban, Edward Jackson, Ping Hou, and Haesun Choi. \"Use of Maximum Slope Images Generated From Dynamic Contrast-Enhanced MRI to Detect Locally Recurrent Prostate Carcinoma After Prostatectomy: A Practical Approach.\" American Journal of Roentgenology 198, no. 3 (March 1, 2012): W228-W236. doi:10.2214/AJR.10.6387."},{"code" : "126377","display" : "Tracer Concentration","definition" : "Tracer concentration in tissue."},{"code" : "126380","display" : "Contrast Longitudinal Relaxivity","definition" : "The degree to which a paramagnetic contrast agent can enhance the proton longitudinal relaxation rate constant (R1, 1/T1), normalized to the concentration of the contrast agent. Also referred to as r1. Typically expressed in units of l/mmol/s."},{"code" : "126390","display" : "Absolute Regional Blood Flow","definition" : "The absolute flow rate of blood perfusing a region as volume per mass per unit of time. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "126391","display" : "Absolute Regional Blood Volume","definition" : "The absolute volume of blood perfusing a region as volume per mass. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "126392","display" : "Oxygen Extraction Fraction","definition" : "The percent of the oxygen removed from the blood by tissue during its passage through the capillary network. For example, as measured by blood oxygenation level dependent (BOLD) MR. See He, Xiang, and Dmitriy A. Yablonskiy. \"Quantitative BOLD: Mapping of Human Cerebral Deoxygenated Blood Volume and Oxygen Extraction Fraction: Default State.\" Magnetic Resonance in Medicine 57, no. 1 (2007): 115-26."},{"code" : "126393","display" : "R1","definition" : "The longitiudinal relaxation rate constant for the decay of longitiudinal magnetization caused by spin-lattice relaxation. The inverse of longitudinal relaxation time, i.e., R1 = 1/T1."},{"code" : "126394","display" : "R2","definition" : "The transverse relaxation rate constant for the decay of transverse magnetization caused by spin-spin relaxation. The inverse of transverse relaxation time, i.e., R2 = 1/T2."},{"code" : "126395","display" : "R2*","definition" : "The transverse relaxation rate constant for the decay of transverse magnetization caused by a combination of spin-spin relaxation and magnetic field inhomogeneity. The inverse of transverse relaxation time, i.e., R2* = 1/T2*."},{"code" : "126396","display" : "Magnetic Susceptibility","definition" : "Magnetic Susceptibility is a measure of the amount of magnetization induced in a material when placed in an external magnetic field. It is the quantity encoded as the voxel intensity in Quantitative Susceptibility Map (QSM) images.It is a dimensionless quantity, usually recorded with units of parts per millions (ppm).See Liu T, Wisnieff C, Lou M, Chen W, Spincemaille P, Wang Y. Nonlinear formulation of the magnetic field to source relationship for robust quantitative susceptibility mapping. Magnetic Resonance in Medicine. 2013;69(2):467-76. .See Wang Y, Liu T. Quantitative susceptibility mapping (QSM): Decoding MRI data for a tissue magnetic biomarker. Magnetic Resonance in Medicine. 2015;73(1):82-101. ."},{"code" : "126397","display" : "Relative Regional Blood Flow","definition" : "The relative flow rate of blood perfusing a region. Obtained by dividing the absolute flow rate of blood perfusing a region by the absolute flow rate of blood perfusing a reference region."},{"code" : "126398","display" : "Relative Regional Blood Volume","definition" : "The relative volume of blood perfusing a region. Obtained by dividing the absolute volume of blood perfusing a region by the absolute volume of blood perfusing a reference region."},{"code" : "126400","display" : "Standardized Uptake Value","definition" : "A ratio of locally measured radioactivity concentration versus the injected radioactivity distributed evenly throughout the whole body.This general concept encompasses all specific methods of calculating the whole body volume of distribution, such as using body weight, lean body mass, body surface area, etc."},{"code" : "126401","display" : "SUVbw","definition" : "Standardized Uptake Value calculated using body weight. The patient size correction factor for males and females is body weight.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126402","display" : "SUVlbm","definition" : "Standardized Uptake Value calculated using lean body mass by James method. The patient size correction factor for males is 1.10 * weight - (120 or 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at , except that either 120 or 128 may be used as the multiplier parameter for males).Unfortunately, Sugawara used a parameter of 120 rather than 128, propagating an error in Morgan DJ, Bray KM. Lean Body Mass as a Predictor of Drug Dosage: Implications for Drug Therapy. Clinical Pharmacokinetics. 1994;26(4):292-307, which misquoted the original LBM definition that used 128 in James WPT, Waterlow JC. Research on Obesity: A Report of the DHSS/MRC Group. London: Her Majesty’s Stationery Office; 1976. Implementations differ in whether they have used 120 or 128 when using this code. See Kelly M. SUV: Advancing Comparability and Accuracy. Siemens; 2009. Available from: ."},{"code" : "126403","display" : "SUVbsa","definition" : "Standardized Uptake Value calculated using body surface area. The patient size correction factor for males and females is weight^ 0.425 * height^0.725 * 0.007184.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126404","display" : "SUVibw","definition" : "Standardized Uptake Value calculated using ideal body weight. The patient size correction factor for males is 48.0 + 1.06 * (height - 152) and for females is 45.5 + 0.91 * (height - 152).Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126405","display" : "SUVlbm(Janma)","definition" : "Standardized Uptake Value calculated using lean body mass by Janmahasatian method. The patient size correction factor for males is 9.27E3 * weight / (6.68E3 + 216 * weight / (height^2)) and for females is 9.27E3 * weight / (8.78E3 + 244 * weight / (height^2)).Defined in Janmahasatian et al. Quantification of Lean Bodyweight. Clin Pharmacokinet. 2005 Oct 1;44(10):1051-65. at and its role in SUVlbm(Janma) calculation is discussed in Tahari et al. Optimum Lean Body Formulation for Correction of Standardized Uptake Value in PET Imaging. Journal of Nuclear Medicine. 2014 Sep 1;55(9):1481-4. at ."},{"code" : "126406","display" : "SUVlbm(James128)","definition" : "Standardized Uptake Value calculated using lean body mass by James method, using the originally published 128 multiplier for males. The patient size correction factor for males is 1.10 * weight - 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2."},{"code" : "126410","display" : "SUV body weight calculation method","definition" : "Method of calculating Standardized Uptake Value using body weight. The patient size correction factor for males and females is body weight.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126411","display" : "SUV lean body mass calculation method","definition" : "Method of calculating Standardized Uptake Value using lean body mass. The patient size correction factor for males is 1.10 * weight - (120 or 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at Unfortunately, Sugawara used a parameter of 120 rather than 128, propagating an error in Morgan DJ, Bray KM. Lean Body Mass as a Predictor of Drug Dosage: Implications for Drug Therapy. Clinical Pharmacokinetics. 1994;26(4):292-307, which misquoted the original LBM definition that used 128 in James WPT, Waterlow JC. Research on Obesity: A Report of the DHSS/MRC Group. London: Her Majesty’s Stationery Office; 1976. Implementations differ in whether they have used 120 or 128 when using this code. See Kelly M. SUV: Advancing Comparability and Accuracy. Siemens; 2009. Available from: ."},{"code" : "126412","display" : "SUV body surface area calculation method","definition" : "Method of calculating Standardized Uptake Value using body surface area. The patient size correction factor for males and females is weight^ 0.425 * height^0.725 * 0.007184.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126413","display" : "SUV ideal body weight calculation method","definition" : "Method of calculating Standardized Uptake Value using ideal body weight. The patient size correction factor for males is 48.0 + 1.06 * (height - 152) and for females is 45.5 + 0.91 * (height - 152).Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126414","display" : "SUV lean body mass calculation Janmahasatian method","definition" : "Janmahasatian method of calculating Standardized Uptake Value using lean body mass. The patient size correction factor for males is 9.27E3 * weight / (6.68E3 + 216 * weight / (height^2)) and for females is 9.27E3 * weight / (8.78E3 + 244 * weight / (height^2)).Defined in Janmahasatian et al. Quantification of Lean Bodyweight. Clin Pharmacokinet. 2005 Oct 1;44(10):1051-65. at and its role in SUVlbm(Janma) calculation is discussed in Tahari et al. Optimum Lean Body Formulation for Correction of Standardized Uptake Value in PET Imaging. Journal of Nuclear Medicine. 2014 Sep 1;55(9):1481-4. at ."},{"code" : "126415","display" : "SUV lean body mass calculation method using 128 multiplier","definition" : "James method of calculating Standardized Uptake Value using lean body mass with the originally published 128 multiplier for males. The patient size correction factor for males is 1.10 * weight - 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2."},{"code" : "126500","display" : "Pittsburgh compound B C^11^","definition" : "A beta-amyloid PET radiotracer that is an analog of thioflavin T."},{"code" : "126501","display" : "Florbetaben F^18^","definition" : "A beta-amyloid PET radiotracer."},{"code" : "126502","display" : "T807 F^18^","definition" : "A PHF-tau PET radiotracer."},{"code" : "126503","display" : "Flubatine F^18^","definition" : "A nicotinic α4β2 receptor (nAChR) PET radiotracer."},{"code" : "126509","display" : "Lutetium^177^ n-acetylaspartylglutamate","definition" : "A radioconjugate consisting of n-acetylaspartylglutamate labeled with lutetium Lu 177 used as a radiotracer."},{"code" : "126510","display" : "Monoclonal Antibody ^64^Cu","definition" : "A Cu 64 Monoclonal Antibody (mAb) PET Radiotracer."},{"code" : "126511","display" : "Monoclonal Antibody ^89^Zr","definition" : "A Zr 89 Monoclonal Antibody (mAb) PET Radiotracer."},{"code" : "126512","display" : "Trastuzumab ^89^Zr","definition" : "A Zr 89 Trastuzumab PET Radiotracer."},{"code" : "126513","display" : "Cetuximab ^89^Zr","definition" : "A Zr 89 Cetuximab PET Radiotracer."},{"code" : "126514","display" : "J591 ^89^Zr","definition" : "A Zr 89 J591 PET Radiotracer."},{"code" : "126515","display" : "cU36 ^89^Zr","definition" : "A Zr 89 cU36 PET Radiotracer."},{"code" : "126516","display" : "Bevacizumab ^89^Zr","definition" : "A Zr 89 Bevacizumab PET Radiotracer."},{"code" : "126517","display" : "cG250-F(ab')(2) ^89^Zr","definition" : "A Zr 89 cG250-F(ab')(2) PET Radiotracer."},{"code" : "126518","display" : "R1507 ^89^Zr","definition" : "A Zr 89 R1507 PET Radiotracer."},{"code" : "126519","display" : "E4G10 ^89^Zr","definition" : "A Zr 89 E4G10 PET Radiotracer."},{"code" : "126520","display" : "Df-CD45 ^89^Zr","definition" : "A Zr 89 Df-CD45 PET Radiotracer."},{"code" : "126600","display" : "^44^Scandium","definition" : "^44^Scandium"},{"code" : "126601","display" : "^51^Manganese","definition" : "^51^Manganese"},{"code" : "126602","display" : "^70^Arsenic","definition" : "^70^Arsenic"},{"code" : "126603","display" : "^90^Niobium","definition" : "^90^Niobium"},{"code" : "126604","display" : "^191m^Iridium","definition" : "^191m^Iridium"},{"code" : "126605","display" : "^43^Scandium","definition" : "^43^Scandium"},{"code" : "126606","display" : "^152^Terbium","definition" : "^152^Terbium"},{"code" : "126607","display" : "^52m^Manganese","definition" : "^52m^Manganese"},{"code" : "126700","display" : "ATSM Cu^60^","definition" : "A Cu 60 ATSM PET radiotracer."},{"code" : "126701","display" : "ATSM Cu^61^","definition" : "A Cu 61 ATSM PET radiotracer."},{"code" : "126702","display" : "ATSM Cu^62^","definition" : "A Cu 62 ATSM PET radiotracer."},{"code" : "126703","display" : "Choline C^11^","definition" : "A C 11 Choline PET radiotracer."},{"code" : "126704","display" : "Fallypride C^11^","definition" : "A C 11 Fallypride PET radiotracer."},{"code" : "126705","display" : "Fallypride F^18^","definition" : "An F 18 Fallypride PET radiotracer."},{"code" : "126706","display" : "FLB 457 C^11^","definition" : "A C 11 FLB 457 PET radiotracer."},{"code" : "126707","display" : "Fluorotriopride F^18^","definition" : "An F 18 Fluorotriopride PET radiotracer."},{"code" : "126708","display" : "Fluoromisonidazole (FMISO) F^18^","definition" : "An F 18 Fluoromisonidazole PET radiotracer."},{"code" : "126709","display" : "Glutamine C^11^","definition" : "A C 11 Glutamine PET radiotracer."},{"code" : "126710","display" : "Glutamine C^14^","definition" : "A C 14 Glutamine PET radiotracer."},{"code" : "126711","display" : "Glutamine F^18^","definition" : "An F 18 Glutamine PET radiotracer."},{"code" : "126712","display" : "Flubatine F^18^","definition" : "An F 18 Flubatine PET radiotracer."},{"code" : "126713","display" : "2FA F^18^","definition" : "An F 18 2FA PET radiotracer."},{"code" : "126714","display" : "Nifene F^18^","definition" : "An F 18 Nifene PET radiotracer."},{"code" : "126715","display" : "CLR1404 I^124^","definition" : "An I 124 cancer targeted phospholipid ether PET radiotracer."},{"code" : "126716","display" : "CLR1404 I^131^","definition" : "An I 131 cancer targeted phospholipid ether PET radiotracer."},{"code" : "126717","display" : "THK5351 F^18^","definition" : "A PET radiotracer used for tau brain imaging.See Harada R, Okamura N, Furumoto S, Furukawa K, Ishiki A, Tomita N, et al. 18F-THK5351: A Novel PET Radiotracer for Imaging Neurofibrillary Pathology in Alzheimer Disease. Journal of Nuclear Medicine. 2016 Feb 1;57(2):208-14. doi:10.2967/jnumed.115.164848"},{"code" : "126718","display" : "Flurpiridaz F^18^","definition" : "A PET radiotracer used for myocardial perfusion imaging.See Yu M, Nekolla SG, Schwaiger M, Robinson SP. The Next Generation of Cardiac Positron Emission Tomography Imaging Agents: Discovery of Flurpiridaz F-18 for Detection of Coronary Disease. Seminars in Nuclear Medicine. 2011 Jul;41(4):305-13. doi:10.1053/j.semnuclmed.2011.02.004See SNMMI. Flurpiridaz."},{"code" : "126719","display" : "RO6924963 ^11^C","definition" : "A PET radiotracer used for tau brain imaging.See Wong DF, Comley R, Kuwabara H, Rosenberg PB, Resnick SM, Ostrowitzki S, et al. First in-human PET study of 3 novel tau radiopharmaceuticals: [11C]RO6924963, [11C]RO6931643, and [18F]RO6958948. J Nucl Med. 2018 May 4; doi:10.2967/jnumed.118.209916."},{"code" : "126720","display" : "RO6931643 ^11^C","definition" : "A PET radiotracer used for tau brain imaging.See Wong DF, Comley R, Kuwabara H, Rosenberg PB, Resnick SM, Ostrowitzki S, et al. First in-human PET study of 3 novel tau radiopharmaceuticals: [11C]RO6924963, [11C]RO6931643, and [18F]RO6958948. J Nucl Med. 2018 May 4; doi:10.2967/jnumed.118.209916."},{"code" : "126721","display" : "Obinituzimab ^89^Zr","definition" : "A Zr 89 Obinituzimab PET Radiotracer."},{"code" : "126722","display" : "Benralizumab ^89^Zr","definition" : "A Zr 89 Benralizumab PET Radiotracer."},{"code" : "126723","display" : "Ocaratuzumab ^89^Zr","definition" : "A Zr 89 Ocaratuzumab PET Radiotracer."},{"code" : "126724","display" : "Glembatumumab vedotin ^89^Zr","definition" : "A Zr 89 Glembatumumab vedotin PET Radiotracer."},{"code" : "126725","display" : "Pinatuzumab vedotin ^89^Zr","definition" : "A Zr 89 Pinatuzumab vedotin PET Radiotracer."},{"code" : "126726","display" : "Polatuzumab vedotin ^89^Zr","definition" : "A Zr 89 Polatuzumab vedotin PET Radiotracer."},{"code" : "126727","display" : "Blinatumomab ^89^Zr","definition" : "A Zr 89 Blinatumomab PET Radiotracer."},{"code" : "126728","display" : "Pegdinetanib ^89^Zr","definition" : "A Zr 89 Pegdinetanib PET Radiotracer."},{"code" : "126729","display" : "AGN-150998 ^89^Zr","definition" : "A Zr 89 AGN-150998 PET Radiotracer."},{"code" : "126730","display" : "MEDI-551 ^89^Zr","definition" : "A Zr 89 MEDI-551 PET Radiotracer."},{"code" : "126731","display" : "GA201 ^89^Zr","definition" : "A Zr 89 GA201 PET Radiotracer."},{"code" : "126732","display" : "Ecromeximab ^89^Zr","definition" : "A Zr 89 Ecromeximab PET Radiotracer."},{"code" : "126733","display" : "Roledumab ^89^Zr","definition" : "A Zr 89 Roledumab PET Radiotracer."},{"code" : "126734","display" : "XmAb5574 ^89^Zr","definition" : "A Zr 89 XmAb5574 PET Radiotracer."},{"code" : "126735","display" : "Brentuximab ^89^Zr","definition" : "A Zr 89 Brentuximab PET Radiotracer."},{"code" : "126736","display" : "Panitumumab ^89^Zr","definition" : "A Zr 89 Panitumumab PET Radiotracer."},{"code" : "126737","display" : "Rituximab ^89^Zr","definition" : "A Zr 89 Rituximab PET Radiotracer."},{"code" : "126738","display" : "Mogamulizumab ^89^Zr","definition" : "A Zr 89 Mogamulizumab PET Radiotracer."},{"code" : "126739","display" : "Ublituximab ^89^Zr","definition" : "A Zr 89 Ublituximab PET Radiotracer."},{"code" : "126740","display" : "Margetuximab ^89^Zr","definition" : "A Zr 89 Margetuximab PET Radiotracer."},{"code" : "126741","display" : "SAR3419 ^89^Zr","definition" : "A Zr 89 SAR3419 PET Radiotracer."},{"code" : "126742","display" : "Ranibizumab ^89^Zr","definition" : "A Zr 89 Ranibizumab PET Radiotracer."},{"code" : "126746","display" : "cMAb U36 ^89^Zr","definition" : "A Zr 89 cMAb U36 PET Radiotracer."},{"code" : "126747","display" : "DN30 ^89^Zr","definition" : "A Zr 89 DN30 PET Radiotracer."},{"code" : "126748","display" : "Fresolimumab ^89^Zr","definition" : "A Zr 89 Fresolimumab PET Radiotracer."},{"code" : "126749","display" : "TRC105 ^89^Zr","definition" : "A Zr 89 TRC105 PET Radiotracer."},{"code" : "126750","display" : "7E11 ^89^Zr","definition" : "A Zr 89 7E11 PET Radiotracer."},{"code" : "126751","display" : "7D12 ^89^Zr","definition" : "A Zr 89 7D12 PET Radiotracer."},{"code" : "126752","display" : "28H1 ^89^Zr","definition" : "A Zr 89 28H1 PET Radiotracer."},{"code" : "126753","display" : "Nanocolloidal albumin ^89^Zr","definition" : "A Zr 89 nanocolloidal albumin PET Radiotracer.See Heuveling et al. Pilot Study on the Feasibility of PET/CT Lymphoscintigraphy with 89Zr-Nanocolloidal Albumin for Sentinel Node Identification in Oral Cancer Patients. J Nucl Med. 2013 Apr;54(4):585-9. doi:10.2967/jnumed.112.115188. http://jnm.snmjournals.org/content/54/4/585.long"},{"code" : "126754","display" : "Anti-B220 ^89^Zr","definition" : "A Zr 89 Anti-B220 PET Radiotracer."},{"code" : "126755","display" : "RO5323441 ^89^Zr","definition" : "A Zr 89 RO5323441 PET Radiotracer."},{"code" : "126756","display" : "RO542908 ^89^Zr","definition" : "A Zr 89 RO542908 PET Radiotracer."},{"code" : "126757","display" : "RO6958948 ^18^F","definition" : "A PET radiotracer used for tau brain imaging.See Wong DF, Comley R, Kuwabara H, Rosenberg PB, Resnick SM, Ostrowitzki S, et al. First in-human PET study of 3 novel tau radiopharmaceuticals: [11C]RO6924963, [11C]RO6931643, and [18F]RO6958948. J Nucl Med. 2018 May 4; doi:10.2967/jnumed.118.209916."},{"code" : "126758","display" : "PSMA-1007 F^18^","definition" : "A PET radiotracer targeting PMSA used for prostate cancer imaging.See Giesel FL, Hadaschik B, Cardinale J, Radtke J, Vinsensia M, Lehnert W, et al. F-18 labelled PSMA-1007: biodistribution, radiation dosimetry and histopathological validation of tumor lesions in prostate cancer patients. Eur J Nucl Med Mol Imaging. 2017 Apr 1;44(4):678–88. doi:10.1007/s00259-016-3573-4."},{"code" : "126759","display" : "PSMA-617 Ga^68^","definition" : "A PET radiotracer targeting PMSA used for prostate cancer imaging.See Afshar-Oromieh A, Hetzheim H, Kratochwil C, Benesova M, Eder M, Neels OC, et al. The Theranostic PSMA Ligand PSMA-617 in the Diagnosis of Prostate Cancer by PET/CT: Biodistribution in Humans, Radiation Dosimetry, and First Evaluation of Tumor Lesions. J Nucl Med. 2015 Nov 1;56(11):1697–705. doi: 10.2967/jnumed.115.161299."},{"code" : "126760","display" : "Df-FK ^89^Zr","definition" : "A Zr 89 Df-FK peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126761","display" : "Df-FK-PEG(3) ^89^Zr","definition" : "A Zr 89 Df-FK-PEG(3) peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126762","display" : "Df-[FK](2) ^89^Zr","definition" : "A Zr 89 Df-[FK](2) peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126763","display" : "Df-[FK](2)-3PEG(4) ^89^Zr","definition" : "A Zr 89 Df-[FK](2)-3PEG(4) peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126764","display" : "Iodinated I^125^ DPA-713","definition" : "An I125 translocator protein (TSPO) SPECT tracer.See Wang H, Pullambhatla M, Guilarte TR, Mease RC, Pomper MG. Synthesis of [125I]IodoDPA-713, a New Probe for Imaging Inflammation. Biochem Biophys Res Commun. 2009 Nov 6;389(1):80–3. doi:10.1007/​10.1016/​j.bbrc.2009.08.102http://​www.ncbi.nlm.nih.gov/​pmc/​articles/​PMC2764231/"},{"code" : "126765","display" : "DPA-713 ^11^C","definition" : "A C11 translocator protein (TSPO) PET tracer.See Endres CJ, Pomper MG, James M, Uzuner O, Hammoud DA, Watkins CC, et al. Initial Evaluation of 11C-DPA-713, a Novel TSPO PET Ligand, in Humans. J Nucl Med. 2009 Aug;50(8):1276–82. doi:10.2967/​jnumed.109.062265http://www.ncbi.nlm.nih.gov/​pmc/​articles/​PMC2883612/"},{"code" : "126766","display" : "DPA-714 ^18^F","definition" : "An F18 translocator protein (TSPO) PET tracer.See Vicidomini C, Panico M, Greco A, Gargiulo S, Coda ARD, Zannetti A, et al. In vivo imaging and characterization of [18F]DPA-714, a potential new TSPO ligand, in mouse brain and peripheral tissues using small-animal PET. Nuclear Medicine and Biology. 2015 Mar 1;42(3):309–16. doi:10.1016/​j.nucmedbio.2014.11.009"},{"code" : "126801","display" : "IEC61217 Patient Support Continuous Yaw Angle","definition" : "Patient Support isocentric rotation (in the IEC FIXED REFERENCE Coordinate System) as defined by . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126802","display" : "IEC61217 Table Top Continuous Pitch Angle","definition" : "Pitch of the Table Top (in the IEC TABLE TOP Coordinate System) as defined by . DICOM represents this value as a Continous Rotation Angle in degrees."},{"code" : "126803","display" : "IEC61217 Table Top Continuous Roll Angle","definition" : "Roll of the Table Top (in the IEC TABLE TOP Coordinate System) as defined by . DICOM represents this value as a Continous Rotation Angle in degrees."},{"code" : "126804","display" : "IEC61217 Table Top Eccentric Axis Distance","definition" : "Eccentric axis offset, in mm (in the IEC PATIENT SUPPORT Coordinate System) as defined by ."},{"code" : "126805","display" : "IEC61217 Table Top Continuous Eccentric Angle","definition" : "Table Top eccentric rotation (in the IEC TABLE TOP ECCENTRIC Coordinate System) as defined by . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126806","display" : "IEC61217 Table Top Lateral Position","definition" : "Lateral displacement of the table top, in mm (in the IEC TABLE TOP Coordinate System) as defined by ."},{"code" : "126807","display" : "IEC61217 Table Top Longitudinal Position","definition" : "Longitudinal displacement of the table top, in mm (in the IEC TABLE TOP Coordinate system) as defined by ."},{"code" : "126808","display" : "IEC61217 Table Top Vertical Position","definition" : "Vertical displacement of the table top, in mm (in the IEC TABLE TOP Coordinate System) as defined by ."},{"code" : "126809","display" : "IEC61217 Gantry Continuous Roll Angle","definition" : "Rotation of the gantry (around the Y-axis of the IEC FIXED REFERENCE Coordinate System) as defined by . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126810","display" : "IEC61217 Gantry Continuous Pitch Angle","definition" : "Pitch angle of rotation of the gantry around the X-axis of the IEC GANTRY Coordinate System. This parameter is not specifically defined by , but is consistent with . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126811","display" : "IEC61217 Gantry Continuous Yaw Angle","definition" : "Yaw angle of rotation of the gantry around the Z-axis of the IEC GANTRY Coordinate System This parameter is not specifically defined by , but is consistent with . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126830","display" : "left first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's left side positioned towards the front of the equipment viewed from the front"},{"code" : "126831","display" : "right first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's right side positioned towards the front of the equipment viewed from the front"},{"code" : "126832","display" : "posterior first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's posterior (dorsal) side positioned towards the front of the equipment viewed from the front"},{"code" : "126833","display" : "anterior first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's anterior (ventral) side positioned towards the front of the equipment viewed from the front"},{"code" : "126850","display" : "ILCR","definition" : "The International Laboratory Code Registry (ILCR) of the Institute of Laboratory Animal Research (ILAR). See ."},{"code" : "127001","display" : "Preclinical Small Animal Imaging Acquisition Context","definition" : "A description of the conditions present during acquisition of images of small animals during preclinical research."},{"code" : "127005","display" : "Animal handling during specified phase","definition" : "The conditions present related to the handling of an animal during a specified phase."},{"code" : "127006","display" : "Phase of animal handling","definition" : "A specified phase of handling of an animal (e.g., transport, preparation)."},{"code" : "127010","display" : "Biosafety conditions","definition" : "A description of biosafety conditions (e.g., present during small animal handling for research)."},{"code" : "127011","display" : "Reason for biosafety controls","definition" : "The reason that biosafety controls are in place."},{"code" : "127040","display" : "Heating conditions","definition" : "A description of heating conditions (e.g., present during small animal handling for research)."},{"code" : "127050","display" : "Circadian effects","definition" : "A description of Circadian effects (e.g., present during small animal handling for research)."},{"code" : "127060","display" : "Nose cone","definition" : "A form of face mask that fits over the nose used for delivery of inhalational anesthesia (usually for small animals)"},{"code" : "127061","display" : "Nasal cannula","definition" : "Cannula inserted in the nose used for delivery of inhalational anesthesia or other inhaled gases."},{"code" : "127070","display" : "Retro-orbital route","definition" : "A route of administration of a substance via the retro-orbital venous sinus.Yardeni T et al. (2011). Retro-orbital injections in mice. Lab Animal, 40(5), 155-160. doi:10.1038/laban0511-155."},{"code" : "127101","display" : "In home cage","definition" : "The phase of handling of an animal that provides their normal environment between procedures."},{"code" : "127102","display" : "During transport","definition" : "The phase of handling of an animal that is transport between environments."},{"code" : "127103","display" : "Staging prior to imaging","definition" : "The phase of handling of an animal that is staging prior to an imaging procedure (e.g., after removal from their home environment and transport cage, and awaiting preparation, induction or imaging). During this phase the animals are not subject to intervention (e.g., injection, catheterization) (cf. 127104, DCM, \"Preparation for imaging\"))."},{"code" : "127104","display" : "Preparation for imaging","definition" : "The phase of handling of an animal that is preparation prior to an imaging procedure that involves handling and intervention (e.g., such as injection, catheterization) (cf. 127103, DCM, \"Staging prior to imaging\"))."},{"code" : "127110","display" : "Housing role","definition" : "The phase of handling of an animal during which the housing conditions are applicable."},{"code" : "127120","display" : "Animal housing","definition" : "The manner in which animals are housed."},{"code" : "127121","display" : "Animal room type","definition" : "The room type in which racks of animal cages are housed."},{"code" : "127122","display" : "Animal room identifier","definition" : "The identifier of the room in which racks of animal cages are housed."},{"code" : "127125","display" : "Housing manufacturer","definition" : "The manufacturer of the animal housing."},{"code" : "127126","display" : "Housing rack product name","definition" : "The manufacturer's product name of the animal housing rack."},{"code" : "127127","display" : "Housing rack product code","definition" : "The manufacturer's product code of the animal housing rack."},{"code" : "127128","display" : "Housing unit product name","definition" : "The manufacturer's product name of the animal housing unit (or bottom of unit if separate lid)."},{"code" : "127129","display" : "Housing unit product code","definition" : "The manufacturer's product code of the animal housing unit (or bottom of unit if separate lid)."},{"code" : "127130","display" : "Housing unit lid product name","definition" : "The manufacturer's product name of the animal housing unit lid."},{"code" : "127131","display" : "Housing unit lid product code","definition" : "The manufacturer's product code of the animal housing unit lid."},{"code" : "127140","display" : "Number of racks per room","definition" : "The number of animal housing racks per room."},{"code" : "127141","display" : "Number of housing units per rack","definition" : "The number of animal housing units per rack."},{"code" : "127142","display" : "Housing unit location in rack","definition" : "The location of the housing unit in the rack."},{"code" : "127143","display" : "Number of animals within same housing unit","definition" : "The number of animals in a single housing (e.g., in a single cage, or in an animal carrier for imaging)."},{"code" : "127144","display" : "Sex of animals within same housing unit","definition" : "The sex of multiple animals contained in a single housing (cage)."},{"code" : "127145","display" : "Sex of handler","definition" : "The sex of the animal handler(s)."},{"code" : "127146","display" : "Mixed sex","definition" : "A group consisting of individuals of both sexes (both males and females)."},{"code" : "127150","display" : "Total duration in housing","definition" : "The total period of time that a subject spends in specified housing conditions."},{"code" : "127151","display" : "Housing change interval","definition" : "The period of time between changes of housing conditions."},{"code" : "127152","display" : "Manual handling interval","definition" : "The period of time between episodes of manual handling of the subject."},{"code" : "127153","display" : "Housing unit movement","definition" : "A description of the manner in which the housing unit is moved (e.g., how a cage is transported)."},{"code" : "127160","display" : "Housing unit width","definition" : "The width of the housing unit (e.g., cage)."},{"code" : "127161","display" : "Housing unit height","definition" : "The height of the housing unit (e.g., cage)."},{"code" : "127162","display" : "Housing unit length","definition" : "The length of the housing unit (e.g., cage)."},{"code" : "127170","display" : "Housing individually ventilated","definition" : "Whether or not the housing unit (e.g., cage) is individually ventilated."},{"code" : "127172","display" : "Air changes","definition" : "How frequently the entire volume of air within a defined space is replaced (e.g., within an animal cage)."},{"code" : "127175","display" : "Housing unit reuse","definition" : "Whether or not the housing unit has been previously used for different animals."},{"code" : "127177","display" : "Unused","definition" : "The device (e.g., animal housing unit aka. cage) has not previously been used for different animals."},{"code" : "127178","display" : "Reused","definition" : "The device (e.g., animal housing unit aka. cage) has previously been used for different animals."},{"code" : "127180","display" : "Bedding manufacturer","definition" : "The manufacturer of the bedding material."},{"code" : "127181","display" : "Bedding product name","definition" : "The manufacturer's product name of the bedding material."},{"code" : "127182","display" : "Bedding product code","definition" : "The manufacturer's product code of the bedding material."},{"code" : "127183","display" : "Bedding volume","definition" : "The volume of bedding material."},{"code" : "127184","display" : "Bedding mass","definition" : "The mass of bedding material."},{"code" : "127185","display" : "Bedding depth","definition" : "The depth of bedding material."},{"code" : "127190","display" : "Enrichment material","definition" : "Material provided to enrich the environment of a small animal for the purpose of reducing stress, improving health and/or improving reproducibility of results."},{"code" : "127191","display" : "Enrichment manufacturer","definition" : "The manufacturer of the material provided to enrich the environment of a small animal."},{"code" : "127192","display" : "Enrichment material present","definition" : "Whether or not material is provided to enrich the environment of a small animal for the purpose of reducing stress, improving health and/or improving reproducibility of results."},{"code" : "127193","display" : "Exerciser device present","definition" : "Whether or not an exerciser device is present."},{"code" : "127195","display" : "Shelter type","definition" : "The type of shelter provided for small animals within their housing."},{"code" : "127196","display" : "Shelter manufacturer","definition" : "The manufacturer of the small animal shelter."},{"code" : "127197","display" : "Shelter product name","definition" : "The manufacturer's product name of the small animal shelter."},{"code" : "127198","display" : "Shelter product code","definition" : "The manufacturer's product code of the small animal shelter."},{"code" : "127200","display" : "Feed manufacturer","definition" : "The manufacturer of the feed."},{"code" : "127201","display" : "Feed product name","definition" : "The manufacturer's product name of the feed."},{"code" : "127202","display" : "Feed product code","definition" : "The manufacturer's product code of the feed."},{"code" : "127205","display" : "Feed source","definition" : "The source of animal feed."},{"code" : "127210","display" : "Feedback temperature regulation","definition" : "Temperature is regulated by feedback from a temperature sensor used to control an active heating or cooling device."},{"code" : "127214","display" : "Total duration of light-dark cycle","definition" : "The total duration of single light-dark cycle (e.g., usually 24 hours)."},{"code" : "127215","display" : "Lights on time of day","definition" : "The time of day when the lights are turned on."},{"code" : "127220","display" : "Igloo","definition" : "Igloo shaped small animal shelter"},{"code" : "127221","display" : "Red translucent igloo","definition" : "Red translucent igloo-shaped small animal shelter"},{"code" : "127230","display" : "Aspen chip bedding","definition" : "Animal bedding material made from aspen chips."},{"code" : "127231","display" : "Aspen shaving bedding","definition" : "Animal bedding material made from aspen shavings."},{"code" : "127232","display" : "Corn cob bedding","definition" : "Animal bedding material made from (milled) corn cobs."},{"code" : "127233","display" : "Paper-based bedding","definition" : "Animal bedding material made from paper."},{"code" : "127234","display" : "Pine chip bedding","definition" : "Animal bedding material made from pine chips."},{"code" : "127235","display" : "Pine shaving bedding","definition" : "Animal bedding material made from pine shavings."},{"code" : "127240","display" : "Carrier temperature sensor","definition" : "A device for measuring the temperature of the carrier (holder) used for small animal imaging as a means of monitoring or regulating the animal's temperature (e.g., a non-magnetic thermocouple embedded in or attached to the carrier for MRI)."},{"code" : "127250","display" : "Forced air heater","definition" : "A method or device that uses forced hot air to maintain the body temperature of a subject."},{"code" : "127251","display" : "Heated imaging device","definition" : "An imaging device that contains an integrated method of temperature regulation for maintaining the body temperature of the imaging subject."},{"code" : "127252","display" : "Heated patient support","definition" : "A device that physically supports the patient and contains an integrated method of temperature regulation for maintaining the body temperature of the imaging subject (e.g., the carrier used for imaging a small animal such as a mouse)."},{"code" : "127253","display" : "Heated water blanket","definition" : "A blanket that uses circulating hot water to maintain the body temperature of a subject."},{"code" : "127254","display" : "Pre-heated pad","definition" : "A pad that is pre-heated before use that is used to maintain the body temperature of a subject (e.g., pre-heated in a microwave or autoclave)."},{"code" : "127255","display" : "Unheated","definition" : "No mechanism is used to maintain the body temperature of a subject."},{"code" : "127270","display" : "NIH31","definition" : "NIH Open Formula Rat and Mouse Ration - 18% Crude Protein Autoclavable.Specification at ."},{"code" : "127271","display" : "NIH07","definition" : "NIH07 open-formula, natural-ingredient rodent diet."},{"code" : "127272","display" : "AIN76","definition" : "AIN76 purified diet."},{"code" : "127273","display" : "AIN93G","definition" : "AIN93 growth diet."},{"code" : "127274","display" : "AIN93M","definition" : "AIN93 maintenance diet."},{"code" : "127290","display" : "Reverse osmosis purified water","definition" : "Water that has been purified by reverse osmosis."},{"code" : "127291","display" : "Reverse osmosis purified, HCl acidified water","definition" : "Water that has been purified by reverse osmosis and HCl acidified."},{"code" : "127300","display" : "Anesthesia Method Set","definition" : "Information about different anesthesia methods used during a procedure (from AQI Schema AnesthesiaMethodSetType."},{"code" : "127301","display" : "Anesthesia Method","definition" : "Information about a single anesthesia method used during a procedure (from AQI Schema AnesthesiaMethodType."},{"code" : "127302","display" : "Anesthesia Category","definition" : "Category of anesthesia technique used during a procedure (from AQI Schema AnesthesiaCategoryCodeType."},{"code" : "127303","display" : "Anesthesia SubCategory","definition" : "Details of anesthesia technique used during a procedure (from AQI Schema AnesthesiaMethodType."},{"code" : "127310","display" : "Airway Management Set","definition" : "Information about airway management used during a procedure (from AQI Schema AirwayManagementSetType."},{"code" : "127312","display" : "Airway Management Method","definition" : "Type of airway management used during a procedure (from AQI Schema AirwayManagementMethodCodeType."},{"code" : "127313","display" : "Airway Sub-Management Method","definition" : "Subtype of airway management of airway management used during a procedure (from AQI Schema AirwayManagementSubMethodCodeType."},{"code" : "127320","display" : "Medications Set","definition" : "Set of medications applied during the anesthesia (from AQI Schema MedicationsSetType."},{"code" : "127330","display" : "Carrier gas","definition" : "A gas that delivers an inhalational anesthetic to a subject (e.g., air, oxygen)."},{"code" : "127370","display" : "Animal housing room","definition" : "A room for keeping and raising animals for observation or research (vivarium)."},{"code" : "127371","display" : "Preparation room","definition" : "A room for preparing a subject (such as a research small animal) prior to a procedure (such as an imaging procedure)."},{"code" : "127372","display" : "Imaging procedure room","definition" : "A room in which an imaging procedure is performed."},{"code" : "127390","display" : "Locally manufactured product","definition" : "A product that is locally manufactured (i.e., within the facility or institution)."},{"code" : "127391","display" : "Food treat","definition" : "A food item that is out of the ordinary and provides pleasure."},{"code" : "127400","display" : "Exogenous substance","definition" : "A substance from a source external to a subject."},{"code" : "127401","display" : "Tissue of origin","definition" : "The tissue from which a substance originated."},{"code" : "127402","display" : "Taxonomic rank of origin","definition" : "The taxonomic rank value (e.g., genus, subgenus, species or subspecies) from which a substance originated."},{"code" : "127411","display" : "Strain","definition" : "An identifier of a group of animals that is genetically uniform."},{"code" : "127412","display" : "Strain description","definition" : "A description of a group of animals that is genetically uniform."},{"code" : "127413","display" : "Nomenclature","definition" : "A system of names or descriptions used in a particular field."},{"code" : "127414","display" : "Genetic modifications","definition" : "An identifier of a specific variation of a targeted gene or introduced transgene."},{"code" : "127415","display" : "Genetic modifications description","definition" : "A description of a specific variation of a targeted gene or introduced transgene."},{"code" : "127450","display" : "Stereotactic coordinates","definition" : "The three dimensional coordinates that identify a (usually small) target within the body."},{"code" : "127451","display" : "Position reference indicator","definition" : "The part of the imaging target that was used as a reference point associated with a specific Frame of Reference.The Position Reference Indicator may or may not coincide with the origin of the fixed frame of reference related to the Frame of Reference.For a Patient-related Frame of Reference, this is an anatomical reference point, often a well-known surface anatomical point."},{"code" : "127460","display" : "Tumor graft","definition" : "Tumor cells or tissue or other material obtained from a donor intended to be implanted in a research subject."},{"code" : "127801","display" : "Embryonic Kidney","definition" : "The kidney of an embryo."},{"code" : "127851","display" : "Human alpha synuclein preformed fibrils","definition" : "Preformed fibrils of human alpha synuclein."},{"code" : "127852","display" : "Mouse alpha synuclein preformed fibrils","definition" : "Preformed fibrils of mouse alpha synuclein."},{"code" : "127853","display" : "Human Tau preformed fibrils","definition" : "Preformed fibrils of human Tau."},{"code" : "127854","display" : "Mouse Tau preformed fibrils","definition" : "Preformed fibrils of mouse Tau."},{"code" : "127855","display" : "Non-ionic iodinated contrast agent","definition" : "An iodine containing X-Ray contrast agent that does not dissociate in water, therefore, is lower in osmolality, and has a significantly lower incidence of adverse reactions than ionic iodinated contrast agents."},{"code" : "127856","display" : "Heart valve flail","definition" : "Unrestricted motion of a heart valve."},{"code" : "127857","display" : "Glucose Measurement Date","definition" : "The date that a glucose measurement was performed."},{"code" : "127858","display" : "Glucose Measurement Time","definition" : "The time that a glucose measurement was performed."},{"code" : "127901","display" : "SPECT of whole body","definition" : "A nuclear medicine imaging procedure using a single photon emissive radionuclide with tomographic reconstruction, over an anatomical extent of the entire body."},{"code" : "127902","display" : "SPECT CT of whole body","definition" : "A nuclear medicine imaging procedure using a single photon emissive radionuclide with tomographic reconstruction combined with transmissive X-Ray computed tomography for attenuation compensation, over an anatomical extent of the entire body."},{"code" : "128001","display" : "Add Addendum to Report","definition" : "The task is to add an addendum to an existing report."},{"code" : "128002","display" : "Modality to Read","definition" : "The imaging study to be read involves the specified modality"},{"code" : "128003","display" : "Reader Specialty","definition" : "The specialty of the reader of the imaging study"},{"code" : "128004","display" : "Report Requested","definition" : "The type of report that is being requested."},{"code" : "128005","display" : "Final Report","definition" : "A final report is a report that is expected to contain all information and all the reportable findings."},{"code" : "128006","display" : "Abdominal Imaging Specialty","definition" : "A medical specialty concerned with abdominal imaging."},{"code" : "128007","display" : "Cardiac Imaging Specialty","definition" : "A medical specialty concerned with cardiac imaging."},{"code" : "128008","display" : "Head and Neck Imaging Specialty","definition" : "A medical specialty concerned with head and neck imaging."},{"code" : "128009","display" : "Musculoskeletal Imaging Specialty","definition" : "A medical specialty concerned with musculoskeletal imaging."},{"code" : "128010","display" : "Neurology Specialty","definition" : "A medical specialty concerned with neurology."},{"code" : "128011","display" : "Neuroradiology Imaging Specialty","definition" : "A medical specialty concerned with neuroradiologic imaging."},{"code" : "128012","display" : "OB/Gyn Imaging Specialty","definition" : "A medical specialty concerned with obstetric and gynecologic imaging."},{"code" : "128013","display" : "Oncologic Imaging Specialty","definition" : "A medical specialty concerned with oncologic imaging."},{"code" : "128014","display" : "Oncology Specialty","definition" : "A medical specialty concerned with oncology."},{"code" : "128015","display" : "Thoracic Imaging Specialty","definition" : "A medical specialty concerned with thoracic imaging."},{"code" : "128016","display" : "Pediatric Imaging Specialty","definition" : "A medical specialty concerned with pediatric imaging."},{"code" : "128017","display" : "Vascular Imaging Specialty","definition" : "A medical specialty concerned with vascular imaging."},{"code" : "128040","display" : "FWP by GA, Campbell, 1991","definition" : "Fetal body weight growth percentile estimated from gestational age by method of Campbell 1991.See Campbell WA, Nardi D, Vintzileos AM, Rodis JF, Turner GW, Egan JF. Transverse Cerebellar Diameter/Abdominal Circumference Ratio Throughout Pregnancy: A Gestational Age-Independent Method to Assess Fetal Growth. Obstetrics & Gynecology. 1991;77(6):893-6. Available at: ."},{"code" : "128041","display" : "FWP by GA, Hadlock, 1991","definition" : "Fetal body weight growth percentile estimated from gestational age by method of Hadlock 1991.See Hadlock FP, Harrist RB, Martinez-Poyer J. In utero analysis of fetal growth: a sonographic weight standard. Radiology. 1991 Oct 1;181(1):129-33. DOI:10.1148/radiology.181.1.1887021. Available at: ."},{"code" : "128120","display" : "Plane through Superior Extent","definition" : "A plane passing through the superior extent (i.e., towards the head) of the referenced feature"},{"code" : "128121","display" : "Plane through Inferior Extent","definition" : "A plane passing through the inferior extent (i.e., towards the feet) of the referenced feature"},{"code" : "128122","display" : "Plane through Proximal Extent","definition" : "A plane passing through the proximal extent (i.e., towards the torso) of the referenced feature"},{"code" : "128123","display" : "Plane through Distal Extent","definition" : "A plane passing through the distal extent (i.e., towards the end of the extremity) of the referenced feature"},{"code" : "128124","display" : "Plane through Medial Extent","definition" : "A plane passing through the medial extent (i.e., towards the midline of the body) of the referenced feature"},{"code" : "128125","display" : "Plane through Lateral Extent","definition" : "A plane passing through the lateral extent (i.e., away from the midline of the body) of the referenced feature"},{"code" : "128126","display" : "Plane through Leftmost Extent","definition" : "A plane passing through the leftmost extent of the referenced feature"},{"code" : "128127","display" : "Plane through Rightmost Extent","definition" : "A plane passing through the rightmost extent of the referenced feature"},{"code" : "128128","display" : "Plane through Anterior Extent","definition" : "A plane passing through the anterior extent of the referenced feature"},{"code" : "128129","display" : "Plane through Posterior Extent","definition" : "A plane passing through the posterior extent of the referenced feature"},{"code" : "128130","display" : "Plane through Center","definition" : "A plane passing approximately through the center of the referenced feature"},{"code" : "128137","display" : "Geometric Centerpoint","definition" : "The geometric center point of a feature, such as an organ, implanted device or morphologic anomaly."},{"code" : "128138","display" : "Center of Mass","definition" : "The center of mass of a feature, such as an organ, implanted device or morphologic anomaly"},{"code" : "128139","display" : "Seed point","definition" : "Point in an image or space from which segmentation is initiated, e.g., by region growing."},{"code" : "128140","display" : "Representative point","definition" : "Point in an image or space that is representative (serves as an example or type for others of the same classification) of a feature, such as an organ, implanted device or morphologic anomaly."},{"code" : "128141","display" : "Boundary point","definition" : "Point in an image or space on the boundary of a feature, such as an organ, implanted device or morphologic anomaly."},{"code" : "128144","display" : "Impaired Renal Function","definition" : "The procedure is contraindicated for patients with impaired renal function."},{"code" : "128151","display" : "Laser Cross-hairs","definition" : "Positioning the patient based on alignment of laser cross-hairs."},{"code" : "128160","display" : "Acquired Volume","definition" : "The anatomical region represented in the acquired data."},{"code" : "128170","display" : "Abdominal Radiology","definition" : "Organizational department or section responsible for Abdominal Radiology"},{"code" : "128171","display" : "Biomedical Engineering","definition" : "Organizational department or section responsible for Biomedical Engineering"},{"code" : "128172","display" : "Cardiovascular Radiology","definition" : "Organizational department or section responsible for Cardiovascular Radiology"},{"code" : "128173","display" : "Information Technology","definition" : "Organizational department or section responsible for Information Technology"},{"code" : "128174","display" : "Medical Physics","definition" : "Organizational department or section responsible for Medical Physics"},{"code" : "128175","display" : "Musculoskeletal Radiology","definition" : "Organizational department or section responsible for Musculoskeletal Radiology"},{"code" : "128177","display" : "Pediatric Radiology","definition" : "Organizational department or section responsible for Pediatric Radiology"},{"code" : "128179","display" : "Thoracic Radiology","definition" : "Organizational department or section responsible for Thoracic Radiology"},{"code" : "128180","display" : "For RT Workflow","definition" : "Instances available as input for a general radiotherapeutic workflow."},{"code" : "128181","display" : "Diagnostic Source Images","definition" : "Instances used to make a diagnosis."},{"code" : "128182","display" : "Segmentation Result","definition" : "Instances created during a segmentation session."},{"code" : "128183","display" : "Registration Result","definition" : "Instances created during a spatial registration."},{"code" : "128184","display" : "Pre-Planning Result","definition" : "Instances created during preparation prior to planning."},{"code" : "128185","display" : "RT Prescription Result","definition" : "Instances created for prescription of a radiotherapeutic treatment."},{"code" : "128186","display" : "Dose Calculation Image Series","definition" : "Image instances that represent an image series that is intended to be the primary input for the dose calculation. Any parameters required for dose calculation (such as electron density) is derived from this series."},{"code" : "128187","display" : "Coordinate Alignment Image Series","definition" : "Image instances that represent an image series from which the display coordinate system for a radiotherapeutic treatment planning is derived. Typically this series does not provide the parameters required for the dose calculation."},{"code" : "128188","display" : "RT Treatment Simulation Result","definition" : "Instances created during the simulation of a radiotherapeutic treatment delivery session. May also include input objects actually used."},{"code" : "128189","display" : "RT Planning Result","definition" : "Instances created during the planning of a radiotherapeutic treatment. May also include input objects actually used."},{"code" : "128190","display" : "Dosimetric Result","definition" : "Instances created during the creation of the dosimetric result of a radiotherapeutic treatment plan. May also include input objects actually used."},{"code" : "128191","display" : "Patient Setup Verification Result","definition" : "Instances created during the verification of the patient’s treatment position. May also include input objects actually used."},{"code" : "128192","display" : "RT Treatment Session Result","definition" : "Instances created during the treatment session. May also include input objects actually used."},{"code" : "128193","display" : "RT Treatment Course Summary","definition" : "Instances created during a treatment course. May also include input objects actually used."},{"code" : "128194","display" : "RT Treatment QA Result","definition" : "Instances created during evaluation of the treatment delivery quality. May also include input objects actually used."},{"code" : "128195","display" : "For Diagnosis","definition" : "Instances available to make a diagnosis."},{"code" : "128196","display" : "For Segmentation","definition" : "Instances available for segmentation."},{"code" : "128197","display" : "For RT Prescription","definition" : "Instances available for prescribing a radiotherapeutic treatment delivery."},{"code" : "128198","display" : "For RT Treatment Planning","definition" : "Instances available for creating a radiotherapeutic treatment plan."},{"code" : "128199","display" : "For Plan Comparison","definition" : "Instances available for comparing plans."},{"code" : "128200","display" : "For RT Plan Summation","definition" : "Instances available to combine radiotherapeutic plans or doses."},{"code" : "128201","display" : "For Physician Review","definition" : "Instances available for review by a physician."},{"code" : "128202","display" : "For Physicist Review","definition" : "Instances available for review by a physicist."},{"code" : "128203","display" : "For Tumor Board","definition" : "Instances available for review of a tumor board."},{"code" : "128204","display" : "For Plan Quality Assurance","definition" : "Instances available to perform quality assurance of a radiotherapeutic treatment delivery plan."},{"code" : "128205","display" : "For Machine Quality Assurance","definition" : "Instances available to perform quality assurance of one of the hardware or software components involved in a radiotherapeutic treatment delivery."},{"code" : "128206","display" : "For Patient Setup Verification","definition" : "Instances available for verification of the patient treatment position."},{"code" : "128207","display" : "For Clinical Trial Submission","definition" : "Instances available for submission for a clinical trial study."},{"code" : "128208","display" : "For Tumor Registry","definition" : "Instances available for submission to a tumor registry."},{"code" : "128209","display" : "RT Workflow Input Used","definition" : "Instances used as an input of a general radiotherapeutic workflow."},{"code" : "128210","display" : "RT Prescription Input Used","definition" : "Instances used for prescribing a radiotherapeutic treatment delivery."},{"code" : "128211","display" : "RT Treatment Planning Input Used","definition" : "Instances used to create a radiotherapeutic treatment plan."},{"code" : "128212","display" : "RT Plan Summation Input Used","definition" : "Instances used to combine radiotherapeutic plans or doses."},{"code" : "128213","display" : "Physician Review Input Used","definition" : "Instances used for review by a physician."},{"code" : "128214","display" : "Physicist Review Input Used","definition" : "Instances used for review by a physicist."},{"code" : "128215","display" : "Plan Quality Assurance Input Used","definition" : "Instances used to perform quality assurance of a radiotherapeutic treatment delivery plan."},{"code" : "128216","display" : "Machine Quality Assurance Input Used","definition" : "Instances used to perform quality assurance of one of the hardware or software components involved in a radiotherapeutic treatment delivery."},{"code" : "128217","display" : "Patient Setup Verification Input Used","definition" : "Instances used during verification of the patient treatment position."},{"code" : "128218","display" : "Diagnosis Input Used","definition" : "Instances used to make a diagnosis."},{"code" : "128219","display" : "Contouring Input Used","definition" : "Instances used for segmentation."},{"code" : "128220","display" : "Plan Comparison Input Used","definition" : "Instances used for comparing plans."},{"code" : "128221","display" : "Tumor Board Input Used","definition" : "Instances used for review of a tumor board."},{"code" : "128222","display" : "Tumor Registry Input Used","definition" : "Instances submitted to a tumor registry."},{"code" : "128223","display" : "Clinical Trial Submission Input Used","definition" : "Instances submitted to a clinical trial study."},{"code" : "128224","display" : "Source measurement","definition" : "Measurement used as the source for derivation."},{"code" : "128225","display" : "Source report","definition" : "Report used as the source for derivation."},{"code" : "128226","display" : "Source raw data","definition" : "Raw Data used as the source for derivation."},{"code" : "128227","display" : "Source real world value map","definition" : "Real world value map used as the source for derivation."},{"code" : "128228","display" : "Source segmentation","definition" : "Segmentation used as the source for derivation."},{"code" : "128230","display" : "Pulse Sequence Name","definition" : "Name of an MR pulse sequence for annotation purposes. Potentially vendor-specific name."},{"code" : "128250","display" : "Structural image for image processing","definition" : "A structural image used for image processing."},{"code" : "128251","display" : "Flow image for image processing","definition" : "A flow image used for image processing."},{"code" : "128252","display" : "OCT-A amplitude decorrelation","definition" : "OCT angiography method that de-correlates the amplitudes between two consecutive B-scans from the narrowed spectral bands was computed, and all the decorrelation values within certain repeated B-scans were averaged to visualize blood vessels. Methods and algorithms for optical coherence tomography-based angiography: a review and comparison. Anqi Zhang ; Qinqin Zhang ; Chieh-Li Chen ; Ruikang K. Wang (2015). See http://biomedicaloptics.spiedigitallibrary.org/​article.aspx?​articleid=​2464650#​QuantitativeComparisons."},{"code" : "128253","display" : "OCT-A complex variance","definition" : "OCT angiography method based on variations in the complex (amplitude and phase) OCT signal from repeated B-scans at the same location. There are a number of factors that may cause a change in the OCT signal frequency relative to the signal due to static tissue background. These factors include, for example, the Doppler effect that induces optical frequency shift and the change in backscattering due to the particles that are moving in and out of the OCT-probe volume during imaging. The changes in signal frequency cause the changes in both the amplitude and the phase of the OCT signal. Comparison of the complex (amplitude and phase) signal from repeated B-scans at the same location provides an image that has higher contrast in areas of erythrocyte motion. This method is referred to as OCT-based micro-angiography - complex (OMAGC)."},{"code" : "128254","display" : "OCT-A speckle variance","definition" : "OCT angiography method that analyzes the temporal or spatial statistics of the intensity of speckle from OCT images and identifies blood vessels."},{"code" : "128255","display" : "OCT-A correlation mapping","definition" : "OCT angiography method that differentiates flow regions. Static regions usually have high correlation values while flow regions have lower correlation values."},{"code" : "128256","display" : "Doppler OCT-A","definition" : "OCT angiography method that utilizes the Doppler phase resolved information to provide the velocity of flow. Sometimes referred to as the phase variance method."},{"code" : "128257","display" : "Retina depth encoded vasculature flow","definition" : "Image using pseudo colors to illustrate multiple OPTENF images obtained at various depth levels within the retina from the OPT flow volume."},{"code" : "128258","display" : "Retina depth encoded structural reflectance map","definition" : "Image using pseudo colors to illustrate multiple OPTENF images obtained at various depth levels within the retina from the OPT structural volume."},{"code" : "128259","display" : "Retina vasculature flow","definition" : "Image that illustrates the vasculature flow within the entire retina. Generated from the OPT flow volume with pixels approximately from inner limiting membrane (ILM) to photoreceptor inner segment/ellipsoid region (ISe)."},{"code" : "128260","display" : "Retina structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the entire retina. Generated from the OPT structural volume with pixels approximately from inner limiting membrane (ILM) to photoreceptor inner segment/ellipsoid region (ISe)."},{"code" : "128261","display" : "Vitreous vasculature flow","definition" : "Image that illustrates the vasculature flow within the vitreous. Generated from the OPT flow volume with pixels approximately from a selected location anterior to ILM, to ILM. This space/potential space is referred clinically as the Vitreo-retinal Interface (VRI)."},{"code" : "128262","display" : "Vitreous structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the vitreous. Generated from the OPT structural volume with pixels approximately from a selected location that is anterior to ILM, to ILM. This space/potential space is referred clinically as the Vitreo-retinal Interface (VRI)."},{"code" : "128263","display" : "Radial peripapillary vasculature flow","definition" : "Image that illustrates the OCT vasculature flow within the RNFL around the optic disk. Generated from the OPT flow volume with pixels approximately from ILM to the outer boundary of the RNFL."},{"code" : "128264","display" : "Radial peripapillary structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the RNFL around the optic disk. Generated from the OPT structural volume with pixels approximately from ILM to the outer boundary of the RNFL."},{"code" : "128265","display" : "Superficial retina vasculature flow","definition" : "Image that illustrates the vasculature flow within the anterior layers of retina. Generated from the OPT flow volume with pixels approximately from ILM to ganglion cell layer/inner plexiform layer (GCL/IPL)."},{"code" : "128266","display" : "Superficial retina structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the anterior layers of retina. Generated from the OPT structural volume with pixels approximately from ILM to ganglion cell layer/inner plexiform layer (GCL/IPL)."},{"code" : "128267","display" : "Middle inner retina vasculature flow","definition" : "Image that illustrates the vasculature flow in the capillaries that connect the superficial and deeper capillary beds. Generated from the OPT flow volume with pixels approximately at the level of the IPL. Sometimes referred to as the intermediate retina flow."},{"code" : "128268","display" : "Middle inner structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance in the capillaries that connect the superficial and deeper capillary beds. Generated from the OPT structural volume with pixels approximately at the level of the IPL. Sometimes referred to as the intermediate retina flow."},{"code" : "128269","display" : "Deep retina vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the plexiform layers within the retina. Generated from the OPT flow volume with pixels approximately from inner plexiform layer (IPL) to outer plexiform layer (OPL)."},{"code" : "128270","display" : "Deep retina structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the plexiform layers within the retina. Generated from the OPT structural volume with pixels approximately from inner plexiform layer (IPL) to outer plexiform layer (OPL)."},{"code" : "128271","display" : "Outer retina vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the posterior layers of the retina (outer retina). Generated from the OPT flow volume with pixels approximately in the translucent layers, from OPL to ISe. Sometimes referred to as flow in the deep avascular structure. Note For normal eyes, this image would not show detectable vascular flow."},{"code" : "128272","display" : "Outer retina structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the posterior layers of the retina (outer retina). Generated from the OPT structural volume with pixels approximately in the translucent layers, from OPL to ISe."},{"code" : "128273","display" : "Choriocapillaris vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the chroriocapillaris. Generated from the OPT flow volume with pixels approximately below the retinal pigment epithelium (RPE) encompassing the thickness of choriocapillaris."},{"code" : "128274","display" : "Choriocapillaris structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the chroriocapillaris. Generated from the OPT structural volume with pixels approximately below the retinal pigment epithelium (RPE) encompassing the thickness of choriocapillaris."},{"code" : "128275","display" : "Choroid vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the choroid. Generated from the OPT flow volume with pixels approximately below RPE, encompassing the thickness of choroid."},{"code" : "128276","display" : "Choroid structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the choroid. Generated from the OPT structural volume with pixels approximately below RPE, encompassing the thickness of choroid."},{"code" : "128277","display" : "Whole eye vasculature flow","definition" : "Image that illustrates the vasculature flow at the entire posterior segment, including retina and choroid. Generated from the OPT flow volume with pixels encompassing the entire OCT scan."},{"code" : "128278","display" : "Whole eye structural reflectance map","definition" : "Image that illustrates the structural reflectance from the entire posterior segment, including retina and choroid. Generated from the OPT structural volume with pixels encompassing the entire OCT scan."},{"code" : "128279","display" : "Cube B-scan pattern","definition" : "A series of densely spaced, parallel B-scans of the same length covering an area."},{"code" : "128280","display" : "Raster B-scan pattern","definition" : "A series of sparsely spaced, parallel B-scans of the same length covering an area."},{"code" : "128281","display" : "Line B-scan pattern","definition" : "A single line B-scan."},{"code" : "128282","display" : "Radial B-scan pattern","definition" : "A series of B-scans arranged in a radial pattern of the same length covering an area."},{"code" : "128283","display" : "Cross B-scan pattern","definition" : "A pair of horizontal and vertical B-scans in a cross pattern."},{"code" : "128284","display" : "Circle B-scan pattern","definition" : "A single circular pattern B-scan."},{"code" : "128285","display" : "Concentric circle B-scan pattern","definition" : "A series of concentric circular pattern B-scans with various diameters."},{"code" : "128286","display" : "Circle-raster B-scan pattern","definition" : "A series of concentric circular pattern B-scans with various diameters combined with a series of raster B-scan patterns."},{"code" : "128287","display" : "Circle-radial B-scan pattern","definition" : "A series of concentric circular pattern B-scans with various diameters combined with a series of radial B-scan patterns."},{"code" : "128288","display" : "Grid B-scan pattern","definition" : "A series of vertical and horizontal B-scans."},{"code" : "128289","display" : "Outer surface of RNFL","definition" : "Retinal surface located approximately at the outer boundary of the retinal nerve fiber layer (RNFL)."},{"code" : "128290","display" : "Outer surface of GCL","definition" : "Retinal surface approximately at the outer boundary of the Ganglion Cell Layer (GCL)."},{"code" : "128291","display" : "Outer surface of IPL","definition" : "Retinal surface located approximately at the outer boundary of the Inner Plexiform Layer (IPL)."},{"code" : "128292","display" : "Outer surface of INL","definition" : "Retinal surface located approximately at the outer boundary of the Inner Nuclear Layer (INL)."},{"code" : "128293","display" : "Outer surface of OPL","definition" : "Retinal surface located approximately at the outer boundary of the Outer Plexiform Layer (OPL)."},{"code" : "128294","display" : "Outer surface of HFL","definition" : "Retinal surface located approximately at the outer boundary of the Henle Fiber Layer (HFL) when present."},{"code" : "128295","display" : "Surface between Inner and Outer Segments of the photoreceptors","definition" : "Retinal surface approximately located at the boundary between the Inner Segments and Outer Segments of the photoreceptors."},{"code" : "128296","display" : "Surface of the interdigitation zone between retina and RPE","definition" : "Retinal surface located approximately at the retina-RPE interdigitation zone when present."},{"code" : "128297","display" : "Inner surface of the RPE","definition" : "Inner surface of the Retinal Pigment Epithelium (RPE)."},{"code" : "128298","display" : "Surface of the center of the RPE","definition" : "Segmentation surface located approximately at the center of the Retinal Pigment Epithelium (RPE)."},{"code" : "128299","display" : "Outer surface of the RPE","definition" : "Outer surface of the Retinal Pigment Epithelium (RPE)."},{"code" : "128300","display" : "Outer surface of Bruch’s Membrane","definition" : "Retinal surface located approximately at the outer boundary of the Bruch’s Membrane (BM)."},{"code" : "128301","display" : "Surface of the choroid-sclera interface","definition" : "Retinal surface located approximately at the choroid-sclera interface (SC)."},{"code" : "128302","display" : "Outer surface of the CC","definition" : "Retinal surface located approximately at the outer boundary of the choriocapillaris (CC)."},{"code" : "128303","display" : "OCT B-scan analysis","definition" : "Values are derived from performing analysis on OCT B-scans"},{"code" : "128304","display" : "OCT-A one-sided ratio (lesser)","definition" : "OCT angiography method that utilizes a one-sided ratio on a pixel by pixel basis between various combinations of B-scan repetitions. The ratio is inverted when necessary such that values are less than or equal to one. Individual ratio calculations are averaged or combined across eligible frame combinations for each pixel in the OCT image."},{"code" : "128305","display" : "OCT-A one-sided ratio (greater)","definition" : "OCT angiography method that utilizes a one-sided ratio on a pixel by pixel basis between various combinations of B-scan repetitions. The ratio is inverted when necessary such that values are greater than or equal to one. Individual ratio calculations are averaged or combined across eligible frame combinations for each pixel in the OCT image."},{"code" : "128306","display" : "Avascular complex flow","definition" : "Image that illustrates the vascular flow within the posterior layers of the retina, approximately from the posterior border of the outer plexiform layer (OPL) to the level of Bruch’s Membrane (BM). For normal eyes, this image would not show detectable vascular flow."},{"code" : "128307","display" : "Avascular complex map","definition" : "Image that illustrates the structural reflectance within the posterior layers of the retina, approximately from the outer plexiform layer (OPL) to the level of Bruch’s Membrane (BM)."},{"code" : "128308","display" : "Superficial vascular plexus flow","definition" : "Image that illustrates the vascular flow within the anterior layers of retina, approximately from the posterior border of the retinal nerve fiber layer (RNFL) to the inner plexiform layer (IPL)."},{"code" : "128309","display" : "Superficial vascular plexus map","definition" : "Image that illustrates the structural reflectance within the anterior layers of retina, approximately from the posterior border of the retinal nerve fiber layer (RNFL) to inner plexiform layer (IPL)."},{"code" : "128310","display" : "Deep capillary plexus flow","definition" : "Image that illustrates the vascular flow within the plexiform layers of the retina, approximately from within the inner Nuclear layer (INL) to posterior border of the outer plexiform layer (OPL)"},{"code" : "128311","display" : "Deep capillary plexus map","definition" : "Image that illustrates the structural reflectance within the plexiform layers of the retina, approximately from within the Inner Nuclear Layer (INL) to posterior border of the outer plexiform layer (OPL)."},{"code" : "128312","display" : "RNFL vascular plexus flow","definition" : "Image that illustrates the vascular flow within the retinal nerve fiber layer (RNFL), approximately from inner limiting membrane (ILM) to the outer boundary of the RNFL."},{"code" : "128313","display" : "RNFL vascular plexus map","definition" : "Image that illustrates the structural reflectance within the retinal nerve fiber layer (RNFL), approximately from inner limiting membrane (ILM) to the outer boundary of the RNFL."},{"code" : "128314","display" : "User selected volume flow","definition" : "Image that illustrates the vascular flow within a volume selected by the user"},{"code" : "128315","display" : "User selected volume structure map","definition" : "Image that illustrates the structural reflectance within a volume selected by the user"},{"code" : "128316","display" : "ORCC vasculature flow","definition" : "Image that illustrates the vasculature flow within the posterior layers of the retina (including the outer retina), approximately from the posterior boundary of the outer plexiform layer (OPL) to the inner choriocapillaris (CC)."},{"code" : "128317","display" : "ORCC structural reflectance map","definition" : "Image that illustrates the structural reflectance within the posterior layers of the retina (including the outer retina), approximately from posterior boundary of the outer plexiform layer (OPL) to the inner choriocapillaris (CC)."},{"code" : "128320","display" : "Inner surface of the ellipsoid zone","definition" : "Inner surface of the retinal ellipsoid zone, also known as the photoreceptor inner segment/outer segment (IS/OS) junction"},{"code" : "128321","display" : "Midline of the ellipsoid zone","definition" : "Segmentation surface located approximately midway between the inner and outer surfaces of the retinal ellipsoid zone"},{"code" : "128322","display" : "Outer surface of the ellipsoid zone","definition" : "Outer surface of the retinal ellipsoid zone, also known as the photoreceptor inner segment/outer segment (IS/OS) junction"},{"code" : "128323","display" : "Inner surface of the interdigitation zone","definition" : "Inner surface of the retinal interdigitation zone"},{"code" : "128324","display" : "Outer surface of the interdigitation zone","definition" : "Outer surface of the retinal interdigitation zone"},{"code" : "128401","display" : "Patient Radiation Dose Report","definition" : "Report title for the report of estimated absorbed energy from ionizing radiation to a patient."},{"code" : "128402","display" : "Radiation Dose Estimate","definition" : "Estimate of absorbed energy from ionizing radiation."},{"code" : "128403","display" : "Radiation Dose Estimate Name","definition" : "Name used to identify a radiation dose estimate."},{"code" : "128404","display" : "Anthropomorphic Model","definition" : "A mathematical description of a patient model for estimating radiation dose that describes or is thought of as having a human form or human attributes."},{"code" : "128405","display" : "Breast Thickness","definition" : "Thickness of the breast."},{"code" : "128406","display" : "BREP Radiation Transport Model","definition" : "Boundary based representation of the model for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128407","display" : "DgN","definition" : "Normalized Mean Glandular Dose (DgN) is the conversion value used to calculate the absorbed dose from radiation to the fibroglandular tissue component of the breast from the exposure in air."},{"code" : "128408","display" : "Patient AP Dimension","definition" : "The size of a patient in the anterior-posterior dimension."},{"code" : "128409","display" : "Patient Lateral Dimension","definition" : "The size of a patient in the lateral dimension."},{"code" : "128410","display" : "SSDE Conversion Factor","definition" : "Conversion factor for Size Specific Dose Estimate (SSDE) calculations from CTDIvol."},{"code" : "128411","display" : "Backscatter","definition" : "Scattering of radiation in a direction opposite to that of the incident radiation."},{"code" : "128412","display" : "Radiation Dose Estimate Representation","definition" : "The description of the representation of the estimated absorbed energy to an organ, a set of organs or the whole body, e.g., surface segmentation, mesh, parametric map, RT dose , Secondary Capture SOP Instances, etc."},{"code" : "128413","display" : "Distribution Representation","definition" : "The form of the representation used to describe the distribution of the radiation dose."},{"code" : "128414","display" : "Radiation Dose Representation Data","definition" : "The absorbed energy data estimated by the method."},{"code" : "128415","display" : "Radiation Dose Estimate Methodology","definition" : "The methodology and parameters used to estimate the radiation dose to an organ, the whole body or a phantom."},{"code" : "128416","display" : "SR Instance Used","definition" : "Reference to an SR instance used."},{"code" : "128417","display" : "Patient Model Type","definition" : "The type of model used to define the shape, size, location of objects, etc. to represent a patient or phantom for use in radiation transport analysis."},{"code" : "128418","display" : "Simple Object Model","definition" : "A simple object (e.g., cylinder) used to model a patient or organ."},{"code" : "128420","display" : "Radiation Transport Model Type","definition" : "The type of model used to estimate energy transport and absorbed dose in materials."},{"code" : "128421","display" : "Geometric Radiation Transport Model","definition" : "A model that uses geometrical shapes for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128422","display" : "Voxelized Radiation Transport Model","definition" : "A model that uses volumetric elements for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128423","display" : "Mesh Radiation Transport Model","definition" : "A model that uses a mesh structure representation for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128424","display" : "NURBS Radiation Transport Model","definition" : "A model that uses surfaces of a non-uniform rational B-spline (NURBS) based representation for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128425","display" : "Patient Radiation Dose Model Data","definition" : "The data from the model used to estimate radiation dose to a patient or organ."},{"code" : "128426","display" : "Patient Radiation Dose Model Reference","definition" : "Rationale or reference to the methodology for the model used in the estimation of radiation dose."},{"code" : "128427","display" : "Patient Model Demographics","definition" : "The demographics for which the patient model used by the radiation dose estimation method is intended."},{"code" : "128428","display" : "Model Minimum Age","definition" : "The minimum age used in the patient model in the radiation dose estimation method."},{"code" : "128429","display" : "Event UID Used","definition" : "Unique Identifier of an event used."},{"code" : "128430","display" : "Model Maximum Age","definition" : "The maximum age used in the patient model in the radiation dose estimation method."},{"code" : "128431","display" : "Beam Block","definition" : "A material placed in the radiation beam that is used to completely attenuate the beam in a specific region of the field of view."},{"code" : "128433","display" : "Tissue Air Ratio","definition" : "Ratio of the absorbed dose at a given depth in tissue to the absorbed dose at the same point in air."},{"code" : "128434","display" : "Radiation Dose Estimate Parameters","definition" : "The parameters used in the algorithms for determining the radiation dose to a patient, organs, or any material."},{"code" : "128436","display" : "Radiation Dose Composite Parameters","definition" : "Reference to the SOP Instance that describes the parameters and values used in the algorithms for determining the radiation dose to a patient, organs, or any material."},{"code" : "128437","display" : "Model Patient Sex","definition" : "The sex used in the patient model in the radiation dose estimation method."},{"code" : "128438","display" : "Model Minimum Weight","definition" : "The minimum weight used in the patient model in the radiation dose estimation method."},{"code" : "128439","display" : "Model Minimum Height","definition" : "The minimum height used in the patient model in the radiation dose estimation method."},{"code" : "128441","display" : "Model Maximum Weight","definition" : "The maximum weight used in the patient model in the radiation dose estimation method."},{"code" : "128442","display" : "Model Maximum Height","definition" : "The maximum height used in the patient model in the radiation dose estimation method."},{"code" : "128444","display" : "Spatial Registration Reference","definition" : "Reference to the Spatial Registration instance or Deformable Spatial Registration instance."},{"code" : "128446","display" : "Registration Method","definition" : "Name of the method used to register the frame of reference for two or more sets of data."},{"code" : "128447","display" : "Spatial Fiducials","definition" : "Reference to Spatial Fiducials SOP Instance."},{"code" : "128452","display" : "Correction Factor","definition" : "A factor used to make an adjustment to a calculation to account for deviations."},{"code" : "128453","display" : "Curve Fit Parameter","definition" : "A value used in a mathematical function to create a curve or a function that approximates a set of data."},{"code" : "128455","display" : "Homogeneity Factor","definition" : "A value used to describe the uniformity or composition of data or a material that relates to the same degree of variability."},{"code" : "128456","display" : "Patient Model Registration","definition" : "The spatial registration used in the patient model in the radiation dose estimation method."},{"code" : "128457","display" : "X-Ray Beam Attenuator","definition" : "Attenuator in the radiation beam that may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128458","display" : "Attenuator Category","definition" : "The type of object in the radiation beam that may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128459","display" : "Table","definition" : "The table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128460","display" : "Table Core","definition" : "The core material of a table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128461","display" : "Table Outer Liner","definition" : "The outer shell of a table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128462","display" : "Table Pad","definition" : "The padding on a table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128464","display" : "Radiation Dose Estimate Parameter Type","definition" : "Parameters used in mathematical, simulation, or empirical calculations for radiation dose estimation."},{"code" : "128465","display" : "Equivalent Attenuator Material","definition" : "The equivalent material used to estimate the reduction in radiation intensity."},{"code" : "128468","display" : "Attenuator Description","definition" : "An explanation of the actual attenuator material used in the estimation of radiation dose."},{"code" : "128469","display" : "Equivalent Attenuator Thickness","definition" : "The thickness of a specified material that provides the same attenuation as the actual attenuator."},{"code" : "128470","display" : "X-Ray Attenuator Model Data","definition" : "The stored data from the model used to represent the X-Ray beam attenuator."},{"code" : "128472","display" : "X-Ray Beam Attenuator Model","definition" : "Model of the attenuator used in the estimation of radiation dose."},{"code" : "128474","display" : "X-Ray Beam Attenuator Model Reference","definition" : "Reference to the methodology or rationale for the model of the beam attenuator used in the estimation of radiation dose."},{"code" : "128475","display" : "X-Ray Beam Attenuator Model Registration","definition" : "Spatial registration of the beam attenuator model."},{"code" : "128476","display" : "Radiation Dose Estimate Method","definition" : "The container for the radiation dose estimation methods and parameters."},{"code" : "128477","display" : "Radiation Dose Estimate Method Type","definition" : "Type of method used to estimate the radiation dose to a patient, organs or phantoms."},{"code" : "128479","display" : "Tabular Data Algorithm","definition" : "Algorithms that use a table of values indexed by a key."},{"code" : "128480","display" : "Analytical Algorithm","definition" : "Algorithms that use mathematical models that have a deterministic result."},{"code" : "128481","display" : "Empirical Algorithm","definition" : "Algorithms that use mathematical models that use parameters derived from observation."},{"code" : "128482","display" : "Radiation Dose Estimate Method Reference","definition" : "A reference to the methodology or rationale for the estimation methodology used for the estimation of radiation dose."},{"code" : "128484","display" : "Isodose","definition" : "Representation of radiation dose of equal intensity as a surface, curve, or line."},{"code" : "128485","display" : "Skin Dose Map","definition" : "Representation of radiation dose intensity at the surface on the skin."},{"code" : "128487","display" : "3D Dose Map","definition" : "Representation of radiation dose as a 3D shape or object."},{"code" : "128488","display" : "Dose Gradient","definition" : "Representation of the change in radiation dose with respect to the change in another variable. Often represented as a change with respect to time or distance."},{"code" : "128492","display" : "Patient Support","definition" : "Material that is in radiation beam that is used to provide physical support to the patient or other objects."},{"code" : "128494","display" : "Patient Segmented Model","definition" : "A model for estimating radiation dose defined from the actual patient anatomy or characteristics."},{"code" : "128496","display" : "Dose Point Cloud","definition" : "Radiation dose represented as a distribution of points."},{"code" : "128497","display" : "Measured Radiation Dose","definition" : "The measured amount of energy that is deposited in a material by ionizing radiation."},{"code" : "128500","display" : "Patient Radiation Dose Model","definition" : "A computational representation of a human body or other object used to simulate the attenuation of radiation in human tissue."},{"code" : "128511","display" : "Reference to Uncertainty Determination Method","definition" : "A reference to the methodology used to determine the uncertainty in the estimation of radiation dose."},{"code" : "128512","display" : "Equivalent Dose","definition" : "Absorbed dose to a tissue or organ multiplied by a quality factor to normalize the dose to the type of radiation that is depositing the dose."},{"code" : "128513","display" : "Absorbed Dose","definition" : "Energy from ionizing radiation absorbed per unit mass."},{"code" : "128522","display" : "Normalization Factor","definition" : "A factor that is used to make an adjustment to a calculation to normalize the data."},{"code" : "128523","display" : "Offset Factor","definition" : "A factor that is used to make an adjustment to a calculation to translate or move the data in a defined manner."},{"code" : "128526","display" : "Tissue Fraction","definition" : "The amount of a specific tissue content, either mass or volume, in a material."},{"code" : "128527","display" : "Distance Correction","definition" : "A correction factor for a measurement of distance or location."},{"code" : "128528","display" : "Conversion Factor","definition" : "A numerical ratio to express a measurement from one unit to another unit."},{"code" : "128531","display" : "Maximum Absorbed Radiation Dose","definition" : "The largest absorbed radiation dose amount estimated."},{"code" : "128532","display" : "Minimum Absorbed Radiation Dose","definition" : "The smallest absorbed radiation dose value estimated."},{"code" : "128533","display" : "Mean Absorbed Radiation Dose","definition" : "The average value of the absorbed radiation dose estimated."},{"code" : "128534","display" : "Mode Absorbed Radiation Dose","definition" : "The absorbed radiation dose value estimated that occurs most frequently."},{"code" : "128535","display" : "Maximum Equivalent Radiation Dose","definition" : "The largest equivalent radiation dose value estimated."},{"code" : "128536","display" : "Minimum Equivalent Radiation Dose","definition" : "The smallest equivalent radiation dose value estimated."},{"code" : "128537","display" : "Mean Equivalent Radiation Dose","definition" : "The average value of the equivalent radiation dose estimated."},{"code" : "128538","display" : "Mode Equivalent Radiation Dose","definition" : "The equivalent radiation dose value estimated that occurs most frequently."},{"code" : "128539","display" : "Median Absorbed Radiation Dose","definition" : "The central value of the absorbed radiation dose estimated."},{"code" : "128540","display" : "Median Equivalent Radiation Dose","definition" : "The central value of the equivalent radiation dose estimated."},{"code" : "128551","display" : "Is Repeated Acquisition","definition" : "This acquisition of data (e.g., for constructing an image) is a repeat of an earlier acquisition that was for some reason unsatisfactory."},{"code" : "128552","display" : "Reason for Repeating Acquisition","definition" : "The reason that data (e.g., for constructing an image) was acquired again."},{"code" : "128553","display" : "Patient motion","definition" : "The acquired data is unsatisfactory because the patient moved."},{"code" : "128554","display" : "Suboptimal contrast timing","definition" : "The acquired data is unsatisfactory because the contrast timing was not adequate."},{"code" : "128601","display" : "Appropriate for the indications","definition" : "The protocol is appropriate for the indications recorded in the protocol instance."},{"code" : "128602","display" : "Consistent with labeling of the device","definition" : "The protocol is consistent with the regulatory product labeling of the device recorded in the protocol instance."},{"code" : "128603","display" : "Approved for use at the institution","definition" : "The protocol is approved for use at the institution recorded in the protocol instance."},{"code" : "128604","display" : "Approved for use in the clinical trial","definition" : "The protocol is approved for use in the clinical trial recorded in the protocol instance."},{"code" : "128605","display" : "Approved for use on pregnant patients","definition" : "The protocol is specifically approved for use on pregnant patients."},{"code" : "128606","display" : "Appropriate for the device","definition" : "The protocol is appropriate for execution on the device recorded in the protocol instance (which may identify an individual device by serial number or may identify a family of devices). I.e. the protocol has incorporated model-specific parameters and optimizations as necessary."},{"code" : "128607","display" : "Inside operational limits of the device","definition" : "The protocol specifies parameters that are within the operational limits of the device recorded in the protocol instance. I.e. execution of the protocol is not expected to damage or exceed the operational limits of the device."},{"code" : "128608","display" : "Optimized for the device instance","definition" : "The protocol is optimized for the characteristics of the specific instance of the device recorded in the protocol instance. I.e. the protocol has incorporated model-specific parameters and optimizations as necessary."},{"code" : "128609","display" : "Disapproved for any use","definition" : "The protocol is explicitly disapproved, or approval of the protocol has been withdrawn."},{"code" : "128610","display" : "Deprecated protocol","definition" : "The protocol is no longer to be used. E.g. it has been replaced by another protocol."},{"code" : "128611","display" : "Approved for experimental use","definition" : "The protocol is approved for use in experimental procedures."},{"code" : "128612","display" : "Disapproved for experimental use","definition" : "The protocol is disapproved for use in experimental procedures."},{"code" : "128613","display" : "Eligible for reimbursement","definition" : "The protocol is understood to be eligible for reimbursement by a given payer."},{"code" : "128614","display" : "Eligible for reimbursement on per patient basis","definition" : "The protocol is understood to be eligible for reimbursement on a per patient basis by a given payer."},{"code" : "128615","display" : "Ineligible for reimbursement","definition" : "The protocol is understood to be ineligible for reimbursement by a given payer."},{"code" : "128617","display" : "Disapproved for use on pregnant patients","definition" : "The protocol is explicitly disapproved for use on pregnant patients."},{"code" : "128618","display" : "Inappropriate for the device","definition" : "The protocol is inappropriate for execution on the device recorded in the protocol instance (which may identify an individual device by serial number or may identify a family of devices)."},{"code" : "128619","display" : "Outside operational limits of the device","definition" : "The protocol specifies parameters that are not within the operational limits of the device recorded in the protocol instance. I.e. execution of the protocol may damage or exceed the operational limits of the device."},{"code" : "128620","display" : "Not optimized for the device instance","definition" : "The protocol is not optimized for the characteristics of the specific instance of the device recorded in the protocol instance."},{"code" : "128621","display" : "Inappropriate for the indications","definition" : "The protocol is inappropriate for the indications recorded in the protocol instance."},{"code" : "128622","display" : "Inconsistent with labeling of the device","definition" : "The protocol is inconsistent with the regulatory product labeling of the device recorded in the protocol instance."},{"code" : "128623","display" : "Disapproved for use at the institution","definition" : "The protocol is disapproved for use at the institution recorded in the approval instance."},{"code" : "128624","display" : "Disapproved for use in the clinical trial","definition" : "The protocol is disapproved for use in the clinical trial recorded in the protocol instance."},{"code" : "128670","display" : "Head of Radiology","definition" : "The senior ranking radiologist in the organization"},{"code" : "128671","display" : "Chair of Protocol Committee","definition" : "The chair of a committee tasked with reviewing and approving protocols in the organization."},{"code" : "128673","display" : "Administrator of Radiology Department","definition" : "The administrative head of a department that provides radiology services."},{"code" : "128674","display" : "Lead Radiologic Technologist","definition" : "The senior ranking radiologic technologist in the organization."},{"code" : "128675","display" : "Head of Cardiology","definition" : "The senior ranking cardiologist in the organization."},{"code" : "128676","display" : "Representative of Protocol Committee","definition" : "A representative of a committee tasked with reviewing and approving protocols in the organization."},{"code" : "128677","display" : "Representative of Ethics Committee","definition" : "A representative of a committee tasked with evaluating medical ethics. E.g. Institutional Review Board."},{"code" : "128701","display" : "3D Gel","definition" : "A volume of gel that changes physical characteristics when exposed to ionizing radiation."},{"code" : "128702","display" : "Diode Array","definition" : "A number of semiconductor devices that generates current when exposed to ionizing radiation. The devices are arranged systematically in a regular pattern."},{"code" : "128703","display" : "Ion Chamber Array","definition" : "A number of devices that measures charge from the ions produced in a medium when exposed to ionizing radiation. The devices are arranged systematically in a regular pattern."},{"code" : "128704","display" : "Diode","definition" : "A semiconductor device that generates current when exposed to ionizing radiation."},{"code" : "128705","display" : "Liquid Ion Chamber","definition" : "An ion chamber that uses a liquid as the medium."},{"code" : "128706","display" : "OSLD","definition" : "Optically Stimulated Luminescent Dosimeter. It is a crystal that when exposed to green light, emits blue light in proportion to the amount of ionizing radiation it has been exposed to."},{"code" : "128707","display" : "Ion Chamber","definition" : "A device that measures charge from the ions produced in a medium when exposed to ionizing radiation."},{"code" : "128708","display" : "Diamond Detector","definition" : "A semiconductor detector that uses diamond as the medium."},{"code" : "128709","display" : "RPLGD","definition" : "A radiophotoluminescence glass dosimeter. It is a solid state cumulative radiation dosimeter usually made of silver-activated phosphate glass. The silver atoms act as radiophotoluminescence centers excited by ionizing radiation. The number of centers excited is proportional to the absorbed dose to the RPLGD."},{"code" : "128710","display" : "For Teaching File Export","definition" : "Instances that have been selected for export to a teaching file."},{"code" : "128711","display" : "For Clinical Trial Export","definition" : "Instances that have been selected for export for a clinical trial."},{"code" : "128712","display" : "Additional Teaching File Information","definition" : "The title of a document containing additional teaching file information."},{"code" : "128713","display" : "For Research Collection Export","definition" : "Instances that have been selected for export to a research collection."},{"code" : "128714","display" : "For Publication Export","definition" : "Instances that have been selected for export for publication."},{"code" : "128715","display" : "Delay export until final report is available","definition" : "Delay export until final report is available."},{"code" : "128716","display" : "Delay export until clinical information is available","definition" : "Delay export until clinical information is available."},{"code" : "128717","display" : "Delay export until confirmation of diagnosis is available","definition" : "Delay export until confirmation of diagnosis is available."},{"code" : "128718","display" : "Delay export until histopathology is available","definition" : "Delay export until histopathology is available."},{"code" : "128719","display" : "Delay export until other laboratory results are available","definition" : "Delay export until other laboratory results are available."},{"code" : "128720","display" : "Delay export until patient is discharged","definition" : "Delay export until patient is discharged."},{"code" : "128721","display" : "Delay export until patient dies","definition" : "Delay export until patient dies."},{"code" : "128722","display" : "Delay export until expert review is available","definition" : "Delay export until expert review is available."},{"code" : "128723","display" : "Teaching File Category","definition" : "The category that describes the subject matter of a teaching file."},{"code" : "128724","display" : "Level of Difficulty","definition" : "The level of difficult that the material represents."},{"code" : "128725","display" : "Primary level","definition" : "The teaching material is of a primary level of difficulty."},{"code" : "128726","display" : "Intermediate level","definition" : "The teaching material is of an intermediate level of difficulty."},{"code" : "128727","display" : "Advanced level","definition" : "The teaching material is of an advanced level of difficulty."},{"code" : "128728","display" : "Musculoskeletal imaging subject matter","definition" : "The subject matter pertains to musculoskeletal imaging."},{"code" : "128729","display" : "Pulmonary imaging subject matter","definition" : "The subject matter pertains to pulmonary imaging."},{"code" : "128730","display" : "Cardiovascular imaging subject matter","definition" : "The subject matter pertains to cardiovascular imaging."},{"code" : "128731","display" : "Gastrointestinal imaging subject matter","definition" : "The subject matter pertains to gastrointestinal imaging."},{"code" : "128732","display" : "Genitourinary imaging subject matter","definition" : "The subject matter pertains to genitourinary imaging."},{"code" : "128733","display" : "Neuroimaging subject matter","definition" : "The subject matter pertains to neuroimaging ."},{"code" : "128734","display" : "Vascular and interventional imaging subject matter","definition" : "The subject matter pertains to vascular and interventional imaging."},{"code" : "128735","display" : "Nuclear medicine imaging subject matter","definition" : "The subject matter pertains to nuclear medicine imaging."},{"code" : "128736","display" : "Ultrasound imaging subject matter","definition" : "The subject matter pertains to ultrasound imaging."},{"code" : "128737","display" : "Pediatric imaging subject matter","definition" : "The subject matter pertains to pediatric imaging."},{"code" : "128738","display" : "Breast imaging subject matter","definition" : "The subject matter pertains to breast imaging."},{"code" : "128739","display" : "UDI","definition" : "The entire Human Readable Form of the Unique Device Identifier as defined by the Issuing Agency."},{"code" : "128740","display" : "Longitudinal Temporal Offset from Event","definition" : "An offset in time from a particular event of significance. In the context of a clinical trial, this is often the time since enrollment, or the baseline imaging study."},{"code" : "128741","display" : "Longitudinal Temporal Event Type","definition" : "The type of event to which a temporal offset is relative."},{"code" : "128750","display" : "Equipment Landmark","definition" : "A well-known landmark of the equipment that is visible by the operator."},{"code" : "128751","display" : "Center of Table Head","definition" : "An equipment landmark on the X-Ray Table head located on the table top plane, centered in the left-right direction of the table."},{"code" : "128752","display" : "Equipment Landmark X Position","definition" : "The X coordinate of the Equipment Landmark in the Table Coordinate System."},{"code" : "128753","display" : "Equipment Landmark Z Position","definition" : "The Z coordinate of the Equipment Landmark in the Table Coordinate System."},{"code" : "128754","display" : "Patient Location Fiducial","definition" : "A patient fiducial used to establish the patient location relative to equipment."},{"code" : "128756","display" : "Equipment Landmark to Patient Fiducial Z Distance","definition" : "The distance in the Z direction from the Equipment Landmark to the Patient Location Fiducial in the Table Coordinate System. Positive when the direction from the Equipment Landmark to the Patient Location Fiducial lies in the positive Z direction."},{"code" : "128757","display" : "Positioner Isocenter Primary Angle","definition" : "Angle in the XY plane of the isocenter reference system between the Y axis and a plane containing the Z axis and the X-Ray center beam (deg)."},{"code" : "128758","display" : "Positioner Isocenter Secondary Angle","definition" : "Angle, in the plane containing the Z axis of the isocenter reference system and the X-Ray center beam, between the XY plane and the X-Ray center beam (deg)."},{"code" : "128759","display" : "Positioner Isocenter Detector Rotation Angle","definition" : "Rotation of the X-Ray detector plane (deg)."},{"code" : "128760","display" : "Positioner Isocenter Primary End Angle","definition" : "Position of the X-Ray center beam in the isocenter reference system in the X direction (deg) at the end of an irradiation event."},{"code" : "128761","display" : "Positioner Isocenter Secondary End Angle","definition" : "Position of the X-Ray center beam in the isocenter reference system in the Z direction (deg) at the end of an irradiation event."},{"code" : "128762","display" : "Positioner Isocenter Detector Rotation End Angle","definition" : "Rotation of the X-Ray detector plane (deg) at the end of an irradiation event."},{"code" : "128763","display" : "Table Head Tilt End Angle","definition" : "Angle of the head-feet axis of the table (deg) relative to the horizontal plane at the end of an irradiation event."},{"code" : "128764","display" : "Table Horizontal Rotation End Angle","definition" : "Rotation of the table in the horizontal plane (deg) at the end of an irradiation event."},{"code" : "128765","display" : "Table Cradle Tilt End Angle","definition" : "Angle of the left-right axis of the table (deg) relative to the horizontal plane at the end of an irradiation event."},{"code" : "128766","display" : "Table X Position to Isocenter","definition" : "X position of the Table Reference Point with respect to the Isocenter (mm)."},{"code" : "128767","display" : "Table Y Position to Isocenter","definition" : "Y position of the Table Reference Point with respect to the Isocenter (mm)."},{"code" : "128768","display" : "Table Z Position to Isocenter","definition" : "Z position of the Table Reference Point with respect to the Isocenter (mm)."},{"code" : "128769","display" : "Table X End Position to Isocenter","definition" : "X position of the Table Reference Point with respect to the Isocenter (mm) at the end of an irradiation event."},{"code" : "128770","display" : "Table Y End Position to Isocenter","definition" : "Y position of the Table Reference Point with respect to the Isocenter (mm) at the end of an irradiation event."},{"code" : "128771","display" : "Table Z End Position to Isocenter","definition" : "Z position of the Table Reference Point with respect to the Isocenter (mm) at the end of an irradiation event."},{"code" : "128772","display" : "Reference Basis","definition" : "The anatomical feature or point of reference on which the reference location is based."},{"code" : "128773","display" : "Reference Geometry","definition" : "Characterizes the geometry of the reference location (e.g., a plane or point)."},{"code" : "128774","display" : "Person Observer's Login Name","definition" : "Login name (user ID) of human observer who created the observations."},{"code" : "128775","display" : "Identifier within Person Observer's Role","definition" : "An alphanumeric designator of an individual within a role."},{"code" : "128776","display" : "Gray Level Run Length Matrix","definition" : "The tabulation of gray level run lengths in a particular direction in an image. Abbreviated GLRLM.See ."},{"code" : "128777","display" : "Gray Level Size Zone Matrix","definition" : "A tabulation of counts of the number of groups of connected voxels with a specific discretized gray level value and size. Abbreviated GLSZM.See ."},{"code" : "128778","display" : "Gray Level Distance Zone Matrix","definition" : "A tabulation of counts of the number of groups (or zones) of linked voxels that share a specific discretised grey level value and possess the same distance to ROI edge. Abbreviated GLDZM.See ."},{"code" : "128779","display" : "Neighbourhood Grey Tone Difference Matrix","definition" : "A matrix containing the sum of grey level differences of pixels/voxels with a discretised grey level and average discretised grey level of neighbouring pixels/voxels within a specified Chebyshev distance. Abbreviated NGTDM.See ."},{"code" : "128780","display" : "Neighbouring Grey Level Dependence Matrix","definition" : "A tabulation of the counts of dependent (within a specified coarseness parameter) neighbouring discretised grey levels within a specified Chebyshev distance. Abbreviated NGLDM.See ."},{"code" : "128781","display" : "Joint Maximum of GLCM","definition" : "The probability corresponding to the most common gray level co-occurrence in the GLCM. Abbreviated MAX.See Fcm.joint.max in ."},{"code" : "128782","display" : "Joint Average of GLCM","definition" : "The gray level weighted sum of joint probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.joint.avg in ."},{"code" : "128783","display" : "Joint Variance of GLCM","definition" : "The sum of squares of the difference from the joint average of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.joint.var in ."},{"code" : "128784","display" : "Difference Average of GLCM","definition" : "The average for the diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.diff.avg in ."},{"code" : "128785","display" : "Difference Variance of GLCM","definition" : "The variance for the diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.diff.var in ."},{"code" : "128786","display" : "Difference Entropy of GLCM","definition" : "The entropy for the diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.diff.entr in ."},{"code" : "128787","display" : "Sum Average of GLCM","definition" : "The average for the cross-diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.sum.avg in ."},{"code" : "128788","display" : "Sum Variance of GLCM","definition" : "The variance for the cross-diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.sum.var in ."},{"code" : "128789","display" : "Sum Entropy of GLCM","definition" : "The entropy for the cross-diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.sum.entr in ."},{"code" : "128790","display" : "Inverse Difference of GLCM","definition" : "The inverse difference of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.diff in ."},{"code" : "128791","display" : "Inverse Difference Normalized of GLCM","definition" : "The normalized inverse difference of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.diff.norm in ."},{"code" : "128792","display" : "Inverse Difference Moment Normalized of GLCM","definition" : "The normalized inverse difference moment of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.diff.mom.norm in ."},{"code" : "128793","display" : "Inverse Variance of GLCM","definition" : "The inverse variance of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.var in ."},{"code" : "128794","display" : "Autocorrelation of GLCM","definition" : "The autocorrelation of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.auto.corr in ."},{"code" : "128795","display" : "Cluster Tendency of GLCM","definition" : "The cluster tendency of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.clust.tend in ."},{"code" : "128796","display" : "Cluster Shade of GLCM","definition" : "The cluster shade of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.clust.shade in ."},{"code" : "128797","display" : "Cluster Prominence of GLCM","definition" : "The cluster prominence of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.clust.prom in ."},{"code" : "128798","display" : "First Measure of Information Correlation of GLCM","definition" : "The first measure of information correlation of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.info.corr.1 in ."},{"code" : "128799","display" : "Second Measure of Information Correlation of GLCM","definition" : "The second measure of information correlation of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.info.corr.2 in ."},{"code" : "128801","display" : "Short Runs Emphasis","definition" : "A measure of the distribution of short runs in a gray level run length matrix. Abbreviated SRE.See Frlm.sre in ."},{"code" : "128802","display" : "Long Runs Emphasis","definition" : "A measure of the distribution of long runs in a gray level run length matrix. Abbreviated LRE.See Frlm.lre in ."},{"code" : "128803","display" : "Low Gray Level Run Emphasis","definition" : "A measure of the distribution of low gray level values in a gray level run length matrix. Abbreviated LGRE.See Frlm.lgre in ."},{"code" : "128804","display" : "High Gray Level Run Emphasis","definition" : "A measure of the distribution of high gray level values in a gray level run length matrix. Abbreviated HGRE.See Frlm.hgre in ."},{"code" : "128805","display" : "Short Run Low Gray Level Emphasis","definition" : "A measure of the joint distribution of short runs and low gray level values in a gray level run length matrix. Abbreviated SRLGE.See Frlm.srlge in ."},{"code" : "128806","display" : "Short Run High Gray Level Emphasis","definition" : "A measure of the joint distribution of short runs and high gray level values in a gray level run length matrix. Abbreviated SRHGE.See Frlm.srhge in ."},{"code" : "128807","display" : "Long Run Low Gray Level Emphasis","definition" : "A measure of the joint distribution of long runs and low gray level values in a gray level run length matrix. Abbreviated LRLGE.See Frlm.lrlge in ."},{"code" : "128808","display" : "Long Run High Gray Level Emphasis","definition" : "A measure of the the joint distribution of long runs and high gray level values in a gray level run length matrix. Abbreviated LRHGE.See Frlm.lrhge in ."},{"code" : "128809","display" : "Gray Level Nonuniformity in Runs","definition" : "A measure of the similarity of gray level values throughout the image in a gray level run length matrix. Abbreviated RLM.GLNU.See Frlm.glnu in ."},{"code" : "128810","display" : "Gray Level Nonuniformity in Runs Normalized","definition" : "A normalized measure of the similarity of gray level values throughout the image in a gray level run length matrix.See Frlm.glnu.norm in ."},{"code" : "128811","display" : "Run Length Nonuniformity","definition" : "A measure of the the similarity of the length of runs throughout the image in a gray level run length matrix. Abbreviated RLNU.See Frlm.rlnu in ."},{"code" : "128812","display" : "Run Length Nonuniformity Normalized","definition" : "A normalized measure of the the similarity of the length of runs throughout the image in a gray level run length matrix.See Frlm.rlnu.norm in ."},{"code" : "128813","display" : "Run Percentage","definition" : "A measure of the homogeneity and distribution of runs of an image in a specific direction in a gray level run length matrix. Abbreviated RPC.See Frlm.r.perc in ."},{"code" : "128814","display" : "Gray Level Variance in Runs","definition" : "The variance in runs for the gray levels in a gray level run length matrix.See Frlm.gl.var in ."},{"code" : "128815","display" : "Run Length Variance","definition" : "The variance in runs for run lengths in a gray level run length matrix.See Frlm.rl.var in ."},{"code" : "128816","display" : "Run Entropy","definition" : "The entropy of runs in a gray level run length matrix.See Frlm.rl.entr in ."},{"code" : "128821","display" : "Small Zone Emphasis","definition" : "A feature that emphasizes small zones from a gray level size zone matrix. Abbreviated SZE.See Fszm.sze in ."},{"code" : "128822","display" : "Large Zone Emphasis","definition" : "A feature that emphasizes large zones from a gray level size zone matrix. Abbreviated LZE.See Fszm.lze in ."},{"code" : "128823","display" : "Low Gray Level Zone Emphasis","definition" : "A feature that emphasizes low gray level zones from a gray level size zone matrix. Abbreviated LGZE.See Fszm.lgze in ."},{"code" : "128824","display" : "High Gray Level Zone Emphasis","definition" : "A feature that emphasizes high gray level zones from a gray level size zone matrix. Abbreviated LGZE.See Fszm.hgze in ."},{"code" : "128825","display" : "Small Zone Low Gray Level Emphasis","definition" : "A feature that emphasizes small zone sizes and low gray levels from a gray level size zone matrix. Abbreviated SZLGE.See Fszm.szlge in ."},{"code" : "128826","display" : "Small Zone High Gray Level Emphasis","definition" : "A feature that emphasizes small zone sizes and high gray levels from a gray level size zone matrix. Abbreviated SZHGE.See Fszm.szhge in ."},{"code" : "128827","display" : "Large Zone Low Gray Level Emphasis","definition" : "A feature that emphasizes large zone sizes and low gray levels from a gray level size zone matrix. Abbreviated LZLGE.See Fszm.lzlge in ."},{"code" : "128828","display" : "Large Zone High Gray Level Emphasis","definition" : "A feature that emphasizes large zone sizes and high gray levels from a gray level size zone matrix. Abbreviated LZHGE.See Fszm.lzhge in ."},{"code" : "128829","display" : "Gray Level Nonuniformity of Zone Counts","definition" : "The distribution of zone counts over the gray values in a gray level size zone matrix. Abbreviated SZM.GLNU.See Fszm.glnu in ."},{"code" : "128830","display" : "Gray Level Nonuniformity of Zone Counts Normalized","definition" : "The normalized distribution of zone counts over the gray values in a gray level size zone matrix.See Fszm.glnu.norm in ."},{"code" : "128831","display" : "Zone Size Nonuniformity","definition" : "The distribution of zone counts over the different zone sizes in a gray level size zone matrix. Abbreviated ZSNU.See Fszm.zsnu in ."},{"code" : "128832","display" : "Zone Size Nonuniformity Normalized","definition" : "The normalized distribution of zone counts over the different zone sizes in a gray level size zone matrix.See Fszm.zsnu.norm in ."},{"code" : "128833","display" : "Zone Percentage","definition" : "The fraction of the number of realised zones relative to the maximum number of potential zones in a gray level size zone matrix. Abbreviated ZPERC.See Fszm.z.perc in ."},{"code" : "128834","display" : "Gray Level Variance in Zones","definition" : "The variance ithe variance in zone counts for the gray levels in a gray level size zone matrix.See Fszm.gl.var in ."},{"code" : "128835","display" : "Zone Size Variance","definition" : "The variance in zone counts for the different zone sizes in a gray level size zone matrix.See Fszm.zs.var in ."},{"code" : "128836","display" : "Zone Size Entropy","definition" : "The entropy of zone sizes in a gray level size zone matrix.See Fszm.zs.entr in ."},{"code" : "129001","display" : "Eligibility Reader","definition" : "Person who looks at and interprets medical images against defined criteria for the purpose of establishing eligibility of the subject of said images to be enrolled in a research experiment or a clinical trial."},{"code" : "129002","display" : "Designator","definition" : "Person who designates locations on medical images (such as the location of lesions) for other persons or devices to measure or interpret."},{"code" : "129003","display" : "Image Quality Controller","definition" : "Person who reviews medical images to evaluate the compliance of said images with quality criteria."},{"code" : "129004","display" : "Results Quality Controller","definition" : "Person who reviews results derived from medical images to evaluate the compliance of said results with quality criteria."},{"code" : "129010","display" : "Edited Model","definition" : "A reference to a predecessor model that has been edited to produce the current model.For example: inclusion of more organs, completion of a partial segmentation, insertion of a bisection plane to allow interior inspection, or addition of support material."},{"code" : "129011","display" : "Component Model","definition" : "A reference to a predecessor model that contributed to the creation of the current combined model.This includes simple assembly of discrete pieces as well as more complex combination. For example: by Boolean mathematical and similar operations."},{"code" : "129012","display" : "Educational Intent","definition" : "Intended for educational purposes.For example: patient or care-giver education/informed consent, or training residents and fellows."},{"code" : "129013","display" : "Planning Intent","definition" : "Intended to be used to assist with procedure planning"},{"code" : "129014","display" : "Tool Fabrication","definition" : "Intended to be used to manufacture a patient-matched tool that is employed during a medical procedure.For example: drill/cutting guides, immobilizers, radiation shields, and plate bending templates."},{"code" : "129015","display" : "Prosthetic Fabrication","definition" : "Intended to be used to manufacture a fully external prosthetic/orthotic"},{"code" : "129016","display" : "Implant Fabrication","definition" : "Intended to be used to manufacture a wholly or partially internal implant"},{"code" : "129017","display" : "Simulation Intent","definition" : "Intended to be used for simulation and/or practice of a surgery or other medical procedure. \"Simulation\" is not used for patient-matched simulation, as this would be covered by \"Diagnostic Intent\" or \"Planning Intent\"."},{"code" : "129018","display" : "US 3D CAM model","definition" : "A 3D manufacturing model derived from ultrasound imaging."},{"code" : "129019","display" : "Mixed Modality 3D CAM model","definition" : "A 3D manufacturing model derived from images from multiple different modalities."},{"code" : "129020","display" : "Photogrammetric Imaging 3D CAM model","definition" : "A 3D manufacturing model derived from measurements made from photographs."},{"code" : "129021","display" : "Laser Scanning 3D CAM model","definition" : "A 3D manufacturing model derived from laser scanning measurements."},{"code" : "129100","display" : "Fat fraction","definition" : "The fraction of fat present, derived using Dixon or other techniques."},{"code" : "129101","display" : "Water/fat in phase","definition" : "Water/Fat In Phase signal, derived using Dixon or other techniques."},{"code" : "129102","display" : "Water/fat out of phase","definition" : "Water/Fat Out of phase signal, derived using Dixon or other techniques."},{"code" : "129103","display" : "Water fraction","definition" : "The fraction of water present, derived using Dixon or other techniques."},{"code" : "129104","display" : "Perfusion image analysis","definition" : "Analysis of perfusion images."},{"code" : "129105","display" : "Diffusion image analysis","definition" : "Analysis of diffusion images."},{"code" : "129106","display" : "Diffusion tractography","definition" : "Estimation of the course of fiber tracts by analysis of anisotropic diffusion."},{"code" : "129201","display" : "Image used for Treatment Planning","definition" : "Images that have been used in the treatment planning process."},{"code" : "129202","display" : "Image used for Dose Calculation","definition" : "Images that have been used for dose calculation in the treatment planning process."},{"code" : "129203","display" : "Image Acquired during Treatment","definition" : "Images that have been acquired during a treatment session."},{"code" : "129204","display" : "Image used as Reference Image for Treatment","definition" : "Images that are used in a treatment session as reference images to position the patient."},{"code" : "129210","display" : "Registration used in Planning","definition" : "Registrations that have been used in the treatment planning process"},{"code" : "129211","display" : "Registration created during Treatment","definition" : "Registrations that have been created in the execution of a treatment session."},{"code" : "129212","display" : "Dose from prior Treatment","definition" : "Dose volume from prior treatment(s)."},{"code" : "129301","display" : "Coil Marker","definition" : "A coil-shaped marker visible in an image."},{"code" : "129303","display" : "Cylinder Marker","definition" : "A cylinder-shaped marker visible in an image."},{"code" : "129305","display" : "Wire Marker","definition" : "A thread or rod-shaped marker visible in an image."},{"code" : "129306","display" : "Transponder Marker","definition" : "A marker that receives a radio signal and transmits a response."},{"code" : "129308","display" : "MR Marker","definition" : "A marker containing a substance that produces a distinctive signal on MR images."},{"code" : "129309","display" : "Infrared Reflector Marker","definition" : "Infrared reflecting external marker, e.g., attached to skin or stereotactic frame."},{"code" : "129310","display" : "Visible Reflector Marker","definition" : "Visible light reflecting external marker, e.g., attached to skin or stereotactic frame."},{"code" : "129320","display" : "Effective Atomic Number","definition" : "The average atomic number for a compound or mixture of materials. There are a variety of methods for estimating this value for a given compound."},{"code" : "129321","display" : "Modified Hounsfield Unit","definition" : "Modified pixel values within the Hounsfield Unit Value range."},{"code" : "129322","display" : "Value-based Image","definition" : "Each real-world value mapped pixel represents a certain value for a specified material (the exact interpretation of the value range has to be defined by the user)."},{"code" : "129323","display" : "Material Specific Image","definition" : "Each real-world value mapped pixel value represents a property the attenuation of a material such as attenuation, concentration or density."},{"code" : "129324","display" : "Material Removed Image","definition" : "Image with the attenuation contribution of one or more materials removed. For pixels that did not contain any of the removed material(s), the pixel values are unchanged."},{"code" : "129325","display" : "Material Highlighted Image","definition" : "Image where pixel values have been modified to highlight a certain target material by partially suppressing the background and/or by enhancing the modified material."},{"code" : "129326","display" : "Material Suppressed Image","definition" : "Image where pixel values have been modified to partially suppress the modified material (opposite to Material Highlighted image)."},{"code" : "129327","display" : "Material Recalculated Image","definition" : "Image where pixels are recalculated by a vendor-specific method."},{"code" : "129328","display" : "Volume Occupancy Image","definition" : "Each real-world value mapped pixel represents a fraction, by volume, occupied by the material."},{"code" : "129329","display" : "Mass Occupancy Image","definition" : "Each real-world value mapped pixel represents a fraction, by mass, occupied by the material."},{"code" : "130001","display" : "Minimum Surface Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose at the surface of a volume."},{"code" : "130002","display" : "Maximum Surface Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose at the surface of a volume."},{"code" : "130003","display" : "Minimum Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose throughout a volume."},{"code" : "130004","display" : "Maximum Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose throughout a volume."},{"code" : "130005","display" : "Minimum Mean Radiation Dose","definition" : "An objective to achieve a mean radiation dose over the volume which is greater than or equal to the specified radiation dose."},{"code" : "130006","display" : "Maximum Mean Radiation Dose","definition" : "An objective to achieve a mean radiation dose over the volume which is less than or equal to the specified radiation dose."},{"code" : "130007","display" : "Minimum Equivalent Uniform Dose","definition" : "An objective to achieve an equivalent uniform dose (EUD) which is greater than or equal to the specified radiation dose."},{"code" : "130008","display" : "Maximum Equivalent Uniform Dose","definition" : "An objective to achieve an equivalent uniform dose (EUD) which is less than or equal to the specified radiation dose."},{"code" : "130009","display" : "Prescription Radiation Dose","definition" : "An objective to achieve a radiation dose which is equal to the specified radiation dose throughout the volume."},{"code" : "130010","display" : "Minimum Conformity Index","definition" : "An objective to achieve a conformity index which is greater than or equal to the specified conformity index for a radiation dose which is equal to the specified radiation dose throughout the volume.Minimum Conformity Index as defined in , page 335."},{"code" : "130011","display" : "Minimum Healthy Tissue Conformity Index","definition" : "An objective to achieve a healthy tissue conformity index which is greater than or equal to the specified healthy tissue conformity index for a radiation dose which is equal to the specified radiation dose throughout the volume.Minimum Healthy Tissue Conformity Index as defined in , page 335."},{"code" : "130012","display" : "Minimum Conformation Number","definition" : "An objective to achieve a conformation number which is greater than or equal to the specified conformation number greater for a radiation dose which is equal to the specified radiation dose throughout the volume.Minimum Conformation Number as defined in , page 335."},{"code" : "130013","display" : "Maximum Homogeneity Index","definition" : "An objective to achieve a homogeneity index which is less than or equal to the specified homogenity index for a radiation dose which is equal to the specified radiation dose throughout the volume.Maximum Homogeneity Index as defined in , page 335."},{"code" : "130014","display" : "Minimum Percent Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose for at least a specified volume percentage."},{"code" : "130015","display" : "Maximum Percent Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose for at least a specified \"volume percentage."},{"code" : "130016","display" : "Minimum Absolute Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose for at least a specified volume size."},{"code" : "130017","display" : "Maximum Absolute Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose for at least a specified volume size."},{"code" : "130018","display" : "Minimize Meterset","definition" : "An objective to minimize the total Meterset."},{"code" : "130019","display" : "Specified Radiation Dose","definition" : "The radiation dose value for a Dosimetric Objective."},{"code" : "130020","display" : "Specified Volume Size","definition" : "The specified volume size of an anatomical region in a Dosimetric Objective."},{"code" : "130021","display" : "Specified Volume Percentage","definition" : "The percentage which represents a fractional parameter used by a Dosimetric Objective."},{"code" : "130022","display" : "Radiation Characteristics Note","definition" : "Free text note describing characteristics of the radiation."},{"code" : "130023","display" : "Beam Shaping Note","definition" : "Free text note describing the devices and techniques used to shape the radiation beam."},{"code" : "130024","display" : "Treatment Planning Note","definition" : "Free text note to describe suggestions or advice to treatment planning."},{"code" : "130025","display" : "Special Procedure Note","definition" : "Free text note describing additional activities that address individual patient needs."},{"code" : "130026","display" : "Patient Positioning Note","definition" : "Free text note describing the process to position the patient for the procedure."},{"code" : "130027","display" : "4D Radiation Treatment Note","definition" : "Free text note describing management of patient motion during the radiation treatment."},{"code" : "130028","display" : "Patient Setup Note","definition" : "Free text note describing the setup of the patient on the patient support device(s)."},{"code" : "130029","display" : "Previous Treatment Note","definition" : "Free text note describing previously delivered treatments."},{"code" : "130030","display" : "Planning Imaging Note","definition" : "Free text note describing the intended use of images for planning."},{"code" : "130031","display" : "Delivery Verification Note","definition" : "Free text note describing how delivery is to be verified."},{"code" : "130032","display" : "Simulation Note","definition" : "Free text note describing preferred simulation procedures."},{"code" : "130033","display" : "Radiation Therapy Particle","definition" : "Particle used for Radiotherapy treatment."},{"code" : "130034","display" : "RT Beam Energy","definition" : "Energy of the Radiotherapy treatment beam."},{"code" : "130035","display" : "Patient Positioning Procedure Note","definition" : "Free text note describing the procedure \"for acquiring and applying information about patient position."},{"code" : "130036","display" : "QA Process Note","definition" : "Free text note describing the Quality Assurance Process for the treatment of the patient."},{"code" : "130037","display" : "Ion Therapy Particle","definition" : "Particle for a radiotherapeutic treatment using beams of energetic protons, positive ions or other particles."},{"code" : "130038","display" : "Brachytherapy Isotope","definition" : "Isotope for a radiotherapeutic treatment where a decaying radiation source is placed inside or next to a target area, called Brachytherapy."},{"code" : "130039","display" : "Adaptive Radiation Therapy Note","definition" : "Free text note describing how adaptive radiotherapy is to be performed."},{"code" : "130040","display" : "Teletherapy Isotope","definition" : "Isotope for a radiotherapeutic treatment where a decaying radiation source is placed outside the body."},{"code" : "130041","display" : "RT Target","definition" : "Volume containing tissues to be irradiated to a specified radiation dose, typically encompassing a tumor, and possibly including surrounding subclinical disease, and margin(s) to account for uncertainties in patient positioning and organ motion."},{"code" : "130042","display" : "RT Dose Calculation Structure","definition" : "Non-target structure or volume used when calculating the radiation dose, e.g., during an optimzation process. This may be a structure whose proximity to the target and/or radiosensitivity restrict the radiation dose deliverable to the target."},{"code" : "130043","display" : "RT Geometric Information","definition" : "Points or volumes used as spatial references, e.g., treatment or imaging device isocenter or fiducial markers."},{"code" : "130044","display" : "Fixation or Positioning Device","definition" : "Device used to reproducibly position or limit the motion of a patient or portion of a patient during treatment."},{"code" : "130045","display" : "Brachytherapy Device","definition" : "Device used to deliver Brachtherapy treatments. This includes both devices containing radioactive sources (seeds, eye plaques) and devices used to position radioactive sources (source applicators, channels etc.)."},{"code" : "130046","display" : "Non-specific Volume","definition" : "A volume that does not represent a named physical entity."},{"code" : "130047","display" : "External Body Model","definition" : "A volume representing the external shape of the patient body used in radiotherapeutic procedures."},{"code" : "130048","display" : "Unclassified Volume","definition" : "A volume that does not correspond to an identifiable physical entity and has user specified boundaries."},{"code" : "130049","display" : "CTV Nodal","definition" : "Clinical Target Volume encompassing diseased lymph node(s) , with margin to include surrounding sub-clinical disease as defined in ."},{"code" : "130050","display" : "CTV Primary","definition" : "Clinical Target Volume encompassing primary tumor(s) , with margin to include surrounding sub-clinical disease as defined in ."},{"code" : "130051","display" : "GTV Nodal","definition" : "Gross Tumor Volume encompassing diseased lymph nodes as defined in ."},{"code" : "130052","display" : "GTV Primary","definition" : "Gross Tumor Volume encompassing primary tumor(s) as defined in ."},{"code" : "130053","display" : "PTV Nodal","definition" : "Planning Target Volume encompassing a nodal CTV, with margin to account for uncertainty in patient positioning and organ motion as defined in ."},{"code" : "130054","display" : "PTV Primary","definition" : "Planning Target Volume encompassing a primary CTV, with margin to account for uncertainty in patient positioning and organ motion as defined in ."},{"code" : "130055","display" : "Entire Body Target Volume","definition" : "Entire Body as a target volume for radiotherapy treatment. The usual term for a treatment technique irradiating this target is Full Body Irradiation."},{"code" : "130056","display" : "ITV","definition" : "Internal Target Volume encompassing the CTV, with margin to account for internal motion, often delineated using multiple images, e.g., acquired over a breathing cycle, cardiac cycle, etc, as defined in ."},{"code" : "130057","display" : "Planning Organ At Risk Volume","definition" : "Volume encompassing the Organ At Risk (Planning organ at Risk Volume (PRV)) with margin to account for uncertainty in patient positioning and organ motion as defined in ."},{"code" : "130058","display" : "Avoidance Volume","definition" : "Volume to which delivered radiation dose should be minimized or limited as defined in ."},{"code" : "130059","display" : "Treated Volume","definition" : "Volume enclosed by an isodose surface appropriate to achieve the purpose of treatment (e.g., tumor eradication or palliation) as defined in ."},{"code" : "130060","display" : "Organ At Risk","definition" : "Normal tissue that receives undesired radiation and may be damaged by the radiation treatment as defined in . The treatment is typically planned to limit the radiation dose to such an organ."},{"code" : "130061","display" : "Radiation Dose Shaping Volume","definition" : "A volume used to express dosimetric constraints for shaping the radiation dose distribution."},{"code" : "130062","display" : "Conformality Shell","definition" : "A volume surrounding the target to achive a high radiation dose gradient using a low radiation dose constraint."},{"code" : "130063","display" : "Radiation Dose Normalization Point","definition" : "A point for which a specific radiation dose value is chosen. The rest of the radiation dose distribution is normalized against\" this value."},{"code" : "130064","display" : "Radiation Dose Reference Point","definition" : "A point at which the radiation dose is observed."},{"code" : "130065","display" : "Dose Calculation Bounding Volume","definition" : "Volume for which radiation dose is calculated."},{"code" : "130066","display" : "Radiation Interaction Volume","definition" : "Volume in which the interaction of radiation with matter is taken into account."},{"code" : "130067","display" : "Patient Anatomy Model","definition" : "The external boundary of patient tissue without additional devices."},{"code" : "130068","display" : "Extended Patient Anatomy Model","definition" : "The external boundary of patient tissue plus devices that may be attached or adjacent to the body (such as Bolus, Patient Support Devices, Patient Immobilization Devices)."},{"code" : "130069","display" : "Patient Setup Point","definition" : "Point at which the patient is initially positioned prior to any other positioning procedure."},{"code" : "130070","display" : "Room Laser Patient Setup Point","definition" : "A reference point used for patient setup based on room lasers."},{"code" : "130071","display" : "Moveable Laser Patient Setup Point","definition" : "A reference point used for patient setup based on movable lasers."},{"code" : "130072","display" : "Reference Acquisition Point","definition" : "A reference point at which patient position verification references are acquired."},{"code" : "130073","display" : "Isocentric Treatment Location Point","definition" : "A point representing the machine isocenter."},{"code" : "130074","display" : "Specified Conformity Index","definition" : "The Conformity Index for a Dosimetric Objective as defined in , page 335."},{"code" : "130075","display" : "Specified Healthy Tissue Conformity Index","definition" : "The Healthy Tissue Conformity Index for a Dosimetric Objective as defined in , page 335."},{"code" : "130076","display" : "Specified Conformation Number","definition" : "The Conformation Number for a Dosimetric Objective as defined in , page 335."},{"code" : "130077","display" : "Specified Homogeneity Index","definition" : "The Homogeneity Index for a Dosimetric Objective as defined in , page 335."},{"code" : "130078","display" : "Brachytherapy Source Applicator","definition" : "Source applicator used in brachytherapy treatment delivery"},{"code" : "130079","display" : "Brachytherapy Channel Shield","definition" : "Channel shield device used in brachytherapy treatment delivery"},{"code" : "130080","display" : "Brachytherapy Channel","definition" : "Channel device used in brachytherapy treatment delivery"},{"code" : "130081","display" : "Unclassified Combination","definition" : "A logical combination of two or more volumes for which the combination is not classified."},{"code" : "130082","display" : "Relative Mass Density","definition" : "Ratio of the mass density of a material relative to the mass density of water."},{"code" : "130083","display" : "Relative Electron Density","definition" : "Ratio of the electron density of a material relative to the electron density of water."},{"code" : "130084","display" : "Effective Z","definition" : "The average atomic number of a material."},{"code" : "130085","display" : "Effective Z per A","definition" : "Ratio of effective atomic number to mass (AMU -1) for a material."},{"code" : "130086","display" : "Relative Linear Stopping Power","definition" : "Ratio of the linear stopping power of a material to the linear stopping power of water."},{"code" : "130087","display" : "Reference Energy","definition" : "An energy value which qualifies a quantity or parameter whose value is defined in respect to this energy."},{"code" : "130088","display" : "Linear Cell Kill Factor","definition" : "Linear Cell Kill Factor (α) as defined in J. Deacon et al (Rad. Onc 2(4) : 317-323, 1984), page 318-"},{"code" : "130089","display" : "Quadratic Cell Kill Factor","definition" : "Quadratic Cell Kill Factor (β) as defined in J. Deacon et al (Rad. Onc 2(4) : 317-323, 1984), page 318."},{"code" : "130090","display" : "High Dose Fraction Linear Cell Kill Factor","definition" : "High Dose Fraction Linear Cell Kill Factor (γ) as defined in Frederick W. McKenna et (J. Med. Phys, 36(2) : 100-106, 2011), page 102."},{"code" : "130091","display" : "Half-time for Tissue Repair","definition" : "Half-time for Tissue Repair as defined in R Singh R, et al. (Medical Dosimetry 28(4) : 225-259, 2003), page 256."},{"code" : "130092","display" : "High Dose Fraction Transition Dose","definition" : "High Dose Fraction Transition Dose as defined in Astrahan, M. (Med. Phys., 35(9) : 4161-4172, 2008), page 4164."},{"code" : "130093","display" : "Atomic Number","definition" : "The atomic number of an element, i.e. the number of protons found in the nucleus of an atom."},{"code" : "130094","display" : "Elemental Composition Atomic Mass Fraction","definition" : "The fractional weight of the element in a compound."},{"code" : "130095","display" : "alpha gEUD Value","definition" : "Tissue-specific parameter that describes the volume effect of radiation dose delivered to a volume.See AAPM Report 166 (http://www.aapm.org/pubs/reports/RPT_166.pdf) for additional information."},{"code" : "130096","display" : "Single Fraction","definition" : "A treatment consisting of a single treatment fraction, e.g., for stereotactic treatments."},{"code" : "130097","display" : "Standard Fractionation","definition" : "A treatment consisting of a one treatment fraction per day, typically 1.8-2.0 Gy per treatment fraction."},{"code" : "130098","display" : "Hypo-fractionation","definition" : "A treatment consisting of a reduced number of treatment fractions relative to a standard fractionation, typically with a higher radiation dose per fraction."},{"code" : "130099","display" : "Hyper-fractionation","definition" : "A treatment consisting of an increased number of fractions relative to a standard fractionation, typically two per day with smaller radiation dose per fraction."},{"code" : "130100","display" : "Continuous Temporary","definition" : "A treatment consisting of a continuous delivery using a temporary implant."},{"code" : "130101","display" : "Continuous Permanent","definition" : "A treatment consisting of a continuous delivery using a permanent implant."},{"code" : "130102","display" : "Static Beam","definition" : "A treatment technique in which the field shape and the source position do not change during delivery."},{"code" : "130103","display" : "Arc Beam","definition" : "A treatment technique in which the field shape does not change during delivery while the source position follows an arc."},{"code" : "130104","display" : "Conformal Arc Beam","definition" : "A treatment technique in which the field shape changes during delivery while the source position follows an arc."},{"code" : "130105","display" : "Step and Shoot Beam","definition" : "A treatment technique in which the field shape does not change during an exposure. Several field shapes may be used in different exposures at the same source position."},{"code" : "130106","display" : "Sliding Window Beam","definition" : "A treatment technique in which the field shape continously changes during an exposure at the same source position."},{"code" : "130107","display" : "VMAT","definition" : "A treatment technique in which the field shape, gantry speed and radiation dose rate changes during delivery while the source position follows an arc.Volumetric Modulated Arc Therapy (VMAT)."},{"code" : "130108","display" : "Helical Beam","definition" : "A treatment technique in which the field shape continously changes during delivery while the source position follows a continous arc in parallel to a simultaneous patient support movement."},{"code" : "130109","display" : "Topographic Beam","definition" : "A treatment technique in which the field shape and the source position do not change during\" delivery while the patient support is moving."},{"code" : "130110","display" : "Headframe","definition" : "A device attached to the tabletop that is also screwed into the skull of the patient's head to position and orient the head in a prescribed geometry relative to the tabletop. The device is commonly known as a \"halo\"."},{"code" : "130111","display" : "Head Mask","definition" : "A device that is placed over the patient's face and attached to the tabletop to prevent the patient from moving relative to the tabletop."},{"code" : "130112","display" : "Head and Neck Mask","definition" : "A device that is placed over the patient's face and neck and attached to the tabletop to prevent the patient from moving relative to the tabletop."},{"code" : "130113","display" : "Mold","definition" : "A device that is modified by pressure (molded) to fit another object (such as the patient\"s anatomy) and then used to control the reproducibility of the patient\"s treatment position."},{"code" : "130114","display" : "Cast","definition" : "A device that is fabricated from a mold of another object (like the patient\"s anatomy) and then used to control the reproducibility of the patient\"s treatment position."},{"code" : "130116","display" : "Breast Board","definition" : "A device placed on the tabletop to support the chest and arms of a patient in a prescribed position and orientation."},{"code" : "130117","display" : "Body Frame","definition" : "A device placed beneath a patient to support the whole body in a prescribed position and orientation relative to the table top."},{"code" : "130118","display" : "Vacuum Mold","definition" : "A device placed beneath a patient to support a body part in a prescribed position and orientation relative to the table top. It is commonly a bag containing low density polystyrene spheres that becomes semi-hard when vacuum is applied conforming to the bottom surface of the patient."},{"code" : "130119","display" : "Whole Body Pod","definition" : "A device placed beneath a patient to support the whole body in a prescribed position and orientation relative to the table top. It is commonly shaped like a hollow half cylinder. The space between the patient and the wall is commonly filled with a dual component foam that hardens conforming to the bottom surface of the patient."},{"code" : "130120","display" : "Rectal Balloon","definition" : "A flexible fluid container inserted into the rectum to maintain an immovable geometry during treatment."},{"code" : "130121","display" : "Vaginal Cylinder","definition" : "An intracavity cylinder inserted into the vagina to achieve greater radiation dose control and radiation dose shaping. Radioactive sources are inserted into the cylinder for treatment."},{"code" : "130123","display" : "Aperture Block","definition" : "A device, typically made of a low temperature alloy, such as Lipowitz\"s metal, that provides an opening in a beam block with constant attenuation across an area of the beam to prevent or reduce radiation dose delivery to normal tissues."},{"code" : "130124","display" : "Accessory Tray","definition" : "A device placed into a machine slot or an applicator to which accessories are attached."},{"code" : "130125","display" : "Radiotherapy Applicator","definition" : "A device placed into a radiotherapy machine slot which provide slot to add other devices and/or to limit the beam."},{"code" : "130126","display" : "Radiation transport-based methods","definition" : "A category of methods for the calculation of effective dose that are based on radiation transport and are used to predict the Relative Biological Effectiveness of an ion beam based on the quality of the radiation used.[Wambersie A, RBE, reference RBE and clinical RBE: Applications of these concepts in hadron therapy, Strahlentherapie und Onkologie 1999 June, 175(2) : 39-43][Paganetti H, et al., Relative biological effectiveness (RBE) values for proton beam therapy, Int J Rad. Onc Biol Phys, 2002 June; 53(2) : 407-421]"},{"code" : "130127","display" : "Fractionation-based or temporally-based methods","definition" : "A category of methods for the calculation of effective dose that are based on Fractionation or temporal patterns and are used to predict the Biologically Effective Dose.[Thames HD, Hendry JH. Fractionation in radiotherapy. New York: Taylor & Francis; 1987][Barendsen, G.W (1982) Dose fractionation, dose rate and iso-effect relationships for normal tissue responses, Int. J. Radiat. Oncol. Biol. Phys. 8 (11) : 1981-1997.]"},{"code" : "130128","display" : "Local Effect Model","definition" : "The Local Effect Model (LEM) method used to predict the Relative Biological Effectiveness of dose delivered using ion beams.[Grun, R. Friedrich, T. Elasasser, T. Kramer, M. Zink, K. Karger, C. P. Durante, M. Engenhard-Cabillic, R. Scholz, M. (2012) \"Impact of enhancements in the local effect model (LEM) on the predicted RBE-weighted target dose distribution in carbon ion therapy\" Physics in Medicine and Biology 57: 7261 - 7274.]"},{"code" : "130129","display" : "Microdosimetric Kinetic Model","definition" : "The Microdosimetric Kinetic Model (MKM) \" used to predict the Relative Biological Effectiveness of dose delivered using ion beams.[Inaniwa, T. Furukawa, T. Kase, Y. Matsufuji, N. Toshito, T. Matsumoto, Y. Furusawa, Y. Node, K. (2010) \"Treatment planning for a scanned carbon beam with a modified microdosimetric kinetic model\" Physics in Medicine and Biology 55: 6721 - 6737.]"},{"code" : "130130","display" : "Equivalent 2-Gray Fractions Model","definition" : "The linear quadratic model usedto compute the equivalent Biologically Effective Dose (BED) delivered in 2 Gray dose fractions.[Fowler JF. The linear-quadratic formula and progress in fractionated radiotherapy. Br J Radiol. 1989 Aug; 62 (740) : 679-94.]"},{"code" : "130131","display" : "Linear-Quadratic Model","definition" : "The linear quadratic model usedto compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate.[Fowler JF, Br J Radiol. 1989; 62: 679-694]"},{"code" : "130132","display" : "Linear-Quadratic Model with Time Factor","definition" : "The modified linear quadratic model with time factor method usedto compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate, taking into account tumor repopulation during treatment.[Fowler JF, Semin. Radiat. Oncol. 1992; 2(1) : 16-21]"},{"code" : "130133","display" : "Linear-Quadratic-Linear Model","definition" : "The linear-quadratic-linear dose-response model usedto compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate, taking into account linear cell survival with high dose fractions.[Astrahan M, Med.Phys. 2008; 35: 4161-4172]"},{"code" : "130134","display" : "Linear-Quadratic Model for Low-Dose Rate Brachytherapy","definition" : "The linear-quadratic dose-response model modified for low-dose rate brachytherapy used to compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate.[Sing R, Al-Hallaq H, Med.Dosim. 2003; 28(4) : 225-259]"},{"code" : "130135","display" : "Historical RT Prescription","definition" : "A Radiotherapy prescription prescribed prior to the current prescription."},{"code" : "130136","display" : "RT Prescription Input Images","definition" : "Image Instances available as input for prescribing a Radiotherapy treatment prescription."},{"code" : "130137","display" : "RT Treatment Planning Input Images","definition" : "Image Instances available as input for planning a Radiotherapy treatment plan."},{"code" : "130138","display" : "Multiple Fixed Sources","definition" : "A treatment technique using multiple decaying radiation sources at fixed spatial locations."},{"code" : "130139","display" : "Synchronized Robotic Treatment","definition" : "A treatment technique using a robotic delivery device with real-time motion tracking and compensation."},{"code" : "130140","display" : "Non-Synchronized Robotic Treatment","definition" : "A treatment technique using a robotic delivery device without real-time motion tracking and compensation."},{"code" : "130141","display" : "^3^Helium nucleus","definition" : "Ionized helium atom with 2 protons and 1 neutron."},{"code" : "130142","display" : "^4^Helium nucleus","definition" : "Ionized helium atom with 2 protons and 2 neutrons."},{"code" : "130143","display" : "^12^Carbon nucleus","definition" : "Ionized carbon atom with 6 protons and 6 neutrons."},{"code" : "130144","display" : "^16^Oxygen nucleus","definition" : "Ionized oxygen atom with 8 protons and 8 neutrons."},{"code" : "130150","display" : "Pressure above warning limit","definition" : "The injector device detected a pressure above the warning threshold, generated a warning and did not automatically terminate the administration."},{"code" : "130151","display" : "Pressure above adjustment limit","definition" : "The injector device detected a pressure above the adjustment limit, took compensating action and did not automatically terminate the administration."},{"code" : "130152","display" : "Flow rate above warning limit","definition" : "The injector device detected a flow rate above the warning threshold, generated a warning and did not automatically terminate the administration."},{"code" : "130153","display" : "Flow rate above adjustment limit","definition" : "The injector device detected a flow rate above the adjustment limit, took compensating action and did not automatically terminate the administration."},{"code" : "130154","display" : "Terminated due to request from operator","definition" : "The injector device terminated the administration due to detection of an abort request by the operator."},{"code" : "130155","display" : "Fixed duration pause ended","definition" : "The device detected that a pause duration has been reached and the device resumed automatically."},{"code" : "130156","display" : "Terminated due to pressure above termination limit","definition" : "The injector device detected a pressure above the termination limit and automatically terminated the administration."},{"code" : "130157","display" : "Terminated due to flow rate above termination limit","definition" : "The injector device detected a flow rate above the termination limit and automatically terminated the administration."},{"code" : "130158","display" : "Terminated due to excessive duration pause","definition" : "The Injector device detected that a pause duration has exceeded limit and the injector device terminated the administration."},{"code" : "130159","display" : "Terminated due to injector communication loss","definition" : "The injector device detected a communication loss and automaticallyterminated the administration."},{"code" : "130160","display" : "Terminated due to unspecified injector failure","definition" : "The injector device detected an unspecified failure and automaticallyterminated the administration."},{"code" : "130161","display" : "Keep vein open started","definition" : "The injector device started saline flow for the purpose of keeping vein open."},{"code" : "130162","display" : "Keep vein open ended","definition" : "The injector device ended saline flow for the purpose of keeping vein open."},{"code" : "130163","display" : "Syringe attached","definition" : "The injector device detected that a syringe was attached to the injector."},{"code" : "130164","display" : "Syringe detached","definition" : "The injector device detected that a syringe was detached from the injector."},{"code" : "130165","display" : "Total Keep Vein Open Volume Administered","definition" : "Total volume of flush delivered by the keep vein open function of the injector."},{"code" : "130168","display" : "Automatic Programmed Administration Phase","definition" : "An administration phase where fluid is being delivered by an injector system according to the programmed instructions."},{"code" : "130169","display" : "Automatic Programmed Delay Phase","definition" : "An administration phase where fluid delivery is stopped by the injector system until a programmed time elapses."},{"code" : "130170","display" : "Automatic with Manual Hold Phase","definition" : "An administration phase where the fluid is delivered automatically by an injector system and stopped under manual control by the operator."},{"code" : "130171","display" : "Automated Manual Inject Phase","definition" : "An administration phase where the fluid is delivered by the injector system under manual control by the operator."},{"code" : "130172","display" : "Manually Triggered Injection Information","definition" : "Information only available if injection was triggered manually."},{"code" : "130173","display" : "Automated Administration","definition" : "An administration mode where the fluid is delivered by a mechanical injector system."},{"code" : "130174","display" : "Manual Administration","definition" : "An administration mode where the substance is delivered manually"},{"code" : "130175","display" : "Air detected","definition" : "The injector device detected air in the tubing or syringe before or during the Imaging Agent administration and did not automatically terminate the administration."},{"code" : "130176","display" : "Terminated due to air detected","definition" : "The injector device detected air in the tubing or syringe and terminated the administration."},{"code" : "130177","display" : "Terminated by scanner","definition" : "The injector device received instruction from scanner to terminate the administration and terminated the administration."},{"code" : "130178","display" : "Terminated due to critical battery level","definition" : "The injector device detected critical battery level and terminated the administration."},{"code" : "130179","display" : "Terminated due to consumable removal","definition" : "The injector device detected removal of a consumable from the injector device and terminated the administration."},{"code" : "130181","display" : "Administration Mode","definition" : "A code that specifies how the Imaging Agent is administered to the patient."},{"code" : "130182","display" : "Planned Imaging Agent Administration Procedure Report","definition" : "A report of the planned patient-specific Imaging Agent administration steps."},{"code" : "130183","display" : "Imaging Agent Information","definition" : "Description of a specific Imaging Agent that was planned or was administered."},{"code" : "130184","display" : "Osmolality at 37C","definition" : "Number of osmoles of solute per kilogram of solvent at 37°C."},{"code" : "130185","display" : "Osmolarity at 37C","definition" : "Number of osmoles of solute per liter (L) at 37°C."},{"code" : "130186","display" : "Viscosity at 37C","definition" : "A measure of a resistance of a fluid to gradual deformation by stress, measured at 37°C."},{"code" : "130187","display" : "Imaging Agent Warmed","definition" : "Indicates if an Imaging Agent was warmed prior to the administration procedure."},{"code" : "130188","display" : "Contrast Transverse Relaxivity","definition" : "The degree to which a paramagnetic contrast agent can enhance the proton transverse relaxation rate constant (R2, 1/T2), normalized to the concentration of the contrast agent.Also referred to as r2. Typically expressed in units l/mmol/s."},{"code" : "130189","display" : "Is Ionic","definition" : "Indicates whether the Imaging Agent is Ionic or non-ionic."},{"code" : "130190","display" : "Dosing Factor","definition" : "Indicates normalized dose of Imaging Agent per kg of patient weight. Typically recommended by the vendor.For e.g,. grams Iodine per Kg (gI / Kg)."},{"code" : "130191","display" : "Imaging Agent Component Usage","definition" : "Information about use of Imaging Agent component(s)."},{"code" : "130192","display" : "Imaging Agent Administration Steps","definition" : "Information about list of administration steps for administering Imaging Agent."},{"code" : "130193","display" : "Pressure Limit","definition" : "A limit set at the power injector device indicating the maximum allowed pressure planned for administering the Imaging Agent."},{"code" : "130194","display" : "Time after the start of injection","definition" : "Time after the start of injection of a delivered Imaging Agent administration."},{"code" : "130195","display" : "Imaging Agent Administration Step","definition" : "An individual administration step in the Imaging Agent administration plan."},{"code" : "130196","display" : "Imaging Agent Administration Step Identifier","definition" : "Identifies a step in an Imaging Agent administration plan."},{"code" : "130197","display" : "Imaging Agent Administration Delay","definition" : "Time difference between the nominal start of the administration step and the actual start of Imaging Agent administration."},{"code" : "130198","display" : "Scan Delay","definition" : "Time delay for start of image acquisition after start of Imaging Agent administration."},{"code" : "130199","display" : "Imaging Agent Administration Steps Description","definition" : "Description of Imaging Agent administration plan."},{"code" : "130200","display" : "Imaging Agent Administration Protocol Name","definition" : "Protocol name for Imaging Agent administration."},{"code" : "130202","display" : "Imaging Agent Administration Phase","definition" : "Information about a delivery phase of an Imaging Agent administration step."},{"code" : "130203","display" : "Imaging Agent Administration Phase Identifier","definition" : "Identifies a phase in an Imaging Agent administration step."},{"code" : "130204","display" : "Imaging Agent Administration Phase Type","definition" : "Type of phase in an Imaging Agent administration step."},{"code" : "130205","display" : "Initial Volume of Imaging Agent in Container","definition" : "The volume of the Imaging Agent in an Imaging Agent container before administration."},{"code" : "130206","display" : "Residual Volume of Imaging Agent in Container","definition" : "The volume of the Imaging Agent remaining in the Imaging Agent container after administration."},{"code" : "130207","display" : "Rise Time","definition" : "Time for the injector to build up from zero to the set pressure."},{"code" : "130208","display" : "Starting Flow Rate of administration","definition" : "Flow rate at the start of an administration of the Imaging Agent."},{"code" : "130209","display" : "Ending Flow Rate of administration","definition" : "Flow rate at the end of an administration of the Imaging Agent."},{"code" : "130210","display" : "Bolus Shaping Curve","definition" : "A vendor-specific code indicating the shape of the flow rate curve within an administration phase."},{"code" : "130211","display" : "Imaging Agent Administration Completion Status","definition" : "The status of the Imaging Agent administration procedure at completion as reported by the automated injector or by the administering person."},{"code" : "130212","display" : "Imaging Agent Administration Adverse Events","definition" : "Information about adverse events occurring during administration of an Imaging Agent."},{"code" : "130214","display" : "Estimated Extravasation Volume","definition" : "The estimated volume lost at the injection site.The estimation includes extravasation, paravenous administration and leakage at the injection site."},{"code" : "130215","display" : "Adverse Event Detection DateTime","definition" : "Date and Time when an adverse event was noticed by the observer."},{"code" : "130216","display" : "Referenced Imaging Agent Administration Step UID","definition" : "The unique identifier of the Imaging Agent administration step being referenced."},{"code" : "130217","display" : "Referenced Imaging Agent Administration Phase Identifier","definition" : "The identifier of an Imaging Agent administration phase being referenced."},{"code" : "130218","display" : "Programmable Injector Device","definition" : "An injector device that can be configured to execute a series of phases automatically."},{"code" : "130219","display" : "Number of Injector Heads","definition" : "Number of injector heads or pumps (single, dual or many) in an injector device."},{"code" : "130220","display" : "Administration discontinued","definition" : "Whether the agent administration was discontinued."},{"code" : "130221","display" : "Imaging Agent Volume per Unit of Presentation","definition" : "The volume of Imaging Agent in one unit of presentation. The capacity of the unit of presentation may be larger than this."},{"code" : "130222","display" : "Imaging Agent Administration Consumable","definition" : "Information about the Imaging Agent accessory or consumable used for performing the Imaging Agent administration."},{"code" : "130223","display" : "Imaging Agent Administration Consumable Type","definition" : "Type of consumable used for performing the Imaging Agent administration."},{"code" : "130224","display" : "Consumable is New","definition" : "If the consumable is installed newly during the preparation process for this Imaging Agent Administration."},{"code" : "130226","display" : "Planned Imaging Agent Administration","definition" : "Information about the Imaging Agent administration steps that is patient-specific."},{"code" : "130227","display" : "Performed Imaging Agent Administration","definition" : "Information about the Imaging Agent administration steps that were delivered to a patient."},{"code" : "130228","display" : "Contrast Volume Limit","definition" : "The maximum volume of contrast agent allowed to be administered.This is typically specified by the prescribing health care professional for patient safety and quality purposes."},{"code" : "130229","display" : "Flow Rate vs Time","definition" : "Graph depicting the measurement of flow rate of fluid against time."},{"code" : "130230","display" : "Pressure vs Time","definition" : "Graph depicting the measurement of pressure of fluid against time."},{"code" : "130231","display" : "Barcode Value","definition" : "The alphanumeric string from reading a barcode."},{"code" : "130232","display" : "Imaging Agent Administration Graph","definition" : "Information about two-dimensional graph data for a syringe or pump."},{"code" : "130233","display" : "Imaging Agent Administration Injector Events","definition" : "Information about events that occurred at an injector during an Imaging Agent administration."},{"code" : "130234","display" : "Imaging Agent Administration Injector Event Type","definition" : "Type of event that occurred at an injector during an Imaging Agent administration."},{"code" : "130235","display" : "Injector Event Detection DateTime","definition" : "Date and time when an injector event was detected."},{"code" : "130236","display" : "Planned Imaging Agent Administration SOP Instance","definition" : "Reference to a Planned Imaging Agent Administration SOP instance."},{"code" : "130237","display" : "Imaging Agent Administration Activity","definition" : "Information about the activity in an Imaging Agent administration phase. In an Automated Injection system this describes the activity of one of the pump or syringe units used."},{"code" : "130238","display" : "Imaging Agent Component","definition" : "Information about a component of an Imaging Agent."},{"code" : "130239","display" : "Component Volume","definition" : "Volume of one agent component in a mixture of multiple components."},{"code" : "130240","display" : "Total Phase Volume Administered","definition" : "Total volume administered by all syringes/pump actions during a single phase."},{"code" : "130241","display" : "Total Step Volume Administered","definition" : "Total volume administered by all syringes/pump actions within all phases during a single Step."},{"code" : "130242","display" : "Total number of manually triggered injections","definition" : "Total number of times that an injection was triggered manually."},{"code" : "130244","display" : "Peak Flow Rate in Phase Activity","definition" : "Peak flow rate value detected at a specific location (syringe or pump) during a specific activity of an administration phase."},{"code" : "130245","display" : "Peak Pressure in Phase Activity","definition" : "Peak pressure value detected at a location (syringe or pump) during a single administration phase activity."},{"code" : "130246","display" : "Imaging Agent Administration Performed Step UID","definition" : "Unique identification of a single performed Imaging Agent administration step actually delivered on a specific occasion"},{"code" : "130247","display" : "Patency Test Injection","definition" : "An injection of an inactive agent to test for blockages or leakages in the delivery path, usually performed prior to an administration of an imaging or therapeutic agent."},{"code" : "130248","display" : "Transit Time Test Injection","definition" : "An injection of a bolus of Imaging Agent to determine the appropriate delay time for a diagnostic administration."},{"code" : "130249","display" : "Diagnostic Administration","definition" : "Administration of an Imaging Agent for the purpose of enhancing contrast in an image."},{"code" : "130250","display" : "Administration Step Type","definition" : "Type of step in an Imaging Agent administration. For example, a test administration or a diagnostic administration."},{"code" : "130251","display" : "Flush Administration","definition" : "Injection of an inactive fluid to clear the administration path of an active agent."},{"code" : "130252","display" : "Negative exponential","definition" : "A curve that decays exponentially from a specified start value, at a specified decay rate."},{"code" : "130253","display" : "Linear Curve","definition" : "A curve that changes linearly from a specified start value to a specified end value.Note: The start value and the end value may be the same, indicating a flat curve."},{"code" : "130254","display" : "Imaging Agent Identifier","definition" : "Identifies an Imaging Agent uniquely within a set of Imaging Agents. The Imaging Agent may be a single component or a mix of multiple components."},{"code" : "130255","display" : "Referenced Imaging Agent Identifier","definition" : "The identifier of an Imaging Agent being referenced."},{"code" : "130257","display" : "Consumable Catheter Type","definition" : "Type of catheter used for Imaging Agent administration."},{"code" : "130259","display" : "Contrast Reaction Prophylactic Agent","definition" : "A pharmaceutical agent administered as a pre-medication to prevent contrast reactions."},{"code" : "130261","display" : "Imaging Agent Administration Performed Phase UID","definition" : "Unique identification of a single Imaging Agent administration performed phase."},{"code" : "130262","display" : "Referenced Imaging Agent Administration Phase UID","definition" : "The unique identifier of the Imaging Agent administration performed phase being referenced"},{"code" : "130263","display" : "Automatic Programmed Wait Phase","definition" : "A non time-determined administration phase that is not automatically terminated, where fluid delivery is stopped until manually resumed."},{"code" : "130264","display" : "Imaging Agent Administration Injector Phase Identifier","definition" : "The Imaging Agent Administration Injector Phase Identifier used for presenting this Phase to the User Interface of the injector. Not necessarily the same as the Imaging Agent Administration Phase Identifier of the IAASR Plan."},{"code" : "130265","display" : "Imaging Agent Administration Phase with Manual Hold","definition" : "Indicator for marking this phase as a Automated Administration Phase, which has undergone a manual hold during execution."},{"code" : "130266","display" : "Programmed hold started","definition" : "A programmed administration phase initiated an injector hold/wait state."},{"code" : "130267","display" : "Manual hold started","definition" : "A manual intervention of the technologist initiated an injector hold/wait state."},{"code" : "130268","display" : "Manual resume from hold","definition" : "A manual intervention of the technologist has resumed injector fluid administration. It does not matter if the hold/wait state was initiated programmed or manually."},{"code" : "130269","display" : "Terminated hold due to timeout","definition" : "The injector terminated injection processing from hold/wait after exceeding a time limit."},{"code" : "130290","display" : "Median","definition" : "Towards the mid-sagittal plane of the body."},{"code" : "130300","display" : "Skin of paraspinal area of the neck","definition" : "Structure of skin of paraspinal area of the neck."},{"code" : "130301","display" : "Skin of paraspinal area of the superior back","definition" : "Structure of skin of paraspinal area of the superior back."},{"code" : "130302","display" : "Skin of upper paraspinal region","definition" : "Structure of skin of upper paraspinal region."},{"code" : "130303","display" : "Skin of mid paraspinal region","definition" : "Structure of skin of mid paraspinal region."},{"code" : "130304","display" : "Skin of lower paraspinal region","definition" : "Structure of skin of lower paraspinal region."},{"code" : "130305","display" : "Skin of anterior helix of ear","definition" : "Structure of skin of anterior helix of ear."},{"code" : "130306","display" : "Skin of caruncle of eye","definition" : "Structure of skin of caruncle of eye."},{"code" : "130307","display" : "Skin of inferior helix of ear","definition" : "Structure of skin of inferior helix of ear."},{"code" : "130308","display" : "Skin of inferior posterior surface of the pinna","definition" : "Structure of skin of inferior posterior surface of the pinna."},{"code" : "130309","display" : "Skin of lateral part of dorsum of foot","definition" : "Structure of skin of lateral part of dorsum of foot."},{"code" : "130310","display" : "Skin of lower antihelix of ear","definition" : "Structure of skin of lower antihelix of ear."},{"code" : "130311","display" : "Skin of lower eyelid margin","definition" : "Structure of skin of lower eyelid margin."},{"code" : "130312","display" : "Skin of infraalar groove","definition" : "Structure of skin of infraalar groove."},{"code" : "130313","display" : "Skin of medial part of dorsum of foot","definition" : "Structure of skin of medial part of dorsum of foot."},{"code" : "130314","display" : "Skin of paranasal cheek","definition" : "Structure of skin of paranasal cheek."},{"code" : "130315","display" : "Skin of posterior helix of ear","definition" : "Structure of skin of posterior helix of ear."},{"code" : "130316","display" : "Skin of posterior lobule of the ear","definition" : "Structure of skin of posterior lobule of the ear."},{"code" : "130317","display" : "Skin of sole of forefoot","definition" : "Structure of skin of sole of forefoot."},{"code" : "130318","display" : "Skin of superior antihelix of ear","definition" : "Structure of skin of superior antihelix of ear."},{"code" : "130319","display" : "Skin of superior posterior helix of ear","definition" : "Structure of skin of superior posterior helix of ear."},{"code" : "130320","display" : "Skin of superior posterior surface of the pinna","definition" : "Structure of skin of superior posterior surface of the pinna."},{"code" : "130321","display" : "Skin of upper antihelix of ear","definition" : "Structure of skin of upper antihelix of ear."},{"code" : "130322","display" : "Skin of upper eyelid margin","definition" : "Structure of skin of upper eyelid margin."},{"code" : "130323","display" : "Skin of mid back","definition" : "Structure of skin of mid back."},{"code" : "130324","display" : "Functional condition present during acquisition","definition" : "A functional condition present during acquisition, such as phonation, weight bearing, voiding of the bladder or hemodynamic physiological challenges."},{"code" : "130325","display" : "Orthognathic Functional Condition","definition" : "A functional condition present during acquisition that is related to the jaw, such as the position of the lips, mouth, or mandible."},{"code" : "130330","display" : "Jaw Pair","definition" : "RT beam limiting device jaw pair"},{"code" : "130331","display" : "Leaf Pairs","definition" : "RT beam limiting device multi-element leaf pairs"},{"code" : "130332","display" : "Variable Circular Collimator","definition" : "A circular, aperture size adjustable beam limiting device for an RT treatment device."},{"code" : "130333","display" : "Single Leaves","definition" : "RT beam limiting device multi-element unpaired leaves"},{"code" : "130334","display" : "X Orientation","definition" : "Oriented in the X direction of a defined coordinate system."},{"code" : "130335","display" : "Y Orientation","definition" : "Oriented in the Y direction of a defined coordinate system."},{"code" : "130340","display" : "Physical Compensator","definition" : "Physical RT external beam compensator to compensate for inhomogeneity."},{"code" : "130341","display" : "Total Body Irradiation","definition" : "RT Treatment irradiating the body of the Patient in part or in whole."},{"code" : "130342","display" : "Total Skin Irradiation","definition" : "RT Treatment irradiating the surface of the skin of the Patient in part or in whole."},{"code" : "126812","display" : "Isocentric Patient Support Continuous Pitch Angle","definition" : "Patient SupportContinuous Pitch Angle at the isocenter position about the x-axis of the Equipment Coordinate System."},{"code" : "126813","display" : "Isocentric Patient Support Continuous Roll Angle","definition" : "Patient Support Continuous Roll Angle at the isocenter position about the y-axis of the Equipment Coordinate System."},{"code" : "126814","display" : "Isocentric Patient Support Continuous Yaw Angle","definition" : "Patient Support Continuous Yaw Angle at the isocenter position about the z-axis of the Equipment Coordinate System."},{"code" : "126815","display" : "Isocentric Patient Support Lateral Position","definition" : "Patient Support Lateral Position along the x-axis of the Equipment Coordinate System."},{"code" : "126816","display" : "Isocentric Patient Support Longitudinal Position","definition" : "Patient Support Longitudinal Position along the y-axis of the Equipment Coordinate System."},{"code" : "126817","display" : "Isocentric Patient Support Vertical Position","definition" : "Patient Support Vertical Position along the z-axis of the Equipment Coordinate System."},{"code" : "130343","display" : "Electron Fixed Aperture","definition" : "A type of device (or cone) for electron treatments that attaches to the applicator carriage of an RT treatment device for the purpose of holding an aperture and a bolus close to the patient's skin. Several beam applicators may be available to reduce the weight of apertures lifted by therapists, decrease the aperture/bolus-to-skin distance, and reduce leakage radiation."},{"code" : "130344","display" : "Photon Fixed Aperture","definition" : "A type of device (or cone) for photon treatments that is attached to the radiation head of an RT treatment device into which beam modifiers are installed."},{"code" : "130345","display" : "Intraoperative Fixed Aperture","definition" : "A type of device which is used to delimit the radiation of an RT treatment device in case of an intraoperative radiotherapeutic treatment."},{"code" : "130346","display" : "Hard Wedge","definition" : "A physical device placed inside the radiation head used to modify the fluence distribution across the field."},{"code" : "130347","display" : "Motorized Wedge","definition" : "A physical device manually placed between the radiation head and the patient used to modify the fluence distribution across the field. It is motorized and can be inserted/extracted from the beam path."},{"code" : "130348","display" : "Dynamic Wedge","definition" : "An effective wedge generated by the movement of a jaw across the treatment field while delivering radiation."},{"code" : "130349","display" : "Graticule","definition" : "Mechanical grid to embed scaling information in a radiographic image"},{"code" : "130350","display" : "Reticle","definition" : "Mechanical crosshair to embed a crosshair representing axes and scaling information in a radiographic image"},{"code" : "130351","display" : "Image Detector","definition" : "An electronic radiographic imaging device"},{"code" : "130352","display" : "Film Holder","definition" : "Mechanical device to hold imaging film"},{"code" : "130353","display" : "Winston-Lutz Pointer","definition" : "A spherical mechanical indicator used for alignment"},{"code" : "130354","display" : "Bowtie Filter","definition" : "A bowtie-shaped filter used in imaging"},{"code" : "130355","display" : "Flattening Filter Beam","definition" : "Beam that uses a filter to produce a nearly uniform intensity profile."},{"code" : "130356","display" : "Non-Flattening Filter Beam","definition" : "Beam that does not use a filter to produce a nearly uniform intensity profile."},{"code" : "130357","display" : "Partial Flattening Filter Beam","definition" : "Beam that uses a filter to produce a nearly uniform region across part of the intensity profile."},{"code" : "128678","display" : "Physics Assistant","definition" : "A medical professional capable of developing a radiotherapy plan from a Physicians prescription and assisting in radiation machine calibration and other radiotherapy quality assurance work under supervision of a Medical Physicist."},{"code" : "130358","display" : "Nominal Radiation Source Location","definition" : "The point location defined as the nominal source of radiation."},{"code" : "130359","display" : "Treatment Machine Isocenter","definition" : "The center point of the treatment machine through which all beam central axes pass under all gantry angles."},{"code" : "130360","display" : "Fixed Laser Setup Point","definition" : "A fixed point at which initial patient setup is performed based on lasers."},{"code" : "130361","display" : "Radiotherapy Treatment Device","definition" : "A device delivering radiotherapy treatments."},{"code" : "130362","display" : "Head Node Set","definition" : "Set of Robotic Nodes that can be used for targets associated with the patient's head."},{"code" : "130363","display" : "Body Node Set","definition" : "Set of Robotic Nodes that can be used for targets within the patient's body, excluding the head."},{"code" : "130364","display" : "Trigeminal Node Set","definition" : "Set of Robotic Nodes that can be used for targets near the patient's trigeminal nerve."},{"code" : "130365","display" : "QA Node Pair","definition" : "Two Robotic Nodes for Quality Assurance, for example daily checks."},{"code" : "130366","display" : "QA Node","definition" : "Single Robotic Node for Quality Assurance."},{"code" : "130370","display" : "RTV Rendition","definition" : "DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a simultaneous presentation."},{"code" : "130371","display" : "RTV Audio and Video Rendition","definition" : "Audio and Video DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a simultaneous presentation."},{"code" : "130372","display" : "RTV Stereo Video Rendition","definition" : "Two Video DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a stereo video."},{"code" : "130373","display" : "RTV Audio and Stereo Video Rendition","definition" : "Audio and two Video DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a stereo video."},{"code" : "130400","display" : "Geometric purpose of region","definition" : "The purpose of defining a region."},{"code" : "130401","display" : "Visual explanation","definition" : "A visual explanation of how an algorithm produced its results."},{"code" : "130402","display" : "Class activation","definition" : "Values are derived using global average pooling in convolutional neural networks to produce a localization map highlighting the important regions in the image for predicting a class. The class activation map (CAM) indicates the discriminative image regions used by the network to identify a class."},{"code" : "130403","display" : "Gradient-weighted class activation","definition" : "Values are derived using the gradients of a target class flowing into the final convolutional layer of a convolutional neural network to produce a localization map highlighting the important regions in the image for predicting a class. The gradient-weighted class activation map (Grad-CAM) indicates the discriminative image regions used by the network to identify a class."},{"code" : "130404","display" : "Saliency","definition" : "Values are derived using a single back-propagation pass through a network to produce a localization map highlighting the spatial support of a given class in a given image."},{"code" : "130405","display" : "Patient-Attached Dose Control Object","definition" : "An object which is attached to the patient to attenuate the therapeutic dose (such as a Bolus or a lead shield)."},{"code" : "130406","display" : "Non-uterine leiomyosarcoma","definition" : "A leiomyosarcoma (sarcoma containing large spindle cells of smooth muscle) occuring at a site other than the uterus."},{"code" : "130407","display" : "Bone and soft tissue","definition" : "Body structures of bone and soft tissue."},{"code" : "130408","display" : "Perivascular adipose tissue fat attenuation index","definition" : "A measure of weighted attenuation shifts within perivascular adipose tissue, computed as a weighted measure of attenuation in concentric layers of perivascular tissue around the arterial wall, capturing the respective perivascular attenuation gradients. Abbreviated \"FAI\".See Antoniades C, Kotanidis CP, Berman DS. State-of-the-art review article. Atherosclerosis affecting fat: What can we learn by imaging perivascular adipose tissue? Journal of Cardiovascular Computed Tomography. 2019 Mar 29;0(0). Available from: http://​www.journalofcardiovascularct.com/​article/​S1934-5925(18)30618-X/​abstract."},{"code" : "130410","display" : "Patient position","definition" : "A channel monitoring the patient’s position."},{"code" : "130411","display" : "Patient rotation longitudinal","definition" : "A channel monitoring the patient’s rotation around the body’s longitudinal (head – feet) axis."},{"code" : "130412","display" : "Patient elevation","definition" : "A channel monitoring the angle of elevation of the patient against horizontal."},{"code" : "130413","display" : "Hyperventilation begin","definition" : "Begin of deepened or accelerated breathing."},{"code" : "130414","display" : "Hyperventilation end","definition" : "End of deepened or accelerated breathing."},{"code" : "130415","display" : "Post-hyperventilation","definition" : "Point in time after end of hyperventilation."},{"code" : "130416","display" : "Airflow Thermistor","definition" : "Airflow measured by a thermistor sensor."},{"code" : "130417","display" : "Airflow Thermocouple","definition" : "Airflow measured by a thermocouple sensor."},{"code" : "130418","display" : "Airflow Nasal Prong","definition" : "Airflow measurement by a nasal prong."},{"code" : "130419","display" : "Airflow PVDF","definition" : "Airflow measurement by a nasal piezoelectric polyvinylidenefluoride sensor."},{"code" : "130420","display" : "Airflow CPAP","definition" : "Airflow measurement by a Continuous Positive Airway Pressure device."},{"code" : "130421","display" : "Airflow","definition" : "Airflow measured by an unspecified method or device."},{"code" : "130422","display" : "PAP Pressure","definition" : "Pressure delivered by a positive airway pressure device like a CPAP or BiPAP machine."},{"code" : "130423","display" : "PAP Leak Pressure","definition" : "Pressure of air leaking from a positive airway pressure device like a CPAP or BiPAP machine."},{"code" : "130424","display" : "PAP Tidal Volume","definition" : "Tidal volume during breathing when subject is using a positive airway pressure device like a CPAP or BiPAP machine."},{"code" : "130425","display" : "Esophageal Pressure","definition" : "Pressure in the esophagus measured by esophageal manometry."},{"code" : "130426","display" : "Respiratory Pressure","definition" : "Respiratory pressure measured with an unspecified method or device."},{"code" : "130427","display" : "Thoracic Respiratory Inductance","definition" : "Respiratory effort delivered by a respiratory inductance plethysmography (RIP) belt applied on the patient’s thorax."},{"code" : "130428","display" : "Abdominal Respiratory Inductance","definition" : "Respiratory effort delivered by a respiratory inductance plethysmography (RIP) belt applied on the patient’s abdomen."},{"code" : "130429","display" : "Thoracic Respiratory PVDF","definition" : "Respiratory effort delivered by a piezoelectric polyvinylidenefluoride sensor belt applied on the patient’s thorax."},{"code" : "130430","display" : "Abdominal Respiratory PVDF","definition" : "Respiratory effort delivered by a piezoelectric polyvinylidenefluoride sensor belt applied on the patient’s abdomen."},{"code" : "130431","display" : "Thoracic Respiratory Effort","definition" : "Respiratory effort measured by an unspecified method or device on the patient’s thorax."},{"code" : "130432","display" : "Abdominal Respiratory Effort","definition" : "Respiratory effort measured by an unspecified method or device on the patients abdomen."},{"code" : "130433","display" : "Respiratory Effort","definition" : "Respiratory effort measured by an unspecified method or device."},{"code" : "130434","display" : "CO2 Transcutaneous","definition" : "Partial pressure of carbon dioxide in the respiratory gases measured transcutaneously."},{"code" : "130435","display" : "CO2 Waveform End-tidal Main-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal main-stream respiratory gases."},{"code" : "130436","display" : "CO2 Trend End-tidal Main-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal main-stream respiratory gases averaged over time."},{"code" : "130437","display" : "CO2 Waveform End-tidal Side-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal side-stream respiratory gases."},{"code" : "130438","display" : "CO2 Trend End-tidal Side-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal side-stream respiratory gases averaged over time."},{"code" : "130439","display" : "CO2 Waveform Main-stream","definition" : "Partial pressure of carbon dioxide measured in the main-stream respiratory gases."},{"code" : "130440","display" : "CO2 Waveform Side-stream","definition" : "Partial pressure of carbon dioxide measured in the side-stream respiratory gases."},{"code" : "130441","display" : "CO2 Trend Main-stream","definition" : "Partial pressure of carbon dioxide measured in the main-stream respiratory gases averaged over time."},{"code" : "130442","display" : "CO2 Trend Side-stream","definition" : "Partial pressure of carbon dioxide measured in the side-stream respiratory gases averaged over time."},{"code" : "130443","display" : "CO2 Respiration","definition" : "Partial pressure of carbon dioxide in the respiratory gases measured using an unspecified method or device."},{"code" : "130444","display" : "RT Treatment with Ad Hoc Planning","definition" : "Radiotherapy treatment delivery where treatment parameters are defined at the treatment device, rather than specified by a treatment plan."},{"code" : "130445","display" : "Imaging Agent Administration Step Sequence Number","definition" : "The order in which Imaging Agent administration steps are planned to be performed."},{"code" : "130450","display" : "Operator decision to terminate treatment","definition" : "Decision was made by the operator of the equipment to discontinue treatment."},{"code" : "130451","display" : "Patient decision to terminate treatment","definition" : "Decision was made by the patient to discontinue treatment."},{"code" : "130452","display" : "Physician decision to terminate treatment","definition" : "Decision was made by the physician to discontinue treatment."},{"code" : "130453","display" : "Treatment Terminated","definition" : "Treatment delivery of this RT Radiation was terminated."},{"code" : "130454","display" : "Interlock Overridden","definition" : "An out-of-tolerance delivery parameter was accepted or re-specified and treatment delivery was continued."},{"code" : "130455","display" : "Patient Repositioned","definition" : "The patient was re-positioned and treatment delivery was continued."},{"code" : "130456","display" : "Bolus Present","definition" : "A bolus is confirmed to be present."},{"code" : "130457","display" : "Cone Present","definition" : "A cone is confirmed to be present."},{"code" : "130458","display" : "Block Present","definition" : "A block is confirmed to be present."},{"code" : "130459","display" : "Applicator Present","definition" : "An applicator is confirmed to be present."},{"code" : "130460","display" : "Headframe Present","definition" : "A headframe is confirmed to be present."},{"code" : "130461","display" : "Inappropriate Patient Orientation","definition" : "The patient could not be positioned on the patient positioning device in a way, that the shape of treatment area has an unacceptable orientation to match the intended target area."},{"code" : "130462","display" : "Inappropriate Patient Position","definition" : "The patient could not be positioned on the patient positioning device in a way, that the that the shape of treatment area radiated the intended target area."},{"code" : "130463","display" : "Machine Not Available","definition" : "The machine intended to be used for treatment was not available."},{"code" : "130464","display" : "Change in Patient Anatomy","definition" : "The patient´s anatomy is found to be inconsistent with the patient model used during planning to the extent that treatment delivery was impacted."},{"code" : "130465","display" : "Machine Calibration Adjustment","definition" : "A re-calibration of the treatment device impacted the treatment delivery."},{"code" : "130466","display" : "Unavailability of a Beam Modifier","definition" : "A planned Beam Modifier was not available at the time of treatment."},{"code" : "130467","display" : "Machine Capability License Expired","definition" : "A capability of the treatment device was not available because the corresponding license expired."},{"code" : "130468","display" : "Beam Targeting Tolerance Violation","definition" : "Beam targeting parameters have been adjusted in a way that violated a clinical tolerance."},{"code" : "130469","display" : "Meterset Tolerance Violation","definition" : "A Meterset value has been adjusted in a way that violated a clinical tolerance."},{"code" : "130470","display" : "Delivery Rate Tolerance Violation","definition" : "A Delivery Rate has been adjusted in a way that violated a clinical tolerance."},{"code" : "130471","display" : "Jaw Position Tolerance Violation","definition" : "Jaw positions exceeded the machine tolerance."},{"code" : "130472","display" : "MLC Position Tolerance Violation","definition" : "One or more MLC leave positions exceeded the machine tolerance."},{"code" : "130473","display" : "Source Position Tolerance Violation","definition" : "The Source Position angle exceeded the machine tolerance."},{"code" : "130474","display" : "Dose Rate Tolerance Violation","definition" : "The dose rate exceeded the machine tolerance."},{"code" : "130475","display" : "Primary Fluence Monitoring System Interlock","definition" : "An interlock triggered by the primary fluence-monitoring system."},{"code" : "130476","display" : "Secondary Fluence Monitoring System Interlock","definition" : "An interlock triggered by the secondary fluence-monitoring system (also known as Secondary Dose Monitoring System )."},{"code" : "130477","display" : "Timer Interlock","definition" : "An interlock triggered by a controlling timer."},{"code" : "130478","display" : "Door Interlock","definition" : "An interlock triggered by a door being open."},{"code" : "130479","display" : "Patient Motion Interlock","definition" : "An interlock triggered by patient movement."},{"code" : "130480","display" : "Family history of non-melanoma skin cancer","definition" : "Information about non-melanoma skin cancers in blood relatives of the patient."},{"code" : "130481","display" : "Family history of melanoma in situ","definition" : "Information about in situ melanoma in blood relatives of the patient."},{"code" : "130482","display" : "History of non-melanoma skin cancer","definition" : "Information about non-melanoma skin cancers in the patient."},{"code" : "130483","display" : "Number of malignant melanomas","definition" : "The number of malignant melanomas the patient has had diagnosed."},{"code" : "130484","display" : "Number of melanomas in situ","definition" : "The number of in situ melanomas the patient has had diagnosed."},{"code" : "130485","display" : "Firm skin lesion","definition" : "A skin lesion that is firm on palpation."},{"code" : "130486","display" : "Raised skin lesion","definition" : "A lesion that is raised from the skin surface on palpation."},{"code" : "130487","display" : "Number of first-degree relatives affected by malignant melanoma","definition" : "The number of direct relatives (i.e., parent, sibling, offspring) who have malignant melanoma."},{"code" : "130488","display" : "Region in Space","definition" : "A continuous part of space, not necessarily associated with a particular image."},{"code" : "130489","display" : "Referenced Region of Interest Identifier","definition" : "A reference to an identifier of a Region of Interest.For example, the value of ROI Number (3006,0022) within an Item of Structure Set ROI Sequence (3006,0020) in an Instance of RT Structure Set Storage SOP Class."},{"code" : "130490","display" : "Centerline","definition" : "A path along the long axis of an elongated finding or feature, which is equidistant from its surface, such as along the center of the lumen of a vessel."},{"code" : "130491","display" : "Stimulation Mode","definition" : "Mode of stimulation used when applying stimulation techniques during procedure."},{"code" : "130492","display" : "Stimulus Sample Position","definition" : "The sample number where the first stimulation event takes place."},{"code" : "130493","display" : "Stimulus Time Offset","definition" : "The time offset where the stimulation starts, relative to the start time of the recorded waveform data."},{"code" : "130494","display" : "Number of Stimulus Events","definition" : "How many stimulation events took place."},{"code" : "130495","display" : "Frequency of Stimulus Events","definition" : "The frequency with which periodic stimulation occurs."},{"code" : "130500","display" : "Accumulated Dose Data","definition" : "Description of dosimetric-related values that can be summarized for the entire scope of accumulation."},{"code" : "130501","display" : "Irradiation Event Summary Data","definition" : "Description of dosimetric-related values that can be summarized for a single irradiation event."},{"code" : "130502","display" : "Reference Point Dosimetry","definition" : "Description of the reference point definition and accumulated dose values at the reference point."},{"code" : "130503","display" : "Is Rejected Acquisition","definition" : "This acquisition of data (e.g., for constructing an image) was for some reason unsatisfactory."},{"code" : "130504","display" : "Reason for Rejecting Acquisition","definition" : "The reason that data (e.g., for constructing an image) was rejected."},{"code" : "130505","display" : "Irradiation Details","definition" : "Description of the radiation dose characteristics independent of an irradiation event."},{"code" : "130506","display" : "RDSR Frame of Reference Origin","definition" : "The component that is used to define the origin of the RDSR RCS."},{"code" : "130507","display" : "RDSR Frame of Reference Description","definition" : "The description of the RDSR reference coordinate system. It should include a description of where the origin is, as well as the orientation of the coordinate system."},{"code" : "130508","display" : "Radiation Source Characteristics","definition" : "Description of the radiation source characteristics"},{"code" : "130509","display" : "X-Ray Filter Thickness","definition" : "The thickness of the X-Ray filter"},{"code" : "130510","display" : "Reported Value Type","definition" : "Describes if a reported value is a mean, median, maximum, minimum, etc."},{"code" : "130511","display" : "Radiation Technique","definition" : "Description of radiation technique details"},{"code" : "130512","display" : "Filtration","definition" : "Description of a filter"},{"code" : "130513","display" : "Attenuators","definition" : "Description of attenuators"},{"code" : "130514","display" : "Radiation Output","definition" : "Description of the output measurement point dose accumulation timing and values."},{"code" : "130515","display" : "Air Kerma at Output Measurement Point","definition" : "The air kerma (in mGy) accumulated at the output measurement point during a given period of time."},{"code" : "130516","display" : "Radiation Field Area","definition" : "Description of the radiation field area and corresponding timing and source index."},{"code" : "130517","display" : "Radiation Field Outline","definition" : "A list of three-dimensional coordinates that describe the perimeter of the radiation field. The points shall be coplanar and are limited to describing either polygons or ellipses."},{"code" : "130518","display" : "Value Timing","definition" : "Specifies when a value was determined within a period of time."},{"code" : "130519","display" : "X-Ray Source Reference Coordinate System","definition" : "Description of the X-Ray source coordinate reference system and the transformation matrix that relates it to the RDSR reference coordinate system"},{"code" : "130520","display" : "Transformation Matrix","definition" : "A transformation matrix that relates one coordinate system to another"},{"code" : "130521","display" : "Center of Rotation","definition" : "The point about which an object rotates"},{"code" : "130522","display" : "Rotation Plane Normal Point","definition" : "A point defining a vector relative to the center of rotation that defines a normal vector of the rotation plane"},{"code" : "130523","display" : "Rotation Angle","definition" : "The angle about the center of rotation for a rotating object"},{"code" : "130524","display" : "Beam Position","definition" : "Description of component positions described in the X-Ray source reference coordinate system"},{"code" : "130525","display" : "Output Measurement Point Position","definition" : "The three-dimensional coordinate of the output measurement position. The output measurement position is described in the X-Ray source reference coordinate system."},{"code" : "130526","display" : "Reference Point Position","definition" : "The three-dimensional coordinate of the reference point position. The reference point position is described in the X-Ray source reference coordinate system. The reference point may be at the same position as the output measurement point."},{"code" : "130527","display" : "Identification of the Attenuator","definition" : "Textual identification for each attenuator described. The identifier is used to link the description of the attenuator to its position described in the beam position or attenuator position template. The identifier shall not change during the scope of accumulation described in 10040, and shall not be repeated."},{"code" : "130528","display" : "Attenuator Position","definition" : "Description of positions and corresponding timing for attenuators"},{"code" : "130529","display" : "Patient Attenuation Characteristics","definition" : "Description of various patient attenuation characteristics that may be known by the system and may change during the course of the scope of accumulation"},{"code" : "130530","display" : "Procedure Characteristics","definition" : "Description of various procedure characteristics that may change during a study and may be useful to aid in dosimetry or quality assurance"},{"code" : "130531","display" : "Attenuator Characteristics","definition" : "Characteristics of an X-Ray attenuator used as either a filter or attenuating object in the X-Ray beam. Includes a description of actual or equivalent material, as well as thickness information."},{"code" : "130532","display" : "Duration of Time Period","definition" : "All the points in time throughout a defined period of time"},{"code" : "130533","display" : "Beginning of Time Period","definition" : "The point in time at the beginning of a defined period of time"},{"code" : "130534","display" : "End of Time Period","definition" : "The point in time at the end of a defined period of time"},{"code" : "130535","display" : "Middle of Time Period","definition" : "The point in time at the middle of a defined period of time"},{"code" : "130536","display" : "Room Origin","definition" : "The origin of the Frame of Reference is defined as part of the room in which the equipment is located"},{"code" : "130537","display" : "Equipment Origin","definition" : "The origin of the Frame of Reference is defined as part of the equipment"},{"code" : "130538","display" : "Patient Support Origin","definition" : "The origin of the Frame of Reference is defined as part of the patient support"},{"code" : "130539","display" : "Isocenter Origin","definition" : "The origin of the Frame of Reference is defined as the isocenter of the imaging system"},{"code" : "130540","display" : "Patient Coordinate System Origin","definition" : "The origin of the RDSR Frame of Reference is defined as the origin of the patient coordinate system in the images."},{"code" : "130541","display" : "100 mm Pediatric Head CT Dosimetry Phantom","definition" : "A dosimetry phantom consisting of a 100 mm diameter polymethyl methacrylate (PMMA) cylinder. The phantom will be at least 140 mm in length. The phantom will be longer than the length of the sensitive volume of the radiation detector used for measurements. The phantom will have five holes just large enough to accept a radiation detector and will be parallel to the axis of symmetry: one hole at the center, and four holes with their centers 10 mm below the surface of the phantom at 90° intervals. For the holes not used during a measurement, properly fitting insert parts made of PMMA will be used."},{"code" : "130542","display" : "Magnetic field strength","definition" : "Nominal field strength of MR magnet."},{"code" : "130543","display" : "Endorectal coil used","definition" : "Indication of whether endorectal coil was used during MR examination."},{"code" : "130544","display" : "Endorectal coil type","definition" : "Type of the endorectal coil used during MR examination."},{"code" : "130545","display" : "Inflatable endorectal coil fill substance","definition" : "Substance used to fill endorectal coil in order to suppress distortion artifacts during MR examination."},{"code" : "130546","display" : "Cross-sectional scan plane orientation","definition" : "Orientation of the plane defining image acquisition."},{"code" : "130547","display" : "Dynamic contrast-enhanced temporal resolution","definition" : "Time between acquisition of imaging samples corresponding to the same tissue location during dynamic contrast-enhanced examination."},{"code" : "130548","display" : "Genitourinary History","definition" : "Clinical history of the patient related to the genitourinary health."},{"code" : "130549","display" : "Imaging Study Quality","definition" : "Assessment of the imaging study related to its quality, as defined by the compliance with the technical acquisition requirements or as perceived by the reader."},{"code" : "130550","display" : "Imaging Series Quality","definition" : "Assessment of a specific imaging series related to its quality, as defined by the compliance with the technical acquisition requirements or as perceived by the reader."},{"code" : "130551","display" : "Reporting system","definition" : "Standard or guideline used to perform structured evaluation of imaging study."},{"code" : "130552","display" : "Prostate MRI relevant procedure information","definition" : "Information relevant for evaluation of prostate MR imaging study."},{"code" : "130553","display" : "Prostate Imaging Findings","definition" : "Findings identified in prostate images"},{"code" : "130554","display" : "Overall Prostate Finding","definition" : "Finding relating to the overall assessment of the prostate gland"},{"code" : "130555","display" : "Localized Prostate Finding","definition" : "Finding relating to the localized entities within the prostate gland"},{"code" : "130556","display" : "Prostate relational measurements","definition" : "Measurements relating localized findings to the prostate gland"},{"code" : "130557","display" : "Distance from neurovascular bundle","definition" : "Distance between a finding and a neurovascular bundle"},{"code" : "130558","display" : "Lesion capsular contact length","definition" : "Length of the portion of the lesion abutting the prostate capsule as observed in the image."},{"code" : "130559","display" : "Extra-prostatic Finding","definition" : "Finding identified in prostate MRI that is located outside of the prostate gland."},{"code" : "130560","display" : "PI-RADS Localized Abnormality Assessment","definition" : "Evaluation of a localized abnormality within the gland using Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130561","display" : "PI-RADS T2WI Lesion Assessment","definition" : "Assessment of the lesions characteristics based on its appearance in T2-weighted MR images following the Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130562","display" : "PI-RADS DWI Lesion Assessment","definition" : "Assessment of the lesions characteristics based on its appearance in diffusion-weighted MR images following the Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130563","display" : "PI-RADS DCE Lesion Assessment","definition" : "Assessment of the lesions characteristics based on its appearance in Dynamic Contrast-enhanced MR images following the Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130564","display" : "PI-RADS v2.0","definition" : "Prostate Imaging Reporting and Data System (PI-RADS®) version 2.0. ."},{"code" : "130565","display" : "PI-RADS v2.1","definition" : "Prostate Imaging Reporting and Data System (PI-RADS®) version 2.1 ."},{"code" : "130566","display" : "Diffusion-weighted Acquisition Highest b-value image","definition" : "Image from a diffusion-weighted acquisition corresponding to the highest b-value."},{"code" : "130567","display" : "Dynamic Contrast-Enhanced Acquisition","definition" : "Image acquisition that involves injection of a contrast agent into the bloodstream."},{"code" : "130568","display" : "Dynamic Contrast-Enhanced Acquisition Subtraction image","definition" : "Image obtained as a difference in image intensities between two phases of a dynamic contrast-enhanced acquisition."},{"code" : "130569","display" : "Utricle cyst","definition" : "Area of focal dilatation that occurs within the prostatic utricle."},{"code" : "130570","display" : "Protocol not followed","definition" : "Imaging protocol was not followed."},{"code" : "130571","display" : "Coil placement concern","definition" : "Based on image appearance, the coil was not placed correctly."},{"code" : "130572","display" : "Coil selection concern","definition" : "Incorrect coil was selected during MR acquisition."},{"code" : "130573","display" : "Study performed did not match request","definition" : "The imaging procedure performed did not correspond to what was requested."},{"code" : "130574","display" : "Incomplete study","definition" : "Study is missing data."},{"code" : "130575","display" : "Suboptimal patient preparation","definition" : "Some patient preparation procedures were not performed sufficiently with respect to what was expected."},{"code" : "130576","display" : "Anatomy coverage incomplete","definition" : "Coverage of the imaged anatomy is not complete."},{"code" : "130577","display" : "Poor FOV selection","definition" : "Choice of Field of View size or position is not fit for the purpose of the acquisition."},{"code" : "130578","display" : "Poor SNR","definition" : "Signal-to-noise characteristics are insufficient for the purpose of the acquisition."},{"code" : "130579","display" : "Poor contrast timing","definition" : "Timing of the contrast injection relative to the timing of the image acquisition was not properly selected."},{"code" : "130580","display" : "Inadequate contrast enhancement","definition" : "Contrast enhancement observed in the image is not sufficient for the purpose of the acquisition."},{"code" : "130581","display" : "Subtraction image missing","definition" : "The study lacks a sufficient set of subtraction images."},{"code" : "130582","display" : "Unwanted subtraction images","definition" : "Extra subtraction image sets are present that are incorrect or confusing."},{"code" : "130583","display" : "Expected b-value is missing","definition" : "Diffusion-weighted MR image obtained with an expected b-value is not present."},{"code" : "130584","display" : "Severe distortion in the area of interest","definition" : "Severe geometric distortions are present in the image, and are affecting the area of interest in the image."},{"code" : "130585","display" : "Expected ADC map is missing","definition" : "Apparent Diffusion parametric map image is missing, but was expected."},{"code" : "130586","display" : "Distortion artifact in the area of interest","definition" : "Geometric distortions are present in the image, and are affecting the area of interest in the image."},{"code" : "130587","display" : "No family history of prostate cancer","definition" : "There is no history of prostate cancer in the patient’s family."},{"code" : "130588","display" : "Pre-biopsy localization of prostate lesion","definition" : "The purpose of imaging is to identify and localize targets suspicious of the presence of prostate cancer prior to biopsy."},{"code" : "130589","display" : "Active surveillance of prostate cancer","definition" : "Continual monitoring of a patient with localized prostate cancer, with a view to curative intent, according to locally agreed pathways. After [Kuru 2013]"},{"code" : "130590","display" : "Assess change","definition" : "The need to detect or measure the amount of change in the condition."},{"code" : "130591","display" : "Focal abnormality","definition" : "Abnormality localized at a focus, central point or locus."},{"code" : "130592","display" : "Non-focal abnormality","definition" : "Abnormality not localized to a single focus."},{"code" : "130593","display" : "Partially encapsulated","definition" : "Partially but not entirely surrounded (bounded) by a distinct tissue layer, such as a smooth low-signal line on MRI."},{"code" : "130594","display" : "Completely encapsulated","definition" : "Entirely surrounded (bounded) by a distinct tissue layer, such as a smooth low-signal line on MRI, in more than one spatial dimension (at least two imaging planes)."},{"code" : "130595","display" : "ADC Hyperintense","definition" : "Having higher signal intensity (more intense, brighter) than background tissue on the apparent diffusion coefficient map."},{"code" : "130596","display" : "ADC Hypointense","definition" : "Having lower intensity (darker) than a reference background tissue on apparent diffusion coefficient map."},{"code" : "130597","display" : "Persistent delayed phase: Type 1 curve","definition" : "Continued increase of signal intensity over time."},{"code" : "130598","display" : "Plateau delayed phase: Type 2 curve","definition" : "Signal intensity does not change over time after its initial rise, flat; plateau refers to signal that varies <10% from the peak signal over the duration of the DCE MRI."},{"code" : "130599","display" : "Washout delayed phase: Type 3 curve","definition" : "Signal intensity decreases after its highest point after its initial rise."},{"code" : "130600","display" : "Positive DCE","definition" : "Focal, early enhancement corresponding to a focal peripheral zone of transition zone lesion on T2 and/or DWI MRI."},{"code" : "130601","display" : "Negative DCE","definition" : "Lack of early enhancement. Diffuse enhancement not corresponding to a focal lesion on T2 and/or DWI MRI. Focal enhancement corresponding to a BPH lesion."},{"code" : "130602","display" : "Early Contrast Enhancement","definition" : "Contrast-enhanced is observed in the early stage following contrast injection"},{"code" : "130603","display" : "Diffuse Contrast Enhancement","definition" : "Contrast enhancement is non-focal and diffused over a region."},{"code" : "130604","display" : "Focal Contrast Enhancement","definition" : "Contrast enhancement is concentrated in a focal tissue area."},{"code" : "130605","display" : "Perfluorocarbon","definition" : "Class of organofluorine compounds containing only carbon and fluorine."},{"code" : "130606","display" : "ESUR 2012 prostate MRI acquisition requirements","definition" : "Prostate MRI technical acquisition requirements defined in ."},{"code" : "130607","display" : "PI-RADS 2.0 prostate MRI acquisition requirements","definition" : "Prostate MRI technical acquisition requirements defined in PI-RADS® 2.0 ."},{"code" : "130608","display" : "PI-RADS 2.1 prostate MRI acquisition requirements","definition" : "Prostate MRI technical acquisition requirements defined in PI-RADS® 2.1 ."},{"code" : "130609","display" : "2D Shear Wave Elastography","definition" : "A high-speed ultrasound imaging technique that quantitatively assesses the stiffness/elasticity of tissue based on the tracking of the propagation of a shear-wave and measuring its velocity over a 2D area."},{"code" : "130610","display" : "3D Shear Wave Elastography","definition" : "A high-speed ultrasound imaging technique that quantitatively assesses the stiffness/elasticity of tissue based on the tracking of the propagation of a shear-wave and measuring its velocity over a 3D volume."},{"code" : "130611","display" : "Shear Wave Speed","definition" : "The velocity at which a shear-wave propagates through a substance or tissue. The shear wave speed (SWS) is correlated with the elasticity of the substance or tissue."},{"code" : "130612","display" : "Shear Wave Dispersion Slope","definition" : "The rate at which shear wave speed is attenuated with changes in the frequency of the shear wave. The dispersion slope is correlated with both the elasticity and the viscosity of the substance or tissue."},{"code" : "130613","display" : "ROI Depth","definition" : "Distance from the ultrasound probe surface to the geometric center of the ROI."},{"code" : "130614","display" : "Interquartile Range of population","definition" : "The width of the center range within which 50% of the measured values in a reference population fall. The IQR may also be described as the first quartile value subtracted from the third quartile value, or equivalently the 25th percentile value subtracted from the 75th percentile value."},{"code" : "130615","display" : "Interquartile Range to Median Ratio of population","definition" : "The interquartile range value of a population divided by the median value of the same population. IQR/M, which is one way to describe the variability of a set of measurements, is sometimes used as a metric of measurement quality."},{"code" : "130616","display" : "Point Shear Wave Elastography","definition" : "A high-speed ultrasound imaging technique that quantitatively assesses the stiffness/elasticity of tissue based on the tracking of the propagation of a shear-wave and measuring its velocity at a point."},{"code" : "130620","display" : "left ventricle apical anteroseptal segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the anteroseptal segments at the mid and basal levels."},{"code" : "130621","display" : "left ventricle apical inferoseptal segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the inferoseptal segments at the mid and basal levels."},{"code" : "130622","display" : "left ventricle apical inferolateral segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the inferolateral segments at the mid and basal levels."},{"code" : "130623","display" : "left ventricle apical anterolateral segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the anterolateral segments at the mid and basal levels."},{"code" : "130630","display" : "Isocentric Setup Method","definition" : "Method to position the patient such that the device isocenter is at a specific location in the patient. For a radiotherapeutic treatment, this allows rotational delivery of radiation treatment fields that maintain a focus on that location."},{"code" : "130631","display" : "Controlled SSD Setup Method","definition" : "Method to position the patient such that the distance between the radiation source and the patient skin is a specific value."},{"code" : "130632","display" : "TBI Setup Method","definition" : "Method to position the patient at an extended distance from the radiation source, typically 2-6 meters, to create a large treatment field for total body irradiation (TBI)."},{"code" : "130633","display" : "Stereotactic Setup Method","definition" : "Method to position the patient using high-accuracy localization imaging from multiple angles. Typically combined with rigorous fixation to reduce patient motion."},{"code" : "130634","display" : "Skin Apposition Setup Method","definition" : "Method to position the patient using three-dimensional skin surface registration."},{"code" : "130635","display" : "Ocular Gaze Setup Method","definition" : "Method to set up the patient for ocular treatments by focusing the patient’s gaze on a particular location."},{"code" : "130636","display" : "Patient Shielding Procedure","definition" : "Preparation procedure to set up devices to shield parts of the patient from radiation."},{"code" : "130637","display" : "Patient Fixation Procedure","definition" : "Preparation procedure to set up devices to fixate parts of the patient. Fixation involves both preventing motion of the patient part and putting the patient part into an intended configuration."},{"code" : "130638","display" : "Patient Alignment Procedure","definition" : "Preparation procedure to orient and position parts of the patient with respect to a physical reference."},{"code" : "130639","display" : "Patient Motion Management Setup Procedure","definition" : "Preparation procedure for controlling or compensating for motion of parts of the patient."},{"code" : "130640","display" : "Cavity radiation shield","definition" : "Device to protect anatomical structures within a body cavity."},{"code" : "130641","display" : "Independent radiation shield","definition" : "A radiation shielding device that is not in contact with the patient or the treatment delivery device."},{"code" : "130642","display" : "Optical Distance Meter","definition" : "An optical distance measuring device."},{"code" : "130643","display" : "Mechanical Pointer","definition" : "A mechanical distance measuring device."},{"code" : "130644","display" : "Radiofrequency Transponder","definition" : "Radiofrequency-based positioning beacon that responds to interrogation."},{"code" : "130645","display" : "Infrared Marker","definition" : "A device that reflects infrared light. Often used to position patients."},{"code" : "130646","display" : "Radioactive Marker","definition" : "A device that emits radiation from a radioactive source. Often used to position patients."},{"code" : "130647","display" : "Thermal Imager","definition" : "A device that produces a temperature map."},{"code" : "130648","display" : "Combined Structured Light/Thermal Imager","definition" : "A device that projects a controlled pattern of light and captures data based on infrared and visible light measurements."},{"code" : "130649","display" : "Ocular Fixation Light","definition" : "A light to which the patient’s gaze is aligned."},{"code" : "130650","display" : "Coaching Device","definition" : "Device to help patients to follow certain instructions."},{"code" : "130651","display" : "Patient Distraction Device","definition" : "Device to hold the attention of the patient. May be used to reduce the anxiety or discomfort of the patient during a procedure."},{"code" : "130652","display" : "Collision checks","definition" : "Procedure to minimize risk of collision between a primary device, the patient, and associated devices."},{"code" : "130653","display" : "Breast Bridge","definition" : "Device used to position the breast."},{"code" : "130654","display" : "Abdominal Compression Belt","definition" : "Belt used to limit abdominal motion by compressing the abdomen."},{"code" : "130655","display" : "Abdominal Compression Arch","definition" : "Arch-shaped device used to limit abdominal motion by maintaining pressure on the abdomen."},{"code" : "130656","display" : "Head Fixation Board","definition" : "A board to which the patient’s head is fixed to prevent the patient from moving relative to the tabletop. Typically the patient’s head is fixed with a mask."},{"code" : "130657","display" : "Couch Index Label","definition" : "A label designating a specific location on an patient support table top."},{"code" : "130658","display" : "Fixation Device Angle","definition" : "Positioning angle on a fixation device with a single degree of angular freedom."},{"code" : "130659","display" : "Abdominal Compression Plate Position Number","definition" : "The number indicating the position of the plate of an abdominal compression device."},{"code" : "130660","display" : "Abdominal Compression Belt Length","definition" : "Length of the part of the abdominal compression belt being used to compress the abdomen."},{"code" : "130661","display" : "Abdominal Compression Belt Pressure","definition" : "Pressure applied to the abdomen by the abdominal compression belt."},{"code" : "130662","display" : "Referenced Patient Alignment Reference","definition" : "References to SOP Instances providing the basis for patient alignment. May contain the intended orientation. The basis for alignment is also referred to as the alignment reference."},{"code" : "130663","display" : "RT Radiation previously delivered","definition" : "The RT Radiation has been already delivered in a previous Treatment Session."},{"code" : "130664","display" : "Treatment unnecessary","definition" : "It has been assessed that the delivery of the Treatment is unnecessary to meet the current treatment goals."},{"code" : "130665","display" : "Treatment exceeds patient tolerance","definition" : "It has been assessed that the delivery of the Treatment would result in effects that exceed the physical or psychological tolerance of the patient."},{"code" : "130666","display" : "Radiotherapy Fiducial","definition" : "Fiducial defined or used during a radiotherapeutic procedure, e.g., treatment planning or positioning."},{"code" : "130670","display" : "Longitudinal Lagrangian Strain","definition" : "Lagrangian strain parallel to the reference contour (i.e. in the longitudinal direction) calculated as: SL(t)=(L(t) -L0)/L0, where L(t) is the length at a given point t in time and L0 is the reference length at the reference time t0.Strain values are negative with shortening. Due to the common convention of using end-diastole as the t0 reference time, echocardiography strain values are typically negative."},{"code" : "130671","display" : "Peak Longitudinal Lagrangian Strain","definition" : "Peak value of longitudinal Lagrangian strain during an identified interval, such as systole or a full cardiac cycle."},{"code" : "130672","display" : "Time to Peak Longitudinal Lagrangian Strain","definition" : "The time from the beginning of the interval to the time of the peak longitudinal Lagrangian strain."},{"code" : "130673","display" : "Mechanical Dispersion","definition" : "The standard deviation of the time to peak longitudinal strain value for different myocardial segments. Typically assessed over 18-segments of the left ventricle."},{"code" : "130674","display" : "Longitudinal Lagrangian Strain Rate","definition" : "Rate of change of longitudinal strain over time."},{"code" : "130675","display" : "Radial Lagrangian Strain","definition" : "Lagrangian strain in the wall of a cavity perpendicular to the longitudinal strain and towards the center of the cavity."},{"code" : "130676","display" : "Radial Lagrangian Strain Rate","definition" : "Rate of change of radial Lagrangian strain over time."},{"code" : "130677","display" : "Circumferential Lagrangian Strain","definition" : "Lagrangian strain tangential to the reference contour, perpendicular to the longitudinal strain, with positive values in the counterclockwise direction when viewed from the apex."},{"code" : "130678","display" : "Circumferential Lagrangian Strain Rate","definition" : "Rate of change of circumferential Lagrangian strain over time."},{"code" : "130679","display" : "2D Speckle Tracking","definition" : "A method of analyzing the motion of tissue, such as the heart muscle or blood, by using naturally occurring speckle patterns in 2D ultrasound imaging."},{"code" : "130680","display" : "3D Speckle Tracking","definition" : "A method of analyzing the motion of tissue, such as the heart muscle or blood, by using naturally occurring speckle patterns in 3D ultrasound imaging."},{"code" : "130681","display" : "Apical four chamber RV Focused","definition" : "A view obtained from the apical four chamber view by angling the beam medially toward the patient’s right shoulder to better include the right ventricle."},{"code" : "130682","display" : "Apical four chamber RV Modified","definition" : "A view obtained from the apical four chamber view by angling the beam laterally toward the patient’s left shoulder to better include the right ventricle."},{"code" : "130683","display" : "Endocardial Method","definition" : "A measurement method that uses a contour representing the estimated endocardial boundary."},{"code" : "130684","display" : "Epicardial Method","definition" : "A measurement method that uses a contour representing the estimated epicardial boundary."},{"code" : "130685","display" : "Myocardial Midlayer Method","definition" : "A measurement method that uses a contour representing the estimated mid-layer of the myocardium (between the endocardium and epicardium)."},{"code" : "130686","display" : "LV End-systolic GLS Multiview Mean (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle calculated as the arithmetic mean of LV End-systolic Global Longitudinal Strain 4CH (Endocardial), LV End-systolic Global Longitudinal Strain 2CH (Endocardial), and LV End-systolic Global Longitudinal Strain ALAX (Endocardial)."},{"code" : "130687","display" : "LV End-systolic GLS 4CH (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical four chamber view at end systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle.Sometimes abbreviated GLS4C."},{"code" : "130688","display" : "LV End-systolic GLS 2CH (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical two chamber view at end systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle.Sometimes abbreviated GLS2C."},{"code" : "130689","display" : "LV End-systolic GLS ALAX (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical long axis view at end systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle.Sometimes abbreviated GLSALAX."},{"code" : "130690","display" : "LV Peak Systolic GLS Multiview Mean (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle calculated as the arithmetic mean of LV Peak Systolic Global Longitudinal Strain 4CH (Endocardial), LV Peak Systolic Global Longitudinal Strain 2CH (Endocardial), and LV Peak Systolic Global Longitudinal Strain ALAX (Endocardial)."},{"code" : "130691","display" : "LV Peak Systolic GLS 4CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical four chamber view during systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130692","display" : "LV Peak Systolic GLS 2CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical two chamber view during systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130693","display" : "LV Peak Systolic GLS ALAX (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical long axis view during systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130694","display" : "LV Peak GLS Multiview Mean (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle calculated as the arithmetic mean of LV Peak Global Longitudinal Strain 4CH (Endocardial), LV Peak Global Longitudinal Strain 2CH (Endocardial), and LV Peak Global Longitudinal Strain ALAX (Endocardial)."},{"code" : "130695","display" : "LV Peak GLS 4CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical four chamber view over the cardiac cycle using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130696","display" : "LV Peak GLS 2CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical two chamber view over the cardiac cycle using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130697","display" : "LV Peak GLS ALAX (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical long axis view over the cardiac cycle using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130698","display" : "LV End-systolic Mechanical Dispersion","definition" : "The mechanical dispersion of the left ventricle in 2D Speckle mode at end systole.The measurement may have been taken using any view, using any segment model (16, 17 or 18-segment) and at any point in the respiration cycle."},{"code" : "130699","display" : "Mitral Valve Closure","definition" : "The point in time in a cardiac cycle when the mitral valve nominally finishes closing."},{"code" : "130700","display" : "Mitral Valve Opening","definition" : "The point in time in a cardiac cycle when the mitral valve nominally begins opening."},{"code" : "130701","display" : "Aortic Valve Closure","definition" : "The point in time in a cardiac cycle when the aortic valve nominally finishes closing."},{"code" : "130702","display" : "Aortic Valve Opening","definition" : "The point in time in a cardiac cycle when the aortic valve nominally begins opening."},{"code" : "130710","display" : "Fp9","definition" : "EEG electrode placement on the head located inferior frontopolar, left."},{"code" : "130711","display" : "Fp10","definition" : "EEG electrode placement on the head located inferior frontopolar, right."},{"code" : "130712","display" : "AF9","definition" : "EEG electrode placement on the head located inferior anterior frontal, left."},{"code" : "130713","display" : "AF10","definition" : "EEG electrode placement on the head located inferior anterior frontal, right."},{"code" : "130714","display" : "PO9","definition" : "EEG electrode placement on the head located inferior parietooccipital, left."},{"code" : "130715","display" : "PO10","definition" : "EEG electrode placement on the head located inferior parietooccipital, right."},{"code" : "130716","display" : "O9","definition" : "EEG electrode placement on the head located inferior occipital, left."},{"code" : "130717","display" : "O10","definition" : "EEG electrode placement on the head located inferior occipital, right."},{"code" : "130720","display" : "Coronary Artery Disease Assessment"},{"code" : "130721","display" : "Coronary Artery Disease Assessment Modifier"},{"code" : "130722","display" : "Coronary Artery Disease Stenosis Assessment Modifier"},{"code" : "130723","display" : "0 - Documented absence of CAD","definition" : "Degree of maximal coronary stenosis is 0%."},{"code" : "130724","display" : "1 - Minimal non-obstructive CAD","definition" : "Degree of maximal coronary stenosis is 1-24%."},{"code" : "130725","display" : "2 - Mild non-obstructive CAD","definition" : "Degree of maximal coronary stenosis is 25-49%."},{"code" : "130726","display" : "3 - Moderate stenosis","definition" : "Degree of maximal coronary stenosis is 50-69%."},{"code" : "130727","display" : "4 - Severe stenosis","definition" : "Degree of maximal coronary stenosis is 70-99%, or left main coronary stenosis is >50%, or coronary stenosis is >=70% in 3 vessels."},{"code" : "130728","display" : "4A - Severe stenosis","definition" : "Degree of maximal coronary stenosis is 70-99% stenosis."},{"code" : "130729","display" : "4B - Severe stenosis","definition" : "Left main coronary stenosis is >50% or coronary stenosis is >=70% in 3 vessels."},{"code" : "130730","display" : "5 - Total coronary occlusion","definition" : "Degree of maximal coronary stenosis is 100% (total occlusion)."},{"code" : "130731","display" : "N - Non-diagnostic study","definition" : "No more than mild coronary stenosis in interpretable segments, and one or more vessel segments non-diagnostic."},{"code" : "130732","display" : "N - Non-diagnostic segments","definition" : "One or more vessel segments were non-diagnostic for coronary stenosis."},{"code" : "130733","display" : "S - Stent","definition" : "At least one coronary stent is present in the coronary system."},{"code" : "130734","display" : "G - Graft","definition" : "At least one coronary artery bypass graft is present."},{"code" : "130735","display" : "V - Vulnerable plaque","definition" : "Vulnerable plaque or high risk plaque features are present."},{"code" : "130736","display" : "Titanium alloy (Titanium Molybdenum-15 Zirconium-5 Aluminium-3)","definition" : "Wrought titanium 15-molybdenum 5-zirconium 3-aluminium alloy."},{"code" : "130737","display" : "RT Segment Material","definition" : "Material identifiers used during or for an RT planning process."},{"code" : "130738","display" : "Dose Limit Interlock","definition" : "An interlock triggered by reaching a predefined dose limit."},{"code" : "130739","display" : "Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between objects."},{"code" : "130740","display" : "Machine Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between machine and machine."},{"code" : "130741","display" : "Patient Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between machine and patient."},{"code" : "130742","display" : "Accessory Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between an accessory and the machine, patient or another accessory.An accessory can be e.g., an electron applicator or a stereotactic cone."},{"code" : "130743","display" : "Out of Tolerance Interlock","definition" : "An interlock triggered by an actual value being outside of tolerance from the planned value."},{"code" : "130744","display" : "Interlock Resolved","definition" : "The interlock was resolved, and treatment delivery was continued."},{"code" : "130745","display" : "CT Dose Length Product Sub-Total","definition" : "The total dose length product for irradiation events within in the defined scope of accumulation that were computed using the same phantom."},{"code" : "130746","display" : "RT Registration Mark","definition" : "Marker used in a registration process."},{"code" : "130747","display" : "Isodose Volume","definition" : "A volume whose surface represents an isodose."},{"code" : "130748","display" : "Radiotherapy Dose Region","definition" : "Region defined by the spatial extent of a radiation dose."},{"code" : "130750","display" : "Quality control material image","definition" : "Images that contain quality control material for the current procedure."},{"code" : "130751","display" : "Tissue not of interest","definition" : "Tissue that is other than that which is of interest for the purpose of the task."},{"code" : "130752","display" : "Data Not Accessible from Storage","definition" : "Requested data cannot be read from storage media, e.g., data physically deleted, or storage media no longer available."},{"code" : "130753","display" : "Processed Key Object Selection","definition" : "The SOP Instance is a Key Object Selection Document, used for referenced object change management, that has had its directives processed and is no longer to be used (see ."},{"code" : "130754","display" : "Replaced by Alternate Representation","definition" : "The SOP Instance has been replaced by a SOP Instance with an alternate encoding. The alternate encoding may utilize a different SOP Class or have different image quality characteristics (e.g., lossy compression)."},{"code" : "130755","display" : "Reference Measurement Group","definition" : "A grouping of related measurements and calculations that share a common context and that serves as a reference against which similar measurement groups are compared."},{"code" : "130756","display" : "Particle Displacement Method","definition" : "A method for detecting a shear wave in ultrasound data based on the displacement of particles relative to their referenced baseline positions."},{"code" : "130757","display" : "Particle Velocity Method","definition" : "A method for detecting a shear wave in ultrasound data based on estimated particle velocity. Particle velocity is estimated from frame to frame particle displacement."},{"code" : "130758","display" : "Shear Wave Dispersion Slope Center Frequency","definition" : "The center frequency of the range over which the shear wave dispersion slope was assessed."},{"code" : "130759","display" : "Shear Wave Detection Method","definition" : "Method used to detect and characterize a shear wave motion signal in an ultrasound signal."},{"code" : "130760","display" : "Butterworth filter","definition" : "A signal processing filter of the Butterworth type."},{"code" : "130761","display" : "Chebyshev filter","definition" : "A signal processing filter of the Chebyshev type."},{"code" : "130762","display" : "Elliptic filter","definition" : "An elliptic signal processing filter."},{"code" : "130763","display" : "Bessel filter","definition" : "A signal processing filter of the Bessel type."},{"code" : "130764","display" : "Gaussian filter","definition" : "A signal processing filter of the Gaussian type"},{"code" : "130765","display" : "K-type filter","definition" : "A K-type (constant k) signal processing filter."},{"code" : "130766","display" : "M-derived filter","definition" : "An M-derived (m-type) signal processing filter."},{"code" : "130767","display" : "Double-m-derived filter","definition" : "A double-m-derived (mm'-type) signal processing filter."},{"code" : "130768","display" : "Bode filter","definition" : "A signal processing filter of the Bode type."},{"code" : "130769","display" : "Zobel filter","definition" : "A signal processing filter of the Zobel type."},{"code" : "130770","display" : "FIR filter","definition" : "A finite impulse response (FIR) signal processing filter."},{"code" : "130771","display" : "CIC filter","definition" : "A cascaded integrator–comb (CIC) signal processing filter."},{"code" : "130772","display" : "IIR filter","definition" : "An infinite impulse response (IIR) signal processing filter."},{"code" : "130773","display" : "Biquad filter","definition" : "A biquadratic signal processing filter (second order recursive linear filter)."},{"code" : "130774","display" : "Hz normalized","definition" : "Frequency in Hz divided by ½ of the sampling rate."},{"code" : "130775","display" : "Hz angular","definition" : "Frequency in Hz divided by ½ of the sampling rate and then multiplied by π (pi)."},{"code" : "130776","display" : "Magnitude normalized","definition" : "Ratio of output magnitude to input magnitude, has no units and a value between 0-1."},{"code" : "130780","display" : "Specific observation subject class","definition" : "The type of entity that is the subject of a specific observation, such as a measurement or qualitative evaluation."},{"code" : "130781","display" : "Image frame","definition" : "A single two-dimensional pixel plane of an image.Usually used in the context of a multi-frame image."},{"code" : "130782","display" : "RT Patient Position Acquisition, Integrated Dose MV","definition" : "Acquisition of patient positioning information using continuous megavoltage acquisition during treatment delivery."},{"code" : "130783","display" : "RT Patient Position Acquisition, Film Cassette MV","definition" : "Acquisition of patient positioning information using a radiation-sensitive film suited for megavoltage radiation."},{"code" : "130784","display" : "RT Patient Position Acquisition, Film Cassette kV","definition" : "Acquisition of patient positioning information using a radiation-sensitive film suited for photon radiation."},{"code" : "130785","display" : "RT Patient Position Acquisition, Cone-Beam CT kV","definition" : "Acquisition of patient positioning information using kilovoltage Cone-Beam CT imaging."},{"code" : "130786","display" : "RT Patient Position Acquisition, Conventional CT kV","definition" : "Acquisition of patient positioning information using kilovoltage conventional CT imaging."},{"code" : "130787","display" : "RT Patient Position Acquisition, Cone-Beam CT MV","definition" : "Acquisition of patient positioning information using megavoltage Cone-Beam CT imaging."},{"code" : "130788","display" : "RT Patient Position Acquisition, Conventional CT MV","definition" : "Acquisition of patient positioning information using megavoltage conventional CT imaging."},{"code" : "130789","display" : "Nominal Imaging Source Location","definition" : "The point location defined as the nominal source of radiation used for imaging."},{"code" : "130790","display" : "RT Patient Positioning Reference Image","definition" : "Image(s) of the patient used to provide a reference for positioning of the patient for the planned treatment."},{"code" : "130791","display" : "Acquisition Initiation Type","definition" : "The type of method used to start the acquisition."},{"code" : "130792","display" : "Acquisition Initiation not defined","definition" : "The acquisition trigger is not specified. Acquisition may be initiated manually by the device operator."},{"code" : "130793","display" : "Acquisition Initiation before start of Radiation","definition" : "The acquisition is started before delivering the therapeutic radiation. It is expected that the therapeutic beam is not started before the acquisition is completed."},{"code" : "130794","display" : "Acquisition Initiation after end of Radiation","definition" : "The acquisition is started after delivering the therapeutic radiation."},{"code" : "130795","display" : "Acquisition Initiation by triggering parameter","definition" : "The acquisition is started when the triggering parameter reaches specific value(s)."},{"code" : "130796","display" : "Incremental Acquisition Triggering","definition" : "Flag denoting whether the acquisition is to be repeated in regular intervals separated by a certain increment."},{"code" : "130797","display" : "Meterset","definition" : "A single parameter from which the absorbed dose delivered can be calculated through a calibration procedure with additional information."},{"code" : "130798","display" : "Source Continuous Roll Angle","definition" : "Angle in degrees about the Y-axis of the Equipment Coordinate System by which the source is rotated. A Continuous Rotation Angle is an angle in the range (-∞,+∞). Continuous Rotation Angle represent a rotation direction and magnitude. The magnitude is not limited to be between 0 and 360 degrees."},{"code" : "130799","display" : "Time after start of Radiation","definition" : "Time elapsed after the start of the delivery of an RT Radiation."},{"code" : "130800","display" : "Percentage of expected beam-on time of Radiation","definition" : "Delivered percentage of the duration of a Radiation at a given point in time. The denominator is the duration of time that the beam is expected to be on between the start and the end of the delivery of an RT Radiation. The numerator is the duration of time that the beam has been on since the start of the first beam-on. Both durations exclude \"beam-hold\" periods within the treatment delivery (e.g. during gated treatments)."},{"code" : "130801","display" : "IEC61217 Imaging Source to Axis Distance","definition" : "Distance from the imaging source, in mm, to the gantry rotation axis of a IEC C-Arm Device. This parameter is not specifically defined by , but is consistent with"},{"code" : "130802","display" : "IEC61217 X-Ray Image Receptor Radial Displacement from Isocenter","definition" : "X-Ray Image Receptor Radial Displacement From Isocenter, in mm (in the IEC GANTRY Coordinate System) as defined by ."},{"code" : "130803","display" : "IEC61217 X-Ray Image Receptor Longitudinal Displacement","definition" : "X-Ray Image Receptor Longitudinal Displacement, in mm (in the IEC GANTRY Coordinate System) as defined by ."},{"code" : "130804","display" : "IEC61217 X-Ray Image Receptor Lateral Displacement","definition" : "X-Ray Image Receptor Lateral Displacement, in mm (in the IEC GANTRY Coordinate System) as defined by ."},{"code" : "130805","display" : "IEC61217 X-Ray Image Receptor Rotation","definition" : "X-Ray Image Receptor rotation (around the z-axis of the IEC X-RAY IMAGE RECEPTOR Coordinate System) as defined by . DICOM represents this value as a Continous Rotation Angle in degrees."},{"code" : "130806","display" : "Configured Lowest Imaging Energy","definition" : "Lowest energy for acquiring an image as configured on the device."},{"code" : "130807","display" : "Configured Default Imaging Energy","definition" : "Default energy for acquiring an image as configured on the device."},{"code" : "130808","display" : "Planar matrix ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by multiple transducer elements arranged in a grid on a plane."},{"code" : "130809","display" : "Hemispherical ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by multiple transducer elements arranged on a hemispherical surface."},{"code" : "130810","display" : "Single-side illumination","definition" : "The subject is illuminated from a single direction."},{"code" : "130811","display" : "Dual-side illumination","definition" : "The subject is illuminated from two distinct directions."},{"code" : "130812","display" : "Multi-side illumination","definition" : "The subject is illuminated from more than two (potentially a very large number of) distinct directions."},{"code" : "130813","display" : "Through-transducer illumination","definition" : "The subject is illuminated through the transducer. Light may pass through the transducer at one or more locations."},{"code" : "130814","display" : "Interstitial illumination","definition" : "The subject is illuminated internally. Light is delivered via a device (other than the transducer) inside the body."},{"code" : "130815","display" : "Piezocomposite Transducer","definition" : "Ultrasound Transducer that utilizes Piezo-composite crystalline structures."},{"code" : "130816","display" : "MEMS-based Transducer","definition" : "Ultrasound Transducer that utilizes Micro-electro-mechanical systems (MEMS)-based structures."},{"code" : "130817","display" : "Interferometric Transducer","definition" : "Ultrasound Transducer that utilizes interferometric detection systems."},{"code" : "130818","display" : "Uniform Speed of Sound Correction","definition" : "Mechanism for correction of data using a sound propagation model based on a single speed of sound, where the speed for the acoustic coupling medium (if present) is assumed to be the same as for the imaged object."},{"code" : "130819","display" : "Dual Speed of Sound Correction","definition" : "Mechanism for correction of data using a sound propagation model based on two speeds of sound, one for the acoustic coupling medium and one for the imaged object."},{"code" : "130820","display" : "Speed of Sound Map Correction","definition" : "Mechanism for correction of data using a sound propagation model based on a speed of sound map that defines the speed of sound on a per-pixel basis."},{"code" : "130821","display" : "Spherical Back Projection","definition" : "A family of algorithms for reconstructing an image from measured data by back-projection over spheres or parts of spheres. May include linear or nonlinear processing steps before and/or after the back-projection step. Includes methods termed ‘beamforming’ and ‘delay-and-sum’."},{"code" : "130822","display" : "Numerical Acoustic Model","definition" : "A family of algorithms for reconstructing an image from measured data by iteratively adjusting the image to minimize a cost function between the data and a numerical model or that uses non-iterative (e.g. time-reversal) methods, or that performs inversion of a forward model matrix."},{"code" : "130823","display" : "Blood Deoxygenation Level","definition" : "Signal intensity of a Blood Deoxygenation Level image."},{"code" : "130824","display" : "Scan Spot Interlock","definition" : "An interlock triggered during scan spot delivery that is not covered by a more specific code."},{"code" : "130825","display" : "Scan Spot Position Interlock","definition" : "An interlock triggered by the scan spot position being outside of tolerance."},{"code" : "130826","display" : "Scan Spot Size Interlock","definition" : "An interlock triggered by the scan spot size being outside of tolerance."},{"code" : "130827","display" : "Scan Spot Meterset Interlock","definition" : "An interlock triggered by the Meterset delivered for a spot being outside of tolerance."},{"code" : "130828","display" : "Radiation Detected During Beam Hold Interlock","definition" : "An interlock triggered by detection of radiation when the beam is supposed to be off."},{"code" : "130829","display" : "MLC Position Interlock","definition" : "An interlock triggered by a multileaf collimator (MLC) leaf position being outside of tolerance."},{"code" : "130830","display" : "Meterset Rate Interlock","definition" : "An interlock triggered by the detected Meterset rate being outside of tolerance."},{"code" : "130831","display" : "Beam Energy Interlock","definition" : "An interlock triggered by the detected energy of the beam being outside of tolerance."},{"code" : "130832","display" : "Skin lesion color","definition" : "A visual assessment of the coloration of a skin lesion."},{"code" : "130833","display" : "Pre-surgical anatomy","definition" : "The anatomy of the subject prior to the effect of a surgical procedure."},{"code" : "130834","display" : "Sleep Stage N1","definition" : "Non-REM Sleep Stage 1 is the transition between wakefulness and sleep."},{"code" : "130835","display" : "Sleep Stage N2","definition" : "Non-REM Sleep Stage 2 is light sleep."},{"code" : "130836","display" : "Sleep Stage N3","definition" : "Non-REM Sleep Stage 3 is deep sleep."},{"code" : "130840","display" : "Seat Pan Height","definition" : "The adjustable distance between the seat pan (the resting place for the patient’s bottom) and the nominal floor of the upright fixation device. Adjustment allows the feet to be placed firmly on the nominal floor without the legs being stretched or too cramped."},{"code" : "130841","display" : "Seat Pan Pitch Angle","definition" : "The adjustable angle of the pitch of the seat pan. Adjustment provides thigh support while pitching downward changes the angle between the upper legs (knee to hip) and the abdomen. An angle of zero is a typical sitting position. A large positive angle, such as 75, puts a person in a nearly standing stance."},{"code" : "130842","display" : "Backrest Pitch Angle","definition" : "The adjustable angle of the pitch of the backrest. Adjustment controls the angle of the patient’s back (when in a nominally seated or upright position) with respect to gravity. Typically tilted back a bit so that the back is resting and slightly supported. An angle of zero means the backrest is vertical. A positive angle means the patient is reclining."},{"code" : "130843","display" : "Shin Rest Position","definition" : "The adjustable distance between the shin rest and the nominal center under the seat of the chair. Adjustment accommodates the leg length and stance of the patient (the stance of the patient is adjusted primarily through the seat pan pitch angle and the backrest fixation pitch angle)."},{"code" : "130844","display" : "Heel Stop Position","definition" : "The adjustable distance between the heel stop and the shin rest. Adjustment accommodates the patient foot size, shin rest position, lower leg length, and the angle of the lower legs with respect to gravity. The zero point is device-specific."},{"code" : "130845","display" : "Left Arm Rest Position","definition" : "The adjustable lateral distance between the left arm rest and patient’s thorax. The zero point is device-specific."},{"code" : "130846","display" : "Left Arm Rest Pitch Angle","definition" : "The adjustable angle of the pitch of the left arm rest. Adjustment controls one of the angles of the elbow. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130847","display" : "Left Arm Rest Roll Angle","definition" : "The adjustable angle of the roll of the left arm rest. Adjustment controls the roll angle of the lower arm. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130848","display" : "Right Arm Rest Position","definition" : "The adjustable lateral distance between the right arm rest and the patient’s thorax. The zero point is device-specific."},{"code" : "130849","display" : "Right Arm Rest Pitch Angle","definition" : "The adjustable angle of the pitch of the right arm rest. Adjustment controls one of the angles of the elbow. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130850","display" : "Right Arm Rest Roll Angle","definition" : "The adjustable angle of the roll of the right arm rest. Adjustment controls the roll angle of the lower arm. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130851","display" : "Hand Grips Presence","definition" : "Whether the hand grips are inserted into the backrest or not. If hand grips are present, it is implicit that the patient is intended to grip the hand grips with their hands."},{"code" : "130852","display" : "Shin Rest","definition" : "A fixation device that immobilizes the patient’s shins by the natural weight and pressure of the shins against the device."},{"code" : "130853","display" : "Heel Stop","definition" : "A fixation device that immobilizes the heels of the patient in counterpoint to the shin rest."},{"code" : "130854","display" : "Hand Grips","definition" : "A fixation device placed above the patient’s shoulders along the back rest, such that when gripped, ensures that the patient’s arms and elbows are lifted and not obstructing lateral access to the chest or breasts."},{"code" : "130855","display" : "Seat Pan","definition" : "A fixation device that supports the thighs (and bottom) of the patient. The seat pan is distinct from the backrest."},{"code" : "130860","display" : "Pattern Event","definition" : "Classification of a Waveform annotation as a pattern."},{"code" : "130861","display" : "EEG Annotation","definition" : "Classification of a Waveform annotation as belonging to EEG."},{"code" : "130862","display" : "EMG Annotation","definition" : "Classification of a Waveform annotation as belonging to ECG."},{"code" : "130863","display" : "EOG Annotation","definition" : "Classification of a Waveform annotation as belonging to EOG."},{"code" : "130864","display" : "Device-related and Environment-related Event","definition" : "Classification of a Waveform annotation as an event, which occurred in the recording device or in the environment (e.g. the room)."},{"code" : "130865","display" : "Patient Consciousness","definition" : "Classification of a Waveform annotation as a description of the patient’s consciousness."},{"code" : "130866","display" : "ECG Annotation","definition" : "Classification of a Waveform annotation as belonging to ECG."},{"code" : "130867","display" : "Neurophysiology Recording Annotations","definition" : "A Waveform annotation report comprising neurophysiology annotations added during recording."},{"code" : "130868","display" : "Neurophysiology Post-hoc Review Annotations","definition" : "A Waveform annotation report containing neurophysiology annotations resulting from post-hoc review."},{"code" : "130869","display" : "Neurophysiology Automated Analysis Annotations","definition" : "A Waveform annotation report containing neurophysiology annotations resulting from automated analysis."},{"code" : "130870","display" : "Waveform Annotations","definition" : "A container that groups waveform annotations."},{"code" : "130871","display" : "Procedure annotated","definition" : "The neurophysiology or cardiology procedure to which annotations apply."},{"code" : "130872","display" : "Waveform Annotation Group","definition" : "A container that groups a set of associated waveform annotations."},{"code" : "130873","display" : "Waveform Annotation Group Number","definition" : "A number identifying a set of associated annotations."},{"code" : "130874","display" : "Waveform Annotation Group Label","definition" : "A text describing a set of associated annotations."},{"code" : "130875","display" : "Waveform Annotation Modifier","definition" : "Coded modifier for a coded waveform annotation."},{"code" : "130876","display" : "Annotation Note","definition" : "A free text information."},{"code" : "130877","display" : "Waveform Library","definition" : "A container that references properties of involved waveforms"},{"code" : "130878","display" : "Waveform Library Group","definition" : "A container that groups common information about a set of involved waveforms"},{"code" : "130879","display" : "Waveform Library Entry Multiplex Group Descriptors","definition" : "A container that groups common information about a waveform multiplex group comprising a set of recording channel"},{"code" : "130880","display" : "Multiplex Group Number","definition" : "Identifying number of a waveform multiplex group"},{"code" : "130881","display" : "Multiplex Group UID","definition" : "Unique identifier of a waveform multiplex group"},{"code" : "130882","display" : "Sampling Frequency","definition" : "Frequency of waveform digitalization"},{"code" : "130883","display" : "Number of Channels","definition" : "Number of channels in a waveform multiplex group"},{"code" : "130884","display" : "Acquisition DateTime","definition" : "Date and Time of an Acquisition"},{"code" : "130885","display" : "Synchronization Frame of Reference UID","definition" : "UID of common synchronization environment."},{"code" : "130886","display" : "Line noise artifact","definition" : "50 Hz or 60 Hz line noise artifact from a power supply"},{"code" : "130887","display" : "Video recording on","definition" : "Video recording turned on automatically or by the operator"},{"code" : "130888","display" : "Video recording off","definition" : "Video recording turned off automatically or by the operator"},{"code" : "130889","display" : "Preamplifier connected","definition" : "Machine code for when the preamplifier (the headbox in case of EEG recordings) is connected to the recording device."},{"code" : "130890","display" : "Preamplifier disconnected","definition" : "Machine code for when preamplifier (the headbox in case of EEG recordings) is disconnected."},{"code" : "130891","display" : "Breakout box connected","definition" : "A breakout box was connected or reconnected."},{"code" : "130892","display" : "Breakout box disconnected","definition" : "A breakout box was disconnected."},{"code" : "130893","display" : "Event button pressed","definition" : "The event button was pressed for the purpose of capturing an event."},{"code" : "130894","display" : "Event button test","definition" : "The event button was pressed for the purpose of testing."},{"code" : "130895","display" : "Tap test begin","definition" : "A tap test has started."},{"code" : "130896","display" : "Tap test end","definition" : "A tap test has finished."},{"code" : "130901","display" : "Follicle Count Group","definition" : "The counted group of follicles that fall within a specified type and size range."},{"code" : "130902","display" : "Diameter Range Minimum Value","definition" : "The lowest value that is included in a diameter range."},{"code" : "130903","display" : "Diameter Range Maximum Value","definition" : "The highest value that is included in a diameter range."},{"code" : "130904","display" : "Volume Range Minimum Value","definition" : "The lowest value that is included in a volume range."},{"code" : "130905","display" : "Volume Range Maximum Value","definition" : "The highest value that is included in a volume range."},{"code" : "130906","display" : "Number of Follicles in Range","definition" : "The number of follicles observed in a specified size range."},{"code" : "130907","display" : "Total Antral Follicle Count","definition" : "The total number of antral follicles counted in both ovaries."},{"code" : "130908","display" : "Follicle Type","definition" : "The type of ovarian follicle as determined by its developmental stage."},{"code" : "130909","display" : "Dominant Follicle","definition" : "An antral follicle that has grown to dominate its neighboring follicles which then undergo atresia. Typically, only one or two antral follicles will become dominant in each cycle and mature to ovulation."},{"code" : "130910","display" : "Antral Follicle","definition" : "An ovarian follicle that has progressed from the secondary stage and has developed a small fluid-filled cavity called the antrum. Antral Follicles are also referred to as Tertiary Follicles or Graafian Follicles."},{"code" : "130911","display" : "Secondary Follicle","definition" : "An ovarian follicle that has progressed from the primary stage and has added theca cells."},{"code" : "130912","display" : "Primary Follicle","definition" : "An ovarian follicle that has been activated from the primordial stage."},{"code" : "130913","display" : "Primordial Follicle","definition" : "An ovarian follicle that is quiescent in its original state."},{"code" : "130914","display" : "Follicle Count Group Identifier","definition" : "The identifier of a referenced follicle count group."},{"code" : "130920","display" : "Dice Similarity Coefficient","definition" : "A measure of the pair-wise overlap of two sets defined as two times the intersection of the two samples, divided by the sum of the two samples. Also known as the Sørensen–Dice coefficient. The samples may be points representing pixels or voxels in a geometric region."},{"code" : "130921","display" : "Jaccard Index","definition" : "A measure of the pair-wise overlap of two samples defined as the intersection of the two regions, divided by the union of the two samples. Also known as the Intersection Over Union (IoU). The samples may be points representing pixels or voxels in a geometric region."},{"code" : "130922","display" : "Number of pixels","definition" : "A count of the number of pixels in an image or a region of an image."},{"code" : "130923","display" : "Number of voxels","definition" : "A count of the number of voxels in a volume."},{"code" : "130924","display" : "Mean intensity projection","definition" : "Values are derived by mean intensity projection of acquired data."},{"code" : "130925","display" : "Median intensity projection","definition" : "Values are derived by median intensity projection of acquired data"},{"code" : "130926","display" : "Summation projection","definition" : "Values are derived by summation of values in the projection of acquired data"},{"code" : "131001","display" : "Ventriculoatrial time interval","definition" : "Ventriculoatrial time interval (VA time), defined as the interval between the onset of ventricular systole and the onset of atrial systole."},{"code" : "131002","display" : "Atrioventricular time interval","definition" : "Atrioventricular time interval (AV time or AVI), defined as the interval between the onset of atrial systole and the onset of ventricular systole."},{"code" : "131003","display" : "Left Atrium-Descending Aorta Distance","definition" : "The shortest distance (LD) between any point on the inside of the atrium wall and any point on the outside of the descending thoracic aorta wall measured in a four-chamber view of the heart."},{"code" : "131004","display" : "Post-Left Atrium Space Index","definition" : "Post-Left Atrium Space (PLAS) Index is the distance between the left atrium and the descending thoracic aorta divided by the diameter of the descending thoracic aorta, where both measurements are taken in the same view (thus defining the point in the descending thoracic aorta for the diameter measurement)."},{"code" : "131009","display" : "Cerebroplacental ratio","definition" : "The pulsatility index at the middle cerebral artery of the fetus divided by the pulsatility index at the umbilical artery. Abbreviated CPR."},{"code" : "131010","display" : "Umbilicocerebral ratio","definition" : "The pulsatility index at the umbilical artery divided by the pulsatility index at the middle cerebral artery of the fetus."},{"code" : "131011","display" : "IVC preload index","definition" : "The ratio of the peak retrograde flow during the A-wave to the peak forward flow during the S-wave, as measured at the inferior vena cava using pulsed-wave doppler. Abbreviated a/S."},{"code" : "131012","display" : "IVC S/a","definition" : "The ratio of the peak forward flow during the S-wave to the peak retrograde flow during the A-wave, as measured at the inferior vena cava using pulsed-wave doppler. This is the inverse of the Preload index."},{"code" : "131013","display" : "Peak Velocity Index","definition" : "A blood flow index calculated by subtracting the peak retrograde flow during the A-wave from the peak forward flow during the S-wave, then dividing by the peak forward flow during the D-wave, i.e., (S-a)/D."},{"code" : "131014","display" : "DV Pulsatility Index in Veins","definition" : "The pulsatility index measured in the ductus venosus during the full cardiac cycle in pulsed doppler mode in any view. Abbreviated PIV."},{"code" : "131015","display" : "DV Peak Velocity Index in Veins","definition" : "The peak velocity index measured in the ductus venosus during the full cardiac cycle in pulsed doppler mode in any view. Abbreviated PVIV."},{"code" : "131017","display" : "Right ventricular inlet length","definition" : "The length of the right ventricle measured at end diastole in 2D mode using a method that includes the inlet portion of the chamber in any view."},{"code" : "131018","display" : "Left ventricular inlet length","definition" : "The length of the left ventricle measured at end diastole in 2D mode using a method that includes the inlet portion of the chamber in any view."},{"code" : "131019","display" : "Inlet Included","definition" : "A method of measuring a cardiac chamber length that includes the inlet portion of the chamber in the length."},{"code" : "131020","display" : "Free Cord Loop Method","definition" : "A method of measuring hemodynamics in the umbilical cord by taking the measurement in a free loop of the cord. A free loop is a portion of the umbilical cord that is not attached to the fetal body or the placenta and is instead floating freely within the amniotic fluid."},{"code" : "131021","display" : "Ductus Arteriosus Arch","definition" : "The ductal arch formed by the ductus arteriosus as it travels from its origin at the pulmonary artery to the point of entry into the descending aorta."},{"code" : "131022","display" : "Aortic arch view","definition" : "A planar view of the heart showing the aortic valve, ascending aorta, aortic arch, descending aorta and inferior vena cava."},{"code" : "131023","display" : "Oblique short axis view at ductus arteriosus","definition" : "A planar oblique short-axis view of the heart showing the pulmonary trunk (main pulmonary artery, right pulmonary artery) and the ductus arteriosus."},{"code" : "131024","display" : "Short axis view at pulmonary artery level","definition" : "A planar short-axis view of the heart showing the pulmonary valve, main pulmonary artery, right and left pulmonary arteries."},{"code" : "131025","display" : "Three vessel view","definition" : "An axial planar view of the heart showing the main pulmonary artery, ascending aorta in cross-section, and superior vena cava (SVC) in cross-section. One or both branch pulmonary arteries may also be included. Abbreviated 3VV."},{"code" : "131026","display" : "Three vessel and trachea view","definition" : "An axial planar view of the heart showing the trachea and the aortic and ductal arches converging to form the proximal descending thoracic aorta. Abbreviated 3VT."},{"code" : "131028","display" : "Left ventricular outflow tract view","definition" : "An axial planar view of the heart showing the subaortic area, aortic valve, supravalvular region, and ascending aorta."},{"code" : "131029","display" : "Four chamber view","definition" : "An axial planar view of the heart showing both ventricles and both atria. The view does not necessarily include the apex of the heart."},{"code" : "131030","display" : "Fetal Cardiovascular Profile","definition" : "Report section for assessment of cardiovascular observations that evaluate fetal well-being."},{"code" : "131031","display" : "Hydrops Fetalis Score","definition" : "A point-based assessment of abnormal fluid accumulation in fetal body areas. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131032","display" : "Cardiothoracic Size Ratio Score","definition" : "A point-based assessment of heart size relative to thoracic size based on observations of the circumferences or areas. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131033","display" : "Cardiac Function Score","definition" : "A point-based assessment of cardiac function based on observations of valve inflow and regurgitation patterns and ventricular shortening. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131034","display" : "Venous Doppler Score","definition" : "A point-based assessment of venous flow based on Doppler observations of the umbilical vein and ductus venosus. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131035","display" : "Arterial Doppler Score","definition" : "A point-based assessment of arterial flow based on Doppler observations of the umbilical artery. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131036","display" : "Fetal Cardiovascular Profile Score","definition" : "A point-based score that sums the scores of five component assessments of cardiovascular observations to evaluate fetal well-being according to Makikallio et al, Human fetal cardiovascular profile score and neonatal outcome in intrauterine growth restriction. Ultrasound Obstet Gynecol 2008; 31: 48‒54 doi:10.​1002/​uog.​5210 Abbreviated CVPS."},{"code" : "131050","display" : "PV VTI Forward","definition" : "The velocity time integral measured in the pulmonary vein for the antegrade flow during the full cycle in pulsed doppler mode in any view. Forward flow occurs during the D-wave and the S-wave."},{"code" : "131051","display" : "PV VTI Reverse","definition" : "The velocity time integral measured in the pulmonary vein for the retrograde flow during the A-wave in pulsed doppler mode in any view."},{"code" : "131052","display" : "PV VTIR/VTIF ratio","definition" : "The ratio of the retrograde velocity time integral to the antegrade velocity time integral at the pulmonary vein."},{"code" : "131053","display" : "Right Ventricle Cardiac Output","definition" : "The volume rate of blood output by the right ventricle derived from the right ventricle stroke volume and heart rate. Abbreviated RVCO."},{"code" : "131054","display" : "Combined Cardiac Output","definition" : "The volume rate of blood output by the heart derived from the cardiac output of the left and right ventricles. Abbreviated CCO."},{"code" : "131060","display" : "Mitral valve annulus diameter","definition" : "The diameter of the annulus of the mitral valve measured during diastole in 2D mode in a short axis view at the level of the mitral valve."},{"code" : "131061","display" : "Tricuspid valve annulus diameter","definition" : "The diameter of the annulus of the tricuspid valve measured during diastole in 2D mode in a short axis view at the level of the mitral valve."},{"code" : "131062","display" : "IVC S-wave peak velocity","definition" : "The peak velocity measured in the inferior vena cava during the S-wave in pulsed doppler mode in any view."},{"code" : "131063","display" : "IVC a-wave peak velocity","definition" : "The peak velocity measured in the inferior vena cava during the a-wave in pulsed doppler mode in any view."},{"code" : "131090","display" : "Pre-procedural Structural Heart Measurement Report","definition" : "A report containing the quantitative results of human, or machine analysis of imaging acquired prior to a transcatheter structural heart procedure, focusing on measurements used to guide procedural planning and device selection."},{"code" : "131091","display" : "Intra-procedural Structural Heart Measurement Report","definition" : "A report containing the quantitative results of human, or machine analysis of imaging acquired during a transcatheter structural heart procedure, focusing on real-time measurements to guide procedural execution and assess immediate outcomes."},{"code" : "131092","display" : "Post-procedural Structural Heart Measurement Report","definition" : "A report containing the quantitative results of human, or machine analysis of imaging acquired after a transcatheter structural heart procedure, focusing on the evaluation of procedural success, device placement, and patient outcomes."},{"code" : "131100","display" : "Mid-esophageal 0 degree TEE","definition" : "A mid-esophageal view directed anteriorly with the transesophageal transducer in its baseline orientation."},{"code" : "131101","display" : "Mid-esophageal 45 degree TEE","definition" : "A mid-esophageal plane directed 45 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131102","display" : "Mid-esophageal 60 degree TEE","definition" : "A mid-esophageal plane directed 60 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131103","display" : "Mid-esophageal 90 degree TEE","definition" : "A mid-esophageal plane directed 90 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131104","display" : "Mid-esophageal 135 degree TEE","definition" : "A mid-esophageal plane directed 135 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131110","display" : "Ball and disk type left atrial appendage closure device","definition" : "A device, in the form of a disk and cylindrical lobe connected by a central waist, for sealing off a left atrium appendage."},{"code" : "131111","display" : "Ball type left atrial appendage closure device","definition" : "A spherical device for sealing off a left atrium appendage."},{"code" : "131112","display" : "Left atrial appendage closure device","definition" : "A device for sealing off a left atrium appendage."},{"code" : "131120","display" : "Ostium of Left Auricular Appendage","definition" : "The anatomical orifice connecting the left atrial appendage to the left atrium of the heart."},{"code" : "131130","display" : "Transseptal puncture height","definition" : "The distance from the mitral leaflets to the level of the transseptal puncture measured during systole in a four-chamber view, with the measurement line drawn parallel to the atrial septum."},{"code" : "131140","display" : "Aorta sinotubular junction area","definition" : "The cross-sectional area of the ascending aorta measured between the aortic sinuses of Valsalva and normal tubular configuration of the aorta during diastole in 2D or 3D, in the long axis view."},{"code" : "131142","display" : "Aortic annulus calcification severity","definition" : "The qualitative severity of calcification of the annulus of the aortic valve, evaluated during systole, in any view at the level of the annulus of the aortic valve."},{"code" : "131143","display" : "Aortic annulus max diameter","definition" : "The widest diameter of the annulus of the aortic valve measured at systole, in a short axis view at the level of the annulus of the aortic valve."},{"code" : "131144","display" : "Aortic annulus min diameter","definition" : "The narrowest diameter of the annulus of the aortic valve measured at systole, in a short axis view at the level of the annulus of the aortic valve."},{"code" : "131145","display" : "Aortic annulus perimeter","definition" : "The length of the perimeter of the annulus of the aortic valve measured at systole, in a short axis view at the level of the annulus of the aortic valve."},{"code" : "131146","display" : "Aortic calcification volume","definition" : "The volume of calcification of the annulus of the aortic valve, evaluated during systole, in a short axis view at the level of the annulus of the aortic valve, using a qualitative method."},{"code" : "131147","display" : "Aortic commissures calcification severity","definition" : "The qualitative severity of calcification of the commissures of the aortic valve, evaluated at any time during the cardiac cycle, in any view at the level of the annulus of the aortic valve."},{"code" : "131148","display" : "Aortic root height","definition" : "The distance from the aortic annulus to the sinotubular junction measured during diastole in the long axis view."},{"code" : "131149","display" : "Aortic sinotubular junction diameter","definition" : "The diameter of the ascending aorta measured at the level of the sinotubular junction during diastole, in any view."},{"code" : "131150","display" : "Aortic sinus of valsalva area","definition" : "The area within the sinus of valsalva measured during diastole, in a short axis view, at the level of the sinus of valsalva."},{"code" : "131152","display" : "Aortic valve coaptation length","definition" : "The length of coaptation (where the aortic valve leaflets are in contact), measured during diastole in the long axis view."},{"code" : "131153","display" : "Aortic valve noncoronary leaflet intercommissural angle","definition" : "The angle between the two commissures of the noncoronary leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131154","display" : "Aortic valve right leaflet intercommissural angle","definition" : "The angle between the two commissures of the right leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131155","display" : "Aortic valve left leaflet intercommissural angle","definition" : "The angle between the two commissures of the left leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131156","display" : "Aortic valve noncoronary leaflet intercommissural distance","definition" : "The straight-line distance between the two commissures of the left leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131157","display" : "Aortic valve right leaflet intercommissural distance","definition" : "The straight-line distance between the two commissures of the right leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131158","display" : "Aortic valve left leaflet intercommissural distance","definition" : "The straight-line distance between the two commissures of the left leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131159","display" : "Aortic valve left coronary leaflet height","definition" : "The perpendicular distance from the plane of the annulus to the tip of the left coronary leaflet measured during diastole, in a long axis view."},{"code" : "131160","display" : "Aortic valve left coronary leaflet length","definition" : "The distance along the surface of the left coronary leaflet from the tip to the hinge point of the leaflet to the aortic annulus, measured during diastole, in a long axis view."},{"code" : "131161","display" : "Aortic valve noncoronary leaflet height","definition" : "The perpendicular distance from the plane of the annulus to the tip of the noncoronary leaflet measured during diastole, in a long axis view."},{"code" : "131162","display" : "Aortic valve noncoronary leaflet length","definition" : "The distance along the surface of the noncoronary leaflet from the tip to the hinge point of the leaflet to the aortic annulus, measured during diastole, in a long axis view."},{"code" : "131163","display" : "Aortic valve right coronary leaflet height","definition" : "The perpendicular distance from the plane of the annulus to the tip of the right coronary leaflet measured during diastole, in a long axis view."},{"code" : "131164","display" : "Aortic valve right coronary leaflet length","definition" : "The distance along the surface of the right coronary leaflet from the tip to the hinge point of the leaflet to the aortic annulus, measured during diastole, in a long axis view."},{"code" : "131165","display" : "Ascending Aorta diameter","definition" : "The diameter within the ascending aorta measured during diastole in 2D, in any view at the level of the right pulmonary artery."},{"code" : "131166","display" : "Left main coronary ostium height","definition" : "The distance between the aortic annulus and the left main coronary ostium measured at their closest points, during systole, in a long axis view."},{"code" : "131167","display" : "Left ventricular outflow tract calcification severity","definition" : "The qualitative severity of calcification of the left ventricular outflow tract, from the annular plane to 5 mm below, evaluated at any time during the cardiac cycle and in any view."},{"code" : "131168","display" : "Maximum aortic plaque thickness","definition" : "The maximum thickness of the largest atherosclerotic plaque deposit found within the ascending aorta, measured during systole, in the view that demonstrates the thickest plaque, using any appropriate imaging method"},{"code" : "131169","display" : "Right coronary artery ostium height","definition" : "The distance between the aortic annulus and the right main coronary ostium measured at their closest points, during systole, in a long axis view."},{"code" : "131170","display" : "Right ventricle diastolic major axis","definition" : "The internal longitudinal length of the right ventricle from the apex to the tricuspid annulus, measured during diastole, in a four-chamber view."},{"code" : "131171","display" : "Right ventricular diastolic mid segment minor axis","definition" : "The internal diameter of the right ventricle from the interventricular septum to the free wall, measured at the level of the papillary muscles during diastole, in a four-chamber view."},{"code" : "131172","display" : "Right ventricular diastolic basal minor axis","definition" : "The internal diameter of the right ventricle from the interventricular septum to the free wall, measured in the basal third of the right ventricle during diastole, in a four-chamber view."},{"code" : "131173","display" : "Mitral anterior leaflet A1 scallop length","definition" : "The distance along the hinge line of the A1 scallop of the anterior leaflet of the mitral valve, measured during systole, in the long axis view."},{"code" : "131174","display" : "Mitral anterior leaflet A2 scallop length","definition" : "The distance along the hinge line of the A2 scallop of the anterior leaflet of the mitral valve, measured during systole, in the long axis view."},{"code" : "131175","display" : "Mitral anterior leaflet A3 scallop length","definition" : "The distance along the hinge line of the A3 scallop of the anterior leaflet of the mitral valve, measured during systole, in the long axis view."},{"code" : "131176","display" : "Mitral anterior leaflet area","definition" : "The area of the atrial surface of the anterior leaflet of the mitral valve measured during systole, in a 3D en face view of the mitral valve."},{"code" : "131177","display" : "Aorto-mitral inter annular angle","definition" : "The angle between the plane passing through the aortic annulus and the plane passing through the mitral annulus measured during systole, in the long axis view."},{"code" : "131178","display" : "Mitral commissure distance","definition" : "The straight-line distance between the two commissures of the anterior and posterior leaflets of the mitral valve measured during diastole, in a two-chamber view."},{"code" : "131179","display" : "Mitral trigone-to-trigone distance","definition" : "The straight-line distance between a point in the right trigone region of the mitral annulus and a point in the left trigone region of the mitral annulus, measured during systole, in a 3D en face view of the mitral valve."},{"code" : "131180","display" : "Mitral annular excursion","definition" : "The longitudinal displacement of the plane of the mitral annulus over the course of a cardiac cycle, measured any view."},{"code" : "131181","display" : "Mitral annulus anterolateral to posteromedial diameter","definition" : "The diameter of the annulus of the mitral valve measured from the anterolateral aspect to the posteromedial aspect, during systole, in a 3D en face view of the mitral valve."},{"code" : "131182","display" : "Mitral annulus anteroposterior diameter","definition" : "The diameter of the annulus of the mitral valve measured from the anterior aspect to the posterior aspect, during systole, in the short axis view at the level of the mitral annulus."},{"code" : "131183","display" : "Mitral annulus area","definition" : "The area within the annulus of the mitral valve measured during systole, in a short axis view at the level of the annulus of the mitral valve."},{"code" : "131184","display" : "Mitral annulus calcification severity","definition" : "The qualitative severity of calcification of the annulus of the mitral valve, evaluated during diastole, in any view, at the level of the annulus of the mitral valve."},{"code" : "131185","display" : "Mitral annulus commissural diameter","definition" : "The diameter of the annulus of the mitral valve at the level of the commissures of the annulus, measured during systole, in a 3D en face view of the mitral valve."},{"code" : "131186","display" : "Mitral annulus diameter ratio","definition" : "The ratio of the anteroposterior diameter of the mitral annulus and the anterolateral diameter of the mitral annulus, measured during systole."},{"code" : "131187","display" : "Mitral annulus height","definition" : "The sum of the vertical distance from the highest point on the mitral annulus to the mitral annular plane and the vertical distance from the lowest point on the mitral annulus to the mitral annular plane. It is measured at systole, in a 3D transverse view of the mitral valve."},{"code" : "131188","display" : "Mitral annulus nonplanarity angle","definition" : "The angle between a vector from the furthest anterior aspect of the annulus to the midpoint of the commissural diameter and a vector from the furthest posterior aspect of the annulus to the midpoint of the commissural diameter. It is measured at systole, in a 3D view of the mitral valve."},{"code" : "131189","display" : "Mitral annulus perimeter","definition" : "The length of the perimeter of the annulus of the mitral valve measured during systole, in a short axis view at the level of the annulus of the mitral valve."},{"code" : "131190","display" : "Mitral valve coaptation length","definition" : "The length of coaptation (where the anterior and posterior leaflets are in contact) of the mitral valve, measured during systole, in a 3D view."},{"code" : "131191","display" : "Mitral valve interpapillary distance","definition" : "The distance between the two papillary muscle tips of the mitral valve, measured during diastole in a four-chamber view."},{"code" : "131192","display" : "Anterolateral papillary muscle to the left trigone","definition" : "The distance between the anterolateral papillary muscle tip and a point in the left trigone region of the mitral annulus, measured during systole in a four-chamber view."},{"code" : "131193","display" : "Posteromedial papillary muscle to the right trigone","definition" : "The distance between the posteromedial papillary muscle tip and a point in the right trigone region of the mitral annulus, measured during systole in a four-chamber view."},{"code" : "131194","display" : "Mitral valve prolapse area","definition" : "The surface area of the portion of the mitral valve leaflets that is displaced above the annular plane (prolapsed) measured during systole, in a short axis view."},{"code" : "131195","display" : "Mitral valve prolapse volume","definition" : "The volume encompassed by annular plane and the portion of the mitral valve leaflets that is displaced above the annular plane (prolapsed) measured during systole, in a short axis view."},{"code" : "131196","display" : "Mitral valve segment flail gap","definition" : "The distance between the tip of the free edge of a flail mitral valve leaflet or segment and the plane of the mitral annulus measured during systole, in any view."},{"code" : "131197","display" : "Mitral valve sphericity index","definition" : "The ratio of the transverse diameter of the left ventricle at the level of the papillary muscle base divided by the longitudinal distance between the level of the papillary muscle base and the mitral annulus plane, measured at diastole in a four-chamber view. See doi:10.1016/j.jcmg.2008.12.025"},{"code" : "131198","display" : "Mitral valve tenting height","definition" : "The perpendicular distance from the point of coaptation (where the anterior and posterior leaflets of the mitral valve meet) to the annular plane measured during systole, in a 3D or 2D view at the level of the mitral annulus."},{"code" : "131199","display" : "Mitral valve tenting area","definition" : "The area between the ventricular surface of the leaflets of the mitral valve and the annular plane measured during systole, in a 3D view at the level of the mitral annulus."},{"code" : "131200","display" : "Mitral valve tenting segment height A1-P1","definition" : "The distance from the point where the A1-P1 scallops of the mitral valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber view at the level of the mitral annulus."},{"code" : "131201","display" : "Mitral valve tenting segment height A2-P2","definition" : "The distance from the point where the A2-P2 scallops of the mitral valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber view at the level of the mitral annulus."},{"code" : "131202","display" : "Mitral valve tenting segment height A3-P3","definition" : "The distance from the point where the A3-P3 scallops of the mitral valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber view at the level of the mitral annulus."},{"code" : "131203","display" : "Posterior mitral valve leaflet area","definition" : "The combined area of the P1, P2 and P3 leaflet scallops of the posterior mitral valve, measured during systole, in the long axis view."},{"code" : "131204","display" : "Posterior mitral valve leaflet length","definition" : "The distance along the hinge line of the posterior mitral valve P1, P2 and P3 leaflet scallops measured during systole, in the long axis view."},{"code" : "131205","display" : "Posterior mitral valve P1 leaflet scallop length","definition" : "The distance along the hinge line of the posterior mitral valve P1 leaflet scallop during systole, in the long axis view."},{"code" : "131206","display" : "Posterior mitral valve P2 leaflet scallop length","definition" : "The distance along the hinge line of the posterior mitral valve P2 leaflet scallop during systole, in the long axis view."},{"code" : "131207","display" : "Posterior mitral valve P3 leaflet scallop length","definition" : "The distance along the hinge line of the posterior mitral valve P3 leaflet scallop during systole, in the long axis view."},{"code" : "131208","display" : "Tricuspid annulus area","definition" : "The area within the annulus of the tricuspid valve measured during diastole, in a 3D en face view of the tricuspid valve."},{"code" : "131209","display" : "Tricuspid annulus area diastolic systolic ratio","definition" : "The area within the annulus of the tricuspid valve calculated at diastole divided by the area within the annulus of the tricuspid valve calculated at systole, in a 3D en face view of the tricuspid valve."},{"code" : "131210","display" : "Tricuspid annulus perimeter","definition" : "The length of the perimeter of the annulus of the tricuspid valve measured during diastole, in a four-chamber view."},{"code" : "131211","display" : "Tricuspid valve coaptation length","definition" : "The length of coaptation (where the anterior, posterior, and septal leaflets are in contact), measured during systole, in a 3D view."},{"code" : "131212","display" : "Tricuspid valve major axis diastole","definition" : "The maximum diameter of the annulus of the tricuspid valve measured during diastole, in a four-chamber view."},{"code" : "131213","display" : "Tricuspid valve minor axis","definition" : "The minimum diameter of the annulus of the tricuspid valve measured during diastole, in a four-chamber view."},{"code" : "131214","display" : "Tricuspid valve sphericity index","definition" : "The ratio of the maximum diameter of the annulus of the tricuspid valve and the minimum diameter of the annulus of the tricuspid valve, measured during diastole, in a four-chamber view."},{"code" : "131215","display" : "Tricuspid valve tenting height","definition" : "The distance from the point where the leaflets of the tricuspid valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber 3D transverse view of the tricuspid valve."},{"code" : "131216","display" : "Tricuspid valve tenting volume","definition" : "The volume of the region between atrial surface of the leaflets and the annular plane measured during systole, in a 3D view of the tricuspid valve."},{"code" : "131217","display" : "Left atrial appendage closure device circumference","definition" : "The circumference of the left atrial appendage closure device after deployment, measured at the shoulder during end-systole in a 2D or 3D view of the left atrial appendage."},{"code" : "131218","display" : "Left atrial appendage closure device compression ratio","definition" : "The ratio of the diameter of the left atrial appendage closure device after deployment, measured at the shoulder during end-systole in a 2D or 3D view of the left atrial appendage, and diameter of the left atrial appendage closure device as specified by its manufacturer."},{"code" : "131219","display" : "Left atrial appendage closure device diameter","definition" : "The diameter of the left atrial appendage closure device after deployment, measured at the shoulder during end-systole in a 2D view of the left atrial appendage."},{"code" : "131220","display" : "Left atrial appendage closure device size","definition" : "The diameter of the left atrial appendage closure device as specified by its manufacturer."},{"code" : "131221","display" : "Left atrial appendage depth","definition" : "The maximum distance from the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), to the most distal point of the left atrial appendage cavity, measured during end-diastole in a 2D view of the left atrial appendage."},{"code" : "131222","display" : "Left atrial appendage landing zone major axis","definition" : "The maximum diameter of the left atrial appendage measured 1cm to 1.5cm inferior to the orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), during end-systole, in a 2D view of the left atrial appendage."},{"code" : "131223","display" : "Left atrial appendage major axis","definition" : "The maximum diameter of the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), measured during end-systole, in a 2D view of the left atrial appendage."},{"code" : "131224","display" : "Left atrial appendage minor axis","definition" : "The minimum diameter of the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), measured during end-systole, in a 2D view of the left atrial appendage."},{"code" : "131225","display" : "Left atrial appendage ostium perimeter","definition" : "The perimeter of the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), measured during end-systole, in a 3D en face view of the left atrial appendage."},{"code" : "131230","display" : "Female-typical","definition" : "Available data indicates that diagnostics, analytics, and treatments should consider best practices associated with female reference populations.This concept and definition taken from http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html."},{"code" : "131231","display" : "Male-typical","definition" : "Available data indicates that diagnostics, analytics, and treatments should consider best practices associated with male reference populations.This concept and definition taken from http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html."},{"code" : "131232","display" : "Specified","definition" : "vailable data indicates that diagnostics, analytics, and treatment best practices may be undefined or not aligned with sex-derived reference populations. Additional information may be available in the form of comments and/or observations.This concept and definition taken from http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html."},{"code" : "131233","display" : "Subject Sex Parameters for Clinical Use Category","definition" : "Sex Parameters for Clinical Use category of patient who is the subject of these observations.See http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html"},{"code" : "131234","display" : "Sex Parameters for Clinical Use Category Comment","definition" : "Further explanation about the choice, intention, or context of use for the sex parameter for clinical use.See http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html"},{"code" : "131235","display" : "Sex Parameters for Clinical Use Category Reference","definition" : "Other clinical evidence or documentation that was used to determine the sex parameter for clinical use.See http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html"},{"code" : "131240","display" : "Visual Field Key Measurements","definition" : "Clinically relevant measurements of patient Visual Field."},{"code" : "131241","display" : "Optic Disc Key Measurements","definition" : "Clinically relevant measurements of Optic Disc."},{"code" : "131242","display" : "Circumpapillary Retinal Nerve Fiber Layer Key Measurements","definition" : "Clinically relevant measurements of the Circumpapillary Retinal Nerve Fiber Layer."},{"code" : "131243","display" : "Macular Thickness Key Measurements","definition" : "Clinically relevant measurements of Macular Thickness."},{"code" : "131244","display" : "Ganglion Cell Layer Key Measurements","definition" : "Clinically relevant measurements of Gangion Cell Layer."},{"code" : "131245","display" : "Endothelial Cell Count Key Measurements","definition" : "Clinically relevant measurements of Endothelial Cell Count."},{"code" : "131246","display" : "Ophthalmic Image ROI Measurements","definition" : "Measurements of Ophthalmic Images based on a Region of Interest."},{"code" : "131247","display" : "Repositioned ROI or grid","definition" : "Indicator that measurements were made with ROI or grid positioned differently than used for a prior measurement set."},{"code" : "131248","display" : "Visual Field Global Deviation from Normal","definition" : "Weighted average deviation from the age corrected normal visual field, as decibel. Corresponds to Global Deviation from Normal (0024,0066) in the Results Normals Sequence (0024,0064)."},{"code" : "131249","display" : "Visual Field Localized Deviation From Normal","definition" : "Weighted square root of loss variance in visual field, as decibel. Corresponds to Localized Deviation From Normal (0024,0068) in the Results Normals Sequence (0024,0064)."},{"code" : "131250","display" : "Fixation false positive ratio","definition" : "The ratio between the number of times patient responses occurred when no visual stimulus was present (false positive responses) and the number of trials presented. Corresponds to ratio of False Positives Quantity (0024,0060) to Positive Catch Trials Quantity (0024,0056) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131251","display" : "Fixation false positive percent","definition" : "Estimated percentage of all patient responses that occurred at a time when no visual stimulus was present (false positive responses) , as percent. Corresponds to False Positives Estimate (0024,0054) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131252","display" : "Fixation false negative ratio","definition" : "The ratio between the number of times stimuli were not seen by the patient but were previously seen at a lower luminance earlier in the visual field test (false negative responses) and the number of trials presented. Corresponds to ratio of False Negatives Quantity (0024,0050) to Negative Catch Trials Quantity (0024,0048) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131253","display" : "Fixation false negative percent","definition" : "Estimated percentage of all stimuli that were not seen by the patient but were previously seen at a lower luminance earlier in the visual field test (false negative responses) , as percent. Corresponds to False Negatives Estimate (0024,0046) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131254","display" : "Fixation losses ratio","definition" : "The ratio between the number of times a patient loses visual fixation while maintaining a visual gaze on a single location and the number of trials presented. Corresponds to ratio of Patient Not Properly Fixated Quantity (0024,0036) to Fixation Checked Quantity (0024,0035) in Fixation Sequence (0024,0032)."},{"code" : "131255","display" : "Average macular thickness","definition" : "Average macular thickness across all ETDRS subfields."},{"code" : "131256","display" : "Cup to disc area ratio","definition" : "Ratio of the optic cup area to the optic disc area."},{"code" : "131257","display" : "Cup to disc ratio vertical","definition" : "Ratio of the vertical diameter of the optic cup to that of the vertical diameter of the optic disc."},{"code" : "131258","display" : "Cup to disc ratio horizontal","definition" : "Ratio of the horizontal diameter of the optic cup to that of the horizontal diameter of the optic disc."},{"code" : "131259","display" : "Neuroretinal rim area","definition" : "Area of the neuroretinal rim portion of the optic nerve head, or Bruch's Membrane Opening-based Minimum Rim Area (BMO-MRA)."},{"code" : "131260","display" : "Neuroretinal rim width","definition" : "Average width of the neuroretinal rim portion of the optic nerve head, or Bruch's Membrane Opening-based Minimum Rim Width (BMO-MRW)."},{"code" : "131261","display" : "Optic cup area","definition" : "Area of the cup portion of the optic nerve head."},{"code" : "131262","display" : "Optic disc area","definition" : "Area of the optic disc or Bruch's Membrane Opening (BMO)."},{"code" : "131263","display" : "Optic cup volume","definition" : "Volume of the cup portion of the optic nerve head."},{"code" : "131264","display" : "RNFL average thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , across the entire ROI (also denoted as the global RNFL thickness)."},{"code" : "131265","display" : "RNFL inferior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the inferior sector as defined by the measurement method."},{"code" : "131266","display" : "RNFL superior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the superior sector as defined by the measurement method."},{"code" : "131267","display" : "RNFL temporal sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the temporal sector as defined by the measurement method."},{"code" : "131268","display" : "RNFL nasal sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the nasal sector as defined by the measurement method."},{"code" : "131269","display" : "RNFL nasal-superior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the nasal-superior sector as defined by the measurement method."},{"code" : "131270","display" : "RNFL nasal-inferior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the nasal-inferior sector as defined by the measurement method."},{"code" : "131271","display" : "RNFL temporal-inferior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the temporal-inferior sector as defined by the measurement method."},{"code" : "131272","display" : "RNFL temporal-superior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the temporal-superior sector as defined by the measurement method."},{"code" : "131273","display" : "Retinal nerve fiber layer symmetry","definition" : "Ratio of the global retinal nerve fiber layer (RNFL) thickness measurement of the right eye to that of the left eye."},{"code" : "131274","display" : "Retinal ROI width","definition" : "Region of interest circular area diameter, eliptical area major axis, or rectangular area major dimension, used for measurement of retinal layer thicknesses."},{"code" : "131275","display" : "Retinal ROI height","definition" : "Region of interest eliptical area minor axis, or rectangular area minor dimension, used for measurement of retinal layer thicknesses."},{"code" : "131276","display" : "RNFL clockface position 1 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 1, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal superior quadrant."},{"code" : "131277","display" : "RNFL clockface position 2 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 2, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal superior quadrant."},{"code" : "131278","display" : "RNFL clockface position 3 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 3, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is the nasal position."},{"code" : "131279","display" : "RNFL clockface position 4 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 4, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal inferior quadrant."},{"code" : "131280","display" : "RNFL clockface position 5 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 5, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal inferior quadrant."},{"code" : "131281","display" : "RNFL clockface position 6 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 6. This is the inferior position."},{"code" : "131282","display" : "RNFL clockface position 7 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 7, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal inferior quadrant."},{"code" : "131283","display" : "RNFL clockface position 8 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 8, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal inferior quadrant."},{"code" : "131284","display" : "RNFL clockface position 9 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 9, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is the temporal position."},{"code" : "131285","display" : "RNFL clockface position 10 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 10, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal superior quadrant."},{"code" : "131286","display" : "RNFL clockface position 11 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 11, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal superior quadrant."},{"code" : "131287","display" : "RNFL clockface position 12 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 12. This is the superior position."},{"code" : "131288","display" : "Average ganglion cell thickness","definition" : "Average thickness of the ganglion cell layer across the entire ROI (also denoted as the global GCL thickness)."},{"code" : "131289","display" : "Minimum ganglion cell thickness","definition" : "Minimum thickness of the ganglion cell layer over a single meridian crossing the annulus."},{"code" : "131290","display" : "Average ganglion cell thickness superior sector","definition" : "Average ganglion cell thickness in the superior sector as defined by the measurement method."},{"code" : "131291","display" : "Average ganglion cell thickness nasal-superior sector","definition" : "Average ganglion cell thickness in the nasal-superior sector as defined by the measurement method."},{"code" : "131292","display" : "Average ganglion cell thickness nasal sector","definition" : "Average ganglion cell thickness in the nasal sector as defined by the measurement method."},{"code" : "131293","display" : "Average ganglion cell thickness nasal-inferior sector","definition" : "Average ganglion cell thickness in the nasal-inferior sector as defined by the measurement method."},{"code" : "131294","display" : "Average ganglion cell thickness inferior sector","definition" : "Average ganglion cell thickness in the inferior sector as defined by the measurement method."},{"code" : "131295","display" : "Average ganglion cell thickness temporal-inferior sector","definition" : "Average ganglion cell thickness in the temporal-inferior as defined by the measurement method."},{"code" : "131296","display" : "Average ganglion cell thickness temporal sector","definition" : "Average ganglion cell thickness in the temporal sector as defined by the measurement method."},{"code" : "131297","display" : "Average ganglion cell thickness temporal-superior sector","definition" : "Average ganglion cell thickness in the temporal-superior sector as defined by the measurement method."},{"code" : "131298","display" : "Average ganglion cell thickness in posterior pole grid","definition" : "Average ganglion cell thickness in the posterior pole grid, as a table of values."},{"code" : "131299","display" : "Ganglion cell and inner plexiform layers","definition" : "Anatomic region including the ganglion cell layer (GCL) and the inner plexiform layer (IPL)."},{"code" : "131300","display" : "Ganglion cell complex","definition" : "Anatomic region including the Ganglion cell layer (GCL) , the inner plexiform layer (IPL) , and the retinal nerve fiber layer (RNFL)."},{"code" : "131301","display" : "Semicircular sectors","definition" : "Measurement method on a circular ROI with four overlapping 180° semicircular sectors centered on vertical and horizontal axes (superior, inferior, nasal, temporal)."},{"code" : "131302","display" : "Quadrant sectors","definition" : "Measurement method on a circular ROI with four 90° sectors centered on vertical and horizontal axes (superior, inferior, nasal, temporal)."},{"code" : "131303","display" : "SNIT rectangular sectors","definition" : "Measurement method on a rectangular ROI with four overlapping rectangular sectors (superior, nasal, inferior, temporal)."},{"code" : "131304","display" : "Elliptical annulus sectors","definition" : "Measurement method on an elliptical annulus ROI, divided into six 60° sectors with boundaries beginning at 30° from vertical (superior, nasal-superior, nasal-inferior, inferior, temporal-inferior, temporal-superior). The outer ellipse of the annulus has a minor axis diameter equal to the Retinal ROI height and is aligned vertically, and a major axis diameter equal to the Retinal ROI width aligned horizontally. The dimensions of the inner ellipse of the annulus, centered on the fovea, are manufacturer specific."},{"code" : "131305","display" : "Garway-Heath sectors","definition" : "Measurement method on a circular ROI, divided into six sectors - a 110° nasal sector and a 90° temporal sector centered on the fovea-Bruch's membrane opening (BMO) axis, and four 40° sectors (temporal-superior, nasal-superior, nasal-inferior, temporal-inferior)."},{"code" : "131306","display" : "Quadrant-octant sectors","definition" : "Measurement method on a circular ROI, divided into six sectors - 90° nasal and temporal quadrants centered on the horizontal axis, and four 45° octants (temporal-superior, nasal-superior, nasal-inferior, temporal-inferior)."},{"code" : "131307","display" : "Posterior pole 8x8 grid","definition" : "Measurement method on a rectangular ROI, divided into an 8x8 grid positioned symmetrically to the fovea-optic disc axis and centered on the optic disc."},{"code" : "131308","display" : "RNFL Clockface Method","definition" : "Measurement method on a circular ROI, centered on the optic nerve head, with twelve measurements of retinal nerve fiber layer thickness made at 30° intervals on the circumference."},{"code" : "131309","display" : "Endothelial cell density","definition" : "The density of endothelial cells present on the innermost surface of the cornea."},{"code" : "131310","display" : "Geographic atrophy area","definition" : "The sum of the areas of all macular atrophy lesions."},{"code" : "131315","display" : "Plan meets prescription","definition" : "The plan meets the intended course of treatment as prescribed."},{"code" : "131316","display" : "Plan QA passed","definition" : "The plan has passed quality assurance checks."}]}}]}

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{"resourceType" : "CodeSystem","id" : "DCM","url" : "http://dicom.nema.org/resources/ontology/DCM","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:1.2.840.10008.2.16.4"}],"version" : "2025.3.20250714","name" : "DICOMTerminologyDefinitions","title" : "DICOM Controlled Terminology Definitions","status" : "active","experimental" : false,"date" : "2025-07-29T04:11:43+10:00","publisher" : "FHIR Project on behalf of DICOM","description" : "DICOM Code Definitions (Coding Scheme Designator \"DCM\" Coding Scheme Version 2025.3.20250714","purpose" : "This code system is published as part of FHIR in order to make the codes available to FHIR terminology services and so implementers can easily leverage the codes","copyright" : "These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association.","caseSensitive" : true,"valueSet" : "http://dicom.nema.org/resources/ValueSet/all","content" : "complete","concept" : [{"code" : "ANN","display" : "Annotation","definition" : "A device, process or method that produces annotations."},{"code" : "AR","display" : "Autorefraction","definition" : "An acquisition device, process or method that measures autorefraction."},{"code" : "ARCHIVE","display" : "Archive","definition" : "A device, process or method that stores images and other objects for a prolonged period of time."},{"code" : "AS","display" : "Angioscopy","definition" : "An acquisition device, process or method that records images during angioscopy."},{"code" : "ASMT","display" : "Content Assessment Result","definition" : "A device, process or method that produces assessments of the content of other instances, e.g., for quality or suitability."},{"code" : "AU","display" : "Audio","definition" : "An acquisition device, process or method that records audio."},{"code" : "BDUS","display" : "Ultrasound Bone Densitometry","definition" : "An acquisition device, process or method that performs ultrasound bone densitometry."},{"code" : "BI","display" : "Biomagnetic imaging","definition" : "An acquisition device, process or method that performs biomagnetic imaging."},{"code" : "BMD","display" : "Bone Mineral Densitometry","definition" : "An acquisition device, process or method that performs bone mineral densitometry by X-Ray, including dual-energy X-Ray absorptiometry (DXA) and morphometric X-Ray absorptiometry (MXA)."},{"code" : "CAD","display" : "Computer Assisted Detection/Diagnosis","definition" : "An image processing device, process or method that performs computer assisted detection or diagnosis."},{"code" : "CAPTURE","display" : "Image Capture","definition" : "An acquisition device, process or method that performs image capture, includes video capture."},{"code" : "CD","display" : "Color flow Doppler","definition" : "An acquisition device, process or method that performs color flow Doppler."},{"code" : "CF","display" : "Cinefluorography","definition" : "An acquisition device, process or method that performs cinefluorography."},{"code" : "CFM","display" : "Confocal Microscopy","definition" : "An acquisition device, process or method that performs imaging using a confocal microscope."},{"code" : "COMP","display" : "Computation Server","definition" : "A device, process or method that performs computation as a service; includes radiotherapy planning."},{"code" : "CP","display" : "Culposcopy","definition" : "An acquisition device, process or method that records images during culposcopy."},{"code" : "CR","display" : "Computed Radiography","definition" : "An acquisition device, process or method that performs computed radiography."},{"code" : "CS","display" : "Cystoscopy","definition" : "An acquisition device, process or method that records images during cystoscopy."},{"code" : "CT","display" : "Computed Tomography","definition" : "An acquisition device, process or method that performs computed tomography."},{"code" : "CTPROTOCOL","display" : "CT Protocol","definition" : "A device, process or method that produces CT device acquisition protocols."},{"code" : "DD","display" : "Duplex Doppler","definition" : "An acquisition device, process or method that performs duplex Doppler."},{"code" : "DF","display" : "Digital fluoroscopy","definition" : "An acquisition device, process or method that performs digital fluoroscopy."},{"code" : "DG","display" : "Diaphanography","definition" : "An acquisition device, process or method that performs diaphanography."},{"code" : "DM","display" : "Digital microscopy","definition" : "An acquisition device, process or method that performs digital microscopy."},{"code" : "DMS","display" : "Dermoscopy","definition" : "An acquisition device, process or method that performs imaging of the surface of the skin using epiluminescence microscopy."},{"code" : "DOC","display" : "Document","definition" : "A device, process or method that produces documents. i.e., representations of documents as images, whether by scanning or other means."},{"code" : "DOCD","display" : "Document Digitizer Equipment","definition" : "A device, process or method that digitizes hardcopy documents and imports them."},{"code" : "DS","display" : "Digital Subtraction Angiography","definition" : "An acquisition device, process or method that performs digital subtraction angiography."},{"code" : "DSS","display" : "Department System Scheduler","definition" : "A department-based information system (for instance, Radiology or Laboratory) that provides functions related to the management of orders received from external systems or through the department system’s user interface. This definition matches that of the DSS/OF Actor in the IHE Scheduled Workflow (SWF) Profile."},{"code" : "DX","display" : "Digital Radiography","definition" : "An acquisition device, process or method that performs digital radiography."},{"code" : "EC","display" : "Echocardiography","definition" : "An acquisition device, process or method that performs echocardiography."},{"code" : "ECG","display" : "Electrocardiography","definition" : "An acquisition device, process or method that performs electrocardiography."},{"code" : "EEG","display" : "Electroencephalography","definition" : "An acquisition device, process or method that performs electroencephalography."},{"code" : "EMG","display" : "Electromyography","definition" : "An acquisition device, process or method that performs electromyography."},{"code" : "EOG","display" : "Electrooculography","definition" : "An acquisition device, process or method that performs electrooculography."},{"code" : "EPS","display" : "Cardiac Electrophysiology","definition" : "An acquisition device, process or method that performs cardiac electrophysiology."},{"code" : "ES","display" : "Endoscopy","definition" : "An acquisition device, process or method that records images during endoscopy."},{"code" : "F","display" : "Female","definition" : "Female sex."},{"code" : "FA","display" : "Fluorescein angiography","definition" : "An acquisition device, process or method that performs fluorescein angiography."},{"code" : "FC","display" : "Female changed to Male","definition" : "Female sex changed to Male sex."},{"code" : "FID","display" : "Spatial Fiducials","definition" : "A device, process or method that identifies features or landmarks used to establish spatial correlation between objects or frames of reference."},{"code" : "FILMD","display" : "Film Digitizer","definition" : "A device, process or method that performs film digitization."},{"code" : "FP","display" : "Female Pseudohermaphrodite","definition" : "Female Pseudohermaphrodite."},{"code" : "FS","display" : "Fundoscopy","definition" : "An acquisition device, process or method that records images during fundoscopy."},{"code" : "GM","display" : "General Microscopy","definition" : "An acquisition device, process or method that performs general microscopy."},{"code" : "H","display" : "Hermaphrodite","definition" : "Hermaphrodite."},{"code" : "HC","display" : "Hard Copy","definition" : "A device, process or method that creates images to be printed as hard copy."},{"code" : "HD","display" : "Hemodynamic","definition" : "An acquisition device, process or method that records hemodynamic waveforms."},{"code" : "IO","display" : "Intra-oral Radiography","definition" : "An acquisition device, process or method that performs intra-oral radiography."},{"code" : "IOL","display" : "Intraocular Lens Calculation","definition" : "A device, process or method that encodes calculations for an intraocular lens."},{"code" : "IVOCT","display" : "Intravascular Optical Coherence Tomography","definition" : "An acquisition device, process or method that performs intravascular optical coherence tomography"},{"code" : "IVUS","display" : "Intravascular Ultrasound","definition" : "An acquisition device, process or method that performs intravascular ultrasound."},{"code" : "KER","display" : "Keratometry","definition" : "An acquisition device, process or method that performs keratometry."},{"code" : "KO","display" : "Key Object Selection","definition" : "A device, process or method that creates Key Object Selection objects."},{"code" : "LEN","display" : "Lensometry","definition" : "An acquisition device, process or method that performs lensometry."},{"code" : "LOG","display" : "Procedure Logging","definition" : "A device, process or method that performs procedure Logging; includes cath lab logging."},{"code" : "LP","display" : "Laparoscopy","definition" : "An acquisition device, process or method that records images during laparoscopy."},{"code" : "LS","display" : "Laser surface scan","definition" : "An acquisition device, process or method that performs laser surface scanning."},{"code" : "M","display" : "Male","definition" : "Male sex."},{"code" : "M3D","display" : "3D Manufacturing Modeling System","definition" : "A device, process or method that produces data (models) for use in 3D manufacturing."},{"code" : "MA","display" : "Magnetic resonance angiography","definition" : "An acquisition device, process or method that performs magnetic resonance angiography."},{"code" : "MC","display" : "Male changed to Female","definition" : "Male sex changed to Female sex."},{"code" : "MCD","display" : "Media Creation Device","definition" : "A device, process or method that creates DICOM interchange media."},{"code" : "MEDIM","display" : "Portable Media Importer Equipment","definition" : "A device, process or method that retrieves and imports objects from Interchange Media."},{"code" : "MG","display" : "Mammography","definition" : "An acquisition device, process or method that performs mammography."},{"code" : "MP","display" : "Male Pseudohermaphrodite","definition" : "Male Pseudohermaphrodite."},{"code" : "MR","display" : "Magnetic Resonance","definition" : "An acquisition device, process or method that performs magnetic resonance imaging."},{"code" : "MS","display" : "Magnetic resonance spectroscopy","definition" : "An acquisition device, process or method that performs magnetic resonance spectroscopy."},{"code" : "NEARLINE","display" : "Nearline","definition" : "Instances need to be retrieved from relatively slow media such as optical disk or tape."},{"code" : "NM","display" : "Nuclear Medicine","definition" : "An acquisition device, process or method that performs nuclear medicine imaging."},{"code" : "OAM","display" : "Ophthalmic Axial Measurements","definition" : "An acquisition device, process or method that measures the axial length of the eye."},{"code" : "OCT","display" : "Optical Coherence Tomography","definition" : "An acquisition device, process or method that uses an interferometric, non-invasive optical tomographic technique to image 2D slices and 3D volumes of tissue using visible and near visible frequencies."},{"code" : "OFFLINE","display" : "Offline","definition" : "Instances need to be retrieved by manual intervention."},{"code" : "ONLINE","display" : "Online","definition" : "Instances are immediately available."},{"code" : "OP","display" : "Ophthalmic photography","definition" : "An acquisition device, process or method that performs ophthalmic photography."},{"code" : "OPM","display" : "Ophthalmic Mapping","definition" : "An acquisition device, process or method that measures corneal topography, corneal or retinal thickness, and other similar parameters that are typically displayed as maps."},{"code" : "OPR","display" : "Ophthalmic Refraction","definition" : "An acquisition device, process or method that measures the refractive characteristics of the eye."},{"code" : "OPT","display" : "Ophthalmic Tomography","definition" : "An acquisition device, process or method that performs tomography of the eye that is based on light and optical principles. Tomography based on other principles, such as ultrasound, is excluded."},{"code" : "OPTBSV","display" : "Ophthalmic Tomography B-scan Volume Analysis","definition" : "An acquisition device, process or method that performs B-scan volume analysis of tomography images of the eye based on light and optical principles. Tomography based on other principles, such as ultrasound, is excluded."},{"code" : "OPTENF","display" : "Ophthalmic Tomography En Face","definition" : "An acquisition device, process or method that creates en face tomography images of the eye based on light and optical principles. Tomography based on other principles, such as ultrasound, is excluded."},{"code" : "OPV","display" : "Ophthalmic Visual Field","definition" : "An acquisition device, process or method that measures visual fields and perform visual perimetry."},{"code" : "OSS","display" : "Optical Surface Scanner","definition" : "An acquisition device, process or method that performs optical surface scanning."},{"code" : "OT","display" : "Other Modality","definition" : "Other Modality device."},{"code" : "PA","display" : "Photoacoustic","definition" : "An acquisition device, process or method that performs imaging by means of tissue excitation through the absorption of short light pulses and detection of the resultant acoustic emission."},{"code" : "PLAN","display" : "Plan","definition" : "A device, process or method that produces treatment plans, e.g., delivery instructions for RT."},{"code" : "POS","display" : "Position Sensor","definition" : "A device or sensor measuring the orientation of the patient’s body."},{"code" : "PR","display" : "Presentation State","definition" : "A device, process or method that creates Presentation State objects."},{"code" : "PRINT","display" : "Hard Copy Print Server","definition" : "Hard Copy Print Server; includes printers with embedded DICOM print server."},{"code" : "PT","display" : "Positron emission tomography","definition" : "An acquisition device, process or method that performs positron emission tomography (PET)."},{"code" : "PX","display" : "Panoramic X-Ray","definition" : "An acquisition device, process or method that performs panoramic X-Rays."},{"code" : "REG","display" : "Registration","definition" : "An image processing device, process or method that creates Registration objects."},{"code" : "RESP","display" : "Respiratory","definition" : "A device, process or method that produces waveforms of electrical signals from the patient’s respiratory system."},{"code" : "RF","display" : "Radiofluoroscopy","definition" : "An acquisition device, process or method that performs radiofluoroscopy."},{"code" : "RG","display" : "Radiographic imaging","definition" : "An acquisition device, process or method that performs radiographic imaging (conventional film/screen)."},{"code" : "RT","display" : "Radiation Therapy Device","definition" : "A device, process or method that delivers radiation therapy; includes linear accelerator, proton therapy."},{"code" : "RTDOSE","display" : "RT Dose","definition" : "A device, process or method that records radiotherapy dose."},{"code" : "RTIMAGE","display" : "RT Image","definition" : "An acquisition device, process or method that performs radiotherapy imaging; includes portal imaging."},{"code" : "RTPLAN","display" : "RT Plan","definition" : "A device, process or method that produces radiotherapy plans."},{"code" : "RTRECORD","display" : "RT Treatment Record","definition" : "A device, process or method that records radiotherapy treatment records."},{"code" : "RTSTRUCT","display" : "RT Structure Set","definition" : "A device, process or method that produces Radiotherapy Structure Sets."},{"code" : "RWV","display" : "Real World Value Map","definition" : "A device, process or method that produces mappings between image pixel values and some real-world values."},{"code" : "SEG","display" : "Segmentation","definition" : "An image processing device, process or method that performs segmentation."},{"code" : "SM","display" : "Slide Microscopy","definition" : "An acquisition device, process or method that performs slide microscopy."},{"code" : "SMR","display" : "Stereometric Relationship","definition" : "A device, process or method that records relationships between stereometric image pairs."},{"code" : "SR","display" : "Structured Report Document","definition" : "A device, process or method that creates Structured Report documents."},{"code" : "SRF","display" : "Subjective Refraction","definition" : "An acquisition device, process or method that records subjective refraction."},{"code" : "ST","display" : "Single-photon emission computed tomography","definition" : "An acquisition device, process or method that performs single-photon emission computed tomography (SPECT)."},{"code" : "STAIN","display" : "Automated Slide Stainer","definition" : "A device, process or method that applies, in an automated manner, a stain, or reagent, to microscopy slides in preparation for imaging."},{"code" : "TEXTUREMAP","display" : "Texture Map","definition" : "A device, process or method that produces texture maps."},{"code" : "TG","display" : "Thermography","definition" : "An acquisition device, process or method that performs thermography."},{"code" : "U","display" : "Unknown Sex","definition" : "Unknown Sex."},{"code" : "UNAVAILABLE","display" : "Unavailable","definition" : "Instances cannot be retrieved."},{"code" : "US","display" : "Ultrasound","definition" : "An acquisition device, process or method that performs ultrasound."},{"code" : "VA","display" : "Visual Acuity","definition" : "An acquisition device, process or method that measures visual acuity."},{"code" : "VF","display" : "Videofluorography","definition" : "An acquisition device, process or method that measures videofluorography."},{"code" : "VIDD","display" : "Video Tape Digitizer Equipment","definition" : "A device, process or method that digitizes video tape and imports it."},{"code" : "WSD","display" : "Workstation","definition" : "A networked computer equipped with a display and software for performing specific types of work, generally intended to be operated by a single user."},{"code" : "XA","display" : "X-Ray Angiography","definition" : "An acquisition device, process or method that performs X-Ray angiography."},{"code" : "XC","display" : "External-camera Photography","definition" : "An acquisition device, process or method that performs photography with an external camera."},{"code" : "109001","display" : "Digital timecode (NOS)","definition" : "A signal transmitted for the purpose of interchange of the current time, not specific to any source or methodology."},{"code" : "109002","display" : "ECG-based gating signal, processed","definition" : "A signal that is generated for each detection of a heart beat."},{"code" : "109003","display" : "IRIG-B timecode","definition" : "A signal transmitted by the Inter-Range Instrumentation Group for the purpose of synchronizing time clocks."},{"code" : "109004","display" : "X-Ray Fluoroscopy On Signal","definition" : "A signal that indicates that X-Ray source has been activated for fluoroscopy use."},{"code" : "109005","display" : "X-Ray On Trigger","definition" : "A signal that indicated that the X-Ray source has been activated for image recording."},{"code" : "109006","display" : "Differential signal","definition" : "An electrical signal derived from two electrodes."},{"code" : "109007","display" : "His bundle electrogram","definition" : "An electrophysiological recording from the HIS nerve bundle."},{"code" : "109008","display" : "Monopole signal","definition" : "An electrical signal from one electrode relative to an indifferent potential."},{"code" : "109009","display" : "Pacing (electrical) stimulus, voltage","definition" : "The voltage stimulus during cardiac pacing."},{"code" : "109010","display" : "Radio frequency ablation, power","definition" : "The power injected during RF ablation procedure."},{"code" : "109011","display" : "Voltage measurement by basket catheter","definition" : "Electrophysiological signals acquired using a multi-splined catheter each equipped with multiple electrodes."},{"code" : "109012","display" : "Voltage measurement by mapping catheter","definition" : "Electrophysiological signals acquired using a steerable catheter."},{"code" : "109013","display" : "Voltage measurement","definition" : "A voltage measurement not otherwise specified."},{"code" : "109014","display" : "35% of thermal/dye dilution CO","definition" : "A signal point that is 35% of the peak thermal cardiac output signal."},{"code" : "109015","display" : "70% of thermal/dye dilution CO","definition" : "A signal point that is 70% of the peak thermal cardiac output signal."},{"code" : "109016","display" : "A wave peak pressure","definition" : "The peak pressure of each heart beat in the atrium caused by the atrial contraction."},{"code" : "109017","display" : "A wave pressure, average","definition" : "The average of several A wave pressure measurements."},{"code" : "109018","display" : "Beat detected (accepted)","definition" : "An identified cardiac beat used in the determination of a measurement."},{"code" : "109019","display" : "Beat detected (rejected)","definition" : "An identified cardiac beat not used in the determination of a measurement."},{"code" : "109020","display" : "Diastolic pressure, average","definition" : "The average of several diastolic pressure measurements"},{"code" : "109021","display" : "Diastolic pressure nadir","definition" : "The lowest pressure value excluding any undershoot artifact."},{"code" : "109022","display" : "End diastole","definition" : "The moment at the end of the diastolic phase of the cardiac cycle."},{"code" : "109023","display" : "End of expiration","definition" : "The moment at the end of respiratory expiration."},{"code" : "109024","display" : "End of inspiration","definition" : "The moment at the end of respiratory inspiration."},{"code" : "109025","display" : "Max dp/dt","definition" : "The maximum positive rate of change of pressure."},{"code" : "109026","display" : "Max neg dp/dt","definition" : "The maximum negative rate of change of pressure."},{"code" : "109027","display" : "Mean blood pressure","definition" : "The average blood pressure value, generally over 2 or more seconds"},{"code" : "109028","display" : "Peak of thermal cardiac output bolus","definition" : "The peak change in blood temperature during a thermal cardiac output measurement."},{"code" : "109029","display" : "Start of expiration","definition" : "The moment respiratory expiration begins."},{"code" : "109030","display" : "Start of inspiration","definition" : "The moment of respiratory inspiration begins."},{"code" : "109031","display" : "Start of thermal CO","definition" : "The first discernible blood temperature change following the injectate during a thermal cardiac output measurement."},{"code" : "109032","display" : "Systolic pressure, average","definition" : "The average of several systolic blood pressure measurements."},{"code" : "109033","display" : "Systolic peak pressure","definition" : "The highest systolic blood pressure value excluding any overshoot artifact"},{"code" : "109034","display" : "V wave peak pressure","definition" : "The peak pressure of each heart beat in the atrium caused by the filling of the atrium."},{"code" : "109035","display" : "V wave pressure, average","definition" : "The average of several V wave pressure measurements."},{"code" : "109036","display" : "Valve close","definition" : "The moment at which a heart valve closes."},{"code" : "109037","display" : "Valve open","definition" : "The moment at which a heart valve opens."},{"code" : "109038","display" : "Ablation off","definition" : "The moment when RF ablation current is turned off."},{"code" : "109039","display" : "Ablation on","definition" : "The moment when RF ablation current is turned on."},{"code" : "109040","display" : "HIS bundle wave","definition" : "The moment in the cardiac cycle when the HIS bundle nerves depolarize."},{"code" : "109041","display" : "P wave","definition" : "The surface electrocardiogram of the atrial contraction."},{"code" : "109042","display" : "Q wave","definition" : "The first negative deflection of the electrocardiogram cause by ventricular depolarization."},{"code" : "109043","display" : "R wave","definition" : "The first positive deflection the electrocardiogram cause by ventricular depolarization."},{"code" : "109044","display" : "S wave","definition" : "The first negative deflection after the R wave."},{"code" : "109045","display" : "Start of atrial contraction","definition" : "The beginning of the atrial contraction."},{"code" : "109046","display" : "Start of atrial contraction (subsequent)","definition" : "The beginning of the second atrial contraction of two consecutive beats."},{"code" : "109047","display" : "Stimulation at rate 1 interval","definition" : "The stimulation interval during cardiac stimulation first used in a pacing train."},{"code" : "109048","display" : "Stimulation at rate 2 interval","definition" : "The stimulation interval different from the first stimulation interval used in a pacing train."},{"code" : "109049","display" : "Stimulation at rate 3 interval","definition" : "A stimulation interval different from and subsequent to the second interval in a pacing train."},{"code" : "109050","display" : "Stimulation at rate 4 interval","definition" : "Describes a stimulation interval different from and subsequent to the third interval in a pacing train."},{"code" : "109051","display" : "T wave","definition" : "The electrocardiogram deflection caused by ventricular repolarization."},{"code" : "109052","display" : "V wave","definition" : "The peak pressure of each heart beat monitored in the atrium caused by the filling of the atrium."},{"code" : "109053","display" : "V wave of next beat","definition" : "The second V wave measurement of two consecutive beats."},{"code" : "109054","display" : "Patient State","definition" : "A description of the physiological condition of the patient."},{"code" : "109055","display" : "Protocol Stage","definition" : "The exercise level during a progressive cardiac stress test."},{"code" : "109056","display" : "Stress Protocol","definition" : "A series of physiological challenges designed to progressively increase the work of the heart."},{"code" : "109057","display" : "Catheterization Procedure Phase","definition" : "A subpart of a cardiac catheterization procedure"},{"code" : "109058","display" : "Contrast Phase","definition" : "The subpart of a cardiac catheterization procedure in which a radio-opaque contrast medium is injected into the patient."},{"code" : "109059","display" : "Physiological challenges","definition" : "Physical changes administered to a patient in order to elicit an physiological response."},{"code" : "109060","display" : "Procedure Step Number","definition" : "Enumeration of a subpart of a catheterization procedure."},{"code" : "109061","display" : "EP Procedure Phase","definition" : "A subpart of en electrophysiological procedure."},{"code" : "109063","display" : "Pulse train definition","definition" : "A means of defining a series of cardiac stimulation pulses."},{"code" : "109070","display" : "End of systole"},{"code" : "109071","display" : "Indicator mean transit time","definition" : "Time for a median particle to travel from point of injection to point of detection."},{"code" : "109072","display" : "Tau","definition" : "The time constant of isovolumic pressure fall."},{"code" : "109073","display" : "V max myocardial","definition" : "Maximum velocity of myocardial contractility."},{"code" : "109080","display" : "Real time acquisition","definition" : "Total time for the acquisition is shorter than cardiac cycle, no gating is applied."},{"code" : "109081","display" : "Prospective gating","definition" : "Certain thresholds have been set for a gating window that defines the acceptance of measurement data during the acquisition."},{"code" : "109082","display" : "Retrospective gating","definition" : "Certain thresholds have been set for a gating window that defines the acceptance of measurement data after the acquisition."},{"code" : "109083","display" : "Paced","definition" : "There is a constant RR interval, which makes thresholding not required; see Cardiac Synchronization Technique (0018,9037)."},{"code" : "109091","display" : "Cardiac Stress State","definition" : "Imaging after injection of tracer during increased cardiac workload or increased myocardial blood flow, achieved by either exercise or pharmacologic means."},{"code" : "109092","display" : "Reinjection State","definition" : "Imaging after injection of additional tracer under resting conditions."},{"code" : "109093","display" : "Redistribution State","definition" : "Imaging after allowing a moderate amount of time for tracer to move from its initial sites of uptake.Example: For Thallium imaging this would correspond to imaging 2-6 hours after injection."},{"code" : "109094","display" : "Delayed Redistribution State","definition" : "Imaging after allowing an extended amount of time for tracer to move from its initial sites of uptake.Example: For Thallium imaging this would correspond to imaging more than 6 hours after injection."},{"code" : "109095","display" : "Peak stress state","definition" : "Peak Cardiac stress state"},{"code" : "109096","display" : "Recovery state","definition" : "Recovery from cardiac stress"},{"code" : "109100","display" : "Synthesizing Equipment","definition" : "Equipment that created artificial data."},{"code" : "109101","display" : "Acquisition Equipment","definition" : "Equipment that originally acquired the data stored within composite instances."},{"code" : "109102","display" : "Processing Equipment","definition" : "Equipment that has processed composite instances to create new composite instances."},{"code" : "109103","display" : "Modifying Equipment","definition" : "Equipment that has modified existing composite instances (without creating new composite instances)."},{"code" : "109104","display" : "De-identifying Equipment","definition" : "Equipment that has modified an existing composite instance to remove patient identifying information."},{"code" : "109105","display" : "Frame Extracting Equipment","definition" : "Equipment that has processed composite instances to create new composite instances by extracting selected frames from the original instance."},{"code" : "109106","display" : "Enhanced Multi-frame Conversion Equipment","definition" : "Equipment that has processed composite instances to create new composite instances by converting classic single frame images to enhanced multi-frame image, or vice versa and updating other instances to maintain referential integrity."},{"code" : "109110","display" : "Voice","definition" : "The sound of a human's speech, recorded during a procedure."},{"code" : "109111","display" : "Operator's narrative","definition" : "The voice of a device operator, recorded during a procedure."},{"code" : "109112","display" : "Ambient room environment","definition" : "The ambient sound recorded during a procedure, which may or may not include voice and other types of sound."},{"code" : "109113","display" : "Doppler audio","definition" : "The Doppler waveform recorded as an audible signal."},{"code" : "109114","display" : "Phonocardiogram","definition" : "The sound of the human heart beating."},{"code" : "109115","display" : "Physiological audio signal","definition" : "Any sound made by the human body."},{"code" : "109116","display" : "Arterial Pulse Waveform","definition" : "A digitized signal from the patient arterial system collected through pulse oximetry or other means."},{"code" : "109117","display" : "Respiration Waveform","definition" : "A digitized signal from the patient respiratory system representing respiration."},{"code" : "109120","display" : "On admission to unit","definition" : "The occasion on which a procedure was performed on admission to a specialist unit."},{"code" : "109121","display" : "On discharge","definition" : "The occasion on which a procedure was performed on discharge from hospital as an in-patient."},{"code" : "109122","display" : "On discharge from unit","definition" : "The occasion on which a procedure was performed on discharge from a specialist unit."},{"code" : "109123","display" : "Pre-intervention","definition" : "The occasion on which a procedure was performed immediately prior to non-surgical intervention. E.g, percutaneous angioplasty, biopsy."},{"code" : "109124","display" : "Post-intervention","definition" : "The occasion on which a procedure was performed immediately after to non-surgical intervention. E.g, percutaneous angioplasty, biopsy."},{"code" : "109125","display" : "At last appointment","definition" : "The occasion on which a procedure was performed at the most recent outpatient visit."},{"code" : "109132","display" : "Joint position method","definition" : "The active or passive joint positioning during acquisition."},{"code" : "109133","display" : "Physical force","definition" : "A physical force applied during acquisition."},{"code" : "109134","display" : "Prior to voiding","definition" : "Prior to voiding urine from the bladder."},{"code" : "109135","display" : "Post voiding","definition" : "Post voiding urine from the bladder."},{"code" : "109136","display" : "Neutral musculoskeletal position","definition" : "Neutral musculoskeletal position."},{"code" : "109137","display" : "During voiding","definition" : "During voiding urine from the bladder."},{"code" : "109200","display" : "America Kennel Club","definition" : "America Kennel Club."},{"code" : "109201","display" : "America's Pet Registry Inc.","definition" : "America's Pet Registry Inc."},{"code" : "109202","display" : "American Canine Association","definition" : "American Canine Association."},{"code" : "109203","display" : "American Purebred Registry","definition" : "American Purebred Registry."},{"code" : "109204","display" : "American Rare Breed Association","definition" : "American Rare Breed Association."},{"code" : "109205","display" : "Animal Registry Unlimited","definition" : "Animal Registry Unlimited."},{"code" : "109206","display" : "Animal Research Foundation","definition" : "Animal Research Foundation."},{"code" : "109207","display" : "Canadian Border Collie Association","definition" : "Canadian Border Collie Association."},{"code" : "109208","display" : "Canadian Kennel Club","definition" : "Canadian Kennel Club."},{"code" : "109209","display" : "Canadian Livestock Records Association","definition" : "Canadian Livestock Records Association."},{"code" : "109210","display" : "Canine Federation of Canada","definition" : "Canine Federation of Canada."},{"code" : "109211","display" : "Continental Kennel Club","definition" : "Continental Kennel Club."},{"code" : "109212","display" : "Dog Registry of America","definition" : "Dog Registry of America."},{"code" : "109213","display" : "Federation of International Canines","definition" : "Federation of International Canines."},{"code" : "109214","display" : "International Progressive Dog Breeders' Alliance","definition" : "International Progressive Dog Breeders' Alliance."},{"code" : "109215","display" : "National Kennel Club","definition" : "National Kennel Club."},{"code" : "109216","display" : "North American Purebred Dog Registry","definition" : "North American Purebred Dog Registry."},{"code" : "109217","display" : "United All Breed Registry","definition" : "United All Breed Registry."},{"code" : "109218","display" : "United Kennel Club","definition" : "United Kennel Club."},{"code" : "109219","display" : "Universal Kennel Club International","definition" : "Universal Kennel Club International."},{"code" : "109220","display" : "Working Canine Association of Canada","definition" : "Working Canine Association of Canada."},{"code" : "109221","display" : "World Kennel Club","definition" : "World Kennel Club."},{"code" : "109222","display" : "World Wide Kennel Club","definition" : "World Wide Kennel Club."},{"code" : "109701","display" : "Overall image quality evaluation","definition" : "Evaluation of overall image quality as described in section 7.3.2 of ."},{"code" : "109702","display" : "Grayscale resolution evaluation","definition" : "Visual verification of sufficient grayscale resolution based on 8 and 10-bit markers as described in section 7.3.3 of ."},{"code" : "109703","display" : "Luminance response evaluation","definition" : "Visual evaluation of luminance response using the TG18-CT test pattern as described in section 7.3.4 of ."},{"code" : "109704","display" : "Luminance uniformity evaluation","definition" : "Visual detection of luminance non-uniformities as described in section 7.3.5 of ."},{"code" : "109705","display" : "Chromaticity evaluation","definition" : "Visual verification of color uniformity as described in section 7.3.6 of ."},{"code" : "109706","display" : "Pixel faults evaluation","definition" : "Visual detection of defective pixels on dark (TG18-UN80) and bright (TG18-UN10) images as described in section 7.3.7 of ."},{"code" : "109707","display" : "Veiling glare evaluation","definition" : "Visual evaluation of veiling glare by looking at low contrast objects on 2 test patterns as described in section 7.3.8 of ."},{"code" : "109708","display" : "Geometrical image evaluation","definition" : "Visual evaluation of geometry, phase/clock correction and clipping as described in section 7.3.9 of ."},{"code" : "109709","display" : "Angular viewing evaluation","definition" : "Visual evaluation of viewing angle as described in section 7.3.10 of ."},{"code" : "109710","display" : "Clinical evaluation","definition" : "Visual evaluation of the appearance of clinical images as described in section 7.3.11 of ."},{"code" : "109801","display" : "TG18-QC Pattern","definition" : "AAPM TG18-QC Pattern used for evaluation of resolution, luminance, distortion, artifacts.See ."},{"code" : "109802","display" : "TG18-BR Pattern","definition" : "AAPM TG18-BR Pattern used for the evaluation of the display of low-contrast, fine-detail image structuresSee ."},{"code" : "109803","display" : "TG18-PQC Pattern","definition" : "AAPM TG18-PQC Pattern used for evaluation of resolution, luminance, contrast transfer for prints.See ."},{"code" : "109804","display" : "TG18-CT Pattern","definition" : "AAPM TG18-CT Pattern used for evaluation of luminance response.See ."},{"code" : "109805","display" : "TG18-LN8-01 Pattern","definition" : "The 1st image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109806","display" : "TG18-LN8-02 Pattern","definition" : "The 2nd image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109807","display" : "TG18-LN8-03 Pattern","definition" : "The 3rd image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109808","display" : "TG18-LN8-04 Pattern","definition" : "The 4th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109809","display" : "TG18-LN8-05 Pattern","definition" : "The 5th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109810","display" : "TG18-LN8-06 Pattern","definition" : "The 6th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109811","display" : "TG18-LN8-07 Pattern","definition" : "The 7th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109812","display" : "TG18-LN8-08 Pattern","definition" : "The 8th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109813","display" : "TG18-LN8-09 Pattern","definition" : "The 9th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109814","display" : "TG18-LN8-10 Pattern","definition" : "The 10th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration series.See ."},{"code" : "109815","display" : "TG18-LN8-11 Pattern","definition" : "The 11th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109816","display" : "TG18-LN8-12 Pattern","definition" : "The 12th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109817","display" : "TG18-LN8-13 Pattern","definition" : "The 13th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109818","display" : "TG18-LN8-14 Pattern","definition" : "The 14th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109819","display" : "TG18-LN8-15 Pattern","definition" : "The 15th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109820","display" : "TG18-LN8-16 Pattern","definition" : "The 16th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109821","display" : "TG18-LN8-17 Pattern","definition" : "The 17th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code" : "109822","display" : "TG18-LN8-18 Pattern","definition" : "The 18th image in the AAPM TG18-LN8- set used for DICOM grayscale calibration.See ."},{"code" : "109823","display" : "TG18-LN12-01 Pattern","definition" : "The 1st image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109824","display" : "TG18-LN12-02 Pattern","definition" : "The 2 nd image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109825","display" : "TG18-LN12-03 Pattern","definition" : "The 3rd image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109826","display" : "TG18-LN12-04 Pattern","definition" : "The 4th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109827","display" : "TG18-LN12-05 Pattern","definition" : "The 5th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109828","display" : "TG18-LN12-06 Pattern","definition" : "The 6th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109829","display" : "TG18-LN12-07 Pattern","definition" : "The 7th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109830","display" : "TG18-LN12-08 Pattern","definition" : "The 8th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109831","display" : "TG18-LN12-09 Pattern","definition" : "The 9th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109832","display" : "TG18-LN12-10 Pattern","definition" : "The 10th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109833","display" : "TG18-LN12-11 Pattern","definition" : "The 11th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109834","display" : "TG18-LN12-12 Pattern","definition" : "The 12th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109835","display" : "TG18-LN12-13 Pattern","definition" : "The 13th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109836","display" : "TG18-LN12-14 Pattern","definition" : "The 14th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109837","display" : "TG18-LN12-15 Pattern","definition" : "The 15th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109838","display" : "TG18-LN12-16 Pattern","definition" : "The 16th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109839","display" : "TG18-LN12-17 Pattern","definition" : "The 17th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109840","display" : "TG18-LN12-18 Pattern","definition" : "The 18th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code" : "109841","display" : "TG18-UN10 Pattern","definition" : "The AAPM TG18-UN10 Pattern used for evaluation of luminance and color uniformity, and angular response.See ."},{"code" : "109842","display" : "TG18-UN80 Pattern","definition" : "The AAPM TG18-UN80 Pattern used for evaluation of luminance and color uniformity, and angular response.See ."},{"code" : "109843","display" : "TG18-UNL10 Pattern","definition" : "The AAPM TG18-UNL10 Pattern is the AAPM TG-18 UN10 Pattern with added defining lines.See ."},{"code" : "109844","display" : "TG18-UNL80 Pattern","definition" : "The AAPM TG18-UNL80 Pattern is the AAPM TG-18 UN80 Pattern with added defining lines.See ."},{"code" : "109845","display" : "TG18-AD Pattern","definition" : "The AAPM TG18-AD Pattern used for visual evaluation of the reflection of ambient light from the display.See ."},{"code" : "109846","display" : "TG18-MP Pattern","definition" : "The AAPM TG18-MP Pattern used for evaluation of Luminance response (bit-depth resolution).See ."},{"code" : "109847","display" : "TG18-RH10 Pattern","definition" : "The AAPM TG18-RH10 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 10% luminance level.See ."},{"code" : "109848","display" : "TG18-RH50 Pattern","definition" : "The AAPM TG18-RH50 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 50% luminance level.See ."},{"code" : "109849","display" : "TG18-RH89 Pattern","definition" : "The AAPM TG18-RH89 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 89% luminance level.See ."},{"code" : "109850","display" : "TG18-RV10 Pattern","definition" : "The AAPM TG18-RV10 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 10% luminance level.See ."},{"code" : "109851","display" : "TG18-RV50 Pattern","definition" : "The AAPM TG18-RV50 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 50% luminance level.See ."},{"code" : "109852","display" : "TG18-RV89 Pattern","definition" : "The AAPM TG18-RV89 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 89% luminance level.See ."},{"code" : "109853","display" : "TG18-PX Pattern","definition" : "The AAPM TG18-PX Pattern used for the assessment of display resolution.See ."},{"code" : "109854","display" : "TG18-CX Pattern","definition" : "The AAPM TG18-CX Pattern used to assess display resolution and resolution uniformity.See ."},{"code" : "109855","display" : "TG18-LPH10 Pattern","definition" : "The AAPM TG18-LPH10 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 10% background level of the maximum pixel value.See ."},{"code" : "109856","display" : "TG18-LPH50 Pattern","definition" : "The AAPM TG18-LPH50 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 50% positive contrast against 10% background level of the maximum pixel value.See ."},{"code" : "109857","display" : "TG18-LPH89 Pattern","definition" : "The AAPM TG18-LPH89 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 89% background level of the maximum pixel value.See ."},{"code" : "109858","display" : "TG18-LPV10 Pattern","definition" : "The AAPM TG18-LPV10 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 10% background level of the maximum pixel value.See ."},{"code" : "109859","display" : "TG18-LPV50 Pattern","definition" : "The AAPM TG18-LPV50 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 50% background level of the maximum pixel value.See ."},{"code" : "109860","display" : "TG18-LPV89 Pattern","definition" : "The AAPM TG18-LPV89 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 89% background level of the maximum pixel value.See ."},{"code" : "109861","display" : "TG18-AFC Pattern","definition" : "The AAPM TG18-AFC Pattern used to assess display noise.See"},{"code" : "109862","display" : "TG18-NS10 Pattern","definition" : "The AAPM TG18-NS10 Pattern is AAPM TG18-RV10/RH10 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code" : "109863","display" : "TG18-NS50 Pattern","definition" : "The AAPM TG18-NS50 Pattern is AAPM TG18-RV50/RH50 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code" : "109864","display" : "TG18-NS89 Pattern","definition" : "The AAPM TG18-NS89 Pattern is AAPM TG18-RV89/RH89 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code" : "109865","display" : "TG18-GV Pattern","definition" : "The TG18-GV Pattern used to assess display veiling.See ."},{"code" : "109866","display" : "TG18-GVN Pattern","definition" : "The TG18-GVN Pattern used to assess display veiling. This pattern is identical to AAPM TG18-GV Pattern except that the large-diameter white circle is replaced with a black circle, creating a completely black pattern except for the presence of low-contrast targets.See ."},{"code" : "109867","display" : "TG18-GQ Pattern","definition" : "The TG18-GQ Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GV except that is lacks the central low-contrast objects.See ."},{"code" : "109868","display" : "TG18-GQN Pattern","definition" : "TG18-GQN Pattern used for the quantitative assessment of veiling glare. This pattern is identical to AAPM TG18-GQ Pattern except that the large-diameter white circle is replaced with a black circle, creating a completely black pattern except for the presence of low-contrast targets.See ."},{"code" : "109869","display" : "TG18-GQB Pattern","definition" : "The TG18-GQB Pattern used for the quantitative assessment of veiling glare. This pattern is identical to AAPM TG18-GQ Pattern except eliminating the central black circle.See ."},{"code" : "109870","display" : "TG18-GA03 Pattern","definition" : "The TG18-GA03 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 3.See ."},{"code" : "109871","display" : "TG18-GA05 Pattern","definition" : "The TG18-GA05 Pattern This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 5.See ."},{"code" : "109872","display" : "TG18-GA08 Pattern","definition" : "The TG18-GA08 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 8.See ."},{"code" : "109873","display" : "TG18-GA10 Pattern","definition" : "The TG18-GA10 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 10.See ."},{"code" : "109874","display" : "TG18-GA15 Pattern","definition" : "The TG18-GA15 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 15."},{"code" : "109875","display" : "TG18-GA20 Pattern","definition" : "The TG18-GA20 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 20.See ."},{"code" : "109876","display" : "TG18-GA25 Pattern","definition" : "The TG18-GA25 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 25.See ."},{"code" : "109877","display" : "TG18-GA30 Pattern","definition" : "The TG18-GA30 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 30.See ."},{"code" : "109878","display" : "TG18-CH Image","definition" : "The AAPM TG18-CH Image is a reference anatomical PA chest image.See ."},{"code" : "109879","display" : "TG18-KN Image","definition" : "The AAPM TG18-KN Image is a reference anatomical knee image.See ."},{"code" : "109880","display" : "TG18-MM1 Image","definition" : "The AAPM TG18-MM1 Image is a reference anatomical mammogram image.See ."},{"code" : "109881","display" : "TG18-MM2 Image","definition" : "The AAPM TG18-MM2 Image is a reference anatomical mammogram image.See ."},{"code" : "109901","display" : "OIQ Pattern","definition" : "The IEC OIQ Pattern is used as an alternative to the TG18-QC Pattern.See ."},{"code" : "109902","display" : "ANG Pattern","definition" : "The IEC ANG Pattern used for angular viewing evaluation.See ."},{"code" : "109903","display" : "GD Pattern","definition" : "The IEC GD Pattern used for geometrical image evaluation.See ."},{"code" : "109904","display" : "BN01 Pattern","definition" : "The IEC BN01 Pattern is used as an alternative to the TG18-LN-01 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109905","display" : "BN02 Pattern","definition" : "The IEC BN02 Pattern is used as an alternative to the TG18-LN-02 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109906","display" : "BN03 Pattern","definition" : "The IEC BN03 Pattern is used as an alternative to the TG18-LN-03 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109907","display" : "BN04 Pattern","definition" : "The IEC BN04 Pattern is used as an alternative to the TG18-LN-04 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109908","display" : "BN05 Pattern","definition" : "The IEC BN05 Pattern is used as an alternative to the TG18-LN-05 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109909","display" : "BN06 Pattern","definition" : "The IEC BN06 Pattern is used as an alternative to the TG18-LN-06 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109910","display" : "BN07 Pattern","definition" : "The IEC BN07 Pattern is used as an alternative to the TG18-LN-07 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109911","display" : "BN08 Pattern","definition" : "The IEC BN08 Pattern is used as an alternative to the TG18-LN-08 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109912","display" : "BN09 Pattern","definition" : "The IEC BN09 Pattern is used as an alternative to the TG18-LN-09 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109913","display" : "BN10 Pattern","definition" : "The IEC BN10 Pattern is used as an alternative to the TG18-LN-10 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109914","display" : "BN11 Pattern","definition" : "The IEC BN11 Pattern is used as an alternative to the TG18-LN-11 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109915","display" : "BN12 Pattern","definition" : "The IEC BN12 Pattern is used as an alternative to the TG18-LN-12 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109916","display" : "BN13 Pattern","definition" : "The IEC BN13 Pattern is used as an alternative to the TG18-LN-13 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109917","display" : "BN14 Pattern","definition" : "The IEC BN14 Pattern is used as an alternative to the TG18-LN-14 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109918","display" : "BN15 Pattern","definition" : "The IEC BN15 Pattern is used as an alternative to the TG18-LN-15 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109919","display" : "BN16 Pattern","definition" : "The IEC BN16 Pattern is used as an alternative to the TG18-LN-16 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109920","display" : "BN17 Pattern","definition" : "The IEC BN17 Pattern is used as an alternative to the TG18-LN-17 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109921","display" : "BN18 Pattern","definition" : "The IEC BN18 Pattern is used as an alternative to the TG18-LN-18 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code" : "109931","display" : "DIN Grayscale Pattern","definition" : "Test image \"Bild 2\" for the gray-scale reproduction of imaging devices.See ."},{"code" : "109932","display" : "DIN Geometry Pattern","definition" : "Test image \"Bild 3\" for the geometrical imaging properties of imaging devices.See ."},{"code" : "109933","display" : "DIN Resolution Pattern","definition" : "Test image \"Bild 5\" for displaying the spatial and contrast resolution as well as the line structure of imaging devices.See ."},{"code" : "109941","display" : "White Pattern","definition" : "An alternative to AAPM TG18-UN80, specified at 100% of maximum pixel value."},{"code" : "109943","display" : "SMPTE Pattern","definition" : "A standard display test pattern.See .A pattern is available at ."},{"code" : "109991","display" : "CRT Display","definition" : "A Display Device that displays images on a Cathode Ray Tube."},{"code" : "109992","display" : "Liquid Crystal Display","definition" : "A Display Device that displays images on a Liquid Crystal Display."},{"code" : "109993","display" : "Plasma Display","definition" : "A Display Device that displays images on a Plasma Display."},{"code" : "109994","display" : "OLED","definition" : "A Display Device that displays images on an Organic Light Emitting Diode based display."},{"code" : "109995","display" : "DLP Rear Projection System","definition" : "A Display Device that projects images on a surface from behind using a Digital Light Processing Projector."},{"code" : "109996","display" : "DLP Front Projection System","definition" : "A Display Device that projects images on a surface from in front using a Digital Light Processing Projector."},{"code" : "109997","display" : "CRT Rear Projection System","definition" : "A Display Device that projects images on a surface from behind using a Cathode Ray Tube."},{"code" : "109998","display" : "CRT Front Projection System","definition" : "A Display Device that projects images on a surface from in front using a Cathode Ray Tube."},{"code" : "109999","display" : "Other Projection System","definition" : "A Display Device that projects images on a surface from an unspecified direction using an unspecified means."},{"code" : "110001","display" : "Image Processing","definition" : "Image processing work item."},{"code" : "110002","display" : "Quality Control","definition" : "Quality control work item."},{"code" : "110003","display" : "Computer Aided Diagnosis","definition" : "Computer aided diagnosis work item."},{"code" : "110004","display" : "Computer Aided Detection","definition" : "Computer aided detection work item."},{"code" : "110005","display" : "Interpretation","definition" : "The work item task is to prepare a report that contains the interpretation of an imaging study."},{"code" : "110006","display" : "Transcription","definition" : "Transcription work item."},{"code" : "110007","display" : "Report Verification","definition" : "Report verification work item."},{"code" : "110008","display" : "Print","definition" : "Print work item."},{"code" : "110009","display" : "No subsequent Workitems","definition" : "There will be no more work items scheduled."},{"code" : "110010","display" : "Film","definition" : "Film type of output."},{"code" : "110011","display" : "Dictation","definition" : "Dictation type of output."},{"code" : "110012","display" : "Transcription","definition" : "Transcription type of output."},{"code" : "110013","display" : "Media Import","definition" : "The procedure to read DICOM instances from DICOM interchange media, coerce identifying Attributes into the local namespace if necessary, and make the instances available."},{"code" : "110020","display" : "Sheet Film Digitized","definition" : "Digitization of Sheet Film."},{"code" : "110021","display" : "Cine Film Digitized","definition" : "Digitization of Cine Film."},{"code" : "110022","display" : "Video Tape Digitized","definition" : "Digitization of Video Tape."},{"code" : "110023","display" : "Paper Digitized","definition" : "Digitization of pages of a paper document (Units may be specified as Pages, Documents)."},{"code" : "110024","display" : "CD Imported","definition" : "Importation of CD."},{"code" : "110025","display" : "DVD Imported","definition" : "Importation of DVD."},{"code" : "110026","display" : "MOD Imported","definition" : "Importation of MOD."},{"code" : "110027","display" : "Studies Imported","definition" : "Importation of DICOM Studies."},{"code" : "110028","display" : "Instances Imported","definition" : "Importation of DICOM Composite Instances."},{"code" : "110030","display" : "USB Disk Emulation","definition" : "A device that connects using the USB hard drive interface. These may be USB-Sticks, portable hard drives, and other technologies."},{"code" : "110031","display" : "Email","definition" : "Email and email attachments used as a media for data transport."},{"code" : "110032","display" : "CD","definition" : "CD-R, CD-ROM, and CD-RW media used for data transport."},{"code" : "110033","display" : "DVD","definition" : "DVD, DVD-RAM, and other DVD formatted media used for data transport."},{"code" : "110034","display" : "Compact Flash","definition" : "Media that comply with the Compact Flash standard."},{"code" : "110035","display" : "Multi-media Card","definition" : "Media that comply with the Multi-media Card standard."},{"code" : "110036","display" : "Secure Digital Card","definition" : "Media that comply with the Secure Digital Card standard."},{"code" : "110037","display" : "URI","definition" : "URI Identifier for network or other resource, see RFC3968."},{"code" : "110038","display" : "Paper Document","definition" : "Any paper or similar document."},{"code" : "110100","display" : "Application Activity","definition" : "Audit event: Application Activity has taken place."},{"code" : "110101","display" : "Audit Log Used","definition" : "Audit event: Audit Log has been used."},{"code" : "110102","display" : "Begin Transferring DICOM Instances","definition" : "Audit event: Storage of DICOM Instances has begun."},{"code" : "110103","display" : "DICOM Instances Accessed","definition" : "Audit event: DICOM Instances have been created, read, updated, or deleted -audit event."},{"code" : "110104","display" : "DICOM Instances Transferred","definition" : "Audit event: Storage of DICOM Instances has been completed."},{"code" : "110105","display" : "DICOM Study Deleted","definition" : "Audit event: Entire Study has been deleted."},{"code" : "110106","display" : "Export","definition" : "Audit event: Data has been exported out of the system."},{"code" : "110107","display" : "Import","definition" : "Audit event: Data has been imported into the system."},{"code" : "110108","display" : "Network Entry","definition" : "Audit event: System has joined or left network."},{"code" : "110109","display" : "Order Record","definition" : "Audit event: Order has been created, read, updated or deleted."},{"code" : "110110","display" : "Patient Record","definition" : "Audit event: Patient Record has been created, read, updated, or deleted."},{"code" : "110111","display" : "Procedure Record","definition" : "Audit event: Procedure Record has been created, read, updated, or deleted."},{"code" : "110112","display" : "Query","definition" : "Audit event: Query has been made."},{"code" : "110113","display" : "Security Alert","definition" : "Audit event: Security Alert has been raised."},{"code" : "110114","display" : "User Authentication","definition" : "Audit event: User Authentication has been attempted."},{"code" : "110119","display" : "Station AE Title","definition" : "Application Entity Title of a device."},{"code" : "110120","display" : "Application Start","definition" : "Audit event: Application Entity has started."},{"code" : "110121","display" : "Application Stop","definition" : "Audit event: Application Entity has stopped."},{"code" : "110122","display" : "Login","definition" : "Audit event: User login has been attempted."},{"code" : "110123","display" : "Logout","definition" : "Audit event: User logout has been attempted."},{"code" : "110124","display" : "Attach","definition" : "Audit event: Node has been attached."},{"code" : "110125","display" : "Detach","definition" : "Audit event: Node has been detached."},{"code" : "110126","display" : "Node Authentication","definition" : "Audit event: Node Authentication has been attempted."},{"code" : "110127","display" : "Emergency Override Started","definition" : "Audit event: Emergency Override has started."},{"code" : "110128","display" : "Network Configuration","definition" : "Audit event: Network configuration has been changed."},{"code" : "110129","display" : "Security Configuration","definition" : "Audit event: Security configuration has been changed."},{"code" : "110130","display" : "Hardware Configuration","definition" : "Audit event: Hardware configuration has been changed."},{"code" : "110131","display" : "Software Configuration","definition" : "Audit event: Software configuration has been changed."},{"code" : "110132","display" : "Use of Restricted Function","definition" : "Audit event: A use of a restricted function has been attempted."},{"code" : "110133","display" : "Audit Recording Stopped","definition" : "Audit event: Audit recording has been stopped."},{"code" : "110134","display" : "Audit Recording Started","definition" : "Audit event: Audit recording has been started."},{"code" : "110135","display" : "Object Security Attributes Changed","definition" : "Audit event: Security attributes of an object have been changed."},{"code" : "110136","display" : "Security Roles Changed","definition" : "Audit event: Security roles have been changed."},{"code" : "110137","display" : "User security Attributes Changed","definition" : "Audit event: Security attributes of a user have been changed."},{"code" : "110138","display" : "Emergency Override Stopped","definition" : "Audit event: Emergency Override has Stopped."},{"code" : "110139","display" : "Remote Service Operation Started","definition" : "Audit event: Remote Service Operation has Begun."},{"code" : "110140","display" : "Remote Service Operation Stopped","definition" : "Audit event: Remote Service Operation has Stopped."},{"code" : "110141","display" : "Local Service Operation Started","definition" : "Audit event: Local Service Operation has Begun."},{"code" : "110142","display" : "Local Service Operation Stopped","definition" : "Audit event: Local Service Operation Stopped."},{"code" : "110143","display" : "Authentication Decision","definition" : "Audit event: An authentication decision has been made."},{"code" : "110144","display" : "Authorization Decision","definition" : "Audit event: An authorization decision has been made."},{"code" : "110145","display" : "Session start","definition" : "Audit event: A persistent session has started."},{"code" : "110146","display" : "Session stop","definition" : "Audit event: A persistent session has stopped."},{"code" : "110147","display" : "Access Control Decision","definition" : "Audit event: An access control decision has been made."},{"code" : "110150","display" : "Application","definition" : "Audit participant role ID of software application."},{"code" : "110151","display" : "Application Launcher","definition" : "Audit participant role ID of software application launcher, i.e., the entity that started or stopped an application."},{"code" : "110152","display" : "Destination Role ID","definition" : "Audit participant role ID of the receiver of data."},{"code" : "110153","display" : "Source Role ID","definition" : "Audit participant role ID of the sender of data."},{"code" : "110154","display" : "Destination Media","definition" : "Audit participant role ID of media receiving data during an export."},{"code" : "110155","display" : "Source Media","definition" : "Audit participant role ID of media providing data during an import."},{"code" : "110180","display" : "Study Instance UID","definition" : "ParticipantObjectID type: Study Instance UID."},{"code" : "110181","display" : "SOP Class UID","definition" : "ParticipantObjectID type: SOP Class UID."},{"code" : "110182","display" : "Node ID","definition" : "ID of a node that is a participant object of an audit message."},{"code" : "110190","display" : "Issuer of Identifier","definition" : "System, organization, agency, or department that has assigned an instance identifier (such as placer or filler number, patient or provider identifier, etc.)."},{"code" : "110500","display" : "Doctor canceled procedure","definition" : "Procedure order canceled by requesting physician or other authorized physician."},{"code" : "110501","display" : "Equipment failure","definition" : "Equipment failure prevented completion of procedure."},{"code" : "110502","display" : "Incorrect procedure ordered","definition" : "Procedure discontinued due to incorrect procedure being ordered."},{"code" : "110503","display" : "Patient allergic to media/contrast","definition" : "Procedure discontinued due to patient allergy to media/contrast (reported or reaction)."},{"code" : "110504","display" : "Patient died","definition" : "Procedure discontinued due to death of Patient."},{"code" : "110505","display" : "Patient refused to continue procedure","definition" : "Procedure discontinued due to patient refusal to continue procedure."},{"code" : "110506","display" : "Patient taken for treatment or surgery","definition" : "Procedure discontinued due to patient being taken for treatment or surgery."},{"code" : "110507","display" : "Patient did not arrive","definition" : "Patient did not arrive for procedure."},{"code" : "110508","display" : "Patient pregnant","definition" : "Procedure discontinued due to patient pregnancy (reported or determined)."},{"code" : "110509","display" : "Change of procedure for correct charging","definition" : "Procedure discontinued to restart with new procedure code for correct charging."},{"code" : "110510","display" : "Duplicate order","definition" : "Procedure discontinued due to duplicate orders received for same procedure."},{"code" : "110511","display" : "Nursing unit cancel","definition" : "Procedure order canceled by nursing unit."},{"code" : "110512","display" : "Incorrect side ordered","definition" : "Procedure discontinued due to incorrect side (laterality) being ordered."},{"code" : "110513","display" : "Discontinued for unspecified reason","definition" : "Procedure discontinued for unspecified reason."},{"code" : "110514","display" : "Incorrect worklist entry selected","definition" : "Procedure discontinued due to incorrect patient or procedure step selected from modality worklist."},{"code" : "110515","display" : "Patient condition prevented continuing","definition" : "Patient condition prevented continuation of procedure."},{"code" : "110516","display" : "Equipment change","definition" : "Procedure step is discontinued to change to other equipment or modality."},{"code" : "110518","display" : "Patient Movement","definition" : "A movement of the patient preventing continuation of procedure or affecting result quality."},{"code" : "110519","display" : "Operator Error","definition" : "An error of the operator preventing continuation of procedure or affecting result quality."},{"code" : "110520","display" : "Channel Obstruction","definition" : "The brachytherapy channel is obstructed and the treatment in this channel cannot proceed."},{"code" : "110521","display" : "Objects incorrectly formatted","definition" : "One or more of the objects is malformed."},{"code" : "110522","display" : "Object Types not supported","definition" : "Receiving System is unable to accept the object type."},{"code" : "110523","display" : "Object Set incomplete","definition" : "One or more objects associated with the object set is missing."},{"code" : "110524","display" : "Media Failure","definition" : "The contents of the Media could not be accessed properly."},{"code" : "110526","display" : "Resource pre-empted","definition" : "Procedure discontinued due to necessary equipment, staff or other resource becoming (temporarily) unavailable to the procedure."},{"code" : "110527","display" : "Resource inadequate","definition" : "Procedure discontinued due to necessary equipment, staff or other resource being inadequate to complete the procedure."},{"code" : "110528","display" : "Discontinued Procedure Step rescheduled","definition" : "A new Procedure Step has been scheduled to replace the Discontinued Procedure Step."},{"code" : "110529","display" : "Discontinued Procedure Step rescheduling recommended","definition" : "It is recommended that a new Procedure Step be scheduled to replace the Discontinued Procedure Step."},{"code" : "110530","display" : "Workitem assignment rejected by assigned resource","definition" : "The resource to which a workitem has been assigned has rejected the assignment."},{"code" : "110531","display" : "Insufficient quality for interpretation","definition" : "Reporting not possible due to lack of quality of the images provided."},{"code" : "110532","display" : "Interpretation requires specialist expertise","definition" : "The nature of the clinical problem means that reporting of the study requires a subject matter expert."},{"code" : "110533","display" : "Workitem expired","definition" : "The expiration date/time of the workitem has been exceeded."},{"code" : "110700","display" : "Ventral Diencephalon","definition" : "Ventral structures of the diencephalon that cannot readily be distinguished on MR imaging, including the hypothalamus, mammillary body, subthalamic nuclei, substantia nigra, red nucleus, lateral geniculate nucleus, medial geniculate nucleus, zona incerta, cerebral peduncle, lenticular fasciculus, medial lemniscus, and optic tract.See and ."},{"code" : "110701","display" : "White Matter T1 Hypointensity","definition" : "Area(s) of reduced intensity on T1 weighted images relative to the surrounding white matter.These may be indicative of age-related or neurodegenerative white matter lesions, and may be co-located with areas of white matter T2 hyperintensity, but the concept is specifically confined to the MR appearance on T1 weighted images."},{"code" : "110702","display" : "White Matter T2 Hyperintensity","definition" : "Area(s) of increased intensity on T2 weighted images relative to the surrounding white matter.These may be indicative of age-related or neurodegenerative white matter lesions, and may be co-located with areas of white matter T1 hypointensity, but the concept is specifically confined to the MR appearance on T2 weighted images."},{"code" : "110703","display" : "superior longitudinal fasciculus I","definition" : "The dorsal component of the SLF originating from the medial and dorsal parietal cortex and ending in the dorsal and medial part of the frontal lobe.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code" : "110704","display" : "superior longitudinal fasciculus II","definition" : "The major component of the SLF, derived from the caudal-inferior parietal region corresponding to the angular gyrus in the human and terminating within the dorsolateral frontal region.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code" : "110705","display" : "superior longitudinal fasciculus III","definition" : "The ventral component of the SLF, originating from the supramarginal gyrus and terminating predominantly in the ventral premotor and prefrontal areas.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code" : "110706","display" : "Perilesional White Matter","definition" : "White matter that surrounds a lesion of interest."},{"code" : "110800","display" : "Spin Tagging Perfusion MR Signal Intensity","definition" : "Signal intensity of a Spin tagging Perfusion MR image. Spin tagging is a technique for the measurement of blood perfusion, based on magnetically labeled arterial blood water as an endogenous tracer."},{"code" : "110801","display" : "Contrast Agent Angio MR Signal Intensity","definition" : "Signal intensity of a Contrast Agent Angio MR image."},{"code" : "110802","display" : "Time Of Flight Angio MR Signal Intensity","definition" : "Signal intensity of a Time-of-flight (TOF) MR image. Time-of-flight (TOF) is based on the phenomenon of flow-related enhancement of spins entering into an imaging slice. As a result of being unsaturated, these spins give more signal that surrounding stationary spins."},{"code" : "110803","display" : "Proton Density Weighted MR Signal Intensity","definition" : "Signal intensity of a Proton Density Weighted MR image. All MR images have intensity proportional to proton density. Images with very little T1 or T2 weighting are called 'PD-weighted'."},{"code" : "110804","display" : "T1 Weighted MR Signal Intensity","definition" : "Signal intensity of T1 Weighted MR image. A T1 Weighted MR image is created typically by using short TE and TR times."},{"code" : "110805","display" : "T2 Weighted MR Signal Intensity","definition" : "Signal intensity of a T2 Weighted MR image. T2 Weighted image contrast state is approached by imaging with a TR long compared to tissue T1 (to reduce T1 contribution to image contrast) and a TE between the longest and shortest tissue T2s of interest."},{"code" : "110806","display" : "T2* Weighted MR Signal Intensity","definition" : "Signal intensity of a T2* Weighted MR image. The T2* phenomenon results from molecular interactions (spin spin relaxation) and local magnetic field non-uniformities, which cause the protons to precess at slightly different frequencies."},{"code" : "110807","display" : "Field Map MR Signal Intensity","definition" : "Signal intensity of a Field Map MR image. A Field Map MR image provides a direct measure of the B0 inhomogeneity at each point in the image."},{"code" : "110808","display" : "Fractional Anisotropy","definition" : "Coefficient reflecting the fractional anisotropy of the tissues, derived from a diffusion weighted MR image. Fractional anisotropy is proportional to the square root of the variance of the Eigen values divided by the square root of the sum of the squares of the Eigen values."},{"code" : "110809","display" : "Relative Anisotropy","definition" : "Coefficient reflecting the relative anisotropy of the tissues, derived from a diffusion weighted MR image."},{"code" : "110810","display" : "Volumetric Diffusion Dxx Component","definition" : "Dxx Component of the diffusion tensor, quantifying the molecular mobility along the X axis."},{"code" : "110811","display" : "Volumetric Diffusion Dxy Component","definition" : "Dxy Component of the diffusion tensor, quantifying the correlation of molecular displacements in the X and Y directions."},{"code" : "110812","display" : "Volumetric Diffusion Dxz Component","definition" : "Dxz Component of the diffusion tensor, quantifying the correlation of molecular displacements in the X and Z directions."},{"code" : "110813","display" : "Volumetric Diffusion Dyy Component","definition" : "Dyy Component of the diffusion tensor, quantifying the molecular mobility along the Y axis."},{"code" : "110814","display" : "Volumetric Diffusion Dyz Component","definition" : "Dyz Component of the diffusion tensor, quantifying the correlation of molecular displacements in the Y and Z directions."},{"code" : "110815","display" : "Volumetric Diffusion Dzz Component","definition" : "Dzz Component of the diffusion tensor, quantifying the molecular mobility along the Z axis."},{"code" : "110816","display" : "T1 Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition" : "Signal intensity of a T1 Weighted Dynamic Contrast Enhanced MR image. A T1 Weighted Dynamic Contrast Enhanced MR image reflects the dynamics of diffusion of the exogenous contrast media from the blood pool into the extra vascular extracellular space (EES) of the brain at a rate determined by the blood flow to the tissue, the permeability of the Brain Blood Barrier (BBB), and the surface area of the perfusing vessels."},{"code" : "110817","display" : "T2 Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition" : "Signal intensity of a T2 Weighted Dynamic Contrast Enhanced MR image. A T2 Weighted Dynamic Contrast Enhanced MR image reflects the T2 of tissue decrease as the Gd contrast agent bolus passes through the brain."},{"code" : "110818","display" : "T2* Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition" : "Signal intensity of a T2* Weighted Dynamic Contrast Enhanced MR image. A T2* Weighted Dynamic Contrast Enhanced MR image reflects the T2* of tissue decrease as the Gd contrast agent bolus passes through the brain."},{"code" : "110819","display" : "Blood Oxygenation Level","definition" : "Signal intensity of a Blood Oxygenation Level image. Used in Photoacoustic Imaging and functional MR. In functional MR BOLD imaging it is used for detecting brain activation and is sensitive to blood oxygenation (but also to cerebral blood flow and volume)."},{"code" : "110820","display" : "Nuclear Medicine Projection Activity","definition" : "Accumulated decay event counts in a nuclear medicine projection image."},{"code" : "110821","display" : "Nuclear Medicine Tomographic Activity","definition" : "Accumulated decay event counts in a Nuclear Medicine Tomographic image (including PET)."},{"code" : "110822","display" : "Spatial Displacement X Component","definition" : "Spatial Displacement along axis X of a non linear deformable spatial registration image. The X axis is defined in reference to the patient's orientation, and is increasing to the left hand side of the patient."},{"code" : "110823","display" : "Spatial Displacement Y Component","definition" : "Spatial Displacement along axis Y of a non linear deformable spatial registration image. The Y axis is defined in reference to the patient's orientation, and is increasing to the posterior side of the patient."},{"code" : "110824","display" : "Spatial Displacement Z Component","definition" : "Spatial Displacement along axis Z of a Non linear deformable spatial registration image. The Z axis is defined in reference to the patient's orientation, and is increasing toward the head of the patient."},{"code" : "110825","display" : "Hemodynamic Resistance","definition" : "Measured resistance to the flow of blood."},{"code" : "110826","display" : "Indexed Hemodynamic Resistance","definition" : "Measured resistance to the flow of blood."},{"code" : "110827","display" : "Tissue Velocity","definition" : "Velocity of tissue based on Doppler measurements."},{"code" : "110828","display" : "Flow Velocity","definition" : "Velocity of blood flow based on Doppler measurements."},{"code" : "110829","display" : "Flow Variance","definition" : "Statistical variance of blood velocity relative to mean."},{"code" : "110830","display" : "Elasticity","definition" : "Scalar value related to the elastic properties of the tissue."},{"code" : "110831","display" : "Perfusion","definition" : "Scalar value related to the volume of blood perfusing into tissue."},{"code" : "110832","display" : "Speed of sound","definition" : "Speed of sound in tissue."},{"code" : "110833","display" : "Ultrasound Attenuation","definition" : "Reduction in strength of ultrasound signal as the wave."},{"code" : "110834","display" : "RGB R Component","definition" : "Red component of a true color image (RGB)."},{"code" : "110835","display" : "RGB G Component","definition" : "Green component of a true color image (RGB)."},{"code" : "110836","display" : "RGB B Component","definition" : "Blue component of a true color image (RGB)."},{"code" : "110837","display" : "YBR FULL Y Component","definition" : "Y (Luminance) component of a YBR FULL image, as defined in JPEG 2000."},{"code" : "110838","display" : "YBR FULL CB Component","definition" : "CB (Blue chrominance) component of a YBR FULL image, as defined in JPEG 2000."},{"code" : "110839","display" : "YBR FULL CR Component","definition" : "CR (Red chrominance) component of a YBR FULL image, as defined in JPEG 2000."},{"code" : "110840","display" : "YBR PARTIAL Y Component","definition" : "Y (Luminance) component of a YBR PARTIAL image, as defined in JPEG 2000."},{"code" : "110841","display" : "YBR PARTIAL CB Component","definition" : "CB (Blue chrominance) component of a YBR PARTIAL image, as defined in JPEG 2000."},{"code" : "110842","display" : "YBR PARTIAL CR Component","definition" : "CR (Red chrominance) component of a YBR PARTIAL image, as defined in JPEG 2000."},{"code" : "110843","display" : "YBR ICT Y Component","definition" : "Y (Luminance) component of a YBR ICT image (Irreversible Color Transform), as defined in JPEG 2000."},{"code" : "110844","display" : "YBR ICT CB Component","definition" : "CB (Blue chrominance) component of a YBR ICT image (Irreversible Color Transform), as defined in JPEG 2000."},{"code" : "110845","display" : "YBR ICT CR Component","definition" : "CR (Red chrominance) component of a YBR ICT image (Irreversible Color Transform), as defined in JPEG 2000."},{"code" : "110846","display" : "YBR RCT Y Component","definition" : "Y (Luminance) component of a YBR RCT image (Reversible Color Transform), as defined in JPEG 2000."},{"code" : "110847","display" : "YBR RCT CB Component","definition" : "CB (Blue chrominance) component of a YBR RCT image (Reversible Color Transform), as defined in JPEG 2000."},{"code" : "110848","display" : "YBR RCT CR Component","definition" : "CR (Red chrominance) component of a YBR RCT image (Reversible Color Transform), as defined in JPEG 2000."},{"code" : "110849","display" : "Echogenicity","definition" : "The ability of a material to create an ultrasound return echo."},{"code" : "110850","display" : "X-Ray Attenuation","definition" : "Decrease in the number of photons in an X-Ray beam due to interactions with the atoms of a material substance. Attenuation is due primarily to two processes, absorption and scattering."},{"code" : "110851","display" : "X-Ray Attenuation Coefficient","definition" : "Coefficient that describes the fraction of a beam of X-Rays or gamma rays that is absorbed or scattered per unit thickness of the absorber. This value basically accounts for the number of atoms in a cubic cm volume of material and the probability of a photon being scattered or absorbed from the nucleus or an electron of one of these atoms."},{"code" : "110852","display" : "MR signal intensity","definition" : "Signal intensity of an MR image, not otherwise specified."},{"code" : "110853","display" : "Binary Segmentation","definition" : "Binary value denoting that the segmented property is present."},{"code" : "110854","display" : "Fractional Probabilistic Segmentation","definition" : "Probability, defined as a percentage, that the segmented property occupies the spatial area defined by the voxel."},{"code" : "110855","display" : "Fractional Occupancy Segmentation","definition" : "Percentage of the voxel area occupied by the segmented property."},{"code" : "110856","display" : "Linear Displacement","definition" : "Spatial dimension, denoting a linear displacement."},{"code" : "110857","display" : "Photon Energy","definition" : "Dimension denoting the energy (frequency or wavelength) of photons."},{"code" : "110858","display" : "Time","definition" : "Dimension used to sequence events, to compare the duration of events and the intervals between events."},{"code" : "110859","display" : "Angle","definition" : "Spatial dimension, denoting an angle."},{"code" : "110860","display" : "Left-Right Axis","definition" : "A spatial dimension axis running along a line between the patient's left and right side."},{"code" : "110861","display" : "Head-Foot Axis","definition" : "A spatial dimension axis running along a line between the patient's head and foot."},{"code" : "110862","display" : "Anterior-Posterior Axis","definition" : "A spatial dimension axis running along a line between the patient's anterior and posterior sides."},{"code" : "110863","display" : "Apex-Base Axis","definition" : "A spatial dimension axis running along a line between the apex and base of an organ, object, or chamber."},{"code" : "110864","display" : "Anterior-Inferior Axis","definition" : "A spatial dimension axis running along a line between the anterior and inferior sides of an organ, object, or chamber."},{"code" : "110865","display" : "Septum-Wall Axis","definition" : "A spatial dimension axis running along a line between the septum and wall of a chamber."},{"code" : "110866","display" : "Right To Left","definition" : "Orientation of a spatial dimension where increasing values run from the right to the left side of the patient."},{"code" : "110867","display" : "Left To Right","definition" : "Orientation of a spatial dimension where increasing values run from the left to the right side of the patient."},{"code" : "110868","display" : "Head To Foot","definition" : "Orientation of a spatial dimension where increasing values run from the head to the foot of the patient."},{"code" : "110869","display" : "Foot To Head","definition" : "Orientation of a spatial dimension where increasing values run from the foot to the head of the patient."},{"code" : "110870","display" : "Anterior To Posterior","definition" : "Orientation of a spatial dimension where increasing values run from the anterior to the posterior side of the patient."},{"code" : "110871","display" : "Posterior To Anterior","definition" : "Orientation of a spatial dimension where increasing values run from the posterior to the anterior side of the patient."},{"code" : "110872","display" : "Apex To Base","definition" : "Orientation of a spatial dimension where increasing values run from the apex to the base."},{"code" : "110873","display" : "Base To Apex","definition" : "Orientation of a spatial dimension where increasing values run from the base to the apex."},{"code" : "110874","display" : "Anterior To Inferior","definition" : "Orientation of a spatial dimension where increasing values run from the anterior to the inferior."},{"code" : "110875","display" : "Inferior To Anterior","definition" : "Orientation of a spatial dimension where increasing values run from the inferior to the anterior."},{"code" : "110876","display" : "Septum To Wall","definition" : "Orientation of a spatial dimension where increasing values run from the septum of a chamber to the opposite wall."},{"code" : "110877","display" : "Wall To Septum","definition" : "Orientation of a spatial dimension where increasing values run from the opposite wall to the septum of a chamber."},{"code" : "110901","display" : "Image Position (Patient) X","definition" : "The x coordinate of the upper left hand corner (center of the first voxel transmitted) of the image, with respect to the patient-based coordinate system."},{"code" : "110902","display" : "Image Position (Patient) Y","definition" : "The y coordinate of the upper left hand corner (center of the first voxel transmitted) of the image, with respect to the patient-based coordinate system."},{"code" : "110903","display" : "Image Position (Patient) Z","definition" : "The z coordinate of the upper left hand corner (center of the first voxel transmitted) of the image, with respect to the patient-based coordinate system."},{"code" : "110904","display" : "Image Orientation (Patient) Row X","definition" : "The x value of the first row direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110905","display" : "Image Orientation (Patient) Row Y","definition" : "The y value of the first row direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110906","display" : "Image Orientation (Patient) Row Z","definition" : "The z value of the first row direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110907","display" : "Image Orientation (Patient) Column X","definition" : "The x value of the first column direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110908","display" : "Image Orientation (Patient) Column Y","definition" : "The y value of the first column direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110909","display" : "Image Orientation (Patient) Column Z","definition" : "The z value of the first column direction cosine with respect to the patient, with respect to the patient-based coordinate system."},{"code" : "110910","display" : "Pixel Data Rows","definition" : "Number of rows in the pixel data of the image."},{"code" : "110911","display" : "Pixel Data Columns","definition" : "Number of columns in the pixel data of the image."},{"code" : "111000","display" : "Algorithm Family","definition" : "The family of algorithm(s) that best describes the software algorithm used."},{"code" : "111001","display" : "Algorithm Name","definition" : "The name assigned by a manufacturer to a specific software algorithm."},{"code" : "111002","display" : "Algorithm Parameters","definition" : "The input parameters used by a manufacturer to configure the behavior of a specific software algorithm."},{"code" : "111003","display" : "Algorithm Version","definition" : "The software version identifier assigned by a manufacturer to a specific software algorithm."},{"code" : "111004","display" : "Analysis Performed","definition" : "The type of correlation applied to detection results."},{"code" : "111005","display" : "Assessment Category","definition" : "Assignment of intermediate or overall interpretation results to a general category."},{"code" : "111006","display" : "Breast composition","definition" : "Assessment of annotating tissues in breast; generally including fatty, mixed or dense"},{"code" : "111007","display" : "Breast Outline including Pectoral Muscle Tissue","definition" : "Purpose of reference for an SCOORD Content Item that is an outline of the breast that includes the pectoral muscle tissue"},{"code" : "111008","display" : "Calcification Distribution","definition" : "The type of distribution associated with detected calcifications."},{"code" : "111009","display" : "Calcification Type","definition" : "Identification of the morphology of detected calcifications."},{"code" : "111010","display" : "Center","definition" : "The central point of a finding or feature."},{"code" : "111011","display" : "Certainty of Feature","definition" : "The likelihood that the feature analyzed is in fact the type of feature identified."},{"code" : "111012","display" : "Certainty of Finding","definition" : "The likelihood that the finding detected is in fact the type of finding identified."},{"code" : "111013","display" : "Certainty of Impression","definition" : "The certainty that a device places on an impression, where 0 equals no certainty and 100 equals certainty."},{"code" : "111014","display" : "Clockface or region","definition" : "A location identifier based on clockface numbering or anatomic subregion."},{"code" : "111015","display" : "Composite Feature","definition" : "An item that is an inferred correlation relating two or more individual findings or features."},{"code" : "111016","display" : "Composite type","definition" : "The inferred relationship between the findings or features making up a composite feature."},{"code" : "111017","display" : "CAD Processing and Findings Summary","definition" : "General assessment of whether or not CAD processing was successful, and whether any findings resulted."},{"code" : "111018","display" : "Content Date","definition" : "The date the data creation started."},{"code" : "111019","display" : "Content Time","definition" : "The time the data creation started."},{"code" : "111020","display" : "Depth","definition" : "A location identifier based on a feature's inferred distance from the surface of the associated anatomy."},{"code" : "111021","display" : "Description of Change","definition" : "A textual description of the change that occurred over time in a qualitative characteristic of a feature."},{"code" : "111022","display" : "Detection Performed","definition" : "The type of finding sought after by a specific algorithm applied to one image."},{"code" : "111023","display" : "Differential Diagnosis/Impression","definition" : "A general change that occurred within an imaged area between a prior imaging procedure and the current imaging procedure."},{"code" : "111024","display" : "Failed Analyses","definition" : "A group of analysis algorithms that were attempted, but failed."},{"code" : "111025","display" : "Failed Detections","definition" : "A group of detection algorithms that were attempted, but failed."},{"code" : "111026","display" : "Horizontal Pixel Spacing","definition" : "For projection radiography, the horizontal physical distance measured at the front plane of an Image Receptor housing between the center of each pixel (spacing between the centers of adjacent columns). For tomographic images, the horizontal physical distance in the patient between the center of each pixel."},{"code" : "111027","display" : "Image Laterality","definition" : "Laterality of (possibly paired) body part contained in an image."},{"code" : "111028","display" : "Image Library","definition" : "A container that references all image data used as evidence to produce a report."},{"code" : "111029","display" : "Image Quality Rating","definition" : "A numeric value in the range 0 to 100, inclusive, where 0 is worst quality and 100 is best quality."},{"code" : "111030","display" : "Image Region","definition" : "Purpose of reference for an SCOORD Content Item that identifies a specific region of interest within an image"},{"code" : "111031","display" : "Image View","definition" : "The projection of the anatomic region of interest on an image receptor."},{"code" : "111032","display" : "Image View Modifier","definition" : "Modifier for Image View."},{"code" : "111033","display" : "Impression Description","definition" : "Free-form text describing the overall or an individual impression."},{"code" : "111034","display" : "Individual Impression/​Recommendation","definition" : "A container for a group of related results from interpretation of one or more images and associated clinical information."},{"code" : "111035","display" : "Lesion Density","definition" : "The X-Ray attenuation of a lesion relative to the expected attenuation of an equal volume of fibroglandular breast tissue."},{"code" : "111036","display" : "Mammography CAD Report","definition" : "A structured report containing the results of computer-aided detection or diagnosis applied to breast imaging and associated clinical information."},{"code" : "111037","display" : "Margins","definition" : "The characteristic of the boundary, edges or border of a detected lesion."},{"code" : "111038","display" : "Number of calcifications","definition" : "The quantity of calcifications detected within an identified group or cluster."},{"code" : "111039","display" : "Object type","definition" : "A non-lesion object identified within one or more images."},{"code" : "111040","display" : "Original Source","definition" : "Purpose of reference for a COMPOSITE Content Item that identifies it as the original source of evidence for another Content Item in the report"},{"code" : "111041","display" : "Outline","definition" : "The outline of a finding or feature."},{"code" : "111042","display" : "Pathology","definition" : "The inferred type of disease associated with an identified feature."},{"code" : "111043","display" : "Patient Orientation Column","definition" : "The patient orientation relative to the image plane, specified by a value that designates the anatomical direction of the positive column axis (top to bottom)."},{"code" : "111044","display" : "Patient Orientation Row","definition" : "The patient orientation relative to the image plane, specified by a value that designates the anatomical direction of the positive row axis (left to right)."},{"code" : "111045","display" : "Pectoral Muscle Outline","definition" : "Purpose of reference for an SCOORD Content Item that is an outline of the pectoral muscle tissue only"},{"code" : "111046","display" : "Percent Fibroglandular Tissue","definition" : "Percent of breast area that is mammographically dense, excluding pectoralis muscle."},{"code" : "111047","display" : "Probability of cancer","definition" : "The likelihood that an identified finding or feature is cancerous."},{"code" : "111048","display" : "Quadrant location","definition" : "A location identifier based on the division of an area into four regions."},{"code" : "111049","display" : "Qualitative Difference","definition" : "A qualitative characteristic of a feature that has changed over time."},{"code" : "111050","display" : "Quality Assessment","definition" : "The effect of the quality of an image on its usability."},{"code" : "111051","display" : "Quality Control Standard","definition" : "The quality control standard used to make a quality assessment."},{"code" : "111052","display" : "Quality Finding","definition" : "A specific quality related deficiency detected within an image."},{"code" : "111053","display" : "Recommended Follow-up","definition" : "Recommended type of follow-up to an imaging procedure, based on interpreted results."},{"code" : "111054","display" : "Recommended Follow-up Date","definition" : "Recommended follow-up date to an imaging procedure, based on interpreted results."},{"code" : "111055","display" : "Recommended Follow-up Interval","definition" : "Recommended follow-up interval to an imaging procedure, based on interpreted results."},{"code" : "111056","display" : "Rendering Intent","definition" : "The recommendation of the producer of a Content Item regarding presentation of the Content Item by recipients of the report."},{"code" : "111057","display" : "Scope of Feature","definition" : "An indication of how widespread the detection of a feature is within the analyzed image data."},{"code" : "111058","display" : "Selected Region Description","definition" : "A textual description of the contents of a selected region identified within an image."},{"code" : "111059","display" : "Single Image Finding","definition" : "An item that was detected on one image."},{"code" : "111060","display" : "Study Date","definition" : "Date on which the acquisition of the study information was started."},{"code" : "111061","display" : "Study Time","definition" : "Time at which the acquisition of the study information was started."},{"code" : "111062","display" : "Successful Analyses","definition" : "A group of analysis algorithms that were attempted and completed successfully."},{"code" : "111063","display" : "Successful Detections","definition" : "A group of detection algorithms that were attempted and completed successfully."},{"code" : "111064","display" : "Summary of Detections","definition" : "An overall indication of whether the CAD detection algorithms applied were completed successfully."},{"code" : "111065","display" : "Summary of Analyses","definition" : "An overall indication of whether the CAD analysis algorithms applied were completed successfully."},{"code" : "111066","display" : "Vertical Pixel Spacing","definition" : "For projection radiography, the vertical physical distance measured at the front plane of an Image Receptor housing between the center of each pixel (spacing between the centers of adjacent rows). For tomographic images, the vertical physical distance in the patient between the center of each pixel."},{"code" : "111069","display" : "Crosstable","definition" : "A radiographic projection that has been with the patient lying on a table with the X-Ray source on one side of the table and the detector on the other."},{"code" : "111071","display" : "CAD Operating Point","definition" : "One of a number of discrete points on the Receiver-Operator Characteristics (ROC) curve that reflects the expected sensitivity and specificity of a CAD algorithm, where zero indicates the highest specificity, lowest sensitivity operating point. The value should not exceed the Maximum CAD Operating Point."},{"code" : "111072","display" : "Maximum CAD Operating Point","definition" : "The maximum value of CAD Operating Point for the specific CAD algorithm used."},{"code" : "111081","display" : "CAD Operating Point Description","definition" : "The intended interpretation of a CAD Operating Point."},{"code" : "111086","display" : "False Markers per Image","definition" : "The number of false CAD markers per image. Correlates to inverse of Image Specificity."},{"code" : "111087","display" : "False Markers per Case","definition" : "The number of false markers per collection of images that are CAD processed as a group. Correlates to inverse of Case Specificity."},{"code" : "111088","display" : "Case Sensitivity","definition" : "The percentage of cancers that should be detected by a CAD algorithm where CAD marks the cancers in at least one view."},{"code" : "111089","display" : "Lesion Sensitivity","definition" : "The percentage of cancers that should be detected by a CAD algorithm where CAD marks the cancers in each view."},{"code" : "111090","display" : "Case Specificity","definition" : "The percentage of cases (collections of images CAD processed as a group) without cancer that have no CAD findings whatsoever. Correlates to inverse of False Markers per Case."},{"code" : "111091","display" : "Image Specificity","definition" : "The percentage of images without cancer that have no CAD findings whatsoever. Correlates to inverse of False Markers per Image."},{"code" : "111092","display" : "Recommended CAD Operating Point","definition" : "The CAD operating point that is recommended for initial display by the creator of the structured report."},{"code" : "111093","display" : "CAD Operating Point Table","definition" : "A list of CAD operating points including their corresponding characteristics."},{"code" : "111099","display" : "Selected region","definition" : "A specific area of interest noted within an image."},{"code" : "111100","display" : "Breast geometry","definition" : "The surface shape of all or a portion of breast related anatomy."},{"code" : "111101","display" : "Image Quality","definition" : "Image quality incorporates the following clinical image evaluation parameters: assessment of positioning, compression, artifacts, exposure, contrast, sharpness, and labeling."},{"code" : "111102","display" : "Non-lesion","definition" : "A finding or feature that is identified as a non-anatomic foreign object."},{"code" : "111103","display" : "Density","definition" : "A space-occupying lesion identified in a single image or projection"},{"code" : "111104","display" : "Individual Calcification","definition" : "A single identified calcification"},{"code" : "111105","display" : "Calcification Cluster","definition" : "Multiple calcifications identified as occupying a small area of tissue (less than 2 cc)"},{"code" : "111111","display" : "Cooper's ligament changes","definition" : "Straightening or thickening of Cooper's ligaments."},{"code" : "111112","display" : "Mass in the skin","definition" : "An abnormality noted at imaging within the dermis of the breast."},{"code" : "111113","display" : "Mass on the skin","definition" : "An abnormality noted at imaging on the epidermis of the breast."},{"code" : "111120","display" : "Post Procedure Mammograms for Marker Placement","definition" : "An assessment category to indicate that images have been acquired to assess marker placement following a breast interventional procedure."},{"code" : "111121","display" : "Follow-up post biopsy as directed by clinician","definition" : "An indication that the patient should seek post procedural follow-up directives from a clinical health care provider."},{"code" : "111122","display" : "Known biopsy proven malignancy - take appropriate action","definition" : "A recommendation on a patient with known cancer to take steps appropriate to the diagnosis."},{"code" : "111123","display" : "Marker placement","definition" : "Positioning of a radiopaque marker."},{"code" : "111124","display" : "Personal history of breast cancer with mastectomy","definition" : "Patient has previous diagnosis of breast cancer resulting in mastectomy."},{"code" : "111125","display" : "Known biopsy proven malignancy","definition" : "Patient has had biopsy containing proven malignancy."},{"code" : "111126","display" : "Image detected mass","definition" : "Patient has a finding of mass reported on a prior imaging study."},{"code" : "111127","display" : "Targeted","definition" : "A breast imaging procedure performed on a specific area of the breast."},{"code" : "111128","display" : "Survey","definition" : "A breast imaging procedure performed on the entire breast."},{"code" : "111129","display" : "Clustered microcysts","definition" : "A cluster of tiny anechoic foci each smaller than 2-3 mm in diameter with thin (less than 0.5 mm) intervening septations and no discrete solid components."},{"code" : "111130","display" : "Complicated cyst","definition" : "A fluid filled mass most commonly characterized by homogeneous low-level internal echoes on ultrasound."},{"code" : "111135","display" : "Additional projections","definition" : "Views not inclusive of MLO and CC (BI-RADS®)."},{"code" : "111136","display" : "Spot magnification view(s)","definition" : "A spot or coned down compression of the breast providing a reduction in the thickness and a magnification of the localized area of interest and improved separation of breast tissue."},{"code" : "111137","display" : "Ultrasound"},{"code" : "111138","display" : "Old films for comparison","definition" : "Obtain previous mammography studies to compare to present study."},{"code" : "111139","display" : "Ductography","definition" : "A medical procedure used for the sampling of mammary duct tissue"},{"code" : "111140","display" : "Normal interval follow-up","definition" : "Follow up study at 12 months for women ≥ 40 years of age having a prior negative study and no mitigating risk factors for breast cancer."},{"code" : "111141","display" : "Any decision to biopsy should be based on clinical assessment","definition" : "Any decision to perform tissue acquisition should be based on clinical assessment."},{"code" : "111142","display" : "Follow-up at short interval (1-11 months)","definition" : "Follow-up at short interval (1-11 months)."},{"code" : "111143","display" : "Biopsy should be considered","definition" : "Tissue acquisition should be considered."},{"code" : "111144","display" : "Needle localization and biopsy","definition" : "Breast tissue acquisition following the identification of an area of concern with the placement of a needle or needle-wire assembly."},{"code" : "111145","display" : "Histology using core biopsy","definition" : "Pathologic analysis of breast tissue and lesions using core tissue samples."},{"code" : "111146","display" : "Suggestive of malignancy - take appropriate action","definition" : "Lesions that do not have the characteristic morphologies of breast cancer but have a definite probability of being malignant. There is a sufficient concern to urge a biopsy."},{"code" : "111147","display" : "Cytologic analysis","definition" : "Cellular analysis of specimen."},{"code" : "111148","display" : "Biopsy should be strongly considered","definition" : "Tissue acquisition should be strongly considered."},{"code" : "111149","display" : "Highly suggestive of malignancy - take appropriate action","definition" : "Lesions have a high probability of being cancer, which require additional action."},{"code" : "111150","display" : "Presentation Required: Rendering device is expected to present","definition" : "The producer of a report intends for a recipient of the report to present or display the associated Content Item."},{"code" : "111151","display" : "Presentation Optional: Rendering device may present","definition" : "The producer of a report considers the presentation or display of the associated Content Item by a recipient to be optional."},{"code" : "111152","display" : "Not for Presentation: Rendering device expected not to present","definition" : "The producer of a report intends for a recipient of the report NOT to present or display the associated Content Item."},{"code" : "111153","display" : "Target Content Items are related temporally","definition" : "The associated Content Items are identified as being the same finding or feature at different points in time."},{"code" : "111154","display" : "Target Content Items are related spatially","definition" : "The associated Content Items are identified as being the same finding or feature on different projections taken at the same point in time."},{"code" : "111155","display" : "Target Content Items are related contra-laterally","definition" : "The associated Content Items are identified as being related side-to-side."},{"code" : "111156","display" : "Feature detected on the only image","definition" : "There is one image in the interpreted data."},{"code" : "111157","display" : "Feature detected on only one of the images","definition" : "There is more than one image of the same modality in the interpreted data."},{"code" : "111158","display" : "Feature detected on multiple images","definition" : "There is more than one image of the same modality in the interpreted data."},{"code" : "111159","display" : "Feature detected on images from multiple modalities","definition" : "The interpreted data contains images from multiple modalities."},{"code" : "111168","display" : "Scar tissue","definition" : "The fibrous tissue replacing normal tissues destroyed by disease or injury"},{"code" : "111170","display" : "J Wire","definition" : "A medical appliance used for localization of non palpable breast lesions to insure that the proper area is removed in a surgical biopsy"},{"code" : "111171","display" : "Pacemaker","definition" : "A medical appliance used for regulating cardiac rhythms"},{"code" : "111172","display" : "Paddle","definition" : "A compression device used for obtaining mammographic images"},{"code" : "111173","display" : "Collimator","definition" : "A device used for restricting an X-Ray beam"},{"code" : "111174","display" : "ID Plate","definition" : "An area designated on a radiographic film for facility and patient ID information"},{"code" : "111175","display" : "Other Marker","definition" : "Site specific markers."},{"code" : "111176","display" : "Unspecified","definition" : "The value of the concept is not specified"},{"code" : "111177","display" : "View and Laterality Marker is missing","definition" : "Image quality deficiency according to MQSA."},{"code" : "111178","display" : "View and Laterality Marker does not have both view and laterality","definition" : "Image quality deficiency according to MQCM."},{"code" : "111179","display" : "View and Laterality Marker does not have approved codes","definition" : "Image quality deficiency according to MQCM."},{"code" : "111180","display" : "View and Laterality Marker is not near the axilla","definition" : "Image quality deficiency according to MQCM."},{"code" : "111181","display" : "View and Laterality Marker overlaps breast tissue","definition" : "Image quality deficiency according to MQCM."},{"code" : "111182","display" : "View and Laterality Marker is partially obscured","definition" : "Image quality deficiency according to MQCM."},{"code" : "111183","display" : "View and Laterality Marker is incorrect","definition" : "Image quality deficiency."},{"code" : "111184","display" : "View and Laterality Marker is off image","definition" : "Image quality deficiency."},{"code" : "111185","display" : "Flash is not near edge of film","definition" : "Image quality deficiency according to MQCM."},{"code" : "111186","display" : "Flash is illegible, does not fit, or is lopsided","definition" : "Image quality deficiency according to MQSA."},{"code" : "111187","display" : "Flash doesn't include patient name and additional patient id","definition" : "Image quality deficiency according to MQCM."},{"code" : "111188","display" : "Flash doesn't include date of examination","definition" : "Image quality deficiency according to MQCM."},{"code" : "111189","display" : "Flash doesn't include facility name and location","definition" : "Image quality deficiency according to MQSA."},{"code" : "111190","display" : "Flash doesn't include technologist identification","definition" : "Image quality deficiency according to MQCM."},{"code" : "111191","display" : "Flash doesn't include cassette/screen/detector identification","definition" : "Image quality deficiency according to MQCM."},{"code" : "111192","display" : "Flash doesn't include mammography unit identification","definition" : "Image quality deficiency according to MQCM."},{"code" : "111193","display" : "Date sticker is missing","definition" : "Image quality deficiency according to MQCM."},{"code" : "111194","display" : "Technical factors missing","definition" : "Image quality deficiency according to MQCM."},{"code" : "111195","display" : "Collimation too close to breast","definition" : "Image quality deficiency according to MQCM."},{"code" : "111196","display" : "Inadequate compression","definition" : "Image quality deficiency according to MQCM."},{"code" : "111197","display" : "MLO Insufficient pectoral muscle","definition" : "Image quality deficiency according to MQCM."},{"code" : "111198","display" : "MLO No fat is visualized posterior to fibroglandular tissues","definition" : "Image quality deficiency according to MQCM."},{"code" : "111199","display" : "MLO Poor separation of deep and superficial breast tissues","definition" : "Image quality deficiency according to MQCM."},{"code" : "111200","display" : "MLO Evidence of motion blur","definition" : "Image quality deficiency according to MQCM."},{"code" : "111201","display" : "MLO Inframammary fold is not open","definition" : "Image quality deficiency according to MQCM."},{"code" : "111202","display" : "CC Not all medial tissue visualized","definition" : "Image quality deficiency according to MQCM."},{"code" : "111203","display" : "CC Nipple not centered on image","definition" : "Image quality deficiency according to MQCM."},{"code" : "111204","display" : "CC Posterior nipple line does not measure within 1 cm of MLO","definition" : "Image quality deficiency according to MQCM."},{"code" : "111205","display" : "Nipple not in profile","definition" : "Image quality deficiency."},{"code" : "111206","display" : "Insufficient implant displacement incorrect","definition" : "Image quality deficiency according to MQCM."},{"code" : "111207","display" : "Image artifact(s)","definition" : "Signals that do not faithfully reproduce actual anatomic structures because of distortion or of addition or deletion of information."},{"code" : "111208","display" : "Grid artifact(s)","definition" : "Feature(s) arising from the acquisition unit's anti-scatter grid mechanism. For two-dimensional systems, such features include those of mechanically damaged or incorrectly positioned grids. For moving or Bucky grids, artifacts may result from intentional grid motion that is inadequate in duration or velocity uniformity."},{"code" : "111209","display" : "Positioning","definition" : "Inadequate arrangement of the anatomy of interest with respect to the X-Ray field and image detector sensitive area. Examples: 1) positioning is \"cutoff\" when the projection of anatomy of interest falls outside the sensitive area of the detector; 2) \"cone cut\", in which the X-Ray field does not adequately cover the anatomy of interest; 3) detector's sensitive surface is too small to cover the projection of the anatomy of interest; 4) improper angular orientation or \"rotation\" of anatomy of interest with respect to the X-Ray source, or detector; 5) projection of other anatomy or clothing over the anatomy of interest in the image."},{"code" : "111210","display" : "Motion blur","definition" : "Unacceptable image blur resulting from motion of the anatomy of interest during exposure or the inadequately compensated motion of X-Ray source with respect to the image detector during exposure."},{"code" : "111211","display" : "Under exposed","definition" : "Inadequate number of quanta reached the detector during exposure. Reasons for under exposed images include low kVp, low mAs product, excess Source Image Distance. Under exposed images have inadequate signal and higher noise in the areas of interest."},{"code" : "111212","display" : "Over exposed","definition" : "An excess number of quanta reached the detector during exposure. Reasons for over exposed images include high kVp, high mAs product, short Source Image Distance. Over exposed images have high signal and lower noise in the areas of interest. Over exposed area may demonstrate lack of contrast from over saturation of the detector."},{"code" : "111213","display" : "No image","definition" : "No evidence of a patient exposure."},{"code" : "111214","display" : "Detector artifact(s)","definition" : "Superposed features or flaws of the detector."},{"code" : "111215","display" : "Artifact(s) other than grid or detector artifact","definition" : "Features or discontinuities arising from causes other than the anti-scatter grid and image detector."},{"code" : "111216","display" : "Mechanical failure","definition" : "Failure of the device to operate according to mechanical design specifications."},{"code" : "111217","display" : "Electrical failure","definition" : "Failure of a device to operate according to electrical design specifications."},{"code" : "111218","display" : "Software failure","definition" : "Attributable to software used in generation or handling of image."},{"code" : "111219","display" : "Inappropriate image processing","definition" : "Images processed inappropriately, not following appropriate protocol."},{"code" : "111220","display" : "Other failure","definition" : "Failure that is not mechanical or electrical or otherwise described."},{"code" : "111221","display" : "Unknown failure","definition" : "Unidentified or unknown cause of failure."},{"code" : "111222","display" : "Succeeded","definition" : "The attempted process was completely successful."},{"code" : "111223","display" : "Partially Succeeded","definition" : "The attempted process succeeded in some ways, but failed in others."},{"code" : "111224","display" : "Failed","definition" : "The attempted process completely failed."},{"code" : "111225","display" : "Not Attempted","definition" : "No process was performed."},{"code" : "111233","display" : "Individual Impression/​Recommendation Analysis","definition" : "Analysis of a related group of findings or features detected during image data inspection, to produce a summary impression and/or recommendation."},{"code" : "111234","display" : "Overall Impression/​Recommendation Analysis","definition" : "Analysis of all groups of findings or features, to produce a single impression and/or recommendation."},{"code" : "111235","display" : "Unusable - Quality renders image unusable","definition" : "Quality of an image renders it unusable for the intended purpose."},{"code" : "111236","display" : "Usable - Does not meet the quality control standard","definition" : "Quality of an image is usable for the intended purpose, but does not meet the quality control standard."},{"code" : "111237","display" : "Usable - Meets the quality control standard","definition" : "Quality of an image is usable for the intended purpose and meets the quality control standard."},{"code" : "111238","display" : "Mammography Quality Control Manual 1999, ACR","definition" : "An image quality control standard specified by the American College of Radiology."},{"code" : "111239","display" : "Title 21 CFR Section 900, Subpart B","definition" : "An image quality control standard in the US Code of Federal Regulations."},{"code" : "111240","display" : "Institutionally defined quality control standard","definition" : "An image quality control standard specified or adopted by the institution responsible for the document."},{"code" : "111241","display" : "All algorithms succeeded; without findings","definition" : "No findings resulted upon successful completion of all attempted computer-aided detection and/or analysis."},{"code" : "111242","display" : "All algorithms succeeded; with findings","definition" : "One or more findings resulted upon successful completion of all attempted computer-aided detection and/or analysis."},{"code" : "111243","display" : "Not all algorithms succeeded; without findings","definition" : "No findings resulted from the attempted computer-aided detection and/or analysis, but one or more failures occurred in the process."},{"code" : "111244","display" : "Not all algorithms succeeded; with findings","definition" : "One or more findings resulted from the attempted computer-aided detection and/or analysis, but one or more failures occurred in the process."},{"code" : "111245","display" : "No algorithms succeeded; without findings","definition" : "All of the attempted computer-aided detection and/or analysis failed, so there could be no findings."},{"code" : "111248","display" : "Adenolipoma","definition" : "A benign tumor having glandular characteristics but composed of fat, with the presence of normal mammary ducts"},{"code" : "111249","display" : "Ductal hyperplasia"},{"code" : "111250","display" : "Adenomyoepithelioma","definition" : "Neoplasms composed of myoepithelial cells"},{"code" : "111251","display" : "Normal axillary node","definition" : "Axillary node that is normal in appearance with no associated pathology."},{"code" : "111252","display" : "Axillary node with calcifications","definition" : "Axillary node containing calcifications."},{"code" : "111253","display" : "Axillary node hyperplasia","definition" : "Excessive proliferation of normal tissue arrangement of the axillary node."},{"code" : "111254","display" : "Asynchronous involution"},{"code" : "111255","display" : "Benign cyst with blood","definition" : "Cyst with benign morphology containing blood."},{"code" : "111256","display" : "Benign Calcifications","definition" : "Calcifications having typically benign morphology. They are not of intermediate or high probability of concern for malignancy."},{"code" : "111257","display" : "Intracystic papilloma","definition" : "Growing within a cystic adenoma, filling the cavity with a mass of branching epithelial processes"},{"code" : "111258","display" : "Ductal adenoma","definition" : "Adenoma located in mammary duct, present as discrete sclerotic nodules, solitary or multiple."},{"code" : "111259","display" : "Diabetic fibrous mastopathy","definition" : "The occurrence of fibrous tumor-forming stromal proliferation in patients with diabetes mellitus."},{"code" : "111260","display" : "Extra abdominal desmoid","definition" : "A deep seated firm tumor frequently occurring on the chest consisting of collagenous tissue that infiltrates surround muscle; frequently recurs but does not metastasize"},{"code" : "111262","display" : "Epidermal inclusion cyst","definition" : "A cyst formed of a mass of epithelial cells, as a result of trauma has been pushed beneath the epidermis. The cyst is lined with squamous epithelium and contains concentric layers or keratin"},{"code" : "111263","display" : "Fibroadenomatoid hyperplasia","definition" : "Excessive proliferation of fibroadenoma tissue."},{"code" : "111264","display" : "Fibroadenolipoma","definition" : "A lipoma with an abundant stroma of fibrous tissue."},{"code" : "111265","display" : "Foreign body (reaction)"},{"code" : "111269","display" : "Galactocele","definition" : "Retention cyst caused by occlusion of a lactiferous duct"},{"code" : "111271","display" : "Hemangioma - nonparenchymal, subcutaneous","definition" : "A congenital anomaly that leads to a proliferation of blood vessels leading to a mass that resembles a neoplasm, not located in parenchymal areas but subcutaneous"},{"code" : "111273","display" : "Hyperplasia, usual"},{"code" : "111277","display" : "Juvenile papillomatosis","definition" : "A form of fibrocystic disease in young woman with florid and sclerosing adenosis that microscopically may suggest carcinoma."},{"code" : "111278","display" : "Lactating adenoma","definition" : "Enlarging masses during lactation. A circumscribed benign tumor composed primarily of glandular structures with scanty stroma, with prominent secretory changes in the duct"},{"code" : "111279","display" : "Lactational change","definition" : "Changes related to the process of lactation."},{"code" : "111281","display" : "Large duct papilloma","definition" : "A papilloma pertaining to large mammary duct."},{"code" : "111283","display" : "Myofibroblastoma","definition" : "Solitary or multiple tumors of muscles and fibrous tissues, or tumors composed of myofibroblasts"},{"code" : "111284","display" : "Microglandular adenosis","definition" : "Irregular clusters of small tubules are present in adipose or fibrous tissue, resembling tubular carcinoma but lacking stromal fibroblastic proliferation."},{"code" : "111285","display" : "Multiple Intraductal Papillomas","definition" : "Papilloma typically involving an aggregate of adjacent ducts in the periphery of the breast, likely representing involvement of several foci of one or two duct systems."},{"code" : "111286","display" : "No abnormality","definition" : "No abnormality."},{"code" : "111287","display" : "Normal breast tissue","definition" : "Normal breast tissue."},{"code" : "111288","display" : "Neurofibromatosis","definition" : "Condition in which there are tumors of various sizes on peripheral nerves. They may be neuromas or fibromas"},{"code" : "111290","display" : "Oil cyst (fat necrosis cyst)","definition" : "A cyst resulting from the loss of the epithelial lining of a sebaceous dermoid or lacteal cyst."},{"code" : "111291","display" : "Post reduction mammoplasty","definition" : "Breast tissue with characteristics of a benign nature, following breast reduction surgery."},{"code" : "111292","display" : "Pseudoangiomatous stromal hyperplasia","definition" : "A benign stromal lesion composed of intermixed stromal and epithelial elements. The lobular and duct structures of the breast parenchyma are separated by an increased amount of stroma, non specific proliferative epithelial changes include hyperplasia of duct and lobular epithelium often with accentuation of myoepithelial cells and aprocine metaplasia with or without cyst formation."},{"code" : "111293","display" : "Radial scar","definition" : "An nonencapsulated stellate lesion consisting of a fibroelastic core and radiating bands of fibrous connective tissue containing lobules manifesting adenosis and ducts with papillary or diffuse intraductal hyperplasia"},{"code" : "111294","display" : "Sclerosing adenosis","definition" : "Prominent interductal fibrosis of the terminal ductules"},{"code" : "111296","display" : "Silicone granuloma","definition" : "Nodular inflammatory lesions due to the presence of silicone in the breast tissue."},{"code" : "111297","display" : "Nipple Characteristic","definition" : "The morphologic status of the nipple."},{"code" : "111298","display" : "Virginal hyperplasia","definition" : "Spontaneous excessive proliferation of breast tissue, usually found in younger women."},{"code" : "111299","display" : "Peripheral duct papillomas","definition" : "Papilloma(s) pertaining the peripheral ducts."},{"code" : "111300","display" : "Axillary node with lymphoma","definition" : "Axillary node with lymphoid tissue neoplasm."},{"code" : "111301","display" : "Axillary nodal metastases","definition" : "Metastatic disease to the axillary node."},{"code" : "111302","display" : "Angiosarcoma","definition" : "A malignant neoplasm occurring most often in breast and skin, believed to originate from endothelial cells of blood vessels, microscopically composed of closely packed round or spindle shaped cells, some of which line small spaces resembling vascular clefts"},{"code" : "111303","display" : "Blood vessel (vascular) invasion","definition" : "Histological changes to the vascular system related to an invasive process."},{"code" : "111304","display" : "Carcinoma in children","definition" : "Carcinoma of the breast found in patients less than 20 years of age."},{"code" : "111305","display" : "Carcinoma in ectopic breast","definition" : "A carcinoma found in supernumerary breasts and aberrant breast tissue."},{"code" : "111306","display" : "Carcinoma with endocrine differentiation","definition" : "A carcinoma that synthesizes substances, including hormones, not considered to be normal products of the breast."},{"code" : "111307","display" : "Basal cell carcinoma of nipple","definition" : "A basal cell carcinoma that arises in the nipple of the breast."},{"code" : "111308","display" : "Carcinoma with metaplasia"},{"code" : "111309","display" : "Cartilaginous and osseous change","definition" : "Tissue changes to bones and cartilage."},{"code" : "111310","display" : "Carcinoma in pregnancy and lactation","definition" : "Carcinoma of the breast presenting during pregnancy or lactation."},{"code" : "111311","display" : "Carcinosarcoma","definition" : "A malignant neoplasm that contains elements of carcinoma and sarcoma, so extensively intermixed as to indicate neoplasia of epithelial and mesenchymal tissue"},{"code" : "111312","display" : "Intraductal comedocarcinoma with necrosis","definition" : "Comedocarcinoma of a duct with areas of necrotic tissue."},{"code" : "111313","display" : "Intraductal carcinoma, low grade","definition" : "A non-invasive carcinoma restricted to the glandular lumen characterized by less aggressive malignant cytologic features and behavior."},{"code" : "111314","display" : "Intraductal carcinoma micro-papillary"},{"code" : "111315","display" : "Intracystic papillary carcinoma","definition" : "A malignant neoplasm characterized by the formation of numerous, irregular, finger-like projections of fibrous stroma that is covered with a surface layer of neoplastic epithelial cells found in a cyst."},{"code" : "111316","display" : "Invasive and in-situ carcinoma","definition" : "Carcinoma with both characteristics of localized and spreading disease."},{"code" : "111317","display" : "Invasive lobular carcinoma"},{"code" : "111318","display" : "Leukemic infiltration","definition" : "Mammary infiltrates as a secondary manifestation in patients with established leukemia."},{"code" : "111320","display" : "Lympathic vessel invasion","definition" : "Histological changes to the lymphatic system related to an invasive process."},{"code" : "111321","display" : "Lymphoma","definition" : "A heterogeneous group of neoplasms arising in the reticuloendoethelial and lymphatic systems"},{"code" : "111322","display" : "Occult carcinoma presenting with axillary lymph node metastases","definition" : "A small carcinoma, either asymptomatic or giving rise to metastases without symptoms due to the primary carcinoma presenting with metastatic disease in the axillary lymph nodes."},{"code" : "111323","display" : "Metastatic cancer to the breast","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a non-mammary malignant neoplasm."},{"code" : "111324","display" : "Metastatic cancer to the breast from the colon","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a neoplasm in the colon."},{"code" : "111325","display" : "Metastatic cancer to the breast from the lung","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a neoplasm in the lung."},{"code" : "111326","display" : "Metastatic melanoma to the breast","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a melanoma."},{"code" : "111327","display" : "Metastatic cancer to the breast from the ovary","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a neoplasm in the ovary."},{"code" : "111328","display" : "Metastatic sarcoma to the breast","definition" : "A malignant lesion in the breast with morphologic patterns not typical of breast carcinoma arising from a sarcoma."},{"code" : "111329","display" : "Multifocal intraductal carcinoma","definition" : "Multiple foci of non-invasive carcinoma restricted to the glandular lumen."},{"code" : "111330","display" : "Metastatic disease to axillary node","definition" : "A malignant lesion in an axillary node arising from a non-axillary neoplasm."},{"code" : "111331","display" : "Malignant fibrous histiocytoma"},{"code" : "111332","display" : "Multifocal invasive ductal carcinoma","definition" : "Multiple sites of ductal carcinoma."},{"code" : "111333","display" : "Metastasis to an intramammary lymph node","definition" : "A malignant lesion in a intramammary lymph node arising from a non-intramammary lymph node neoplasm."},{"code" : "111334","display" : "Malignant melanoma of nipple","definition" : "A malignant melanoma of the skin that arises in the nipple of the breast."},{"code" : "111335","display" : "Neoplasm of the mammary skin"},{"code" : "111336","display" : "Papillary carcinoma in-situ"},{"code" : "111338","display" : "Recurrent malignancy","definition" : "Recurrent malignancy."},{"code" : "111340","display" : "Squamous cell carcinoma of the nipple","definition" : "Squamous cell carcinoma to the terminal portion of the alveolar."},{"code" : "111341","display" : "Intraductal carcinoma, high grade","definition" : "A non-invasive carcinoma restricted to the glandular lumen characterized by more aggressive malignant cytologic features and behavior."},{"code" : "111342","display" : "Invasive cribriform carcinoma"},{"code" : "111343","display" : "Angular margins","definition" : "An indication that some or all of the margin of a lesion has sharp corners, often forming acute angles."},{"code" : "111344","display" : "Fine pleomorphic calcification","definition" : "Calcifications that vary in sizes and shapes and are usually smaller than0.5 mm in diameter."},{"code" : "111345","display" : "Macrocalcifications","definition" : "Coarse calcifications that are 0.5 mm or greater in size."},{"code" : "111346","display" : "Calcifications within a mass","definition" : "An indicator that calcifications are imbedded within a mass."},{"code" : "111347","display" : "Calcifications outside of a mass","definition" : "An indicator that calcifications are imaged outside of a mass finding."},{"code" : "111350","display" : "Breast background echotexture","definition" : "Tissue composition of the breast noted on sonography."},{"code" : "111351","display" : "Homogeneous fat echotexture","definition" : "Fat lobules and uniformly echogenic bands of supporting structures comprise the bulk of breast tissue."},{"code" : "111352","display" : "Homogeneous fibroglandular echotexture","definition" : "A uniformly echogenic layer of fibroglandular tissue is seen beneath a thin layer of subcutaneous fat."},{"code" : "111353","display" : "Heterogeneous echotexture","definition" : "The breast texture is characterized by multiple small areas of increased and decreased echogenicity."},{"code" : "111354","display" : "Orientation","definition" : "Referential relationship of the finding to the imaging device as noted on sonography."},{"code" : "111355","display" : "Parallel","definition" : "The long axis of a lesion parallels the skin line (\"wider-than-tall\" or in a horizontal orientation)."},{"code" : "111356","display" : "Not parallel","definition" : "The anterior-posterior or vertical dimension is greater than the transverse or horizontal dimension."},{"code" : "111357","display" : "Lesion boundary","definition" : "The lesion boundary describes the transition zone between the mass and the surrounding tissue."},{"code" : "111358","display" : "Abrupt interface","definition" : "The sharp demarcation between the lesion and surrounding tissue can be imperceptible or a distinct well-defined echogenic rim of any thickness."},{"code" : "111359","display" : "Echogenic halo","definition" : "There is no sharp demarcation between the mass and the surrounding tissue, which is bridged by an echogenic transition zone."},{"code" : "111360","display" : "Echo pattern","definition" : "An imaging characteristic of resonance noted during sonography."},{"code" : "111361","display" : "Anechoic","definition" : "Without internal echoes."},{"code" : "111362","display" : "Hyperechoic","definition" : "Having increased echogenicity relative to fat or equal to fibroglandular tissue."},{"code" : "111363","display" : "Complex","definition" : "Mass contains both anechoic and echogenic components."},{"code" : "111364","display" : "Hypoechoic","definition" : "Defined relative to fat; masses are characterized by low-level echoes throughout."},{"code" : "111365","display" : "Isoechoic","definition" : "Having the same echogenicity as fat (a complicated cyst or fibroadenoma may be isoechoic or hypoechoic)."},{"code" : "111366","display" : "Posterior acoustic features","definition" : "The attenuation characteristics of a mass with respect to its acoustic transmission."},{"code" : "111367","display" : "No posterior acoustic features","definition" : "No posterior shadowing or enhancement."},{"code" : "111368","display" : "Posterior enhancement","definition" : "Increased posterior echoes."},{"code" : "111369","display" : "Posterior shadowing","definition" : "Decreased posterior echoes; edge shadows are excluded."},{"code" : "111370","display" : "Combined posterior enhancement and shadowing","definition" : "More than one pattern of posterior attenuation, both shadowing and enhancement."},{"code" : "111371","display" : "Identifiable effect on surrounding tissues","definition" : "Sonographic appearance of adjacent structures relative to a mass finding."},{"code" : "111372","display" : "Vascularity","definition" : "Characterization of vascularization in region of interest."},{"code" : "111373","display" : "Vascularity not present","definition" : "Vascularity not evident, such as on ultrasound."},{"code" : "111374","display" : "Vascularity not assessed","definition" : "Vascularity not evaluated."},{"code" : "111375","display" : "Vascularity present in lesion","definition" : "Vascularity on imaging is seen within a lesion."},{"code" : "111376","display" : "Vascularity present immediately adjacent to lesion","definition" : "Vascularity on imaging is seen immediately adjacent to a lesion."},{"code" : "111377","display" : "Diffusely increased vascularity in surrounding tissue","definition" : "Vascularity on imaging is considered diffusely elevated within the surrounding breast tissue."},{"code" : "111380","display" : "Correlation to other Findings","definition" : "Relationship of the new anomaly to other clinical or imaging anomalies."},{"code" : "111381","display" : "Correlates to physical examination findings","definition" : "An indication that the current imaging finding relates to a finding from a clinical breast examination."},{"code" : "111382","display" : "Correlates to mammography findings","definition" : "An indication that the current imaging finding relates to a finding from a mammography study."},{"code" : "111383","display" : "Correlates to MRI findings","definition" : "An indication that the current imaging finding relates to a finding from a breast MRI study."},{"code" : "111384","display" : "Correlates to ultrasound findings","definition" : "An indication that the current imaging finding relates to a finding from a breast ultrasound study."},{"code" : "111385","display" : "Correlates to other imaging findings","definition" : "An indication that the current imaging finding relates to a finding from an imaging study."},{"code" : "111386","display" : "No correlation to other imaging findings","definition" : "An indication that the current imaging finding has no relation to findings from any other imaging study."},{"code" : "111387","display" : "No correlation to clinical findings","definition" : "An indication that the current imaging finding has no relation to any other clinical findings."},{"code" : "111388","display" : "Malignancy Type","definition" : "Classification of the cancer as invasive, DCIS, or other."},{"code" : "111389","display" : "Invasive breast carcinoma","definition" : "A malignancy that has spread beyond an area of focus."},{"code" : "111390","display" : "Other malignancy type","definition" : "A breast cancer with malignant pathology findings that are not classified as invasive or in situ."},{"code" : "111391","display" : "Menstrual Cycle Phase","definition" : "A specific timeframe during menses."},{"code" : "111392","display" : "1st week","definition" : "In the first week of the menstrual cycle phase, that is, one week following menses."},{"code" : "111393","display" : "2nd week","definition" : "In the second week of the menstrual cycle phase, that is, two weeks following menses."},{"code" : "111394","display" : "3rd week","definition" : "In the third week of the menstrual cycle phase, that is, three weeks following menses."},{"code" : "111395","display" : "Estimated Timeframe","definition" : "An estimated period of time."},{"code" : "111396","display" : "< 3 months ago","definition" : "An event occurred less than 3 months ago."},{"code" : "111397","display" : "4 months to 1 year ago","definition" : "An event occurred between 4 months and 1 year ago."},{"code" : "111398","display" : "> 1 year ago","definition" : "An event occurred longer than 1 year ago."},{"code" : "111399","display" : "Timeframe uncertain","definition" : "The timing of an event is not recalled."},{"code" : "111400","display" : "Breast Imaging Report","definition" : "Report title for the diagnostic report for one or more breast imaging or intervention procedures."},{"code" : "111401","display" : "Reason for Procedure","definition" : "Concept name for the description of why a procedure has been performed."},{"code" : "111402","display" : "Clinical Finding","definition" : "A finding during clinical examination (i.e., history and physical examination) such as pain, palpable mass or discharge."},{"code" : "111403","display" : "Baseline screening mammogram","definition" : "First screening mammogram taken for patient that is used as a comparison baseline for further examinations."},{"code" : "111404","display" : "First mammogram ever","definition" : "First mammogram taken for a patient without regard to whether it was for screening or a diagnostic procedure."},{"code" : "111405","display" : "Implant type","definition" : "Concept name for the material of which a breast prosthetic device is constructed."},{"code" : "111406","display" : "Number of similar findings","definition" : "A numeric count of findings classified as similar in nature."},{"code" : "111407","display" : "Implant finding","definition" : "Concept name for the status of a breast prosthetic device as noted by imaging."},{"code" : "111408","display" : "Film Screen Mammography","definition" : "Mammogram using traditional X-Ray film."},{"code" : "111409","display" : "Digital Mammography","definition" : "Mammogram using a digital image acquisition system."},{"code" : "111410","display" : "Surgical consult","definition" : "Referred for evaluation by a surgeon."},{"code" : "111411","display" : "Mammography CAD","definition" : "Computer aided detection and/or computer aided diagnosis for mammography."},{"code" : "111412","display" : "Narrative Summary","definition" : "Concept name for a text-based section of a report."},{"code" : "111413","display" : "Overall Assessment","definition" : "A title for a report section that summarizes all interpretation results for a report with one overriding assessment."},{"code" : "111414","display" : "Supplementary Data","definition" : "Concept name for a collection of supporting evidence for a report."},{"code" : "111415","display" : "Additional evaluation requested from prior study","definition" : "Prior study indicates that additional imaging be performed to further evaluate a suspicious or questionable anatomic region."},{"code" : "111416","display" : "Follow-up at short interval from prior study","definition" : "The prior study recommended a follow-up breast imaging study in 1 to 11 months (generally in 6 months)."},{"code" : "111417","display" : "History of breast augmentation, asymptomatic","definition" : "Prior breast augmentation (breast enlargement) and is not presenting with any symptoms."},{"code" : "111418","display" : "Review of an outside study","definition" : "Review or second opinion made on an image performed outside of the facility."},{"code" : "111419","display" : "Additional evaluation requested from abnormal screening study","definition" : "Additional breast imaging performed at the time of the patient's screening mammogram."},{"code" : "111420","display" : "History of benign breast biopsy","definition" : "Patient has had previous benign breast biopsies."},{"code" : "111421","display" : "Personal history of breast cancer with breast conservation therapy","definition" : "Patient has had a prior surgery such as a lumpectomy or quadrantectomy to remove malignant breast tissue, but breast tissue remains."},{"code" : "111423","display" : "Physical Examination Results","definition" : "The results of a physical examination performed on the patient, possibly including the results of inspection, palpation, auscultation, or percussion."},{"code" : "111424","display" : "Comparison to previous studies","definition" : "The result of assessing the current imaging study in comparison to previous imaging studies."},{"code" : "111425","display" : "Intraluminal filling defect","definition" : "An abnormality observed during ductography where the ductal system within the breast fills in an abnormal pattern. Ductography is an imaging study in which a radio opaque contrast media is introduced into the ductal system of the breast through the nipple and images of the ductal system are obtained."},{"code" : "111426","display" : "Multiple filling defect","definition" : "During ductography an observation of more than one filling abnormality within the breast ductal system."},{"code" : "111427","display" : "Abrupt duct termination","definition" : "An abnormality observed during ductography where the ductal system within the breast terminates in an unusual fashion."},{"code" : "111428","display" : "Extravasation","definition" : "Abnormal flowage of contrast media within the breast noted on ductography."},{"code" : "111429","display" : "Duct narrowing","definition" : "An abnormality observed during ductography where the ductal system within the breast appears narrow."},{"code" : "111430","display" : "Cyst fill","definition" : "During ductography an observation of the contrast media filling a cyst within the breast."},{"code" : "111431","display" : "Instrument Approach","definition" : "The area and line within the anatomy through which a needle or instrument passes during an interventional procedure."},{"code" : "111432","display" : "Inferolateral to superomedial","definition" : "The line within the anatomy from the lower outer to the upper inner aspect."},{"code" : "111433","display" : "Inferomedial to superolateral","definition" : "The line within the anatomy from the lower inner to the upper outer aspect."},{"code" : "111434","display" : "Superolateral to inferomedial","definition" : "The line within the anatomy from the upper outer to the lower inner aspect."},{"code" : "111435","display" : "Superomedial to inferolateral","definition" : "The line within the anatomy from the upper inner to the lower outer aspect."},{"code" : "111436","display" : "Number of passes","definition" : "The number of times a biopsy instrument is passed through an area of interest."},{"code" : "111437","display" : "Number of specimens","definition" : "The number of biopsy specimens obtained from an interventional procedure."},{"code" : "111438","display" : "Needle in target","definition" : "An indicator of whether or not a biopsy or localizing needle in an interventional procedure is seen to be in the area of interest."},{"code" : "111439","display" : "Number of needles around target","definition" : "The number of localizing needles placed around the area of interest in an interventional procedure."},{"code" : "111440","display" : "Incision made","definition" : "An indicator of whether or not an incision was made in the anatomy during an interventional procedure."},{"code" : "111441","display" : "Microclip placed","definition" : "An indicator of whether or not a radio opaque microclip was placed in the anatomy during an interventional procedure."},{"code" : "111442","display" : "Confirmation of target","definition" : "An indicator of the degree of success of an interventional procedure."},{"code" : "111443","display" : "Target completely contained in the specimen","definition" : "An indicator that during an interventional procedure the area of interest was fully excised and is noted in the resultant biopsy specimen."},{"code" : "111444","display" : "Target partially obtained in the specimen","definition" : "An indicator that during an interventional procedure the area of interest was partially excised and is noted in the resultant biopsy specimen."},{"code" : "111445","display" : "Target not in the specimen","definition" : "An indicator that following an interventional procedure the area of interest is not seen in the resultant biopsy specimen."},{"code" : "111446","display" : "Calcifications seen in the core","definition" : "An indicator that following an interventional procedure the targeted calcifications are noted in the resultant biopsy specimen."},{"code" : "111447","display" : "Lesion completely removed","definition" : "An indicator that during an interventional procedure the area of interest was fully excised and is noted in the resultant biopsy specimen."},{"code" : "111448","display" : "Lesion partially removed","definition" : "An indicator that during an interventional procedure the area of interest was partially excised and is noted in the resultant biopsy specimen."},{"code" : "111449","display" : "Fluid obtained","definition" : "An indicator that during an interventional procedure fluid was successfully aspirated."},{"code" : "111450","display" : "Light brown color","definition" : "Color that is a light shade of brown."},{"code" : "111451","display" : "Dark red color","definition" : "Color that is a dark shade of red."},{"code" : "111452","display" : "Dark brown color","definition" : "Color that is a dark shade of brown."},{"code" : "111453","display" : "Bright red color","definition" : "Color that is a bright shade of red."},{"code" : "111454","display" : "Blood tinged color","definition" : "Color that is tinged with the color of blood."},{"code" : "111455","display" : "Occult blood test result","definition" : "An indicator of whether or not the fluid obtained during an interventional procedure contains red blood cells."},{"code" : "111456","display" : "Action on fluid","definition" : "An indicator of whether or not fluid during an interventional procedure was sent for cytological analysis or simply discarded."},{"code" : "111457","display" : "Sent for analysis","definition" : "An indicator that fluid obtained during an interventional procedure was sent to a laboratory for analysis."},{"code" : "111458","display" : "Discarded","definition" : "An indicator that fluid obtained during an interventional procedure was discarded."},{"code" : "111459","display" : "Mass with calcifications","definition" : "A radiopaque density noted during diagnostic imaging that has associated calcific densities."},{"code" : "111460","display" : "Complex cyst","definition" : "A fluid-filled sac with greater than normal characteristics."},{"code" : "111461","display" : "Intracystic lesion","definition" : "A tumor within a cyst."},{"code" : "111462","display" : "Solid mass","definition" : "A tumor or lesion."},{"code" : "111463","display" : "Supplementary Data for Intervention","definition" : "Supporting evidence for interpretation results of an interventional procedure."},{"code" : "111464","display" : "Procedure Modifier","definition" : "A descriptor that further qualifies or characterizes a type of procedure."},{"code" : "111465","display" : "Needle Gauge","definition" : "Needle size (diameter) characterization."},{"code" : "111466","display" : "Severity of Complication","definition" : "An indicator of the gravity of a problem experienced by a patient, related to a procedure that was performed."},{"code" : "111467","display" : "Needle Length","definition" : "Distance from the hub or bushing to the tip of the needle."},{"code" : "111468","display" : "Pathology Results","definition" : "The collection of observations and findings from pathologic analysis."},{"code" : "111469","display" : "Sampling DateTime","definition" : "The date and time that the sample was collected from the patient."},{"code" : "111470","display" : "Uninvolved","definition" : "Indicates that the margin of the biopsy specimen was not involved with the tumor."},{"code" : "111471","display" : "Involved","definition" : "Indicates that the margin of the biopsy specimen was involved with the tumor."},{"code" : "111472","display" : "Nipple involved","definition" : "Indicates whether the nipple was involved in an interventional procedure or pathologic analysis."},{"code" : "111473","display" : "Number of nodes removed","definition" : "Indicates the number of lymph nodes removed."},{"code" : "111474","display" : "Number of nodes positive","definition" : "Indicates the number of lymph nodes removed that contain cancer cells."},{"code" : "111475","display" : "Estrogen receptor","definition" : "The result of a test for the presence of a protein that binds with estrogen."},{"code" : "111476","display" : "Progesterone receptor","definition" : "The result of a test for the presence of a protein that binds with progesterone."},{"code" : "111477","display" : "S Phase","definition" : "Indicates the percentage of cells in S phase. Cell division is defined by phases; the S phase is the stage during which DNA replicates."},{"code" : "111478","display" : "Non-bloody discharge (from nipple)","definition" : "The visible emission of non-bloody fluid from the nipple."},{"code" : "111479","display" : "Difficult physical/clinical examination","definition" : "The inability to discern normal versus abnormal breast tissue during palpation."},{"code" : "111480","display" : "Cancer elsewhere","definition" : "An indication that a patient has or had a malignant occurrence in an area of the body other than the breast."},{"code" : "111481","display" : "Saline implant","definition" : "A salt water filled prosthetic device implanted in the breast."},{"code" : "111482","display" : "Polyurethane implant","definition" : "A polymer based (plastic) prosthetic device implanted in the breast."},{"code" : "111483","display" : "Percutaneous silicone injection","definition" : "The introduction of polymeric organic silicon based material through the skin, as for breast augmentation or reconstruction."},{"code" : "111484","display" : "Combination implant","definition" : "A prosthetic device that contains more than one material implanted in the breast."},{"code" : "111485","display" : "Pre-pectoral implant","definition" : "A breast implant placed in front of the pectoralis major muscle."},{"code" : "111486","display" : "Retro-pectoral implant","definition" : "A breast implant placed behind the pectoralis major muscle."},{"code" : "111487","display" : "Mammographic (crosshair)","definition" : "Using X-Ray technique and a superimposed set of crossed lines for detection or placement."},{"code" : "111488","display" : "Mammographic (grid)","definition" : "Using X-Ray technique and a superimposed aperture for detection or placement."},{"code" : "111489","display" : "Palpation guided","definition" : "Using physical touch for detection or placement."},{"code" : "111490","display" : "Vacuum assisted","definition" : "The performance of a biopsy procedure using a vacuum device attached to the biopsy needle."},{"code" : "111491","display" : "Abnormal discharge","definition" : "Unusual or unexpected emission of fluid."},{"code" : "111492","display" : "No complications","definition" : "Having experienced no adverse medical conditions related to or resulting from an interventional procedure."},{"code" : "111494","display" : "Stage 0","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is Tis, regional lymph node is N0, and distant metastasis is M0."},{"code" : "111495","display" : "Stage I","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T1, regional lymph node is N0, and distant metastasis is M0."},{"code" : "111496","display" : "Stage IIA","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T0 or T1, with regional lymph node N1 and distant metastasis is M0, or T2 with N0 and M0."},{"code" : "111497","display" : "Stage IIB","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T2, with regional lymph node N1 and distant metastasis is M0, or T3 with N0 and M0."},{"code" : "111498","display" : "Stage IIIA","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T0, T1 or T2, with regional lymph node N2 and distant metastasis is M0, or T3 with N1 or N2 and M0."},{"code" : "111499","display" : "Stage IIIB","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is T4, regional lymph node is N0, N1 or N2, and distant metastasis is M0."},{"code" : "111500","display" : "Stage IIIC","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is any T value, regional lymph node is N3, and distant metastasis is M0."},{"code" : "111501","display" : "Stage IV","definition" : "TNM grouping of tumor stage, from AJCC, where primary tumor is any T value, regional lymph node is any N value, and distant metastasis is M1."},{"code" : "111502","display" : "Bloom-Richardson Grade","definition" : "Histologic tumor grade (sometimes called Scarff-Bloom-Richardson grade) is based on the arrangement of the cells in relation to each other -- whether they form tubules, how closely they resemble normal breast cells (nuclear grade) and how many of the cancer cells are in the process of dividing (mitotic count)."},{"code" : "111503","display" : "Normal implants","definition" : "Breast prosthetic devices are intact, not leaking, and are in a normal shape and form."},{"code" : "111504","display" : "Asymmetric implants","definition" : "Breast prosthetic devices are not symmetric, equal, corresponding in form, or are in one breast (unilateral)."},{"code" : "111505","display" : "Calcified implant","definition" : "Fibrous or calcific contracture of the tissue capsule that forms around a breast prosthetic device."},{"code" : "111506","display" : "Distorted implant","definition" : "Breast prosthetic device is twisted out of normal shape or form."},{"code" : "111507","display" : "Silicone-laden lymph nodes","definition" : "Silicone from breast prosthetic device found in lymphatic tissue."},{"code" : "111508","display" : "Free silicone","definition" : "Silicone found in breast tissue outside of the prosthetic capsule or implant membrane."},{"code" : "111509","display" : "Herniated implant","definition" : "Protrusion of part of the structure normally encapsulating the content of the breast prosthetic device."},{"code" : "111510","display" : "Explantation","definition" : "Evidence of removal of a breast prosthetic device."},{"code" : "111511","display" : "Relevant Patient Information for Breast Imaging","definition" : "Historical patient health information of interest to the breast health clinician."},{"code" : "111512","display" : "Medication History","definition" : "Information regarding usage by the patient of certain medications, such as hormones."},{"code" : "111513","display" : "Relevant Previous Procedures","definition" : "Interventional or non-interventional procedures previously performed on the patient, such as breast biopsies."},{"code" : "111514","display" : "Relevant Indicated Problems","definition" : "Abnormal conditions experienced by the patient that serve as the reason for performing a procedure, such as a physical breast examination."},{"code" : "111515","display" : "Relevant Risk Factors","definition" : "Personal, familial, and other health factors that may indicate an increase in the patient's chances of developing a health condition or disease, such as breast cancer."},{"code" : "111516","display" : "Medication Type","definition" : "A classification of a medicinal substance, such as hormonal contraceptive or antibiotic."},{"code" : "111517","display" : "Relevant Patient Information","definition" : "Historical patient health information for general purpose use."},{"code" : "111518","display" : "Age when first menstrual period occurred","definition" : "The age of the patient at the first occurrence of menses."},{"code" : "111519","display" : "Age at First Full Term Pregnancy","definition" : "The age of the patient at the time of her first full term pregnancy."},{"code" : "111520","display" : "Age at Menopause","definition" : "The age of the patient at the cessation of menses."},{"code" : "111521","display" : "Age when hysterectomy performed","definition" : "The age of the patient at the time her uterus was removed."},{"code" : "111522","display" : "Age when left ovary removed","definition" : "The age of the patient at the time she had her left ovary removed."},{"code" : "111523","display" : "Age when right ovary removed","definition" : "The age of the patient at the time she had her right ovary removed."},{"code" : "111524","display" : "Age Started","definition" : "The age of a patient on the first occurrence of an event, such as the first use of a medication."},{"code" : "111525","display" : "Age Ended","definition" : "The age of a patient on the last occurrence of an event, such as the last use of a medication."},{"code" : "111526","display" : "DateTime Started","definition" : "The date and time of the first occurrence of an event, such as the first use of a medication."},{"code" : "111527","display" : "DateTime Ended","definition" : "The date and time of the last occurrence of an event, such as the last use of a medication."},{"code" : "111528","display" : "Ongoing","definition" : "An indicator of whether an event is still in progress, such as the use of a medication or substance, or environmental exposure."},{"code" : "111529","display" : "Brand Name","definition" : "Product name of a device or substance, such as medication, to identify it as the product of a single firm or manufacturer."},{"code" : "111530","display" : "Risk Factor modifier","definition" : "A descriptor that further qualifies or characterizes a risk factor."},{"code" : "111531","display" : "Previous Procedure","definition" : "A prior non-interventional study or interventional procedure performed on a patient."},{"code" : "111532","display" : "Pregnancy Status","definition" : "Describes the pregnancy state of a referenced subject."},{"code" : "111533","display" : "Indicated Problem","definition" : "A symptom experienced by a patient that is used as the reason for performing a study or procedure."},{"code" : "111534","display" : "Role of person reporting","definition" : "The function of the individual who is reporting information on a patient, which could be a specific health care related profession, the patient him/herself, or a relative or friend."},{"code" : "111535","display" : "DateTime problem observed","definition" : "The date and time that a symptom was noted."},{"code" : "111536","display" : "DateTime of last evaluation","definition" : "The date and time of the most recent evaluation of an indicated problem."},{"code" : "111537","display" : "Family Member with Risk Factor","definition" : "A patient's biological relative who exhibits a health factor that may indicate an increase in the patient's chances of developing a particular disease or medical problem."},{"code" : "111538","display" : "Age at Occurrence","definition" : "The age at which an individual experienced a specific event, such as breast cancer."},{"code" : "111539","display" : "Menopausal phase","definition" : "The current stage of an individual in her gynecological development."},{"code" : "111540","display" : "Side of Family","definition" : "An indicator of paternal or maternal relationship."},{"code" : "111541","display" : "Maternal","definition" : "Relating to biological female parentage."},{"code" : "111542","display" : "Unspecified gynecological hormone","definition" : "A gynecological hormone for which the specific type is not specified."},{"code" : "111543","display" : "Breast feeding history","definition" : "An indicator of whether or not a patient ever provided breast milk to her offspring."},{"code" : "111544","display" : "Average breast feeding period","definition" : "The average length of time that a patient provided breast milk to her offspring."},{"code" : "111545","display" : "Substance Use History","definition" : "Information regarding usage by the patient of certain legal or illicit substances."},{"code" : "111546","display" : "Used Substance Type","definition" : "A classification of a substance, such as alcohol or a legal or illicit drug."},{"code" : "111547","display" : "Environmental Exposure History","definition" : "Information regarding exposure of the patient to potentially harmful environmental factors."},{"code" : "111548","display" : "Environmental Factor","definition" : "A classification of a potentially harmful substance or gas in a subject's environment, such as asbestos, lead, or carcinogens."},{"code" : "111549","display" : "Previous Reports","definition" : "Previous Structured Reports that could have relevant information for a current imaging service request."},{"code" : "111550","display" : "Personal breast cancer history","definition" : "An indication that a patient has had a previous malignancy of the breast."},{"code" : "111551","display" : "History of endometrial cancer","definition" : "Indicates a previous occurrence of cancer of the lining of the uterus."},{"code" : "111552","display" : "History of ovarian cancer","definition" : "Indicates a previous occurrence of cancer of the lining of the ovary."},{"code" : "111553","display" : "History of high risk lesion on previous biopsy","definition" : "Indicates a prior diagnosis of pre-cancerous cells or tissue removed for pathologic evaluation."},{"code" : "111554","display" : "Post menopausal patient","definition" : "A female patient whose menstrual periods have ceased."},{"code" : "111555","display" : "Late child bearing (after 30)","definition" : "A female patient whose first child was born after the patient was 30 years old."},{"code" : "111556","display" : "BRCA1 breast cancer gene","definition" : "The first level genetic marker indicating risk for breast cancer."},{"code" : "111557","display" : "BRCA2 breast cancer gene","definition" : "The second level genetic marker indicating risk for breast cancer."},{"code" : "111558","display" : "BRCA3 breast cancer gene","definition" : "The third level genetic marker indicating risk for breast cancer."},{"code" : "111559","display" : "Weak family history of breast cancer","definition" : "A patient's biological aunt, grandmother, or female cousin was diagnosed with breast cancer. Definition from BI-RADS®."},{"code" : "111560","display" : "Intermediate family history of breast cancer","definition" : "A patient's biological mother or sister was diagnosed with breast cancer after they had gone through menopause. Definition from BI-RADS®."},{"code" : "111561","display" : "Very strong family history of breast cancer","definition" : "A patient's biological mother or sister was diagnosed with breast cancer before they had gone through menopause, or more than one of the patient's first-degree relatives (biological mother or sister) were diagnosed with breast cancer after they had gone through menopause. Definition from BI-RADS®."},{"code" : "111562","display" : "Family history of prostate cancer","definition" : "Previous diagnosis of a malignancy of the prostate gland in a biological relative."},{"code" : "111563","display" : "Family history unknown","definition" : "The health record of a patient's biological relatives is not known."},{"code" : "111564","display" : "Nipple discharge cytology","definition" : "The study of cells obtained from fluid emitted from the breast."},{"code" : "111565","display" : "Uterine malformations","definition" : "A developmental abnormality resulting in an abnormal shape of the uterus."},{"code" : "111566","display" : "Spontaneous Abortion","definition" : "A naturally occurring premature expulsion from the uterus of the products of conception - the embryo or a nonviable fetus."},{"code" : "111567","display" : "Gynecologic condition","definition" : "An ailment/abnormality or state of the female reproductive tract."},{"code" : "111568","display" : "Gynecologic surgery","definition" : "A surgical operation performed on any portion of the female reproductive tract."},{"code" : "111569","display" : "Previous LBW or IUGR birth","definition" : "Prior pregnancy with a low birth weight baby or a fetus with Intrauterine Growth Restriction or Retardation."},{"code" : "111570","display" : "Previous fetal malformation/syndrome","definition" : "History of at least one prior pregnancy with fetal anatomic abnormality(s)."},{"code" : "111571","display" : "Previous RH negative or blood dyscrasia at birth","definition" : "History of delivering a Rhesis Isoimmunization affected child(ren) or a child(ren) with another blood disorder."},{"code" : "111572","display" : "History of multiple fetuses","definition" : "History of at least one pregnancy that contained more than one fetus."},{"code" : "111573","display" : "Current pregnancy, known or suspected malformations/syndromes","definition" : "At least one fetus of this pregnancy has an anatomic abnormality(s) that is known to exist, or a \"marker\" is present that suggests the abnormality(s) may be present."},{"code" : "111574","display" : "Family history, fetal malformation/syndrome","definition" : "Biological relatives have previously conceived a fetus with an anatomic abnormality(s)."},{"code" : "111575","display" : "High","definition" : "A subjective descriptor for an elevated amount of exposure, use, or dosage, incurring high risk of adverse effects."},{"code" : "111576","display" : "Medium","definition" : "A subjective descriptor for a moderate amount of exposure, use, or dosage, incurring medium risk of adverse effects."},{"code" : "111577","display" : "Low","definition" : "A subjective descriptor for a limited amount of exposure, use, or dosage, incurring low risk of adverse effects."},{"code" : "111578","display" : "Dose frequency","definition" : "A measurement of the rate of occurrence of which a patient takes a certain medication."},{"code" : "111579","display" : "Rate of exposure","definition" : "The quantity per unit of time that a patient was or is being exposed to an environmental irritant."},{"code" : "111580","display" : "Volume of use","definition" : "The quantity per unit of time that a medication or substance was or is being used."},{"code" : "111581","display" : "Relative dose amount","definition" : "A qualitative descriptor for the amount of a medication that was or is being taken."},{"code" : "111582","display" : "Relative amount of exposure","definition" : "A qualitative descriptor for the amount of present or past exposure to an environmental irritant."},{"code" : "111583","display" : "Relative amount of use","definition" : "A qualitative descriptor for the amount of a medication or substance that was or is being used."},{"code" : "111584","display" : "Relative dose frequency","definition" : "A qualitative descriptor for the frequency with which a medication was or is being taken."},{"code" : "111585","display" : "Relative frequency of exposure","definition" : "A qualitative descriptor for the frequency of present or past exposure to an environmental irritant."},{"code" : "111586","display" : "Relative frequency of use","definition" : "A qualitative descriptor for the frequency with which a medication or substance was or is being used."},{"code" : "111587","display" : "No known exposure","definition" : "Patient is not known to have been exposed to or used the substance or medication."},{"code" : "111590","display" : "Recall for technical reasons","definition" : "Patient returns for additional images to improve the quality of the most recent study."},{"code" : "111591","display" : "Recall for imaging findings","definition" : "Patient returns for additional images to clarify findings from the most recent study."},{"code" : "111592","display" : "Recall for patient symptoms/ clinical findings","definition" : "Patient returns for additional images to clarify symptoms or signs reported by the patient or a healthcare professional at the time of the most recent study."},{"code" : "111593","display" : "LBW or IUGR","definition" : "Number of births with low birth weight or intrauterine growth restriction."},{"code" : "111601","display" : "Green filter","definition" : "Filter that transmits green light while blocking the other colors, typically centered at 510-540 nm"},{"code" : "111602","display" : "Red filter","definition" : "Filter that transmits red light while blocking the other colors, typically centered at 630-680 nm"},{"code" : "111603","display" : "Blue filter","definition" : "Filter that transmits blue while blocking the other colors, typically centered at 460-480 nm"},{"code" : "111604","display" : "Yellow-green filter","definition" : "A filter of 560nm that is used for retinal imaging and can provide good contrast and good visibility of the retinal vasculature"},{"code" : "111605","display" : "Blue-green filter","definition" : "A filter of 490nm that is used for retinal imaging because of excessive scattering of some retinal structures at very short wavelengths"},{"code" : "111606","display" : "Infrared filter","definition" : "Filter that transmits the infrared spectrum, which is light that lies outside of the visible spectrum, with wavelengths longer than those of red light, while blocking visible light"},{"code" : "111607","display" : "Polarizing filter","definition" : "A filter that reduces reflections from non-metallic surfaces such as glass or water by blocking light waves that are vibrating at selected angles to the filter."},{"code" : "111609","display" : "No filter","definition" : "No filter used."},{"code" : "111621","display" : "Field 1 for Joslin 3 field","definition" : "Joslin NM-1 is a 45 degree field focused centrally between the temporal margin of optic disc and the center of the macula: Center the camera on the papillomacular bundle midway between the temporal margin of the optic disc and the center of the macula. The horizontal centerline of the image should pass directly through the center of the disc."},{"code" : "111622","display" : "Field 2 for Joslin 3 field","definition" : "Joslin NM-2 is a 45 degree field focused superior temporal to the optic disc: Center the camera laterally approximately one-half disc diameter temporal to the center of the macula. The lower edge of the field is tangent to a horizontal line passing through the upper edge of the optic disc. The image is taken temporal to the macula but includes more retinal nasal and superior to the macula than standard field 2."},{"code" : "111623","display" : "Field 3 for Joslin 3 field","definition" : "Joslin NM-3 is a 45 degree field focused nasal to the optic disc: This field is nasal to the optic disc and may include part of the optic disc. The horizontal centerline of the image should pass tangent to the lower edge of the optic disc."},{"code" : "111625","display" : "Diffuse direct illumination","definition" : "A broad or \"soft\" light supplied from a single source."},{"code" : "111626","display" : "Scheimpflug Camera","definition" : "A slit reflected light microscope, which has the ability to form an image of the back scattered light from the eye in a sagittal plane. Scheimpflug cameras are able to achieve a wide depth of focus by employing the \"Sheimpflug principle\" where the lens and image planes are not parallel with each other. Rotating Sheimplug cameras are able to generate three-dimensional images and calculate measurements of the anterior chamber of the eye."},{"code" : "111627","display" : "Scotopic light","definition" : "Lighting condition approximately 0.04 lux."},{"code" : "111628","display" : "Mesopic light","definition" : "Lighting condition approximately 4 lux."},{"code" : "111629","display" : "Photopic light","definition" : "Lighting condition approximately 40 lux."},{"code" : "111630","display" : "Dynamic light","definition" : "Acquisition preceded by intense light."},{"code" : "111631","display" : "Average Glandular Dose","definition" : "Calculated from values of entrance exposure in air, the X-Ray beam quality (half-value layer), and compressed breast thickness, is the energy deposited per unit mass of glandular tissue averaged over all the glandular tissue in the breast."},{"code" : "111632","display" : "Anode Target Material","definition" : "The primary material in the anode of an X-Ray source."},{"code" : "111633","display" : "Compression Thickness","definition" : "The average thickness of the body part examined when compressed, if compression has been applied during X-Ray exposure."},{"code" : "111634","display" : "Half Value Layer","definition" : "Thickness of Aluminum required to reduce the X-Ray output at the patient entrance surface by a factor of two."},{"code" : "111635","display" : "X-Ray Grid","definition" : "An anti-scatter device based on radiation absorbing strips above the detector."},{"code" : "111636","display" : "Entrance Exposure at RP","definition" : "Exposure measurement in air at the reference point that does not include back scatter, according to MQCM 1999."},{"code" : "111637","display" : "Accumulated Average Glandular Dose","definition" : "Average Glandular Dose to a single breast accumulated over multiple images."},{"code" : "111638","display" : "Patient Equivalent Thickness","definition" : "Value of the control variable used to parametrize the Automatic Exposure Control (AEC) closed loop."},{"code" : "111640","display" : "Virtual grid","definition" : "A processing algorithm used to reduce the effect of X-Ray scatter on image quality, similar to the use of a physical X-Ray anti-scatter grid."},{"code" : "111641","display" : "Fixed grid","definition" : "A physical X-Ray anti-scatter grid that does not move during exposure."},{"code" : "111642","display" : "Focused grid","definition" : "A physical X-Ray anti-scatter grid with radiation absorbing strips that are focused toward the focal spot, to eliminate grid cutoff."},{"code" : "111643","display" : "Reciprocating grid","definition" : "A physical X-Ray anti-scatter grid that is designed to move during exposure, to eliminate the appearance of grid lines on the image."},{"code" : "111644","display" : "Parallel grid","definition" : "A physical X-Ray anti-scatter grid with radiation absorbing strips that are parallel to each other and that is used only with long source to image distances."},{"code" : "111645","display" : "Crossed grid","definition" : "A physical X-Ray anti-scatter grid with crossed radiation absorbing strips used for more complete cleanup of scatter radiation."},{"code" : "111646","display" : "No grid","definition" : "No physical X-Ray anti-scatter grid was used due to low scatter conditions."},{"code" : "111647","display" : "Compression Force","definition" : "The compression force applied to the body part during exposure."},{"code" : "111648","display" : "Compression Pressure","definition" : "The average compression pressure applied to the body part during exposure."},{"code" : "111649","display" : "Compression Contact Area","definition" : "The area of the body part to which compression has been applied during exposure."},{"code" : "111671","display" : "Spectacle Prescription Report","definition" : "The spectacle prescription for a patient."},{"code" : "111672","display" : "Add Near","definition" : "Refractive measurements of the eye to correct for inability to focus at near while wearing the distance prescription."},{"code" : "111673","display" : "Add Intermediate","definition" : "Refractive measurements of the eye to correct for inability to focus at intermediate distance while wearing the distance prescription."},{"code" : "111674","display" : "Add Other","definition" : "Refractive measurements of the eye to correct for inability to focus at the specified distance while wearing the distance prescription."},{"code" : "111675","display" : "Horizontal Prism Power","definition" : "The power of a prism to bend light in the horizontal direction, in prism diopters."},{"code" : "111676","display" : "Horizontal Prism Base","definition" : "Direction of the base of a horizontal prism -- either in (toward the nose), or out (away from the nose)."},{"code" : "111677","display" : "Vertical Prism Power","definition" : "The power of a prism to bend light in the vertical direction, in prism diopters."},{"code" : "111678","display" : "Vertical Prism Base","definition" : "Direction of the base of a vertical prism -- either up, or down."},{"code" : "111679","display" : "Distance Pupillary Distance","definition" : "Distance in mm between the pupils when the patient's object of regard is in the distance."},{"code" : "111680","display" : "Near Pupillary Distance","definition" : "Distance in mm between the pupils when the patient's object of regard is at near."},{"code" : "111681","display" : "SMILE","definition" : "Small Incision Lenticule Extraction. Refractive surgery procedure where a thin lenticule is cleaved from the corneal stroma using a femtosecond laser and then extracted through a small incision in the corneal periphery."},{"code" : "111685","display" : "Autorefraction Visual Acuity","definition" : "A patient's vision with the correction measured by an autorefractor in place."},{"code" : "111686","display" : "Habitual Visual Acuity","definition" : "A patient's vision with whichever vision correction the patient customarily wears."},{"code" : "111687","display" : "Prescription Visual Acuity","definition" : "A patient's vision with the final spectacle prescription in place."},{"code" : "111688","display" : "Right Eye Rx","definition" : "The spectacle prescription for the right eye."},{"code" : "111689","display" : "Left Eye Rx","definition" : "The spectacle prescription for the left eye."},{"code" : "111690","display" : "Macular Grid Thickness and Volume Report","definition" : "A macular grid thickness and volume report for a patient. The macular grid is an analytic tool described in ."},{"code" : "111691","display" : "Number of Images Used for Macular Measurements","definition" : "Number of images used for the macular grid measurement."},{"code" : "111692","display" : "Number of Samples Used per Image","definition" : "Number of samples used per Image for analysis."},{"code" : "111693","display" : "Analysis Quality Rating","definition" : "A numeric rating of the quality of the entire analysis with respect to grading and diagnostic purposes.Higher numbers indicate greater quality."},{"code" : "111694","display" : "Image Set Quality Rating","definition" : "A numeric rating of the quality of an entire image set with respect to grading and diagnostic purposes.Higher numbers indicate greater quality."},{"code" : "111695","display" : "Interfering Tears or Drops","definition" : "Tear film or drops affecting test quality."},{"code" : "111696","display" : "Visual Fixation Quality During Acquisition","definition" : "The assessment of the centricity and persistence of the visual fixation (direction of gaze) during the acquisition."},{"code" : "111697","display" : "Visual Fixation Quality Problem","definition" : "The reason why the patient's visual fixation was not steady or was indeterminate."},{"code" : "111698","display" : "Ophthalmic Macular Grid Problem","definition" : "The reason why the macular grid measurements may be questionable."},{"code" : "111700","display" : "Specimen Container Identifier","definition" : "Identifier of container (box, block, microscope slide, etc.) for the specimen under observation."},{"code" : "111701","display" : "Processing type","definition" : "Type of processing that tissue specimen underwent."},{"code" : "111702","display" : "DateTime of processing","definition" : "Date and time of processing step."},{"code" : "111703","display" : "Processing step description","definition" : "Description of the individual step in the tissue processing sequence."},{"code" : "111704","display" : "Sampling Method","definition" : "Method of sampling used to derive specimen from its parent."},{"code" : "111705","display" : "Parent Specimen Identifier","definition" : "Identifier of the parent specimen that gave rise to the current specimen."},{"code" : "111706","display" : "Issuer of Parent Specimen Identifier","definition" : "Assigning authority for parent specimen's identifier."},{"code" : "111707","display" : "Parent specimen type","definition" : "Parent specimen type that gave rise to current specimen."},{"code" : "111708","display" : "Position Frame of Reference","definition" : "Description of coordinate system and origin reference point on parent specimen, or parent specimen container, or image used for localizing the sampling site or location within container or image."},{"code" : "111709","display" : "Location of sampling site","definition" : "Reference to image of parent specimen localizing the sampling site; may include referenced Presentation State object."},{"code" : "111710","display" : "Location of sampling site X offset","definition" : "Location of sampling site of specimen (nominal center) relative to the Position Frame of Reference."},{"code" : "111711","display" : "Location of sampling site Y offset","definition" : "Location of sampling site of specimen (nominal center) relative to the Position Frame of Reference."},{"code" : "111712","display" : "Location of sampling site Z offset","definition" : "Location of sampling site of specimen (nominal center) relative to the Position Frame of Reference."},{"code" : "111718","display" : "Location of Specimen","definition" : "Description of specimen location, either in absolute terms or relative to the Position Frame of Reference."},{"code" : "111719","display" : "Location of Specimen X offset","definition" : "Location of specimen (nominal center) relative to the Position Frame of Reference in the X dimension."},{"code" : "111720","display" : "Location of Specimen Y offset","definition" : "Location of specimen (nominal center) relative to the Position Frame of Reference in the Y dimension."},{"code" : "111721","display" : "Location of Specimen Z offset","definition" : "Location of specimen (nominal center) relative to the Position Frame of Reference in the Z dimension."},{"code" : "111723","display" : "Visual Marking of Specimen","definition" : "Description of visual distinguishing identifiers."},{"code" : "111724","display" : "Issuer of Specimen Identifier","definition" : "Assigning authority for specimen identifier."},{"code" : "111726","display" : "Dissection with entire specimen submission","definition" : "Dissection of specimen with submission of all its sections for further processing or examination."},{"code" : "111727","display" : "Dissection with representative sections submission","definition" : "Dissection of specimen with submission of representative sections for further processing or examination."},{"code" : "111729","display" : "Specimen storage","definition" : "A workflow step, during which tissue specimens are stored in a climate-controlled environment."},{"code" : "111741","display" : "Transmission illumination","definition" : "Transmission illumination method for specimen microscopy."},{"code" : "111742","display" : "Reflection illumination","definition" : "Reflection illumination method for specimen microscopy."},{"code" : "111743","display" : "Epifluorescence illumination","definition" : "Epifluorescence illumination method for specimen microscopy."},{"code" : "111744","display" : "Brightfield illumination","definition" : "Brightfield illumination method for specimen microscopy."},{"code" : "111745","display" : "Darkfield illumination","definition" : "Darkfield illumination method for specimen microscopy."},{"code" : "111746","display" : "Oblique illumination","definition" : "Oblique illumination method for specimen microscopy."},{"code" : "111747","display" : "Phase contrast illumination","definition" : "Phase contrast illumination method for specimen microscopy."},{"code" : "111748","display" : "Differential interference contrast","definition" : "Differential interference contrast method for specimen microscopy."},{"code" : "111749","display" : "Total internal reflection fluorescence","definition" : "Total internal reflection fluorescence method for specimen microscopy."},{"code" : "111750","display" : "Ultrasound Contact","definition" : "A method of obtaining ophthalmic axial measurements that uses ultrasound, and that requires applanation of the cornea."},{"code" : "111751","display" : "Ultrasound Immersion","definition" : "A method of obtaining ophthalmic axial measurements that uses ultrasound, and that requires immersion of the patient's eye in fluid as he lies in a supine position."},{"code" : "111752","display" : "Optical","definition" : "A method of obtaining ophthalmic axial measurements that uses light."},{"code" : "111753","display" : "Manual Keratometry","definition" : "Measurements taken of the corneal curvature using a manual keratometer."},{"code" : "111754","display" : "Auto Keratometry","definition" : "Measurements taken of the corneal curvature using an automated keratometer."},{"code" : "111755","display" : "Simulated Keratometry","definition" : "Simulated Keratometry measurements derived from corneal topography."},{"code" : "111756","display" : "Equivalent K-reading","definition" : "Corneal power measurements using Scheimpflug camera."},{"code" : "111757","display" : "Keratometry Measurements SOP Instance","definition" : "Keratometry Measurements DICOM SOP Instance."},{"code" : "111758","display" : "Total Cornea Power Measurement Method","definition" : "Method of determining the total cornea power from measuring the curvature of both anterior and posterior surface of the cornea."},{"code" : "111759","display" : "Posterior Cornea Surface Measurement Method","definition" : "Method of measuring the curvature of posterior surface of the cornea and determining its refractive power."},{"code" : "111760","display" : "Haigis","definition" : "The Haigis IOL calculation formula.Haigis W, Lege B, Miller N, Schneider B. Comparison of immersion ultrasound biometry and partial coherence interferometry for intraocular lens calculation according to Haigis. Graefes Arch Clin Exp Ophthalmol 2000;238:765-73."},{"code" : "111761","display" : "Haigis-L","definition" : "The Haigis-L IOL calculation formula.Haigis W. Intraocular lens calculation after refractive surgery for myopia: Haigis-L formula. J Cataract Refract Surg. 2008 Oct;34(10):1658-63."},{"code" : "111762","display" : "Holladay 1","definition" : "The Holladay 1 IOL calculation formula.Holladay JT, Prager TC, Chandler TY, Musgrove KH, Lewis JW, Ruiz RS. A three-part system for refining intraocular lens power calculations. J Cataract Refract Surg. 1988; 14:17-24."},{"code" : "111763","display" : "Holladay 2","definition" : "The Holladay 2 IOL calculation formula."},{"code" : "111764","display" : "Hoffer Q","definition" : "The Hoffer Q IOL calculation formula. Hoffer KJ. The Hoffer Q formula: a comparison of theoretic and regression formulas. J Cataract Refract Surg 1993;19:700-12. Errata. J Cataract Refract Surg 1994;20:677 and 2007;33:2-3."},{"code" : "111765","display" : "Olsen","definition" : "The Olsen IOL calculation formula. Olsen T. Calculation of intraocular lens power: a review. Acta Ophthalmol. Scand. 2007: 85: 472-485."},{"code" : "111766","display" : "SRKII","definition" : "The SRKII IOL calculation formula. Sanders DR, Retzlaff J, Kraff MC. Comparison of the SRK II formula and other second generation formulas. J Cataract Refract Surg. 1988 Mar;14(2):136-41."},{"code" : "111767","display" : "SRK-T","definition" : "The SRK-T IOL calculation formula.Retzlaff JA, Sanders DR, Kraff MC. Development of the SRK/T intraocular lens implant power calculation formula. J Cataract Refract Surg 1990;16:333-40. Erratum 1990;16:528."},{"code" : "111768","display" : "ACD Constant","definition" : "The \"ACD Constant\" used in IOL calculation."},{"code" : "111769","display" : "Haigis a0","definition" : "The \"Haigis a0\" constant used in IOL calculation."},{"code" : "111770","display" : "Haigis a1","definition" : "The \"Haigis a1\" constant used in IOL calculation."},{"code" : "111771","display" : "Haigis a2","definition" : "The \"Haigis a2\" constant used in IOL calculation."},{"code" : "111772","display" : "Hoffer pACD Constant","definition" : "The \"Hoffer pACD Constant\" used in IOL calculation."},{"code" : "111773","display" : "Surgeon Factor","definition" : "The \"Surgeon Factor\" constant used in IOL calculation."},{"code" : "111776","display" : "Front Of Cornea To Front Of Lens","definition" : "Anterior chamber depth defined as the front of the cornea to the front of the lens."},{"code" : "111777","display" : "Back Of Cornea To Front Of Lens","definition" : "Anterior chamber depth defined as the back of the cornea to the front of the lens."},{"code" : "111778","display" : "Single or Anterior Lens","definition" : "Refers to the anterior lens when there are two lenses in the eye. The distance, in mm, from the anterior surface of the lens to the posterior surface of the lens."},{"code" : "111779","display" : "Posterior Lens","definition" : "Refers to the posterior lens when there are two lenses in the eye. The distance, in mm, from the anterior surface of the lens to the posterior surface of the lens."},{"code" : "111780","display" : "Measurement From This Device","definition" : "Value obtained from measurements taken by the device creating this SOP Instance."},{"code" : "111781","display" : "External Data Source","definition" : "Value obtained by data transfer from an external source - not from measurements taken by the device providing the value."},{"code" : "111782","display" : "Axial Measurements SOP Instance","definition" : "Axial Measurements DICOM SOP Instance."},{"code" : "111783","display" : "Refractive Measurements SOP Instance","definition" : "Refractive Measurements DICOM SOP Instance."},{"code" : "111784","display" : "Autorefraction Measurements SOP Instance","definition" : "Autorefraction Measurements DICOM SOP Instance."},{"code" : "111786","display" : "Standard Deviation of measurements used","definition" : "Standard Deviation is a simple measure of the variability of data."},{"code" : "111787","display" : "Signal to Noise Ratio","definition" : "Signal to Noise Ratio of the data samples taken to create a measurement."},{"code" : "111791","display" : "Spherical projection","definition" : "Projection from 2D image pixels to 3D Cartesian coordinates based on a spherical mathematical model."},{"code" : "111792","display" : "Surface contour mapping","definition" : "Mapping from 2D image pixels to 3D Cartesian coordinates based on measurements of the retinal surface."},{"code" : "111800","display" : "Visual Field 24-2 Test Pattern","definition" : "Test pattern, nominally covering an area within 24° of fixation. Consists of 54 test points a minimum of 3° from each meridian and placed 6° apart.The \"-2\" distinguishes this from another 24° pattern (no longer supported)."},{"code" : "111801","display" : "Visual Field 10-2 Test Pattern","definition" : "Test pattern, nominally covering an area within 10° of fixation. Consists of 68 test points a minimum of 1° from each meridian and placed 2° apart.The \"-2\" in this case indicates its point layout to be similar to the 30-2 and 24-2."},{"code" : "111802","display" : "Visual Field 30-2 Test Pattern","definition" : "Test pattern consisting of test point locations within 30° of fixation. Consists of 76 test points a minimum of 3° from each meridian and placed 6° apart.The \"-2\" distinguishes this from another 30° pattern (no longer supported)."},{"code" : "111803","display" : "Visual Field 60-4 Test Pattern","definition" : "Test pattern consisting of 60 test point locations between 30° and 60° of fixation a minimum of 6° from each meridian and placed 12° apart.The \"-4\" distinguishes this from a similar 60° pattern having 4 additional points."},{"code" : "111804","display" : "Visual Field Macula Test Pattern","definition" : "Test pattern consisting of 16 test point locations within 10° of fixation a minimum of 1° from each meridian and placed 2° apart."},{"code" : "111805","display" : "Visual Field Central 40 Point Test Pattern","definition" : "Test pattern consisting of 40 test point locations within 30° of fixation that spread out radially from fixation."},{"code" : "111806","display" : "Visual Field Central 76 Point Test Pattern","definition" : "Test pattern consisting of 76 test point locations within 30° of fixation a minimum of 3° from each meridian and placed 6° apart."},{"code" : "111807","display" : "Visual Field Peripheral 60 Point Test Pattern","definition" : "Test pattern consisting of 60 test point locations between 30° and 60° of fixation a minimum of 6° from each meridian and placed 12° apart."},{"code" : "111808","display" : "Visual Field Full Field 81 Point Test Pattern","definition" : "Test pattern consisting of 81 test point locations within 60° of fixation that spread out radially from fixation."},{"code" : "111809","display" : "Visual Field Full Field 120 Point Test Pattern","definition" : "Test pattern consisting of 120 test point locations within 60° of fixation that spread out radially from fixation, concentrated in the nasal hemisphere."},{"code" : "111810","display" : "Visual Field G Test Pattern","definition" : "Test pattern for Glaucoma and general visual field assessment with 59 test locations of which 16 test locations are in the macular area (up to 10° eccentricity) and where the density of test location is reduced with eccentricity. The test can be extended with the inclusion of 14 test locations between 30° and 60° eccentricity, 6 of which are located at the nasal step."},{"code" : "111811","display" : "Visual Field M Test Pattern","definition" : "Test pattern for the macular area. Orthogonal test pattern with 0.7° spacing within the central 4° of eccentricity and reduced density of test locations between 4 and 10, 5° of eccentricity. 81 test locations over all. The test can be extended to include the test locations of the Visual Field G Test Pattern between 10, 5° and 60°."},{"code" : "111812","display" : "Visual Field 07 Test Pattern","definition" : "Full field test pattern with 48 test locations from 0-30° and 82 test locations from 30-70°. Reduced test point density with increased eccentricity. Can be combined with screening and threshold strategies."},{"code" : "111813","display" : "Visual Field LVC Test Pattern","definition" : "Low Vision Central. Orthogonal off-center test pattern with 6° spacing. 75 test locations within the central 30°. Corresponds with the 32/30-2 excluding the 2 locations at the blind spot, including a macular test location. The LVC is linked with a staircase threshold strategy starting at 0 dB intensity and applies stimulus area V."},{"code" : "111814","display" : "Visual Field Central Test Pattern","definition" : "General test corresponding to the 30-2 but excluding the 2 test locations in the blind spot area, hence with 74 instead of 76 test locations."},{"code" : "111815","display" : "Visual Field SITA-Standard Test Strategy","definition" : "Swedish Interactive Thresholding Algorithm (SITA). Strategy gains testing efficiency through use of visual field and information theory models.In: Bengtsson B, Olsson J, Heijl A, Rootzen H. A new generation of algorithms for computerized threshold perimetry, SITA. Acta Ophthalmologica Scandinavica, 1997, 75: 368-375."},{"code" : "111816","display" : "Visual Field SITA-SWAP Test Strategy","definition" : "Adaptation of SITA testing methods to Blue-Yellow testing."},{"code" : "111817","display" : "Visual Field SITA-Fast Test Strategy","definition" : "Similar to SITA-Standard but with less strict criteria for closing test points. Intended for patients who must be tested in the shortest possible time.In: Bengtsson B, Hejl A. SITA Fast, a new rapid perimetric threshold test. Description of methods and evaluation in patients with manifest and suspect glaucoma. Acta Ophthalmologica Scandinavica, 1998, 76: 431-437."},{"code" : "111818","display" : "Visual Field Full Threshold Test Strategy","definition" : "Threshold test algorithm that determines a patient's sensitivity at each test point in the threshold test pattern by adjusting intensity by 4 dB steps until the patient changes their response, and then adjusts the intensity in the opposite direction by 2 dB steps until the patient changes their response again. The last stimulus seen by the patient is recognized as the threshold for that point.The starting values are determined by first thresholding a \"primary\" point in each quadrant then using the results of each primary point to determine the starting values for neighboring points."},{"code" : "111819","display" : "Visual Field FastPac Test Strategy","definition" : "Similar to the Full Threshold algorithm except that it steps by 3 dB and only crosses the threshold only once.In: Flanagan JG, Wild JM, Trope GE. Evaluation of FASTPAC, a new strategy for threshold estimation with the Humphrey Field Analyzer, in a glaucomatous population. Ophthalmology, 1993, 100: 949-954."},{"code" : "111820","display" : "Visual Field Full From Prior Test Strategy","definition" : "Identical to Full Threshold except that starting values are determined by the results of a previous test performed using the same test pattern and the Full Threshold test strategy."},{"code" : "111821","display" : "Visual Field Optima Test Strategy","definition" : "Similar to FastPac except that the steps are pseudo-dynamic (differ based on the intensity of the last presentation)."},{"code" : "111822","display" : "Visual Field Two-Zone Test Strategy","definition" : "Suprathreshold testing strategy, in which each point is initially tested using stimulus that is 6 dB brighter than the expected hill of vision. If the patient does not respond, the stimulus is presented a second time at the same brightness. If the patient sees either presentation, the point is marked as \"seen\"; otherwise it is marked as \"not seen\"."},{"code" : "111823","display" : "Visual Field Three-Zone Test Strategy","definition" : "An extension of the two-zone strategy in which test points where the second stimulus is not seen are presented with a third stimulus at maximum brightness."},{"code" : "111824","display" : "Visual Field Quantify-Defects Test Strategy","definition" : "An extension of the two-zone strategy, in which test points where the second stimulus is not seen receive threshold testing to quantify the depth of any detected scotomas."},{"code" : "111825","display" : "Visual Field TOP Test Strategy","definition" : "Tendency Oriented Perimetry. Fast thresholding algorithm. Test strategy makes use of the interaction between neighboring test locations to reduce the test time compared to normal full threshold strategy by 60-80%.In: Morales J, Weitzman ML, Gonzalez de la Rosa M. Comparison between Tendency-Oriented Perimetry (TOP) and octopus threshold perimetry. Ophthalmology, 2000, 107: 134-142."},{"code" : "111826","display" : "Visual Field Dynamic Test Strategy","definition" : "Dynamic strategy is a fast thresholding strategy reducing test duration by adapting the dB step sizes according to the frequency-of-seeing curve of the threshold. Reduction of test time compared to normal full threshold strategy 30-50%."},{"code" : "111827","display" : "Visual Field Normal Test Strategy","definition" : "Traditional full threshold staircase strategy. Initial intensities are presented, based on anchor point sensitivities in each quadrant and based on already known neighboring sensitivities. In a first run, thresholds are changed in 4dB steps until the first response reversal. Then the threshold is changed in 2 dB steps until the second response reversal. The threshold is calculated as the average between the last seen and last not-seen stimulus, supposed to correspond with the 50% point in the frequency-of-seeing curve."},{"code" : "111828","display" : "Visual Field 1-LT Test Strategy","definition" : "One level screening test: Each test location is tested with a single intensity. The result is shown as seen or not-seen. The intensity can either be a 0 dB stimulus or a predefined intensity."},{"code" : "111829","display" : "Visual Field 2-LT Test Strategy","definition" : "Two level screening test: Each test location is initially tested 6 dB brighter than the age corrected normal value."},{"code" : "111830","display" : "Visual Field LVS Test Strategy","definition" : "Low Vision Strategy is a full threshold normal strategy with the exception that it starts at 0 dB intensity and applies stimulus area V."},{"code" : "111831","display" : "Visual Field GATE Test Strategy","definition" : "German Adaptive Threshold Estimation is a fast strategy based on a modified 4-2 staircase algorithm, using prior visual fields to calculate the starting intensity. In: Chiefer U, Pascual JP, Edmunds B, Feudner E, Hoffmann EM, Johnson CA, Lagreze WA, Pfeiffer N, Sample PA, Staubach F, Weleber RG, Vonthein R, Krapp E, Paetzold J. Comparison of the new perimetric GATE strategy with conventional full-threshold and SITA standard strategies. Investigative Ophthalmology and Visual Science, 2009, 51: 488-494."},{"code" : "111832","display" : "Visual Field GATEi Test Strategy","definition" : "Similar to GATE. The i stands for initial. If there was no prior visual field test to calculate the starting values, an anchor point method is used to define the local start values."},{"code" : "111833","display" : "Visual Field 2LT-Dynamic Test Strategy","definition" : "A test started as two level screening test. In the course of the test, the threshold of relative defects and/or normal test locations has been quantified using the dynamic threshold strategy."},{"code" : "111834","display" : "Visual Field 2LT-Normal Test Strategy","definition" : "A test started as two level screening test. In the course of the test, the threshold of relative defects and/or normal test locations has been quantified using the normal full threshold strategy."},{"code" : "111835","display" : "Visual Field Fast Threshold Test Strategy","definition" : "Takes neighborhood test point results into account and offers stimuli with an adapted value to save time."},{"code" : "111836","display" : "Visual Field CLIP Test Strategy","definition" : "Continuous Luminance Incremental Perimetry, which measures at first the individual reaction time of the patient and threshold values in every quadrant. The starting value for the main test is slightly below in individual threshold."},{"code" : "111837","display" : "Visual Field CLASS Strategy","definition" : "A supra threshold screening strategy. The starting stimuli intensities depend on the classification of the patient's visual hill by measuring the central (fovea) or peripheral (15° meridian) threshold. The result of each dot slightly underestimates the sensitivity value (within 5 dB)."},{"code" : "111838","display" : "Age corrected","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance s is chosen based on the age of the patient."},{"code" : "111839","display" : "Threshold related","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance is chosen based on the results of thresholding a set of \"primary\" test points (one in each quadrant)."},{"code" : "111840","display" : "Single luminance","definition" : "Mode for determining the starting luminance for screening test points - in this case, all starting luminance is set to the same value."},{"code" : "111841","display" : "Foveal sensitivity related","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance is chosen based on the result of the foveal threshold value."},{"code" : "111842","display" : "Related to non macular sensitivity","definition" : "Mode for determining the starting luminance for screening test points - the starting luminance is chosen based on the result of four threshold values measured near the 15° meridian (one in each quadrant)."},{"code" : "111843","display" : "Automated Optical","definition" : "Real time evaluation of the camera image to recognize blinks and fixation losses with influence on the test procedure. Blinks that interfere with stimuli presentation cause the automated repetition of such stimulus presentations. Fixation losses can be used to delay the stimulus presentation until correct fixation is regained."},{"code" : "111844","display" : "Blind Spot Monitoring","definition" : "A method of monitoring the patient's fixation by periodically presenting stimulus in a location on the background surface that corresponds to the patient's blind spot."},{"code" : "111845","display" : "Macular Fixation Testing","definition" : "A method of monitoring the patient's fixation by presenting the stimulus to the patient's macula."},{"code" : "111846","display" : "Observation by Examiner","definition" : "A method of monitoring the patient's fixation by observation from the examiner of the patient."},{"code" : "111847","display" : "Outside normal limits","definition" : "Analysis Results are outside normal limits."},{"code" : "111848","display" : "Borderline","definition" : "Analysis Results are borderline."},{"code" : "111849","display" : "Abnormally high sensitivity","definition" : "Analysis Results identify abnormally high sensitivity."},{"code" : "111850","display" : "General reduction in sensitivity","definition" : "Analysis Results identify general reduction in sensitivity."},{"code" : "111851","display" : "Borderline and general reduction in sensitivity","definition" : "Analysis Results identify Borderline and general reduction in sensitivity."},{"code" : "111852","display" : "Visual Field Index","definition" : "Index of a patient's remaining visual field normalized for both age and generalized defect."},{"code" : "111853","display" : "Visual Field Loss Due to Diffuse Defect","definition" : "Estimate of the portion of a patient's visual field loss that is diffuse (i.e., spread evenly across all portions of the visual field)."},{"code" : "111854","display" : "Visual Field Loss Due to Local Defect","definition" : "Estimate of the portion of a patient's visual field loss that is local (i.e., not spread evenly across all portions of the visual field)."},{"code" : "111855","display" : "Glaucoma Hemifield Test Analysis","definition" : "An analysis of asymmetry between zones of the superior and inferior visual field. It is designed to be specific for defects due to glaucoma."},{"code" : "111856","display" : "Optical Fixation Measurements","definition" : "The data output of an optical fixation monitoring process, consisting of a list of positive and negative numbers indicating the quality of patient fixation over the course of a visual field test. The value 0 represents the initial fixation. Negative numbers indicate a measuring error (i.e., the patient blinked). Positive numbers quantify the degree of eccentricity from initial fixation."},{"code" : "111860","display" : "Haigis Toric","definition" : "The Haigis Toric IOL calculation formula.Haigis, Wolfgang. Toric Iol Power Calculation. 2014."},{"code" : "111861","display" : "Haigis-L Toric","definition" : "The Haigis-L Toric IOL calculation formula.Haigis W, Intraocular lens calculation after refractive surgery for myopia: Haigis-L formula. J Cataract Refract Surg, 2008. 34(10): 1658-63. doi:10.1016/j.jcrs.2008.06.029."},{"code" : "111862","display" : "Barrett Toric","definition" : "The Barrett Toric IOL calculation formula.Abulafia, A., et al., Prediction of refractive outcomes with toric intraocular lens implantation. J Cataract Refract Surg, 2015. 41(5): p. 936-44. doi:10.1016/j.jcrs.2014.08.036."},{"code" : "111863","display" : "Barrett True-K","definition" : "The Barrett True-K IOL calculation formula.Abulafia, A., et al., Accuracy of the Barrett True-K formula for intraocular lens power prediction after laser in situ keratomileusis or photorefractive keratectomy for myopia. J Cataract Refract Surg, 2016. 42(3): p. 363-9. doi:10.1016/j.jcrs.2015.11.039."},{"code" : "111864","display" : "Barrett True-K Toric","definition" : "The Barrett True-K Toric IOL calculation formula.Barrett G.D., Barrett True-K toric calculator."},{"code" : "111865","display" : "Barrett Universal II","definition" : "The Barrett Universal II IOL calculation formula.Barrett, G.D., An improved universal theoretical formula for intraocular lens power prediction. J Cataract Refract Surg, 1993. 19: p. 713-720. doi:10.1016/S0886-3350(13)80339-2"},{"code" : "111866","display" : "Barrett Lens Factor","definition" : "The \"Barrett Lens Factor\" constant used in IOL calculation."},{"code" : "111867","display" : "Barrett Design Factor","definition" : "The \"Barrett Design Factor\" constant used in IOL calculation."},{"code" : "111868","display" : "Kane","definition" : "The Kane intraocular lens calculation formula.Connell BJ, Kane JX. Comparison of the Kane formula with existing formulas for intraocular lens power selection. BMJ Open Ophthalmol. 2019 Apr 1;4(1):e000251. doi:10.1136/bmjophth-2018-000251. PMID: 31179396; PMCID: PMC6528763."},{"code" : "111869","display" : "Kane Toric","definition" : "The Kane Toric intraocular lens calculation formula.Kane JX, Connell B. A Comparison of the Accuracy of 6 Modern Toric Intraocular Lens Formulas. Ophthalmology. 2020 Nov;127(11):1472-1486. doi:10.1016/j.ophtha.2020.04.039. Epub 2020 May 1. PMID: 32371252."},{"code" : "111870","display" : "Kane Keratoconus","definition" : "The Kane Keratoconus intraocular lens calculation formula.Kane JX, Connell B, Yip H, McAlister JC, Beckingsale P, Snibson GR, Chan E. Accuracy of Intraocular Lens Power Formulas Modified for Patients with Keratoconus. Ophthalmology. 2020 Aug;127(8):1037-1042. doi:10.1016/j.ophtha.2020.02.008. Epub 2020 Apr 9. PMID: 32279887."},{"code" : "111871","display" : "Barrett Keratoconus","definition" : "The Barrett Keratoconus intraocular lens calculation formula.Ton, Yokrat MD; Barrett, Graham D. MD, FRANZCO; Kleinmann, Guy MD; Levy, Adi MHA; Assia, Ehud I. MD. Toric intraocular lens power calculation in cataract patients with keratoconus. Journal of Cataract & Refractive Surgery 47(11):p 1389-1397, November 2021. doi:10.1097/j.jcrs.0000000000000638."},{"code" : "111872","display" : "Barrett Rx","definition" : "The Barrett Rx intraocular lens calculation formula.Barrett GD. The Barrett Rx formula: predicting IOL power based on refraction after cataract surgery. Barcelona. Spain: European Society of Cataract & Refractive Surgeons; 2015."},{"code" : "111873","display" : "EVO","definition" : "The Emmetropia Verifying Optical (EVO) intraocular lens calculation formula.Yeo, T.K. (2024). Emmetropia Verifying Optical (EVO) Formula. In: Aramberri, J., Hoffer, K.J., Olsen, T., Savini, G., Shammas, H.J. (eds) Intraocular Lens Calculations. Essentials in Ophthalmology. Springer, Cham. doi:10.1007/978-3-031-50666-6_40."},{"code" : "111874","display" : "Shammas No-History","definition" : "The Shammas no-history method using Shammas-PL IOL calculation formula.Shammas HJ, Shammas MC. No-history method of intraocular lens power calculation for cataract surgery after myopic laser in situ keratomileusis. J Cataract Refract Surg. 2007 Jan;33(1):31-6. doi:10.1016/j.jcrs.2006.08.045. PMID: 17189790."},{"code" : "111875","display" : "Camellin-Calossi","definition" : "The Camellin and Calossi IOL calculation formula.Camellin M, Calossi A. A new formula for intraocular lens power calculation after refractive corneal surgery. J Refract Surg. 2006 Feb;22(2):187-99. doi:10.3928/1081-597X-20060201-18. PMID: 16523839."},{"code" : "111876","display" : "Hill RBF 3.0","definition" : "The Hill Radial Basis Function (RBF) Formula Version 3.0.Hill Radial Basis Function calculator ."},{"code" : "111877","display" : "PEARL-DGS","definition" : "The PEARL-DGS IOL calculation formula.Debellemanie`re G, Dubois M, Gauvin M, Wallerstein A, Brenner L, Rampat R, Saad A, Gatinel D. The PEARL-DGS formula: the development of an open-source machine learning-based thick IOL calculation formula. Am J Ophthalmol. 2021;232:58–69. doi:10.1016/j.ajo.2021.05.004."},{"code" : "111900","display" : "Macula centered","definition" : "An image of at least 15° angular subtend that is centered on the macula."},{"code" : "111901","display" : "Disc centered","definition" : "An image of at least 15° angular subtend that is centered on the optic disc."},{"code" : "111902","display" : "Lesion centered","definition" : "An image of any angular subtend that is centered on a lesion located in any region of the fundus."},{"code" : "111903","display" : "Disc-macula centered","definition" : "An image of at least 15° angular subtend centered midway between the disc and macula and containing at least a portion of the disc and both the disc and the macula."},{"code" : "111904","display" : "Mid-peripheral-superior","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the superior-temporal and superior-nasal quadrants of the fundus."},{"code" : "111905","display" : "Mid-peripheral-superior temporal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the superior-temporal quadrant of the fundus."},{"code" : "111906","display" : "Mid-peripheral-temporal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the superior-temporal and inferior-temporal quadrants of the fundus."},{"code" : "111907","display" : "Mid-peripheral-inferior temporal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the inferior-temporal quadrant of the fundus."},{"code" : "111908","display" : "Mid-peripheral-inferior","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the inferior-temporal and inferior-nasal quadrants of the fundus."},{"code" : "111909","display" : "Mid-peripheral-inferior nasal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the inferior-nasal quadrant of the fundus."},{"code" : "111910","display" : "Mid-peripheral-nasal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator, and spanning both the superior-nasal and inferior-nasal quadrants of the fundus."},{"code" : "111911","display" : "Mid-peripheral-superior nasal","definition" : "An image of at least 15° angular subtend positioned between the central zone and the equator in the superior-nasal quadrant of the fundus."},{"code" : "111912","display" : "Peripheral-superior","definition" : "An image of at least 15° angular subtend positioned between the equator and the ora serrata, and spanning both the superior temporal and superior nasal quadrants of the fundus."},{"code" : "111913","display" : "Peripheral-superior temporal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the superior-temporal quadrant of the fundus."},{"code" : "111914","display" : "Peripheral-temporal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata, and spanning both the superior-temporal and inferior-temporal quadrants of the fundus."},{"code" : "111915","display" : "Peripheral-inferior temporal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the inferior-temporal quadrant of the fundus."},{"code" : "111916","display" : "Peripheral-inferior","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata, and spanning both the inferior-temporal and inferior-nasal quadrants of the fundus."},{"code" : "111917","display" : "Peripheral-inferior nasal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the inferior-nasal quadrant of the fundus."},{"code" : "111918","display" : "Peripheral-nasal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata, and spanning both the superior-nasal and inferior-nasal quadrants of the fundus."},{"code" : "111919","display" : "Peripheral-superior nasal","definition" : "An image of at least 15° angular subtend positioned between the equator and ora serrata in the superior-nasal quadrant of the fundus."},{"code" : "111920","display" : "Time domain","definition" : "Identifies the use of physical signals with respect to time to capture information."},{"code" : "111921","display" : "Spectral domain","definition" : "Identifies the use of physical signals with respect to multiple frequencies to capture information."},{"code" : "111922","display" : "No corneal compensation","definition" : "No compensation algorithm for corneal birefringence."},{"code" : "111923","display" : "Corneal birefringence compensation","definition" : "Algorithm to compensate for variability in corneal birefringence."},{"code" : "111924","display" : "Retinal topography","definition" : "Measurement of the retinal surface contour relative to an assigned datum plane."},{"code" : "111925","display" : "Retinal nerve fiber layer thickness","definition" : "Measurement approximating the distance related to the structure between the internal limiting membrane (ILM) and the outer boarder of the retinal nerve fiber layer (RNFL)."},{"code" : "111926","display" : "Ganglion cell complex thickness","definition" : "Measurement approximating the distance related to the structure between the ILM and the outer border of the inner plexiform layer (IPL), called the ganglion cell complex (GCC)."},{"code" : "111927","display" : "Total retinal thickness (ILM to IS-OS)","definition" : "Measurement approximating the distance related to the structure between the ILM and the inner-outer segment junction (IS-OS)."},{"code" : "111928","display" : "Total retinal thickness (ILM to RPE)","definition" : "Measurement approximating the distance related to the structure between the ILM and the retinal pigment epithelium (RPE)."},{"code" : "111929","display" : "Total retinal thickness (ILM to BM)","definition" : "Measurement approximating the distance related to the structure between the ILM and the Bruch's membrane (BM)."},{"code" : "111930","display" : "Absolute ophthalmic thickness","definition" : "Thickness of a component of the posterior segment of the eye."},{"code" : "111931","display" : "Thickness deviation category from normative data","definition" : "Ophthalmic Thickness map based upon statistical significance category (such as percentile) from normative data."},{"code" : "111932","display" : "Thickness deviation from normative data","definition" : "Ophthalmic Thickness map based upon deviation (such as microns) from normative data."},{"code" : "111933","display" : "Related ophthalmic thickness map","definition" : "Ophthalmic Thickness Map related to another Ophthalmic Thickness Map or another SOP Instance."},{"code" : "111934","display" : "Disc-Fovea","definition" : "An anatomic point centered midway between the disc and fovea centralis."},{"code" : "111935","display" : "p>5%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is not statistically significant."},{"code" : "111936","display" : "p<5%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 95% unlikely to happen by chance."},{"code" : "111937","display" : "p<2%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 98% unlikely to happen by chance."},{"code" : "111938","display" : "p<1%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 99% unlikely to happen by chance."},{"code" : "111939","display" : "p<0.5%","definition" : "Assuming the null hypothesis is true, the conditional percent probability of observing this result is statistically significant, 99.5% unlikely to happen by chance."},{"code" : "111940","display" : "Corneal axial power map","definition" : "A two dimensional representation of the axial curvature of the cornea. Axial curvature is calculated from the reciprocal of the distance from a point on a meridian normal at the point to the corneal topographer axis. Also known as sagittal curvature."},{"code" : "111941","display" : "Corneal instantaneous power map","definition" : "A two dimensional representation of the instantaneous curvature of the cornea. Instantaneous curvature is calculated from the reciprocal of the distance from a point on a meridian normal at the point to the center of curvature of that point. Also called tangential curvature."},{"code" : "111942","display" : "Corneal refractive power map","definition" : "A two dimensional representation of the refractive power of the cornea. Corneal refractive power is calculated using Snell's Law."},{"code" : "111943","display" : "Corneal elevation map","definition" : "A two dimensional representation of the elevation of the cornea. Elevation is calculated as the distance from a point on the corneal surface to a point on a reference surface along a line parallel to the corneal topographer axis. For the purpose of visualization the reference surface is usually a sphere or an ellipse."},{"code" : "111944","display" : "Corneal wavefront map","definition" : "A two dimensional representation of a wavefront aberration surface of the cornea. Wavefront aberration surface is calculated from the corneal elevation data fit with either the Zernike polynomial series or the Fourier Series. Maps generally display total aberrations and selectable higher order aberrations."},{"code" : "111945","display" : "Elevation-based corneal tomographer","definition" : "A device that measures corneal anterior surface shape using elevation-based methods (stereographic and light slit-based). Rasterstereography images a grid pattern illuminating the fluorescein dyed tear film with 2 cameras to produce 3D. Slit-based devices scan the cornea, usually by rotation about the instrument axis centered on the cornea vertex."},{"code" : "111946","display" : "Reflection-based corneal topographer","definition" : "A reflection-based device that projects a pattern of light onto the cornea and an image of the reflection of that pattern from the tear film is recorded in one video frame. Light patterns include the circular mire pattern (Placido disc) and spot matrix patterns. Sequential scanning of light spots reflected from the corneal surface is also used requiring multiple video frames for recording."},{"code" : "111947","display" : "Interferometry-based corneal tomographer","definition" : "An Interference-based device that projects a beam of light onto and through the cornea. Light reflected from within the cornea is combined with a reference beam giving rise to an interference pattern. Appropriately scanned, this imaging is used to construct 3-dimensional images of the cornea from anterior to posterior surfaces."},{"code" : "112000","display" : "Chest CAD Report","definition" : "A structured report containing the results of computer-aided detection or diagnosis applied to chest imaging and associated clinical information."},{"code" : "112001","display" : "Opacity","definition" : "The shadow of an absorber that attenuates the X-Ray beam more effectively than do surrounding absorbers. In a radiograph, any circumscribed area that appears more nearly white (of lesser photometric density) than its surround [Fraser and Pare]."},{"code" : "112002","display" : "Series Instance UID","definition" : "A unique identifier for a series of DICOM SOP instances."},{"code" : "112003","display" : "Associated Chest Component","definition" : "A named anatomic region within the chest cavity."},{"code" : "112004","display" : "Abnormal interstitial pattern","definition" : "A collection of opacities detected within the continuum of loose connective tissue throughout the lung, that is not expected in a diagnostically normal radiograph."},{"code" : "112005","display" : "Radiographic anatomy","definition" : "A type of anatomy that is expected to be detectable on a radiographic (X-Ray based) image."},{"code" : "112006","display" : "Distribution Descriptor","definition" : "Characteristic of the extent of spreading of a finding or feature."},{"code" : "112007","display" : "Border definition","definition" : "Characteristic of the clarity of the boundary or edges of a finding or feature."},{"code" : "112008","display" : "Site involvement","definition" : "The part(s) of the anatomy affected or encompassed by a finding or feature."},{"code" : "112009","display" : "Type of Content","definition" : "Characteristic of the matter or substance within a finding or feature."},{"code" : "112010","display" : "Texture Descriptor","definition" : "Characteristic of the surface or consistency of a finding or feature."},{"code" : "112011","display" : "Positioner Primary Angle","definition" : "Position of the X-Ray beam about the patient from the RAO to LAO direction where movement from RAO to vertical is positive."},{"code" : "112012","display" : "Positioner Secondary Angle","definition" : "Position of the X-Ray beam about the patient from the caudal to cranial direction where movement from caudal to vertical is positive."},{"code" : "112013","display" : "Location in Chest","definition" : "The zone, lobe or segment within the chest cavity in which a finding or feature is situated."},{"code" : "112014","display" : "Orientation Descriptor","definition" : "Vertical refers to orientation parallel to the superior-inferior (cephalad-caudad) axis of the body, with horizontal being perpendicular to this, and an oblique orientation having projections in both the horizontal and vertical."},{"code" : "112015","display" : "Border shape","definition" : "Characteristic of the shape formed by the boundary or edges of a finding or feature."},{"code" : "112016","display" : "Baseline Category","definition" : "Indicates whether a finding was considered a target lesion, non-target lesion, or non-lesion during evaluation of a baseline series, according to a method such as RECIST."},{"code" : "112017","display" : "Cavity extent as percent of volume","definition" : "The extent of a detected cavity, represented as the percent of the surrounding volume that it occupies."},{"code" : "112018","display" : "Calcification extent as percent of surface","definition" : "The extent of a detected calcification, represented as the percent of the surrounding surface that it occupies."},{"code" : "112019","display" : "Calcification extent as percent of volume","definition" : "The extent of a detected calcification, represented as the percent of the surrounding volume that it occupies."},{"code" : "112020","display" : "Response Evaluation","definition" : "A heading for the reporting of response evaluation for treatment of solid tumors."},{"code" : "112021","display" : "Response Evaluation Method","definition" : "The system applied in the reporting of response evaluation for treatment of solid tumors."},{"code" : "112022","display" : "RECIST","definition" : "Response Evaluation Criteria In Solid Tumors."},{"code" : "112023","display" : "Composite Feature Modifier","definition" : "A term that further specifies the name of an item that is an inferred correlation relating two or more individual findings or features."},{"code" : "112024","display" : "Single Image Finding Modifier","definition" : "A term that further specifies the name of an item that was detected on one image."},{"code" : "112025","display" : "Size Descriptor","definition" : "A qualitative descriptor for the extent of a finding or feature."},{"code" : "112026","display" : "Width Descriptor","definition" : "A qualitative descriptor for the thickness of tubular structures, such as blood vessels."},{"code" : "112027","display" : "Opacity Descriptor","definition" : "A characteristic that further describes the nature of an opacity."},{"code" : "112028","display" : "Abnormal Distribution of Anatomic Structure","definition" : "The type of adverse affect that a finding or feature is having on the surrounding anatomy."},{"code" : "112029","display" : "WHO","definition" : "Response evaluation method as defined in chapter 5, \"Reporting of Response\" of the WHO Handbook for Reporting Results for Cancer Treatment."},{"code" : "112030","display" : "Calcification Descriptor","definition" : "Identification of the morphology of detected calcifications."},{"code" : "112031","display" : "Attenuation Coefficient","definition" : "A quantitative numerical statement of the relative attenuation of the X-Ray beam at a specified point. Coefficient that describes the fraction of a beam of X-Rays or gamma rays that is absorbed or scattered per unit thickness of the absorber. This value basically accounts for the number of atoms in a cubic cm volume of material and the probability of a photon being scattered or absorbed from the nucleus or an electron of one of these atoms. Usually expressed in Hounsfield units [referred to as CT Number in Fraser and Pare]."},{"code" : "112032","display" : "Threshold Attenuation Coefficient","definition" : "An X-Ray attenuation coefficient that is used as a threshold."},{"code" : "112033","display" : "Abnormal opacity","definition" : "An opacity that is not expected in a diagnostically normal radiograph."},{"code" : "112034","display" : "Calculation Description","definition" : "A textual description of the mathematical method of calculation that resulted in a calculated value."},{"code" : "112035","display" : "Performance of Pediatric and Adult Chest Radiography, ACR","definition" : "American College of Radiology. ACR Standard for the Performance of Pediatric and Adult Chest Radiography. In: Standards. Reston, Va: 2001:95-98."},{"code" : "112036","display" : "ACR Position Statement","definition" : "American College of Radiology. ACR Position Statement for Quality Control and Improvement, Safety, Infection Control, and Patient Concerns. In: Practice Guidelines and Technical Standards. Reston, Va: 2001:iv."},{"code" : "112037","display" : "Non-lesion Modifier","definition" : "A descriptor for a non-lesion object finding or feature, used to indicate whether the object was detected as being internal or external to the patient's body."},{"code" : "112038","display" : "Osseous Modifier","definition" : "A concept modifier for an Osseous Anatomy, or bone related, finding."},{"code" : "112039","display" : "Tracking Identifier","definition" : "A text label used for tracking a finding or feature, potentially across multiple reporting objects, over time. This label shall be unique within the domain in which it is used. Corresponds to Tracking ID (0062,0020)."},{"code" : "112040","display" : "Tracking Unique Identifier","definition" : "A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time. Corresponds to Tracking UID (0062,0021)."},{"code" : "112041","display" : "Target Lesion Complete Response","definition" : "Disappearance of all target lesions."},{"code" : "112042","display" : "Target Lesion Partial Response","definition" : "At least a 30% decrease in the sum of the Longest Diameter of target lesions, taking as reference the baseline sum Longest Diameter."},{"code" : "112043","display" : "Target Lesion Progressive Disease","definition" : "At least a 20% increase in the sum of the Longest Diameter of target lesions, taking as reference the smallest sum Longest Diameter recorded since the treatment started, or the appearance of one or more new lesions."},{"code" : "112044","display" : "Target Lesion Stable Disease","definition" : "Neither sufficient shrinkage to qualify for Partial Response nor sufficient increase to qualify for Progressive Disease, taking as reference the smallest sum Longest Diameter since the treatment started."},{"code" : "112045","display" : "Non-Target Lesion Complete Response","definition" : "Disappearance of all non-target lesions and normalization of tumor marker level."},{"code" : "112046","display" : "Non-Target Lesion Incomplete Response or Stable Disease","definition" : "Persistence of one or more non-target lesions and/or maintenance of tumor marker level above the normal limits."},{"code" : "112047","display" : "Non-Target Lesion Progressive Disease","definition" : "Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions."},{"code" : "112048","display" : "Current Response","definition" : "The current response evaluation for treatment of solid tumors, according to a method such as RECIST."},{"code" : "112049","display" : "Best Overall Response","definition" : "Best response recorded from the start of the treatment until disease progression/recurrence, taking as reference for Progressive Disease the smallest measurements recorded since the treatment started, according to a method such as RECIST."},{"code" : "112050","display" : "Anatomic Identifier","definition" : "A text identifier of an anatomic feature when a multiplicity of features of that type may be present, such as \"Rib 1\", \"Rib 2\" or thoracic vertebrae \"T1\" or \"T2\"."},{"code" : "112051","display" : "Measurement of Response","definition" : "A measured or calculated evaluation of response."},{"code" : "112052","display" : "Bronchovascular","definition" : "Of or relating to a bronchial (lung) specific channel for the conveyance of a body fluid."},{"code" : "112053","display" : "Osseous","definition" : "Of, relating to, or composed of bone."},{"code" : "112054","display" : "Secondary pulmonary lobule","definition" : "The smallest unit of lung surrounded by connective tissue septa; the unit of lung subtended by any bronchiole that gives off three to five terminal bronchioles [Fraser and Pare]."},{"code" : "112055","display" : "Agatston scoring method","definition" : "A method of calculating an overall calcium score, reflecting the calcification of coronary arteries, based on the maximum X-Ray attenuation coefficient and the area of calcium deposits."},{"code" : "112056","display" : "Volume scoring method","definition" : "A method of calculating an overall calcium score, reflecting the calcification of coronary arteries, based on the volume of each calcification, typically expressed in mm3."},{"code" : "112057","display" : "Mass scoring method","definition" : "A method of calculating an overall calcium score, reflecting the calcification of coronary arteries, based on the total mass of calcification, typically expressed in mg."},{"code" : "112058","display" : "Calcium score","definition" : "A measure often arrived at through calculation of findings from CT examination, which is a common predictor of significant stenosis of the coronary arteries."},{"code" : "112059","display" : "Primary complex","definition" : "The combination of a focus of pneumonia due to a primary infection with granulomas in the draining hilar or mediastinal lymph nodes [Fraser and Pare]."},{"code" : "112060","display" : "Oligemia","definition" : "General or local decrease in the apparent width of visible pulmonary vessels, suggesting less than normal blood flow (reduced blood flow) [Fraser and Pare]."},{"code" : "112061","display" : "Abnormal lines (1D)","definition" : "Linear opacity of very fine width, i.e., a nearly one dimensional opacity."},{"code" : "112062","display" : "Abnormal lucency","definition" : "Area of abnormal very low X-Ray attenuation, typically lower than aerated lung when occurring in or projecting over lung, or lower than soft tissue when occurring in or projecting over soft tissue."},{"code" : "112063","display" : "Abnormal calcifications","definition" : "A calcific opacity within the lung that may be organized, but does not display the trabecular organization of true bone [Fraser and Pare]."},{"code" : "112064","display" : "Abnormal texture","definition" : "Relatively homogeneous, extended, pattern of abnormal opacity in the lung, typically low in contrast."},{"code" : "112065","display" : "Reticulonodular pattern","definition" : "A collection of innumerable small, linear, and nodular opacities that together produce a composite appearance resembling a net with small superimposed nodules. The reticular and nodular elements are dimensionally of similar magnitude [Fraser and Pare]."},{"code" : "112066","display" : "Beaded septum sign","definition" : "Irregular septal thickening that suggests the appearance of a row of beads; usually a sign of lymphangitic carcinomatosis, but may also occur rarely in sarcoidosis [Fraser and Pare]."},{"code" : "112067","display" : "Nodular pattern","definition" : "A collection of innumerable, small discrete opacities ranging in diameter from 2-10 mm, generally uniform in size and widespread in distribution, and without marginal spiculation [Fraser and Pare]."},{"code" : "112068","display" : "Pseudoplaque","definition" : "An irregular band of peripheral pulmonary opacity adjacent to visceral pleura that simulates the appearance of a pleural plaque and is formed by coalescence of small nodules [Fraser and Pare] ."},{"code" : "112069","display" : "Signet-ring sign","definition" : "A ring of opacities (usually representing a dilated, thick-walled bronchus) in association with a smaller, round, soft tissue opacity (the adjacent pulmonary artery) suggesting a \"signet ring\" [Fraser and Pare]."},{"code" : "112070","display" : "Air bronchiologram","definition" : "Equivalent of air bronchogram, but in airways assumed to be bronchioles because of peripheral location and diameter [Fraser and Pare]."},{"code" : "112071","display" : "Air bronchogram","definition" : "Radiographic shadow of an air-containing bronchus; presumed to represent an air-containing segment of the bronchial tree (identity often inferred) [Fraser and Pare]."},{"code" : "112072","display" : "Air crescent","definition" : "Air in a crescentic shape in a nodule or mass, in which the air separates the outer wall of the lesion from an inner sequestrum, which most commonly is a fungus ball of Aspergillusspecies [Fraser and Pare]."},{"code" : "112073","display" : "Halo sign","definition" : "Ground-glass opacity surrounding the circumference of a nodule or mass. May be a sign of invasive aspergillosis or hemorrhage of various causes [Fraser and Pare]."},{"code" : "112074","display" : "Target Lesion at Baseline","definition" : "Flag denoting that this lesion was identified, at baseline, as a target lesion intended for tracking over time [RECIST]."},{"code" : "112075","display" : "Non-Target Lesion at Baseline","definition" : "Flag denoting that this lesion was not identified, at baseline, as a target lesion, and was not intended for tracking over time [RECIST]."},{"code" : "112076","display" : "Non-Lesion at Baseline","definition" : "Flag denoting that this finding was identified, at baseline, as a category other than a lesion, and was not intended for tracking over time [RECIST]."},{"code" : "112077","display" : "Vasoconstriction","definition" : "Local or general reduction in the caliber of visible pulmonary vessels, presumed to result from decreased flow occasioned by contraction of muscular pulmonary arteries [Fraser and Pare]."},{"code" : "112078","display" : "Vasodilation","definition" : "Local or general increase in the width of visible pulmonary vessels resulting from increased pulmonary blood flow [Fraser and Pare]."},{"code" : "112079","display" : "Architectural distortion","definition" : "A manifestation of lung disease in which bronchi, pulmonary vessels, a fissure or fissures, or septa of secondary pulmonary lobules are abnormally displaced [Fraser and Pare]."},{"code" : "112080","display" : "Mosaic perfusion","definition" : "A patchwork of regions of varied attenuation, interpreted as secondary to regional differences in perfusion [Fraser and Pare]."},{"code" : "112081","display" : "Pleonemia","definition" : "Increased blood flow to the lungs or a portion thereof, manifested by a general or local increase in the width of visible pulmonary vessels [Fraser and Pare]."},{"code" : "112082","display" : "Interface","definition" : "The common boundary between the shadows of two juxtaposed structures or tissues of different texture or opacity (edge, border) [Fraser and Pare]."},{"code" : "112083","display" : "Line","definition" : "A longitudinal opacity no greater than 2 mm in width [Fraser and Pare]."},{"code" : "112084","display" : "Lucency","definition" : "The shadow of an absorber that attenuates the primary X-Ray beam less effectively than do surrounding absorbers. In a radiograph, any circumscribed area that appears more nearly black (of greater photometric density) than its surround [Fraser and Pare]."},{"code" : "112085","display" : "Midlung window","definition" : "A midlung region, characterized by the absence of large blood vessels and by a paucity of small blood vessels, that corresponds to the minor fissure and adjacent peripheral lung [Fraser and Pare]."},{"code" : "112086","display" : "Carina angle","definition" : "The angle formed by the right and left main bronchi at the tracheal bifurcation [Fraser and Pare]."},{"code" : "112087","display" : "Centrilobular structures","definition" : "The pulmonary artery and its immediate branches in a secondary lobule; HRCT depicts these vessels in certain cases; a.k.a. core structures or lobular core structures [Fraser and Pare]."},{"code" : "112088","display" : "Anterior junction line","definition" : "A vertically oriented linear or curvilinear opacity approximately 1-2 mm wide, commonly projected on the tracheal air shadow [Fraser and Pare]."},{"code" : "112089","display" : "Posterior junction line","definition" : "A vertically oriented, linear or curvilinear opacity approximately 2 mm wide, commonly projected on the tracheal air shadow, and usually slightly concave to the right [Fraser and Pare]."},{"code" : "112090","display" : "Azygoesophageal recess interface","definition" : "A space in the right side of the mediastinum into which the medial edge of the right lower lobe extends [Fraser and Pare]."},{"code" : "112091","display" : "Paraspinal line","definition" : "A vertically oriented interface usually seen in a frontal chest radiograph to the left of the thoracic vertebral column [Fraser and Pare]."},{"code" : "112092","display" : "Posterior tracheal stripe","definition" : "A vertically oriented linear opacity ranging in width from 2-5 mm, extending from the thoracic inlet to the bifurcation of the trachea, and visible only on lateral radiographs of the chest [Fraser and Pare]."},{"code" : "112093","display" : "Right tracheal stripe","definition" : "A vertically oriented linear opacity approximately 2-3 mm wide extending from the thoracic inlet to the right tracheobronchial angle [Fraser and Pare]."},{"code" : "112094","display" : "Stripe","definition" : "A longitudinal composite opacity measuring 2-5 mm in width; acceptable when limited to anatomic structures within the mediastinum [Fraser and Pare]."},{"code" : "112095","display" : "Hiatus","definition" : "A gap or passage through an anatomical part or organ; especially: a gap through which another part or organ passes."},{"code" : "112096","display" : "Rib Scalene Tubercle","definition" : "A small rounded elevation or eminence on the first rib for the attachment of the scalenus anterior."},{"code" : "112097","display" : "Vertebral Intervertebral Notch","definition" : "A groove that serves for the transmission of the vertebral artery."},{"code" : "112098","display" : "Subscapular Fossa","definition" : "The concave depression of the anterior surface of the scapula."},{"code" : "112099","display" : "Scapular Spine","definition" : "A sloping ridge dividing the dorsal surface of the scapula into the supraspinatous fossa (above), and the infraspinatous fossa (below)."},{"code" : "112100","display" : "Scapular Supraspinatus Fossa","definition" : "The portion of the dorsal surface of the scapula above the scapular spine."},{"code" : "112101","display" : "Scapular Infraspinatus Fossa","definition" : "The portion of the dorsal surface of the scapula below the scapular spine."},{"code" : "112102","display" : "Aortic knob","definition" : "The portion of the aortic arch that defines the transition between its ascending and descending limbs."},{"code" : "112103","display" : "Arch of the Azygos vein","definition" : "Section of Azygos vein near the fourth thoracic vertebra, where it arches forward over the root of the right lung, and ends in the superior vena cava, just before that vessel pierces the pericardium."},{"code" : "112104","display" : "Air-fluid level","definition" : "A local collection of gas and liquid that, when traversed by a horizontal X-Ray beam, creates a shadow characterized by a sharp horizontal interface between gas density above and liquid density below [Fraser and Pare]."},{"code" : "112105","display" : "Corona radiata","definition" : "A circumferential pattern of fine linear spicules, approximately 5 mm long, extending outward from the margin of a solitary pulmonary nodule through a zone of relative lucency [Fraser and Pare]."},{"code" : "112106","display" : "Honeycomb pattern","definition" : "A number of closely approximated ring shadows representing air spaces 5-10 mm in diameter with walls 2-3 mm thick that resemble a true honeycomb; implies \"end-stage\" lung [Fraser and Pare]."},{"code" : "112107","display" : "Fleischner's line(s)","definition" : "A straight, curved, or irregular linear opacity that is visible in multiple projections; usually situated in the lower half of the lung; vary markedly in length and width [Fraser and Pare]."},{"code" : "112108","display" : "Intralobular lines","definition" : "Fine linear opacities present in a lobule when the intralobular interstitium is thickened. When numerous, they may appear as a fine reticular pattern [Fraser and Pare]."},{"code" : "112109","display" : "Kerley A line","definition" : "Essentially straight linear opacity 2-6 cm in length and 1-3 mm in width, usually in an upper lung zone [Fraser and Pare]."},{"code" : "112110","display" : "Kerley B line","definition" : "A straight linear opacity 1.5-2 cm in length and 1-2 mm in width, usually at the lung base [Fraser and Pare]."},{"code" : "112111","display" : "Kerley C lines","definition" : "A group of branching, linear opacities producing the appearing of a fine net, at the lung base [Fraser and Pare]."},{"code" : "112112","display" : "Parenchymal band","definition" : "Elongated opacity, usually several millimeters wide and up to about 5 cm long, often extending to the pleura, which may be thickened and retracted at the site of contact [Fraser and Pare]."},{"code" : "112113","display" : "Reticular pattern","definition" : "A collection of innumerable small linear opacities that together produce an appearance resembling a net [Fraser and Pare]."},{"code" : "112114","display" : "Septal line(s)","definition" : "Usually used in the plural, a generic term for linear opacities of varied distribution produced when the interstitium between pulmonary lobules is thickened [Fraser and Pare]."},{"code" : "112115","display" : "Subpleural line","definition" : "A thin curvilinear opacity, a few millimeters or less in thickness, usually less than 1 cm from the pleural surface and paralleling the pleura [Fraser and Pare]."},{"code" : "112116","display" : "Tramline shadow","definition" : "Parallel or slightly convergent linear opacities that suggest the planar projection of tubular structures and that correspond in location and orientation to elements of the bronchial tree [Fraser and Pare]."},{"code" : "112117","display" : "Tubular shadow","definition" : "Paired, parallel, or slightly convergent linear opacities presumed to represent the walls of a tubular structure seen en face; used if the anatomic nature of a shadow is obscure [Fraser and Pare]."},{"code" : "112118","display" : "Density","definition" : "The opacity of a radiographic shadow to visible light; film blackening; the term should never be used to mean an \"opacity\" or \"radiopacity\" [Fraser and Pare]."},{"code" : "112119","display" : "Dependent opacity","definition" : "Subpleural increased attenuation in dependent lung. The increased attenuation disappears when the region of lung is nondependent; a.k.a. dependent increased attenuation [Fraser and Pare]."},{"code" : "112120","display" : "Ground glass opacity","definition" : "Hazy increased attenuation of lung, but with preservation of bronchial and vascular margins; caused by partial filling of air spaces, interstitial thickening, partial collapse of alveoli, normal expiration, or increased capillary blood volume [Fraser and Pare]."},{"code" : "112121","display" : "Infiltrate","definition" : "Any ill-defined opacity in the lung [Fraser and Pare]."},{"code" : "112122","display" : "Micronodule","definition" : "Discrete, small, round, focal opacity of at least soft tissue attenuation and with a diameter no greater than 7 mm [Fraser and Pare]."},{"code" : "112123","display" : "Phantom tumor (pseudotumor)","definition" : "A shadow produced by a local collection of fluid in one of the interlobar fissures, usually elliptic in one radiographic projection and rounded in the other, resembling a tumor [Fraser and Pare]."},{"code" : "112124","display" : "Shadow","definition" : "Any perceptible discontinuity in film blackening attributed to the attenuation of the X-Ray beam by a specific anatomic absorber or lesion on or within the body of the patient; to be employed only when more specific identification is not possible [Fraser and Pare]."},{"code" : "112125","display" : "Small irregular opacities","definition" : "Term used to define a reticular pattern specific to pneumoconioses [Fraser and Pare]."},{"code" : "112126","display" : "Small rounded opacities","definition" : "Term used to define a nodular pattern specific to pneumoconioses [Fraser and Pare]."},{"code" : "112127","display" : "Tree-in-bud sign","definition" : "Nodular dilation of centrilobular branching structures that resembles a budding tree and represents exudative bronchiolar dilation [Fraser and Pare]."},{"code" : "112128","display" : "Granular pattern","definition" : "Any extended, finely granular pattern of pulmonary opacity within which normal anatomic details are partly obscured [Fraser and Pare]."},{"code" : "112129","display" : "Miliary pattern","definition" : "A collection of tiny discrete opacities in the lungs, each measuring 2 mm or less in diameter, generally uniform in size and widespread in distribution [Fraser and Pare]."},{"code" : "112130","display" : "Mosaic pattern","definition" : "Generalized pattern of relatively well defined areas in the lung having different X-Ray attenuations due to a longstanding underlyingpulmonary disease."},{"code" : "112131","display" : "Extremely small","definition" : "A qualitative descriptor of a size that is dramatically less than typical."},{"code" : "112132","display" : "Very small","definition" : "A qualitative descriptor of a size that is considerably less than typical."},{"code" : "112133","display" : "Too small","definition" : "A qualitative descriptor of a size that is so small as to be abnormal versus expected size."},{"code" : "112134","display" : "Elliptic","definition" : "Shaped like an ellipse (oval)."},{"code" : "112135","display" : "Lobulated","definition" : "A border shape that is made up of, provided with, or divided into lobules (small lobes, curved or rounded projections or divisions)."},{"code" : "112136","display" : "Spiculated","definition" : "Radially orientated border shape."},{"code" : "112137","display" : "Sharply defined","definition" : "The border of a shadow (opacity) is sharply defined [Fraser and Pare]."},{"code" : "112138","display" : "Distinctly defined","definition" : "The border of a shadow (opacity) is distinctly defined [Fraser and Pare]."},{"code" : "112139","display" : "Well demarcated","definition" : "The border of a shadow (opacity) is well distinct from adjacent structures [Fraser and Pare]."},{"code" : "112140","display" : "Sharply demarcated","definition" : "The border of a shadow (opacity) is sharply distinct from adjacent structures [Fraser and Pare]."},{"code" : "112141","display" : "Poorly demarcated","definition" : "The border of a shadow (opacity) is poorly distinct from adjacent structures [Fraser and Pare]."},{"code" : "112142","display" : "Circumscribed","definition" : "A shadow (opacity) possessing a complete or nearly complete visible border [Fraser and Pare]."},{"code" : "112143","display" : "Air","definition" : "Inspired atmospheric gas. The word is sometimes used to describe gas within the body regardless of its composition or site [Fraser and Pare]."},{"code" : "112144","display" : "Soft tissue","definition" : "Material having X-Ray attenuation properties similar to muscle."},{"code" : "112145","display" : "Calcium","definition" : "Material having X-Ray attenuation properties similar to calcium, a silver-white bivalent metallic element occurring in plants and animals."},{"code" : "112146","display" : "Acinar","definition" : "A pulmonary opacity 4-8 mm in diameter, presumed to represent anatomic acinus, or a collection of opacities in the lung, each measuring 4-8 mm in diameter, and together producing an extended, homogeneous shadow [Fraser and Pare]."},{"code" : "112147","display" : "Air space","definition" : "The gas-containing portion of the lung parenchyma, including the acini and excluding the interstitium [Fraser and Pare]."},{"code" : "112148","display" : "Fibronodular","definition" : "Sharply defined, approximately circular opacities occurring singly or in clusters, usually in the upper lobes [Fraser and Pare]."},{"code" : "112149","display" : "Fluffy","definition" : "A shadow (opacity) that is ill-defined, lacking clear-cut margins [Fraser and Pare]."},{"code" : "112150","display" : "Linear","definition" : "A shadow resembling a line; any elongated opacity of approximately uniform width [Fraser and Pare]."},{"code" : "112151","display" : "Profusion","definition" : "The number of small opacities per unit area or zone of lung. In the International Labor Organization (ILO) classification of radiographs of the pneumoconioses, the qualifiers 0 through 3 subdivide the profusion into 4 categories. The profusion categories may be further subdivided by employing a 12-point scale [Fraser and Pare]."},{"code" : "112152","display" : "Silhouette sign","definition" : "The effacement of an anatomic soft tissue border by either a normal anatomic structure or a pathologic state such as airlessness of adjacent lung or accumulation of fluid in the contiguous pleural space; useful in detecting and localizing an opacity along the axis of the X-Ray beam [Fraser and Pare]."},{"code" : "112153","display" : "Subpleural","definition" : "Situated or occurring between the pleura and the body wall."},{"code" : "112154","display" : "Bat's wing distribution","definition" : "Spatial arrangement of opacities that bears vague resemblance to the shape of a bat in flight; bilaterally symmetric [Fraser and Pare]."},{"code" : "112155","display" : "Butterfly distribution","definition" : "Spatial arrangement of opacities that bears vague resemblance to the shape of a butterfly in flight; bilaterally symmetric [Fraser and Pare]."},{"code" : "112156","display" : "Centrilobular","definition" : "Referring to the region of the bronchioloarteriolar core of a secondary pulmonary lobule [Fraser and Pare]."},{"code" : "112157","display" : "Coalescent","definition" : "The joining together of a number of opacities into a single opacity [Fraser and Pare]."},{"code" : "112158","display" : "Lobar","definition" : "Of or relating to a lobe (a curved or rounded projection or division)."},{"code" : "112159","display" : "Hyper-acute","definition" : "Extremely or excessively acute, as a qualitative measure of severity."},{"code" : "112160","display" : "Homogeneous","definition" : "Of uniform opacity or texture throughout [Fraser and Pare]."},{"code" : "112161","display" : "Inhomogeneous","definition" : "Lack of homogeneity in opacity or texture."},{"code" : "112162","display" : "Target","definition" : "Discrete opacity centrally within a larger opacity, as a calcification descriptor."},{"code" : "112163","display" : "Fibrocalcific","definition" : "Pertaining to sharply defined, linear, and/or nodular opacities containing calcification(s) [Fraser and Pare]."},{"code" : "112164","display" : "Flocculent","definition" : "Calcifications made up of loosely aggregated particles, resembling wool."},{"code" : "112165","display" : "Difference in border shape","definition" : "A change in the shape formed by the boundary or edges of a finding or feature."},{"code" : "112166","display" : "Difference in border definition","definition" : "A change in the clarity of the boundary or edges of a finding or feature."},{"code" : "112167","display" : "Difference in distribution","definition" : "A change in the extent of spreading of a finding or feature."},{"code" : "112168","display" : "Difference in site involvement","definition" : "A change in the part(s) of the anatomy affected or encompassed by a finding or feature."},{"code" : "112169","display" : "Difference in Type of Content","definition" : "A change in the matter or substance within a finding or feature."},{"code" : "112170","display" : "Difference in Texture","definition" : "A change in the surface or consistency of a finding or feature."},{"code" : "112171","display" : "Fiducial mark","definition" : "A location in image space, which may or may not correspond to an anatomical reference, which is often used for registering data."},{"code" : "112172","display" : "Portacath","definition" : "Connected to an injection chamber placed under the skin in the upper part of the chest. When it is necessary to inject some drug, a specific needle is put in the chamber through the skin and a silicon membrane. The advantage of a portacath is that it may be left in place several months contrarily of \"classical\" catheters."},{"code" : "112173","display" : "Chest tube","definition" : "A tube inserted into the chest wall from outside the body, for drainage. Sometimes used for collapsed lung. Usually connected to a receptor placed lower than the insertion site."},{"code" : "112174","display" : "Central line","definition" : "A tube placed into the subclavian vein to deliver medication directly into the venous system."},{"code" : "112175","display" : "Kidney stent","definition" : "A stent is a tube inserted into another tube. Kidney stent is a tube that is inserted into the kidney, ureter, and bladder, to help drain urine. Usually inserted through a scoping device presented through the urethra."},{"code" : "112176","display" : "Pancreatic stent","definition" : "A stent is a tube inserted into another tube. Pancreatic stent is inserted through the common bile duct to the pancreatic duct, to drain bile."},{"code" : "112177","display" : "Nipple ring","definition" : "A non-lesion object that appears to be a circular band, attached to the body via pierced nipple."},{"code" : "112178","display" : "Coin","definition" : "A non-lesion object that appears to be a flat round piece of metal."},{"code" : "112179","display" : "Minimum Attenuation Coefficient","definition" : "The least quantity assignable, admissible, or possible; the least of a set of X-Ray attenuation coefficients."},{"code" : "112180","display" : "Maximum Attenuation Coefficient","definition" : "The greatest quantity or value attainable or attained; the largest of a set of X-Ray attenuation coefficients."},{"code" : "112181","display" : "Mean Attenuation Coefficient","definition" : "The value that is computed by dividing the sum of a set of X-Ray attenuation coefficients by the number of values ."},{"code" : "112182","display" : "Median Attenuation Coefficient","definition" : "The value in an ordered set of X-Ray attenuation coefficients, below and above which there is an equal number of values."},{"code" : "112183","display" : "Standard Deviation of Attenuation Coefficient","definition" : "For a set of X-Ray attenuation coefficients: 1) a measure of the dispersion of a frequency distribution that is the square root of the arithmetic mean of the squares of the deviation of each of the class frequencies from the arithmetic mean of the frequency distribution; 2) a parameter that indicates the way in which a probability function or a probability density function is centered around its mean and that is equal to the square root of the moment in which the deviation from the mean is squared."},{"code" : "112184","display" : "Performance of Pediatric and Adult Thoracic CT","definition" : "American College of Radiology. ACR Standard for the Performance of Pediatric and Adult Thoracic Computed Tomography (CT). In: Standards. Reston, Va: 2001:103-107."},{"code" : "112185","display" : "Performance of CT for Detection of Pulmonary Embolism in Adults","definition" : "American College of Radiology. ACR Standard for the Performance of Computed Tomography for the Detection of Pulmonary Embolism in Adults. In: Standards. Reston, Va: 2001:109-113."},{"code" : "112186","display" : "Performance of High-Resolution CT of the Lungs in Adults","definition" : "American College of Radiology. ACR Standard for the Performance of High-Resolution Computed Tomography (HRCT) of the Lungs in Adults. In: Standards. Reston, Va: 2001:115-118."},{"code" : "112187","display" : "Unspecified method of calculation","definition" : "The method of calculation of a measurement or other type of numeric value is not specified."},{"code" : "112188","display" : "Two-dimensional method","definition" : "The calculation method was performed in two-dimensional space."},{"code" : "112189","display" : "Three-dimensional method","definition" : "The calculation method was performed in three-dimensional space."},{"code" : "112191","display" : "Breast tissue density","definition" : "The relative density of parenchymal tissue as a proportion of breast volume."},{"code" : "112192","display" : "Volume of parenchymal tissue","definition" : "The volume of parenchymal tissue."},{"code" : "112193","display" : "Volume of breast","definition" : "The volume of the breast."},{"code" : "112194","display" : "Mass of parenchymal tissue","definition" : "The mass of parenchymal tissue."},{"code" : "112195","display" : "Mass of breast","definition" : "The mass of the breast."},{"code" : "112196","display" : "Area of Vascular Calcification","definition" : "A measured or calculated area of vascular calcification."},{"code" : "112197","display" : "Volume of Vascular Calcification","definition" : "A measured or calculated volume of vascular calcification."},{"code" : "112198","display" : "Percentage of Vascular Calcification","definition" : "A measured or calculated percentage of vascular calcification."},{"code" : "112199","display" : "Mass of Vascular Calcification","definition" : "A measured or calculated mass of vascular calcification."},{"code" : "112200","display" : "Average calcification distance in a calcification cluster","definition" : "The average nearest neighbor distance of all individual microcalcifications in a cluster."},{"code" : "112201","display" : "Standard deviation distance of calcifications in a cluster","definition" : "The standard deviation of nearest neighbor distance of all individual microcalcifications in a cluster."},{"code" : "112220","display" : "Colon CAD Report","definition" : "A structured report containing the results of computer-aided detection or diagnosis applied to colon imaging and associated clinical information."},{"code" : "112222","display" : "Colon Overall Assessment","definition" : "Overall interpretation of the colon using C-RADS categorization system."},{"code" : "112224","display" : "Image Set Properties","definition" : "Characteristics of a set of images."},{"code" : "112225","display" : "Slice Thickness","definition" : "Nominal slice thickness, in mm."},{"code" : "112226","display" : "Spacing between slices","definition" : "Distance between contiguous images, measured from the center-to-center of each image."},{"code" : "112227","display" : "Frame of Reference UID","definition" : "Uniquely identifies groups of composite instances that have the same coordinate system that conveys spatial and/or temporal information."},{"code" : "112228","display" : "Recumbent Patient Position with respect to gravity","definition" : "Patient orientation with respect to downward direction (gravity)."},{"code" : "112229","display" : "Identifying Segment","definition" : "Distinguishes a part of a segmentation."},{"code" : "112232","display" : "Polyp stalk width","definition" : "The diameter of a polyp stalk measured perpendicular to the axis of the stalk."},{"code" : "112233","display" : "Distance from anus","definition" : "The length of the path following the centerline of the colon from the anus to the area of interest."},{"code" : "112238","display" : "Anatomic non-colon","definition" : "A location in the body that is outside the colon."},{"code" : "112240","display" : "C0 - Inadequate Study/Awaiting Prior Comparisons","definition" : "An inadequate study or a study that is awaiting prior comparisons. The study may have inadequate preparation and cannot exclude lesions greater than or equal to ten millimeters owing to presence of fluid or feces. The study may have inadequate insufflation where one or more colonic segments collapsed on both views. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112241","display" : "C1 - Normal Colon or Benign Lesion","definition" : "The study has a normal colon or benign lesion, with the recommendation to continue routine screening. The study has no visible abnormalities of the colon. The study has no polyps greater than six millimeters. The study may have lipoma, inverted diverticulum, or nonneoplastic findings, such as colonic diverticula. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112242","display" : "C2 - Intermediate Polyp or Indeterminate Finding","definition" : "The study has an intermediate polyp or indeterminate finding and surveillance or colonoscopy is recommended. There may be intermediate polyps between six and nine millimeters and there are less than three in number. The study may have an intermediate finding and cannot exclude a polyp that is greater than or equal to six millimeters in a technically adequate study. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112243","display" : "C3 - Polyp, Possibly Advanced Adenoma","definition" : "The study has a polyp, possibly advanced adenoma, and a follow-up colonoscopy is recommended. The study has a polyp greater than or equal to ten millimeters or the study has three or more polyps that are each between six to nine millimeters. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112244","display" : "C4 - Colonic Mass, Likely Malignant","definition" : "The study has a colonic mass, likely malignant, and surgical consultation is recommended. The lesion compromises bowel lumen and demonstrates extracolonic invasion. Based on \"CT Colonography Reporting and Data System: A Consensus Proposal\", Radiology, July 2005; 236:3-9."},{"code" : "112248","display" : "ACR Guideline, Performance of Adult CT Colonography","definition" : "American College of Radiology Practice Guideline for the Performance of Computed Tomography (CT) Colonography in Adults. In: Practice Guidelines and Technical Standards.Reston, Va: American College of Radiology;2006:371-376."},{"code" : "112249","display" : "ACR Standard, CT medical physics performance monitoring","definition" : "American College of Radiology Technical Standard for Diagnostic Medical Physics Performance Monitoring of Computed Tomography (CT) Equipment. In: Practice Guidelines and Technical Standards.Reston, Va: American College of Radiology;2006:945-948."},{"code" : "112300","display" : "AP+45","definition" : "View Orientation Modifier indicates that the view orientation of the imaging plane is rotated +45° along the cranial-caudal axis."},{"code" : "112301","display" : "AP-45","definition" : "View Orientation Modifier indicates that the view orientation of the imaging plane is rotated -45° along the cranial-caudal axis."},{"code" : "112302","display" : "Anatomical axis of femur","definition" : "The axis following the shaft of the femur."},{"code" : "112303","display" : "Acetabular Center of Rotation","definition" : "Center of Rotation of the natural Acetabulum."},{"code" : "112304","display" : "Femur Head Center of Rotation","definition" : "Center of Rotation of the natural femur head."},{"code" : "112305","display" : "Acetabular Cup Shell","definition" : "Prosthetic component implanted into the acetabulum. Provides hold for the insert that is mounted inside the cup."},{"code" : "112306","display" : "Acetabular Cup Insert","definition" : "Prosthetic pelvic joint component. Inserted into the cup, takes in the femoral head replacement."},{"code" : "112307","display" : "Acetabular Cup Monoblock","definition" : "Prosthetic pelvic joint cup including insert."},{"code" : "112308","display" : "Femoral Head Ball Component","definition" : "Component for Femoral Head Prosthesis where the conic intake for the stem neck can be exchanged.Combined with a Femoral Head Cone Taper Component."},{"code" : "112309","display" : "Femoral Head Cone Taper Component","definition" : "Exchangeable neck intake for composite femoral head prosthesis.Combined with a Femoral Head Ball Component."},{"code" : "112310","display" : "Femoral Stem","definition" : "Prosthesis Implanted into the femoral bone to provide force transmission between joint replacement and bone. On the proximal end a conic neck holds the femoral head replacement."},{"code" : "112311","display" : "Femoral Stem Distal Component","definition" : "Distal half of a modular stem prosthesis system.Combined with a Stem Proximal Component."},{"code" : "112312","display" : "Femoral Stem Proximal Component","definition" : "Proximal half of a modular stem prosthesis system.Combined with a Stem Distal Component."},{"code" : "112313","display" : "Femoral Stem Component","definition" : "Stem prosthetic component with a modular insert for an exchangeable neck component.Combined with a Neck Component."},{"code" : "112314","display" : "Neck Component","definition" : "Prosthetic Neck to be combined with a Stem Component."},{"code" : "112315","display" : "Monoblock Stem","definition" : "Prosthetic Stem and Femoral Head in one piece."},{"code" : "112316","display" : "Prosthetic Shaft Augment","definition" : "A proximal attachment to the shaft used to compensate for bone deficiencies or bone loss."},{"code" : "112317","display" : "Femoral Head Resurfacing Component","definition" : "Artificial femur head surface needed for the partial replacement of the femoral head where only the surface is replaced."},{"code" : "112318","display" : "Pinning","definition" : "Fixation using a pin."},{"code" : "112319","display" : "Sewing","definition" : "Fixation sewing several objects together."},{"code" : "112320","display" : "Bolting","definition" : "Fixation using a bolt."},{"code" : "112321","display" : "Wedging","definition" : "Fixation due to forcing an object into a narrow space."},{"code" : "112325","display" : "Distal Centralizer","definition" : "Attachment to the distal end of a cemented stem assuring that the stem is in a central position inside the drilled femoral canal before cementation."},{"code" : "112340","display" : "Generic 2D Planning","definition" : "Planning by an unspecified 2D method."},{"code" : "112341","display" : "Generic 3D Planning","definition" : "Planning by an unspecified 3D method."},{"code" : "112342","display" : "Generic Planning for Hip Replacement","definition" : "Planning of a Hip Replacement, by an unspecified method."},{"code" : "112343","display" : "Generic Planning for Knee Replacement","definition" : "Planning of Knee Replacement, by an unspecified method."},{"code" : "112344","display" : "Müller Method Planning for Hip Replacement","definition" : "Planning of Hip Replacement according to the procedure of M. E. Müller [Eggli et. al.1998]."},{"code" : "112345","display" : "Implantation Plan","definition" : "A Report containing the results of an Implantation Planning Activity."},{"code" : "112346","display" : "Selected Implant Component","definition" : "A selection of one Implant Component."},{"code" : "112347","display" : "Component ID","definition" : "Identification ID of an Implant Component."},{"code" : "112348","display" : "Implant Template","definition" : "An implant template describing the properties (2D/3D geometry and other data) of one Implant Component."},{"code" : "112350","display" : "Component Connection","definition" : "A connection of two Connected Implantation Plan Components."},{"code" : "112351","display" : "Mating Feature Set ID","definition" : "ID of a Mating Feature Set in an Implant Component."},{"code" : "112352","display" : "Mating Feature ID","definition" : "ID of the Mating Feature in a Mating Feature Set in an Implant Component."},{"code" : "112353","display" : "Spatial Registration","definition" : "The Spatial Registration of one or more Implant Components."},{"code" : "112354","display" : "Patient Image","definition" : "Patient Images used for an implantation planning activity."},{"code" : "112355","display" : "Assembly","definition" : "A collection of Component Connections of Implant Components."},{"code" : "112356","display" : "User Selected Fiducial","definition" : "Fiducials that are selected by the user and may or may not belong to anatomical landmarks."},{"code" : "112357","display" : "Derived Fiducial","definition" : "Fiducials that represent geometric characteristics, such as center of rotation, and are derived from other fiducials."},{"code" : "112358","display" : "Information used for planning","definition" : "All parameters and data that were used for the planning activity."},{"code" : "112359","display" : "Supporting Information","definition" : "A description of the plan as encapsulated PDF SOP Instance."},{"code" : "112360","display" : "Implant Component List","definition" : "A list of all Implant Components selected for an implantation."},{"code" : "112361","display" : "Patient Data Used During Planning","definition" : "Reference to objects containing patient data that is used for planning."},{"code" : "112362","display" : "Degrees of Freedom Specification","definition" : "A specification of the values from one or more Degrees of Freedom."},{"code" : "112363","display" : "Degree of Freedom ID","definition" : "ID of one Degree of Freedom."},{"code" : "112364","display" : "Related Patient Data Not Used During Planning","definition" : "Reference to objects containing patient data that were not used for planning but are somehow related."},{"code" : "112365","display" : "Related Implantation Reports","definition" : "Implantation Reports that are somehow related."},{"code" : "112366","display" : "Implant Assembly Template","definition" : "Implant Assembly Template."},{"code" : "112367","display" : "Planning Information for Intraoperative Usage","definition" : "Information that is intended to be used intra-operatively."},{"code" : "112368","display" : "Implantation Patient Positioning","definition" : "Position of the patient on the operating room table."},{"code" : "112369","display" : "Fiducial Intent","definition" : "Intended use of the fiducial."},{"code" : "112370","display" : "Component Type","definition" : "Type of an Implant Component."},{"code" : "112371","display" : "Manufacturer Implant Template","definition" : "Implant Template released by the Manufacturer."},{"code" : "112372","display" : "Derived Planning Images","definition" : "Images that are created by a planning application."},{"code" : "112373","display" : "Other Derived Planning Data","definition" : "Data that is created by a planning application."},{"code" : "112374","display" : "Connected Implantation Plan Component","definition" : "One Implant Component that is connected to another Implant Component."},{"code" : "112375","display" : "Planning Method","definition" : "The method used for planning."},{"code" : "112376","display" : "Degree of Freedom Exact Translational Value","definition" : "Defines the exact value that was planned for translation."},{"code" : "112377","display" : "Degree of Freedom Minimum Translational Value","definition" : "Defines the minimum value that was planned for translation."},{"code" : "112378","display" : "Degree of Freedom Maximum Translational Value","definition" : "Defines the maximum value that was planned for translation."},{"code" : "112379","display" : "Degree of Freedom Exact Rotational Translation Value","definition" : "Defines the exact value that was planned for rotation."},{"code" : "112380","display" : "Degree of Freedom Minimum Rotational Value","definition" : "Defines the minimum value that was planned for rotation."},{"code" : "112381","display" : "Degree of Freedom Maximum Rotational Value","definition" : "Defines the maximum value that was planned for rotation."},{"code" : "112700","display" : "Peri-operative Photographic Imaging","definition" : "Procedure step protocol for photographic imaging of surgical procedures, including photography of specimens collected."},{"code" : "112701","display" : "Gross Specimen Imaging","definition" : "Procedure step protocol for imaging gross specimens, typically with a photographic camera (modality XC), and planning further dissection."},{"code" : "112702","display" : "Slide Microscopy","definition" : "Procedure step protocol for imaging slide specimens."},{"code" : "112703","display" : "Whole Slide Imaging","definition" : "Procedure step protocol for imaging slide specimens using a whole slide scanner."},{"code" : "112704","display" : "WSI 20X RGB","definition" : "Procedure step protocol for imaging slide specimens using a whole slide scanner with a 20X nominal objective lens, in full color, with a single imaging focal plane across the image."},{"code" : "112705","display" : "WSI 40X RGB","definition" : "Procedure step protocol for imaging slide specimens using a whole slide scanner with a 40X nominal objective lens, in full color, with a single imaging focal plane across the image."},{"code" : "112706","display" : "Illumination Method","definition" : "Technique of illuminating specimen."},{"code" : "112707","display" : "Number of focal planes","definition" : "Number of focal planes for a microscopy image acquisition."},{"code" : "112708","display" : "Focal plane Z offset","definition" : "Nominal distance above a reference plane (typically a slide glass substrate top surface) of the focal plane."},{"code" : "112709","display" : "Magnification selection","definition" : "Microscope magnification based on nominal objective lens power."},{"code" : "112710","display" : "Illumination wavelength","definition" : "Nominal center wavelength for an imaging spectral band."},{"code" : "112711","display" : "Illumination spectral band","definition" : "Name (coded) for an imaging spectral band."},{"code" : "112712","display" : "Optical filter type","definition" : "Type of filter inserted into the optical imaging path."},{"code" : "112713","display" : "Tissue selection method","definition" : "Technique for identifying tissue to be imaged versus area of slide not to be imaged."},{"code" : "112714","display" : "Multiple planes","definition" : "Imaging performed at multiple imaging (focal) planes."},{"code" : "112715","display" : "5X","definition" : "Nominal 5 power objective lens, resulting in a digital image at approximately 2 um/pixel spacing."},{"code" : "112716","display" : "10X","definition" : "Nominal 10 power objective lens, resulting in a digital image at approximately 1 um/pixel spacing."},{"code" : "112717","display" : "20X","definition" : "Nominal 20 power microscope objective lens, resulting in a digital image at approximately 0.5 um/pixel spacing."},{"code" : "112718","display" : "40X","definition" : "Nominal 40 power microscope objective lens, with a combined condenser and objective lens numerical aperture of approximately 1.3, resulting in a digital image at approximately 0.25 um/pixel spacing."},{"code" : "112719","display" : "Nominal empty tile suppression","definition" : "Equipment-specific nominal or default method for identifying tiles without tissue imaged for suppression from inclusion in image object."},{"code" : "112720","display" : "High threshold empty tile suppression","definition" : "Equipment-specific high threshold method for identifying tiles without tissue imaged for suppression from inclusion in image object."},{"code" : "112721","display" : "No empty tile suppression","definition" : "Tiles without tissue imaged are not suppressed from inclusion in image object."},{"code" : "113000","display" : "Of Interest","definition" : "Of Interest."},{"code" : "113001","display" : "Rejected for Quality Reasons","definition" : "Rejected for Quality Reasons."},{"code" : "113002","display" : "For Referring Provider","definition" : "For Referring Provider."},{"code" : "113003","display" : "For Surgery","definition" : "For Surgery."},{"code" : "113004","display" : "For Teaching","definition" : "For Teaching."},{"code" : "113005","display" : "For Conference","definition" : "For Conference."},{"code" : "113006","display" : "For Therapy","definition" : "For Therapy."},{"code" : "113007","display" : "For Patient","definition" : "For Patient."},{"code" : "113008","display" : "For Peer Review","definition" : "For Peer Review."},{"code" : "113009","display" : "For Research","definition" : "For Research."},{"code" : "113010","display" : "Quality Issue","definition" : "Quality Issue."},{"code" : "113011","display" : "Document Title Modifier","definition" : "Document Title Modifier."},{"code" : "113012","display" : "Key Object Description","definition" : "Key Object Description."},{"code" : "113013","display" : "Best In Set","definition" : "A selection that represents the \"best\" chosen from a larger set of items."},{"code" : "113014","display" : "Study","definition" : "A study is a collection of one or more series of medical images, presentation states, and/or SR documents that are logically related for the purpose of diagnosing a patient. A study may include composite instances that are created by a single modality, multiple modalities or by multiple devices of the same modality. [From ]"},{"code" : "113015","display" : "Series","definition" : "A distinct logical set used to group composite instances. All instances within a Series are of the same modality, in the same Frame of Reference (if any), and created by the same equipment. [See ]"},{"code" : "113016","display" : "Performed Procedure Step","definition" : "An arbitrarily defined unit of service that has actually been performed (not just scheduled). [From ]"},{"code" : "113017","display" : "Stage-View","definition" : "An image or set of images illustrating a specific stage (phase in a stress echo study protocol) and view (combination of the transducer position and orientation at the time of image acquisition)."},{"code" : "113018","display" : "For Printing","definition" : "For Printing."},{"code" : "113020","display" : "For Report Attachment","definition" : "Selection of information objects for attachment to the clinical report of the Current Requested Procedure."},{"code" : "113021","display" : "For Litigation","definition" : "List of objects that are related to litigation and should be specially handled."},{"code" : "113022","display" : "Collection of Presentation States","definition" : "This Key Object Selection Document references Presentation State instances that are related, which may or may not share a value of Presentation Display Collection UID (0070,1101) or Presentation Sequence Collection UID (0070,1102)."},{"code" : "113026","display" : "Double exposure","definition" : "Double exposure."},{"code" : "113030","display" : "Manifest","definition" : "A list of objects that have been exported out of one organizational domain into another domain. Typically, the first domain has no direct control over what the second domain will do with the objects."},{"code" : "113031","display" : "Signed Manifest","definition" : "A signed list of objects that have been exported out of one organizational domain into another domain, referenced securely with either Digital Signatures or MACs. Typically, the first domain has no direct control over what the second domain will do with the objects."},{"code" : "113032","display" : "Complete Study Content","definition" : "The list of objects that constitute a study at the time that the list was created."},{"code" : "113033","display" : "Signed Complete Study Content","definition" : "The signed list of objects that constitute a study at the time that the list was created, referenced securely with either Digital Signatures or MACs."},{"code" : "113034","display" : "Complete Acquisition Content","definition" : "The list of objects that were generated in a single procedure step."},{"code" : "113035","display" : "Signed Complete Acquisition Content","definition" : "The signed list of objects that were generated in a single procedure step, referenced securely with either Digital Signatures or MACs."},{"code" : "113036","display" : "Group of Frames for Display","definition" : "A list of frames or single-frame or entire multi-frame instances that together constitute a set for some purpose, such as might be displayed together in the same viewport, as distinct from another set that might be displayed in a separate viewport."},{"code" : "113037","display" : "Rejected for Patient Safety Reasons","definition" : "List of objects whose use is potentially harmful to the patient."},{"code" : "113038","display" : "Incorrect Modality Worklist Entry","definition" : "List of objects that were acquired using an incorrect modality worklist entry, and that should not be used, since they may be incorrectly identified."},{"code" : "113039","display" : "Data Retention Policy Expired","definition" : "List of objects that have expired according to a defined data retention policy."},{"code" : "113040","display" : "Lossy Compression","definition" : "Lossy compression has been applied to an image."},{"code" : "113041","display" : "Apparent Diffusion Coefficient","definition" : "Values are derived by calculation of the apparent diffusion coefficient. This concept may be used for the diffusion coefficient of various different models, e.g., mono-exponential (ADCm), kurtosis (ADCk), stretched-exponential (ADCs).The \"apparent\" appellation is because the diffusion images from which the ADC is computed may also be affected by T2 contrast (T2 \"shine-through\"), so this concept is distinguished from a \"pure\" diffusion coefficient that is not so affected."},{"code" : "113042","display" : "Pixel by pixel addition","definition" : "Values are derived by the pixel by pixel addition of two images."},{"code" : "113043","display" : "Diffusion weighted","definition" : "Values are derived by calculation of the diffusion weighting."},{"code" : "113044","display" : "Diffusion Anisotropy","definition" : "Values are derived by calculation of the diffusion anisotropy."},{"code" : "113045","display" : "Diffusion Attenuated","definition" : "Values are derived by calculation of the diffusion attenuation."},{"code" : "113046","display" : "Pixel by pixel division","definition" : "Values are derived by the pixel by pixel division of two images."},{"code" : "113047","display" : "Pixel by pixel mask","definition" : "Values are derived by the pixel by pixel masking of one image by another."},{"code" : "113048","display" : "Pixel by pixel Maximum","definition" : "Values are derived by calculating the pixel by pixel maximum of two or more images."},{"code" : "113049","display" : "Pixel by pixel mean","definition" : "Values are derived by calculating the pixel by pixel mean of two or more images."},{"code" : "113050","display" : "Metabolite Maps from spectroscopy data","definition" : "Values are derived by calculating from spectroscopy data pixel values localized in two dimensional space based on the concentration of specific metabolites (i.e, at specific frequencies)."},{"code" : "113051","display" : "Pixel by pixel Minimum","definition" : "Values are derived by calculating the pixel by pixel minimum of two or more images."},{"code" : "113052","display" : "Mean Transit Time","definition" : "The time required for blood to pass through a region of tissue."},{"code" : "113053","display" : "Pixel by pixel multiplication","definition" : "Values are derived by the pixel by pixel multiplication of two images."},{"code" : "113054","display" : "Negative Enhancement Integral","definition" : "The area described by the baseline and the signal loss due to passage of contrast bolus in tissue in a perfusion experiment. Abbreviated NEI or N1."},{"code" : "113055","display" : "Regional Cerebral Blood Flow","definition" : "The absolute flow rate of blood perfusing a region of the brain as volume per mass per unit of time. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "113056","display" : "Regional Cerebral Blood Volume","definition" : "The absolute volume of blood perfusing a region of brain as volume per mass. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "113057","display" : "R-Coefficient","definition" : "Correlation Coefficient, r."},{"code" : "113058","display" : "Proton Density","definition" : "Values are derived by calculating proton density values."},{"code" : "113059","display" : "Signal Change","definition" : "The relative change in signal."},{"code" : "113060","display" : "Signal to Noise","definition" : "The ratio of the desired signal to the level of noise."},{"code" : "113061","display" : "Standard Deviation","definition" : "Values are derived by calculating the standard deviation of two or more images."},{"code" : "113062","display" : "Pixel by pixel subtraction","definition" : "Values are derived by the pixel by pixel subtraction of two images."},{"code" : "113063","display" : "T1","definition" : "The time constant for the decay of longitiudinal magnetization caused by spin-lattice relaxation. The inverse of the longitudinal relaxation rate constant, i.e., T1 = 1/R1."},{"code" : "113064","display" : "T2*","definition" : "The time constant for the decay of transverse magnetization caused by a combination of spin-spin relaxation and magnetic field inhomogeneity. The inverse of the transverse relaxation rate constant, i.e., T2* = 1/R2*."},{"code" : "113065","display" : "T2","definition" : "The time constant for the decay of transverse magnetization caused by spin-spin relaxation. The inverse of the transverse relaxation rate constant, i.e., T2 = 1/R2."},{"code" : "113066","display" : "Time Course of Signal","definition" : "The time course of signal."},{"code" : "113067","display" : "Temperature encoded","definition" : "Values are derived by calculating values based on temperature encoding."},{"code" : "113068","display" : "Student's T-Test","definition" : "Values are derived by calculating the value of the Student's T-Test statistic from multiple image samples."},{"code" : "113069","display" : "Time To Peak","definition" : "The time from the start of the contrast agent injection to the maximum enhancement value."},{"code" : "113070","display" : "Velocity encoded","definition" : "Values are derived by calculating values based on velocity encoded."},{"code" : "113071","display" : "Z-Score","definition" : "Values are derived by calculating the value of the Z-Score statistic from multiple image samples."},{"code" : "113072","display" : "Multiplanar reformatting","definition" : "Values are derived by reformatting in a flat plane other than that originally acquired."},{"code" : "113073","display" : "Curved multiplanar reformatting","definition" : "Values are derived by reformatting in a curve plane other than that originally acquired."},{"code" : "113074","display" : "Volume rendering","definition" : "Values are derived by volume rendering of acquired data."},{"code" : "113075","display" : "Surface rendering","definition" : "Values are derived by surface rendering of acquired data."},{"code" : "113076","display" : "Segmentation","definition" : "Values are derived by segmentation (classification into tissue types) of acquired data."},{"code" : "113077","display" : "Volume editing","definition" : "Values are derived by selectively editing acquired data (removing values from the volume), such as in order to remove obscuring structures or noise."},{"code" : "113078","display" : "Maximum intensity projection","definition" : "Values are derived by maximum intensity projection of acquired data."},{"code" : "113079","display" : "Minimum intensity projection","definition" : "Values are derived by minimum intensity projection of acquired data."},{"code" : "113080","display" : "Glutamate and glutamine","definition" : "For single-proton MR spectroscopy, the resonance peak corresponding to glutamate and glutamine."},{"code" : "113081","display" : "Choline/Creatine Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the Choline and Creatine resonance peaks."},{"code" : "113082","display" : "N-acetylaspartate/Creatine Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the N-acetylaspartate and Creatine resonance peaks."},{"code" : "113083","display" : "N-acetylaspartate/Choline Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the N-acetylaspartate and Choline resonance peaks."},{"code" : "113084","display" : "Tmax","definition" : "The time delay to the maximum of the residue function after deconvolution.Shih LC, Saver JL, Alger JR, Starkman S, Leary MC, Vinuela F, et al. Perfusion-Weighted Magnetic Resonance Imaging Thresholds Identifying Core, Irreversibly Infarcted Tissue. Stroke. 2003 Jun 1;34(6):1425-30. doi:10.1161/01.STR.0000072998.70087.E9. Østergaard L, Weisskoff RM, Chesler DA, Gyldensted C, Rosen BR. High resolution measurement of cerebral blood flow using intravascular tracer bolus passages. Part I: Mathematical approach and statistical analysis. Magnetic Resonance in Medicine. 1996;36(5):715-25. doi:10.1002/mrm.1910360510."},{"code" : "113085","display" : "Spatial resampling","definition" : "Values are derived by spatial resampling of acquired data."},{"code" : "113086","display" : "Edge enhancement","definition" : "Values are derived by edge enhancement."},{"code" : "113087","display" : "Smoothing","definition" : "Values are derived by smoothing."},{"code" : "113088","display" : "Gaussian blur","definition" : "Values are derived by Gaussian blurring."},{"code" : "113089","display" : "Unsharp mask","definition" : "Values are derived by unsharp masking."},{"code" : "113090","display" : "Image stitching","definition" : "Values are derived by stitching two or more images together."},{"code" : "113091","display" : "Spatially-related frames extracted from the volume","definition" : "Spatially-related frames in this image are representative frames from the referenced 3D volume data."},{"code" : "113092","display" : "Temporally-related frames extracted from the set of volumes","definition" : "Temporally-related frames in this image are representative frames from the referenced 3D volume data."},{"code" : "113093","display" : "Polar to Rectangular Scan Conversion","definition" : "Conversion of a polar coordinate image to rectangular (Cartesian) coordinate image."},{"code" : "113094","display" : "Creatine and Choline","definition" : "For single-proton MR spectroscopy, the resonance peak corresponding to creatine and choline."},{"code" : "113095","display" : "Lipid and Lactate","definition" : "For single-proton MR spectroscopy, the resonance peak corresponding to lipid and lactate."},{"code" : "113096","display" : "Creatine+Choline/Citrate Ratio","definition" : "For single-proton MR spectroscopy, the ratio between the Choline and Creatine resonance peak and the Citrate resonance peak."},{"code" : "113097","display" : "Multi-energy proportional weighting","definition" : "Image pixels created through proportional weighting of multiple acquisitions at distinct X-Ray energies."},{"code" : "113098","display" : "Magnetization Transfer Ratio","definition" : "Magnetization Transfer Ratio (MTR) is the ratio of magnetization transfer, Mo - Ms/Mo, where Ms represents the magnitude of signal of tissues with the saturation pulse used to saturate macromolecular protons on, and Mo is the magnitude of signal without saturation.See Dousset V, Grossman RI, Ramer KN, Schnall MD, Young LH, Gonzalez-Scarano F, et al. Experimental allergic encephalomyelitis and multiple sclerosis: lesion characterization with magnetization transfer imaging. Radiology. 1992 Feb 1;182(2):483-91. http://dx.doi.org/10.1148/radiology.182.2.1732968"},{"code" : "113100","display" : "Basic Application Confidentiality Profile","definition" : "De-identification using a profile defined in that requires removing all information related to the identity and demographic characteristics of the patient, any responsible parties or family members, any personnel involved in the procedure, the organizations involved in ordering or performing the procedure, additional information that could be used to match instances if given access to the originals, such as UIDs, dates and times, and Private Attributes, when that information is present in the non-Pixel Data Attributes, including graphics or overlays."},{"code" : "113101","display" : "Clean Pixel Data Option","definition" : "Additional de-identification according to an option defined in that requires any information burned in to the Pixel Data corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113102","display" : "Clean Recognizable Visual Features Option","definition" : "Additional de-identification according to an option defined in that requires that sufficient removal or distortion of the Pixel Data shall be applied to prevent recognition of an individual from the instances themselves or a reconstruction of a set of instances."},{"code" : "113103","display" : "Clean Graphics Option","definition" : "Additional de-identification according to an option defined in that requires that any information encoded in graphics, text annotations or overlays corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113104","display" : "Clean Structured Content Option","definition" : "Additional de-identification according to an option defined in that requires that any information encoded in SR Content Items or Acquisition Context Sequence Items corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113105","display" : "Clean Descriptors Option","definition" : "Additional de-identification according to an option defined in that requires that any information that is embedded in text or string Attributes corresponding to the Attribute information specified to be removed by the Profile and any other Options specified also be removed."},{"code" : "113106","display" : "Retain Longitudinal Temporal Information Full Dates Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any dates and times be retained,."},{"code" : "113107","display" : "Retain Longitudinal Temporal Information Modified Dates Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any dates and times be modified in a manner that preserves temporal relationships."},{"code" : "113108","display" : "Retain Patient Characteristics Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any physical characteristics of the patient, which are descriptive rather than identifying information per se, be retained."},{"code" : "113109","display" : "Retain Device Identity Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any information that identifies a device be retained."},{"code" : "113110","display" : "Retain UIDs Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that UIDs be retained."},{"code" : "113111","display" : "Retain Safe Private Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that Private Attributes that are known not to contain identity information be retained."},{"code" : "113112","display" : "Retain Institution Identity Option","definition" : "Retention of information that would otherwise be removed during de-identification according to an option defined in that requires that any information that identifies an institution be retained."},{"code" : "113130","display" : "Predecessor containing group of imaging subjects","definition" : "Images used as the source for an image processing operation that extracts data for a single subject from an image containing data for multiple subjects (e.g., a group of animals imaged simultaneously)."},{"code" : "113131","display" : "Extraction of individual subject from group","definition" : "An image processing operation that extracts data for a single subject from an image containing data for multiple subjects (e.g., a group of animals imaged simultaneously)."},{"code" : "113132","display" : "Single subject extracted from group","definition" : "A single subject that has been selected from amongst multiple subjects (e.g., a group of animals imaged simultaneously), and whose data has been extracted."},{"code" : "113201","display" : "Trace","definition" : "Sum of the diffusion tensor eigenvalues.I.e.: Tr = λ1+ λ2+ λ3, where λ1 ≥ λ2 ≥ λ3.Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113202","display" : "Mean Diffusivity","definition" : "Average of the diffusion tensor eigenvalues in all directions.I.e.: MD = (λ1+ λ2+ λ3) /3Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113203","display" : "Radial Diffusivity","definition" : "Average of the two non-principal (i.e., perpendicular) diffusion tensor eigenvalues(also known as transverse diffusivity, perpendicular diffusivity).I.e.: DR= (λ2+ λ3) /2Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113204","display" : "Axial Diffusivity","definition" : "Diffusion tensor eigenvalue of the principal axis (also known as longitudinal diffusivity, parallel diffusivity).I.e.: DA = λ1Reference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113205","display" : "Mean Kurtosis","definition" : "MK = diffusional kurtosis averaged over all gradient directionsReference: Tabesh A, Jensen JH, Ardekani BA, Helpern JA. Estimation of Tensors and Tensor-Derived Measures in Diffusional Kurtosis Imaging. Magnetic Resonance in Medicine. 2011;65(3) :823-836. doi:10.1002/mrm.22655. ()Reference: Liu C, Mang SC, Moseley ME. In VivoGeneralized Diffusion Tensor Imaging (GDTI) Using Higher-Order Tensors (HOT). Magnetic resonance in medicine/: official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine. 2010;63(1) :243-252. doi:10.1002/mrm.22192. ()"},{"code" : "113206","display" : "Apparent Kurtosis Coefficient","definition" : "AKC = diffusional kurtosis in a given directionReference: Liu C, Mang SC, Moseley ME. In VivoGeneralized Diffusion Tensor Imaging (GDTI) Using Higher-Order Tensors (HOT). Magnetic resonance in medicine/: official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine. 2010;63(1) :243-252. doi:10.1002/mrm.22192. ()"},{"code" : "113207","display" : "Radial Kurtosis","definition" : "KR = diffusional kurtosis perpendicular to the direction of the highest diffusion (also known as transverse kurtosis, perpendicular kurtosis)Reference: Tabesh A, Jensen JH, Ardekani BA, Helpern JA. Estimation of Tensors and Tensor-Derived Measures in Diffusional Kurtosis Imaging. Magnetic Resonance in Medicine. 2011;65(3) :823-836. doi:10.1002/mrm.22655. ()"},{"code" : "113208","display" : "Axial Kurtosis","definition" : "KA = diffusional kurtosis in the direction of the highest diffusion (also known as longitudinal kurtosis, parallel kurtosis)Reference: Tabesh A, Jensen JH, Ardekani BA, Helpern JA. Estimation of Tensors and Tensor-Derived Measures in Diffusional Kurtosis Imaging. Magnetic Resonance in Medicine. 2011;65(3) :823-836. doi:10.1002/mrm.22655. ()"},{"code" : "113209","display" : "Fractional Kurtosis Anisotropy","definition" : "FKA = fractional kurtosis of diffusion in tissuesReference: Liu C, Mang SC, Moseley ME. In VivoGeneralized Diffusion Tensor Imaging (GDTI) Using Higher-Order Tensors (HOT). Magnetic resonance in medicine/: official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine. 2010;63(1) :243-252. doi:10.1002/mrm.22192. ()"},{"code" : "113211","display" : "Deterministic","definition" : "Tracking based on local directionalityReference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113212","display" : "Probabilistic","definition" : "Tracking using local fiber orientation likelihood derive global connectivity likelihoodReference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113213","display" : "Global","definition" : "Tracking allfibers simultaneously, searching for a global optimum.Reference: Reisert M, Mader I, Anastasopoulos C, Weigel M, Schnell S, Kiselev V. Global fiber reconstruction becomes practical. NeuroImage. 2011 Jan 15;54(2) :955-62. ()"},{"code" : "113214","display" : "FACT","definition" : "Fiber Assessment by Continuous TrackingReference: Mori S, Crain BJ, Chacko VP, van Zijl PC. Three-dimensional tracking of axonal projections in the brain by magnetic resonance imaging. Ann Neurol . 1999 Feb;45(2) :265-9 ()Reference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113215","display" : "Streamline","definition" : "Streamline tracking techniques (STT)Reference: Basser PJ, Pajevic S, Pierpaoli C, Duda J, Aldroubi A. In vivo fiber tractography using DT-MRI data. Magn Reson Med. 2000 Oct;44(4) :625-32 ()"},{"code" : "113216","display" : "TEND","definition" : "Tensor DeflectionReference: Lazar M, Weinstein DM, Tsuruda JS, Hasan KM, Arfanakis K, Meyerand ME, Badie B, Rowley HA, Haughton V, Field A, Alexander AL. White matter tractography using diffusion tensor deflection. Hum Brain Mapp.2003 Apr;18(4) :306-21. ()"},{"code" : "113217","display" : "Bootstrap","definition" : "Non-parametric estimation of fiber tracking dispersionReference: Lazar M, Alexander AL. Bootstrap white matter tractography (BOOT-TRAC). Neuroimage. 2005 Jan 15;24(2) :524-32. Epub 2004 Nov 24. ()Reference: Jones DK, Pierpaoli C. Confidence mapping in diffusion tensor magnetic resonance imaging tractography using a bootstrap approach. Magn Reson Med.2005 May;53(5) :1143-9. ()"},{"code" : "113218","display" : "Euler","definition" : "Integration method, 1st orderReference: Basser PJ, Pajevic S, Pierpaoli C, Duda J, Aldroubi A. In vivo fiber tractography using DT-MRI data. Magn Reson Med. 2000 Oct;44(4) :625-32 ()Reference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113219","display" : "Runge-Kutta","definition" : "Integration method, 2nd or 4th orderReference: Basser PJ, Pajevic S, Pierpaoli C, Duda J, Aldroubi A. In vivo fiber tractography using DT-MRI data. Magn Reson Med. 2000 Oct;44(4) :625-32 ()"},{"code" : "113221","display" : "HARDI","definition" : "High Angular Resolution Diffusion ImagingReference: Tuch DS, Reese TG, Wiegell MR, Makris N, Belliveau JW, Wedeen VJ. High angular resolution diffusion imaging reveals intravoxel white matter fiber heterogeneity. Magn Reson Med.2002 Oct;48(4) :577-82. ()Reference: Descoteaux M, Deriche R, Knösche TR, Anwander A. Deterministic and probabilistic tractography based on complex fibre orientation distributions. IEEE Trans Med Imaging.2009; 28(2) :269-86 ()"},{"code" : "113222","display" : "DKI","definition" : "Diffusion(al) Kurtosis ImagingReference: Jensen JH, Helpern JA, Ramani A, Lu H, Kaczynski K. Diffusional kurtosis imaging: the quantification of non-gaussian water diffusion by means of magnetic resonance imaging. Magn Reson Med. 2005 Jun;53(6) :1432-40. ()"},{"code" : "113223","display" : "DTI","definition" : "Diffusion Tensor ImagingReference: Winston GP. The physical and biological basis of quantitative parameters derived from diffusion MRI. Quantitative Imaging in Medicine and Surgery. 2012;2(4) :254-265. doi:10.3978/j.issn.2223-4292.2012.12.05. ()"},{"code" : "113224","display" : "DSI","definition" : "Diffusion Spectrum ImagingReference: Wedeen VJ, Wang RP, Schmahmann JD, Benner T, Tseng WY, Dai G, Pandya DN, Hagmann P, D'Arceuil H, de Crespigny AJ. Diffusion spectrum magnetic resonance imaging (DSI) tractography of crossing fibers. Neuroimage. 2008 Jul 15;41(4) :1267-77. doi:10.1016/j.neuroimage.2008.03.036. ()Reference: Hagmann P, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics.2006 Oct;26 Suppl 1:S205-23. ()"},{"code" : "113225","display" : "LSDI","definition" : "Line Scan Diffusion Imaging sequenceReference: Gudbjartsson H, Maier SE, Mulkern RV, Mórocz IA, Patz S, Jolesz FA. Line scan diffusion imaging. Magn Reson Med.1996 Oct;36(4) :509-19. ()"},{"code" : "113226","display" : "Single Shot EPI","definition" : "An Echo Planar Imaging sequence in which the entire range of phase encoding steps is acquired in one repetition.Reference: Turner R, Le Bihan D, Chesnick AS. Echo-planar imaging of diffusion and perfusion. Magn Reson Med.1991 Jun;19(2) :247-53. ()"},{"code" : "113227","display" : "Multiple Shot EPI","definition" : "An Echo Planar Imaging sequence in which separate parts of the range of phase encoding steps are acquired in multiple repetitions.Reference: Robson MD, Anderson AW, Gore JC. Diffusion-weighted multiple shot echo planar imaging of humans without navigation. Magn Reson Med.1997 Jul;38(1) :82-8. ()"},{"code" : "113228","display" : "Parallel Imaging","definition" : "A imaging sequence that uses a subset of k-space data from an array of receiver coils, e.g., Sensitivity Encoding.Reference: Pruessmann KP, Weiger M, Scheidegger MB, Boesiger P. SENSE: sensitivity encoding for fast MRI. Magn Reson Med.1999 Nov;42(5) :952-62. ()Reference: Deshmane A, Gulani V, Griswold MA, Seiberlich N. Parallel MR imaging. J Magn Reson Imaging. 2012 Jul;36(1) :55-72. ()"},{"code" : "113231","display" : "Single Tensor","definition" : "Modeling anisotropic diffusion in a volume with a tensor following a Gaussian distribution (six degrees of freedom)Reference: Basser PJ, Mattiello J, LeBihan D. Estimation of the effective self-diffusion tensor from the NMR spin echo. J Magn Reson B.1994 Mar;103(3) :247-54. ()Reference: Hagmann P1, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics.2006 Oct;26 Suppl 1:S205-23. ()"},{"code" : "113232","display" : "Multi Tensor","definition" : "Modeling anisotropic diffusion in a volume by fitting of multiple tensorsReference: Ozarslan E, Mareci TH. Generalized diffusion tensor imaging and analytical relationships between diffusion tensor imaging and high angular resolution diffusion imaging. Magn Reson Med.2003 Nov;50(5) :955-65. ()Reference: Pasternak O, Assaf Y, Intrator N, Sochen N. Variational multiple-tensor fitting of fiber-ambiguous diffusion-weighted magnetic resonance imaging voxels. Magn Reson Imaging.2008 Oct;26(8) :1133-44. doi:10.1016/j.mri.2008.01.006. ()"},{"code" : "113233","display" : "Model Free","definition" : "Reconstruction of anisotropic diffusion in a volume without imposing an underlying statistical model (data-driven approach)Reference: Wedeen VJ, Hagmann P, Tseng WY, Reese TG, Weisskoff RM. Mapping complex tissue architecture with diffusion spectrum magnetic resonance imaging. Magn Reson Med.2005 Dec;54(6) :1377-86. ()Reference: Hagmann P, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics.2006 Oct;26 Suppl 1:S205-23. ()"},{"code" : "113234","display" : "CHARMED","definition" : "Composite Hindered and Restricted Model of DiffusionReference: Assaf Y, Basser PJ. Composite hindered and restricted model of diffusion (CHARMED) MR imaging of the human brain. Neuroimage.2005 Aug 1;27(1) :48-58. ()"},{"code" : "113236","display" : "DOT","definition" : "Diffusion Orientation TransformReference: Ozarslan E, Shepherd TM, Vemuri BC, Blackband SJ, Mareci TH. Resolution of complex tissue microarchitecture using the diffusion orientation transform (DOT). Neuroimage. 2006 Jul 1;31(3) :1086-103. Epub 2006 Mar 20. ()"},{"code" : "113237","display" : "PAS","definition" : "Persistent Angular StructureReference: Jansons KM, Alexander DC. Persistent Angular Structure: new insights from diffusion MRI data. Dummy version. Inf Process Med Imaging.2003 Jul;18:672-83. ()"},{"code" : "113238","display" : "Spherical Deconvolution","definition" : "A method to estimate the distribution of fiber orientations by deconvolution of the diffusion-weighted signal attenuation measured over the surface of a sphere expressed as the convolution over the sphere of a response function.Reference: Tournier JD, Calamante F, Gadian DG, Connelly A. Direct estimation of the fiber orientation density function from diffusion-weighted MRI data using spherical deconvolution. NeuroImage. 2004 Nov;23(3) :1176-85. ()"},{"code" : "113240","display" : "Source image diffusion b-value","definition" : "The diffusion sensitization factor (b value) used during acquisition of the source image used for a diffusion model."},{"code" : "113241","display" : "Model fitting method","definition" : "The method used to fit a set of data to a mathematical model."},{"code" : "113250","display" : "Mono-exponential diffusion model","definition" : "Mono-exponential (single compartment) Apparent Diffusion Coefficient (ADC) model."},{"code" : "113251","display" : "Bi-exponential (IVIM) diffusion model","definition" : "Bi-exponential intravoxel incoherent motion (IVIM) model."},{"code" : "113252","display" : "Kurtosis diffusion model","definition" : "."},{"code" : "113253","display" : "Gamma distribution model","definition" : "."},{"code" : "113254","display" : "Stretched exponential diffusion model","definition" : "."},{"code" : "113255","display" : "Truncated Gaussian diffusion model","definition" : "."},{"code" : "113260","display" : "Log of ratio of two samples","definition" : "Model fitting by using the log of the ratio of the two samples."},{"code" : "113261","display" : "Least squares fit of multiple samples","definition" : "Model fitting by least squares method from more than two samples."},{"code" : "113265","display" : "Levenberg-Marquardt","definition" : "Model fitting by Levenberg-Marquardt method."},{"code" : "113266","display" : "Trust-Region","definition" : "Model fitting by Trust-Region method."},{"code" : "113267","display" : "Fixed-Dp","definition" : "Model fitting by Fixed-Dp method."},{"code" : "113268","display" : "Segmented-Unconstrained","definition" : "Model fitting by Segmented-Unconstrained method."},{"code" : "113269","display" : "Segmented-Constrained","definition" : "Model fitting by Segmented-Constrained method."},{"code" : "113270","display" : "Bayesian-Probability","definition" : "Model fitting by Bayesian-Probability method."},{"code" : "113285","display" : "Voxelwise selection of b-value","definition" : "Diffusion modeling by voxelwise selection of b-values."},{"code" : "113288","display" : "Volume Ratio","definition" : "Coefficient reflecting the anisotropy of the tissues, derived from a diffusion weighted MR image. It represents the volume of an ellipsoid whose semimajor axes are the three eigenvalues of the diffusion tensor divided by the volume of a sphere whose radius is the mean diffusivity."},{"code" : "113289","display" : "Diffusion Coefficient","definition" : "The pure diffusion coefficient, i.e., one that is not affected by T2 contrast effects."},{"code" : "113290","display" : "Mono-exponential Apparent Diffusion Coefficient","definition" : "The diffusion coefficient of a mono-exponential diffusion model (ADCm)."},{"code" : "113291","display" : "Slow Diffusion Coefficient","definition" : "The slow diffusion coefficient (Ds) of a bi-exponential intravoxel incoherent motion (IVIM) diffusion model."},{"code" : "113292","display" : "Fast Diffusion Coefficient","definition" : "The fast diffusion coefficient (Df) of a bi-exponential intravoxel incoherent motion (IVIM) diffusion model."},{"code" : "113293","display" : "Fast Diffusion Coefficient Fraction","definition" : "The fast diffusion fraction of a bi-exponential intravoxel incoherent motion (IVIM) diffusion model."},{"code" : "113294","display" : "Kurtosis Diffusion Coefficient","definition" : "The diffusion coefficient of a kurtosis diffusion model (ADCk)."},{"code" : "113295","display" : "Gamma Distribution Scale Parameter","definition" : "The scale (theta) parameter of a gamma distribution diffusion model."},{"code" : "113296","display" : "Gamma Distribution Shape Parameter","definition" : "The shape (k) parameter of a gamma distribution diffusion model."},{"code" : "113297","display" : "Gamma Distribution Mode","definition" : "The mode (maximum value of probability density function) of a gamma distribution diffusion model. Computed as (k-1)*theta, for k >= 1."},{"code" : "113298","display" : "Distributed Diffusion Coefficient","definition" : "The distributed diffusion coefficient of a stretched-exponential diffusion model (ADCs)."},{"code" : "113299","display" : "Anomalous Exponent Parameter","definition" : "The anomalous exponent (stretching, alpha) parameter of a stretched-exponential diffusion model. This describes the deviation of the signal attenuation from mono-exponential behavior"},{"code" : "113500","display" : "Radiopharmaceutical Radiation Dose Report","definition" : "The procedure report is a Radiopharmaceutical Radiation Dose report"},{"code" : "113502","display" : "Radiopharmaceutical Administration","definition" : "Information pertaining to the administration of a radiopharmaceutical"},{"code" : "113503","display" : "Radiopharmaceutical Administration Event UID","definition" : "Unique identification of a single radiopharmaceutical administration event."},{"code" : "113505","display" : "Intravenous Extravasation Symptoms","definition" : "Initial signs or symptoms of extravasation"},{"code" : "113506","display" : "Estimated Extravasation Activity","definition" : "The estimated percentage of administered activity lost at the injection site. The estimation includes extravasation, paravenous administration and leakage at the injection site."},{"code" : "113507","display" : "Administered activity","definition" : "The calculated activity at the Radiopharmaceutical Start Time when the radiopharmaceutical is administered to the patient. The residual activity (i.e., radiopharmaceutical not administered) , if measured, is reflected in the calculated value. The estimated extravasation is not reflected in the calculated value."},{"code" : "113508","display" : "Pre-Administration Measured Activity","definition" : "Radioactivity measurement of radiopharmaceutical before or during the administration."},{"code" : "113509","display" : "Post-Administration Measured Activity","definition" : "Radioactivity measurement of radiopharmaceutical after the administration."},{"code" : "113510","display" : "Drug Product Identifier","definition" : "Registered drug establishment code for product, Coding Scheme example is NDC or RxNorm"},{"code" : "113511","display" : "Radiopharmaceutical Dispense Unit Identifier","definition" : "The human readable identification of the specific radiopharmaceutical dispensed quantity or dose (\"dose\" as unit of medication delivery, not radiation dose measure) to be administered to the patient."},{"code" : "113512","display" : "Radiopharmaceutical Lot Identifier","definition" : "Identifies the vial, batch or lot number from which the individual dispense radiopharmaceutical quantity (dose) is produced. The Radiopharmaceutical Dispense Unit Identifier records the identification for each individual dose."},{"code" : "113513","display" : "Reagent Vial Identifier","definition" : "Identifies the lot or unit serial number for the reagent component for the radiopharmaceutical."},{"code" : "113514","display" : "Radionuclide Vial Identifier","definition" : "Identifies the lot or unit serial number for the radionuclide component for the radiopharmaceutical."},{"code" : "113516","display" : "Prescription Identifier","definition" : "Administered Product's Prescription Number"},{"code" : "113517","display" : "Organ Dose Information","definition" : "Information pertaining to the estimated absorbed radiation dose to an organ."},{"code" : "113518","display" : "Organ Dose","definition" : "The absorbed radiation dose to organ"},{"code" : "113520","display" : "MIRD Pamphlet 1","definition" : "Reference authorityMIRD Pamphlet No.1 (rev) ,Society of Nuclear Medicine, 1976"},{"code" : "113521","display" : "ICRP Publication 53","definition" : "Reference authorityICRP, 1988. Radiation Dose to Patients from Radiopharmaceuticals. ICRP Publication 53. Ann. ICRP 18 (1-4)."},{"code" : "113522","display" : "ICRP Publication 80","definition" : "Reference authorityICRP, 1998. Radiation Dose to Patients from Radiopharmaceuticals (Addendum to ICRP Publication 53). ICRP Publication 80. Ann. ICRP 28 (3)."},{"code" : "113523","display" : "ICRP Publication 106","definition" : "Reference authorityICRP, 2008. Radiation Dose to Patients from Radiopharmaceuticals - Addendum 3 to ICRP Publication 53. ICRP Publication 106. Ann. ICRP 38 (1-2)."},{"code" : "113526","display" : "MIRDOSE","definition" : "Reference authorityStabin MG, Sparks RB, Crowe E (1994)MIRDOSE: personal computer software for internal dose assessment in nuclear medicine [Computer program]"},{"code" : "113527","display" : "OLINDA-EXM","definition" : "Reference authorityStabin MG, Sparks RB, Crowe E (2005) OLINDA/EXM: The Second-Generation Personal Computer Software for Internal Dose Assessment in Nuclear Medicine [Computer program]"},{"code" : "113528","display" : "Package Insert","definition" : "Reference authorityThe reported organ dose is based on radiopharmaceutical's package insert."},{"code" : "113529","display" : "Institutionally Approved Estimates","definition" : "Reference authorityThe reported organ dose is based on Institutionally approved estimates from the Radioactive Drug Research Committee (RDRC) of the institution itself."},{"code" : "113530","display" : "Investigational New Drug","definition" : "Reference authorityThe reported organ dose is based on an Investigation new drug."},{"code" : "113540","display" : "Activity Measurement Device","definition" : "The type of device that performed the activity measurement."},{"code" : "113541","display" : "Dose Calibrator","definition" : "The device that measures the radiation activity of the radiopharmaceutical"},{"code" : "113542","display" : "Infusion System","definition" : "Radiopharmaceutical Infusion System"},{"code" : "113543","display" : "Radioisotope Generator","definition" : "Radioisotope Generator"},{"code" : "113550","display" : "Fasting Duration","definition" : "The number hours the patient has gone without food."},{"code" : "113551","display" : "Hydration Volume","definition" : "The amount of fluids the patient has consumed before the procedure."},{"code" : "113552","display" : "Recent Physical Activity","definition" : "A description of physical activity the patient performed before the start of the procedure, such as that which may affect imaging agent biodistribution."},{"code" : "113560","display" : "Acute unilateral renal blockage","definition" : "Blockage in one of the tubes (ureters) that drain urine from the kidneys"},{"code" : "113561","display" : "Low Thyroid Uptake","definition" : "5% or less Thyroid Uptake of Iodine"},{"code" : "113562","display" : "High Thyroid Uptake","definition" : "25% or higher Thyroid Uptake of Iodine"},{"code" : "113563","display" : "Severely Jaundiced","definition" : "The patient exhibits symptoms severe of jaundice and/or has a Bilirubin >10 mg/dL."},{"code" : "113568","display" : "Extravasation visible in image","definition" : "Extravasation or paravenous administration of the product is visible in the images."},{"code" : "113570","display" : "Cockroft-Gault Formula estimation of GFR","definition" : "The measurement method of the Glomerular Filtration Rate is Cockroft-Gault Formula"},{"code" : "113571","display" : "CKD-EPI Formula estimation of GFR","definition" : "The measurement method of the Glomerular Filtration Rate is CKD-EPI Formula"},{"code" : "113572","display" : "Glomerular Filtration Rate (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is MDRD"},{"code" : "113573","display" : "Glomerular Filtration Rate non-black (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is non-black MDRD"},{"code" : "113574","display" : "Glomerular Filtration Rate black (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is black (MDRD)"},{"code" : "113575","display" : "Glomerular Filtration Rate female (MDRD)","definition" : "The measurement method of the Glomerular Filtration Rate is female (MDRD)"},{"code" : "113576","display" : "Glomerular Filtration Rate Cystatin-based formula","definition" : "The measurement method of the Glomerular Filtration Rate is Cystatin-based formula"},{"code" : "113577","display" : "Glomerular Filtration Rate Creatinine-based formula (Schwartz)","definition" : "The measurement method of the Glomerular Filtration Rate is Creatinine-based formula (Schwartz)"},{"code" : "113601","display" : "Small: < 32.0 cm lateral thickness","definition" : "Small body thickness for calcium scoring adjustment. Lateral thickness is measured from skin-to-skin, at the level of the proximal ascending aorta, from an A/P localizer image."},{"code" : "113602","display" : "Medium: 32.0-38.0 cm lateral thickness","definition" : "Medium body thickness for calcium scoring adjustment. Lateral thickness is measured from skin-to-skin, at the level of the proximal ascending aorta, from an A/P localizer image."},{"code" : "113603","display" : "Large: > 38.0 cm lateral thickness","definition" : "Large body thickness for calcium scoring adjustment. Lateral thickness is measured from skin-to-skin, at the level of the proximal ascending aorta, from an A/P localizer image."},{"code" : "113605","display" : "Irradiation Event Label","definition" : "A human-readable label identifying an irradiation event."},{"code" : "113606","display" : "Label Type","definition" : "The type of a human-readable label."},{"code" : "113607","display" : "Series Number","definition" : "A number that identifies a Series. Corresponds to Series Number (0020,0011) of the ."},{"code" : "113608","display" : "Acquisition Number","definition" : "A number that identifies an Acquisition. Corresponds to Acquisition Number (0020,0012) of the ."},{"code" : "113609","display" : "Instance Number","definition" : "A number that identifies an Instance. Corresponds to Instance Number (0020,0013) of the ."},{"code" : "113611","display" : "Stationary Acquisition","definition" : "Acquisition where the X-Ray source does not move in relation to the patient."},{"code" : "113612","display" : "Stepping Acquisition","definition" : "Acquisition where the X-Ray source moves laterally in relation to the patient."},{"code" : "113613","display" : "Rotational Acquisition","definition" : "Acquisition where the X-Ray source moves angularly in relation to the patient."},{"code" : "113620","display" : "Plane A","definition" : "Primary plane of a Biplane acquisition equipment."},{"code" : "113621","display" : "Plane B","definition" : "Secondary plane of a Biplane acquisition equipment."},{"code" : "113622","display" : "Single Plane","definition" : "Single plane acquisition equipment."},{"code" : "113630","display" : "Continuous","definition" : "Continuous X-Ray radiation is applied during an irradiation event."},{"code" : "113631","display" : "Pulsed","definition" : "Pulsed X-Ray radiation is applied during an irradiation event."},{"code" : "113650","display" : "Strip filter","definition" : "Filter with uniform thickness."},{"code" : "113651","display" : "Wedge filter","definition" : "Filter with variation in thickness from one edge to the opposite edge."},{"code" : "113652","display" : "Butterfly filter","definition" : "Filter with two triangular sections."},{"code" : "113653","display" : "Flat filter","definition" : "Filter with uniform thickness that is for spectral filtering only."},{"code" : "113661","display" : "Outline of lobulations","definition" : "A polyline defining the outline of a lobulated finding."},{"code" : "113662","display" : "Inner limits of fuzzy margin","definition" : "A polyline defining the inner limits of a finding with fuzzy margin."},{"code" : "113663","display" : "Outer limits of fuzzy margin","definition" : "A polyline defining the outer limits of a finding with fuzzy margin."},{"code" : "113664","display" : "Outline of spiculations","definition" : "A polyline defining the outline of the spiculations of a finding."},{"code" : "113665","display" : "Linear spiculation","definition" : "A polyline segment graphically indicating the location and direction of a spiculation of a finding."},{"code" : "113666","display" : "Pixelated spiculations","definition" : "A collection of points indicating the pixel locations of the spiculations of a finding."},{"code" : "113669","display" : "Orthogonal location arc","definition" : "Connected line segments indicating the center of location of a finding on an orthogonal view."},{"code" : "113670","display" : "Orthogonal location arc inner margin","definition" : "Connected line segments indicating the inner margin of the location of a finding on an orthogonal view."},{"code" : "113671","display" : "Orthogonal location arc outer margin","definition" : "Connected line segments indicating the outer location of a finding on an orthogonal view."},{"code" : "113680","display" : "Quality Control Intent","definition" : "This procedure is intended to gather data that is used for calibration or other quality control purposes."},{"code" : "113681","display" : "Phantom","definition" : "An artificial subject of an imaging study."},{"code" : "113682","display" : "ACR Accreditation Phantom - CT","definition" : "A phantom acceptable for the ACR Computed Tomography Accreditation program."},{"code" : "113683","display" : "ACR Accreditation Phantom - MR","definition" : "A phantom acceptable for the ACR Magnetic Resonance Imaging Accreditation program."},{"code" : "113684","display" : "ACR Accreditation Phantom - Mammography","definition" : "A phantom acceptable for the ACR Mammography Accreditation program."},{"code" : "113685","display" : "ACR Accreditation Phantom - Stereotactic Breast Biopsy","definition" : "A phantom acceptable for the ACR Stereotactic Breast Biopsy Accreditation program."},{"code" : "113686","display" : "ACR Accreditation Phantom - ECT","definition" : "A phantom acceptable for the ACR SPECT Accreditation program (but not for PET)."},{"code" : "113687","display" : "ACR Accreditation Phantom - PET","definition" : "A phantom acceptable for the ACR PET Accreditation program (but not for SPECT)."},{"code" : "113688","display" : "ACR Accreditation Phantom - ECT/PET","definition" : "A SPECT phantom with a PET faceplate acceptable for both the ACR SPECT and PET Accreditation programs."},{"code" : "113689","display" : "ACR Accreditation Phantom - PET Faceplate","definition" : "A PET faceplate (made to fit an existing flangeless or flanged ECT phantom) acceptable for the ACR PET Accreditation program."},{"code" : "113690","display" : "IEC 160mm Head CT Dosimetry Phantom","definition" : "A phantom used for CTDI measurement in head modes according to , Ed.2.1 (Head 16 cm diameter Polymethyl methacrylate PMMA)."},{"code" : "113691","display" : "IEC 320mm Body CT Dosimetry Phantom","definition" : "A phantom used for CTDI measurement in body modes according to , Ed.2.1 (Body 32cm diameter Polymethyl methacrylate PMMA)."},{"code" : "113692","display" : "NEMA XR21-2000 Phantom","definition" : "A phantom in accordance with NEMA standard XR-21-2000."},{"code" : "113701","display" : "X-Ray Radiation Dose Report","definition" : "X-Ray Radiation Dose Report."},{"code" : "113702","display" : "Accumulated X-Ray Dose Data","definition" : "X-Ray dose data accumulated over multiple irradiation events."},{"code" : "113704","display" : "Projection X-Ray","definition" : "Imaging using a point X-Ray source with a diverging beam projected onto a 2 dimensional detector."},{"code" : "113705","display" : "Scope of Accumulation","definition" : "Entity over which dose accumulation values are integrated."},{"code" : "113706","display" : "Irradiation Event X-Ray Data","definition" : "X-Ray dose data for a single Irradiation Event."},{"code" : "113710","display" : "Niobium or Niobium compound","definition" : "Material containing Niobium or a Niobium compound"},{"code" : "113711","display" : "Europium or Europium compound","definition" : "Material containing Europium or a Europium compound"},{"code" : "113720","display" : "Calibration Protocol","definition" : "Describes the method used to derive the calibration factor."},{"code" : "113721","display" : "Irradiation Event Type","definition" : "Denotes the type of irradiation event recorded."},{"code" : "113722","display" : "Dose Area Product Total","definition" : "Total calculated Dose Area Product (in the scope of the including report)."},{"code" : "113723","display" : "Calibration DateTime","definition" : "Last calibration DateTime for the integrated dose meter or dose calculation."},{"code" : "113724","display" : "Calibration Responsible Party","definition" : "Individual or organization responsible for calibration."},{"code" : "113725","display" : "Dose (RP) Total","definition" : "Total Dose related to Reference Point (RP). (in the scope of the including report)."},{"code" : "113726","display" : "Fluoro Dose Area Product Total","definition" : "Total calculated Dose Area Product applied in Fluoroscopy Modes (in the scope of the including report)."},{"code" : "113727","display" : "Acquisition Dose Area Product Total","definition" : "Total calculated Dose Area Product applied in Acquisition Modes (in the scope of the including report)."},{"code" : "113728","display" : "Fluoro Dose (RP) Total","definition" : "Dose applied in Fluoroscopy Modes, related to Reference Point (RP). (in the scope of the including report)."},{"code" : "113729","display" : "Acquisition Dose (RP) Total","definition" : "Dose applied in Acquisition Modes, related to Reference Point (RP). (in the scope of the including report)."},{"code" : "113730","display" : "Total Fluoro Time","definition" : "Total accumulated clock time of Fluoroscopy in the scope of the including report (i.e., the sum of the Irradiation Duration values for accumulated fluoroscopy irradiation events)."},{"code" : "113731","display" : "Total Number of Radiographic Frames","definition" : "Accumulated Count of exposure pulses (single or multi-frame encoded) created from irradiation events performed with high dose (acquisition)."},{"code" : "113732","display" : "Fluoro Mode","definition" : "Mode of application of X-Rays during Fluoroscopy."},{"code" : "113733","display" : "KVP","definition" : "Applied X-Ray Tube voltage at peak of X-Ray generation, in kilovolts; Mean value if measured over multiple peaks (pulses)."},{"code" : "113734","display" : "X-Ray Tube Current","definition" : "Mean value of applied Tube Current."},{"code" : "113735","display" : "Exposure Time","definition" : "Cumulative time the patient has received X-Ray exposure during the irradiation event"},{"code" : "113736","display" : "Exposure","definition" : "Mean value of X-Ray Current Time product."},{"code" : "113737","display" : "Distance Source to Reference Point","definition" : "Distance to the Reference Point (RP) defined according to IEC 60601-2-43 or equipment defined."},{"code" : "113738","display" : "Dose (RP)","definition" : "Dose applied at the Reference Point (RP)."},{"code" : "113739","display" : "Positioner Primary End Angle","definition" : "Positioner Primary Angle at the end of an irradiation event. For further definition see (112011, DCM, \"Positioner Primary Angle\")."},{"code" : "113740","display" : "Positioner Secondary End Angle","definition" : "Positioner Secondary Angle at the end of an irradiation event. For further definition see (112012, DCM, \"Positioner Secondary Angle\")."},{"code" : "113742","display" : "Irradiation Duration","definition" : "Clock time from the start of loading time of the first pulse until the loading time trailing edge of the final pulse in the same irradiation event.Loading time is defined in IEC 60601-1-3:2008, 3.37, and described in IEC 60601-2-54:2009, 203.4.101.3."},{"code" : "113743","display" : "Patient Orientation","definition" : "Orientation of the Patient with respect to Gravity."},{"code" : "113744","display" : "Patient Orientation Modifier","definition" : "Enhances or modifies the Patient orientation specified in Patient Orientation."},{"code" : "113745","display" : "Patient Table Relationship","definition" : "Orientation of the Patient with respect to the Head of the Table."},{"code" : "113748","display" : "Distance Source to Isocenter","definition" : "Distance from the X-Ray Source to the Equipment C-Arm Isocenter.(Center of Rotation)."},{"code" : "113750","display" : "Distance Source to Detector","definition" : "Measured or calculated distance from the X-Ray source to the detector plane in the center of the beam."},{"code" : "113751","display" : "Table Longitudinal Position","definition" : "Table Longitudinal Position with respect to an arbitrary reference chosen by the equipment. Table longitudinal motion is positive towards the left of the patient assuming the patient is positioned HEAD FIRST SUPINE."},{"code" : "113752","display" : "Table Lateral Position","definition" : "Table Lateral Position with respect to an arbitrary reference chosen by the equipment. Table lateral motion is positive towards the head of the patient assuming the patient is positioned HEAD FIRST."},{"code" : "113753","display" : "Table Height Position","definition" : "Table Height Position with respect to an arbitrary chosen reference by the equipment in (mm). Table motion downwards is positive."},{"code" : "113754","display" : "Table Head Tilt Angle","definition" : "Angle of the head-feet axis of the table in degrees relative to the horizontal plane. Positive values indicate that the head of the table is upwards."},{"code" : "113755","display" : "Table Horizontal Rotation Angle","definition" : "Rotation of the table in the horizontal plane (clockwise when looking from above the table)."},{"code" : "113756","display" : "Table Cradle Tilt Angle","definition" : "Angle of the left-right axis of the table in degrees relative to the horizontal plane. Positive values indicate that the left of the table is upwards."},{"code" : "113757","display" : "X-Ray Filter Material","definition" : "X-Ray absorbing material used in the filter."},{"code" : "113758","display" : "X-Ray Filter Thickness Minimum","definition" : "The minimum thickness of the X-Ray absorbing material used in the filters."},{"code" : "113759","display" : "Table Longitudinal End Position","definition" : "Table Longitudinal Position at the end of an irradiation event."},{"code" : "113760","display" : "Table Lateral End Position","definition" : "Table Lateral Position at the end of an irradiation event."},{"code" : "113761","display" : "Table Height End Position","definition" : "Table Height Position at the end of an irradiation event."},{"code" : "113763","display" : "Calibration Uncertainty","definition" : "Uncertainty of the 'actual' value."},{"code" : "113764","display" : "Acquisition Plane","definition" : "Identification of Acquisition Plane with Biplane systems."},{"code" : "113766","display" : "Focal Spot Size","definition" : "Nominal Size of Focal Spot of X-Ray Tube."},{"code" : "113767","display" : "Average X-Ray Tube Current","definition" : "Average X-Ray Tube Current averaged over time for pulse or for continuous Fluoroscopy."},{"code" : "113768","display" : "Number of Pulses","definition" : "Number of pulses applied by X-Ray systems during an irradiation event (acquisition run or pulsed fluoro)."},{"code" : "113769","display" : "Irradiation Event UID","definition" : "Unique identification of a single irradiation event."},{"code" : "113770","display" : "Column Angulation","definition" : "Angle of the X-Ray beam in degree relative to an orthogonal axis to the detector plane."},{"code" : "113771","display" : "X-Ray Filters","definition" : "Devices used to modify the energy or energy distribution of X-Rays."},{"code" : "113772","display" : "X-Ray Filter Type","definition" : "Type of filter(s) inserted into the X-Ray beam."},{"code" : "113773","display" : "X-Ray Filter Thickness Maximum","definition" : "The maximum thickness of the X-Ray absorbing material used in the filters."},{"code" : "113780","display" : "Reference Point Definition","definition" : "System provided definition of the Reference Point used for Dose calculations."},{"code" : "113788","display" : "Collimated Field Height","definition" : "Distance between the collimator blades in pixel column direction as projected at the detector plane."},{"code" : "113789","display" : "Collimated Field Width","definition" : "Distance between the collimator blades in pixel row direction as projected at the detector plane."},{"code" : "113790","display" : "Collimated Field Area","definition" : "Collimated field area at image receptor. Area for compatibility with IEC 60601-2-43."},{"code" : "113791","display" : "Pulse Rate","definition" : "Pulse rate applied by equipment during Fluoroscopy."},{"code" : "113792","display" : "Distance Source to Table Plane","definition" : "Measured or calculated distance from the X-Ray source to the table plane in the center of the beam."},{"code" : "113793","display" : "Pulse Width","definition" : "(Average) X-Ray pulse width."},{"code" : "113794","display" : "Dose Measurement Device","definition" : "Calibrated device to perform dose measurements."},{"code" : "113795","display" : "Acquired Image","definition" : "Image acquired during a specified event."},{"code" : "113800","display" : "DLP to E conversion via MC computation","definition" : "Effective Dose evaluation from the product of Dose Length Product (DLP) and the Effective Dose Conversion Factor (E/DLP in units of mSv/mGy-cm), where the ratio is derived by means of Monte Carlo computations."},{"code" : "113801","display" : "CTDIfreeair to E conversion via MC computation","definition" : "Effective Dose evaluation from the product of the Mean CTDIfreeair and the ratio E/CTDIfreeair (mSv/mGy), where the ratio is derived by means of Monte Carlo computations."},{"code" : "113802","display" : "DLP to E conversion via measurement","definition" : "Effective Dose evaluation from the product of Dose Length Product (DLP) and the Effective Dose Conversion Factor (E/DLP in units of mSv/mGy-cm), where the ratio is derived by means of dosimetric measurements with an anthropomorphic phantom."},{"code" : "113803","display" : "CTDIfreeair to E conversion via measurement","definition" : "Effective Dose evaluation from the product of the Mean CTDIfreeair and the ratio E/CTDIfreeair (mSv/mGy), where the ratio is derived by means of dosimetric measurements with an anthropomorphic phantom."},{"code" : "113804","display" : "Sequenced Acquisition","definition" : "The CT acquisition was performed by acquiring single or multi detector data while rotating the source about the gantry while the table is not moving. Additional slices are acquired by incrementing the table position and again rotating the source about the gantry while the table is not moving."},{"code" : "113805","display" : "Constant Angle Acquisition","definition" : "The CT acquisition was performed by holding the source at a constant angle and moving the table to obtain a projection image."},{"code" : "113806","display" : "Stationary Acquisition","definition" : "The CT acquisition was performed by holding the table at a constant position and acquiring multiple slices over time at the same location."},{"code" : "113807","display" : "Free Acquisition","definition" : "The CT acquisition was performed while rotating the source about the gantry while the table movement is under direct control of a human operator or under the control of an analysis application."},{"code" : "113808","display" : "ICRP Pub 60","definition" : "Reference authority1990 Recommendations of the International Commission on Radiological Protection (ICRP Publication 60, published as the Annals of the ICRP Vol. 21, No. 1-3, Pergamon Press,1991)."},{"code" : "113809","display" : "Start of X-Ray Irradiation","definition" : "Start DateTime of the first X-Ray Irradiation Event of the accumulation within a Study."},{"code" : "113810","display" : "End of X-Ray Irradiation","definition" : "End DateTime of the last X-Ray Irradiation Event of the accumulation within a Study."},{"code" : "113811","display" : "CT Accumulated Dose Data","definition" : "X-Ray dose accumulated over multiple CT irradiation events."},{"code" : "113812","display" : "Total Number of Irradiation Events","definition" : "Total number of events during the defined scope of accumulation."},{"code" : "113813","display" : "CT Dose Length Product Total","definition" : "The total dose length product for the defined scope of accumulation."},{"code" : "113814","display" : "CT Effective Dose Total","definition" : "The total Effective Dose at the defined scope of accumulation."},{"code" : "113815","display" : "Patient Model","definition" : "Identification of the reference-patient model used when Effective Dose is evaluated via Monte Carlo calculations or from a Dose Length Product conversion factor based on Monte Carlo calculations."},{"code" : "113816","display" : "Condition Effective Dose measured","definition" : "References the physical phantom and the type of dosimeter used when measurements are done to establish Effective Dose Conversion Factors (E/DLP) or ratios E/CTDIfreeair."},{"code" : "113817","display" : "Effective Dose Phantom Type","definition" : "Type of Effective Dose phantom used."},{"code" : "113818","display" : "Dosimeter Type","definition" : "Type of dosimeter used."},{"code" : "113819","display" : "CT Acquisition","definition" : "General description of the CT Irradiation event."},{"code" : "113820","display" : "CT Acquisition Type","definition" : "Method of the CT acquisition."},{"code" : "113821","display" : "X-Ray Filter Aluminum Equivalent","definition" : "Thickness of an equivalent filter in mm in Aluminum."},{"code" : "113822","display" : "CT Acquisition Parameters","definition" : "General description of the acquisition parameters."},{"code" : "113823","display" : "Number of X-Ray Sources","definition" : "Number of X-Ray sources."},{"code" : "113824","display" : "Exposure Time","definition" : "Total time the patient has received X-Ray exposure during the irradiation event."},{"code" : "113825","display" : "Scanning Length","definition" : "For Spiral scanning, the scanning length is the table travel in mm during the tube loading, adjusted for dynamic collimation if applicable. In the case of Spiral scanning with dynamic collimation, one may approximate scanning length as the FWHM along a line perpendicular to the tomographic plane at isocenter of the free-in-air dose profile for the entire scan.For Sequenced scanning, the scanning length is the table travel between consecutive scans times the number of scans.For Stationary and Free scanning, the scanning length is the nominal width of the total collimation.For Shuttle Mode scanning, the scanning length is the nominal width of the total collimation plus the distance between the two scanning positions.Scanning Length might be longer than the programmed acquisition length (Length of Reconstructable Volume)"},{"code" : "113826","display" : "Nominal Single Collimation Width","definition" : "The value of the nominal width referenced to the location of the isocenter along the z axis of a single row of acquired data in mm."},{"code" : "113827","display" : "Nominal Total Collimation Width","definition" : "The value of the nominal width referenced to the location of the isocenter along the z axis of the total collimation in mm over the area of active X-Ray detection."},{"code" : "113828","display" : "Pitch Factor","definition" : "For Spiral scanning: Pitch Factor = (Table Feed per Rotation (mm)) /(Nominal Total Collimation Width (mm))For Sequenced scanning: Pitch Factor = (Table Feed per single Sequenced scan (mm)) /(Nominal Total Collimation Width (mm))."},{"code" : "113829","display" : "CT Dose","definition" : "General description of CT dose values."},{"code" : "113830","display" : "Mean CTDIvol","definition" : "\"Mean CTDIvol\" refers to the average value of the CTDIvol associated with this acquisition."},{"code" : "113831","display" : "CT X-Ray Source Parameters","definition" : "Identification, tube-potential, tube-current, and exposure-time parameters associated with an X-Ray source during an acquisition."},{"code" : "113832","display" : "Identification of the X-Ray Source","definition" : "Identifies the particular X-Ray source (in a multi-source CT system) for which the set of X-Ray source parameter values is reported."},{"code" : "113833","display" : "Maximum X-Ray Tube Current","definition" : "Maximum X-Ray tube current."},{"code" : "113834","display" : "Exposure Time per Rotation","definition" : "The exposure time for one rotation of the source around the object in s."},{"code" : "113835","display" : "CTDIw Phantom Type","definition" : "A label describing the type of phantom used for CTDIw measurement."},{"code" : "113836","display" : "CTDIfreeair Calculation Factor","definition" : "The CTDIfreeair Calculation Factor is the CTDIfreeair per mAs, expressed in units of mGy/mAs. The CTDIfreeair Calculation Factor may be used in one method calculating Dose."},{"code" : "113837","display" : "Mean CTDIfreeair","definition" : "The average value of the free-in-air CTDI associated with this acquisition."},{"code" : "113838","display" : "DLP","definition" : "Dose Length Product (DLP), expressed in mGy-cm, is an index characterizing the product of the CTDIvol and the length scanned.For Spiral scanning, DLP = CTDIvol ✕ Scanning Length.For Sequenced scanning, DLP = CTDIvol ✕ Table Travel Between Consecutive Scans ✕ Number of Scans.For Stationary and Free scanning, DLP = CTDIvol ✕ Nominal Total Collimation Width.For Shuttle Mode scanning, DLP = CTDIvol ✕ (Nominal Total Collimation Width + Distance Between the Two Scan Positions)"},{"code" : "113839","display" : "Effective Dose","definition" : "Effective dose in mSv."},{"code" : "113840","display" : "Effective Dose Conversion Factor","definition" : "Effective Dose per DLP, reference value for Effective Dose calculation, expressed in mSv/mGY.cm."},{"code" : "113841","display" : "ICRP Pub 103","definition" : "Effective Dose Reference authority2007 Recommendations of the International Commission on Radiological Protection (ICRP Publication 103, published as the Annals of the ICRP Vol. 37, No. 2-4, Elsevier, 2007)."},{"code" : "113842","display" : "X-Ray Modulation Type","definition" : "The type of exposure modulation used for the purpose of limiting the dose."},{"code" : "113845","display" : "Exposure Index","definition" : "Measure of the detector response to radiation in the relevant image region of an image acquired with a digital X-Ray imaging system as defined in IEC 62494-1."},{"code" : "113846","display" : "Target Exposure Index","definition" : "The target value used to calculate the Deviation Index as defined in IEC 62494-1."},{"code" : "113847","display" : "Deviation Index","definition" : "A scaled representation of the accuracy of the Exposure Index compared to the Target Exposure Index as defined in IEC 62494-1."},{"code" : "113850","display" : "Irradiation Authorizing","definition" : "The clinician responsible for determining that the irradiating procedure was appropriate for the indications."},{"code" : "113851","display" : "Irradiation Administering","definition" : "The person responsible for the administration of radiation."},{"code" : "113852","display" : "Irradiation Event","definition" : "An irradiation event is the loading of X-Ray equipment caused by a single continuous actuation of the equipment's irradiation switch, from the start of the loading time of the first pulse until the loading time trailing edge of the final pulse. Any automatic on-off switching of the irradiation source during the event is not treated as separate events, rather the event includes the time between start and stop of irradiation as triggered by the user."},{"code" : "113853","display" : "Irradiation Event UID","definition" : "Unique Identifier of an Irradiation Event."},{"code" : "113854","display" : "Source of Dose Information","definition" : "Method by which dose-related details of an Irradiation Event were obtained."},{"code" : "113855","display" : "Total Acquisition Time","definition" : "Total accumulated acquisition clock time in the scope of the including report (i.e., the sum of the Irradiation Duration values for accumulated acquisition irradiation events)."},{"code" : "113856","display" : "Automated Data Collection","definition" : "Direct recording of data by a relevant system."},{"code" : "113857","display" : "Manual Entry","definition" : "Recording of data by a human operator, including manual transcription of electronic data."},{"code" : "113858","display" : "MPPS Content","definition" : "The data is taken from an MPPS SOP Instance."},{"code" : "113859","display" : "Irradiating Device","definition" : "A device exposing a patient to ionizing radiation."},{"code" : "113860","display" : "15cm from Isocenter toward Source","definition" : "15cm from the isocenter towards the X-Ray source; See IEC 60601-2-43."},{"code" : "113861","display" : "30cm in Front of Image Input Surface","definition" : "30cm in front (towards the tube) of the input surface of the image receptor; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113862","display" : "1cm above Tabletop","definition" : "1cm above the patient tabletop or cradle; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113863","display" : "30cm above Tabletop","definition" : "30cm above the patient tabletop of cradle; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113864","display" : "15cm from Table Centerline","definition" : "15cm from the centerline of the X-Ray table and in the direction of the X-Ray source; See FDA Federal Performance Standard for Diagnostic X-Ray Systems §1020.32(d) (3)."},{"code" : "113865","display" : "4.2cm above Breast Support Surface","definition" : "4.2cm from the breast support surface in the direction orthogonal to the support surface. This point represents the entrance point for radiation to a standard 4.2cm thick compressed breast.See Department of Health and Human Services, Food and Drug Administration. Mammography quality standards; final rule. Federal Register. Oct. 28, 1997; 68(208):55852-55994."},{"code" : "113866","display" : "Copied From Image Attributes","definition" : "The data is copied from information present in the image Attributes."},{"code" : "113867","display" : "Computed From Image Attributes","definition" : "The data is computed from information present in the image Attributes."},{"code" : "113868","display" : "Derived From Human-Readable Reports","definition" : "The data is derived from human-readable reports."},{"code" : "113870","display" : "Person Name","definition" : "The name of a specific person."},{"code" : "113871","display" : "Person ID","definition" : "An identification number or code for a specific person."},{"code" : "113872","display" : "Person ID Issuer","definition" : "The organization that issued a Person ID."},{"code" : "113873","display" : "Organization Name","definition" : "The name of an organization."},{"code" : "113874","display" : "Person Role in Organization","definition" : "The role played by a person in an organization."},{"code" : "113875","display" : "Person Role in Procedure","definition" : "The role played by a person in a procedure."},{"code" : "113876","display" : "Device Role in Procedure","definition" : "The role played by a device in a procedure."},{"code" : "113877","display" : "Device Name","definition" : "The name used to refer to a device; usually locally unique."},{"code" : "113878","display" : "Device Manufacturer","definition" : "Manufacturer of a device."},{"code" : "113879","display" : "Device Model Name","definition" : "Model Name of a device."},{"code" : "113880","display" : "Device Serial Number","definition" : "Serial Number of a device."},{"code" : "113890","display" : "All Planes","definition" : "All planes of a multi-plane acquisition equipment."},{"code" : "113893","display" : "Length of Reconstructable Volume","definition" : "The length from which images may be reconstructed (i.e., excluding any overranging performed in a spiral acquisition that is required for data interpolation).Value is distinct from (1113825, DCM, \"Scanning Length\"), which includes any overranging and any effects from dynamic collimation. Also distinct from any actual Reconstructed Volume, which may depend on the slice thickness chosen for a particular reconstruction."},{"code" : "113895","display" : "Top Z Location of Reconstructable Volume","definition" : "The Z location that is the top (highest Z value) of the Reconstructable Volume. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113896","display" : "Bottom Z Location of Reconstructable Volume","definition" : "The Z location that is the bottom (lowest Z value) of the Reconstructable Volume. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113897","display" : "Top Z Location of Scanning Length","definition" : "The Z location that is the top (highest Z value) of the scanning length. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113898","display" : "Bottom Z Location of Scanning Length","definition" : "The Z location that is the bottom (lowest Z value) of the scanning length. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113899","display" : "Exposed Range","definition" : "The range along the z axis of the total volume irradiated, per , Ed. 3, 203.115(b).The start and stop of loading corresponding to the outer edge of the full width half maximum of the free-in-air dose profile for the beam collimation used."},{"code" : "113900","display" : "Dose Check Alert Details","definition" : "Report section about cumulative dose alerts during an examination."},{"code" : "113901","display" : "DLP Alert Value Configured","definition" : "Flag denoting whether a DLP Alert Value was configured."},{"code" : "113902","display" : "CTDIvol Alert Value Configured","definition" : "Flag denoting whether a CTDIvol Alert Value was configured."},{"code" : "113903","display" : "DLP Alert Value","definition" : "Cumulative Dose Length Product value configured to trigger an alert."},{"code" : "113904","display" : "CTDIvol Alert Value","definition" : "Cumulative CTDIvol value configured to trigger an alert."},{"code" : "113905","display" : "Accumulated DLP Forward Estimate","definition" : "A forward estimate of the accumulated DLP plus the estimated DLP for the next Protocol Element Group."},{"code" : "113906","display" : "Accumulated CTDIvol Forward Estimate","definition" : "A forward estimate at a given location of the accumulated CTDIvol plus the estimated CTDIvol for the next Protocol Element Group."},{"code" : "113907","display" : "Reason for Proceeding","definition" : "Reason provided for proceeding with a procedure that is projected to exceed a configured dose value."},{"code" : "113908","display" : "Dose Check Notification Details","definition" : "Report section about dose notifications during a protocol element."},{"code" : "113909","display" : "DLP Notification Value Configured","definition" : "Flag denoting whether a DLP Notification Value was configured."},{"code" : "113910","display" : "CTDIvol Notification Value Configured","definition" : "Flag denoting whether a CTDIvol Notification Value was configured."},{"code" : "113911","display" : "DLP Notification Value","definition" : "Dose Length Product value configured to trigger a notification for a given protocol element."},{"code" : "113912","display" : "CTDIvol Notification Value","definition" : "CTDIvol value configured to trigger a notification for a given protocol element."},{"code" : "113913","display" : "DLP Forward Estimate","definition" : "A forward estimate of the DLP for the next Protocol Element Group."},{"code" : "113914","display" : "CTDIvol Forward Estimate","definition" : "A forward estimate of the CTDIvol for the next Protocol Element Group."},{"code" : "113915","display" : "Alternative dose alert behavior active","definition" : "Flag denoting whether alternative dose alert behavior has been active for CT guided interventional procedure according to the NEMA Dose Check Standard ."},{"code" : "113921","display" : "Radiation Exposure","definition" : "The amount of ionizing radiation to which the patient was exposed."},{"code" : "113922","display" : "Radioactive Substance Administered","definition" : "Type, amount and route of radioactive substance administered."},{"code" : "113923","display" : "Radiation Exposure and Protection Information","definition" : "Exposure to ionizing radiation and associatedpreventive measures used to reduce the exposure of parts of the body like lead apron or eye, thyroid gland or gonad protection."},{"code" : "113930","display" : "Size Specific Dose Estimate","definition" : "The Size-Specific Dose Estimate is a patient dose estimate that takes into account the size of the patient, such as described in or ."},{"code" : "113931","display" : "Measured Lateral Dimension","definition" : "The side-to-side (left to right) dimension of the body part being scanned (per )."},{"code" : "113932","display" : "Measured AP Dimension","definition" : "The thickness of the body part being scanned, in the antero-posterior dimension (per )."},{"code" : "113933","display" : "Derived Effective Diameter","definition" : "The diameter of the patient at a given location along the Z-axis of the patient, assuming that the patient has a circular cross-section (per )."},{"code" : "113934","display" : "AAPM 204 Lateral Dimension","definition" : "The Size Specific Dose Estimate is computed using Table 1B (32cm phantom) or Table 2B (16cm phantom) of ."},{"code" : "113935","display" : "AAPM 204 AP Dimension","definition" : "The Size Specific Dose Estimate is computed using Table 1C (32cm phantom) or Table 2C (16cm phantom) of ."},{"code" : "113936","display" : "AAPM 204 Sum of Lateral and AP Dimension","definition" : "The Size Specific Dose Estimate is computed using Table 1A (32cm phantom) or Table 2A (16cm phantom) of ."},{"code" : "113937","display" : "AAPM 204 Effective Diameter Estimated From Patient Age","definition" : "The Size Specific Dose Estimate is computed using Table 1D (32cm phantom) or Table 2D (16cm phantom) using an effective diameter estimated from the patient's age using Table 3 of ."},{"code" : "113940","display" : "System Calculated","definition" : "Values calculated from other existing parameters."},{"code" : "113941","display" : "In Detector Plane","definition" : "A segmented region of the detector surface within the irradiated area (but might not be near the center of the detector)."},{"code" : "113942","display" : "X-Ray Reading Device","definition" : "A device that creates digital images from X-Ray detectors (Direct, Indirect or Storage)."},{"code" : "113943","display" : "X-Ray Source Data Available","definition" : "Parameters related to the X-Ray source (generator, tube, etc) are available to the recording application."},{"code" : "113944","display" : "X-Ray Mechanical Data Available","definition" : "Parameters related to the X-Ray Mechanical System (Stand, Table) are available to the recording application."},{"code" : "113945","display" : "X-Ray Detector Data Available","definition" : "Parameters related to the X-Ray Detector are available to the recording application."},{"code" : "113946","display" : "Projection Eponymous Name","definition" : "Describes the radiographic method of patient, tube and detector positioning to achieve a well described projection or view."},{"code" : "113947","display" : "Detector Type","definition" : "Type of Detector used to acquire data."},{"code" : "113948","display" : "Direct Detector","definition" : "Detector that directly transforms the input signal to pixel values."},{"code" : "113949","display" : "Indirect Detector","definition" : "Detector that transforms an intermediate signal into pixel values."},{"code" : "113950","display" : "Storage Detector","definition" : "Storage detector that stores a signal that is later transformed by a reader into pixel values."},{"code" : "113951","display" : "Film","definition" : "Film that is scanned to create pixel values."},{"code" : "113952","display" : "Table Mount","definition" : "The cassette/detector is mounted in the patient table."},{"code" : "113953","display" : "Unmounted Detector","definition" : "The cassette/detector is not mounted.."},{"code" : "113954","display" : "Upright Stand Mount","definition" : "The cassette/detector is mounted in an upright stand."},{"code" : "113955","display" : "C-Arm Mount","definition" : "The cassette/detector is mounted on a c-arm."},{"code" : "113956","display" : "CR/DR Mechanical Configuration","definition" : "Method of mounting or positioning a CR/DR cassette or detector."},{"code" : "113957","display" : "Fluoroscopy-Guided Projection Radiography System","definition" : "An integrated projection radiography system capable of fluoroscopy."},{"code" : "113958","display" : "Integrated Projection Radiography System","definition" : "A projection radiography system where the X-Ray detector, X-Ray Source and gantry components are integrated and the managing system is able to access details of each component."},{"code" : "113959","display" : "Cassette-based Projection Radiography System","definition" : "A projection radiography system where the X-Ray detector, X-Ray Source and gantry components are not integrated."},{"code" : "113961","display" : "Reconstruction Algorithm","definition" : "Description of the algorithm used when reconstructing the image from the data acquired during the acquisition process."},{"code" : "113962","display" : "Filtered Back Projection","definition" : "An algorithm for reconstructing an image from multiple projections by back-projecting the measured values along the line of the projection and filtering the result to reduce blurring."},{"code" : "113963","display" : "Iterative Reconstruction","definition" : "An algorithm for reconstructing an image from multiple projections by starting with an assumed reconstructed image, computing projections from the image, comparing the original projection data and updating the reconstructed image based upon the difference between the calculated and the actual projections."},{"code" : "113964","display" : "At Surface of Patient","definition" : "A point at the surface of the patient within the irradiated area where the X-Ray beam enters the patient (i.e. towards the tube)."},{"code" : "113965","display" : "100cm from X-Ray Source","definition" : "100cm from the X-Ray source along the central ray of the X-Ray beam."},{"code" : "113970","display" : "Procedure Step To This Point","definition" : "The period of time from the start of a Procedure Step until the time point established by the context of the reference."},{"code" : "113980","display" : "Water Equivalent Diameter","definition" : "The diameter of a cylinder of water having the same X-Ray attenuation as the patient for a specified reconstructed slice (e.g., as described in )."},{"code" : "113981","display" : "Water Equivalent Diameter Representative Value","definition" : "The Water Equivalent Diameter is a value at a single location sufficiently representative of the body region."},{"code" : "113982","display" : "Water Equivalent Diameter Integrated Across Scan Range","definition" : "The Water Equivalent Diameter integrates values for a sample of reconstructed slices across the entire scan range."},{"code" : "113983","display" : "Water Equivalent Diameter From Raw Data","definition" : "The Water Equivalent Diameter value is derived from Raw Data rather than reconstructed slices.See ."},{"code" : "113984","display" : "Water Equivalent Diameter From Localizer","definition" : "The Water Equivalent Diameter value is derived from a Localizer image.See ."},{"code" : "113985","display" : "Series or Instance used for Water Equivalent Diameter estimation","definition" : "Unique identifier of the Series or Instance(s) used for Water Equivalent Diameter estimation, whether it be a Series of reconstructed single slice images or one or more Enhanced Multi-frame images or a Raw Data Series or Instance."},{"code" : "113986","display" : "Z value of location of Water Equivalent Diameter estimation","definition" : "The Z location used for Water Equivalent Diameter estimation at a single location whether it be computed using a reconstructed slice or Localizer or Raw Data. Specified as the Z component within the Patient Coordinate System defined by a specified Frame of Reference."},{"code" : "113987","display" : "AAPM 220","definition" : "A report describing methods of calculation of diameters of cylinders of water having the same X-Ray attenuation as reconstructed CT slices of patients described in ."},{"code" : "113988","display" : "Estimated from Water Equivalent Diameter","definition" : "The Size Specific Dose Estimate is calculated from a single Water Equivalent Diameter value using a conversion factor as described in ."},{"code" : "113989","display" : "Arithmetic Average of SSDE(z)","definition" : "The Size Specific Dose Estimate is an arithmetic average of SSDE(z), calculated from Dw(z) at several z-positions over the reconstruction length. The z-positions may or may not correspond to reconstructed slices. See ."},{"code" : "113990","display" : "Arithmetic Average of Dw(z)","definition" : "The Water Equivalent Diameter is an arithmetic average of Dw(z) at several z-positions over the reconstruction length. The z-positions may or may not correspond to reconstructed slices. See ."},{"code" : "113991","display" : "Dw Conversion Factor Coefficients","definition" : "The a and b coefficients of an exponential function as described in . The function generates a conversion factor based on a Water Equivalent Diameter value (Dw). Multiplying the Dw value by the conversion factor produces a Size Specific Dose Estimate."},{"code" : "113992","display" : "Water Equivalent Diameter From Limited FOV Images","definition" : "The Water Equivalent Diameter is derived from reconstructed images that do not cover the full FOV."},{"code" : "113993","display" : "Size Specific Dose Estimate At Longitudinal Position Z","definition" : "Estimate of the average absorbed dose to the material contained in an axial plane at longitudinal position z of the object scanned. See ."},{"code" : "113994","display" : "Longitudinal Position Z","definition" : "The patient relative longitudinal position at which other value(s) have been estimated."},{"code" : "113995","display" : "Water Equivalent Diameter At Longitudinal Position Z","definition" : "Diameter of a cylinder of water having the same averaged absorbed dose as the material contained in an axial plane at longitudinal position z of the object scanned, calculable for a material of any composition, and quantifying the attenuation of any material in terms of the attenuation of water. See ."},{"code" : "114000","display" : "Not a number","definition" : "Measurement not available: Not a number (per IEEE 754)."},{"code" : "114001","display" : "Negative Infinity","definition" : "Measurement not available: Negative Infinity (per IEEE 754)."},{"code" : "114002","display" : "Positive Infinity","definition" : "Measurement not available: Positive Infinity (per IEEE 754)."},{"code" : "114003","display" : "Divide by zero","definition" : "Measurement not available: Divide by zero (per IEEE 754)."},{"code" : "114004","display" : "Underflow","definition" : "Measurement not available: Underflow (per IEEE 754)."},{"code" : "114005","display" : "Overflow","definition" : "Measurement not available: Overflow (per IEEE 754)."},{"code" : "114006","display" : "Measurement failure","definition" : "Measurement not available: Measurement failure."},{"code" : "114007","display" : "Measurement not attempted","definition" : "Measurement not available: Measurement not attempted."},{"code" : "114008","display" : "Calculation failure","definition" : "Measurement not available: Calculation failure."},{"code" : "114009","display" : "Value out of range","definition" : "Measurement not available: Value out of range."},{"code" : "114010","display" : "Value unknown","definition" : "Measurement not available: Value unknown."},{"code" : "114011","display" : "Value indeterminate","definition" : "Measurement not available: Value indeterminate."},{"code" : "114201","display" : "Time of flight","definition" : "Measures the time-of-flight of a light signal between the camera and the subject for each point of the image."},{"code" : "114202","display" : "Interferometry","definition" : "Interferometry is a family of techniques in which waves are superimposed in order to extract depth information about the scanned object."},{"code" : "114203","display" : "Laser scanning","definition" : "Laser scanning describes the general method to sample or scan a surface using laser technology."},{"code" : "114204","display" : "Pattern projection","definition" : "Projecting a narrow band of light onto a three-dimensionally shaped surface produces a line of illumination that appears distorted from other perspectives than that of the projector. It can be used for an exact geometric reconstruction of the surface shape."},{"code" : "114205","display" : "Shape from shading","definition" : "A technique for estimating the surface normal of an object by observing that object under different lighting conditions."},{"code" : "114206","display" : "Shape from motion","definition" : "A technique for estimating the surface normal of an object by observing that object under different motions."},{"code" : "114207","display" : "Confocal imaging","definition" : "An optical imaging technique used to increase optical resolution and contrast of a micrograph by using point illumination and a spatial pinhole to eliminate out-of-focus light in specimens that are thicker than the focal plane. It enables the reconstruction of 3D structures from the obtained images."},{"code" : "114208","display" : "Point Cloud Algorithmic","definition" : "Point cloud that was calculated by an algorithm."},{"code" : "114209","display" : "Turntable Scan Method","definition" : "Scanning the object from different views by placing it on a rotating table."},{"code" : "114210","display" : "High resolution","definition" : "Higher resolution with a longer acquisition time."},{"code" : "114211","display" : "Fast mode","definition" : "Lower resolution with a shorter acquisition time."},{"code" : "114213","display" : "Iterative Closest Point","definition" : "An algorithm employed to minimize the difference between two clouds of points. It iteratively revises the transformation (translation, rotation) needed to minimize the distance between the points of two point clouds."},{"code" : "114215","display" : "Freehand","definition" : "Human controlled minimization of the distance between the points of two point clouds."},{"code" : "114216","display" : "Checkerboard","definition" : "Scanning the object from different views by placing it in front of a checkerboard pattern."},{"code" : "120999","display" : "Device Description","definition" : "Description in free form text describing the device."},{"code" : "121000","display" : "Unique Device Identifiers","definition" : "Unique Device Identifiers (UDIs) of the entire equipment."},{"code" : "121001","display" : "Quotation Mode","definition" : "Type of source for observations quoted from an external source."},{"code" : "121002","display" : "Quoted Source","definition" : "Reference to external source of quoted observations."},{"code" : "121003","display" : "Document","definition" : "Documentary source of quoted observations."},{"code" : "121004","display" : "Verbal","definition" : "Verbal source of quoted observations."},{"code" : "121005","display" : "Observer Type","definition" : "Type of observer that created the observations."},{"code" : "121006","display" : "Person","definition" : "Human observer created the observations."},{"code" : "121007","display" : "Device","definition" : "Automated device created the observations."},{"code" : "121008","display" : "Person Observer Name","definition" : "Name of human observer that created the observations."},{"code" : "121009","display" : "Person Observer's Organization Name","definition" : "Organization or institution with which the human observer is affiliated for the context of the current observation."},{"code" : "121010","display" : "Person Observer's Role in the Organization","definition" : "Organizational role of human observer for the context of the current observation."},{"code" : "121011","display" : "Person Observer's Role in this Procedure","definition" : "Procedural role of human observer for the context of the current observation."},{"code" : "121012","display" : "Device Observer UID","definition" : "Unique identifier of automated device that created the observations."},{"code" : "121013","display" : "Device Observer Name","definition" : "Institution-provided identifier of automated device that created the observations."},{"code" : "121014","display" : "Device Observer Manufacturer","definition" : "Manufacturer of automated device that created the observations."},{"code" : "121015","display" : "Device Observer Model Name","definition" : "Manufacturer-provided model name of automated device that created the observations."},{"code" : "121016","display" : "Device Observer Serial Number","definition" : "Manufacturer-provided serial number of automated device that created the observations."},{"code" : "121017","display" : "Device Observer Physical Location During Observation","definition" : "Location of automated device that created the observations whilst the observations were being made."},{"code" : "121018","display" : "Procedure Study Instance UID","definition" : "Unique identifier for the Study or Requested Procedure."},{"code" : "121019","display" : "Procedure Study Component UID","definition" : "Unique identifier for the Performed Procedure Step."},{"code" : "121020","display" : "Placer Number","definition" : "Identifier for the Order (or Service Request) assigned by the order placer system."},{"code" : "121021","display" : "Filler Number","definition" : "Identifier for the Order (or Service Request) assigned by the order filler system."},{"code" : "121022","display" : "Accession Number","definition" : "A departmental Information System generated number that identifies the Imaging Service Request."},{"code" : "121023","display" : "Procedure Code","definition" : "Type of procedure scheduled or performed."},{"code" : "121024","display" : "Subject Class","definition" : "Type of observation subject."},{"code" : "121025","display" : "Patient","definition" : "A patient is the subject of observations."},{"code" : "121026","display" : "Fetus","definition" : "Fetus of patient is the subject of observations."},{"code" : "121027","display" : "Specimen","definition" : "Specimen is the subject of observations."},{"code" : "121028","display" : "Subject UID","definition" : "Unique Identifier of patient or fetus who is the subject of observations."},{"code" : "121029","display" : "Subject Name","definition" : "Name of patient who is the subject of observations."},{"code" : "121030","display" : "Subject ID","definition" : "Identifier of patient or fetus who is the subject of observations."},{"code" : "121031","display" : "Subject Birth Date","definition" : "Birth Date of patient who is the subject of observations."},{"code" : "121032","display" : "Subject Sex","definition" : "Sex of patient who is the subject of observations."},{"code" : "121033","display" : "Subject Age","definition" : "Age of patient who is the subject of observations."},{"code" : "121034","display" : "Subject Species","definition" : "Species of patient who is the subject of observations."},{"code" : "121035","display" : "Subject Breed","definition" : "The breed of the subject."},{"code" : "121036","display" : "Mother of fetus","definition" : "Name of mother of fetus that is the subject of observations."},{"code" : "121037","display" : "Fetus number"},{"code" : "121038","display" : "Number of Fetuses"},{"code" : "121039","display" : "Specimen UID","definition" : "Unique Identifier of specimen that is the subject of observations."},{"code" : "121040","display" : "Specimen Accession Number","definition" : "Accession Number of specimen that is the subject of observations"},{"code" : "121041","display" : "Specimen Identifier","definition" : "Identifier of specimen that is the subject of observations."},{"code" : "121042","display" : "Specimen Type","definition" : "Coded category of specimen that is the subject of observations"},{"code" : "121043","display" : "Slide Identifier","definition" : "Identifier of specimen microscope slide that is the subject of observations"},{"code" : "121044","display" : "Slide UID","definition" : "Unique Identifier of specimen microscope slide that is the subject of observations"},{"code" : "121045","display" : "Language","definition" : "The language of the content, being a language that is primarily used for human communication."},{"code" : "121046","display" : "Country of Language","definition" : "The country-specific variant of language."},{"code" : "121047","display" : "Language of Value","definition" : "The language of the value component of a name-value pair."},{"code" : "121048","display" : "Language of Name and Value","definition" : "The language of both the name component and the value component of a name-value pair."},{"code" : "121049","display" : "Language of Content Item and Descendants","definition" : "The language of the current Content Item (node in a tree of content) and all its descendants."},{"code" : "121050","display" : "Equivalent Meaning of Concept Name","definition" : "A precoordinated coded concept or text meaning for the name component of a name-value pair that is equivalent to the post-coordinated meaning conveyed by the coded name and its concept modifier children."},{"code" : "121051","display" : "Equivalent Meaning of Value","definition" : "A precoordinated coded concept or text meaning for the value component of a name-value pair that is equivalent to the post-coordinated meaning conveyed by the coded value and its concept modifier children."},{"code" : "121052","display" : "Presence of property","definition" : "Whether or not the property concept being modified is present or absent."},{"code" : "121053","display" : "Present"},{"code" : "121054","display" : "Absent"},{"code" : "121055","display" : "Path","definition" : "A set of points on an image, that when connected by line segments, provide a polyline from which a linear measurement was inferred."},{"code" : "121056","display" : "Area outline","definition" : "A set of points on an image, that when connected by line segments, provide a closed polyline that is the border of a defined region from which an area, or two-dimensional measurement, was inferred."},{"code" : "121057","display" : "Perimeter outline","definition" : "A set of points on an image, that when connected by line segments, provide a closed polyline that is a two-dimensional border of a three-dimensional region's intersection with, or projection into the image."},{"code" : "121058","display" : "Procedure reported","definition" : "The imaging procedure whose results are reported."},{"code" : "121059","display" : "Presence Undetermined","definition" : "Presence or absence of a property is undetermined"},{"code" : "121060","display" : "History"},{"code" : "121061","display" : "Device Observer Manufacturer Class UID","definition" : "Manufacturer-provided Class UID(s) of device that created the observations."},{"code" : "121062","display" : "Request"},{"code" : "121064","display" : "Current Procedure Descriptions"},{"code" : "121065","display" : "Procedure Description","definition" : "A description of the imaging procedure."},{"code" : "121066","display" : "Prior Procedure Descriptions"},{"code" : "121068","display" : "Previous Findings"},{"code" : "121069","display" : "Previous Finding","definition" : "An observation found on a prior imaging study."},{"code" : "121070","display" : "Findings"},{"code" : "121071","display" : "Finding","definition" : "An observation found on an imaging study."},{"code" : "121072","display" : "Impressions"},{"code" : "121073","display" : "Impression","definition" : "An interpretation in the clinical context of the finding(s) on an imaging study."},{"code" : "121074","display" : "Recommendations"},{"code" : "121075","display" : "Recommendation","definition" : "A recommendation for management or investigation based on the findings and impressions of an imaging study."},{"code" : "121076","display" : "Conclusions"},{"code" : "121077","display" : "Conclusion","definition" : "An interpretation in the clinical context of the finding(s) on an imaging study."},{"code" : "121078","display" : "Addendum"},{"code" : "121079","display" : "Baseline","definition" : "Initial images used to establish a beginning condition that is used for comparison over time to look for changes. [Paraphrases NCI-PT (C1442488, UMLS, \"Baseline\"), which is defined as \"An initial measurement that is taken at an early time point to represent a beginning condition, and is used for comparison over time to look for changes. For example, the size of a tumor will be measured before treatment (baseline) and then afterwards to see if the treatment had an effect. A starting point to which things may be compared.\"]"},{"code" : "121080","display" : "Best illustration of finding","definition" : "A selection of composite instances that best illustrates a particular finding."},{"code" : "121081","display" : "Physician"},{"code" : "121082","display" : "Nurse"},{"code" : "121083","display" : "Technologist"},{"code" : "121084","display" : "Radiographer"},{"code" : "121085","display" : "Intern"},{"code" : "121086","display" : "Resident"},{"code" : "121087","display" : "Registrar"},{"code" : "121088","display" : "Fellow","definition" : "A medical practitioner undergoing sub-specialty training."},{"code" : "121089","display" : "Attending [Consultant]"},{"code" : "121090","display" : "Scrub nurse"},{"code" : "121091","display" : "Surgeon"},{"code" : "121092","display" : "Sonologist","definition" : "A medical practitioner with sub-specialty training in Ultrasound."},{"code" : "121093","display" : "Sonographer"},{"code" : "121094","display" : "Performing","definition" : "The person responsible for performing the procedure."},{"code" : "121095","display" : "Referring","definition" : "The person responsible for referring the patient for the procedure."},{"code" : "121096","display" : "Requesting","definition" : "The person responsible for requesting the procedure."},{"code" : "121097","display" : "Recording","definition" : "The person responsible for recording the procedure or observation."},{"code" : "121098","display" : "Verifying","definition" : "The person responsible for verifying the recorded procedure or observation."},{"code" : "121099","display" : "Assisting","definition" : "The person responsible for assisting with the procedure."},{"code" : "121100","display" : "Circulating","definition" : "The person responsible for making preparations for and monitoring the procedure."},{"code" : "121101","display" : "Standby","definition" : "The person responsible for standing by to assist with the precedure if required."},{"code" : "121102","display" : "Other sex","definition" : "Other sex."},{"code" : "121103","display" : "Undetermined sex","definition" : "Sex of subject undetermined at time of encoding."},{"code" : "121104","display" : "Ambiguous sex","definition" : "Ambiguous sex."},{"code" : "121105","display" : "Radiation Physicist","definition" : "Radiation Physicist."},{"code" : "121106","display" : "Comment","definition" : "Comment."},{"code" : "121109","display" : "Indications for Procedure","definition" : "Indications for Procedure"},{"code" : "121110","display" : "Patient Presentation","definition" : "Patient condition at the beginning of a healthcare encounter"},{"code" : "121111","display" : "Summary","definition" : "Summary of a procedure, including most significant findings"},{"code" : "121112","display" : "Source of Measurement","definition" : "Image or waveform used as source for measurement."},{"code" : "121113","display" : "Complications","definition" : "Complications from a procedure"},{"code" : "121114","display" : "Performing Physician","definition" : "Physician who performed a procedure."},{"code" : "121115","display" : "Discharge Summary","definition" : "Summary of patient condition upon Discharge from a healthcare facility."},{"code" : "121116","display" : "Proximal Finding Site","definition" : "Proximal Anatomic Location for a differential measurement; may be considered subtype of term (363698007, SCT, \"Finding Site\")."},{"code" : "121117","display" : "Distal Finding Site","definition" : "Distal Anatomic Location for a differential measurement; may be considered subtype of term (363698007, SCT, \"Finding Site\")."},{"code" : "121118","display" : "Patient Characteristics","definition" : "Patient Characteristics (findings)."},{"code" : "121120","display" : "Cath Lab Procedure Log","definition" : "Time-stamped record of events that occur during a catheterization procedure."},{"code" : "121121","display" : "Room identification","definition" : "Room identification."},{"code" : "121122","display" : "Equipment Identification","definition" : "Equipment identification."},{"code" : "121123","display" : "Patient Status or Event","definition" : "A recorded Patient Status or an event involving a patient."},{"code" : "121124","display" : "Procedure Action Item ID","definition" : "Identification of a step, action, or phase of a procedure."},{"code" : "121125","display" : "DateTime of Recording of Log Entry","definition" : "DateTime of Recording of an Entry in an Event Log."},{"code" : "121126","display" : "Performed Procedure Step SOP Instance UID","definition" : "SOP Instance UID of a Performed Procedure Step."},{"code" : "121127","display" : "Performed Procedure Step SOP Class UID","definition" : "SOP Class UID of a Performed Procedure Step."},{"code" : "121128","display" : "Procedure Action Duration","definition" : "Duration of a step, action, or phase of a procedure."},{"code" : "121130","display" : "Start Procedure Action","definition" : "Beginning of a step, action, or phase of a procedure."},{"code" : "121131","display" : "End Procedure Action","definition" : "End of a step, action, or phase of a procedure."},{"code" : "121132","display" : "Suspend Procedure Action","definition" : "Suspension of a step, action, or phase of a procedure."},{"code" : "121133","display" : "Resume Procedure Action","definition" : "Resumption of a step, action, or phase of a procedure."},{"code" : "121135","display" : "Observation DateTime Qualifier","definition" : "Concept modifier for the DateTime of Recording of an Entry in an Event Log."},{"code" : "121136","display" : "DateTime Unsynchronized","definition" : "Recorded DateTime had its source in a system clock not synchronized to other recorded DateTimes."},{"code" : "121137","display" : "DateTime Estimated","definition" : "Recorded DateTime is estimated."},{"code" : "121138","display" : "Image Acquired","definition" : "Event of the acquisition of an image."},{"code" : "121139","display" : "Modality","definition" : "Type of device, process or method used to acquire or derive data."},{"code" : "121140","display" : "Number of Frames","definition" : "Number of Frames in a multi-frame image."},{"code" : "121141","display" : "Image Type","definition" : "Descriptor of an Image."},{"code" : "121142","display" : "Acquisition Duration","definition" : "Duration of the acquisition of an image or a waveform."},{"code" : "121143","display" : "Waveform Acquired","definition" : "Event of the acquisition of an image."},{"code" : "121144","display" : "Document Title","definition" : "Document Title."},{"code" : "121145","display" : "Description of Material","definition" : "Description of Material used in a procedure."},{"code" : "121146","display" : "Quantity of Material","definition" : "Quantity of Material used in a procedure."},{"code" : "121147","display" : "Billing Code","definition" : "Billing Code for materials used in a procedure."},{"code" : "121148","display" : "Unit Serial Identifier","definition" : "Unit or Device Serial Identifier."},{"code" : "121149","display" : "Lot Identifier","definition" : "Lot Identifier."},{"code" : "121150","display" : "Device Code","definition" : "Vendor or local coded value identifying a device."},{"code" : "121151","display" : "Lesion Identifier","definition" : "Identification of a Lesion observed during an imaging procedure."},{"code" : "121152","display" : "Person administering drug/contrast","definition" : "Person administering drug/contrast."},{"code" : "121153","display" : "Lesion Risk","definition" : "Assessment of the risk a coronary lesion presents to the health of a patient."},{"code" : "121154","display" : "Intervention attempt identifier","definition" : "Identifier for an attempted Intervention."},{"code" : "121155","display" : "Deployment","definition" : "Use of a device to deploy another device."},{"code" : "121156","display" : "Percutaneous Entry Action","definition" : "Action of a clinical professional at the site of percutaneous access to a patient's cardiovascular system."},{"code" : "121157","display" : "Begin Circulatory Support","definition" : "The action or event of beginning circulatory support for a patient."},{"code" : "121158","display" : "End Circulatory Support","definition" : "The action or event of ending circulatory support for a patient."},{"code" : "121160","display" : "Oxygen Administration Rate","definition" : "Rate of Oxygen Administration."},{"code" : "121161","display" : "Begin Oxygen Administration","definition" : "The action or event of beginning administration of oxygen to a patient."},{"code" : "121162","display" : "End oxygen administration","definition" : "The action or event of ending administration of oxygen to a patient."},{"code" : "121163","display" : "Oxygen Administration by ventilator","definition" : "Method of administration of oxygen to a patient by ventilator."},{"code" : "121165","display" : "Patient Assessment Performed","definition" : "The action or event of assessing the clinical status of a patient."},{"code" : "121166","display" : "Begin Pacing","definition" : "The action or event of beginning pacing support for a patient."},{"code" : "121167","display" : "End Pacing","definition" : "The action or event of ending pacing support for a patient."},{"code" : "121168","display" : "Begin Ventilation","definition" : "The action or event of beginning ventilation support for a patient."},{"code" : "121169","display" : "End Ventilation","definition" : "The action or event of ending ventilation support for a patient."},{"code" : "121171","display" : "Tech Note","definition" : "Procedural note originated by a technologist."},{"code" : "121172","display" : "Nursing Note","definition" : "Procedural note originated by a nurse."},{"code" : "121173","display" : "Physician Note","definition" : "Procedural note originated by a Physician."},{"code" : "121174","display" : "Procedure Note","definition" : "General procedural note."},{"code" : "121180","display" : "Key Images","definition" : "List of references to images considered significant"},{"code" : "121181","display" : "DICOM Object Catalog","definition" : "List of references to DICOM SOP Instances."},{"code" : "121190","display" : "Referenced Frames","definition" : "Individual frames selected as a subset of a multi-frame image."},{"code" : "121191","display" : "Referenced Segment","definition" : "Segment selected as a subset of a segmentation image, specifically the pixels/voxels identified as belonging to the classification of the identified segment."},{"code" : "121192","display" : "Device Subject","definition" : "A device is the subject of observations."},{"code" : "121193","display" : "Device Subject Name","definition" : "Name or other identifier of a device that is the subject of observations."},{"code" : "121194","display" : "Device Subject Manufacturer","definition" : "Manufacturer of a device that is the subject of observations."},{"code" : "121195","display" : "Device Subject Model Name","definition" : "Model Name of a device that is the subject of observations."},{"code" : "121196","display" : "Device Subject Serial Number","definition" : "Serial Number of a device that is the subject of observations."},{"code" : "121197","display" : "Device Subject Physical Location during observation","definition" : "Physical Location of a device that is the subject of observations during those observations."},{"code" : "121198","display" : "Device Subject UID","definition" : "Unique Identifier of a device that is the subject of observations."},{"code" : "121200","display" : "Illustration of ROI","definition" : "Illustration of a region of interest."},{"code" : "121201","display" : "Area Outline"},{"code" : "121202","display" : "Area of Defined Region"},{"code" : "121206","display" : "Distance","definition" : "A one dimensional, or linear, numeric measurement between two points or features."},{"code" : "121207","display" : "Height","definition" : "Vertical measurement value."},{"code" : "121208","display" : "Inter-Marker Distance","definition" : "Distance between marks on a device of calibrated size."},{"code" : "121210","display" : "Path"},{"code" : "121211","display" : "Path length","definition" : "A one dimensional, or linear, numeric measurement along a polyline."},{"code" : "121213","display" : "Perimeter Outline"},{"code" : "121214","display" : "Referenced Segmentation Frame","definition" : "Frame selected from a segmentation image, specifically the pixels/voxels identified as belonging to the classification of the segment encompassing the identified frame."},{"code" : "121216","display" : "Volume estimated from single 2D region","definition" : "A three-dimensional numeric measurement that is approximate, based on a two-dimensional region in a single image."},{"code" : "121217","display" : "Volume estimated from three or more non-coplanar 2D regions","definition" : "A three-dimensional numeric measurement that is approximate, based on three or more non-coplanar two-dimensional image regions."},{"code" : "121218","display" : "Volume estimated from two non-coplanar 2D regions","definition" : "A three-dimensional numeric measurement that is approximate, based on two non-coplanar two-dimensional image regions."},{"code" : "121219","display" : "Volume of bounding three dimensional region","definition" : "A three-dimensional numeric measurement of the bounding region of a three-dimensional region of interest in an image set."},{"code" : "121220","display" : "Volume of circumscribed sphere","definition" : "A three-dimensional numeric measurement of the bounding sphere of a three-dimensional region of interest in an image set."},{"code" : "121221","display" : "Volume of ellipsoid","definition" : "A three-dimensional numeric measurement of an ellipsoid shaped three-dimensional region of interest in an image set."},{"code" : "121222","display" : "Volume of sphere","definition" : "A three-dimensional numeric measurement of a sphere shaped three-dimensional region of interest in an image set."},{"code" : "121223","display" : "Arm of angle","definition" : "A line segment that is an arm of a pair of arms that defines an angle, whether or not those line segments share a common vertex."},{"code" : "121224","display" : "Acetabular angle","definition" : "The angle on an AP radiograph of the pelvis between a line drawn parallel to the acetabular roof and a line drawn horizontally through the inferior aspect of both triradiate cartilages (Hilgenreiner's line)."},{"code" : "121225","display" : "Vector","definition" : "An entity that has both a magnitude and a direction."},{"code" : "121226","display" : "Approximate spatial location","definition" : "The approximate geometric location on an image or in space where an entity is located."},{"code" : "121227","display" : "Line segment length","definition" : "The length of that part of a line (a straight object having no curvature) that is bounded by two distinct end points and contains every point on the line between those two end points, including both of the two end points."},{"code" : "121230","display" : "Path Vertex","definition" : "Coordinates of a point on a defined path."},{"code" : "121231","display" : "Volume Surface","definition" : "Surface of an identified or measured volume."},{"code" : "121232","display" : "Source series for segmentation","definition" : "Series of image instances used as source data for a segmentation."},{"code" : "121233","display" : "Source image for segmentation","definition" : "Image instances used as source data for a segmentation."},{"code" : "121242","display" : "Distance from nipple","definition" : "Indicates the location of the area of interest as measured from the nipple of the breast."},{"code" : "121243","display" : "Distance from skin","definition" : "Indicates the location of the area of interest as measured from the most direct skin point of the breast."},{"code" : "121244","display" : "Distance from chest wall","definition" : "Indicates the location of the area of interest as measured from the chest wall."},{"code" : "121290","display" : "Patient exposure to ionizing radiation","definition" : "Patient exposure to ionizing radiation (procedure)."},{"code" : "121291","display" : "Results communicated","definition" : "The act of communicating actionable findings to a responsible receiver."},{"code" : "121301","display" : "Simultaneous Doppler","definition" : "Reference is to a Doppler waveform acquired simultaneously with an image."},{"code" : "121302","display" : "Simultaneous Hemodynamic","definition" : "Reference is to a Hemodynamic waveform acquired simultaneously with an image."},{"code" : "121303","display" : "Simultaneous ECG","definition" : "Reference is to a ECG waveform acquired simultaneously with an image."},{"code" : "121304","display" : "Simultaneous Voice Narrative","definition" : "Reference is to a voice narrative recording acquired simultaneously with an image."},{"code" : "121305","display" : "Simultaneous Respiratory Waveform","definition" : "A waveform representing chest expansion and contraction due to respiratory activity, measured simultaneously with the acquisition of this Image."},{"code" : "121306","display" : "Simultaneous Arterial Pulse Waveform","definition" : "Arterial pulse waveform obtained simultaneously with acquisition of a referencing image."},{"code" : "121307","display" : "Simultaneous Phonocardiographic Waveform","definition" : "Phonocardiographic waveform obtained simultaneously with acquisition of a referencing image."},{"code" : "121310","display" : "RT treatment plan for the position being verified","definition" : "The referenced instance is an RT treatment plan of some type, which contains treatment positioning information, which has been verified using the information in the referencing instance."},{"code" : "121311","display" : "Localizer","definition" : "Image providing an anatomical reference on the patient under examination, for the purpose of defining the location of the ensuing imaging."},{"code" : "121312","display" : "Biopsy localizer","definition" : "Image providing an anatomical reference on the patient under examination, for the purpose of planning or documenting a biopsy."},{"code" : "121313","display" : "Other partial views","definition" : "Image providing a partial view of the target anatomy, when the target anatomy is too large for a single image."},{"code" : "121314","display" : "Other image of biplane pair","definition" : "Image providing a view of the target anatomy in a different imaging plane, typically from a near perpendicular angle."},{"code" : "121315","display" : "Other image of stereoscopic pair","definition" : "Image providing a view of the target anatomy in a different imaging plane, typically with a small angular difference."},{"code" : "121316","display" : "Images related to standalone object","definition" : "Image related to a non-image information object."},{"code" : "121317","display" : "Spectroscopy","definition" : "Image where signals are identified and separated according to their frequencies."},{"code" : "121318","display" : "Spectroscopy Data for Water Phase Correction","definition" : "MR spectroscopy data acquired to correct the phase of the diagnostic data for the phase signal of the Water."},{"code" : "121320","display" : "Uncompressed predecessor","definition" : "An image that has not already been lossy compressed that is used as the source for creation of a lossy compressed image."},{"code" : "121321","display" : "Mask image for image processing operation","definition" : "Image used as the mask for an image processing operation, such as subtraction."},{"code" : "121322","display" : "Source image for image processing operation","definition" : "Image used as the source for an image processing operation."},{"code" : "121323","display" : "Source series for image processing operation","definition" : "Series used as the source for an image processing operation."},{"code" : "121324","display" : "Source Image","definition" : "Image used as the source for a derived or compressed image."},{"code" : "121325","display" : "Lossy compressed image","definition" : "Image encoded with a lossy compression transfer syntax."},{"code" : "121326","display" : "Alternate SOP Class instance","definition" : "SOP Instance encoded with a different SOP Class but otherwise equivalent data."},{"code" : "121327","display" : "Full fidelity image","definition" : "Full fidelity image, uncompressed or lossless compressed."},{"code" : "121328","display" : "Alternate Photometric Interpretation image","definition" : "Image encoded with a different photometric interpretation."},{"code" : "121329","display" : "Source image for montage","definition" : "Image used as a source for a montage (stitched) image."},{"code" : "121330","display" : "Lossy compressed predecessor","definition" : "An image that has previously been lossy compressed that is used as the source for creation of another lossy compressed image."},{"code" : "121331","display" : "Equivalent CDA Document","definition" : "HL7 Document Architecture (CDA) Document that contains clinical content equivalent to the referencing Instance."},{"code" : "121332","display" : "Complete Rendering for Presentation","definition" : "Instance that contains a displayable complete rendering of the referencing Instance."},{"code" : "121333","display" : "Partial Rendering for Presentation","definition" : "Instance that contains a displayable partial rendering of the referencing Instance."},{"code" : "121334","display" : "Extended Rendering for Presentation","definition" : "Instance that contains a displayable complete rendering of the referencing Instance, plus additional content such as inline rendering of referenced images."},{"code" : "121335","display" : "Source Document","definition" : "Document whose content has been wholly or partially transformed to create the referencing document."},{"code" : "121338","display" : "Anatomic image","definition" : "Image showing structural anatomic features."},{"code" : "121339","display" : "Functional image","definition" : "Image showing physical or chemical activity."},{"code" : "121340","display" : "Spectral filtered image","definition" : "Image providing the same view of the target anatomy acquired using only a specific imaging wavelength, frequency or energy."},{"code" : "121341","display" : "Device localizer","definition" : "Image providing an anatomical reference on the patient under examination, for the purpose of documenting the location of device such as a diagnostic or therapeutic catheter."},{"code" : "121342","display" : "Dose Image","definition" : "Image providing a graphic view of the distribution of radiation dose."},{"code" : "121346","display" : "Acquisition frames corresponding to volume","definition" : "The referenced image is the source of spatially-related frames from which the referencing 3D volume data was derived."},{"code" : "121347","display" : "Volume corresponding to spatially-related acquisition frames","definition" : "3D Volume containing the spatially-related frames in the referencing instance."},{"code" : "121348","display" : "Temporal Predecessor","definition" : "Instance acquired prior to the referencing instance in a set of consecutively acquired instances."},{"code" : "121349","display" : "Temporal Successor","definition" : "Instance acquired subsequent to the referencing instance in a set of consecutively acquired instances."},{"code" : "121350","display" : "Same acquisition at lower resolution","definition" : "Image of the same target area at lower resolution acquired in the same acquisition process."},{"code" : "121351","display" : "Same acquisition at higher resolution","definition" : "Image of the same target area at higher resolution acquired in the same acquisition process."},{"code" : "121352","display" : "Same acquisition at different focal depth","definition" : "Image of the same target area at different focal depth (Z-plane) acquired in the same acquisition process."},{"code" : "121353","display" : "Same acquisition at different spectral band","definition" : "Image of the same target area at different spectral band acquired in the same acquisition process."},{"code" : "121354","display" : "Imaged container label","definition" : "Image specifically targeting the container label."},{"code" : "121358","display" : "For Processing predecessor","definition" : "Source image from which FOR PRESENTATION images were created."},{"code" : "121360","display" : "Replaced report","definition" : "The reference is to a predecessor report that has been replaced by the current report."},{"code" : "121361","display" : "Addended report","definition" : "The reference is to a predecessor report to which the current report provides an addendum."},{"code" : "121362","display" : "Preliminary report","definition" : "A report that precedes the final report and may contain only limited information; it may be time sensitive, and it is not expected to contain all the reportable findings."},{"code" : "121363","display" : "Partial report","definition" : "A report that is not complete."},{"code" : "121370","display" : "Composed from prior doses","definition" : "The dose object created was calculated by summation of existing, previously calculated, RT Dose instances."},{"code" : "121371","display" : "Composed from prior doses and current plan","definition" : "The dose object created was calculated by summation of existing, previously calculated, RT Dose instances and dose newly calculated by the application. The newly calculated dose may or may not exist as an independent object."},{"code" : "121372","display" : "Source dose for composing current dose","definition" : "RT Dose Instances used as source for calculated dose."},{"code" : "121373","display" : "RT Pre-Treatment Dose Check","definition" : "An assessment of the dose delivery parameters performed before treatment."},{"code" : "121374","display" : "RT Pre-Treatment Consistency Check","definition" : "An assessment of consistency with a previously quality-assured treatment plan performed before treatment."},{"code" : "121375","display" : "Assessment By Comparison","definition" : "The basis of the assessment was a comparison object."},{"code" : "121376","display" : "Assessment By Rules","definition" : "The basis of the assessment was a set of rules on expected values, ranges and relationships."},{"code" : "121377","display" : "Composed with radiobiological effects","definition" : "The dose object created was calculated using previously calculated RT Dose Instances by taking radiobiological effects into account."},{"code" : "121378","display" : "Composed with weighting for fractions delivered","definition" : "The dose object was calculated based on weighted contributions along the actual number of fractions delivered."},{"code" : "121380","display" : "Active Ingredient Undiluted Concentration","definition" : "Concentration of the chemically or physically interesting (active) ingredient of a drug or contrast agent as delivered in product form from the manufacturer, typically in mg/ml."},{"code" : "121381","display" : "Contrast/Bolus Ingredient Opaque","definition" : "X-Ray absorption of the active ingredient of a contrast agent ingredient is greater than the absorption of water (tissue)."},{"code" : "121382","display" : "Quantity administered","definition" : "Number of units of substance administered to a patient."},{"code" : "121383","display" : "Mass administered","definition" : "Mass of substance administered to a patient."},{"code" : "121384","display" : "RT Plan Label","definition" : "Human readable label of the radiotherapy plan."},{"code" : "121385","display" : "Current Fraction Number","definition" : "The index of the fraction of the radiotherapy plan to be delivered."},{"code" : "121386","display" : "Number of Fractions Planned","definition" : "The total number of prescribed radiotherapy fractions."},{"code" : "121387","display" : "Number of Fractions Completed","definition" : "The number of fully completed radiotherapy fractions of the radiotherapy plan to be delivered. Partially completed fractions are not included."},{"code" : "121388","display" : "Checked-In Status","definition" : "Whether or not the patient has been checked-in, i.e., are physically present and are waiting to be called in to the treatment room."},{"code" : "121389","display" : "Referenced Beam Number","definition" : "The referenced beam number within the radiotherapy plan to be delivered."},{"code" : "121401","display" : "Derivation","definition" : "Method of deriving or calculating a measured value."},{"code" : "121402","display" : "Normality","definition" : "Assessment of a measurement relative to a normal range of values; may be considered subtype of term (363713009, SCT, \"has interpretation\")."},{"code" : "121403","display" : "Level of Significance","definition" : "Significance of a measurement."},{"code" : "121404","display" : "Selection Status","definition" : "Status of selection of a measurement for further processing or use."},{"code" : "121405","display" : "Population description","definition" : "Description of a population of measurements."},{"code" : "121406","display" : "Reference Authority","definition" : "Bibliographic or clinical reference for a Description of a population of measurements."},{"code" : "121407","display" : "Normal Range description","definition" : "Description of a normal range of values for a measurement concept."},{"code" : "121408","display" : "Normal Range Authority","definition" : "Bibliographic or clinical reference for a Description of a normal range of values."},{"code" : "121410","display" : "User chosen value","definition" : "Observation value selected by user for further processing or use, or as most representative."},{"code" : "121411","display" : "Most recent value chosen","definition" : "Observation value is the recently obtained, and has been selected for further processing or use."},{"code" : "121412","display" : "Mean value chosen","definition" : "Observation value is the mean of several measurements, and has been selected for further processing or use."},{"code" : "121414","display" : "Standard deviation of population","definition" : "Standard deviation of a measurement in a reference population."},{"code" : "121415","display" : "Percentile Ranking of measurement","definition" : "Percentile Ranking of an observation value with respect a reference population."},{"code" : "121416","display" : "Z-Score of measurement","definition" : "Z-score of an observation value with respect a reference population, expressed as the dimensionless quantity (x-m) /s, where (x-m) is the deviation of the observation value (x) from the population mean (m), and s is the standard deviation of the population."},{"code" : "121417","display" : "2 Sigma deviation of population","definition" : "2 Sigma deviation of a measurement in a reference population."},{"code" : "121420","display" : "Equation","definition" : "Formula used to compute a derived measurement."},{"code" : "121421","display" : "Equation Citation","definition" : "Bibliographic reference to a formula used to compute a derived measurement; reference may be to a specific equation in a journal article."},{"code" : "121422","display" : "Table of Values Citation","definition" : "Bibliographic reference to a Table of Values used to look up a derived measurement."},{"code" : "121423","display" : "Method Citation","definition" : "Bibliographic reference to a method used to compute a derived measurement."},{"code" : "121424","display" : "Table of Values","definition" : "A Table of Values used to look up a derived measurement."},{"code" : "121425","display" : "Index","definition" : "Factor (divisor or multiplicand) for normalizing a measurement."},{"code" : "121427","display" : "Estimated","definition" : "Measurement obtained by observer estimation, rather than with a measurement tool or by calculation"},{"code" : "121428","display" : "Calculated","definition" : "Measurement obtained by calculation"},{"code" : "121430","display" : "Concern","definition" : "Identified issue about a state or process that has the potential to require intervention or management."},{"code" : "121431","display" : "DateTime Concern Noted","definition" : "DateTime concern noted (noted by whom is determined by context of use)."},{"code" : "121432","display" : "DateTime Concern Resolved","definition" : "DateTime the concern was resolved."},{"code" : "121433","display" : "DateTime Problem Resolved","definition" : "DateTime the problem was resolved."},{"code" : "121434","display" : "Service Delivery Location","definition" : "Place at which healthcare services may be provided."},{"code" : "121435","display" : "Service Performer","definition" : "Identification of a healthcare provider who performed a healthcare service; may be either a person or an organization."},{"code" : "121436","display" : "Medical Device Used","definition" : "Type or identifier of a medical device used on, in, or by a patient."},{"code" : "121437","display" : "Pharmacologic and exercise stress test","definition" : "Cardiac stress test using pharmacologic and exercise stressors"},{"code" : "121438","display" : "Paced stress test","definition" : "Cardiac stress test using an implanted or external cardiac pacing device"},{"code" : "121439","display" : "Correction of congenital cardiovascular deformity","definition" : "Procedure for correction of congenital cardiovascular deformity"},{"code" : "121701","display" : "RT Patient Setup","definition" : "Process of placing patient in the anticipated treatment position, including specification and location of positioning aids, and other treatment delivery accessories."},{"code" : "121702","display" : "RT Patient Position Acquisition, single plane MV","definition" : "Acquisition of patient positioning information, using single-plane megavoltage imaging."},{"code" : "121703","display" : "RT Patient Position Acquisition, dual plane MV","definition" : "Acquisition of patient positioning information, using dual-plane megavoltage imaging."},{"code" : "121704","display" : "RT Patient Position Acquisition, single plane kV","definition" : "Acquisition of patient positioning information, using single-plane kilovoltage imaging."},{"code" : "121705","display" : "RT Patient Position Acquisition, dual plane kV","definition" : "Acquisition of patient positioning information, using dual-plane kilovoltage imaging."},{"code" : "121706","display" : "RT Patient Position Acquisition, dual plane kV/MV","definition" : "Acquisition of patient positioning information, using dual-plane combination kilovoltage and megavoltage imaging."},{"code" : "121707","display" : "RT Patient Position Acquisition, CT kV","definition" : "Acquisition of patient positioning information, using kilovoltage CT imaging.This code encompasses both Cone-Beam CT and conventional CT."},{"code" : "121708","display" : "RT Patient Position Acquisition, CT MV","definition" : "Acquisition of patient positioning information, using megavoltage CT imaging.This code encompasses both Cone-Beam CT and conventional CT."},{"code" : "121709","display" : "RT Patient Position Acquisition, Optical","definition" : "Acquisition of patient positioning information, using optical imaging."},{"code" : "121710","display" : "RT Patient Position Acquisition, Ultrasound","definition" : "Acquisition of patient positioning information, using ultrasound imaging."},{"code" : "121711","display" : "RT Patient Position Acquisition, Spatial Fiducials","definition" : "Acquisition of patient positioning information, using spatial fiducials."},{"code" : "121712","display" : "RT Patient Position Registration, single plane","definition" : "Registration of intended and actual patient position prior to treatment delivery, using single-plane images."},{"code" : "121713","display" : "RT Patient Position Registration, dual plane","definition" : "Registration of intended and actual patient position prior to treatment delivery, using dual-plane images."},{"code" : "121714","display" : "RT Patient Position Registration, 3D CT general","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D CT images and an unspecified registration approach."},{"code" : "121715","display" : "RT Patient Position Registration, 3D CT marker-based","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D CT images and a marker-based registration approach."},{"code" : "121716","display" : "RT Patient Position Registration, 3D CT volume-based","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D CT images and a volume-based registration approach."},{"code" : "121717","display" : "RT Patient Position Registration, 3D on 2D reference","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 3D verification images and 2D reference images."},{"code" : "121718","display" : "RT Patient Position Registration, 2D on 3D reference","definition" : "Registration of intended and actual patient position prior to treatment delivery, using 2D verification images and 3D reference images."},{"code" : "121719","display" : "RT Patient Position Registration, Optical","definition" : "Registration of intended and actual patient position prior to treatment delivery, using optical images."},{"code" : "121720","display" : "RT Patient Position Registration, Ultrasound","definition" : "Registration of intended and actual patient position prior to treatment delivery, using ultrasound images."},{"code" : "121721","display" : "RT Patient Position Registration, Spatial Fiducials","definition" : "Registration of intended and actual patient position prior to treatment delivery, using spatial fiducials."},{"code" : "121722","display" : "RT Patient Position Adjustment","definition" : "Adjustment of patient position such that the patient is correctly positioned for treatment."},{"code" : "121723","display" : "RT Patient Position In-treatment-session Review","definition" : "Review of patient positioning information in the process of delivering a treatment session."},{"code" : "121724","display" : "RT Treatment Simulation with Internal Verification","definition" : "Simulated radiotherapy treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121725","display" : "RT Treatment Simulation with External Verification","definition" : "Simulated radiotherapy treatment delivery using verification by a external Machine Parameter Verifier."},{"code" : "121726","display" : "RT Treatment with Internal Verification","definition" : "Radiotherapy treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121727","display" : "RT Treatment with External Verification","definition" : "Radiotherapy treatment delivery using verification by a external Machine Parameter Verifier."},{"code" : "121728","display" : "RT Treatment QA with Internal Verification","definition" : "Quality assurance of a radiotherapy treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121729","display" : "RT Treatment QA with External Verification","definition" : "Quality assurance of a radiotherapy treatment delivery using verification by a external Machine Parameter Verifier."},{"code" : "121730","display" : "RT Machine QA","definition" : "Quality assurance of a Treatment Delivery Device."},{"code" : "121731","display" : "RT Treatment QA by RT Plan Dose Check","definition" : "Perform Quality Assurance on an RT Plan by evaluating dosimetric content of the current RT Plan."},{"code" : "121732","display" : "RT Treatment QA by RT Plan Difference Check","definition" : "Perform Quality Assurance on an RT Plan by comparing the content of previously quality-assessed RT Plans with the current RT Plan."},{"code" : "121733","display" : "RT Treatment QA by RT Ion Plan Dose Check","definition" : "Perform Quality Assurance on an RT Ion Plan by evaluating dosimetric content of the current RT Ion Plan."},{"code" : "121734","display" : "RT Treatment QA by RT Ion Plan Difference Check","definition" : "Perform Quality Assurance on an RT Ion Plan by comparing the content of previously quality-assessed RT Ion Plans by the current RT Ion Plan."},{"code" : "121735","display" : "RT Brachy Treatment","definition" : "Brachytherapy Treatment Delivery."},{"code" : "121736","display" : "RT Image-Guided Patient Positioning and Treatment Delivery","definition" : "Radiotherapy image-guided patient positioning and treatment delivery using verification integral to the Treatment Delivery System."},{"code" : "121737","display" : "RT Patient Position Acquisition, MR","definition" : "Acquisition of radiotherapy patient positioning information, using magnetic resonance imaging."},{"code" : "121738","display" : "RT Patient Position Registration, MR","definition" : "Registration of intended and actual patient position prior to treatment delivery, using MR images and an unspecified registration approach."},{"code" : "121740","display" : "Treatment Delivery Type","definition" : "Indicates whether the treatment to be delivered is a complete fraction or a continuation of previous incompletely treated fraction."},{"code" : "122001","display" : "Patient called to procedure room","definition" : "Patient called to procedure room."},{"code" : "122002","display" : "Patient admitted to procedure room","definition" : "Patient admitted to procedure room."},{"code" : "122003","display" : "Patient given pre-procedure instruction","definition" : "Patient given pre-procedure instruction."},{"code" : "122004","display" : "Patient informed consent given","definition" : "Patient informed consent given."},{"code" : "122005","display" : "Patient advance directive given","definition" : "Patient advance directive given."},{"code" : "122006","display" : "Nil Per Os (NPO) status confirmed","definition" : "Nil Per Os (NPO) status confirmed."},{"code" : "122007","display" : "Patient assisted to table","definition" : "Patient assisted to table."},{"code" : "122008","display" : "Patient prepped and draped","definition" : "Patient prepped and draped."},{"code" : "122009","display" : "Patient connected to continuous monitoring","definition" : "Patient connected to continuous monitoring."},{"code" : "122010","display" : "Patient transferred to holding area","definition" : "Patient transferred to holding area."},{"code" : "122011","display" : "Patient transferred to surgery","definition" : "Patient transferred to surgery."},{"code" : "122012","display" : "Patient transferred to CCU","definition" : "Patient transferred to CCU."},{"code" : "122020","display" : "Patient disoriented","definition" : "Patient disoriented."},{"code" : "122021","display" : "Patient reports nausea","definition" : "Patient reports nausea."},{"code" : "122022","display" : "Patient reports discomfort","definition" : "Patient reports discomfort."},{"code" : "122023","display" : "Patient reports chest pain","definition" : "Patient reports chest pain."},{"code" : "122024","display" : "Patient reports no pain","definition" : "Patient reports no pain."},{"code" : "122025","display" : "Patient alert","definition" : "Patient alert."},{"code" : "122026","display" : "Patient restless","definition" : "Patient restless."},{"code" : "122027","display" : "Patient sedated","definition" : "Patient sedated."},{"code" : "122028","display" : "Patient asleep","definition" : "Patient asleep."},{"code" : "122029","display" : "Patient unresponsive","definition" : "Patient unresponsive."},{"code" : "122030","display" : "Patient has respiratory difficulty","definition" : "Patient has respiratory difficulty."},{"code" : "122031","display" : "Patient coughed","definition" : "Patient coughed."},{"code" : "122032","display" : "Patient disconnected from continuous monitoring","definition" : "Patient disconnected from continuous monitoring."},{"code" : "122033","display" : "Hemostasis achieved","definition" : "Hemostasis achieved."},{"code" : "122034","display" : "Hemostasis not achieved - oozing","definition" : "Hemostasis not achieved - oozing."},{"code" : "122035","display" : "Hemostasis not achieved - actively bleeding","definition" : "Hemostasis not achieved - actively bleeding."},{"code" : "122036","display" : "Patient given post-procedure instruction","definition" : "Patient given post-procedure instruction."},{"code" : "122037","display" : "Patient discharged from department","definition" : "Patient discharged from department or laboratory."},{"code" : "122038","display" : "Patient pronounced dead","definition" : "Patient pronounced dead."},{"code" : "122039","display" : "Patient transferred to morgue","definition" : "Patient transferred to morgue."},{"code" : "122041","display" : "Personnel Arrived","definition" : "Identified personnel or staff arrived in procedure room."},{"code" : "122042","display" : "Personnel Departed","definition" : "Identified personnel or staff departed procedure room."},{"code" : "122043","display" : "Page Sent To","definition" : "Page sent to identified personnel or staff."},{"code" : "122044","display" : "Consultation With","definition" : "Consultation with identified personnel or staff."},{"code" : "122045","display" : "Office called","definition" : "Office of identified personnel or staff was called."},{"code" : "122046","display" : "Equipment failure","definition" : "Equipment failure"},{"code" : "122047","display" : "Equipment brought to procedure room","definition" : "Equipment brought to procedure room."},{"code" : "122048","display" : "Equipment ready","definition" : "Equipment ready for procedure."},{"code" : "122049","display" : "Equipment removed","definition" : "Equipment removed from procedure room."},{"code" : "122052","display" : "Bioptome","definition" : "Device for obtaining biopsy sample."},{"code" : "122053","display" : "Valvular Intervention","definition" : "Valvular Intervention."},{"code" : "122054","display" : "Aortic Intervention","definition" : "Aortic Intervention."},{"code" : "122055","display" : "Septal Defect Intervention","definition" : "Septal Defect Intervention."},{"code" : "122056","display" : "Vascular Intervention","definition" : "Vascular Intervention."},{"code" : "122057","display" : "Myocardial biopsy","definition" : "Myocardial biopsy."},{"code" : "122058","display" : "Arterial conduit angiography","definition" : "Arterial conduit angiography."},{"code" : "122059","display" : "Single plane Angiography","definition" : "Single plane Angiography."},{"code" : "122060","display" : "Bi-plane Angiography","definition" : "Bi-plane Angiography."},{"code" : "122061","display" : "Percutaneous Coronary Intervention","definition" : "Percutaneous Coronary Intervention."},{"code" : "122062","display" : "15-Lead ECG","definition" : "15-Lead electrocardiography"},{"code" : "122072","display" : "Pre-procedure log","definition" : "Log of events occurring prior to the current procedure."},{"code" : "122073","display" : "Current procedure evidence","definition" : "Analysis or measurements for current procedure (purpose of reference to evidence document)."},{"code" : "122075","display" : "Prior report for current patient","definition" : "Prior report for current patient."},{"code" : "122076","display" : "Consumable taken from inventory","definition" : "Identifier of Consumable taken from inventory."},{"code" : "122077","display" : "Consumable returned to inventory","definition" : "Identifier of Consumable returned to inventory."},{"code" : "122078","display" : "Remaining consumable disposed","definition" : "Identifier of consumable whose remaining content has been disposed."},{"code" : "122079","display" : "Consumable unusable","definition" : "Identifier of Consumable determined to be unusable."},{"code" : "122081","display" : "Drug start","definition" : "Identifier of Drug whose administration has started."},{"code" : "122082","display" : "Drug end","definition" : "Identifier of Drug whose administration has ended."},{"code" : "122083","display" : "Drug administered","definition" : "Identifier of Drug administered as part of procedure."},{"code" : "122084","display" : "Contrast start","definition" : "Identifier of Contrast agent whose administration has started."},{"code" : "122085","display" : "Contrast end","definition" : "Identifier of Contrast agent whose administration has ended."},{"code" : "122086","display" : "Contrast administered","definition" : "Identifier of Contrast agent administered."},{"code" : "122087","display" : "Infusate start","definition" : "Identifier of Infusate whose administration has started."},{"code" : "122088","display" : "Infusate end","definition" : "Identifier of Infusate whose administration has ended."},{"code" : "122089","display" : "Device crossed lesion","definition" : "Action of a device traversing a vascular lesion."},{"code" : "122090","display" : "Intervention Action","definition" : "Action of a clinical professional performed on a patient for therapeutic purpose."},{"code" : "122091","display" : "Volume administered","definition" : "Volume of Drug, Contrast agent, or Infusate administered."},{"code" : "122092","display" : "Undiluted dose administered","definition" : "Undiluted dose of Drug, Contrast agent, or Infusate administered."},{"code" : "122093","display" : "Concentration","definition" : "Concentration of Drug, Contrast agent, or Infusate administered."},{"code" : "122094","display" : "Rate of administration","definition" : "Rate of Drug, Contrast agent, or Infusate administration."},{"code" : "122095","display" : "Duration of administration","definition" : "Duration of Drug, Contrast agent, or Infusate administration."},{"code" : "122096","display" : "Volume unadministered or discarded","definition" : "Volume of Drug, Contrast agent, or Infusate unadministered or discarded."},{"code" : "122097","display" : "Catheter Curve","definition" : "Numeric parameter of Curvature of Catheter."},{"code" : "122098","display" : "Transmit Frequency","definition" : "Transmit Frequency."},{"code" : "122099","display" : "ST change from baseline","definition" : "Measured change of patient electrocardiographic ST level relative to baseline measurement."},{"code" : "122101","display" : "Aneurysm on cited vessel","definition" : "Anatomic term modifier indicating aneurysm on cited vessel is the subject of the finding."},{"code" : "122102","display" : "Graft to cited segment, proximal section","definition" : "Anatomic term modifier indicating proximal section of graft to cited vessel is the subject of the finding."},{"code" : "122103","display" : "Graft to cited segment, mid section","definition" : "Anatomic term modifier indicating mid section of graft to cited vessel is the subject of the finding."},{"code" : "122104","display" : "Graft to cited segment, distal section","definition" : "Anatomic term modifier indicating distal section of graft to cited vessel is the subject of the finding."},{"code" : "122105","display" : "DateTime of Intervention","definition" : "DateTime of Intervention."},{"code" : "122106","display" : "Duration of Intervention","definition" : "Duration of Intervention."},{"code" : "122107","display" : "Baseline Stenosis Measurement","definition" : "Lesion stenosis measured prior to any interventional procedure"},{"code" : "122108","display" : "Post-Intervention Stenosis Measurement","definition" : "Lesion stenosis measured after an interventional procedure"},{"code" : "122109","display" : "Baseline TIMI Flow","definition" : "Assessment of perfusion across a coronary lesion measured prior to any interventional procedure."},{"code" : "122110","display" : "Post-Intervention TIMI Flow","definition" : "Assessment of perfusion across a coronary lesion measured after an interventional procedure."},{"code" : "122111","display" : "Primary Intervention Device","definition" : "Indication that device is the primary (first and/or most significant) device used for interventional therapy of a particular pathology."},{"code" : "122112","display" : "Normal Myocardium","definition" : "Normal Myocardium."},{"code" : "122113","display" : "Scarred Myocardium","definition" : "Scarred Myocardium."},{"code" : "122114","display" : "Thinning Myocardium","definition" : "Thinning Myocardium."},{"code" : "122120","display" : "Hemodynamics Report","definition" : "Hemodynamics Report."},{"code" : "122121","display" : "Atrial pressure measurements","definition" : "Atrial pressure measurements, report section."},{"code" : "122122","display" : "Ventricular pressure measurements","definition" : "Ventricular pressure measurements, report section."},{"code" : "122123","display" : "Gradient assessment","definition" : "Gradient assessment, report section."},{"code" : "122124","display" : "Blood velocity measurements","definition" : "Blood velocity measurements, report section."},{"code" : "122125","display" : "Blood lab measurements","definition" : "Blood lab measurements, report section."},{"code" : "122126","display" : "Derived Hemodynamic Measurements","definition" : "Derived Hemodynamic Measurements, report section."},{"code" : "122127","display" : "Clinical Context","definition" : "Clinical Context, report section."},{"code" : "122128","display" : "Patient Transferred From","definition" : "Location from which the patient was transferred."},{"code" : "122129","display" : "PCI during this procedure","definition" : "Indication that the procedure includes a percutaneous coronary intervention."},{"code" : "122130","display" : "Dose Area Product","definition" : "Radiation dose times area of exposure."},{"code" : "122131","display" : "Degree of Thrombus","definition" : "Finding of probability and/or severity of thrombus."},{"code" : "122132","display" : "Severity of Calcification","definition" : "Severity of Calcification, property of lesion."},{"code" : "122133","display" : "Lesion Morphology","definition" : "Lesion Morphology; form and/or structural properties of lesion."},{"code" : "122134","display" : "Vessel Morphology","definition" : "Vessel Morphology; form and/or structural properties of vessel."},{"code" : "122138","display" : "Circulatory Support","definition" : "Technique (device or procedure) of support for patient circulatory system; hemodynamic support."},{"code" : "122139","display" : "Reason for Study","definition" : "Reason for Study."},{"code" : "122140","display" : "Comparison with Prior Study Done","definition" : "Indication that the current study data has been compared with prior study data."},{"code" : "122141","display" : "Electrode Placement","definition" : "Electrocardiographic electrode placement technique."},{"code" : "122142","display" : "Acquisition Device Type","definition" : "Acquisition Device Type."},{"code" : "122143","display" : "Acquisition Device ID","definition" : "Acquisition Device ID."},{"code" : "122144","display" : "Quantitative Analysis","definition" : "Quantitative Analysis, report section."},{"code" : "122145","display" : "Qualitative Analysis","definition" : "Qualitative Analysis, report section."},{"code" : "122146","display" : "Procedure DateTime","definition" : "The date and time on which a procedure was performed on a patient."},{"code" : "122147","display" : "Clinical Interpretation","definition" : "Clinical Interpretation, report section."},{"code" : "122148","display" : "Lead ID","definition" : "ECG Lead Identifier."},{"code" : "122149","display" : "Beat Number","definition" : "Beat Number; ordinal of cardiac cycle within an acquisition."},{"code" : "122150","display" : "Compound Statement","definition" : "Complex coded semantic unit, consisting of several coded components."},{"code" : "122151","display" : "Trend","definition" : "Trend (temporal progression) of a clinical condition, finding, or disease."},{"code" : "122152","display" : "Statement","definition" : "Coded semantic unit."},{"code" : "122153","display" : "Statement Modifier","definition" : "Coded modifier for a semantic unit."},{"code" : "122154","display" : "Conjunctive Term","definition" : "Conjunctive term between semantic units."},{"code" : "122157","display" : "Probability","definition" : "Probability."},{"code" : "122158","display" : "ECG Global Measurements","definition" : "ECG Global Measurements, report section."},{"code" : "122159","display" : "ECG Lead Measurements","definition" : "ECG Lead Measurements, report section."},{"code" : "122160","display" : "Derived Non-Valve Area","definition" : "Derived cross-sectional area of a vessel or anatomic feature, other than a cardiac valve."},{"code" : "122161","display" : "Pulmonary Flow","definition" : "Rate of blood flow through Pulmonary artery."},{"code" : "122162","display" : "Systemic Flow","definition" : "Rate of blood flow through the aorta."},{"code" : "122163","display" : "Discharge DateTime","definition" : "DateTime of patient discharge from hospital admission."},{"code" : "122164","display" : "Coronary Artery Bypass During This Admission","definition" : "Indication that a Coronary Artery Bypass operation was performed during the current hospital admission."},{"code" : "122165","display" : "DateTime of Death","definition" : "DateTime of Death."},{"code" : "122166","display" : "Death During This Admission","definition" : "Indication that the patient died during the current hospital admission."},{"code" : "122167","display" : "Death During Catheterization","definition" : "Indication that the patient died during the current Catheterization procedure."},{"code" : "122170","display" : "Type of Myocardial Infarction","definition" : "Finding of type of Myocardial Infarction."},{"code" : "122171","display" : "Coronary lesion > = 50% stenosis","definition" : "Finding of Coronary lesion with greater than 50% stenosis."},{"code" : "122172","display" : "Acute MI Present","definition" : "Finding of Acute Myocardial Infarction Presence as indication for interventional procedure."},{"code" : "122173","display" : "ST Elevation Onset DateTime","definition" : "DateTime of first determination of elevated ECG ST segment, as indication of Myocardial Infarction."},{"code" : "122175","display" : "Number of lesion interventions attempted","definition" : "Number of lesion interventions attempted during current procedure."},{"code" : "122176","display" : "Number of lesion interventions successful","definition" : "Number of lesion interventions successful during current procedure, where the residual post intervention stenosis is less than or equal to 50% of the arterial luminal diameter, TIMI Flow is 3 and the minimal decrease in stenosis was 20%."},{"code" : "122177","display" : "Procedure Result","definition" : "Overall success of interventional procedure."},{"code" : "122178","display" : "Lesion Intervention Information","definition" : "Lesion Intervention Information, report section."},{"code" : "122179","display" : "Peri-procedural MI occurred","definition" : "Indication that Myocardial Infarction occurred during current procedure."},{"code" : "122180","display" : "CK-MB baseline","definition" : "Creatine Kinase-MB value at baseline (start of procedure)."},{"code" : "122181","display" : "CK-MB peak","definition" : "Creatine Kinase-MB highest value measured during procedure."},{"code" : "122182","display" : "R-R interval","definition" : "Time interval between ECG R-wave peaks in subsequent cardiac cycles."},{"code" : "122183","display" : "Blood temperature","definition" : "Blood temperature."},{"code" : "122185","display" : "Blood Oxygen content","definition" : "Blood Oxygen content."},{"code" : "122187","display" : "Blood Carbon dioxide saturation","definition" : "Blood Carbon dioxide saturation."},{"code" : "122188","display" : "Pulmonary Arterial Content (FCpa)","definition" : "Pulmonary Arterial Content (FCpa)."},{"code" : "122189","display" : "Pulmonary Venous Content (FCpv)","definition" : "Pulmonary Venous Content (FCpv)."},{"code" : "122190","display" : "Max dp/dt/P","definition" : "Max dp/dt/P."},{"code" : "122191","display" : "Ventricular End Diastolic pressure","definition" : "Ventricular End Diastolic pressure."},{"code" : "122192","display" : "Indicator appearance time","definition" : "Elapsed time from injection of an indicator bolus until it is observed at another location."},{"code" : "122193","display" : "Maximum pressure acceleration","definition" : "Maximum pressure acceleration."},{"code" : "122194","display" : "Ventricular Systolic blood pressure","definition" : "Ventricular Systolic blood pressure."},{"code" : "122195","display" : "Pulse Strength","definition" : "Pulse Strength; palpable strength of systolic flow."},{"code" : "122196","display" : "C wave pressure","definition" : "The secondary peak pressure in the atrium during atrial contraction."},{"code" : "122197","display" : "Gradient pressure, average","definition" : "Gradient pressure, average."},{"code" : "122198","display" : "Gradient pressure, peak","definition" : "Gradient pressure, peak."},{"code" : "122199","display" : "Pressure at dp/dt max","definition" : "Pressure at dp/dt max."},{"code" : "122201","display" : "Diastolic blood velocity, mean","definition" : "Diastolic blood velocity, mean."},{"code" : "122202","display" : "Diastolic blood velocity, peak","definition" : "Diastolic blood velocity, peak."},{"code" : "122203","display" : "Systolic blood velocity, mean","definition" : "Systolic blood velocity, mean."},{"code" : "122204","display" : "Systolic blood velocity, peak","definition" : "Systolic blood velocity, peak."},{"code" : "122205","display" : "Blood velocity, mean","definition" : "Blood velocity, mean."},{"code" : "122206","display" : "Blood velocity, minimum","definition" : "Blood velocity, minimum."},{"code" : "122207","display" : "Blood velocity, peak","definition" : "Blood velocity, peak."},{"code" : "122208","display" : "x-descent pressure","definition" : "Venous or atrial pressure minimum during ventricular systole, after A-wave."},{"code" : "122209","display" : "y-descent pressure","definition" : "Venous or atrial pressure minimum when tricuspid valve opens during diastole, after V-wave."},{"code" : "122210","display" : "z-point pressure","definition" : "Atrial pressure upon closure of tricuspid and mitral valves."},{"code" : "122211","display" : "Left Ventricular ejection time","definition" : "Left Ventricular ejection time."},{"code" : "122212","display" : "Left Ventricular filling time","definition" : "Left Ventricular filling time."},{"code" : "122213","display" : "Right Ventricular ejection time","definition" : "Right Ventricular ejection time."},{"code" : "122214","display" : "Right Ventricular filling time","definition" : "Right Ventricular filling time."},{"code" : "122215","display" : "Total Pulmonary Resistance","definition" : "Total Pulmonary Resistance."},{"code" : "122216","display" : "Total Vascular Resistance","definition" : "Total Vascular Resistance."},{"code" : "122217","display" : "Coronary Flow reserve","definition" : "Coronary Flow reserve."},{"code" : "122218","display" : "Diastolic/Systolic velocity ratio","definition" : "Diastolic/Systolic velocity ratio."},{"code" : "122219","display" : "Hyperemic ratio","definition" : "Hyperemic ratio."},{"code" : "122220","display" : "Hemodynamic Resistance Index","definition" : "Hemodynamic Resistance Index."},{"code" : "122221","display" : "Thorax diameter, sagittal","definition" : "Thorax diameter, sagittal."},{"code" : "122222","display" : "Procedure Environmental Characteristics","definition" : "Environmental characteristics in the procedure room."},{"code" : "122223","display" : "Room oxygen concentration","definition" : "Oxygen concentration in the procedure room."},{"code" : "122224","display" : "Room temperature","definition" : "Temperature in the procedure room."},{"code" : "122225","display" : "Room Barometric pressure","definition" : "Barometric pressure in the procedure room."},{"code" : "122227","display" : "Left to Right Flow","definition" : "Left to Right Flow."},{"code" : "122228","display" : "Right to Left Flow","definition" : "Right to Left Flow."},{"code" : "122229","display" : "Arteriovenous difference","definition" : "Arteriovenous oxygen content difference."},{"code" : "122230","display" : "10 Year CHD Risk","definition" : "Framingham Study 10 Year CHD Risk."},{"code" : "122231","display" : "Comparative Average10 Year CHD Risk","definition" : "Framingham Study Comparative Average10 Year CHD Risk."},{"code" : "122232","display" : "Comparative Low10 Year CHD Risk","definition" : "Framingham Study Comparative Low10 Year CHD Risk."},{"code" : "122233","display" : "LDL Cholesterol Score Sheet for Men","definition" : "Framingham Study LDL Cholesterol Score Sheet for Men."},{"code" : "122234","display" : "LDL Cholesterol Score Sheet for Women","definition" : "Framingham Study LDL Cholesterol Score Sheet for Women."},{"code" : "122235","display" : "Total Cholesterol Score Sheet for Men","definition" : "Framingham Study Total Cholesterol Score Sheet for Men."},{"code" : "122236","display" : "Total Cholesterol Score Sheet for Women","definition" : "Framingham Study Total Cholesterol Score Sheet for Women."},{"code" : "122237","display" : "Corrected Sinus Node Recovery Time","definition" : "Corrected Sinus Node Recovery Time."},{"code" : "122238","display" : "Max volume normalized to 50mmHg pulse pressure","definition" : "Max volume normalized to 50mmHg pulse pressure."},{"code" : "122239","display" : "Oxygen Consumption","definition" : "Oxygen Consumption."},{"code" : "122240","display" : "BSA = 0.003207*WT^(0.7285-0.0188​*log(WT))*HT^0.3","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.003207*WT[g]^(0.7285-0.0188​​*log(WT[g]))*HT[cm]^0.3 [Boyd E, The growth of the surface area of the human body. Minneapolis: University of Minnesota Press, 1935, eq. (36) ]."},{"code" : "122241","display" : "BSA = 0.007184*WT^0.425​*HT^0.725","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.007184*WT[kg]^0.425​*HT[cm]^0.725 [Dubois and Dubois, Arch Int Med 1916 17:863-71]."},{"code" : "122242","display" : "BSA = 0.0235*WT^0.51456​*HT^0.42246","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.0235*WT[kg]^0.51456​​*HT[cm]^0.42246[Gehan EA, George SL, 'Estimation of human body surface area from height and weight', Cancer Chemother Rep 1970 54:225-35]."},{"code" : "122243","display" : "BSA = 0.024265*WT^0.5378​*HT^0.3964","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.024265*WT[kg]^0.5378​*HT[cm]^0.3964[Haycock G.B., Schwartz G.J., Wisotsky D.H. 'Geometric method for measuring body surface area: A height weight formula validated in infants, children and adults.' The Journal of Pediatrics 1978 93:1:62-66]."},{"code" : "122244","display" : "BSA = (HT*WT/36)^0.5","definition" : "Body Surface Area computed from patient height and weight: BSA = (HT[m]*WT[kg]/36)^0.5[Mosteller, R.D. 'Simplified Calculation of Body Surface Area.' N Engl J Med 1987 Oct 22;317(17):1098]."},{"code" : "122245","display" : "BSA = 1321+0.3433*WT","definition" : "Body Surface Area computed from patient weight:BSA = 1321 + 0.3433 * WT[kg] (for pediatrics 3-30 kg) [Current, J.D. 'A Linear Equation For Estimating The Body Surface Area In Infants And Children', The Internet Journal of Anesthesiology. 1998. 2:2]."},{"code" : "122246","display" : "BSA = 0.0004688*WT^(0.8168-0.0154​*log(WT))","definition" : "BSA = 0.0004688*(1000*WT)^(0.8168-0.0154​*log(1000*WT))Where (WT is weight in kilogram)Units = m2Boyd, Edith. The Growth of the Surface Area of the Human Body(originally published in 1935 by the University of Minnesota Press), Greenwood Press, Westport, Connecticut, 1975, p. 102.Equation (35)."},{"code" : "122247","display" : "VO2male = BSA (138.1 - 11.49 * loge(age) + 0.378 * HRf)","definition" : "Equation for estimated oxygen consumption: VO2male = BSA (138.1 - 11.49 * loge(age) + 0.378 * HRf)."},{"code" : "122248","display" : "VO2female = BSA (138.1 - 17.04 * loge(age) + 0.378 * HRf)","definition" : "Equation for estimated oxygen consumption: VO2female = BSA (138.1 - 17.04 * loge(age) + 0.378 * HRf)."},{"code" : "122249","display" : "VO2 = VeSTPD * 10 * (FIO2 - FE02)","definition" : "Equation for estimated oxygen consumption: VO2 = VeSTPD * 10 * (FIO2 - FE02)."},{"code" : "122250","display" : "VO2 = 152 * BSA","definition" : "Equation for estimated oxygen consumption: VO2 = 152 * BSA."},{"code" : "122251","display" : "VO2 = 175 * BSA","definition" : "Equation for estimated oxygen consumption: VO2 = 175 * BSA."},{"code" : "122252","display" : "VO2 = 176 * BSA","definition" : "Equation for estimated oxygen consumption: VO2 = 176 * BSA."},{"code" : "122253","display" : "Robertson & Reid table","definition" : "Robertson & Reid Table for estimated oxygen consumption."},{"code" : "122254","display" : "Fleisch table","definition" : "Fleisch table for estimated oxygen consumption."},{"code" : "122255","display" : "Boothby table","definition" : "Boothby table for estimated oxygen consumption."},{"code" : "122256","display" : "if (prem age< 3days) P50 = 19.9","definition" : "Estimate of Oxygen partial pressure at 50% saturation for premature infants less than 3 days old: P50 = 19.9."},{"code" : "122257","display" : "if (age < 1day) P50 = 21.6","definition" : "Estimate of Oxygen partial pressure at 50% saturation for infants less than 1 day old: P50 = 21.6."},{"code" : "122258","display" : "if (age < 30day) P50 = 24.6","definition" : "Estimate of Oxygen partial pressure at 50% saturation for infants less than 30 days old: P50 = 24.6."},{"code" : "122259","display" : "if (age < 18y) P50 = 27.2","definition" : "Estimate of Oxygen partial pressure at 50% saturation for patients less than 18 years old: P50 = 27.2."},{"code" : "122260","display" : "if (age < 40y) P50 = 27.4","definition" : "Estimate of Oxygen partial pressure at 50% saturation for patients less than 40 years old: P50 = 27.4."},{"code" : "122261","display" : "if (age > 60y) P50 = 29.3","definition" : "Estimate of Oxygen partial pressure at 50% saturation for patients more than 60 years old: P50 = 29.3."},{"code" : "122262","display" : "Area = Flow / 44.5 * sqrt(Gradient[mmHg])","definition" : "Cardiac valve area computed from flow and pressure gradient: Area = Flow / 44.5 * sqrt(Gradient[mmHg]) [Gorlin and Gorlin, Am Heart J, 1951]."},{"code" : "122263","display" : "MVA = Flow / 38.0 * sqrt(Gradient[mmHg])","definition" : "Mitral valve area computed from flow and pressure gradient: Mitral valve Area = Flow / 38.0 * sqrt(Gradient[mmHg]) [Gorlin and Gorlin, Am Heart J, 1951]."},{"code" : "122265","display" : "BMI = Wt / Ht ^ 2","definition" : "Body Mass Index computed from weight and height: BMI = Wt/Ht^2."},{"code" : "122266","display" : "BSA = 0.007358*WT^0.425​*HT^0.725","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.007358*WT[kg]^0.425​*HT[cm]^0.725(for East Asian adult, aged 15+ years) [Kanai Izumi, Masamitsu Kanai, 'Clinical examination method summary']."},{"code" : "122267","display" : "BSA = 0.010265*WT^0.423​*HT^0.651","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.010265*WT[kg]^0.423​*HT[cm]^0.651 (For East Asian child aged 12-14 years)."},{"code" : "122268","display" : "BSA = 0.008883*WT^0.444​*HT^0.663","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.008883*WT[kg]^0.444​*HT[cm]^0.663 (For East Asian child aged 6-11 years)."},{"code" : "122269","display" : "BSA = 0.038189*WT^0.423​*HT^0.362","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.038189*WT[kg]^0.423​*HT[cm]^0.362 (For East Asian child aged 1-5 years)."},{"code" : "122270","display" : "BSA = 0.009568*WT^0.473​*HT^0.655","definition" : "Body Surface Area computed from patient height and weight: BSA = 0.009568*WT[kg]^0.473​*HT[cm]^0.655 (For East Asian child aged 0-12 months)."},{"code" : "122271","display" : "Skin Condition Warm","definition" : "Skin Condition Warm."},{"code" : "122272","display" : "Skin Condition Cool","definition" : "Skin Condition Cool."},{"code" : "122273","display" : "Skin Condition Cold","definition" : "Skin Condition Cold."},{"code" : "122274","display" : "Skin Condition Dry","definition" : "Skin Condition Dry."},{"code" : "122275","display" : "Skin Condition Clammy","definition" : "Skin Condition Clammy."},{"code" : "122276","display" : "Skin Condition Diaphoretic","definition" : "Skin Condition Diaphoretic."},{"code" : "122277","display" : "Skin Condition Flush","definition" : "Skin Condition Flush."},{"code" : "122278","display" : "Skin Condition Mottled","definition" : "Skin Condition Mottled."},{"code" : "122279","display" : "Skin Condition Pale","definition" : "Skin Condition Pale."},{"code" : "122281","display" : "Airway unobstructed","definition" : "Airway unobstructed."},{"code" : "122282","display" : "Airway partially obstructed","definition" : "Airway partially obstructed."},{"code" : "122283","display" : "Airway severely obstructed","definition" : "Airway severely obstructed."},{"code" : "122288","display" : "Not Visualized","definition" : "Anatomy could not be visualized for the purpose of evaluation."},{"code" : "122291","display" : "Quantitative Arteriography Report","definition" : "Quantitative Arteriography Report."},{"code" : "122292","display" : "Quantitative Ventriculography Report","definition" : "Quantitative Ventriculography Report."},{"code" : "122301","display" : "Guidewire crossing lesion unsuccessful","definition" : "Guidewire crossing lesion unsuccessful."},{"code" : "122302","display" : "Guidewire crossing lesion successful","definition" : "Guidewire crossing lesion successful."},{"code" : "122303","display" : "Angioplasty balloon inflated","definition" : "Angioplasty balloon inflated."},{"code" : "122304","display" : "Angioplasty balloon deflated","definition" : "Angioplasty balloon deflated."},{"code" : "122305","display" : "Device deployed","definition" : "Device deployed."},{"code" : "122306","display" : "Stent re-expanded","definition" : "Stent re-expanded."},{"code" : "122307","display" : "Object removed","definition" : "Object removed."},{"code" : "122308","display" : "Radiation applied","definition" : "Radiation applied."},{"code" : "122309","display" : "Radiation removed","definition" : "Radiation removed."},{"code" : "122310","display" : "Interventional device placement unsuccessful","definition" : "Interventional device placement unsuccessful."},{"code" : "122311","display" : "Interventional device placed","definition" : "Interventional device placed."},{"code" : "122312","display" : "Intervention performed","definition" : "Intervention performed."},{"code" : "122313","display" : "Interventional device withdrawn","definition" : "Interventional device withdrawn."},{"code" : "122319","display" : "Catheter Size","definition" : "Catheter Size."},{"code" : "122320","display" : "Injectate Temperature","definition" : "Injectate Temperature."},{"code" : "122321","display" : "Injectate Volume","definition" : "Injectate Volume."},{"code" : "122322","display" : "Calibration Factor","definition" : "Factor by which a measured or calculated value is multiplied to obtain the estimated real-world value."},{"code" : "122325","display" : "IVUS Report","definition" : "Intravascular Ultrasound Report."},{"code" : "122330","display" : "EEM Diameter","definition" : "External Elastic Membrane (EEM) diameter measured through the center point of the vessel. Center point of the vessel is defined as the center of gravity of the EEM area. The EEM is a discrete interface at the border between the media and the adventitia."},{"code" : "122331","display" : "Plaque Plus Media Thickness","definition" : "The distance from intimal leading edge to the external elastic membrane along any line passing through the luminal center, which is defined as the center of gravity of the lumen area."},{"code" : "122332","display" : "Lumen Perimeter","definition" : "Planimetered perimeter of the lumen."},{"code" : "122333","display" : "EEM Cross-Sectional Area","definition" : "Vessel area measured at the External Elastic Membrane (EEM), a discrete interface at the border between the media and the adventitia."},{"code" : "122334","display" : "Plaque plus Media Cross-Sectional Area","definition" : "Area within the EEM occupied by atheroma, regardless of lumen compromise. Plaque plus Media Area = EEM cross-sectional area - vessel lumen cross-sectional area."},{"code" : "122335","display" : "In-Stent Neointimal Cross-Sectional Area","definition" : "Measurement of in-stent restenosis. In-Stent Intimal Area = Stent cross-sectional area - vessel lumen cross-sectional area."},{"code" : "122336","display" : "Vascular Volume measurement length","definition" : "Longitudinal extent of the Vascular Volume Measurement. This is the distance from the distal edge to the proximal edge of the Volume measurement."},{"code" : "122337","display" : "Relative position","definition" : "Longitudinal distance from the closest edge of a fiducial feature or reference location to the start of the vascular measurement. This value will be a positive if the measurement is distal to the fiducial feature or reference location, or negative if the measurement is proximal to the fiducial feature or reference location."},{"code" : "122339","display" : "Stent Volume Obstruction","definition" : "In-Stent Neointimal Volume / Stent Volume."},{"code" : "122340","display" : "Fiducial feature","definition" : "Reference, normally anatomical, which is used for locating the position of a measurement."},{"code" : "122341","display" : "Calcium Length","definition" : "Longitudinal calcium length measurement."},{"code" : "122343","display" : "Lumen Eccentricity Index","definition" : "Measurement of vessel lumen eccentricity. Lumen Eccentricity Index = (maximum vessel lumen diameter - minimum vessel lumen diameter) / maximum vessel lumen diameter. Lumen diameters are measured through the center point of the lumen, which is defined as the center of gravity of the lumen area."},{"code" : "122344","display" : "Plaque plus Media Eccentricity Index","definition" : "Plaque plus Media Eccentricity Index = (maximum Plaque plus media thickness - minimum Plaque plus media thickness) / maximum Plaque plus media thickness."},{"code" : "122345","display" : "Remodeling Index","definition" : "Measurement of increase or decrease in EEM area that occurs during the development of atherosclerosis. Remodeling Index = Lesion EEM area / reference EEM area."},{"code" : "122346","display" : "Stent Symmetry Index","definition" : "Measurement of stent circularity. Stent Symmetry Index = (maximum stent diameter - minimum stent diameter) / maximum stent diameter."},{"code" : "122347","display" : "Stent Expansion Index","definition" : "Measurement of stent area relative to the reference lumen area. Stent Expansion Index = Minimum stent area / reference vessel lumen cross-sectional area."},{"code" : "122348","display" : "Lumen Shape Index","definition" : "Measurement of vessel lumen eccentricity. Lumen Shape Index = (2p * sqrt(Vessel lumen cross-sectional area / p) / Lumen Perimeter) 2Reference: Tobis & Yock, \"Intravascular Ultrasound Imaging\", Chapter 7."},{"code" : "122350","display" : "Lumen Diameter Ratio","definition" : "Lumen diameter ratio = minimum vessel lumen diameter / maximum vessel lumen diameter, measured at the same cross section in the vessel. Lumen diameters are measured through the center point of the lumen, which is defined as the center of gravity of the lumen area."},{"code" : "122351","display" : "Stent Diameter Ratio","definition" : "Stent diameter ratio = Minimum stent diameter / Maximum stent diameter, measured at the same cross section in the vessel. Stent diameters are measured through the center point of the stent, which is defined as the center of gravity of the stent area."},{"code" : "122352","display" : "EEM Diameter Ratio","definition" : "EEM diameter ratio = minimum EEM diameter / maximum EEM diameter. Measured at the same cross section in the vessel."},{"code" : "122354","display" : "Plaque Burden","definition" : "Fractional area within the External Elastic Membrane (EEM) occupied by atheroma. Plaque Burden = (EEM area - vessel lumen cross-sectional area) / EEM area."},{"code" : "122355","display" : "Arc of Calcium","definition" : "Angular measurement of a Calcium deposit with the apex located at the center of the lumen, which is defined as the center of gravity of the lumen area."},{"code" : "122356","display" : "Soft plaque","definition" : "Plaque characterized by low density or echogenicity."},{"code" : "122357","display" : "In-Stent Neointima","definition" : "Abnormal thickening of the intima within the stented segment."},{"code" : "122360","display" : "True Lumen","definition" : "Lumen surrounded by all three layers of the vessel-intima, media, and adventitia."},{"code" : "122361","display" : "False Lumen","definition" : "A channel, usually parallel to the true lumen, which does not communicate with the true lumen over a portion of its length."},{"code" : "122363","display" : "Plaque Rupture","definition" : "Plaque ulceration with a tear detected in a fibrous cap."},{"code" : "122364","display" : "Stent Gap","definition" : "Length of gap between two consecutive stents."},{"code" : "122367","display" : "T-1 Worst","definition" : "Worst stenosis - the stenosis with the smallest lumen size within a vessel segment."},{"code" : "122368","display" : "T-2 Secondary","definition" : "2nd most severe stenosis within a vessel segment."},{"code" : "122369","display" : "T-3 Secondary","definition" : "3rd most severe stenosis within a vessel segment."},{"code" : "122370","display" : "T-4 Secondary","definition" : "4th most severe stenosis within a vessel segment."},{"code" : "122371","display" : "EEM Volume","definition" : "External Elastic Membrane (EEM) volume measured within a specified region. The EEM is a discrete interface at the border between the media and the Adventitia."},{"code" : "122372","display" : "Lumen Volume","definition" : "Lumen volume measured within a specified region."},{"code" : "122374","display" : "In-Stent Neointimal Volume","definition" : "The amount of plaque between the lumen and stent, within the stent region; In-stent restenosis. In-Stent Neointimal Volume = Stent Volume - Lumen Volume."},{"code" : "122375","display" : "Native Plaque Volume","definition" : "The amount of plaque between the stent and the EEM, within the stent region. Native Plaque Volume = EEM Volume - Stent Volume."},{"code" : "122376","display" : "Total Plaque Volume","definition" : "Total amount of plaque between the EEM and the Lumen, over the entire region that is measured. Total Plaque Volume = EEM Volume - Lumen Volume."},{"code" : "122380","display" : "Proximal Reference","definition" : "Proximal reference segment measurement site. Typically the site with the largest lumen proximal to a stenosis but within the same segment (usually within 10 mm of the stenosis with no major intervening branches)."},{"code" : "122381","display" : "Distal Reference","definition" : "Distal reference segment measurement site. Typically the site with the largest lumen distal to a stenosis but within the same segment (usually within 10 mm of the stenosis with no major intervening branches)."},{"code" : "122382","display" : "Site of Lumen Minimum","definition" : "Site of the smallest lumen in a vessel."},{"code" : "122383","display" : "Entire Pullback","definition" : "Measurement region that encompasses the entire vessel imaged in a single pullback acquisition."},{"code" : "122384","display" : "Stented Region","definition" : "Measurement region occupied by the stent."},{"code" : "122385","display" : "Proximal Stent Margin","definition" : "Region starting at the proximal edge of the Stent and extending several millimeters (usually 5 mm) proximal to the Stent edge."},{"code" : "122386","display" : "Distal Stent Margin","definition" : "Region starting at the distal edge of the Stent and extending several millimeters (usually 5 mm) distal to the Stent edge."},{"code" : "122387","display" : "Dissection Classification","definition" : "Classification of dissections in a vessel."},{"code" : "122388","display" : "Intra-stent Dissection","definition" : "Separation of neointimal hyperplasia from stent struts, usually seen only after treatment of in-stent restenosis."},{"code" : "122389","display" : "Vulnerable Plaque","definition" : "Plaque with a thin cap fibrous atheroma that is at increased risk of rupture and thrombosis (or re-thrombosis) and rapid stenosis progression."},{"code" : "122390","display" : "Eroded Plaque","definition" : "Plaque erosions with no structural defect (beyond endothelial injury) or gap in the plaque."},{"code" : "122391","display" : "Relative Stenosis Severity","definition" : "Stenosis severity classifications of multiple lesions in a vessel."},{"code" : "122393","display" : "Restenotic Lesion","definition" : "A finding of a previously treated lesion in which stenosis has reoccurred."},{"code" : "122394","display" : "Fibro-Lipidic Plaque","definition" : "Loosely packed bundles of collagen fibers with regions of lipid deposition present. Region is cellular and no cholesterol clefts or necrosis are present. Somemacrophage infiltration. Increase in extra cellular matrix."},{"code" : "122395","display" : "Necrotic-Lipidic Plaque","definition" : "Area within the plaque with very low echogenicity separated from the lumen and surrounded by more echogenic structures (fibrous cap). Highly lipidic necrotic region with remnants of foam cells and dead lymphocytes present. No collagen fibers are visible and mechanical integrity is poor. Cholesterol clefts and micro calcifications are visible."},{"code" : "122397","display" : "Adventitial Dissection","definition" : "Separation of the layers of an artery involving the adventitia"},{"code" : "122398","display" : "Intimal Dissection","definition" : "Separation of the layers of an artery involving the intima. Dissection limited to the intima or atheroma, and not extending to the media."},{"code" : "122399","display" : "Medial Dissection","definition" : "Separation of the layers of an artery involving the media. Dissection in the arterial Media, extending into the media."},{"code" : "122400","display" : "Simultaneously Acquired","definition" : "The referenced information was acquired simultaneously with the information in the object in which the reference occurs."},{"code" : "122401","display" : "Same Anatomy","definition" : "Information acquired for the same anatomic region."},{"code" : "122402","display" : "Same Indication","definition" : "Information acquired for the same indication."},{"code" : "122403","display" : "For Attenuation Correction","definition" : "The referenced information was used to correct the data for differential attenuation through different anatomic tissue."},{"code" : "122404","display" : "Reconstructed","definition" : "Value estimated for a vessel in the absence of a stenosis."},{"code" : "122405","display" : "Algorithm Manufacturer","definition" : "Manufacturer of application used."},{"code" : "122406","display" : "Left Atrial Ejection Fraction by Angiography","definition" : "Left Atrial Ejection Fraction by Angiography."},{"code" : "122407","display" : "Left Atrial ED Volume","definition" : "Left Atrial End Diastolic Volume."},{"code" : "122408","display" : "Left Atrial ES Volume","definition" : "Left Atrial End Systolic Volume."},{"code" : "122410","display" : "Contour Realignment","definition" : "Contour repositioning of End Diastolic relative to End Systolic contour."},{"code" : "122411","display" : "Threshold Value","definition" : "The minimum standard deviation to define the hypokinesis and hyperkinesis."},{"code" : "122417","display" : "Regional Abnormal Wall Motion","definition" : "Report of differentiation of wall motion compared to normal."},{"code" : "122421","display" : "Calibration Object","definition" : "Object used for Calibration."},{"code" : "122422","display" : "Calibration Method","definition" : "Method used for Calibration."},{"code" : "122423","display" : "Calibration Object Size","definition" : "Size of calibration object."},{"code" : "122428","display" : "Area Length Method","definition" : "Method how long axis is positioned."},{"code" : "122429","display" : "Volume Method","definition" : "Model for cardiac chamber volume calculation."},{"code" : "122430","display" : "Reference Method","definition" : "Method to define original diameter of the artery."},{"code" : "122431","display" : "Regression Slope ED","definition" : "Relation between calculated End Diastolic volume and ventricular End Diastolic volume. The specific meaning is dependent on volume method used."},{"code" : "122432","display" : "Regression Offset ED","definition" : "Correction factor for the calculated End Diastolic volume and ventricular End Diastolic volume. The specific meaning is dependent on volume method used."},{"code" : "122433","display" : "Regression Slope ES","definition" : "Relation between calculated End Systolic volume and ventricular End Systolic volume. The specific meaning is dependent on volume method used."},{"code" : "122434","display" : "Regression Offset ES","definition" : "Correction factor for the calculated End Systolic volume and ventricular End Systolic volume. The specific meaning is dependent on volume method used."},{"code" : "122435","display" : "Regression Volume Exponent","definition" : "Exponent of volume in regression formula."},{"code" : "122438","display" : "Reference Points","definition" : "Container for spatial locations or coordinates used for calculation."},{"code" : "122445","display" : "Wall Thickness","definition" : "Average thickness of the chamber wall in the current view."},{"code" : "122446","display" : "Wall Volume","definition" : "Volume of the chamber wall estimated from the current view."},{"code" : "122447","display" : "Wall Mass","definition" : "Mass of the chamber wall (myocardium)."},{"code" : "122448","display" : "Wall Stress","definition" : "Peak systolic stress of chamber wall."},{"code" : "122449","display" : "Centerline Wall Motion Analysis","definition" : "Method to calculate wall motion [example: Sheehan, 1986]."},{"code" : "122450","display" : "Normalized Chord Length","definition" : "The length between End Diastolic and End Systolic contour perpendicular on the centerline normalized by a method dependent ventricular perimeter length. The centerline is the line equidistant between the End Diastolic and End Systolic contour [example: Sheehan, 1986]."},{"code" : "122451","display" : "Abnormal Region","definition" : "The report of the boundaries of the abnormal (hyperkinetic, hypokinetic, a-kinetic) regions associated with the territory of the artery [example: Sheehan, 1986]."},{"code" : "122452","display" : "First Chord of Abnormal Region","definition" : "The chord number specifying the begin of abnormal region [example: Sheehan, 1986]."},{"code" : "122453","display" : "Last Chord of Abnormal Region","definition" : "The chord number specifying the end of abnormal region [example: Sheehan, 1986]."},{"code" : "122459","display" : "Territory Region Severity","definition" : "Severity at the regional abnormality extent [example: Sheehan, 1986]."},{"code" : "122461","display" : "Opposite Region Severity","definition" : "Severity at the opposite regional abnormality extent [example: Sheehan, 1986]."},{"code" : "122464","display" : "LAD Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO project the range of chords belonging to this circumferential extent lies between 5 - 85. [Sheehan, 1986]."},{"code" : "122465","display" : "RCA Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO project the range of chords belonging to this circumferential extent lies between 25 - 85. [Sheehan, 1986]."},{"code" : "122466","display" : "Single LAD Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 10 - 66 (hypokinetic) and 67 - 80 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122467","display" : "Single RCA Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 51 - 80 (hypokinetic) and 10 - 50 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122468","display" : "Multiple LAD Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 10 - 58 (hypokinetic) and 59 -80 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122469","display" : "Multiple RCA Region in RAO Projection","definition" : "Based on a total number of chords of 100 and RAO projection the range of chords belonging to this regional extent lies between 59 - 80 (hypokinetic) and 10 - 58 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122470","display" : "LAD Region in LAO Projection","definition" : "Based on a total number of chords of 100 and LAO projection the range of chords belonging to this regional extent lies between 50 -100 (hypokinetic) and 20 - 49 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122471","display" : "RCA Region in LAO Projection","definition" : "Based on a total number of chords of 100 and LAO projection the range of chords belonging to this regional extent lies between 19 - 67 (hypokinetic) and 68 - 100 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122472","display" : "CFX Region in LAO Projection","definition" : "Based on a total number of chords of 100 and LAO projection the range of chords belonging to this regional extent lies between 38 -74 (hypokinetic) and 75 - 100 (hyperkinetic). [Sheehan, 1986]."},{"code" : "122473","display" : "Circular Method","definition" : "Method based on assumption that the image object is circular."},{"code" : "122474","display" : "Densitometric Method","definition" : "Method based on the gray value distribution of the image."},{"code" : "122475","display" : "Center of Gravity","definition" : "End Systolic contour realigned to End Diastolic contour based on the center of gravity."},{"code" : "122476","display" : "Long Axis Based","definition" : "End Systolic contour realigned to End Diastolic contour based on the mid point of the long axis. The long axis end points are defined as the posterior and apex."},{"code" : "122477","display" : "No Realignment","definition" : "No Contour Realignment applied."},{"code" : "122480","display" : "Vessel Lumen Cross-Sectional Area","definition" : "Calculated Vessel Lumen Cross-Sectional Area based on the referenced method."},{"code" : "122481","display" : "Contour Start","definition" : "Location of the beginning of a contour."},{"code" : "122482","display" : "Contour End","definition" : "Location of the end of a contour."},{"code" : "122485","display" : "Sphere","definition" : "Sphere visible in an image, which is used as a calibration or marker object."},{"code" : "122486","display" : "Geometric Isocenter","definition" : "Object of interest in isocenter of image and pixel separation is calculated from geometric data."},{"code" : "122487","display" : "Geometric Non-Isocenter","definition" : "Object of interest not in isocenter of image and pixel separation is calculated from geometric data and out of isocenter distances."},{"code" : "122488","display" : "Calibration Object Used","definition" : "Object used for calibration."},{"code" : "122489","display" : "Curve Fitted Reference","definition" : "Application dependent method to calculate the reference diameter based on the multiple diameter values."},{"code" : "122490","display" : "Interpolated Local Reference","definition" : "Application dependent method to calculate reference by interpolation, based on the diameter of two or more user defined reference positions."},{"code" : "122491","display" : "Mean Local Reference","definition" : "Application dependent method to calculate by averaging the reference, based on the diameter of one or more user defined reference positions."},{"code" : "122493","display" : "Radial Based Wall Motion Analysis","definition" : "Method to calculate wall motion based on the lengths of the radials in the predefined regions [Ingels]."},{"code" : "122495","display" : "Regional Contribution to Ejection Fraction","definition" : "Contribution of Region to global Ejection factor based on radial or landmark based wall motion method."},{"code" : "122496","display" : "Radial Shortening","definition" : "The reduction of area between End Systolic and End Diastolic based on radial wall motion analysis."},{"code" : "122497","display" : "Landmark Based Wall Motion Analysis","definition" : "Method to calculate wall motion based on the move of landmarks on the wall [Slager]."},{"code" : "122498","display" : "Slice Contribution to Ejection Fraction","definition" : "Contribution to the ejection fraction of a specific slice region [Slager]."},{"code" : "122499","display" : "Frame to Frame Analysis","definition" : "Method to calculate volumes of heart chambers for every image in a range."},{"code" : "122501","display" : "Area of closed irregular polygon","definition" : "The area is derived by considering a set of coordinates as a closed irregular polygon, accounting for inner angles.The exact method, such as by decomposition into triangles or quadrilaterals, is not specified, since it does not affect the numeric result, apart from the effect of numeric precision during computation of intermediate results."},{"code" : "122502","display" : "Area of a closed NURBS","definition" : "The area is derived by using a set of coordinates as control points for a Non Uniform Rational B-Spline (NURBS)."},{"code" : "122503","display" : "Integration of sum of closed areas on contiguous slices method for volume","definition" : "Method of integrating the sum of the areas on adjacent slices across the slice interval to derive a total volume; each area is defined by a regular planar shape or by considering a set of coordinates as a closed irregular polygon, accounting for inner angles."},{"code" : "122505","display" : "Calibration","definition" : "Procedure used to calibrate measurements or measurement devices."},{"code" : "122507","display" : "Left Contour","definition" : "Left contour of lumen (direction proximal to distal)."},{"code" : "122508","display" : "Right Contour","definition" : "Right contour of lumen (direction proximal to distal)."},{"code" : "122509","display" : "Diameter Graph","definition" : "Ordered set of diameters values derived from contours (direction proximal to distal)."},{"code" : "122510","display" : "Length Luminal Segment","definition" : "Length Luminal Segment."},{"code" : "122511","display" : "Graph Increment","definition" : "Increment value along X-axis in Diameter Graph."},{"code" : "122516","display" : "Site of Maximum Luminal","definition" : "Location of the maximum lumen area in a lesion or vessel."},{"code" : "122517","display" : "Densitometric Luminal Cross-sectional Area Graph","definition" : "Ordered set of cross-sectional Vessel Lumen Cross-Sectional Area values derived from contours (direction proximal to distal) based on densitometric method."},{"code" : "122528","display" : "Position of Proximal Border","definition" : "Position of proximal border of segment relative to the contour start (proximal end of analysis area)."},{"code" : "122529","display" : "Position of Distal Border","definition" : "Position of distal border of segment relative to the contour start (proximal end of analysis area)."},{"code" : "122542","display" : "Plaque Area","definition" : "Longitudinal cross sectional area of plaque."},{"code" : "122544","display" : "Diameter Symmetry","definition" : "Symmetry of stenosis (0 = complete asymmetry, 1 = complete symmetry)."},{"code" : "122545","display" : "Area Symmetry","definition" : "Symmetry of plaque (0 = complete asymmetry, 1 = complete symmetry)."},{"code" : "122546","display" : "Inflow Angle","definition" : "The average slope of the diameter function between the position of the minimum luminal diameter and the position of the proximal border of the segment."},{"code" : "122547","display" : "Outflow Angle","definition" : "The average slope of the diameter function between the position of the minimum luminal diameter and the position of the distal border of the segment."},{"code" : "122548","display" : "Stenotic Flow Reserve","definition" : "The relation between coronary pressure and coronary flow."},{"code" : "122549","display" : "Poiseuille Resistance","definition" : "Poiseuille Resistance at the location of the stenosis."},{"code" : "122550","display" : "Turbulence Resistance","definition" : "Turbulence Resistance at the location of the stenosis."},{"code" : "122551","display" : "Pressure Drop at SFR","definition" : "Pressure drop over the stenosis at maximum heart output."},{"code" : "122554","display" : "Segmentation Method","definition" : "Method for selection of vessel sub-segments."},{"code" : "122555","display" : "Estimated Normal Flow","definition" : "Estimate of the volume of blood flow in the absence of stenosis."},{"code" : "122558","display" : "Area Length Kennedy","definition" : "Area Length method defined by Kennedy [Kennedy, 1970]."},{"code" : "122559","display" : "Area Length Dodge","definition" : "Area Length method defined by Dodge [Dodge, 1960]."},{"code" : "122560","display" : "Area Length Wynne","definition" : "Area Length method defined by Wynne [Wynne]."},{"code" : "122562","display" : "Multiple Slices","definition" : "Volume method based on multiple slice."},{"code" : "122563","display" : "Boak","definition" : "Volume method defined by Boak [Boak]."},{"code" : "122564","display" : "TS Pyramid","definition" : "Volume method defined by Ferlinz [Ferlinz]."},{"code" : "122565","display" : "Two Chamber","definition" : "Volume method defined by Graham [Graham]."},{"code" : "122566","display" : "Parallelepiped","definition" : "Volume method defined by Arcilla [Arcilla]."},{"code" : "122572","display" : "BSA^1.219","definition" : "Corrected Body Surface area for indexing the hemodynamic measurements for a pediatric patient."},{"code" : "122574","display" : "Equidistant method","definition" : "Method for selecting sub-segments that are all of the same length."},{"code" : "122575","display" : "User selected method","definition" : "Manually selected start and end of sub-segment."},{"code" : "122582","display" : "Left ventricular posterobasal segment","definition" : "Left ventricular posterobasal segment."},{"code" : "122600","display" : "Cardiovascular Analysis Report","definition" : "Report of a Cardiovascular Analysis, typically from a CT or MR study."},{"code" : "122601","display" : "Ventricular Analysis","definition" : "Ventricular Analysis."},{"code" : "122602","display" : "Myocardial Perfusion Analysis","definition" : "Myocardial Perfusion Analysis."},{"code" : "122603","display" : "Calcium Scoring Analysis","definition" : "Calcium Scoring Analysis."},{"code" : "122604","display" : "Flow Quantification","definition" : "Flow Quantification Analysis."},{"code" : "122605","display" : "Vascular Morphological Analysis","definition" : "Vascular Morphological Analysis."},{"code" : "122606","display" : "Vascular Functional Analysis","definition" : "Vascular Functional Analysis."},{"code" : "122607","display" : "Thickening Analysis","definition" : "Analysis of myocardial wall thickening."},{"code" : "122608","display" : "Absolute Values Of Ventricular Measurements","definition" : "Section Heading for absolute values of ventricular measurements."},{"code" : "122609","display" : "Normalized Values Of Ventricular Measurements","definition" : "Results of normalizing ventricular measurements."},{"code" : "122611","display" : "Reference Point","definition" : "Reference Point of a measurement."},{"code" : "122612","display" : "Central breathing position","definition" : "Central breathing position between inspiration and expiration."},{"code" : "122616","display" : "Peak Ejection Rate","definition" : "Peak of the ventricular ejection rate."},{"code" : "122617","display" : "Peak Ejection Time","definition" : "Time of the peak of ventricular ejection."},{"code" : "122618","display" : "Peak Filling Rate","definition" : "Peak of the fluid filling rate."},{"code" : "122619","display" : "Peak Filling Time","definition" : "Time interval until time of peak filling from a given reference point."},{"code" : "122620","display" : "Papillary Muscle Excluded","definition" : "Papillary muscle was excluded from the measurement."},{"code" : "122621","display" : "Papillary Muscle Included","definition" : "Papillary muscle was included in the measurement."},{"code" : "122624","display" : "Wall Thickness Ratio end-systolic to end-diastolic","definition" : "The ratio of the end-systolic wall thickness compared to the end-diastolic wall thickness."},{"code" : "122627","display" : "Curve Fit Method","definition" : "The method to smooth a ventricular volume as a function of time."},{"code" : "122628","display" : "Baseline Result Correction","definition" : "Baseline correction used in the calculation of the results."},{"code" : "122631","display" : "Signal Earliest Peak Time","definition" : "The time in a dynamic set of images at which the first peak of the signal is observed for the analyzed myocardial wall segments."},{"code" : "122633","display" : "Signal Increase Start Time","definition" : "This is the time at which the signal begins to increase."},{"code" : "122634","display" : "Signal Time to Peak","definition" : "Time interval between the beginning of the signal increase to the time at which the signal intensity reaches its first maximum in a dynamic set of images."},{"code" : "122635","display" : "MR Perfusion Peak","definition" : "Peak of the MR perfusion signal."},{"code" : "122636","display" : "MR Perfusion Slope","definition" : "Signal intensity as a function of time. It is the change in the signal intensity divided by the change in the time."},{"code" : "122637","display" : "MR Perfusion Time Integral","definition" : "MR perfusion time integral from baseline (foot time) to earliest peak."},{"code" : "122638","display" : "Signal Baseline Start","definition" : "First time point in a dynamic set of images used in the calculation of the baseline signal intensity for each myocardial wall segment."},{"code" : "122639","display" : "Signal Baseline End","definition" : "Last time point in a dynamic set of images used in the calculation of the baseline signal intensity for each myocardial wall segment."},{"code" : "122640","display" : "Image Interval","definition" : "The time delta between images in a dynamic set of images."},{"code" : "122642","display" : "Velocity Encoding Minimum Value","definition" : "The minimum velocity encoded by the phase encoding gradient."},{"code" : "122643","display" : "Velocity Encoding Maximum Value","definition" : "The maximum velocity encoded by the phase encoding gradient."},{"code" : "122645","display" : "Net Forward Volume","definition" : "Forward volume-reverse volume."},{"code" : "122650","display" : "Area Based Method","definition" : "Area Based Method for estimating volume or area."},{"code" : "122651","display" : "Diameter Based Method","definition" : "Diameter Based Method for estimating volume, area or diameter."},{"code" : "122652","display" : "Volume Based Method","definition" : "Volume Based Method for estimating volume."},{"code" : "122655","display" : "NASCET","definition" : "A method of diameter measurements according to NASCET (North American Symptomatic Carotid Endarterectomy Trial)."},{"code" : "122656","display" : "ECST","definition" : "A method of diameter measurements according to ECST (European Carotid Surgery Trial)."},{"code" : "122657","display" : "Agatston Score Threshold","definition" : "Agatston Score Threshold."},{"code" : "122658","display" : "Calcium Mass Threshold","definition" : "Calcium Mass Threshold."},{"code" : "122659","display" : "Calcium Scoring Calibration","definition" : "Calcium Scoring Calibration."},{"code" : "122660","display" : "Calcium Volume","definition" : "Calcium Volume."},{"code" : "122661","display" : "Calcium Mass","definition" : "Calcium Mass."},{"code" : "122664","display" : "Late Contrast Enhancement","definition" : "Delayed hyperenhancement of a tissue observed in an image acquired after injection of contrast media."},{"code" : "122665","display" : "Time interval since injection of contrast media","definition" : "Time interval since injection of contrast media."},{"code" : "122666","display" : "Time relative to R-wave peak","definition" : "Time relative to R-wave peak."},{"code" : "122667","display" : "Blood velocity vs. time of cardiac cycle","definition" : "Relationship between blood velocity and time relative to R-wave peak."},{"code" : "122668","display" : "Time interval since detection of contrast bolus","definition" : "Time interval since detection of contrast bolus."},{"code" : "122670","display" : "Papillary Muscle Included/Excluded","definition" : "Indicates if the papillary muscle was included or excluded in the measurement."},{"code" : "122675","display" : "Anterior-Posterior","definition" : "Anterior to Posterior direction."},{"code" : "122680","display" : "endoleak","definition" : "Persistent flow of blood into the stent-grafting."},{"code" : "122683","display" : "Stent Fracture","definition" : "Fracture of a stent."},{"code" : "122684","display" : "Stent Disintegration","definition" : "Disintegration of a stent."},{"code" : "122685","display" : "Stent Composition","definition" : "Material that a stent consists of."},{"code" : "122686","display" : "Parent Vessel Finding","definition" : "Finding about the characteristics of the parent vessel of a vessel."},{"code" : "122687","display" : "Site of Lumen Maximum","definition" : "Site of Maximal lumen diameter of a vessel."},{"code" : "122698","display" : "X-Concept","definition" : "The physical domain (time, space, etc.) to the horizontal axis of the graphical presentation."},{"code" : "122699","display" : "Y-Concept","definition" : "The physical domain (time, space, etc.) to the vertical axis of the graphical presentation."},{"code" : "122700","display" : "Indications for Pharmacological Stress","definition" : "Indications for Pharmacological Stress."},{"code" : "122701","display" : "Procedure time base","definition" : "Reference time for measurement of elapsed time in a procedure."},{"code" : "122702","display" : "Treadmill speed","definition" : "Treadmill speed."},{"code" : "122703","display" : "Treadmill gradient","definition" : "Treadmill gradient."},{"code" : "122704","display" : "Ergometer power","definition" : "Ergometer power."},{"code" : "122705","display" : "Pharmacological Stress Agent Dose Rate","definition" : "Pharmacological Stress Agent Dose Rate."},{"code" : "122706","display" : "Rating of Perceived Exertion","definition" : "Rating of Perceived Exertion."},{"code" : "122707","display" : "Number of Ectopic Beats","definition" : "Number of ectopic beats during a period of collection."},{"code" : "122708","display" : "Double Product","definition" : "Heart rate times systolic blood pressure."},{"code" : "122709","display" : "Activity workload","definition" : "Physical activity workload (intensity) measurement."},{"code" : "122710","display" : "Time since start of stage","definition" : "Elapsed time at stage."},{"code" : "122711","display" : "Exercise duration after stress agent injection","definition" : "Exercise duration after stress agent injection."},{"code" : "122712","display" : "Imaging Start DateTime","definition" : "Imaging Start DateTime."},{"code" : "122713","display" : "Attenuation correction method","definition" : "Attenuation correction method."},{"code" : "122715","display" : "Pharmacological Stress Agent Dose","definition" : "Pharmacological Stress Agent Dose."},{"code" : "122716","display" : "Maximum Power Output Achieved","definition" : "Maximum power output achieved during course of procedure."},{"code" : "122717","display" : "Peak activity workload","definition" : "Peak physical activity intensity measurement during course of procedure."},{"code" : "122718","display" : "Peak Double Product","definition" : "Peak Double Product measurement during course of procedure."},{"code" : "122720","display" : "OSEM algorithm","definition" : "Ordered subsets expectation maximization reconstruction algorithm."},{"code" : "122721","display" : "Chang method","definition" : "Chang attenuation correction method."},{"code" : "122726","display" : "Algorithmic attenuation correction","definition" : "Attenuation correction not based on image-based attenuation maps."},{"code" : "122727","display" : "NM transmission attenuation correction","definition" : "NM transmission attenuation correction."},{"code" : "122728","display" : "CT-based attenuation correction","definition" : "CT-based attenuation correction."},{"code" : "122729","display" : "No Attenuation Correction","definition" : "No attenuation correction."},{"code" : "122730","display" : "Bazett QTc Algorithm","definition" : "Bazett QT Correction Algorithm; QT/(RR ^ 0.5); Bazett HC. \"An analysis of the time-relations of electrocardiograms\" Heart7:353-370 (1920)."},{"code" : "122731","display" : "Hodges QTc Algorithm","definition" : "Hodges QT Correction Algorithm; QT + 1.75 (heart rate-60); Hodges M, Salerno Q, Erlien D. \"Bazett's QT correction reviewed. Evidence that a linear QT correction for heart rate is better.\" J Am Coll Cardiol1:694 (1983)."},{"code" : "122732","display" : "Fridericia QTc Algorithm","definition" : "Fridericia QT Correction Algorithm; QT/(RR ^ 0.333); Fridericia LS. \"The duration of systole in the electrocardiogram of normal subjects and of patients with heart disease\" Acta Med Scand53:469-486 (1920)."},{"code" : "122733","display" : "Framingham QTc Algorithm","definition" : "Framingham QT Correction Algorithm; QT + 0.154 (1- RR); Sagie A, Larson MG, Goldberg RJ, et al. \"An improved method for adjusting the QT interval for heart rate (the Framingham Heart Study).\" Am J Cardiol70:797-801(1992)."},{"code" : "122734","display" : "Borg RPE Scale","definition" : "Borg Rating of Perceived Exertion Scale, range 6:20."},{"code" : "122735","display" : "Borg CR10 Scale","definition" : "Borg category ratio scale, open ended range with nominal range 0:10."},{"code" : "122739","display" : "Overall study quality","definition" : "Quality of a study for the purpose for which it was created."},{"code" : "122740","display" : "Excellent image quality","definition" : "Quality of an image is excellent for the purpose for which it was created."},{"code" : "122741","display" : "Good image quality","definition" : "Quality of an image is good for the purpose for which it was created."},{"code" : "122742","display" : "Poor image quality","definition" : "Quality of an image is poor for the purpose for which it was created."},{"code" : "122743","display" : "Body habitus attenuation","definition" : "Image attenuation due to body physique (overweight)."},{"code" : "122744","display" : "Breast attenuation","definition" : "Image attenuation due to breast tissue."},{"code" : "122745","display" : "Diaphragmatic attenuation","definition" : "Image attenuation due to diaphragm."},{"code" : "122748","display" : "False positive defect finding","definition" : "Finding of a defect is incorrect."},{"code" : "122750","display" : "Non-diagnostic - low heart rate","definition" : "ECG is non-diagnostic due to low heart rate."},{"code" : "122751","display" : "Non-diagnostic - resting ST abnormalities","definition" : "ECG is non-diagnostic due to resting ST abnormalities."},{"code" : "122752","display" : "Non-diagnostic - ventricular pacing or LBBB","definition" : "ECG is non-diagnostic due to ventricular pacing or Left Bundle Branch Block."},{"code" : "122753","display" : "Non-diagnostic ECG","definition" : "ECG is non-diagnostic for presence of acute coronary syndrome."},{"code" : "122755","display" : "Strongly positive","definition" : "Strongly positive finding."},{"code" : "122756","display" : "Strongly positive - ST elevation","definition" : "Strongly positive finding - ST elevation."},{"code" : "122757","display" : "ST Depression - Horizontal","definition" : "Finding of ST segment depression with no slope."},{"code" : "122758","display" : "ST Depression - Upsloping","definition" : "Finding of ST segment depression with upslope."},{"code" : "122759","display" : "ST Depression - Downsloping","definition" : "Finding of ST segment depression with downslope."},{"code" : "122760","display" : "Stress test score","definition" : "Stress test score."},{"code" : "122762","display" : "Number of diseased vessel territories","definition" : "Number of diseased vessel territories."},{"code" : "122764","display" : "Patient weight exceeds equipment limit","definition" : "Patient weight exceeds equipment limit."},{"code" : "122768","display" : "Difference in Ejection Fraction","definition" : "Difference in Ejection Fraction."},{"code" : "122769","display" : "Difference in ED LV Volume","definition" : "Difference in End Diastolic Left Ventricular Volume."},{"code" : "122770","display" : "Ratio of achieved to predicted maximal oxygen consumption","definition" : "Ratio of achieved to predicted maximal oxygen consumption."},{"code" : "122771","display" : "Ratio of achieved to predicted functional capacity","definition" : "Ratio of achieved to predicted functional capacity."},{"code" : "122772","display" : "Aerobic index","definition" : "Workload (Watts) at target heart rate divided by body weight."},{"code" : "122773","display" : "ST/HR Index","definition" : "ST depression at peak exercise divided by the exercise-induced increase in heart rate [Kligfield P, Ameisen O, Okin PM. \"Heart rate adjustment of ST segment depression for improved detection of coronary artery disease.\" Circulation 1989;79:245-55.]."},{"code" : "122775","display" : "Agreement with prior findings","definition" : "Agreement with prior findings."},{"code" : "122776","display" : "Disagreement with prior findings","definition" : "Disagreement with prior findings."},{"code" : "122781","display" : "Rest thallium/stress technetium procedure","definition" : "Nuclear Medicine Rest thallium/stress technetium procedure."},{"code" : "122782","display" : "Rest technetium/stress technetium 1 day procedure","definition" : "Nuclear Medicine Rest technetium/stress technetium 1 day procedure."},{"code" : "122783","display" : "Rest technetium/stress technetium 2 day procedure","definition" : "Nuclear Medicine Rest technetium/stress technetium 2 day procedure."},{"code" : "122784","display" : "Stress technetium/rest technetium 1 day procedure","definition" : "Nuclear Medicine Stress technetium/rest technetium 1 day procedure."},{"code" : "122785","display" : "NM Myocardial Viability procedure","definition" : "Nuclear Medicine Myocardial Viability procedure."},{"code" : "122791","display" : "PET Myocardial Perfusion, Rest only","definition" : "Positron Emission Tomography Perfusion Imaging procedure, rest only."},{"code" : "122792","display" : "PET Myocardial Perfusion, Stress only","definition" : "Positron Emission Tomography Perfusion Imaging procedure, stress only."},{"code" : "122793","display" : "PET Myocardial Perfusion, Rest and Stress","definition" : "Positron Emission Tomography Perfusion Imaging procedure, rest and stress."},{"code" : "122795","display" : "PET Myocardial Viability, Rest only","definition" : "Positron Emission Tomography Myocardial Viability procedure, rest only."},{"code" : "122796","display" : "PET Myocardial Viability, Stress only","definition" : "Positron Emission Tomography Myocardial Viability procedure, stress only."},{"code" : "122797","display" : "PET Myocardial Viability, Rest and Stress","definition" : "Positron Emission Tomography Myocardial Viability procedure, rest and stress."},{"code" : "122799","display" : "Anginal Equivalent","definition" : "Group of symptoms heralding angina pectoris that does not include chest pain (dyspnea, diaphoresis, profuse vomiting in a diabetic patient, or arm or jaw pain)."},{"code" : "123001","display" : "Radiopharmaceutical","definition" : "Active ingredient (molecular) used for radioactive tracing."},{"code" : "123003","display" : "Radiopharmaceutical Start DateTime","definition" : "DateTime of radiopharmaceutical administration to the patient for imaging purposes."},{"code" : "123004","display" : "Radiopharmaceutical Stop DateTime","definition" : "Ending DateTime of radiopharmaceutical administration to the patient for imaging purposes."},{"code" : "123005","display" : "Radiopharmaceutical Volume","definition" : "Volume of radiopharmaceutical administered to the patient."},{"code" : "123006","display" : "Radionuclide Total Dose","definition" : "Total amount of radionuclide administered to the patient at Radiopharmaceutical Start Time."},{"code" : "123007","display" : "Radiopharmaceutical Specific Activity","definition" : "Activity per unit mass of the radiopharmaceutical at Radiopharmaceutical Start Time."},{"code" : "123009","display" : "Radionuclide Syringe Counts","definition" : "Pre-injection syringe acquisition count rate."},{"code" : "123010","display" : "Radionuclide Residual Syringe Counts","definition" : "Syringe acquisition count rate following patient injection."},{"code" : "123011","display" : "Contrast/Bolus Agent","definition" : "Contrast or bolus agent."},{"code" : "123012","display" : "Pre-Medication","definition" : "Medication to be administered at the beginning of the Scheduled Procedure Step."},{"code" : "123014","display" : "Target Region","definition" : "Anatomic Region to be imaged."},{"code" : "123015","display" : "Imaging Direction","definition" : "Direction of imaging (includes view, transducer orientation, patient orientation, and/or projection)."},{"code" : "123016","display" : "Imaging Conditions","definition" : "Imaging condition for refinement of protocol (includes secondary posture, instruction, X-Ray / electron beam energy or nuclide, and ultrasound modes), as used in JJ1017 v3.0."},{"code" : "123019","display" : "Caudal 10 degree distal-cranioproximal oblique","definition" : "Caudal 10 degree distal-cranioproximal oblique radiographic projection, defined per Smallwood et al."},{"code" : "123101","display" : "Neighborhood Analysis","definition" : "Surface processing utilizing predefined weighting factors (i.e., kernels) applied to different data values depending on their location relative to other data values within the data domain. Includes Low Pass, High Pass, Gaussian, Laplacian, etc."},{"code" : "123102","display" : "Adaptive Filtering","definition" : "Surface processing applied non-uniformly utilizing a priori knowledge of the system and/or relative locations of the data values within the data domain. Example: Neighborhood analysis where weighting factors are modified continuously based on predefined criteria."},{"code" : "123103","display" : "Edge Detection","definition" : "Surface processing through the exploitation of discontinuities in the data values within their domain. Includes Gradient filters."},{"code" : "123104","display" : "Morphological Operations","definition" : "Surface processing based on the connectivity of values based on the shape or structure of the data values within their domain. Includes erode, dilate, etc."},{"code" : "123105","display" : "Histogram Analysis","definition" : "Surface processing applied to the distribution of the data values. Includes thresholding, Bayesian Classification, etc."},{"code" : "123106","display" : "Multi-Scale/Resolution Filtering","definition" : "Surface processing accomplished through varying the data domain size. Include deformable models."},{"code" : "123107","display" : "Cluster Analysis","definition" : "Surface processing accomplished by combining data values based on their relative location within their domain or value distribution. Includes K- and C-means, Fuzzy Analysis, Watershed, Seed Growing, etc."},{"code" : "123108","display" : "Multispectral Processing","definition" : "Surface processing accomplished through the weighted combination of multiple sets of data. Includes Principle Component Analysis, linear and non-linear weighed combinations, etc."},{"code" : "123109","display" : "Manual Processing","definition" : "Surface processing accomplished through human interaction. Region drawing."},{"code" : "123110","display" : "Artificial Intelligence","definition" : "Surface processing using Artificial Intelligence techniques, such as Machine Learning, Neural Networks, etc."},{"code" : "123111","display" : "Deformable Models","definition" : "Surface processing using Deformable Model techniques, such as Point Distribution Models, Level Sets, Simplex Meshes, etc."},{"code" : "125000","display" : "OB-GYN Ultrasound Procedure Report","definition" : "Document Title of OB-GYN procedure report."},{"code" : "125001","display" : "Fetal Biometry Ratios","definition" : "Report section for assessment of fetal growth using ratios and indexes."},{"code" : "125002","display" : "Fetal Biometry","definition" : "Report section for assessment of fetal growth."},{"code" : "125003","display" : "Fetal Long Bones","definition" : "Report section for assessment of fetal growth by long bone measurements."},{"code" : "125004","display" : "Fetal Cranium","definition" : "Report section for assessment of fetal cranium growth."},{"code" : "125005","display" : "Biometry Group","definition" : "Biometric assessment of."},{"code" : "125006","display" : "Biophysical Profile","definition" : "Report section for assessment of biophysical observations that evaluate fetal well-being according to Manning, Antepartum Fetal Evaluation: Development of a Fetal Biophysical Profile Score, Am. J Obstet Gynecol, 1980;136:787."},{"code" : "125007","display" : "Measurement Group","definition" : "A grouping of related measurements and calculations that share a common context."},{"code" : "125008","display" : "Fetus Summary","definition" : "Report section for fetus specific procedure summary observations."},{"code" : "125009","display" : "Early Gestation","definition" : "Report section for assessment of early gestation fetus."},{"code" : "125010","display" : "Identifier","definition" : "A name to differentiate between multiple instances of some item."},{"code" : "125011","display" : "Pelvis and Uterus","definition" : "Report section for assessment of pelvis and uterus."},{"code" : "125012","display" : "Growth Percentile rank","definition" : "The rank of a measured growth indicator relative to a normal distribution expressed as a percentage."},{"code" : "125013","display" : "Growth Z-score","definition" : "The rank of a measured growth indicator relative to a normal distribution expressed as the dimensionless quantity z = (x-m) /s where (x-m) is the deviation of the value x, from the distribution mean, m, and s is the standard deviation of the distribution."},{"code" : "125015","display" : "Fetus Characteristics","definition" : "Fetus characteristics (findings section title)."},{"code" : "125016","display" : "Fetal Measurements","definition" : "Fetal Measurements (findings section title)."},{"code" : "125021","display" : "Frame of Reference Identity","definition" : "There is a defined equivalence between the Frame of Reference of the Registration SOP instance and the Frame of Reference of the referenced images."},{"code" : "125022","display" : "Fiducial Alignment","definition" : "The registration is based on fiducials that represent patient or specimen features identified in each set of data."},{"code" : "125023","display" : "Acquisition Equipment Alignment","definition" : "Registration based on a-priori knowledge of the acquisition geometry. This is not an object registration as in fiducial registration. Rather, it specifies a known spatial relationship."},{"code" : "125024","display" : "Image Content-based Alignment","definition" : "Computed registration based on global image information."},{"code" : "125025","display" : "Visual Alignment","definition" : "Registration by visually guided manipulation."},{"code" : "125026","display" : "Image Content and Fiducial Based Alignment","definition" : "The registration is based on fiducials that represent patient or specimen features identified in each data set in combination with global image information."},{"code" : "125027","display" : "Deformed for Registration","definition" : "Values are derived by sampling data from a Source Image into a Registered Reference Coordinate System based on a Deformable Spatial Registration Instance."},{"code" : "125028","display" : "Source Deformable Spatial Registration","definition" : "Deformable Spatial Registration Instance used for image deformation."},{"code" : "125030","display" : "Inter-Hemispheric Plane","definition" : "A plane fiducial that specifies the location of the plane separating the two hemispheres of the brain."},{"code" : "125031","display" : "Right Hemisphere Most Anterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the anterior limit of the right brain hemisphere."},{"code" : "125032","display" : "Right Hemisphere Most Posterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the posterior limit of the right brain hemisphere."},{"code" : "125033","display" : "Right Hemisphere Most Superior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the superior limit of the right brain hemisphere."},{"code" : "125034","display" : "Right Hemisphere Most Inferior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the inferior limit of the Right brain hemisphere."},{"code" : "125035","display" : "Left Hemisphere Most Anterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the anterior limit of the left brain hemisphere."},{"code" : "125036","display" : "Left Hemisphere Most Posterior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the posterior limit of the left brain hemisphere."},{"code" : "125037","display" : "Left Hemisphere Most Superior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the superior limit of the left brain hemisphere."},{"code" : "125038","display" : "Left Hemisphere Most Inferior","definition" : "A point fiducial that specifies the location in the plane perpendicular to the Anterior- Posterior-Commissure axis and tangential to the inferior limit of the left brain hemisphere."},{"code" : "125040","display" : "Background","definition" : "That which is not part of an object."},{"code" : "125041","display" : "Registration Input","definition" : "A segment for use as an input to an image registration process."},{"code" : "125100","display" : "Vascular Ultrasound Procedure Report","definition" : "Root Document Title for ultrasound vascular evidence reports (worksheets)."},{"code" : "125101","display" : "Vessel Branch","definition" : "The particular vessel branch, such as the inferior, medial or lateral."},{"code" : "125102","display" : "Graft Type","definition" : "A descriptor or elaboration of the type of graft."},{"code" : "125105","display" : "Measurement Orientation","definition" : "A modifier to a 2D distance measurement to describe its orientation."},{"code" : "125106","display" : "Doppler Angle","definition" : "The angle formed between the Doppler beam line and the direction of blood flow within a region of interest in the body defined by the sample volume."},{"code" : "125107","display" : "Sample Volume Depth","definition" : "The depth of the center of the Doppler sample volume measured from skin line along the Doppler line."},{"code" : "125195","display" : "Pediatric Cardiac Ultrasound Report","definition" : "Pediatric Cardiac Ultrasound Report (document title)."},{"code" : "125196","display" : "Fetal Cardiac Ultrasound Report","definition" : "Fetal Cardiac Ultrasound Report (document title)."},{"code" : "125197","display" : "Adult Congenital Cardiac Ultrasound Report","definition" : "Adult Congenital Cardiac Ultrasound Report (document title)."},{"code" : "125200","display" : "Adult Echocardiography Procedure Report","definition" : "Document title of adult echocardiography procedure (evidence) report."},{"code" : "125201","display" : "Illustration of Finding","definition" : "An image that is a pictorial representation of findings. The concept is typically used as a purpose of reference to an image, such as a depiction of myocardium segments depicting wall motion function."},{"code" : "125202","display" : "LV Wall Motion Score Index","definition" : "The average of all scored (non-zero) Left Ventricle segment wall motion scores."},{"code" : "125203","display" : "Acquisition Protocol","definition" : "A type of clinical acquisition protocol for creating images or image-derived measurements. Acquisition protocols may be specific to a manufacturer's product."},{"code" : "125204","display" : "Area-length biplane","definition" : "Method for calculating left ventricular volume from two orthogonal views containing the true long axis (usually the apical 4 and 2 chamber views). Volume = [pL1 / 6] * [(4A1) ¸ (pL1) ] * [(4A2) ¸ (pL2) ]."},{"code" : "125205","display" : "Area-Length Single Plane","definition" : "Method for calculating left ventricular volume from a view containing the true long axis (usually the apical 4-chamber view). Volume = [8(A)2]¸[3pL]."},{"code" : "125206","display" : "Cube Method","definition" : "Method (formula) for calculating left ventricle volumes and function derivatives (EF, SV, SI, etc.) that estimates the volume as the cube of diameter."},{"code" : "125207","display" : "Method of Disks, Biplane","definition" : "Method of calculating volume based on the summation of disk volumes. The disk axis is parallel to the left ventricular long axis and using a disk diameter averaged from the two chamber and four chamber views."},{"code" : "125208","display" : "Method of Disks, Single Plane","definition" : "Method of calculating volume based on the summation of disk volumes. The disk axis is parallel to the left ventricular long axis with disk diameter taken from the four-chamber view."},{"code" : "125209","display" : "Teichholz","definition" : "Method (formula) for calculating left ventricle volumes and function derivatives (EF, SV, SI, etc.) Volume = [7.0/(2.4+D) ]*D3."},{"code" : "125210","display" : "Area by Pressure Half-Time","definition" : "Mitral valve area (cm2) by Pressure Half-time = 220 (cm2.ms) / PHT (ms)."},{"code" : "125211","display" : "Biplane Ellipse","definition" : "Area = P/4 X d1 X d2d1 = anterior/posterior axisd2 = medial/lateral axisHagen-Ansert, Sandra L., Textbook of Diagnostic Ultrasound, ed. 3, The C.V.Mosby Co., 1989, p. 73. ."},{"code" : "125212","display" : "Continuity Equation","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the velocity."},{"code" : "125213","display" : "Continuity Equation by Mean Velocity","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the mean velocity."},{"code" : "125214","display" : "Continuity Equation by Peak Velocity","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the peak velocity."},{"code" : "125215","display" : "Continuity Equation by Velocity Time Integral","definition" : "For conduits in series (\"in continuity\"), volume flow is equal: A1*V1 = A2*V2. where V is the velocity time integral."},{"code" : "125216","display" : "Proximal Isovelocity Surface Area","definition" : "Utilizes aliasing velocity (by color Doppler) of flow into an orifice (often regurgitant or stenotic) to measure instantaneous flow rate, orifice area, and flow volume.The instantaneous flow rate = (2πr2vav) * (απ) where vav is the constant velocity known as aliasing velocity at radius r, vpis the peak velocity at the orifice, and α is the angle in radians of the constant velocity surface.Estimated Orifice area = Flow rate / vp, where vp is the peak velocity at the orifice and the flow rate is the PISA peak flow rate.The volume flow is then the product of the orifice area and Velocity Time Integral."},{"code" : "125217","display" : "Full Bernoulli","definition" : "ΔP = 4*(V12 - V22)."},{"code" : "125218","display" : "Simplified Bernoulli","definition" : "ΔP = 4*V2."},{"code" : "125219","display" : "Doppler Volume Flow","definition" : "Volume flow = Conduit CSA * (Velocity Time Integral)."},{"code" : "125220","display" : "Planimetry","definition" : "Direct measurement of an area by tracing an irregular perimeter."},{"code" : "125221","display" : "Left Ventricle Mass by M-mode","definition" : "Mass = 1.04 * [(ST+LVID+PWT)3 - LVID3] * 0.8+ 0.6. Mass unit is grams and length in cm."},{"code" : "125222","display" : "Left Ventricle Mass by Truncated Ellipse","definition" : "Mass = 1.05P ((b + t)2 X (2/3 (a + t) + d - d3 /3(a + t)2) - b2 (2/3a + d - d3 /3a2))a = Semi-major axis from widest minor axis radius to apex.b = Short axis radius calculated from short axis cavity areat = Myocardial thickness calculated from short axis epicardial and cavity areasd = Truncated semi-major axis from widest short axis diameter to plane of mitral annulus.Mass unit is grams and length in cm.Schiller NB et al: Recommendations for quantification of the left ventricle by two-dimensional echocardiography, American Society of Echocardiography 2:364, 1989. ."},{"code" : "125223","display" : "4 Point Segment Finding Scale","definition" : "A four point, echocardiographic numeric scoring scheme of myocardium segments based on evaluation of wall motion and ventricle morphology. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, 2:358-367, 1989."},{"code" : "125224","display" : "5 Point Segment Finding Scale","definition" : "A five point, echocardiographic numeric scoring scheme of myocardium segments based on evaluation of wall motion and ventricle morphology. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, 2:358-367, 1989."},{"code" : "125225","display" : "5 Point Segment Finding Scale With Graded Hypokinesis","definition" : "A five point, echocardiographic numeric scoring scheme of myocardium segments based on evaluation of wall motion and ventricle morphology, with severity of hypokinesis graded. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, 2:358-367, 1989."},{"code" : "125226","display" : "Single Plane Ellipse","definition" : "Method of estimating volume from a planar ellipse. Equivalent to Biplane Ellipse with an assumption that the ellipse in the orthogonal plane has identical major and minor diameters."},{"code" : "125227","display" : "Modified Simpson","definition" : "Modified Simpson's Method of estimating ventricular volume, based on the method of disks with paired apical views.Schiller NB, et al. \"Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms\". J Am Soc Echocardiogr.1989 2(5):358-367. Sep-Oct."},{"code" : "125228","display" : "Bullet Method","definition" : "Bullet method of estimating ventricular volume.Volume = 5/6 * L * SL: Left ventricle long axis lengthS: Left ventricle area, SAX view at level of Mitral Valve."},{"code" : "125230","display" : "Power Doppler","definition" : "Color coded ultrasound images of blood flow, which depict the amplitude, or power, of Doppler signals."},{"code" : "125231","display" : "3D mode","definition" : "Volumetric ultrasound imaging"},{"code" : "125233","display" : "Start of drug dose administration","definition" : "Onset of administration of dose of a drug."},{"code" : "125234","display" : "Start of contrast agent administration","definition" : "Onset of contrast agent administration."},{"code" : "125235","display" : "Destruction of microbubbles","definition" : "Destruction of ultrasonic contrast microbubbles by a high-energy ultrasound pulse."},{"code" : "125236","display" : "Onset of exercise","definition" : "Instant at which exercise begins."},{"code" : "125237","display" : "Cessation of exercise","definition" : "Instant at which exercise ends."},{"code" : "125238","display" : "Onset of stimulation","definition" : "Instant at which stimulation begins."},{"code" : "125239","display" : "Cessation of stimulation","definition" : "Instant at which stimulation ends."},{"code" : "125240","display" : "Line scan pattern","definition" : "Ultrasound transducer scan pattern in which information is gathered along a line."},{"code" : "125241","display" : "Plane scan pattern","definition" : "Ultrasound transducer scan pattern in which information is gathered within a plane."},{"code" : "125242","display" : "Volume scan pattern","definition" : "Ultrasound transducer scan pattern in which information is gathered within a volume."},{"code" : "125251","display" : "Non-imaging Doppler ultrasound transducer geometry","definition" : "Ultrasound transducer geometry characterized by a single scan line used for PW or CW Doppler scanning."},{"code" : "125252","display" : "Linear ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by parallel lines."},{"code" : "125253","display" : "Curved linear ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by radial lines normal to the outside of a curved surface."},{"code" : "125254","display" : "Sector ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by lines originating from a common apex."},{"code" : "125255","display" : "Radial ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by lines emanating radially from a single point."},{"code" : "125256","display" : "Ring ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by a circular ring of transducer elements."},{"code" : "125257","display" : "Fixed beam direction","definition" : "Ultrasonic steering technique consisting of a single beam normal to the transducer face steered by the orientation of the probe."},{"code" : "125258","display" : "Mechanical beam steering","definition" : "Ultrasonic steering technique consisting of mechanically directing the beam."},{"code" : "125259","display" : "Phased beam steering","definition" : "Ultrasonic steering technique consisting of electronically-steered beams."},{"code" : "125261","display" : "External Transducer","definition" : "Transducer is designed to be placed onto the surface of the subject."},{"code" : "125262","display" : "Transesophageal Transducer","definition" : "Transducer is designed for insertion into the esophagus."},{"code" : "125263","display" : "Endovaginal Transducer","definition" : "Transducer is designed for insertion into the vagina."},{"code" : "125264","display" : "Endorectal Transducer","definition" : "Transducer is designed for insertion into the rectum."},{"code" : "125265","display" : "Intravascular Transducer","definition" : "Transducer is designed for insertion into the subject via a catheter."},{"code" : "125266","display" : "Endocavitary Transducer","definition" : "Transducer is designed for insertion into either the vaginal cavity or the rectal cavity."},{"code" : "125267","display" : "Intraoperative Transducer","definition" : "Transducer is designed for insertion into the subject via an incision."},{"code" : "125270","display" : "Left Ventricle Mass by Area Length","definition" : "method to measure the mass of the Left Ventricle via the ASE area-length method at end diastole.LV Mass = 1.05*(5/6*(A1*(L+t)) - 5/6*(A2*L))A1 = Left Ventricle epicardial SAX area at the level of the papillary muscle tips at end diastole.A2 = Left Ventricle endocardial SAX area cavity area at the level of the papillary muscle tips at end diastole.L = Left Ventricle apical view long axis length at end diastole.t = Myocardial thickness can be computed as:t = sqrt (A1/3.14) - sqrt (A2/3.14)Reference:1) Schiller, N.B., et al. \"Recommendations for Quantification of the LV by Two-dimensional Echocardiography.\" J Am Soc Echo, Vol. 2, No. 5: 358-367, Sep-Oct 1989.2) Reichek, N., et al. \"Anatomic Validation of Left Ventricular Mass Estimates from Clinical Two-dimensional Echocardiography: Initial Results.\" Circulation, Vol. 67, No. 2: 348-52, February 1983."},{"code" : "125271","display" : "Left Ventricle Mass by M-mode - adjusted by Height","definition" : "Equation = Left Ventricle Mass by M-mode (in gram) / (Height (in meter)) ^2.7Reference:Giovanni De Simone, et al. \"Effect of Growth on Variability of Left Ventricular Mass: Assessment of Allometric Signals in Adults and Children and Their Capacity to Predict Cardiovascular Risk\". New York, New York and Cincinnati, Ohio."},{"code" : "125272","display" : "Left Ventricle Mass by Truncated Ellipse - adjusted by Height","definition" : "Equation = Left Ventricle Mass by Truncated Ellipse / Height^2.7Reference:Giovanni De Simone, et al. \"Effect of Growth on Variability of Left Ventricular Mass: Assessment of Allometric Signals in Adults and Children and Their Capacity to Predict Cardiovascular Risk\". New York, New York and Cincinnati, Ohio."},{"code" : "125273","display" : "Left Ventricle Mass by Area Length - adjusted by Height","definition" : "Equation = Left Ventricle Mass by Area Length / Height^2.7Reference:Giovanni De Simone, et al. \"Effect of Growth on Variability of Left Ventricular Mass: Assessment of Allometric Signals in Adults and Children and Their Capacity to Predict Cardiovascular Risk\". New York, New York and Cincinnati, Ohio."},{"code" : "125301","display" : "Pre-coordinated Measurements","definition" : "Measurements that are described by a single pre-coordinated code."},{"code" : "125302","display" : "Post-coordinated Measurements","definition" : "Measurements that are described by a collection of (generally atomic) post-coordinated codes."},{"code" : "125303","display" : "Adhoc Measurements","definition" : "Measurements taken in an ad hoc fashion without any coordinated semantics."},{"code" : "125304","display" : "Untrackable Measurement","definition" : "The source system of the measurement does not maintain a persistent pre-coordinated code by which different instances of the measurement can be associated and tracked over multiple procedures."},{"code" : "125305","display" : "Finding Observation Type","definition" : "The type of observation made at the finding site, e.g., whether it is an observation of the structure of the finding site, an observation of the behavior of the finding site, or an observation of the blood flow at the finding site."},{"code" : "125306","display" : "Measurement Type","definition" : "The type of derivation used to obtain the measurement value. E.g. whether it is taken directly, formed as a ratio, normalized against an index, or calculated using a more elaborate equation."},{"code" : "125307","display" : "Measured Property","definition" : "The property that is being measured.Examples include mass, diameter, peak blood velocity."},{"code" : "125308","display" : "Measurement Divisor","definition" : "The measurement which is the denominator of a measurement that is divided. This applies to measurements such as ratios or indexed values."},{"code" : "125309","display" : "Short Label","definition" : "A brief label, suitable for display on a screen or report. (Not suitable for matching)."},{"code" : "125310","display" : "Staged Measurements","definition" : "Measurements that need to be associated with a specific stage in a procedure or acquisition protocol."},{"code" : "125311","display" : "Structure of the Finding Site","definition" : "The subject of a measurement is the physical structure of the Finding Site, such as the mass or diameter."},{"code" : "125312","display" : "Behavior of the Finding Site","definition" : "The subject of a measurement is the behavior of the Finding Site, such as the velocity or duration of motion."},{"code" : "125313","display" : "Indexed","definition" : "The measurement has been normalized by dividing it by an index value (such as Body Surface Area)."},{"code" : "125314","display" : "Fractional Change","definition" : "The measurement is a change value expressed as a fraction of its baseline value. E.g. cardiac ejection fraction or fractional shortening."},{"code" : "125315","display" : "Calculated","definition" : "The measurement is calculated by incorporating one or more measured values into an equation other than a ratio, fractional change or indexed calculation."},{"code" : "125316","display" : "Directly measured","definition" : "The measurement is a direct output of the measurement tool."},{"code" : "125317","display" : "Right Ventricle Outflow Tract, Distal","definition" : "The distal portion (at the Pulmonic Valve) of the Right Ventricle Outflow Tract."},{"code" : "125318","display" : "Right Ventricle Outflow Tract, Proximal","definition" : "The proximal portion (subvalvular) of the Right Ventricle Outflow Tract."},{"code" : "125319","display" : "Right Ventricle Anterior Wall","definition" : "The anterior wall of the right ventricle of the heart."},{"code" : "125320","display" : "Electromechanical Delay","definition" : "The period of time between the onset of muscle activation and the onset of force or motion."},{"code" : "125321","display" : "Pre-ejection Period","definition" : "The period between onset of ventricular contraction and the beginning of antegrade blood flow out of the ventricle."},{"code" : "125322","display" : "Atrial Diastolic Filling (D-wave)","definition" : "The period of atrial diastolic filling."},{"code" : "125323","display" : "AR-wave","definition" : "The period of retrograde flow into the pulmonary vein during atrial contraction."},{"code" : "125324","display" : "Full Cardiac Cycle","definition" : "The period of the entire cardiac cycle. E.g. from End Systole of one heartbeat to End Systole of the next heartbeat."},{"code" : "125325","display" : "Dyssynchrony Index","definition" : "The standard deviation over 12 left ventricle myocardial segments of the time to peak myocardial sustained systolic velocity of each segment.See Yu, et al., Circulation, 2002; 105: 438-445"},{"code" : "125326","display" : "Effective Orifice Area","definition" : "The effective area of an orifice (such as the mitral valve orifice) during bloodflow through the orifice."},{"code" : "125327","display" : "Excursion Distance","definition" : "The distance traversed by some tissue over a defined period."},{"code" : "125328","display" : "Maximum Orifice Area","definition" : "The maximum area of an orifice opening over a defined period."},{"code" : "125329","display" : "Peak Blood Pressure","definition" : "The peak pressure of blood over a defined period at a defined location."},{"code" : "125330","display" : "Peak Tissue Velocity","definition" : "The peak velocity of some tissue over a defined period"},{"code" : "125331","display" : "PISA Radius","definition" : "The radius of the proximal isovelocity surface area (PISA) of fluid flow approaching an orifice. It is commonly used to evaluate cardiac valve regurgitation."},{"code" : "125332","display" : "Regurgitation Jet Area","definition" : "A cross-sectional area of a regurgitation jet, taken perpendicular to the primary flow."},{"code" : "125333","display" : "Regurgitation Jet Width","definition" : "A width of a regurgitation jet taken perpendicular to the primary flow."},{"code" : "125334","display" : "Vena Contracta Width","definition" : "The width of the vena contracta of a fluid flow."},{"code" : "125901","display" : "CARDIOsphere","definition" : "CARDIOsphere™ ultrasonic contrast agent produced by POINT Biomedical."},{"code" : "125902","display" : "Echovist","definition" : "Echovist® ultrasonic contrast agent produced by Schering AG."},{"code" : "125903","display" : "Imagify","definition" : "Imagify™ ultrasonic contrast agent produced by Accusphere Inc."},{"code" : "125904","display" : "Levovist","definition" : "Levovist® ultrasonic contrast agent produced by Schering AG."},{"code" : "125905","display" : "Sonazoid","definition" : "Sonazoid™ ultrasonic contrast agent produced by Daiichi Pharmaceutical / General Electric."},{"code" : "125906","display" : "SonoVue","definition" : "SonoVue™ ultrasonic contrast agent produced by Bracco Diagnostics."},{"code" : "125907","display" : "Targestar-B","definition" : "Targestar™-B ultrasonic contrast agent produced by Targeson LLC."},{"code" : "125908","display" : "Targestar-P","definition" : "Targestar™-P ultrasonic contrast agent produced by Targeson LLC."},{"code" : "126000","display" : "Imaging Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of images."},{"code" : "126001","display" : "Oncology Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of images for oncology evaluation."},{"code" : "126002","display" : "Dynamic Contrast MR Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of DCE-MR."},{"code" : "126003","display" : "PET Measurement Report","definition" : "A structured report containing the quantitative results of human or machine analysis of PET images."},{"code" : "126010","display" : "Imaging Measurements","definition" : "Measurements made on images"},{"code" : "126011","display" : "Derived Imaging Measurements","definition" : "Measurements derived from measurements made on images."},{"code" : "126020","display" : "Multiparametric MRI","definition" : "An MRI procedure in which multiple parameters including diffusion, dynamic contrast and T2 are measured."},{"code" : "126021","display" : "Multiparametric MRI of prostate","definition" : "An MRI procedure of the prostate in which multiple parameters including diffusion, dynamic contrast and T2 are measured."},{"code" : "126022","display" : "Multiparametric MRI of whole body","definition" : "An MRI procedure of the whole body in which multiple parameters including diffusion, dynamic contrast and T2 are measured."},{"code" : "126029","display" : "LWH method for volume of ellipsoid","definition" : "Method of calculation of the volume of an ellipsoid as length * width * height * π / 6."},{"code" : "126030","display" : "Sum of segmented voxel method for volume","definition" : "Method of summing the volumes of all the voxels (and partial voxels if the segment contains partially occupied voxels) included in the segment to derive a total volume."},{"code" : "126031","display" : "Peak Value Within ROI","definition" : "Maximum average gray value that is calculated from a 1 cubic centimeter sphere placed within the region of interest.See Wahl RL, Jacene H, Kasamon Y, Lodge MA. From RECIST to PERCIST: Evolving Considerations for PET Response Criteria in Solid Tumors. Journal of Nuclear Medicine. 2009;50(Suppl 1):122S - 150S."},{"code" : "126032","display" : "Metabolic Volume","definition" : "The volume of a lesion (e.g., a tumor) ascertained through information about its metabolic activity (e.g., SUV on PET).Abbreviated \"MV\". Synonymous with Metabolic Tumor Volume (MTV)."},{"code" : "126033","display" : "Total Lesion Glycolysis","definition" : "The total activity of a lesion obtained as the product of its volume and its glycolytic activity (on FDG-PET).The volume may be defined on the same modality (e.g., the MV on FDG-PET by some thresholding or other technique) or on another spatially registered modality (e.g., the lesion outline segmented on CT or MR).Does not apply to other radiopharmaceuticals than those involved in glucose metabolism.Abbreviated TLG. Synonymnous with \"Tumor Lesion Glycolysis\"."},{"code" : "126034","display" : "Glycolysis","definition" : "The amount glycolytic activity summed across all voxels in a defined region or within a defined range of SUV (on FDG-PET)."},{"code" : "126035","display" : "Total Lesion Proliferation","definition" : "The total activity of a lesion obtained as the product of its volume and its proliferative activity (on FLT-PET).The volume may be defined on the same modality (e.g., the MV on FDG-PET by some thresholding or other technique) or on another spatially registered modality (e.g., the lesion outline segmented on CT or MR).Does not apply to other radiopharmaceuticals than those involved in cellular proliferation.Abbreviated TLP. Synonymnous with \"Tumor Lesion Proliferation\"."},{"code" : "126036","display" : "Proliferative Activity","definition" : "The amount proliferative activity summed across all voxels in a defined region or within a defined range of SUV (on FLT-PET)."},{"code" : "126037","display" : "Standardized Added Metabolic Activity","definition" : "A background-corrected, partial volume independent version of TLG.SAM is calculated by drawing a volume of interest (VOI1) around the tumour and a larger VOI (VOI2) around VOI1. Subtracting the background activity in VOI2-VOI1 from VOI1 yields SAM.See Mertens et al. \"Standardized added metabolic activity (SAM): a partial volume independent marker of total lesion glycolysis in liver metastases\". Eur J Nucl Med Mol Imaging (2012) 39:1441-1448."},{"code" : "126038","display" : "Standardized Added Metabolic Activity Background","definition" : "The background value (VOI2-VOI1) used to calculate Standardized Added Metabolic Activity (SAM).SAM is calculated by drawing a volume of interest (VOI1) around the tumour and a larger VOI (VOI2) around VOI1. Subtracting the background activity in VOI2-VOI1 from VOI1 yields SAM.See Mertens et al. \"Standardized added metabolic activity (SAM): a partial volume independent marker of total lesion glycolysis in liver metastases\". Eur J Nucl Med Mol Imaging (2012) 39:1441-1448."},{"code" : "126039","display" : "Lesion to Background SUV Ratio","definition" : "The ratio of the SUV within a tumor to the SUV of a pre-defined background region.A more general concept than Tumor to Background Ratio (TBR)."},{"code" : "126040","display" : "Background for Lesion to Background SUV Ratio","definition" : "The SUV of a pre-defined background region used to compute Lesion to Background SUV Ratio."},{"code" : "126050","display" : "Fractal Dimension","definition" : "A statistical index of complexity comparing how detail in a fractal pattern changes with the scale at which it is measured; a ratio of the change in detail to the change in scale."},{"code" : "126051","display" : "Skewness","definition" : "Measure of the asymmetry of the probability distribution of a real-valued random variable about its mean."},{"code" : "126052","display" : "Kurtosis","definition" : "Measure of the peakedness of the probability distribution of a real-valued random variable."},{"code" : "126060","display" : "Joint Entropy of GLCM","definition" : "The zero order entropy of a Gray Level Co-occurrence Matrix (GLCM). A measure of disorder. Abbreviated ENT.See Fcm.joint.entr in ."},{"code" : "126061","display" : "Root Angular Second Moment of GLCM","definition" : "The square root of the Angular Second Moment (ASM) of a Gray Level Co-occurrence Matrix (GLCM). A measure of orderliness.See ."},{"code" : "126062","display" : "Inverse Difference Moment of GLCM","definition" : "The Inverse Difference Moment (homogeneity) of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated IDM.See Fcm.inv.diff.mom in ."},{"code" : "126063","display" : "Contrast of GLCM","definition" : "The sum of squares of a Gray Level Co-occurrence Matrix (GLCM). A measure of gray level variations. Abbreviated CON.See Fcm.contrast in ."},{"code" : "126064","display" : "Dissimilarity of GLCM","definition" : "The dissimilarity of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated DIS.See Fcm.dissimilarity in ."},{"code" : "126065","display" : "Angular Second Moment of GLCM","definition" : "The Angular Second Moment of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated ASM.See Fcm.energy in ."},{"code" : "126066","display" : "Correlation of GLCM","definition" : "A measure of the linear dependency of gray levels on those of neighbouring pixels of a Gray Level Co-occurrence Matrix (GLCM). Abbreviated COR.See Fcm.corr in ."},{"code" : "126067","display" : "Gray Level Co-occurrence Matrix","definition" : "A tabulation of how often different combinations of pixel values (gray levels) occur in an image. Abbreviated GLCM.See ."},{"code" : "126070","display" : "Subject Time Point Identifier","definition" : "An identifier of a specific time point in a continuum, which is unique within an appropriate local context (such as an entire organization, system or treatment protocol), which identifies the time point for a specific patient."},{"code" : "126071","display" : "Protocol Time Point Identifier","definition" : "An identifier of a specific time point in a continuum, which is unique within an appropriate local context (such as an entire organization, system or treatment protocol), which identifies the time point \"slot\" within a treatment protocol using the same value for all patients in the protocol."},{"code" : "126072","display" : "Time Point Type","definition" : "A pre-defined type of a specific time point in a continuum."},{"code" : "126073","display" : "Time Point Order","definition" : "A number indicating the order of a time point relative to other time points in the same continuum."},{"code" : "126074","display" : "Posttreatment","definition" : "The time after the treatment of interest."},{"code" : "126075","display" : "Eligibility","definition" : "For the purpose of determining eligibility for a protocol."},{"code" : "126080","display" : "RECIST 1.0","definition" : "Response Evaluation Criteria in Solid Tumors version 1.0. See [RECIST] in Normative References."},{"code" : "126081","display" : "RECIST 1.1","definition" : "Response Evaluation Criteria in Solid Tumors Version 1.1. See Eisenhauer et al. \"New Response Evaluation Criteria in Solid Tumours: Revised RECIST Guideline (version 1.1).\" European Journal of Cancer 45, no. 2 (n.d.): 228-47. doi:10.1016/j.ejca.2008.10.026."},{"code" : "126100","display" : "Real World Value Map used for measurement","definition" : "A reference to the Real World Value Map applied to the stored image pixel values before their use for a measurement"},{"code" : "126200","display" : "Image Library Group","definition" : "A container that groups common information about a set of images used as evidence to produce a report."},{"code" : "126201","display" : "Acquisition Date","definition" : "The date the acquisition of data started"},{"code" : "126202","display" : "Acquisition Time","definition" : "The time the acquisition of data started"},{"code" : "126203","display" : "PET Radionuclide Incubation Time","definition" : "The time between the start of injection of the PET radionuclide and the start of acquisition of the PET data."},{"code" : "126220","display" : "R2-Coefficient","definition" : "Coefficient of determination, R2. An indication of goodness of fit."},{"code" : "126221","display" : "Chi-square","definition" : "Pearson's Χ2 test."},{"code" : "126222","display" : "D-W","definition" : "Durbin-Watson statistic for detecting serial correlation in residuals.See ."},{"code" : "126223","display" : "AIC","definition" : "Akaike information criterion. A measure of the balance between goodness of fit and number of free parameters.See Akaike H. A new look at the statistical model identification. IEEE Transactions on Automatic Control. 1974 Dec;19(6):716-23. ."},{"code" : "126224","display" : "BIC","definition" : "Bayesian information criterion. A measure of the balance between goodness of fit and model complexity.See ."},{"code" : "126300","display" : "Perfusion analysis by Stable Xenon CT technique","definition" : "Perfusion analysis by Stable Xenon CT technique"},{"code" : "126301","display" : "Perfusion analysis by IV Iodinated Contrast CT technique","definition" : "Perfusion analysis by IV Iodinated Contrast CT technique"},{"code" : "126302","display" : "Perfusion analysis by Arterial Spin Labeling MR technique","definition" : "Perfusion analysis by Arterial Spin Labeling (ASL) MR technique"},{"code" : "126303","display" : "Perfusion analysis by Susceptibility MR technique","definition" : "Perfusion analysis by Susceptibility (T2*) MR technique"},{"code" : "126310","display" : "Least Mean Square deconvolution","definition" : "Least Mean Square (LMS) deconvolution"},{"code" : "126311","display" : "Singular Value Decomposition deconvolution","definition" : "Singular Value Decomposition (SVD) deconvolution"},{"code" : "126312","display" : "Ktrans","definition" : "Ktrans, the volume transfer constant of a tracer diffusion kinetic model, specifically the volume transfer constant between blood plasma and extravascular extracellular space (EES)See Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126313","display" : "kep","definition" : "kep, the rate constant between extravascular extracellular space (EES) and blood plasmaSee Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126314","display" : "ve","definition" : "ve, the fractional (not absolute) volume of extravascular extracellular space (EES) per unit volume of tissueSee Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126320","display" : "IAUC","definition" : "The initial area under the contrast agent concentration-time curve"},{"code" : "126321","display" : "IAUC60","definition" : "The initial area under the contrast agent concentration-time curve at 60 seconds after the onset time"},{"code" : "126322","display" : "IAUC90","definition" : "The initial area under the contrast agent concentration-time curve at 90 seconds after the onset time"},{"code" : "126323","display" : "IAUC180","definition" : "The initial area under the contrast agent concentration-time curve at 180 seconds after the onset time"},{"code" : "126324","display" : "IAUCBN","definition" : "The initial area under the contrast agent concentration-time curve, normalized with the corresponding arterial input function, such that IAUCBN = IAUC / IAUCAIF."},{"code" : "126325","display" : "IAUC60BN","definition" : "The initial area under the contrast agent concentration-time curve at 60 seconds after the onset time, normalized with the corresponding arterial input function, such that IAUC60BN = IAUC60 / IAUC60AIF."},{"code" : "126326","display" : "IAUC90BN","definition" : "The initial area under the contrast agent concentration-time curve at 90 seconds after the onset time, normalized with the corresponding arterial input function, such that IAUC90BN = IAUC90 / IAUC90AIF."},{"code" : "126327","display" : "IAUC180BN","definition" : "The initial area under the contrast agent concentration-time curve at 180 seconds after the onset time, normalized with the corresponding arterial input function, such that IAUC180BN = IAUC180 / IAUC180AIF."},{"code" : "126330","display" : "tau_m","definition" : "τm. The mean intracellular water lifetime (τi). Used in the Shutter-Speed Model (SSM) of tracer kinetics."},{"code" : "126331","display" : "vp","definition" : "vp. The fractional (not absolute) blood plasma volume per unit volume of tissue.See Tofts et al, \"Estimating Kinetic Parameters From Dynamic Contrast-Enhanced T1-Weighted MRI of a Diffusable Tracer: Standardized Quantities and Symbols\", Journal of Magnetic Resonance Imaging, vol. 10, pp. 223-232, 1999."},{"code" : "126340","display" : "Standard Tofts Model","definition" : "A tracer diffusion kinetic model in which the permeability is assumed to be isodirectional.See P. Tofts, \"Modeling tracer kinetics in dynamic Gd-DTPA MR imaging\", Journal of Magnetic Resonance Imaging, vol. 7, pp. 91-101, 1997.Mathematically equivalent to the model proposed by Kety in a non-MRI context, hence sometimes refered to as the Tofts-Kety (TK) model. See Kety SS. The Theory and Applications of the Exchange of Inert Gas at the Lungs and Tissues. Pharmacological Reviews. 1951 Mar 1;3(1):1-41."},{"code" : "126341","display" : "Extended Tofts Model","definition" : "A tracer diffusion kinetic model in which the permeability is not assumed to be isodirectional, and which includes the contribution of tracer in the blood plasma to the total tissue concentration.See P. Tofts, \"Modeling tracer kinetics in dynamic Gd-DTPA MR imaging\", Journal of Magnetic Resonance Imaging, vol. 7, pp. 91-101, 1997."},{"code" : "126342","display" : "Model-free concentration-time quantitification","definition" : "A semiquantitative analysis of the contrast-enhancement concentration versus time curve that avoids the use of a pharmacokinetic model."},{"code" : "126343","display" : "First Pass Leakage Profile Model","definition" : "A tracer diffusion kinetic model that accounts for the tumor leakage profile during the first pass of contrast.See Li, Ka-Loh, Xiao Ping Zhu, John Waterton, and Alan Jackson. \"Improved 3D Quantitative Mapping of Blood Volume and Endothelial Permeability in Brain Tumors.\" Journal of Magnetic Resonance Imaging 12, no. 2 (2000): 347-357. doi:​10.1002/​1522-2586(200008)12:​2<347::AID-JMRI19>​3.0.CO;2-7."},{"code" : "126344","display" : "Shutter-Speed Model","definition" : "A tracer diffusion kinetic model that does not assume that intercompartmental water molecule exchange is infinitely fast.See Li, Xin, Wei Huang, Thomas E. Yankeelov, Alina Tudorica, William D. Rooney, and Charles S. Springer. \"Shutter-Speed Analysis of Contrast Reagent Bolus-Tracking Data: Preliminary Observations in Benign and Malignant Breast Disease.\" Magnetic Resonance in Medicine 53, no. 3 (2005): 724-29. doi:10.1002/mrm.20405."},{"code" : "126345","display" : "Gamma Capillary Transit Time Model","definition" : "A tracer diffusion kinetic model that mathematically unifies the Tofts, Extended Tofts, Adiabatic Tissue Homogeneity, and Two Compartment Exchange modelsSee Schabel MC. A unified impulse response model for DCE-MRI. Magnetic Resonance in Medicine. 2012;68(5):1632-46. doi:10.1002/mrm.24162."},{"code" : "126346","display" : "Adiabatic Tissue Homogeneity Model","definition" : "An adiabatic approximation to the tissue homogeneity tracer diffusion kinetic model, which assumes that the tracer concentration in parenchymal tissue changes slowly relative to that in capillaries.See St. Lawrence KS, Lee T-Y. An Adiabatic Approximation to the Tissue Homogeneity Model for Water Exchange in the Brain: I. Theoretical Derivation. J Cereb Blood Flow Metab. 1998 Dec;18(12):1365-77. doi:10.1097/00004647-199812000-00011."},{"code" : "126347","display" : "Two Compartment Exchange Model","definition" : "A tracer diffusion kinetic that incorporates the extracellular space of the lesion as a peripheral compartment, connected to the central (plasma) compartment by linear exchange processes in both directions.See Brix G, Semmler W, Port R, Schad LR, Layer G, Lorenz WJ. Pharmacokinetic Parameters in CNS Gd-DTPA Enhanced MR Imaging. Journal of Computer Assisted Tomography. 1991;15(4):621-8."},{"code" : "126350","display" : "T1 by Multiple Flip Angles","definition" : "T1 measurement by Multiple Flip Angles (MFA) (variable saturation) method"},{"code" : "126351","display" : "T1 by Inversion Recovery","definition" : "T1 measurement by Inversion Recovery (IR) method"},{"code" : "126352","display" : "T1 by Fixed Value","definition" : "Calculation was performed using a fixed value of T1 rather than a measured value. The value could be encoded as the value of (126353, DCM, \"T1 Used For Calculation\")."},{"code" : "126353","display" : "T1 Used For Calculation","definition" : "The fixed value of T1 used for a calculation."},{"code" : "126360","display" : "AIF Ignored","definition" : "No Arterial Input Function was used."},{"code" : "126361","display" : "Population Averaged AIF","definition" : "A population-averaged Arterial Input Function."},{"code" : "126362","display" : "User-defined AIF ROI","definition" : "An Arterial Input Function computed from a user-defined Region of Interest."},{"code" : "126363","display" : "Automatically Detected AIF ROI","definition" : "An Arterial Input Function computed from an automatically detected Region of Interest."},{"code" : "126364","display" : "Blind Estimation of AIF","definition" : "A data-driven blind source separation (BSS) algorithm that estimates AIF from individuals without any presumed AIF model and initialization. See Lin, Yu-Chun, Tsung-Han Chan, Chong-Yung Chi, Shu-Hang Ng, Hao-Li Liu, Kuo-Chen Wei, Yau-Yau Wai, Chun-Chieh Wang, and Jiun-Jie Wang. \"Blind Estimation of the Arterial Input Function in Dynamic Contrast-Enhanced MRI Using Purity Maximization.\" Magnetic Resonance in Medicine 68, no. 5 (November 1, 2012): 1439-49. doi:10.1002/mrm.24144."},{"code" : "126370","display" : "Time of Peak Concentration","definition" : "The time at which the concentration-time curve achieves its peak for the first time. Used as a concept name for a value or as a method."},{"code" : "126371","display" : "Bolus Arrival Time","definition" : "The nominal time at which arrival of a contrast bolus is detected, which is used as a reference point for subsequent calculations. Used as a concept name for a value or as a method. No specific computational method is implied by this general definition. Abbreviated BAT."},{"code" : "126372","display" : "Time of Leading Half-Peak Concentration","definition" : "The time at which the concentration-time curve achieves half of its peak density for the first time. Used as a concept name for a value or as a method."},{"code" : "126373","display" : "Temporal Derivative Exceeds Threshold","definition" : "A method of determining BAT that involves computing the temporal derivative of the concentration-time curve and selecting the time when the temporal derivative exceeds a specified threshold. See Shpilfoygel Med Phys 2008. doi:10.1118/1.1288669."},{"code" : "126374","display" : "Temporal Derivative Threshold","definition" : "A threshold applied to the temporal derivative of the concentration-time curve."},{"code" : "126375","display" : "Maximum Slope","definition" : "The maximum rate of signal intensity change within a measured region of a time-activity curve. See Boonsirikamchai, Piyaporn, Harmeet Kaur, Deborah A. Kuban, Edward Jackson, Ping Hou, and Haesun Choi. \"Use of Maximum Slope Images Generated From Dynamic Contrast-Enhanced MRI to Detect Locally Recurrent Prostate Carcinoma After Prostatectomy: A Practical Approach.\" American Journal of Roentgenology 198, no. 3 (March 1, 2012): W228-W236. doi:10.2214/AJR.10.6387."},{"code" : "126376","display" : "Maximum Difference","definition" : "The maximum degree of signal intensity change within a measured region of a time-activity curve. See Boonsirikamchai, Piyaporn, Harmeet Kaur, Deborah A. Kuban, Edward Jackson, Ping Hou, and Haesun Choi. \"Use of Maximum Slope Images Generated From Dynamic Contrast-Enhanced MRI to Detect Locally Recurrent Prostate Carcinoma After Prostatectomy: A Practical Approach.\" American Journal of Roentgenology 198, no. 3 (March 1, 2012): W228-W236. doi:10.2214/AJR.10.6387."},{"code" : "126377","display" : "Tracer Concentration","definition" : "Tracer concentration in tissue."},{"code" : "126380","display" : "Contrast Longitudinal Relaxivity","definition" : "The degree to which a paramagnetic contrast agent can enhance the proton longitudinal relaxation rate constant (R1, 1/T1), normalized to the concentration of the contrast agent. Also referred to as r1. Typically expressed in units of l/mmol/s."},{"code" : "126390","display" : "Absolute Regional Blood Flow","definition" : "The absolute flow rate of blood perfusing a region as volume per mass per unit of time. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "126391","display" : "Absolute Regional Blood Volume","definition" : "The absolute volume of blood perfusing a region as volume per mass. The mass divisor may be approximated by a measurement of volume assuming a tissue density of 1."},{"code" : "126392","display" : "Oxygen Extraction Fraction","definition" : "The percent of the oxygen removed from the blood by tissue during its passage through the capillary network. For example, as measured by blood oxygenation level dependent (BOLD) MR. See He, Xiang, and Dmitriy A. Yablonskiy. \"Quantitative BOLD: Mapping of Human Cerebral Deoxygenated Blood Volume and Oxygen Extraction Fraction: Default State.\" Magnetic Resonance in Medicine 57, no. 1 (2007): 115-26."},{"code" : "126393","display" : "R1","definition" : "The longitiudinal relaxation rate constant for the decay of longitiudinal magnetization caused by spin-lattice relaxation. The inverse of longitudinal relaxation time, i.e., R1 = 1/T1."},{"code" : "126394","display" : "R2","definition" : "The transverse relaxation rate constant for the decay of transverse magnetization caused by spin-spin relaxation. The inverse of transverse relaxation time, i.e., R2 = 1/T2."},{"code" : "126395","display" : "R2*","definition" : "The transverse relaxation rate constant for the decay of transverse magnetization caused by a combination of spin-spin relaxation and magnetic field inhomogeneity. The inverse of transverse relaxation time, i.e., R2* = 1/T2*."},{"code" : "126396","display" : "Magnetic Susceptibility","definition" : "Magnetic Susceptibility is a measure of the amount of magnetization induced in a material when placed in an external magnetic field. It is the quantity encoded as the voxel intensity in Quantitative Susceptibility Map (QSM) images.It is a dimensionless quantity, usually recorded with units of parts per millions (ppm).See Liu T, Wisnieff C, Lou M, Chen W, Spincemaille P, Wang Y. Nonlinear formulation of the magnetic field to source relationship for robust quantitative susceptibility mapping. Magnetic Resonance in Medicine. 2013;69(2):467-76. .See Wang Y, Liu T. Quantitative susceptibility mapping (QSM): Decoding MRI data for a tissue magnetic biomarker. Magnetic Resonance in Medicine. 2015;73(1):82-101. ."},{"code" : "126397","display" : "Relative Regional Blood Flow","definition" : "The relative flow rate of blood perfusing a region. Obtained by dividing the absolute flow rate of blood perfusing a region by the absolute flow rate of blood perfusing a reference region."},{"code" : "126398","display" : "Relative Regional Blood Volume","definition" : "The relative volume of blood perfusing a region. Obtained by dividing the absolute volume of blood perfusing a region by the absolute volume of blood perfusing a reference region."},{"code" : "126400","display" : "Standardized Uptake Value","definition" : "A ratio of locally measured radioactivity concentration versus the injected radioactivity distributed evenly throughout the whole body.This general concept encompasses all specific methods of calculating the whole body volume of distribution, such as using body weight, lean body mass, body surface area, etc."},{"code" : "126401","display" : "SUVbw","definition" : "Standardized Uptake Value calculated using body weight. The patient size correction factor for males and females is body weight.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126402","display" : "SUVlbm","definition" : "Standardized Uptake Value calculated using lean body mass by James method. The patient size correction factor for males is 1.10 * weight - (120 or 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at , except that either 120 or 128 may be used as the multiplier parameter for males).Unfortunately, Sugawara used a parameter of 120 rather than 128, propagating an error in Morgan DJ, Bray KM. Lean Body Mass as a Predictor of Drug Dosage: Implications for Drug Therapy. Clinical Pharmacokinetics. 1994;26(4):292-307, which misquoted the original LBM definition that used 128 in James WPT, Waterlow JC. Research on Obesity: A Report of the DHSS/MRC Group. London: Her Majesty’s Stationery Office; 1976. Implementations differ in whether they have used 120 or 128 when using this code. See Kelly M. SUV: Advancing Comparability and Accuracy. Siemens; 2009. Available from: ."},{"code" : "126403","display" : "SUVbsa","definition" : "Standardized Uptake Value calculated using body surface area. The patient size correction factor for males and females is weight^ 0.425 * height^0.725 * 0.007184.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126404","display" : "SUVibw","definition" : "Standardized Uptake Value calculated using ideal body weight. The patient size correction factor for males is 48.0 + 1.06 * (height - 152) and for females is 45.5 + 0.91 * (height - 152).Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126405","display" : "SUVlbm(Janma)","definition" : "Standardized Uptake Value calculated using lean body mass by Janmahasatian method. The patient size correction factor for males is 9.27E3 * weight / (6.68E3 + 216 * weight / (height^2)) and for females is 9.27E3 * weight / (8.78E3 + 244 * weight / (height^2)).Defined in Janmahasatian et al. Quantification of Lean Bodyweight. Clin Pharmacokinet. 2005 Oct 1;44(10):1051-65. at and its role in SUVlbm(Janma) calculation is discussed in Tahari et al. Optimum Lean Body Formulation for Correction of Standardized Uptake Value in PET Imaging. Journal of Nuclear Medicine. 2014 Sep 1;55(9):1481-4. at ."},{"code" : "126406","display" : "SUVlbm(James128)","definition" : "Standardized Uptake Value calculated using lean body mass by James method, using the originally published 128 multiplier for males. The patient size correction factor for males is 1.10 * weight - 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2."},{"code" : "126410","display" : "SUV body weight calculation method","definition" : "Method of calculating Standardized Uptake Value using body weight. The patient size correction factor for males and females is body weight.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126411","display" : "SUV lean body mass calculation method","definition" : "Method of calculating Standardized Uptake Value using lean body mass. The patient size correction factor for males is 1.10 * weight - (120 or 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at Unfortunately, Sugawara used a parameter of 120 rather than 128, propagating an error in Morgan DJ, Bray KM. Lean Body Mass as a Predictor of Drug Dosage: Implications for Drug Therapy. Clinical Pharmacokinetics. 1994;26(4):292-307, which misquoted the original LBM definition that used 128 in James WPT, Waterlow JC. Research on Obesity: A Report of the DHSS/MRC Group. London: Her Majesty’s Stationery Office; 1976. Implementations differ in whether they have used 120 or 128 when using this code. See Kelly M. SUV: Advancing Comparability and Accuracy. Siemens; 2009. Available from: ."},{"code" : "126412","display" : "SUV body surface area calculation method","definition" : "Method of calculating Standardized Uptake Value using body surface area. The patient size correction factor for males and females is weight^ 0.425 * height^0.725 * 0.007184.Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126413","display" : "SUV ideal body weight calculation method","definition" : "Method of calculating Standardized Uptake Value using ideal body weight. The patient size correction factor for males is 48.0 + 1.06 * (height - 152) and for females is 45.5 + 0.91 * (height - 152).Defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at"},{"code" : "126414","display" : "SUV lean body mass calculation Janmahasatian method","definition" : "Janmahasatian method of calculating Standardized Uptake Value using lean body mass. The patient size correction factor for males is 9.27E3 * weight / (6.68E3 + 216 * weight / (height^2)) and for females is 9.27E3 * weight / (8.78E3 + 244 * weight / (height^2)).Defined in Janmahasatian et al. Quantification of Lean Bodyweight. Clin Pharmacokinet. 2005 Oct 1;44(10):1051-65. at and its role in SUVlbm(Janma) calculation is discussed in Tahari et al. Optimum Lean Body Formulation for Correction of Standardized Uptake Value in PET Imaging. Journal of Nuclear Medicine. 2014 Sep 1;55(9):1481-4. at ."},{"code" : "126415","display" : "SUV lean body mass calculation method using 128 multiplier","definition" : "James method of calculating Standardized Uptake Value using lean body mass with the originally published 128 multiplier for males. The patient size correction factor for males is 1.10 * weight - 128) * (weight/height) ^2, and for females is 1.07 * weight - 148 * (weight/height) ^2."},{"code" : "126500","display" : "Pittsburgh compound B C^11^","definition" : "A beta-amyloid PET radiotracer that is an analog of thioflavin T."},{"code" : "126501","display" : "Florbetaben F^18^","definition" : "A beta-amyloid PET radiotracer."},{"code" : "126502","display" : "T807 F^18^","definition" : "A PHF-tau PET radiotracer."},{"code" : "126503","display" : "Flubatine F^18^","definition" : "A nicotinic α4β2 receptor (nAChR) PET radiotracer."},{"code" : "126509","display" : "Lutetium^177^ n-acetylaspartylglutamate","definition" : "A radioconjugate consisting of n-acetylaspartylglutamate labeled with lutetium Lu 177 used as a radiotracer."},{"code" : "126510","display" : "Monoclonal Antibody ^64^Cu","definition" : "A Cu 64 Monoclonal Antibody (mAb) PET Radiotracer."},{"code" : "126511","display" : "Monoclonal Antibody ^89^Zr","definition" : "A Zr 89 Monoclonal Antibody (mAb) PET Radiotracer."},{"code" : "126512","display" : "Trastuzumab ^89^Zr","definition" : "A Zr 89 Trastuzumab PET Radiotracer."},{"code" : "126513","display" : "Cetuximab ^89^Zr","definition" : "A Zr 89 Cetuximab PET Radiotracer."},{"code" : "126514","display" : "J591 ^89^Zr","definition" : "A Zr 89 J591 PET Radiotracer."},{"code" : "126515","display" : "cU36 ^89^Zr","definition" : "A Zr 89 cU36 PET Radiotracer."},{"code" : "126516","display" : "Bevacizumab ^89^Zr","definition" : "A Zr 89 Bevacizumab PET Radiotracer."},{"code" : "126517","display" : "cG250-F(ab')(2) ^89^Zr","definition" : "A Zr 89 cG250-F(ab')(2) PET Radiotracer."},{"code" : "126518","display" : "R1507 ^89^Zr","definition" : "A Zr 89 R1507 PET Radiotracer."},{"code" : "126519","display" : "E4G10 ^89^Zr","definition" : "A Zr 89 E4G10 PET Radiotracer."},{"code" : "126520","display" : "Df-CD45 ^89^Zr","definition" : "A Zr 89 Df-CD45 PET Radiotracer."},{"code" : "126600","display" : "^44^Scandium","definition" : "^44^Scandium"},{"code" : "126601","display" : "^51^Manganese","definition" : "^51^Manganese"},{"code" : "126602","display" : "^70^Arsenic","definition" : "^70^Arsenic"},{"code" : "126603","display" : "^90^Niobium","definition" : "^90^Niobium"},{"code" : "126604","display" : "^191m^Iridium","definition" : "^191m^Iridium"},{"code" : "126605","display" : "^43^Scandium","definition" : "^43^Scandium"},{"code" : "126606","display" : "^152^Terbium","definition" : "^152^Terbium"},{"code" : "126607","display" : "^52m^Manganese","definition" : "^52m^Manganese"},{"code" : "126700","display" : "ATSM Cu^60^","definition" : "A Cu 60 ATSM PET radiotracer."},{"code" : "126701","display" : "ATSM Cu^61^","definition" : "A Cu 61 ATSM PET radiotracer."},{"code" : "126702","display" : "ATSM Cu^62^","definition" : "A Cu 62 ATSM PET radiotracer."},{"code" : "126703","display" : "Choline C^11^","definition" : "A C 11 Choline PET radiotracer."},{"code" : "126704","display" : "Fallypride C^11^","definition" : "A C 11 Fallypride PET radiotracer."},{"code" : "126705","display" : "Fallypride F^18^","definition" : "An F 18 Fallypride PET radiotracer."},{"code" : "126706","display" : "FLB 457 C^11^","definition" : "A C 11 FLB 457 PET radiotracer."},{"code" : "126707","display" : "Fluorotriopride F^18^","definition" : "An F 18 Fluorotriopride PET radiotracer."},{"code" : "126708","display" : "Fluoromisonidazole (FMISO) F^18^","definition" : "An F 18 Fluoromisonidazole PET radiotracer."},{"code" : "126709","display" : "Glutamine C^11^","definition" : "A C 11 Glutamine PET radiotracer."},{"code" : "126710","display" : "Glutamine C^14^","definition" : "A C 14 Glutamine PET radiotracer."},{"code" : "126711","display" : "Glutamine F^18^","definition" : "An F 18 Glutamine PET radiotracer."},{"code" : "126712","display" : "Flubatine F^18^","definition" : "An F 18 Flubatine PET radiotracer."},{"code" : "126713","display" : "2FA F^18^","definition" : "An F 18 2FA PET radiotracer."},{"code" : "126714","display" : "Nifene F^18^","definition" : "An F 18 Nifene PET radiotracer."},{"code" : "126715","display" : "CLR1404 I^124^","definition" : "An I 124 cancer targeted phospholipid ether PET radiotracer."},{"code" : "126716","display" : "CLR1404 I^131^","definition" : "An I 131 cancer targeted phospholipid ether PET radiotracer."},{"code" : "126717","display" : "THK5351 F^18^","definition" : "A PET radiotracer used for tau brain imaging.See Harada R, Okamura N, Furumoto S, Furukawa K, Ishiki A, Tomita N, et al. 18F-THK5351: A Novel PET Radiotracer for Imaging Neurofibrillary Pathology in Alzheimer Disease. Journal of Nuclear Medicine. 2016 Feb 1;57(2):208-14. doi:10.2967/jnumed.115.164848"},{"code" : "126718","display" : "Flurpiridaz F^18^","definition" : "A PET radiotracer used for myocardial perfusion imaging.See Yu M, Nekolla SG, Schwaiger M, Robinson SP. The Next Generation of Cardiac Positron Emission Tomography Imaging Agents: Discovery of Flurpiridaz F-18 for Detection of Coronary Disease. Seminars in Nuclear Medicine. 2011 Jul;41(4):305-13. doi:10.1053/j.semnuclmed.2011.02.004See SNMMI. Flurpiridaz."},{"code" : "126719","display" : "RO6924963 ^11^C","definition" : "A PET radiotracer used for tau brain imaging.See Wong DF, Comley R, Kuwabara H, Rosenberg PB, Resnick SM, Ostrowitzki S, et al. First in-human PET study of 3 novel tau radiopharmaceuticals: [11C]RO6924963, [11C]RO6931643, and [18F]RO6958948. J Nucl Med. 2018 May 4; doi:10.2967/jnumed.118.209916."},{"code" : "126720","display" : "RO6931643 ^11^C","definition" : "A PET radiotracer used for tau brain imaging.See Wong DF, Comley R, Kuwabara H, Rosenberg PB, Resnick SM, Ostrowitzki S, et al. First in-human PET study of 3 novel tau radiopharmaceuticals: [11C]RO6924963, [11C]RO6931643, and [18F]RO6958948. J Nucl Med. 2018 May 4; doi:10.2967/jnumed.118.209916."},{"code" : "126721","display" : "Obinituzimab ^89^Zr","definition" : "A Zr 89 Obinituzimab PET Radiotracer."},{"code" : "126722","display" : "Benralizumab ^89^Zr","definition" : "A Zr 89 Benralizumab PET Radiotracer."},{"code" : "126723","display" : "Ocaratuzumab ^89^Zr","definition" : "A Zr 89 Ocaratuzumab PET Radiotracer."},{"code" : "126724","display" : "Glembatumumab vedotin ^89^Zr","definition" : "A Zr 89 Glembatumumab vedotin PET Radiotracer."},{"code" : "126725","display" : "Pinatuzumab vedotin ^89^Zr","definition" : "A Zr 89 Pinatuzumab vedotin PET Radiotracer."},{"code" : "126726","display" : "Polatuzumab vedotin ^89^Zr","definition" : "A Zr 89 Polatuzumab vedotin PET Radiotracer."},{"code" : "126727","display" : "Blinatumomab ^89^Zr","definition" : "A Zr 89 Blinatumomab PET Radiotracer."},{"code" : "126728","display" : "Pegdinetanib ^89^Zr","definition" : "A Zr 89 Pegdinetanib PET Radiotracer."},{"code" : "126729","display" : "AGN-150998 ^89^Zr","definition" : "A Zr 89 AGN-150998 PET Radiotracer."},{"code" : "126730","display" : "MEDI-551 ^89^Zr","definition" : "A Zr 89 MEDI-551 PET Radiotracer."},{"code" : "126731","display" : "GA201 ^89^Zr","definition" : "A Zr 89 GA201 PET Radiotracer."},{"code" : "126732","display" : "Ecromeximab ^89^Zr","definition" : "A Zr 89 Ecromeximab PET Radiotracer."},{"code" : "126733","display" : "Roledumab ^89^Zr","definition" : "A Zr 89 Roledumab PET Radiotracer."},{"code" : "126734","display" : "XmAb5574 ^89^Zr","definition" : "A Zr 89 XmAb5574 PET Radiotracer."},{"code" : "126735","display" : "Brentuximab ^89^Zr","definition" : "A Zr 89 Brentuximab PET Radiotracer."},{"code" : "126736","display" : "Panitumumab ^89^Zr","definition" : "A Zr 89 Panitumumab PET Radiotracer."},{"code" : "126737","display" : "Rituximab ^89^Zr","definition" : "A Zr 89 Rituximab PET Radiotracer."},{"code" : "126738","display" : "Mogamulizumab ^89^Zr","definition" : "A Zr 89 Mogamulizumab PET Radiotracer."},{"code" : "126739","display" : "Ublituximab ^89^Zr","definition" : "A Zr 89 Ublituximab PET Radiotracer."},{"code" : "126740","display" : "Margetuximab ^89^Zr","definition" : "A Zr 89 Margetuximab PET Radiotracer."},{"code" : "126741","display" : "SAR3419 ^89^Zr","definition" : "A Zr 89 SAR3419 PET Radiotracer."},{"code" : "126742","display" : "Ranibizumab ^89^Zr","definition" : "A Zr 89 Ranibizumab PET Radiotracer."},{"code" : "126746","display" : "cMAb U36 ^89^Zr","definition" : "A Zr 89 cMAb U36 PET Radiotracer."},{"code" : "126747","display" : "DN30 ^89^Zr","definition" : "A Zr 89 DN30 PET Radiotracer."},{"code" : "126748","display" : "Fresolimumab ^89^Zr","definition" : "A Zr 89 Fresolimumab PET Radiotracer."},{"code" : "126749","display" : "TRC105 ^89^Zr","definition" : "A Zr 89 TRC105 PET Radiotracer."},{"code" : "126750","display" : "7E11 ^89^Zr","definition" : "A Zr 89 7E11 PET Radiotracer."},{"code" : "126751","display" : "7D12 ^89^Zr","definition" : "A Zr 89 7D12 PET Radiotracer."},{"code" : "126752","display" : "28H1 ^89^Zr","definition" : "A Zr 89 28H1 PET Radiotracer."},{"code" : "126753","display" : "Nanocolloidal albumin ^89^Zr","definition" : "A Zr 89 nanocolloidal albumin PET Radiotracer.See Heuveling et al. Pilot Study on the Feasibility of PET/CT Lymphoscintigraphy with 89Zr-Nanocolloidal Albumin for Sentinel Node Identification in Oral Cancer Patients. J Nucl Med. 2013 Apr;54(4):585-9. doi:10.2967/jnumed.112.115188. http://jnm.snmjournals.org/content/54/4/585.long"},{"code" : "126754","display" : "Anti-B220 ^89^Zr","definition" : "A Zr 89 Anti-B220 PET Radiotracer."},{"code" : "126755","display" : "RO5323441 ^89^Zr","definition" : "A Zr 89 RO5323441 PET Radiotracer."},{"code" : "126756","display" : "RO542908 ^89^Zr","definition" : "A Zr 89 RO542908 PET Radiotracer."},{"code" : "126757","display" : "RO6958948 ^18^F","definition" : "A PET radiotracer used for tau brain imaging.See Wong DF, Comley R, Kuwabara H, Rosenberg PB, Resnick SM, Ostrowitzki S, et al. First in-human PET study of 3 novel tau radiopharmaceuticals: [11C]RO6924963, [11C]RO6931643, and [18F]RO6958948. J Nucl Med. 2018 May 4; doi:10.2967/jnumed.118.209916."},{"code" : "126758","display" : "PSMA-1007 F^18^","definition" : "A PET radiotracer targeting PMSA used for prostate cancer imaging.See Giesel FL, Hadaschik B, Cardinale J, Radtke J, Vinsensia M, Lehnert W, et al. F-18 labelled PSMA-1007: biodistribution, radiation dosimetry and histopathological validation of tumor lesions in prostate cancer patients. Eur J Nucl Med Mol Imaging. 2017 Apr 1;44(4):678–88. doi:10.1007/s00259-016-3573-4."},{"code" : "126759","display" : "PSMA-617 Ga^68^","definition" : "A PET radiotracer targeting PMSA used for prostate cancer imaging.See Afshar-Oromieh A, Hetzheim H, Kratochwil C, Benesova M, Eder M, Neels OC, et al. The Theranostic PSMA Ligand PSMA-617 in the Diagnosis of Prostate Cancer by PET/CT: Biodistribution in Humans, Radiation Dosimetry, and First Evaluation of Tumor Lesions. J Nucl Med. 2015 Nov 1;56(11):1697–705. doi: 10.2967/jnumed.115.161299."},{"code" : "126760","display" : "Df-FK ^89^Zr","definition" : "A Zr 89 Df-FK peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126761","display" : "Df-FK-PEG(3) ^89^Zr","definition" : "A Zr 89 Df-FK-PEG(3) peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126762","display" : "Df-[FK](2) ^89^Zr","definition" : "A Zr 89 Df-[FK](2) peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126763","display" : "Df-[FK](2)-3PEG(4) ^89^Zr","definition" : "A Zr 89 Df-[FK](2)-3PEG(4) peptide PET Radiotracer.See Jacobsen O et al. MicroPET Imaging of Integrin αvβ3 Expressing Tumors Using 89Zr-RGD Peptides. Mol Imaging Biol. 2011 Dec; 13(6): 1224-1233. doi:10.1007/s11307-010-0458-y. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3137711/"},{"code" : "126764","display" : "Iodinated I^125^ DPA-713","definition" : "An I125 translocator protein (TSPO) SPECT tracer.See Wang H, Pullambhatla M, Guilarte TR, Mease RC, Pomper MG. Synthesis of [125I]IodoDPA-713, a New Probe for Imaging Inflammation. Biochem Biophys Res Commun. 2009 Nov 6;389(1):80–3. doi:10.1007/​10.1016/​j.bbrc.2009.08.102http://​www.ncbi.nlm.nih.gov/​pmc/​articles/​PMC2764231/"},{"code" : "126765","display" : "DPA-713 ^11^C","definition" : "A C11 translocator protein (TSPO) PET tracer.See Endres CJ, Pomper MG, James M, Uzuner O, Hammoud DA, Watkins CC, et al. Initial Evaluation of 11C-DPA-713, a Novel TSPO PET Ligand, in Humans. J Nucl Med. 2009 Aug;50(8):1276–82. doi:10.2967/​jnumed.109.062265http://www.ncbi.nlm.nih.gov/​pmc/​articles/​PMC2883612/"},{"code" : "126766","display" : "DPA-714 ^18^F","definition" : "An F18 translocator protein (TSPO) PET tracer.See Vicidomini C, Panico M, Greco A, Gargiulo S, Coda ARD, Zannetti A, et al. In vivo imaging and characterization of [18F]DPA-714, a potential new TSPO ligand, in mouse brain and peripheral tissues using small-animal PET. Nuclear Medicine and Biology. 2015 Mar 1;42(3):309–16. doi:10.1016/​j.nucmedbio.2014.11.009"},{"code" : "126801","display" : "IEC61217 Patient Support Continuous Yaw Angle","definition" : "Patient Support isocentric rotation (in the IEC FIXED REFERENCE Coordinate System) as defined by . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126802","display" : "IEC61217 Table Top Continuous Pitch Angle","definition" : "Pitch of the Table Top (in the IEC TABLE TOP Coordinate System) as defined by . DICOM represents this value as a Continous Rotation Angle in degrees."},{"code" : "126803","display" : "IEC61217 Table Top Continuous Roll Angle","definition" : "Roll of the Table Top (in the IEC TABLE TOP Coordinate System) as defined by . DICOM represents this value as a Continous Rotation Angle in degrees."},{"code" : "126804","display" : "IEC61217 Table Top Eccentric Axis Distance","definition" : "Eccentric axis offset, in mm (in the IEC PATIENT SUPPORT Coordinate System) as defined by ."},{"code" : "126805","display" : "IEC61217 Table Top Continuous Eccentric Angle","definition" : "Table Top eccentric rotation (in the IEC TABLE TOP ECCENTRIC Coordinate System) as defined by . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126806","display" : "IEC61217 Table Top Lateral Position","definition" : "Lateral displacement of the table top, in mm (in the IEC TABLE TOP Coordinate System) as defined by ."},{"code" : "126807","display" : "IEC61217 Table Top Longitudinal Position","definition" : "Longitudinal displacement of the table top, in mm (in the IEC TABLE TOP Coordinate system) as defined by ."},{"code" : "126808","display" : "IEC61217 Table Top Vertical Position","definition" : "Vertical displacement of the table top, in mm (in the IEC TABLE TOP Coordinate System) as defined by ."},{"code" : "126809","display" : "IEC61217 Gantry Continuous Roll Angle","definition" : "Rotation of the gantry (around the Y-axis of the IEC FIXED REFERENCE Coordinate System) as defined by . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126810","display" : "IEC61217 Gantry Continuous Pitch Angle","definition" : "Pitch angle of rotation of the gantry around the X-axis of the IEC GANTRY Coordinate System. This parameter is not specifically defined by , but is consistent with . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126811","display" : "IEC61217 Gantry Continuous Yaw Angle","definition" : "Yaw angle of rotation of the gantry around the Z-axis of the IEC GANTRY Coordinate System This parameter is not specifically defined by , but is consistent with . DICOM represents this value as a Continuous Rotation Angle in degrees."},{"code" : "126830","display" : "left first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's left side positioned towards the front of the equipment viewed from the front"},{"code" : "126831","display" : "right first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's right side positioned towards the front of the equipment viewed from the front"},{"code" : "126832","display" : "posterior first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's posterior (dorsal) side positioned towards the front of the equipment viewed from the front"},{"code" : "126833","display" : "anterior first","definition" : "The body position of the imaging subject relative to the imaging equipment is with the subject's anterior (ventral) side positioned towards the front of the equipment viewed from the front"},{"code" : "126850","display" : "ILCR","definition" : "The International Laboratory Code Registry (ILCR) of the Institute of Laboratory Animal Research (ILAR). See ."},{"code" : "127001","display" : "Preclinical Small Animal Imaging Acquisition Context","definition" : "A description of the conditions present during acquisition of images of small animals during preclinical research."},{"code" : "127005","display" : "Animal handling during specified phase","definition" : "The conditions present related to the handling of an animal during a specified phase."},{"code" : "127006","display" : "Phase of animal handling","definition" : "A specified phase of handling of an animal (e.g., transport, preparation)."},{"code" : "127010","display" : "Biosafety conditions","definition" : "A description of biosafety conditions (e.g., present during small animal handling for research)."},{"code" : "127011","display" : "Reason for biosafety controls","definition" : "The reason that biosafety controls are in place."},{"code" : "127040","display" : "Heating conditions","definition" : "A description of heating conditions (e.g., present during small animal handling for research)."},{"code" : "127050","display" : "Circadian effects","definition" : "A description of Circadian effects (e.g., present during small animal handling for research)."},{"code" : "127060","display" : "Nose cone","definition" : "A form of face mask that fits over the nose used for delivery of inhalational anesthesia (usually for small animals)"},{"code" : "127061","display" : "Nasal cannula","definition" : "Cannula inserted in the nose used for delivery of inhalational anesthesia or other inhaled gases."},{"code" : "127070","display" : "Retro-orbital route","definition" : "A route of administration of a substance via the retro-orbital venous sinus.Yardeni T et al. (2011). Retro-orbital injections in mice. Lab Animal, 40(5), 155-160. doi:10.1038/laban0511-155."},{"code" : "127101","display" : "In home cage","definition" : "The phase of handling of an animal that provides their normal environment between procedures."},{"code" : "127102","display" : "During transport","definition" : "The phase of handling of an animal that is transport between environments."},{"code" : "127103","display" : "Staging prior to imaging","definition" : "The phase of handling of an animal that is staging prior to an imaging procedure (e.g., after removal from their home environment and transport cage, and awaiting preparation, induction or imaging). During this phase the animals are not subject to intervention (e.g., injection, catheterization) (cf. 127104, DCM, \"Preparation for imaging\"))."},{"code" : "127104","display" : "Preparation for imaging","definition" : "The phase of handling of an animal that is preparation prior to an imaging procedure that involves handling and intervention (e.g., such as injection, catheterization) (cf. 127103, DCM, \"Staging prior to imaging\"))."},{"code" : "127110","display" : "Housing role","definition" : "The phase of handling of an animal during which the housing conditions are applicable."},{"code" : "127120","display" : "Animal housing","definition" : "The manner in which animals are housed."},{"code" : "127121","display" : "Animal room type","definition" : "The room type in which racks of animal cages are housed."},{"code" : "127122","display" : "Animal room identifier","definition" : "The identifier of the room in which racks of animal cages are housed."},{"code" : "127125","display" : "Housing manufacturer","definition" : "The manufacturer of the animal housing."},{"code" : "127126","display" : "Housing rack product name","definition" : "The manufacturer's product name of the animal housing rack."},{"code" : "127127","display" : "Housing rack product code","definition" : "The manufacturer's product code of the animal housing rack."},{"code" : "127128","display" : "Housing unit product name","definition" : "The manufacturer's product name of the animal housing unit (or bottom of unit if separate lid)."},{"code" : "127129","display" : "Housing unit product code","definition" : "The manufacturer's product code of the animal housing unit (or bottom of unit if separate lid)."},{"code" : "127130","display" : "Housing unit lid product name","definition" : "The manufacturer's product name of the animal housing unit lid."},{"code" : "127131","display" : "Housing unit lid product code","definition" : "The manufacturer's product code of the animal housing unit lid."},{"code" : "127140","display" : "Number of racks per room","definition" : "The number of animal housing racks per room."},{"code" : "127141","display" : "Number of housing units per rack","definition" : "The number of animal housing units per rack."},{"code" : "127142","display" : "Housing unit location in rack","definition" : "The location of the housing unit in the rack."},{"code" : "127143","display" : "Number of animals within same housing unit","definition" : "The number of animals in a single housing (e.g., in a single cage, or in an animal carrier for imaging)."},{"code" : "127144","display" : "Sex of animals within same housing unit","definition" : "The sex of multiple animals contained in a single housing (cage)."},{"code" : "127145","display" : "Sex of handler","definition" : "The sex of the animal handler(s)."},{"code" : "127146","display" : "Mixed sex","definition" : "A group consisting of individuals of both sexes (both males and females)."},{"code" : "127150","display" : "Total duration in housing","definition" : "The total period of time that a subject spends in specified housing conditions."},{"code" : "127151","display" : "Housing change interval","definition" : "The period of time between changes of housing conditions."},{"code" : "127152","display" : "Manual handling interval","definition" : "The period of time between episodes of manual handling of the subject."},{"code" : "127153","display" : "Housing unit movement","definition" : "A description of the manner in which the housing unit is moved (e.g., how a cage is transported)."},{"code" : "127160","display" : "Housing unit width","definition" : "The width of the housing unit (e.g., cage)."},{"code" : "127161","display" : "Housing unit height","definition" : "The height of the housing unit (e.g., cage)."},{"code" : "127162","display" : "Housing unit length","definition" : "The length of the housing unit (e.g., cage)."},{"code" : "127170","display" : "Housing individually ventilated","definition" : "Whether or not the housing unit (e.g., cage) is individually ventilated."},{"code" : "127172","display" : "Air changes","definition" : "How frequently the entire volume of air within a defined space is replaced (e.g., within an animal cage)."},{"code" : "127175","display" : "Housing unit reuse","definition" : "Whether or not the housing unit has been previously used for different animals."},{"code" : "127177","display" : "Unused","definition" : "The device (e.g., animal housing unit aka. cage) has not previously been used for different animals."},{"code" : "127178","display" : "Reused","definition" : "The device (e.g., animal housing unit aka. cage) has previously been used for different animals."},{"code" : "127180","display" : "Bedding manufacturer","definition" : "The manufacturer of the bedding material."},{"code" : "127181","display" : "Bedding product name","definition" : "The manufacturer's product name of the bedding material."},{"code" : "127182","display" : "Bedding product code","definition" : "The manufacturer's product code of the bedding material."},{"code" : "127183","display" : "Bedding volume","definition" : "The volume of bedding material."},{"code" : "127184","display" : "Bedding mass","definition" : "The mass of bedding material."},{"code" : "127185","display" : "Bedding depth","definition" : "The depth of bedding material."},{"code" : "127190","display" : "Enrichment material","definition" : "Material provided to enrich the environment of a small animal for the purpose of reducing stress, improving health and/or improving reproducibility of results."},{"code" : "127191","display" : "Enrichment manufacturer","definition" : "The manufacturer of the material provided to enrich the environment of a small animal."},{"code" : "127192","display" : "Enrichment material present","definition" : "Whether or not material is provided to enrich the environment of a small animal for the purpose of reducing stress, improving health and/or improving reproducibility of results."},{"code" : "127193","display" : "Exerciser device present","definition" : "Whether or not an exerciser device is present."},{"code" : "127195","display" : "Shelter type","definition" : "The type of shelter provided for small animals within their housing."},{"code" : "127196","display" : "Shelter manufacturer","definition" : "The manufacturer of the small animal shelter."},{"code" : "127197","display" : "Shelter product name","definition" : "The manufacturer's product name of the small animal shelter."},{"code" : "127198","display" : "Shelter product code","definition" : "The manufacturer's product code of the small animal shelter."},{"code" : "127200","display" : "Feed manufacturer","definition" : "The manufacturer of the feed."},{"code" : "127201","display" : "Feed product name","definition" : "The manufacturer's product name of the feed."},{"code" : "127202","display" : "Feed product code","definition" : "The manufacturer's product code of the feed."},{"code" : "127205","display" : "Feed source","definition" : "The source of animal feed."},{"code" : "127210","display" : "Feedback temperature regulation","definition" : "Temperature is regulated by feedback from a temperature sensor used to control an active heating or cooling device."},{"code" : "127214","display" : "Total duration of light-dark cycle","definition" : "The total duration of single light-dark cycle (e.g., usually 24 hours)."},{"code" : "127215","display" : "Lights on time of day","definition" : "The time of day when the lights are turned on."},{"code" : "127220","display" : "Igloo","definition" : "Igloo shaped small animal shelter"},{"code" : "127221","display" : "Red translucent igloo","definition" : "Red translucent igloo-shaped small animal shelter"},{"code" : "127230","display" : "Aspen chip bedding","definition" : "Animal bedding material made from aspen chips."},{"code" : "127231","display" : "Aspen shaving bedding","definition" : "Animal bedding material made from aspen shavings."},{"code" : "127232","display" : "Corn cob bedding","definition" : "Animal bedding material made from (milled) corn cobs."},{"code" : "127233","display" : "Paper-based bedding","definition" : "Animal bedding material made from paper."},{"code" : "127234","display" : "Pine chip bedding","definition" : "Animal bedding material made from pine chips."},{"code" : "127235","display" : "Pine shaving bedding","definition" : "Animal bedding material made from pine shavings."},{"code" : "127240","display" : "Carrier temperature sensor","definition" : "A device for measuring the temperature of the carrier (holder) used for small animal imaging as a means of monitoring or regulating the animal's temperature (e.g., a non-magnetic thermocouple embedded in or attached to the carrier for MRI)."},{"code" : "127250","display" : "Forced air heater","definition" : "A method or device that uses forced hot air to maintain the body temperature of a subject."},{"code" : "127251","display" : "Heated imaging device","definition" : "An imaging device that contains an integrated method of temperature regulation for maintaining the body temperature of the imaging subject."},{"code" : "127252","display" : "Heated patient support","definition" : "A device that physically supports the patient and contains an integrated method of temperature regulation for maintaining the body temperature of the imaging subject (e.g., the carrier used for imaging a small animal such as a mouse)."},{"code" : "127253","display" : "Heated water blanket","definition" : "A blanket that uses circulating hot water to maintain the body temperature of a subject."},{"code" : "127254","display" : "Pre-heated pad","definition" : "A pad that is pre-heated before use that is used to maintain the body temperature of a subject (e.g., pre-heated in a microwave or autoclave)."},{"code" : "127255","display" : "Unheated","definition" : "No mechanism is used to maintain the body temperature of a subject."},{"code" : "127270","display" : "NIH31","definition" : "NIH Open Formula Rat and Mouse Ration - 18% Crude Protein Autoclavable.Specification at ."},{"code" : "127271","display" : "NIH07","definition" : "NIH07 open-formula, natural-ingredient rodent diet."},{"code" : "127272","display" : "AIN76","definition" : "AIN76 purified diet."},{"code" : "127273","display" : "AIN93G","definition" : "AIN93 growth diet."},{"code" : "127274","display" : "AIN93M","definition" : "AIN93 maintenance diet."},{"code" : "127290","display" : "Reverse osmosis purified water","definition" : "Water that has been purified by reverse osmosis."},{"code" : "127291","display" : "Reverse osmosis purified, HCl acidified water","definition" : "Water that has been purified by reverse osmosis and HCl acidified."},{"code" : "127300","display" : "Anesthesia Method Set","definition" : "Information about different anesthesia methods used during a procedure (from AQI Schema AnesthesiaMethodSetType."},{"code" : "127301","display" : "Anesthesia Method","definition" : "Information about a single anesthesia method used during a procedure (from AQI Schema AnesthesiaMethodType."},{"code" : "127302","display" : "Anesthesia Category","definition" : "Category of anesthesia technique used during a procedure (from AQI Schema AnesthesiaCategoryCodeType."},{"code" : "127303","display" : "Anesthesia SubCategory","definition" : "Details of anesthesia technique used during a procedure (from AQI Schema AnesthesiaMethodType."},{"code" : "127310","display" : "Airway Management Set","definition" : "Information about airway management used during a procedure (from AQI Schema AirwayManagementSetType."},{"code" : "127312","display" : "Airway Management Method","definition" : "Type of airway management used during a procedure (from AQI Schema AirwayManagementMethodCodeType."},{"code" : "127313","display" : "Airway Sub-Management Method","definition" : "Subtype of airway management of airway management used during a procedure (from AQI Schema AirwayManagementSubMethodCodeType."},{"code" : "127320","display" : "Medications Set","definition" : "Set of medications applied during the anesthesia (from AQI Schema MedicationsSetType."},{"code" : "127330","display" : "Carrier gas","definition" : "A gas that delivers an inhalational anesthetic to a subject (e.g., air, oxygen)."},{"code" : "127370","display" : "Animal housing room","definition" : "A room for keeping and raising animals for observation or research (vivarium)."},{"code" : "127371","display" : "Preparation room","definition" : "A room for preparing a subject (such as a research small animal) prior to a procedure (such as an imaging procedure)."},{"code" : "127372","display" : "Imaging procedure room","definition" : "A room in which an imaging procedure is performed."},{"code" : "127390","display" : "Locally manufactured product","definition" : "A product that is locally manufactured (i.e., within the facility or institution)."},{"code" : "127391","display" : "Food treat","definition" : "A food item that is out of the ordinary and provides pleasure."},{"code" : "127400","display" : "Exogenous substance","definition" : "A substance from a source external to a subject."},{"code" : "127401","display" : "Tissue of origin","definition" : "The tissue from which a substance originated."},{"code" : "127402","display" : "Taxonomic rank of origin","definition" : "The taxonomic rank value (e.g., genus, subgenus, species or subspecies) from which a substance originated."},{"code" : "127411","display" : "Strain","definition" : "An identifier of a group of animals that is genetically uniform."},{"code" : "127412","display" : "Strain description","definition" : "A description of a group of animals that is genetically uniform."},{"code" : "127413","display" : "Nomenclature","definition" : "A system of names or descriptions used in a particular field."},{"code" : "127414","display" : "Genetic modifications","definition" : "An identifier of a specific variation of a targeted gene or introduced transgene."},{"code" : "127415","display" : "Genetic modifications description","definition" : "A description of a specific variation of a targeted gene or introduced transgene."},{"code" : "127450","display" : "Stereotactic coordinates","definition" : "The three dimensional coordinates that identify a (usually small) target within the body."},{"code" : "127451","display" : "Position reference indicator","definition" : "The part of the imaging target that was used as a reference point associated with a specific Frame of Reference.The Position Reference Indicator may or may not coincide with the origin of the fixed frame of reference related to the Frame of Reference.For a Patient-related Frame of Reference, this is an anatomical reference point, often a well-known surface anatomical point."},{"code" : "127460","display" : "Tumor graft","definition" : "Tumor cells or tissue or other material obtained from a donor intended to be implanted in a research subject."},{"code" : "127801","display" : "Embryonic Kidney","definition" : "The kidney of an embryo."},{"code" : "127851","display" : "Human alpha synuclein preformed fibrils","definition" : "Preformed fibrils of human alpha synuclein."},{"code" : "127852","display" : "Mouse alpha synuclein preformed fibrils","definition" : "Preformed fibrils of mouse alpha synuclein."},{"code" : "127853","display" : "Human Tau preformed fibrils","definition" : "Preformed fibrils of human Tau."},{"code" : "127854","display" : "Mouse Tau preformed fibrils","definition" : "Preformed fibrils of mouse Tau."},{"code" : "127855","display" : "Non-ionic iodinated contrast agent","definition" : "An iodine containing X-Ray contrast agent that does not dissociate in water, therefore, is lower in osmolality, and has a significantly lower incidence of adverse reactions than ionic iodinated contrast agents."},{"code" : "127856","display" : "Heart valve flail","definition" : "Unrestricted motion of a heart valve."},{"code" : "127857","display" : "Glucose Measurement Date","definition" : "The date that a glucose measurement was performed."},{"code" : "127858","display" : "Glucose Measurement Time","definition" : "The time that a glucose measurement was performed."},{"code" : "127901","display" : "SPECT of whole body","definition" : "A nuclear medicine imaging procedure using a single photon emissive radionuclide with tomographic reconstruction, over an anatomical extent of the entire body."},{"code" : "127902","display" : "SPECT CT of whole body","definition" : "A nuclear medicine imaging procedure using a single photon emissive radionuclide with tomographic reconstruction combined with transmissive X-Ray computed tomography for attenuation compensation, over an anatomical extent of the entire body."},{"code" : "128001","display" : "Add Addendum to Report","definition" : "The task is to add an addendum to an existing report."},{"code" : "128002","display" : "Modality to Read","definition" : "The imaging study to be read involves the specified modality"},{"code" : "128003","display" : "Reader Specialty","definition" : "The specialty of the reader of the imaging study"},{"code" : "128004","display" : "Report Requested","definition" : "The type of report that is being requested."},{"code" : "128005","display" : "Final Report","definition" : "A final report is a report that is expected to contain all information and all the reportable findings."},{"code" : "128006","display" : "Abdominal Imaging Specialty","definition" : "A medical specialty concerned with abdominal imaging."},{"code" : "128007","display" : "Cardiac Imaging Specialty","definition" : "A medical specialty concerned with cardiac imaging."},{"code" : "128008","display" : "Head and Neck Imaging Specialty","definition" : "A medical specialty concerned with head and neck imaging."},{"code" : "128009","display" : "Musculoskeletal Imaging Specialty","definition" : "A medical specialty concerned with musculoskeletal imaging."},{"code" : "128010","display" : "Neurology Specialty","definition" : "A medical specialty concerned with neurology."},{"code" : "128011","display" : "Neuroradiology Imaging Specialty","definition" : "A medical specialty concerned with neuroradiologic imaging."},{"code" : "128012","display" : "OB/Gyn Imaging Specialty","definition" : "A medical specialty concerned with obstetric and gynecologic imaging."},{"code" : "128013","display" : "Oncologic Imaging Specialty","definition" : "A medical specialty concerned with oncologic imaging."},{"code" : "128014","display" : "Oncology Specialty","definition" : "A medical specialty concerned with oncology."},{"code" : "128015","display" : "Thoracic Imaging Specialty","definition" : "A medical specialty concerned with thoracic imaging."},{"code" : "128016","display" : "Pediatric Imaging Specialty","definition" : "A medical specialty concerned with pediatric imaging."},{"code" : "128017","display" : "Vascular Imaging Specialty","definition" : "A medical specialty concerned with vascular imaging."},{"code" : "128040","display" : "FWP by GA, Campbell, 1991","definition" : "Fetal body weight growth percentile estimated from gestational age by method of Campbell 1991.See Campbell WA, Nardi D, Vintzileos AM, Rodis JF, Turner GW, Egan JF. Transverse Cerebellar Diameter/Abdominal Circumference Ratio Throughout Pregnancy: A Gestational Age-Independent Method to Assess Fetal Growth. Obstetrics & Gynecology. 1991;77(6):893-6. Available at: ."},{"code" : "128041","display" : "FWP by GA, Hadlock, 1991","definition" : "Fetal body weight growth percentile estimated from gestational age by method of Hadlock 1991.See Hadlock FP, Harrist RB, Martinez-Poyer J. In utero analysis of fetal growth: a sonographic weight standard. Radiology. 1991 Oct 1;181(1):129-33. DOI:10.1148/radiology.181.1.1887021. Available at: ."},{"code" : "128120","display" : "Plane through Superior Extent","definition" : "A plane passing through the superior extent (i.e., towards the head) of the referenced feature"},{"code" : "128121","display" : "Plane through Inferior Extent","definition" : "A plane passing through the inferior extent (i.e., towards the feet) of the referenced feature"},{"code" : "128122","display" : "Plane through Proximal Extent","definition" : "A plane passing through the proximal extent (i.e., towards the torso) of the referenced feature"},{"code" : "128123","display" : "Plane through Distal Extent","definition" : "A plane passing through the distal extent (i.e., towards the end of the extremity) of the referenced feature"},{"code" : "128124","display" : "Plane through Medial Extent","definition" : "A plane passing through the medial extent (i.e., towards the midline of the body) of the referenced feature"},{"code" : "128125","display" : "Plane through Lateral Extent","definition" : "A plane passing through the lateral extent (i.e., away from the midline of the body) of the referenced feature"},{"code" : "128126","display" : "Plane through Leftmost Extent","definition" : "A plane passing through the leftmost extent of the referenced feature"},{"code" : "128127","display" : "Plane through Rightmost Extent","definition" : "A plane passing through the rightmost extent of the referenced feature"},{"code" : "128128","display" : "Plane through Anterior Extent","definition" : "A plane passing through the anterior extent of the referenced feature"},{"code" : "128129","display" : "Plane through Posterior Extent","definition" : "A plane passing through the posterior extent of the referenced feature"},{"code" : "128130","display" : "Plane through Center","definition" : "A plane passing approximately through the center of the referenced feature"},{"code" : "128137","display" : "Geometric Centerpoint","definition" : "The geometric center point of a feature, such as an organ, implanted device or morphologic anomaly."},{"code" : "128138","display" : "Center of Mass","definition" : "The center of mass of a feature, such as an organ, implanted device or morphologic anomaly"},{"code" : "128139","display" : "Seed point","definition" : "Point in an image or space from which segmentation is initiated, e.g., by region growing."},{"code" : "128140","display" : "Representative point","definition" : "Point in an image or space that is representative (serves as an example or type for others of the same classification) of a feature, such as an organ, implanted device or morphologic anomaly."},{"code" : "128141","display" : "Boundary point","definition" : "Point in an image or space on the boundary of a feature, such as an organ, implanted device or morphologic anomaly."},{"code" : "128144","display" : "Impaired Renal Function","definition" : "The procedure is contraindicated for patients with impaired renal function."},{"code" : "128151","display" : "Laser Cross-hairs","definition" : "Positioning the patient based on alignment of laser cross-hairs."},{"code" : "128160","display" : "Acquired Volume","definition" : "The anatomical region represented in the acquired data."},{"code" : "128170","display" : "Abdominal Radiology","definition" : "Organizational department or section responsible for Abdominal Radiology"},{"code" : "128171","display" : "Biomedical Engineering","definition" : "Organizational department or section responsible for Biomedical Engineering"},{"code" : "128172","display" : "Cardiovascular Radiology","definition" : "Organizational department or section responsible for Cardiovascular Radiology"},{"code" : "128173","display" : "Information Technology","definition" : "Organizational department or section responsible for Information Technology"},{"code" : "128174","display" : "Medical Physics","definition" : "Organizational department or section responsible for Medical Physics"},{"code" : "128175","display" : "Musculoskeletal Radiology","definition" : "Organizational department or section responsible for Musculoskeletal Radiology"},{"code" : "128177","display" : "Pediatric Radiology","definition" : "Organizational department or section responsible for Pediatric Radiology"},{"code" : "128179","display" : "Thoracic Radiology","definition" : "Organizational department or section responsible for Thoracic Radiology"},{"code" : "128180","display" : "For RT Workflow","definition" : "Instances available as input for a general radiotherapeutic workflow."},{"code" : "128181","display" : "Diagnostic Source Images","definition" : "Instances used to make a diagnosis."},{"code" : "128182","display" : "Segmentation Result","definition" : "Instances created during a segmentation session."},{"code" : "128183","display" : "Registration Result","definition" : "Instances created during a spatial registration."},{"code" : "128184","display" : "Pre-Planning Result","definition" : "Instances created during preparation prior to planning."},{"code" : "128185","display" : "RT Prescription Result","definition" : "Instances created for prescription of a radiotherapeutic treatment."},{"code" : "128186","display" : "Dose Calculation Image Series","definition" : "Image instances that represent an image series that is intended to be the primary input for the dose calculation. Any parameters required for dose calculation (such as electron density) is derived from this series."},{"code" : "128187","display" : "Coordinate Alignment Image Series","definition" : "Image instances that represent an image series from which the display coordinate system for a radiotherapeutic treatment planning is derived. Typically this series does not provide the parameters required for the dose calculation."},{"code" : "128188","display" : "RT Treatment Simulation Result","definition" : "Instances created during the simulation of a radiotherapeutic treatment delivery session. May also include input objects actually used."},{"code" : "128189","display" : "RT Planning Result","definition" : "Instances created during the planning of a radiotherapeutic treatment. May also include input objects actually used."},{"code" : "128190","display" : "Dosimetric Result","definition" : "Instances created during the creation of the dosimetric result of a radiotherapeutic treatment plan. May also include input objects actually used."},{"code" : "128191","display" : "Patient Setup Verification Result","definition" : "Instances created during the verification of the patient’s treatment position. May also include input objects actually used."},{"code" : "128192","display" : "RT Treatment Session Result","definition" : "Instances created during the treatment session. May also include input objects actually used."},{"code" : "128193","display" : "RT Treatment Course Summary","definition" : "Instances created during a treatment course. May also include input objects actually used."},{"code" : "128194","display" : "RT Treatment QA Result","definition" : "Instances created during evaluation of the treatment delivery quality. May also include input objects actually used."},{"code" : "128195","display" : "For Diagnosis","definition" : "Instances available to make a diagnosis."},{"code" : "128196","display" : "For Segmentation","definition" : "Instances available for segmentation."},{"code" : "128197","display" : "For RT Prescription","definition" : "Instances available for prescribing a radiotherapeutic treatment delivery."},{"code" : "128198","display" : "For RT Treatment Planning","definition" : "Instances available for creating a radiotherapeutic treatment plan."},{"code" : "128199","display" : "For Plan Comparison","definition" : "Instances available for comparing plans."},{"code" : "128200","display" : "For RT Plan Summation","definition" : "Instances available to combine radiotherapeutic plans or doses."},{"code" : "128201","display" : "For Physician Review","definition" : "Instances available for review by a physician."},{"code" : "128202","display" : "For Physicist Review","definition" : "Instances available for review by a physicist."},{"code" : "128203","display" : "For Tumor Board","definition" : "Instances available for review of a tumor board."},{"code" : "128204","display" : "For Plan Quality Assurance","definition" : "Instances available to perform quality assurance of a radiotherapeutic treatment delivery plan."},{"code" : "128205","display" : "For Machine Quality Assurance","definition" : "Instances available to perform quality assurance of one of the hardware or software components involved in a radiotherapeutic treatment delivery."},{"code" : "128206","display" : "For Patient Setup Verification","definition" : "Instances available for verification of the patient treatment position."},{"code" : "128207","display" : "For Clinical Trial Submission","definition" : "Instances available for submission for a clinical trial study."},{"code" : "128208","display" : "For Tumor Registry","definition" : "Instances available for submission to a tumor registry."},{"code" : "128209","display" : "RT Workflow Input Used","definition" : "Instances used as an input of a general radiotherapeutic workflow."},{"code" : "128210","display" : "RT Prescription Input Used","definition" : "Instances used for prescribing a radiotherapeutic treatment delivery."},{"code" : "128211","display" : "RT Treatment Planning Input Used","definition" : "Instances used to create a radiotherapeutic treatment plan."},{"code" : "128212","display" : "RT Plan Summation Input Used","definition" : "Instances used to combine radiotherapeutic plans or doses."},{"code" : "128213","display" : "Physician Review Input Used","definition" : "Instances used for review by a physician."},{"code" : "128214","display" : "Physicist Review Input Used","definition" : "Instances used for review by a physicist."},{"code" : "128215","display" : "Plan Quality Assurance Input Used","definition" : "Instances used to perform quality assurance of a radiotherapeutic treatment delivery plan."},{"code" : "128216","display" : "Machine Quality Assurance Input Used","definition" : "Instances used to perform quality assurance of one of the hardware or software components involved in a radiotherapeutic treatment delivery."},{"code" : "128217","display" : "Patient Setup Verification Input Used","definition" : "Instances used during verification of the patient treatment position."},{"code" : "128218","display" : "Diagnosis Input Used","definition" : "Instances used to make a diagnosis."},{"code" : "128219","display" : "Contouring Input Used","definition" : "Instances used for segmentation."},{"code" : "128220","display" : "Plan Comparison Input Used","definition" : "Instances used for comparing plans."},{"code" : "128221","display" : "Tumor Board Input Used","definition" : "Instances used for review of a tumor board."},{"code" : "128222","display" : "Tumor Registry Input Used","definition" : "Instances submitted to a tumor registry."},{"code" : "128223","display" : "Clinical Trial Submission Input Used","definition" : "Instances submitted to a clinical trial study."},{"code" : "128224","display" : "Source measurement","definition" : "Measurement used as the source for derivation."},{"code" : "128225","display" : "Source report","definition" : "Report used as the source for derivation."},{"code" : "128226","display" : "Source raw data","definition" : "Raw Data used as the source for derivation."},{"code" : "128227","display" : "Source real world value map","definition" : "Real world value map used as the source for derivation."},{"code" : "128228","display" : "Source segmentation","definition" : "Segmentation used as the source for derivation."},{"code" : "128230","display" : "Pulse Sequence Name","definition" : "Name of an MR pulse sequence for annotation purposes. Potentially vendor-specific name."},{"code" : "128250","display" : "Structural image for image processing","definition" : "A structural image used for image processing."},{"code" : "128251","display" : "Flow image for image processing","definition" : "A flow image used for image processing."},{"code" : "128252","display" : "OCT-A amplitude decorrelation","definition" : "OCT angiography method that de-correlates the amplitudes between two consecutive B-scans from the narrowed spectral bands was computed, and all the decorrelation values within certain repeated B-scans were averaged to visualize blood vessels. Methods and algorithms for optical coherence tomography-based angiography: a review and comparison. Anqi Zhang ; Qinqin Zhang ; Chieh-Li Chen ; Ruikang K. Wang (2015). See http://biomedicaloptics.spiedigitallibrary.org/​article.aspx?​articleid=​2464650#​QuantitativeComparisons."},{"code" : "128253","display" : "OCT-A complex variance","definition" : "OCT angiography method based on variations in the complex (amplitude and phase) OCT signal from repeated B-scans at the same location. There are a number of factors that may cause a change in the OCT signal frequency relative to the signal due to static tissue background. These factors include, for example, the Doppler effect that induces optical frequency shift and the change in backscattering due to the particles that are moving in and out of the OCT-probe volume during imaging. The changes in signal frequency cause the changes in both the amplitude and the phase of the OCT signal. Comparison of the complex (amplitude and phase) signal from repeated B-scans at the same location provides an image that has higher contrast in areas of erythrocyte motion. This method is referred to as OCT-based micro-angiography - complex (OMAGC)."},{"code" : "128254","display" : "OCT-A speckle variance","definition" : "OCT angiography method that analyzes the temporal or spatial statistics of the intensity of speckle from OCT images and identifies blood vessels."},{"code" : "128255","display" : "OCT-A correlation mapping","definition" : "OCT angiography method that differentiates flow regions. Static regions usually have high correlation values while flow regions have lower correlation values."},{"code" : "128256","display" : "Doppler OCT-A","definition" : "OCT angiography method that utilizes the Doppler phase resolved information to provide the velocity of flow. Sometimes referred to as the phase variance method."},{"code" : "128257","display" : "Retina depth encoded vasculature flow","definition" : "Image using pseudo colors to illustrate multiple OPTENF images obtained at various depth levels within the retina from the OPT flow volume."},{"code" : "128258","display" : "Retina depth encoded structural reflectance map","definition" : "Image using pseudo colors to illustrate multiple OPTENF images obtained at various depth levels within the retina from the OPT structural volume."},{"code" : "128259","display" : "Retina vasculature flow","definition" : "Image that illustrates the vasculature flow within the entire retina. Generated from the OPT flow volume with pixels approximately from inner limiting membrane (ILM) to photoreceptor inner segment/ellipsoid region (ISe)."},{"code" : "128260","display" : "Retina structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the entire retina. Generated from the OPT structural volume with pixels approximately from inner limiting membrane (ILM) to photoreceptor inner segment/ellipsoid region (ISe)."},{"code" : "128261","display" : "Vitreous vasculature flow","definition" : "Image that illustrates the vasculature flow within the vitreous. Generated from the OPT flow volume with pixels approximately from a selected location anterior to ILM, to ILM. This space/potential space is referred clinically as the Vitreo-retinal Interface (VRI)."},{"code" : "128262","display" : "Vitreous structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the vitreous. Generated from the OPT structural volume with pixels approximately from a selected location that is anterior to ILM, to ILM. This space/potential space is referred clinically as the Vitreo-retinal Interface (VRI)."},{"code" : "128263","display" : "Radial peripapillary vasculature flow","definition" : "Image that illustrates the OCT vasculature flow within the RNFL around the optic disk. Generated from the OPT flow volume with pixels approximately from ILM to the outer boundary of the RNFL."},{"code" : "128264","display" : "Radial peripapillary structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the RNFL around the optic disk. Generated from the OPT structural volume with pixels approximately from ILM to the outer boundary of the RNFL."},{"code" : "128265","display" : "Superficial retina vasculature flow","definition" : "Image that illustrates the vasculature flow within the anterior layers of retina. Generated from the OPT flow volume with pixels approximately from ILM to ganglion cell layer/inner plexiform layer (GCL/IPL)."},{"code" : "128266","display" : "Superficial retina structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance within the anterior layers of retina. Generated from the OPT structural volume with pixels approximately from ILM to ganglion cell layer/inner plexiform layer (GCL/IPL)."},{"code" : "128267","display" : "Middle inner retina vasculature flow","definition" : "Image that illustrates the vasculature flow in the capillaries that connect the superficial and deeper capillary beds. Generated from the OPT flow volume with pixels approximately at the level of the IPL. Sometimes referred to as the intermediate retina flow."},{"code" : "128268","display" : "Middle inner structural reflectance map","definition" : "Image that illustrates the OCT structural reflectance in the capillaries that connect the superficial and deeper capillary beds. Generated from the OPT structural volume with pixels approximately at the level of the IPL. Sometimes referred to as the intermediate retina flow."},{"code" : "128269","display" : "Deep retina vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the plexiform layers within the retina. Generated from the OPT flow volume with pixels approximately from inner plexiform layer (IPL) to outer plexiform layer (OPL)."},{"code" : "128270","display" : "Deep retina structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the plexiform layers within the retina. Generated from the OPT structural volume with pixels approximately from inner plexiform layer (IPL) to outer plexiform layer (OPL)."},{"code" : "128271","display" : "Outer retina vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the posterior layers of the retina (outer retina). Generated from the OPT flow volume with pixels approximately in the translucent layers, from OPL to ISe. Sometimes referred to as flow in the deep avascular structure. Note For normal eyes, this image would not show detectable vascular flow."},{"code" : "128272","display" : "Outer retina structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the posterior layers of the retina (outer retina). Generated from the OPT structural volume with pixels approximately in the translucent layers, from OPL to ISe."},{"code" : "128273","display" : "Choriocapillaris vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the chroriocapillaris. Generated from the OPT flow volume with pixels approximately below the retinal pigment epithelium (RPE) encompassing the thickness of choriocapillaris."},{"code" : "128274","display" : "Choriocapillaris structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the chroriocapillaris. Generated from the OPT structural volume with pixels approximately below the retinal pigment epithelium (RPE) encompassing the thickness of choriocapillaris."},{"code" : "128275","display" : "Choroid vasculature flow","definition" : "Image that illustrates the vasculature flow at the level of the choroid. Generated from the OPT flow volume with pixels approximately below RPE, encompassing the thickness of choroid."},{"code" : "128276","display" : "Choroid structural reflectance map","definition" : "Image that illustrates the structural reflectance at the level of the choroid. Generated from the OPT structural volume with pixels approximately below RPE, encompassing the thickness of choroid."},{"code" : "128277","display" : "Whole eye vasculature flow","definition" : "Image that illustrates the vasculature flow at the entire posterior segment, including retina and choroid. Generated from the OPT flow volume with pixels encompassing the entire OCT scan."},{"code" : "128278","display" : "Whole eye structural reflectance map","definition" : "Image that illustrates the structural reflectance from the entire posterior segment, including retina and choroid. Generated from the OPT structural volume with pixels encompassing the entire OCT scan."},{"code" : "128279","display" : "Cube B-scan pattern","definition" : "A series of densely spaced, parallel B-scans of the same length covering an area."},{"code" : "128280","display" : "Raster B-scan pattern","definition" : "A series of sparsely spaced, parallel B-scans of the same length covering an area."},{"code" : "128281","display" : "Line B-scan pattern","definition" : "A single line B-scan."},{"code" : "128282","display" : "Radial B-scan pattern","definition" : "A series of B-scans arranged in a radial pattern of the same length covering an area."},{"code" : "128283","display" : "Cross B-scan pattern","definition" : "A pair of horizontal and vertical B-scans in a cross pattern."},{"code" : "128284","display" : "Circle B-scan pattern","definition" : "A single circular pattern B-scan."},{"code" : "128285","display" : "Concentric circle B-scan pattern","definition" : "A series of concentric circular pattern B-scans with various diameters."},{"code" : "128286","display" : "Circle-raster B-scan pattern","definition" : "A series of concentric circular pattern B-scans with various diameters combined with a series of raster B-scan patterns."},{"code" : "128287","display" : "Circle-radial B-scan pattern","definition" : "A series of concentric circular pattern B-scans with various diameters combined with a series of radial B-scan patterns."},{"code" : "128288","display" : "Grid B-scan pattern","definition" : "A series of vertical and horizontal B-scans."},{"code" : "128289","display" : "Outer surface of RNFL","definition" : "Retinal surface located approximately at the outer boundary of the retinal nerve fiber layer (RNFL)."},{"code" : "128290","display" : "Outer surface of GCL","definition" : "Retinal surface approximately at the outer boundary of the Ganglion Cell Layer (GCL)."},{"code" : "128291","display" : "Outer surface of IPL","definition" : "Retinal surface located approximately at the outer boundary of the Inner Plexiform Layer (IPL)."},{"code" : "128292","display" : "Outer surface of INL","definition" : "Retinal surface located approximately at the outer boundary of the Inner Nuclear Layer (INL)."},{"code" : "128293","display" : "Outer surface of OPL","definition" : "Retinal surface located approximately at the outer boundary of the Outer Plexiform Layer (OPL)."},{"code" : "128294","display" : "Outer surface of HFL","definition" : "Retinal surface located approximately at the outer boundary of the Henle Fiber Layer (HFL) when present."},{"code" : "128295","display" : "Surface between Inner and Outer Segments of the photoreceptors","definition" : "Retinal surface approximately located at the boundary between the Inner Segments and Outer Segments of the photoreceptors."},{"code" : "128296","display" : "Surface of the interdigitation zone between retina and RPE","definition" : "Retinal surface located approximately at the retina-RPE interdigitation zone when present."},{"code" : "128297","display" : "Inner surface of the RPE","definition" : "Inner surface of the Retinal Pigment Epithelium (RPE)."},{"code" : "128298","display" : "Surface of the center of the RPE","definition" : "Segmentation surface located approximately at the center of the Retinal Pigment Epithelium (RPE)."},{"code" : "128299","display" : "Outer surface of the RPE","definition" : "Outer surface of the Retinal Pigment Epithelium (RPE)."},{"code" : "128300","display" : "Outer surface of Bruch’s Membrane","definition" : "Retinal surface located approximately at the outer boundary of the Bruch’s Membrane (BM)."},{"code" : "128301","display" : "Surface of the choroid-sclera interface","definition" : "Retinal surface located approximately at the choroid-sclera interface (SC)."},{"code" : "128302","display" : "Outer surface of the CC","definition" : "Retinal surface located approximately at the outer boundary of the choriocapillaris (CC)."},{"code" : "128303","display" : "OCT B-scan analysis","definition" : "Values are derived from performing analysis on OCT B-scans"},{"code" : "128304","display" : "OCT-A one-sided ratio (lesser)","definition" : "OCT angiography method that utilizes a one-sided ratio on a pixel by pixel basis between various combinations of B-scan repetitions. The ratio is inverted when necessary such that values are less than or equal to one. Individual ratio calculations are averaged or combined across eligible frame combinations for each pixel in the OCT image."},{"code" : "128305","display" : "OCT-A one-sided ratio (greater)","definition" : "OCT angiography method that utilizes a one-sided ratio on a pixel by pixel basis between various combinations of B-scan repetitions. The ratio is inverted when necessary such that values are greater than or equal to one. Individual ratio calculations are averaged or combined across eligible frame combinations for each pixel in the OCT image."},{"code" : "128306","display" : "Avascular complex flow","definition" : "Image that illustrates the vascular flow within the posterior layers of the retina, approximately from the posterior border of the outer plexiform layer (OPL) to the level of Bruch’s Membrane (BM). For normal eyes, this image would not show detectable vascular flow."},{"code" : "128307","display" : "Avascular complex map","definition" : "Image that illustrates the structural reflectance within the posterior layers of the retina, approximately from the outer plexiform layer (OPL) to the level of Bruch’s Membrane (BM)."},{"code" : "128308","display" : "Superficial vascular plexus flow","definition" : "Image that illustrates the vascular flow within the anterior layers of retina, approximately from the posterior border of the retinal nerve fiber layer (RNFL) to the inner plexiform layer (IPL)."},{"code" : "128309","display" : "Superficial vascular plexus map","definition" : "Image that illustrates the structural reflectance within the anterior layers of retina, approximately from the posterior border of the retinal nerve fiber layer (RNFL) to inner plexiform layer (IPL)."},{"code" : "128310","display" : "Deep capillary plexus flow","definition" : "Image that illustrates the vascular flow within the plexiform layers of the retina, approximately from within the inner Nuclear layer (INL) to posterior border of the outer plexiform layer (OPL)"},{"code" : "128311","display" : "Deep capillary plexus map","definition" : "Image that illustrates the structural reflectance within the plexiform layers of the retina, approximately from within the Inner Nuclear Layer (INL) to posterior border of the outer plexiform layer (OPL)."},{"code" : "128312","display" : "RNFL vascular plexus flow","definition" : "Image that illustrates the vascular flow within the retinal nerve fiber layer (RNFL), approximately from inner limiting membrane (ILM) to the outer boundary of the RNFL."},{"code" : "128313","display" : "RNFL vascular plexus map","definition" : "Image that illustrates the structural reflectance within the retinal nerve fiber layer (RNFL), approximately from inner limiting membrane (ILM) to the outer boundary of the RNFL."},{"code" : "128314","display" : "User selected volume flow","definition" : "Image that illustrates the vascular flow within a volume selected by the user"},{"code" : "128315","display" : "User selected volume structure map","definition" : "Image that illustrates the structural reflectance within a volume selected by the user"},{"code" : "128316","display" : "ORCC vasculature flow","definition" : "Image that illustrates the vasculature flow within the posterior layers of the retina (including the outer retina), approximately from the posterior boundary of the outer plexiform layer (OPL) to the inner choriocapillaris (CC)."},{"code" : "128317","display" : "ORCC structural reflectance map","definition" : "Image that illustrates the structural reflectance within the posterior layers of the retina (including the outer retina), approximately from posterior boundary of the outer plexiform layer (OPL) to the inner choriocapillaris (CC)."},{"code" : "128320","display" : "Inner surface of the ellipsoid zone","definition" : "Inner surface of the retinal ellipsoid zone, also known as the photoreceptor inner segment/outer segment (IS/OS) junction"},{"code" : "128321","display" : "Midline of the ellipsoid zone","definition" : "Segmentation surface located approximately midway between the inner and outer surfaces of the retinal ellipsoid zone"},{"code" : "128322","display" : "Outer surface of the ellipsoid zone","definition" : "Outer surface of the retinal ellipsoid zone, also known as the photoreceptor inner segment/outer segment (IS/OS) junction"},{"code" : "128323","display" : "Inner surface of the interdigitation zone","definition" : "Inner surface of the retinal interdigitation zone"},{"code" : "128324","display" : "Outer surface of the interdigitation zone","definition" : "Outer surface of the retinal interdigitation zone"},{"code" : "128401","display" : "Patient Radiation Dose Report","definition" : "Report title for the report of estimated absorbed energy from ionizing radiation to a patient."},{"code" : "128402","display" : "Radiation Dose Estimate","definition" : "Estimate of absorbed energy from ionizing radiation."},{"code" : "128403","display" : "Radiation Dose Estimate Name","definition" : "Name used to identify a radiation dose estimate."},{"code" : "128404","display" : "Anthropomorphic Model","definition" : "A mathematical description of a patient model for estimating radiation dose that describes or is thought of as having a human form or human attributes."},{"code" : "128405","display" : "Breast Thickness","definition" : "Thickness of the breast."},{"code" : "128406","display" : "BREP Radiation Transport Model","definition" : "Boundary based representation of the model for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128407","display" : "DgN","definition" : "Normalized Mean Glandular Dose (DgN) is the conversion value used to calculate the absorbed dose from radiation to the fibroglandular tissue component of the breast from the exposure in air."},{"code" : "128408","display" : "Patient AP Dimension","definition" : "The size of a patient in the anterior-posterior dimension."},{"code" : "128409","display" : "Patient Lateral Dimension","definition" : "The size of a patient in the lateral dimension."},{"code" : "128410","display" : "SSDE Conversion Factor","definition" : "Conversion factor for Size Specific Dose Estimate (SSDE) calculations from CTDIvol."},{"code" : "128411","display" : "Backscatter","definition" : "Scattering of radiation in a direction opposite to that of the incident radiation."},{"code" : "128412","display" : "Radiation Dose Estimate Representation","definition" : "The description of the representation of the estimated absorbed energy to an organ, a set of organs or the whole body, e.g., surface segmentation, mesh, parametric map, RT dose , Secondary Capture SOP Instances, etc."},{"code" : "128413","display" : "Distribution Representation","definition" : "The form of the representation used to describe the distribution of the radiation dose."},{"code" : "128414","display" : "Radiation Dose Representation Data","definition" : "The absorbed energy data estimated by the method."},{"code" : "128415","display" : "Radiation Dose Estimate Methodology","definition" : "The methodology and parameters used to estimate the radiation dose to an organ, the whole body or a phantom."},{"code" : "128416","display" : "SR Instance Used","definition" : "Reference to an SR instance used."},{"code" : "128417","display" : "Patient Model Type","definition" : "The type of model used to define the shape, size, location of objects, etc. to represent a patient or phantom for use in radiation transport analysis."},{"code" : "128418","display" : "Simple Object Model","definition" : "A simple object (e.g., cylinder) used to model a patient or organ."},{"code" : "128420","display" : "Radiation Transport Model Type","definition" : "The type of model used to estimate energy transport and absorbed dose in materials."},{"code" : "128421","display" : "Geometric Radiation Transport Model","definition" : "A model that uses geometrical shapes for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128422","display" : "Voxelized Radiation Transport Model","definition" : "A model that uses volumetric elements for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128423","display" : "Mesh Radiation Transport Model","definition" : "A model that uses a mesh structure representation for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128424","display" : "NURBS Radiation Transport Model","definition" : "A model that uses surfaces of a non-uniform rational B-spline (NURBS) based representation for the estimation of radiation transport and absorbed dose in materials."},{"code" : "128425","display" : "Patient Radiation Dose Model Data","definition" : "The data from the model used to estimate radiation dose to a patient or organ."},{"code" : "128426","display" : "Patient Radiation Dose Model Reference","definition" : "Rationale or reference to the methodology for the model used in the estimation of radiation dose."},{"code" : "128427","display" : "Patient Model Demographics","definition" : "The demographics for which the patient model used by the radiation dose estimation method is intended."},{"code" : "128428","display" : "Model Minimum Age","definition" : "The minimum age used in the patient model in the radiation dose estimation method."},{"code" : "128429","display" : "Event UID Used","definition" : "Unique Identifier of an event used."},{"code" : "128430","display" : "Model Maximum Age","definition" : "The maximum age used in the patient model in the radiation dose estimation method."},{"code" : "128431","display" : "Beam Block","definition" : "A material placed in the radiation beam that is used to completely attenuate the beam in a specific region of the field of view."},{"code" : "128433","display" : "Tissue Air Ratio","definition" : "Ratio of the absorbed dose at a given depth in tissue to the absorbed dose at the same point in air."},{"code" : "128434","display" : "Radiation Dose Estimate Parameters","definition" : "The parameters used in the algorithms for determining the radiation dose to a patient, organs, or any material."},{"code" : "128436","display" : "Radiation Dose Composite Parameters","definition" : "Reference to the SOP Instance that describes the parameters and values used in the algorithms for determining the radiation dose to a patient, organs, or any material."},{"code" : "128437","display" : "Model Patient Sex","definition" : "The sex used in the patient model in the radiation dose estimation method."},{"code" : "128438","display" : "Model Minimum Weight","definition" : "The minimum weight used in the patient model in the radiation dose estimation method."},{"code" : "128439","display" : "Model Minimum Height","definition" : "The minimum height used in the patient model in the radiation dose estimation method."},{"code" : "128441","display" : "Model Maximum Weight","definition" : "The maximum weight used in the patient model in the radiation dose estimation method."},{"code" : "128442","display" : "Model Maximum Height","definition" : "The maximum height used in the patient model in the radiation dose estimation method."},{"code" : "128444","display" : "Spatial Registration Reference","definition" : "Reference to the Spatial Registration instance or Deformable Spatial Registration instance."},{"code" : "128446","display" : "Registration Method","definition" : "Name of the method used to register the frame of reference for two or more sets of data."},{"code" : "128447","display" : "Spatial Fiducials","definition" : "Reference to Spatial Fiducials SOP Instance."},{"code" : "128452","display" : "Correction Factor","definition" : "A factor used to make an adjustment to a calculation to account for deviations."},{"code" : "128453","display" : "Curve Fit Parameter","definition" : "A value used in a mathematical function to create a curve or a function that approximates a set of data."},{"code" : "128455","display" : "Homogeneity Factor","definition" : "A value used to describe the uniformity or composition of data or a material that relates to the same degree of variability."},{"code" : "128456","display" : "Patient Model Registration","definition" : "The spatial registration used in the patient model in the radiation dose estimation method."},{"code" : "128457","display" : "X-Ray Beam Attenuator","definition" : "Attenuator in the radiation beam that may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128458","display" : "Attenuator Category","definition" : "The type of object in the radiation beam that may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128459","display" : "Table","definition" : "The table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128460","display" : "Table Core","definition" : "The core material of a table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128461","display" : "Table Outer Liner","definition" : "The outer shell of a table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128462","display" : "Table Pad","definition" : "The padding on a table a patient is sitting, standing, or lying on and that is in the radiation beam such that it may alter the estimated radiation dose to the patient, organs, or phantoms."},{"code" : "128464","display" : "Radiation Dose Estimate Parameter Type","definition" : "Parameters used in mathematical, simulation, or empirical calculations for radiation dose estimation."},{"code" : "128465","display" : "Equivalent Attenuator Material","definition" : "The equivalent material used to estimate the reduction in radiation intensity."},{"code" : "128468","display" : "Attenuator Description","definition" : "An explanation of the actual attenuator material used in the estimation of radiation dose."},{"code" : "128469","display" : "Equivalent Attenuator Thickness","definition" : "The thickness of a specified material that provides the same attenuation as the actual attenuator."},{"code" : "128470","display" : "X-Ray Attenuator Model Data","definition" : "The stored data from the model used to represent the X-Ray beam attenuator."},{"code" : "128472","display" : "X-Ray Beam Attenuator Model","definition" : "Model of the attenuator used in the estimation of radiation dose."},{"code" : "128474","display" : "X-Ray Beam Attenuator Model Reference","definition" : "Reference to the methodology or rationale for the model of the beam attenuator used in the estimation of radiation dose."},{"code" : "128475","display" : "X-Ray Beam Attenuator Model Registration","definition" : "Spatial registration of the beam attenuator model."},{"code" : "128476","display" : "Radiation Dose Estimate Method","definition" : "The container for the radiation dose estimation methods and parameters."},{"code" : "128477","display" : "Radiation Dose Estimate Method Type","definition" : "Type of method used to estimate the radiation dose to a patient, organs or phantoms."},{"code" : "128479","display" : "Tabular Data Algorithm","definition" : "Algorithms that use a table of values indexed by a key."},{"code" : "128480","display" : "Analytical Algorithm","definition" : "Algorithms that use mathematical models that have a deterministic result."},{"code" : "128481","display" : "Empirical Algorithm","definition" : "Algorithms that use mathematical models that use parameters derived from observation."},{"code" : "128482","display" : "Radiation Dose Estimate Method Reference","definition" : "A reference to the methodology or rationale for the estimation methodology used for the estimation of radiation dose."},{"code" : "128484","display" : "Isodose","definition" : "Representation of radiation dose of equal intensity as a surface, curve, or line."},{"code" : "128485","display" : "Skin Dose Map","definition" : "Representation of radiation dose intensity at the surface on the skin."},{"code" : "128487","display" : "3D Dose Map","definition" : "Representation of radiation dose as a 3D shape or object."},{"code" : "128488","display" : "Dose Gradient","definition" : "Representation of the change in radiation dose with respect to the change in another variable. Often represented as a change with respect to time or distance."},{"code" : "128492","display" : "Patient Support","definition" : "Material that is in radiation beam that is used to provide physical support to the patient or other objects."},{"code" : "128494","display" : "Patient Segmented Model","definition" : "A model for estimating radiation dose defined from the actual patient anatomy or characteristics."},{"code" : "128496","display" : "Dose Point Cloud","definition" : "Radiation dose represented as a distribution of points."},{"code" : "128497","display" : "Measured Radiation Dose","definition" : "The measured amount of energy that is deposited in a material by ionizing radiation."},{"code" : "128500","display" : "Patient Radiation Dose Model","definition" : "A computational representation of a human body or other object used to simulate the attenuation of radiation in human tissue."},{"code" : "128511","display" : "Reference to Uncertainty Determination Method","definition" : "A reference to the methodology used to determine the uncertainty in the estimation of radiation dose."},{"code" : "128512","display" : "Equivalent Dose","definition" : "Absorbed dose to a tissue or organ multiplied by a quality factor to normalize the dose to the type of radiation that is depositing the dose."},{"code" : "128513","display" : "Absorbed Dose","definition" : "Energy from ionizing radiation absorbed per unit mass."},{"code" : "128522","display" : "Normalization Factor","definition" : "A factor that is used to make an adjustment to a calculation to normalize the data."},{"code" : "128523","display" : "Offset Factor","definition" : "A factor that is used to make an adjustment to a calculation to translate or move the data in a defined manner."},{"code" : "128526","display" : "Tissue Fraction","definition" : "The amount of a specific tissue content, either mass or volume, in a material."},{"code" : "128527","display" : "Distance Correction","definition" : "A correction factor for a measurement of distance or location."},{"code" : "128528","display" : "Conversion Factor","definition" : "A numerical ratio to express a measurement from one unit to another unit."},{"code" : "128531","display" : "Maximum Absorbed Radiation Dose","definition" : "The largest absorbed radiation dose amount estimated."},{"code" : "128532","display" : "Minimum Absorbed Radiation Dose","definition" : "The smallest absorbed radiation dose value estimated."},{"code" : "128533","display" : "Mean Absorbed Radiation Dose","definition" : "The average value of the absorbed radiation dose estimated."},{"code" : "128534","display" : "Mode Absorbed Radiation Dose","definition" : "The absorbed radiation dose value estimated that occurs most frequently."},{"code" : "128535","display" : "Maximum Equivalent Radiation Dose","definition" : "The largest equivalent radiation dose value estimated."},{"code" : "128536","display" : "Minimum Equivalent Radiation Dose","definition" : "The smallest equivalent radiation dose value estimated."},{"code" : "128537","display" : "Mean Equivalent Radiation Dose","definition" : "The average value of the equivalent radiation dose estimated."},{"code" : "128538","display" : "Mode Equivalent Radiation Dose","definition" : "The equivalent radiation dose value estimated that occurs most frequently."},{"code" : "128539","display" : "Median Absorbed Radiation Dose","definition" : "The central value of the absorbed radiation dose estimated."},{"code" : "128540","display" : "Median Equivalent Radiation Dose","definition" : "The central value of the equivalent radiation dose estimated."},{"code" : "128551","display" : "Is Repeated Acquisition","definition" : "This acquisition of data (e.g., for constructing an image) is a repeat of an earlier acquisition that was for some reason unsatisfactory."},{"code" : "128552","display" : "Reason for Repeating Acquisition","definition" : "The reason that data (e.g., for constructing an image) was acquired again."},{"code" : "128553","display" : "Patient motion","definition" : "The acquired data is unsatisfactory because the patient moved."},{"code" : "128554","display" : "Suboptimal contrast timing","definition" : "The acquired data is unsatisfactory because the contrast timing was not adequate."},{"code" : "128601","display" : "Appropriate for the indications","definition" : "The protocol is appropriate for the indications recorded in the protocol instance."},{"code" : "128602","display" : "Consistent with labeling of the device","definition" : "The protocol is consistent with the regulatory product labeling of the device recorded in the protocol instance."},{"code" : "128603","display" : "Approved for use at the institution","definition" : "The protocol is approved for use at the institution recorded in the protocol instance."},{"code" : "128604","display" : "Approved for use in the clinical trial","definition" : "The protocol is approved for use in the clinical trial recorded in the protocol instance."},{"code" : "128605","display" : "Approved for use on pregnant patients","definition" : "The protocol is specifically approved for use on pregnant patients."},{"code" : "128606","display" : "Appropriate for the device","definition" : "The protocol is appropriate for execution on the device recorded in the protocol instance (which may identify an individual device by serial number or may identify a family of devices). I.e. the protocol has incorporated model-specific parameters and optimizations as necessary."},{"code" : "128607","display" : "Inside operational limits of the device","definition" : "The protocol specifies parameters that are within the operational limits of the device recorded in the protocol instance. I.e. execution of the protocol is not expected to damage or exceed the operational limits of the device."},{"code" : "128608","display" : "Optimized for the device instance","definition" : "The protocol is optimized for the characteristics of the specific instance of the device recorded in the protocol instance. I.e. the protocol has incorporated model-specific parameters and optimizations as necessary."},{"code" : "128609","display" : "Disapproved for any use","definition" : "The protocol is explicitly disapproved, or approval of the protocol has been withdrawn."},{"code" : "128610","display" : "Deprecated protocol","definition" : "The protocol is no longer to be used. E.g. it has been replaced by another protocol."},{"code" : "128611","display" : "Approved for experimental use","definition" : "The protocol is approved for use in experimental procedures."},{"code" : "128612","display" : "Disapproved for experimental use","definition" : "The protocol is disapproved for use in experimental procedures."},{"code" : "128613","display" : "Eligible for reimbursement","definition" : "The protocol is understood to be eligible for reimbursement by a given payer."},{"code" : "128614","display" : "Eligible for reimbursement on per patient basis","definition" : "The protocol is understood to be eligible for reimbursement on a per patient basis by a given payer."},{"code" : "128615","display" : "Ineligible for reimbursement","definition" : "The protocol is understood to be ineligible for reimbursement by a given payer."},{"code" : "128617","display" : "Disapproved for use on pregnant patients","definition" : "The protocol is explicitly disapproved for use on pregnant patients."},{"code" : "128618","display" : "Inappropriate for the device","definition" : "The protocol is inappropriate for execution on the device recorded in the protocol instance (which may identify an individual device by serial number or may identify a family of devices)."},{"code" : "128619","display" : "Outside operational limits of the device","definition" : "The protocol specifies parameters that are not within the operational limits of the device recorded in the protocol instance. I.e. execution of the protocol may damage or exceed the operational limits of the device."},{"code" : "128620","display" : "Not optimized for the device instance","definition" : "The protocol is not optimized for the characteristics of the specific instance of the device recorded in the protocol instance."},{"code" : "128621","display" : "Inappropriate for the indications","definition" : "The protocol is inappropriate for the indications recorded in the protocol instance."},{"code" : "128622","display" : "Inconsistent with labeling of the device","definition" : "The protocol is inconsistent with the regulatory product labeling of the device recorded in the protocol instance."},{"code" : "128623","display" : "Disapproved for use at the institution","definition" : "The protocol is disapproved for use at the institution recorded in the approval instance."},{"code" : "128624","display" : "Disapproved for use in the clinical trial","definition" : "The protocol is disapproved for use in the clinical trial recorded in the protocol instance."},{"code" : "128670","display" : "Head of Radiology","definition" : "The senior ranking radiologist in the organization"},{"code" : "128671","display" : "Chair of Protocol Committee","definition" : "The chair of a committee tasked with reviewing and approving protocols in the organization."},{"code" : "128673","display" : "Administrator of Radiology Department","definition" : "The administrative head of a department that provides radiology services."},{"code" : "128674","display" : "Lead Radiologic Technologist","definition" : "The senior ranking radiologic technologist in the organization."},{"code" : "128675","display" : "Head of Cardiology","definition" : "The senior ranking cardiologist in the organization."},{"code" : "128676","display" : "Representative of Protocol Committee","definition" : "A representative of a committee tasked with reviewing and approving protocols in the organization."},{"code" : "128677","display" : "Representative of Ethics Committee","definition" : "A representative of a committee tasked with evaluating medical ethics. E.g. Institutional Review Board."},{"code" : "128701","display" : "3D Gel","definition" : "A volume of gel that changes physical characteristics when exposed to ionizing radiation."},{"code" : "128702","display" : "Diode Array","definition" : "A number of semiconductor devices that generates current when exposed to ionizing radiation. The devices are arranged systematically in a regular pattern."},{"code" : "128703","display" : "Ion Chamber Array","definition" : "A number of devices that measures charge from the ions produced in a medium when exposed to ionizing radiation. The devices are arranged systematically in a regular pattern."},{"code" : "128704","display" : "Diode","definition" : "A semiconductor device that generates current when exposed to ionizing radiation."},{"code" : "128705","display" : "Liquid Ion Chamber","definition" : "An ion chamber that uses a liquid as the medium."},{"code" : "128706","display" : "OSLD","definition" : "Optically Stimulated Luminescent Dosimeter. It is a crystal that when exposed to green light, emits blue light in proportion to the amount of ionizing radiation it has been exposed to."},{"code" : "128707","display" : "Ion Chamber","definition" : "A device that measures charge from the ions produced in a medium when exposed to ionizing radiation."},{"code" : "128708","display" : "Diamond Detector","definition" : "A semiconductor detector that uses diamond as the medium."},{"code" : "128709","display" : "RPLGD","definition" : "A radiophotoluminescence glass dosimeter. It is a solid state cumulative radiation dosimeter usually made of silver-activated phosphate glass. The silver atoms act as radiophotoluminescence centers excited by ionizing radiation. The number of centers excited is proportional to the absorbed dose to the RPLGD."},{"code" : "128710","display" : "For Teaching File Export","definition" : "Instances that have been selected for export to a teaching file."},{"code" : "128711","display" : "For Clinical Trial Export","definition" : "Instances that have been selected for export for a clinical trial."},{"code" : "128712","display" : "Additional Teaching File Information","definition" : "The title of a document containing additional teaching file information."},{"code" : "128713","display" : "For Research Collection Export","definition" : "Instances that have been selected for export to a research collection."},{"code" : "128714","display" : "For Publication Export","definition" : "Instances that have been selected for export for publication."},{"code" : "128715","display" : "Delay export until final report is available","definition" : "Delay export until final report is available."},{"code" : "128716","display" : "Delay export until clinical information is available","definition" : "Delay export until clinical information is available."},{"code" : "128717","display" : "Delay export until confirmation of diagnosis is available","definition" : "Delay export until confirmation of diagnosis is available."},{"code" : "128718","display" : "Delay export until histopathology is available","definition" : "Delay export until histopathology is available."},{"code" : "128719","display" : "Delay export until other laboratory results are available","definition" : "Delay export until other laboratory results are available."},{"code" : "128720","display" : "Delay export until patient is discharged","definition" : "Delay export until patient is discharged."},{"code" : "128721","display" : "Delay export until patient dies","definition" : "Delay export until patient dies."},{"code" : "128722","display" : "Delay export until expert review is available","definition" : "Delay export until expert review is available."},{"code" : "128723","display" : "Teaching File Category","definition" : "The category that describes the subject matter of a teaching file."},{"code" : "128724","display" : "Level of Difficulty","definition" : "The level of difficult that the material represents."},{"code" : "128725","display" : "Primary level","definition" : "The teaching material is of a primary level of difficulty."},{"code" : "128726","display" : "Intermediate level","definition" : "The teaching material is of an intermediate level of difficulty."},{"code" : "128727","display" : "Advanced level","definition" : "The teaching material is of an advanced level of difficulty."},{"code" : "128728","display" : "Musculoskeletal imaging subject matter","definition" : "The subject matter pertains to musculoskeletal imaging."},{"code" : "128729","display" : "Pulmonary imaging subject matter","definition" : "The subject matter pertains to pulmonary imaging."},{"code" : "128730","display" : "Cardiovascular imaging subject matter","definition" : "The subject matter pertains to cardiovascular imaging."},{"code" : "128731","display" : "Gastrointestinal imaging subject matter","definition" : "The subject matter pertains to gastrointestinal imaging."},{"code" : "128732","display" : "Genitourinary imaging subject matter","definition" : "The subject matter pertains to genitourinary imaging."},{"code" : "128733","display" : "Neuroimaging subject matter","definition" : "The subject matter pertains to neuroimaging ."},{"code" : "128734","display" : "Vascular and interventional imaging subject matter","definition" : "The subject matter pertains to vascular and interventional imaging."},{"code" : "128735","display" : "Nuclear medicine imaging subject matter","definition" : "The subject matter pertains to nuclear medicine imaging."},{"code" : "128736","display" : "Ultrasound imaging subject matter","definition" : "The subject matter pertains to ultrasound imaging."},{"code" : "128737","display" : "Pediatric imaging subject matter","definition" : "The subject matter pertains to pediatric imaging."},{"code" : "128738","display" : "Breast imaging subject matter","definition" : "The subject matter pertains to breast imaging."},{"code" : "128739","display" : "UDI","definition" : "The entire Human Readable Form of the Unique Device Identifier as defined by the Issuing Agency."},{"code" : "128740","display" : "Longitudinal Temporal Offset from Event","definition" : "An offset in time from a particular event of significance. In the context of a clinical trial, this is often the time since enrollment, or the baseline imaging study."},{"code" : "128741","display" : "Longitudinal Temporal Event Type","definition" : "The type of event to which a temporal offset is relative."},{"code" : "128750","display" : "Equipment Landmark","definition" : "A well-known landmark of the equipment that is visible by the operator."},{"code" : "128751","display" : "Center of Table Head","definition" : "An equipment landmark on the X-Ray Table head located on the table top plane, centered in the left-right direction of the table."},{"code" : "128752","display" : "Equipment Landmark X Position","definition" : "The X coordinate of the Equipment Landmark in the Table Coordinate System."},{"code" : "128753","display" : "Equipment Landmark Z Position","definition" : "The Z coordinate of the Equipment Landmark in the Table Coordinate System."},{"code" : "128754","display" : "Patient Location Fiducial","definition" : "A patient fiducial used to establish the patient location relative to equipment."},{"code" : "128756","display" : "Equipment Landmark to Patient Fiducial Z Distance","definition" : "The distance in the Z direction from the Equipment Landmark to the Patient Location Fiducial in the Table Coordinate System. Positive when the direction from the Equipment Landmark to the Patient Location Fiducial lies in the positive Z direction."},{"code" : "128757","display" : "Positioner Isocenter Primary Angle","definition" : "Angle in the XY plane of the isocenter reference system between the Y axis and a plane containing the Z axis and the X-Ray center beam (deg)."},{"code" : "128758","display" : "Positioner Isocenter Secondary Angle","definition" : "Angle, in the plane containing the Z axis of the isocenter reference system and the X-Ray center beam, between the XY plane and the X-Ray center beam (deg)."},{"code" : "128759","display" : "Positioner Isocenter Detector Rotation Angle","definition" : "Rotation of the X-Ray detector plane (deg)."},{"code" : "128760","display" : "Positioner Isocenter Primary End Angle","definition" : "Position of the X-Ray center beam in the isocenter reference system in the X direction (deg) at the end of an irradiation event."},{"code" : "128761","display" : "Positioner Isocenter Secondary End Angle","definition" : "Position of the X-Ray center beam in the isocenter reference system in the Z direction (deg) at the end of an irradiation event."},{"code" : "128762","display" : "Positioner Isocenter Detector Rotation End Angle","definition" : "Rotation of the X-Ray detector plane (deg) at the end of an irradiation event."},{"code" : "128763","display" : "Table Head Tilt End Angle","definition" : "Angle of the head-feet axis of the table (deg) relative to the horizontal plane at the end of an irradiation event."},{"code" : "128764","display" : "Table Horizontal Rotation End Angle","definition" : "Rotation of the table in the horizontal plane (deg) at the end of an irradiation event."},{"code" : "128765","display" : "Table Cradle Tilt End Angle","definition" : "Angle of the left-right axis of the table (deg) relative to the horizontal plane at the end of an irradiation event."},{"code" : "128766","display" : "Table X Position to Isocenter","definition" : "X position of the Table Reference Point with respect to the Isocenter (mm)."},{"code" : "128767","display" : "Table Y Position to Isocenter","definition" : "Y position of the Table Reference Point with respect to the Isocenter (mm)."},{"code" : "128768","display" : "Table Z Position to Isocenter","definition" : "Z position of the Table Reference Point with respect to the Isocenter (mm)."},{"code" : "128769","display" : "Table X End Position to Isocenter","definition" : "X position of the Table Reference Point with respect to the Isocenter (mm) at the end of an irradiation event."},{"code" : "128770","display" : "Table Y End Position to Isocenter","definition" : "Y position of the Table Reference Point with respect to the Isocenter (mm) at the end of an irradiation event."},{"code" : "128771","display" : "Table Z End Position to Isocenter","definition" : "Z position of the Table Reference Point with respect to the Isocenter (mm) at the end of an irradiation event."},{"code" : "128772","display" : "Reference Basis","definition" : "The anatomical feature or point of reference on which the reference location is based."},{"code" : "128773","display" : "Reference Geometry","definition" : "Characterizes the geometry of the reference location (e.g., a plane or point)."},{"code" : "128774","display" : "Person Observer's Login Name","definition" : "Login name (user ID) of human observer who created the observations."},{"code" : "128775","display" : "Identifier within Person Observer's Role","definition" : "An alphanumeric designator of an individual within a role."},{"code" : "128776","display" : "Gray Level Run Length Matrix","definition" : "The tabulation of gray level run lengths in a particular direction in an image. Abbreviated GLRLM.See ."},{"code" : "128777","display" : "Gray Level Size Zone Matrix","definition" : "A tabulation of counts of the number of groups of connected voxels with a specific discretized gray level value and size. Abbreviated GLSZM.See ."},{"code" : "128778","display" : "Gray Level Distance Zone Matrix","definition" : "A tabulation of counts of the number of groups (or zones) of linked voxels that share a specific discretised grey level value and possess the same distance to ROI edge. Abbreviated GLDZM.See ."},{"code" : "128779","display" : "Neighbourhood Grey Tone Difference Matrix","definition" : "A matrix containing the sum of grey level differences of pixels/voxels with a discretised grey level and average discretised grey level of neighbouring pixels/voxels within a specified Chebyshev distance. Abbreviated NGTDM.See ."},{"code" : "128780","display" : "Neighbouring Grey Level Dependence Matrix","definition" : "A tabulation of the counts of dependent (within a specified coarseness parameter) neighbouring discretised grey levels within a specified Chebyshev distance. Abbreviated NGLDM.See ."},{"code" : "128781","display" : "Joint Maximum of GLCM","definition" : "The probability corresponding to the most common gray level co-occurrence in the GLCM. Abbreviated MAX.See Fcm.joint.max in ."},{"code" : "128782","display" : "Joint Average of GLCM","definition" : "The gray level weighted sum of joint probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.joint.avg in ."},{"code" : "128783","display" : "Joint Variance of GLCM","definition" : "The sum of squares of the difference from the joint average of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.joint.var in ."},{"code" : "128784","display" : "Difference Average of GLCM","definition" : "The average for the diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.diff.avg in ."},{"code" : "128785","display" : "Difference Variance of GLCM","definition" : "The variance for the diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.diff.var in ."},{"code" : "128786","display" : "Difference Entropy of GLCM","definition" : "The entropy for the diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.diff.entr in ."},{"code" : "128787","display" : "Sum Average of GLCM","definition" : "The average for the cross-diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.sum.avg in ."},{"code" : "128788","display" : "Sum Variance of GLCM","definition" : "The variance for the cross-diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.sum.var in ."},{"code" : "128789","display" : "Sum Entropy of GLCM","definition" : "The entropy for the cross-diagonal probabilities of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.sum.entr in ."},{"code" : "128790","display" : "Inverse Difference of GLCM","definition" : "The inverse difference of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.diff in ."},{"code" : "128791","display" : "Inverse Difference Normalized of GLCM","definition" : "The normalized inverse difference of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.diff.norm in ."},{"code" : "128792","display" : "Inverse Difference Moment Normalized of GLCM","definition" : "The normalized inverse difference moment of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.diff.mom.norm in ."},{"code" : "128793","display" : "Inverse Variance of GLCM","definition" : "The inverse variance of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.inv.var in ."},{"code" : "128794","display" : "Autocorrelation of GLCM","definition" : "The autocorrelation of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.auto.corr in ."},{"code" : "128795","display" : "Cluster Tendency of GLCM","definition" : "The cluster tendency of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.clust.tend in ."},{"code" : "128796","display" : "Cluster Shade of GLCM","definition" : "The cluster shade of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.clust.shade in ."},{"code" : "128797","display" : "Cluster Prominence of GLCM","definition" : "The cluster prominence of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.clust.prom in ."},{"code" : "128798","display" : "First Measure of Information Correlation of GLCM","definition" : "The first measure of information correlation of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.info.corr.1 in ."},{"code" : "128799","display" : "Second Measure of Information Correlation of GLCM","definition" : "The second measure of information correlation of a Gray Level Co-occurrence Matrix (GLCM).See Fcm.info.corr.2 in ."},{"code" : "128801","display" : "Short Runs Emphasis","definition" : "A measure of the distribution of short runs in a gray level run length matrix. Abbreviated SRE.See Frlm.sre in ."},{"code" : "128802","display" : "Long Runs Emphasis","definition" : "A measure of the distribution of long runs in a gray level run length matrix. Abbreviated LRE.See Frlm.lre in ."},{"code" : "128803","display" : "Low Gray Level Run Emphasis","definition" : "A measure of the distribution of low gray level values in a gray level run length matrix. Abbreviated LGRE.See Frlm.lgre in ."},{"code" : "128804","display" : "High Gray Level Run Emphasis","definition" : "A measure of the distribution of high gray level values in a gray level run length matrix. Abbreviated HGRE.See Frlm.hgre in ."},{"code" : "128805","display" : "Short Run Low Gray Level Emphasis","definition" : "A measure of the joint distribution of short runs and low gray level values in a gray level run length matrix. Abbreviated SRLGE.See Frlm.srlge in ."},{"code" : "128806","display" : "Short Run High Gray Level Emphasis","definition" : "A measure of the joint distribution of short runs and high gray level values in a gray level run length matrix. Abbreviated SRHGE.See Frlm.srhge in ."},{"code" : "128807","display" : "Long Run Low Gray Level Emphasis","definition" : "A measure of the joint distribution of long runs and low gray level values in a gray level run length matrix. Abbreviated LRLGE.See Frlm.lrlge in ."},{"code" : "128808","display" : "Long Run High Gray Level Emphasis","definition" : "A measure of the the joint distribution of long runs and high gray level values in a gray level run length matrix. Abbreviated LRHGE.See Frlm.lrhge in ."},{"code" : "128809","display" : "Gray Level Nonuniformity in Runs","definition" : "A measure of the similarity of gray level values throughout the image in a gray level run length matrix. Abbreviated RLM.GLNU.See Frlm.glnu in ."},{"code" : "128810","display" : "Gray Level Nonuniformity in Runs Normalized","definition" : "A normalized measure of the similarity of gray level values throughout the image in a gray level run length matrix.See Frlm.glnu.norm in ."},{"code" : "128811","display" : "Run Length Nonuniformity","definition" : "A measure of the the similarity of the length of runs throughout the image in a gray level run length matrix. Abbreviated RLNU.See Frlm.rlnu in ."},{"code" : "128812","display" : "Run Length Nonuniformity Normalized","definition" : "A normalized measure of the the similarity of the length of runs throughout the image in a gray level run length matrix.See Frlm.rlnu.norm in ."},{"code" : "128813","display" : "Run Percentage","definition" : "A measure of the homogeneity and distribution of runs of an image in a specific direction in a gray level run length matrix. Abbreviated RPC.See Frlm.r.perc in ."},{"code" : "128814","display" : "Gray Level Variance in Runs","definition" : "The variance in runs for the gray levels in a gray level run length matrix.See Frlm.gl.var in ."},{"code" : "128815","display" : "Run Length Variance","definition" : "The variance in runs for run lengths in a gray level run length matrix.See Frlm.rl.var in ."},{"code" : "128816","display" : "Run Entropy","definition" : "The entropy of runs in a gray level run length matrix.See Frlm.rl.entr in ."},{"code" : "128821","display" : "Small Zone Emphasis","definition" : "A feature that emphasizes small zones from a gray level size zone matrix. Abbreviated SZE.See Fszm.sze in ."},{"code" : "128822","display" : "Large Zone Emphasis","definition" : "A feature that emphasizes large zones from a gray level size zone matrix. Abbreviated LZE.See Fszm.lze in ."},{"code" : "128823","display" : "Low Gray Level Zone Emphasis","definition" : "A feature that emphasizes low gray level zones from a gray level size zone matrix. Abbreviated LGZE.See Fszm.lgze in ."},{"code" : "128824","display" : "High Gray Level Zone Emphasis","definition" : "A feature that emphasizes high gray level zones from a gray level size zone matrix. Abbreviated LGZE.See Fszm.hgze in ."},{"code" : "128825","display" : "Small Zone Low Gray Level Emphasis","definition" : "A feature that emphasizes small zone sizes and low gray levels from a gray level size zone matrix. Abbreviated SZLGE.See Fszm.szlge in ."},{"code" : "128826","display" : "Small Zone High Gray Level Emphasis","definition" : "A feature that emphasizes small zone sizes and high gray levels from a gray level size zone matrix. Abbreviated SZHGE.See Fszm.szhge in ."},{"code" : "128827","display" : "Large Zone Low Gray Level Emphasis","definition" : "A feature that emphasizes large zone sizes and low gray levels from a gray level size zone matrix. Abbreviated LZLGE.See Fszm.lzlge in ."},{"code" : "128828","display" : "Large Zone High Gray Level Emphasis","definition" : "A feature that emphasizes large zone sizes and high gray levels from a gray level size zone matrix. Abbreviated LZHGE.See Fszm.lzhge in ."},{"code" : "128829","display" : "Gray Level Nonuniformity of Zone Counts","definition" : "The distribution of zone counts over the gray values in a gray level size zone matrix. Abbreviated SZM.GLNU.See Fszm.glnu in ."},{"code" : "128830","display" : "Gray Level Nonuniformity of Zone Counts Normalized","definition" : "The normalized distribution of zone counts over the gray values in a gray level size zone matrix.See Fszm.glnu.norm in ."},{"code" : "128831","display" : "Zone Size Nonuniformity","definition" : "The distribution of zone counts over the different zone sizes in a gray level size zone matrix. Abbreviated ZSNU.See Fszm.zsnu in ."},{"code" : "128832","display" : "Zone Size Nonuniformity Normalized","definition" : "The normalized distribution of zone counts over the different zone sizes in a gray level size zone matrix.See Fszm.zsnu.norm in ."},{"code" : "128833","display" : "Zone Percentage","definition" : "The fraction of the number of realised zones relative to the maximum number of potential zones in a gray level size zone matrix. Abbreviated ZPERC.See Fszm.z.perc in ."},{"code" : "128834","display" : "Gray Level Variance in Zones","definition" : "The variance ithe variance in zone counts for the gray levels in a gray level size zone matrix.See Fszm.gl.var in ."},{"code" : "128835","display" : "Zone Size Variance","definition" : "The variance in zone counts for the different zone sizes in a gray level size zone matrix.See Fszm.zs.var in ."},{"code" : "128836","display" : "Zone Size Entropy","definition" : "The entropy of zone sizes in a gray level size zone matrix.See Fszm.zs.entr in ."},{"code" : "129001","display" : "Eligibility Reader","definition" : "Person who looks at and interprets medical images against defined criteria for the purpose of establishing eligibility of the subject of said images to be enrolled in a research experiment or a clinical trial."},{"code" : "129002","display" : "Designator","definition" : "Person who designates locations on medical images (such as the location of lesions) for other persons or devices to measure or interpret."},{"code" : "129003","display" : "Image Quality Controller","definition" : "Person who reviews medical images to evaluate the compliance of said images with quality criteria."},{"code" : "129004","display" : "Results Quality Controller","definition" : "Person who reviews results derived from medical images to evaluate the compliance of said results with quality criteria."},{"code" : "129010","display" : "Edited Model","definition" : "A reference to a predecessor model that has been edited to produce the current model.For example: inclusion of more organs, completion of a partial segmentation, insertion of a bisection plane to allow interior inspection, or addition of support material."},{"code" : "129011","display" : "Component Model","definition" : "A reference to a predecessor model that contributed to the creation of the current combined model.This includes simple assembly of discrete pieces as well as more complex combination. For example: by Boolean mathematical and similar operations."},{"code" : "129012","display" : "Educational Intent","definition" : "Intended for educational purposes.For example: patient or care-giver education/informed consent, or training residents and fellows."},{"code" : "129013","display" : "Planning Intent","definition" : "Intended to be used to assist with procedure planning"},{"code" : "129014","display" : "Tool Fabrication","definition" : "Intended to be used to manufacture a patient-matched tool that is employed during a medical procedure.For example: drill/cutting guides, immobilizers, radiation shields, and plate bending templates."},{"code" : "129015","display" : "Prosthetic Fabrication","definition" : "Intended to be used to manufacture a fully external prosthetic/orthotic"},{"code" : "129016","display" : "Implant Fabrication","definition" : "Intended to be used to manufacture a wholly or partially internal implant"},{"code" : "129017","display" : "Simulation Intent","definition" : "Intended to be used for simulation and/or practice of a surgery or other medical procedure. \"Simulation\" is not used for patient-matched simulation, as this would be covered by \"Diagnostic Intent\" or \"Planning Intent\"."},{"code" : "129018","display" : "US 3D CAM model","definition" : "A 3D manufacturing model derived from ultrasound imaging."},{"code" : "129019","display" : "Mixed Modality 3D CAM model","definition" : "A 3D manufacturing model derived from images from multiple different modalities."},{"code" : "129020","display" : "Photogrammetric Imaging 3D CAM model","definition" : "A 3D manufacturing model derived from measurements made from photographs."},{"code" : "129021","display" : "Laser Scanning 3D CAM model","definition" : "A 3D manufacturing model derived from laser scanning measurements."},{"code" : "129100","display" : "Fat fraction","definition" : "The fraction of fat present, derived using Dixon or other techniques."},{"code" : "129101","display" : "Water/fat in phase","definition" : "Water/Fat In Phase signal, derived using Dixon or other techniques."},{"code" : "129102","display" : "Water/fat out of phase","definition" : "Water/Fat Out of phase signal, derived using Dixon or other techniques."},{"code" : "129103","display" : "Water fraction","definition" : "The fraction of water present, derived using Dixon or other techniques."},{"code" : "129104","display" : "Perfusion image analysis","definition" : "Analysis of perfusion images."},{"code" : "129105","display" : "Diffusion image analysis","definition" : "Analysis of diffusion images."},{"code" : "129106","display" : "Diffusion tractography","definition" : "Estimation of the course of fiber tracts by analysis of anisotropic diffusion."},{"code" : "129201","display" : "Image used for Treatment Planning","definition" : "Images that have been used in the treatment planning process."},{"code" : "129202","display" : "Image used for Dose Calculation","definition" : "Images that have been used for dose calculation in the treatment planning process."},{"code" : "129203","display" : "Image Acquired during Treatment","definition" : "Images that have been acquired during a treatment session."},{"code" : "129204","display" : "Image used as Reference Image for Treatment","definition" : "Images that are used in a treatment session as reference images to position the patient."},{"code" : "129210","display" : "Registration used in Planning","definition" : "Registrations that have been used in the treatment planning process"},{"code" : "129211","display" : "Registration created during Treatment","definition" : "Registrations that have been created in the execution of a treatment session."},{"code" : "129212","display" : "Dose from prior Treatment","definition" : "Dose volume from prior treatment(s)."},{"code" : "129301","display" : "Coil Marker","definition" : "A coil-shaped marker visible in an image."},{"code" : "129303","display" : "Cylinder Marker","definition" : "A cylinder-shaped marker visible in an image."},{"code" : "129305","display" : "Wire Marker","definition" : "A thread or rod-shaped marker visible in an image."},{"code" : "129306","display" : "Transponder Marker","definition" : "A marker that receives a radio signal and transmits a response."},{"code" : "129308","display" : "MR Marker","definition" : "A marker containing a substance that produces a distinctive signal on MR images."},{"code" : "129309","display" : "Infrared Reflector Marker","definition" : "Infrared reflecting external marker, e.g., attached to skin or stereotactic frame."},{"code" : "129310","display" : "Visible Reflector Marker","definition" : "Visible light reflecting external marker, e.g., attached to skin or stereotactic frame."},{"code" : "129320","display" : "Effective Atomic Number","definition" : "The average atomic number for a compound or mixture of materials. There are a variety of methods for estimating this value for a given compound."},{"code" : "129321","display" : "Modified Hounsfield Unit","definition" : "Modified pixel values within the Hounsfield Unit Value range."},{"code" : "129322","display" : "Value-based Image","definition" : "Each real-world value mapped pixel represents a certain value for a specified material (the exact interpretation of the value range has to be defined by the user)."},{"code" : "129323","display" : "Material Specific Image","definition" : "Each real-world value mapped pixel value represents a property the attenuation of a material such as attenuation, concentration or density."},{"code" : "129324","display" : "Material Removed Image","definition" : "Image with the attenuation contribution of one or more materials removed. For pixels that did not contain any of the removed material(s), the pixel values are unchanged."},{"code" : "129325","display" : "Material Highlighted Image","definition" : "Image where pixel values have been modified to highlight a certain target material by partially suppressing the background and/or by enhancing the modified material."},{"code" : "129326","display" : "Material Suppressed Image","definition" : "Image where pixel values have been modified to partially suppress the modified material (opposite to Material Highlighted image)."},{"code" : "129327","display" : "Material Recalculated Image","definition" : "Image where pixels are recalculated by a vendor-specific method."},{"code" : "129328","display" : "Volume Occupancy Image","definition" : "Each real-world value mapped pixel represents a fraction, by volume, occupied by the material."},{"code" : "129329","display" : "Mass Occupancy Image","definition" : "Each real-world value mapped pixel represents a fraction, by mass, occupied by the material."},{"code" : "130001","display" : "Minimum Surface Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose at the surface of a volume."},{"code" : "130002","display" : "Maximum Surface Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose at the surface of a volume."},{"code" : "130003","display" : "Minimum Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose throughout a volume."},{"code" : "130004","display" : "Maximum Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose throughout a volume."},{"code" : "130005","display" : "Minimum Mean Radiation Dose","definition" : "An objective to achieve a mean radiation dose over the volume which is greater than or equal to the specified radiation dose."},{"code" : "130006","display" : "Maximum Mean Radiation Dose","definition" : "An objective to achieve a mean radiation dose over the volume which is less than or equal to the specified radiation dose."},{"code" : "130007","display" : "Minimum Equivalent Uniform Dose","definition" : "An objective to achieve an equivalent uniform dose (EUD) which is greater than or equal to the specified radiation dose."},{"code" : "130008","display" : "Maximum Equivalent Uniform Dose","definition" : "An objective to achieve an equivalent uniform dose (EUD) which is less than or equal to the specified radiation dose."},{"code" : "130009","display" : "Prescription Radiation Dose","definition" : "An objective to achieve a radiation dose which is equal to the specified radiation dose throughout the volume."},{"code" : "130010","display" : "Minimum Conformity Index","definition" : "An objective to achieve a conformity index which is greater than or equal to the specified conformity index for a radiation dose which is equal to the specified radiation dose throughout the volume.Minimum Conformity Index as defined in , page 335."},{"code" : "130011","display" : "Minimum Healthy Tissue Conformity Index","definition" : "An objective to achieve a healthy tissue conformity index which is greater than or equal to the specified healthy tissue conformity index for a radiation dose which is equal to the specified radiation dose throughout the volume.Minimum Healthy Tissue Conformity Index as defined in , page 335."},{"code" : "130012","display" : "Minimum Conformation Number","definition" : "An objective to achieve a conformation number which is greater than or equal to the specified conformation number greater for a radiation dose which is equal to the specified radiation dose throughout the volume.Minimum Conformation Number as defined in , page 335."},{"code" : "130013","display" : "Maximum Homogeneity Index","definition" : "An objective to achieve a homogeneity index which is less than or equal to the specified homogenity index for a radiation dose which is equal to the specified radiation dose throughout the volume.Maximum Homogeneity Index as defined in , page 335."},{"code" : "130014","display" : "Minimum Percent Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose for at least a specified volume percentage."},{"code" : "130015","display" : "Maximum Percent Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose for at least a specified \"volume percentage."},{"code" : "130016","display" : "Minimum Absolute Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is greater than or equal to the specified radiation dose for at least a specified volume size."},{"code" : "130017","display" : "Maximum Absolute Volume at Radiation Dose","definition" : "An objective to achieve a radiation dose which is less than or equal to the specified radiation dose for at least a specified volume size."},{"code" : "130018","display" : "Minimize Meterset","definition" : "An objective to minimize the total Meterset."},{"code" : "130019","display" : "Specified Radiation Dose","definition" : "The radiation dose value for a Dosimetric Objective."},{"code" : "130020","display" : "Specified Volume Size","definition" : "The specified volume size of an anatomical region in a Dosimetric Objective."},{"code" : "130021","display" : "Specified Volume Percentage","definition" : "The percentage which represents a fractional parameter used by a Dosimetric Objective."},{"code" : "130022","display" : "Radiation Characteristics Note","definition" : "Free text note describing characteristics of the radiation."},{"code" : "130023","display" : "Beam Shaping Note","definition" : "Free text note describing the devices and techniques used to shape the radiation beam."},{"code" : "130024","display" : "Treatment Planning Note","definition" : "Free text note to describe suggestions or advice to treatment planning."},{"code" : "130025","display" : "Special Procedure Note","definition" : "Free text note describing additional activities that address individual patient needs."},{"code" : "130026","display" : "Patient Positioning Note","definition" : "Free text note describing the process to position the patient for the procedure."},{"code" : "130027","display" : "4D Radiation Treatment Note","definition" : "Free text note describing management of patient motion during the radiation treatment."},{"code" : "130028","display" : "Patient Setup Note","definition" : "Free text note describing the setup of the patient on the patient support device(s)."},{"code" : "130029","display" : "Previous Treatment Note","definition" : "Free text note describing previously delivered treatments."},{"code" : "130030","display" : "Planning Imaging Note","definition" : "Free text note describing the intended use of images for planning."},{"code" : "130031","display" : "Delivery Verification Note","definition" : "Free text note describing how delivery is to be verified."},{"code" : "130032","display" : "Simulation Note","definition" : "Free text note describing preferred simulation procedures."},{"code" : "130033","display" : "Radiation Therapy Particle","definition" : "Particle used for Radiotherapy treatment."},{"code" : "130034","display" : "RT Beam Energy","definition" : "Energy of the Radiotherapy treatment beam."},{"code" : "130035","display" : "Patient Positioning Procedure Note","definition" : "Free text note describing the procedure \"for acquiring and applying information about patient position."},{"code" : "130036","display" : "QA Process Note","definition" : "Free text note describing the Quality Assurance Process for the treatment of the patient."},{"code" : "130037","display" : "Ion Therapy Particle","definition" : "Particle for a radiotherapeutic treatment using beams of energetic protons, positive ions or other particles."},{"code" : "130038","display" : "Brachytherapy Isotope","definition" : "Isotope for a radiotherapeutic treatment where a decaying radiation source is placed inside or next to a target area, called Brachytherapy."},{"code" : "130039","display" : "Adaptive Radiation Therapy Note","definition" : "Free text note describing how adaptive radiotherapy is to be performed."},{"code" : "130040","display" : "Teletherapy Isotope","definition" : "Isotope for a radiotherapeutic treatment where a decaying radiation source is placed outside the body."},{"code" : "130041","display" : "RT Target","definition" : "Volume containing tissues to be irradiated to a specified radiation dose, typically encompassing a tumor, and possibly including surrounding subclinical disease, and margin(s) to account for uncertainties in patient positioning and organ motion."},{"code" : "130042","display" : "RT Dose Calculation Structure","definition" : "Non-target structure or volume used when calculating the radiation dose, e.g., during an optimzation process. This may be a structure whose proximity to the target and/or radiosensitivity restrict the radiation dose deliverable to the target."},{"code" : "130043","display" : "RT Geometric Information","definition" : "Points or volumes used as spatial references, e.g., treatment or imaging device isocenter or fiducial markers."},{"code" : "130044","display" : "Fixation or Positioning Device","definition" : "Device used to reproducibly position or limit the motion of a patient or portion of a patient during treatment."},{"code" : "130045","display" : "Brachytherapy Device","definition" : "Device used to deliver Brachtherapy treatments. This includes both devices containing radioactive sources (seeds, eye plaques) and devices used to position radioactive sources (source applicators, channels etc.)."},{"code" : "130046","display" : "Non-specific Volume","definition" : "A volume that does not represent a named physical entity."},{"code" : "130047","display" : "External Body Model","definition" : "A volume representing the external shape of the patient body used in radiotherapeutic procedures."},{"code" : "130048","display" : "Unclassified Volume","definition" : "A volume that does not correspond to an identifiable physical entity and has user specified boundaries."},{"code" : "130049","display" : "CTV Nodal","definition" : "Clinical Target Volume encompassing diseased lymph node(s) , with margin to include surrounding sub-clinical disease as defined in ."},{"code" : "130050","display" : "CTV Primary","definition" : "Clinical Target Volume encompassing primary tumor(s) , with margin to include surrounding sub-clinical disease as defined in ."},{"code" : "130051","display" : "GTV Nodal","definition" : "Gross Tumor Volume encompassing diseased lymph nodes as defined in ."},{"code" : "130052","display" : "GTV Primary","definition" : "Gross Tumor Volume encompassing primary tumor(s) as defined in ."},{"code" : "130053","display" : "PTV Nodal","definition" : "Planning Target Volume encompassing a nodal CTV, with margin to account for uncertainty in patient positioning and organ motion as defined in ."},{"code" : "130054","display" : "PTV Primary","definition" : "Planning Target Volume encompassing a primary CTV, with margin to account for uncertainty in patient positioning and organ motion as defined in ."},{"code" : "130055","display" : "Entire Body Target Volume","definition" : "Entire Body as a target volume for radiotherapy treatment. The usual term for a treatment technique irradiating this target is Full Body Irradiation."},{"code" : "130056","display" : "ITV","definition" : "Internal Target Volume encompassing the CTV, with margin to account for internal motion, often delineated using multiple images, e.g., acquired over a breathing cycle, cardiac cycle, etc, as defined in ."},{"code" : "130057","display" : "Planning Organ At Risk Volume","definition" : "Volume encompassing the Organ At Risk (Planning organ at Risk Volume (PRV)) with margin to account for uncertainty in patient positioning and organ motion as defined in ."},{"code" : "130058","display" : "Avoidance Volume","definition" : "Volume to which delivered radiation dose should be minimized or limited as defined in ."},{"code" : "130059","display" : "Treated Volume","definition" : "Volume enclosed by an isodose surface appropriate to achieve the purpose of treatment (e.g., tumor eradication or palliation) as defined in ."},{"code" : "130060","display" : "Organ At Risk","definition" : "Normal tissue that receives undesired radiation and may be damaged by the radiation treatment as defined in . The treatment is typically planned to limit the radiation dose to such an organ."},{"code" : "130061","display" : "Radiation Dose Shaping Volume","definition" : "A volume used to express dosimetric constraints for shaping the radiation dose distribution."},{"code" : "130062","display" : "Conformality Shell","definition" : "A volume surrounding the target to achive a high radiation dose gradient using a low radiation dose constraint."},{"code" : "130063","display" : "Radiation Dose Normalization Point","definition" : "A point for which a specific radiation dose value is chosen. The rest of the radiation dose distribution is normalized against\" this value."},{"code" : "130064","display" : "Radiation Dose Reference Point","definition" : "A point at which the radiation dose is observed."},{"code" : "130065","display" : "Dose Calculation Bounding Volume","definition" : "Volume for which radiation dose is calculated."},{"code" : "130066","display" : "Radiation Interaction Volume","definition" : "Volume in which the interaction of radiation with matter is taken into account."},{"code" : "130067","display" : "Patient Anatomy Model","definition" : "The external boundary of patient tissue without additional devices."},{"code" : "130068","display" : "Extended Patient Anatomy Model","definition" : "The external boundary of patient tissue plus devices that may be attached or adjacent to the body (such as Bolus, Patient Support Devices, Patient Immobilization Devices)."},{"code" : "130069","display" : "Patient Setup Point","definition" : "Point at which the patient is initially positioned prior to any other positioning procedure."},{"code" : "130070","display" : "Room Laser Patient Setup Point","definition" : "A reference point used for patient setup based on room lasers."},{"code" : "130071","display" : "Moveable Laser Patient Setup Point","definition" : "A reference point used for patient setup based on movable lasers."},{"code" : "130072","display" : "Reference Acquisition Point","definition" : "A reference point at which patient position verification references are acquired."},{"code" : "130073","display" : "Isocentric Treatment Location Point","definition" : "A point representing the machine isocenter."},{"code" : "130074","display" : "Specified Conformity Index","definition" : "The Conformity Index for a Dosimetric Objective as defined in , page 335."},{"code" : "130075","display" : "Specified Healthy Tissue Conformity Index","definition" : "The Healthy Tissue Conformity Index for a Dosimetric Objective as defined in , page 335."},{"code" : "130076","display" : "Specified Conformation Number","definition" : "The Conformation Number for a Dosimetric Objective as defined in , page 335."},{"code" : "130077","display" : "Specified Homogeneity Index","definition" : "The Homogeneity Index for a Dosimetric Objective as defined in , page 335."},{"code" : "130078","display" : "Brachytherapy Source Applicator","definition" : "Source applicator used in brachytherapy treatment delivery"},{"code" : "130079","display" : "Brachytherapy Channel Shield","definition" : "Channel shield device used in brachytherapy treatment delivery"},{"code" : "130080","display" : "Brachytherapy Channel","definition" : "Channel device used in brachytherapy treatment delivery"},{"code" : "130081","display" : "Unclassified Combination","definition" : "A logical combination of two or more volumes for which the combination is not classified."},{"code" : "130082","display" : "Relative Mass Density","definition" : "Ratio of the mass density of a material relative to the mass density of water."},{"code" : "130083","display" : "Relative Electron Density","definition" : "Ratio of the electron density of a material relative to the electron density of water."},{"code" : "130084","display" : "Effective Z","definition" : "The average atomic number of a material."},{"code" : "130085","display" : "Effective Z per A","definition" : "Ratio of effective atomic number to mass (AMU -1) for a material."},{"code" : "130086","display" : "Relative Linear Stopping Power","definition" : "Ratio of the linear stopping power of a material to the linear stopping power of water."},{"code" : "130087","display" : "Reference Energy","definition" : "An energy value which qualifies a quantity or parameter whose value is defined in respect to this energy."},{"code" : "130088","display" : "Linear Cell Kill Factor","definition" : "Linear Cell Kill Factor (α) as defined in J. Deacon et al (Rad. Onc 2(4) : 317-323, 1984), page 318-"},{"code" : "130089","display" : "Quadratic Cell Kill Factor","definition" : "Quadratic Cell Kill Factor (β) as defined in J. Deacon et al (Rad. Onc 2(4) : 317-323, 1984), page 318."},{"code" : "130090","display" : "High Dose Fraction Linear Cell Kill Factor","definition" : "High Dose Fraction Linear Cell Kill Factor (γ) as defined in Frederick W. McKenna et (J. Med. Phys, 36(2) : 100-106, 2011), page 102."},{"code" : "130091","display" : "Half-time for Tissue Repair","definition" : "Half-time for Tissue Repair as defined in R Singh R, et al. (Medical Dosimetry 28(4) : 225-259, 2003), page 256."},{"code" : "130092","display" : "High Dose Fraction Transition Dose","definition" : "High Dose Fraction Transition Dose as defined in Astrahan, M. (Med. Phys., 35(9) : 4161-4172, 2008), page 4164."},{"code" : "130093","display" : "Atomic Number","definition" : "The atomic number of an element, i.e. the number of protons found in the nucleus of an atom."},{"code" : "130094","display" : "Elemental Composition Atomic Mass Fraction","definition" : "The fractional weight of the element in a compound."},{"code" : "130095","display" : "alpha gEUD Value","definition" : "Tissue-specific parameter that describes the volume effect of radiation dose delivered to a volume.See AAPM Report 166 (http://www.aapm.org/pubs/reports/RPT_166.pdf) for additional information."},{"code" : "130096","display" : "Single Fraction","definition" : "A treatment consisting of a single treatment fraction, e.g., for stereotactic treatments."},{"code" : "130097","display" : "Standard Fractionation","definition" : "A treatment consisting of a one treatment fraction per day, typically 1.8-2.0 Gy per treatment fraction."},{"code" : "130098","display" : "Hypo-fractionation","definition" : "A treatment consisting of a reduced number of treatment fractions relative to a standard fractionation, typically with a higher radiation dose per fraction."},{"code" : "130099","display" : "Hyper-fractionation","definition" : "A treatment consisting of an increased number of fractions relative to a standard fractionation, typically two per day with smaller radiation dose per fraction."},{"code" : "130100","display" : "Continuous Temporary","definition" : "A treatment consisting of a continuous delivery using a temporary implant."},{"code" : "130101","display" : "Continuous Permanent","definition" : "A treatment consisting of a continuous delivery using a permanent implant."},{"code" : "130102","display" : "Static Beam","definition" : "A treatment technique in which the field shape and the source position do not change during delivery."},{"code" : "130103","display" : "Arc Beam","definition" : "A treatment technique in which the field shape does not change during delivery while the source position follows an arc."},{"code" : "130104","display" : "Conformal Arc Beam","definition" : "A treatment technique in which the field shape changes during delivery while the source position follows an arc."},{"code" : "130105","display" : "Step and Shoot Beam","definition" : "A treatment technique in which the field shape does not change during an exposure. Several field shapes may be used in different exposures at the same source position."},{"code" : "130106","display" : "Sliding Window Beam","definition" : "A treatment technique in which the field shape continously changes during an exposure at the same source position."},{"code" : "130107","display" : "VMAT","definition" : "A treatment technique in which the field shape, gantry speed and radiation dose rate changes during delivery while the source position follows an arc.Volumetric Modulated Arc Therapy (VMAT)."},{"code" : "130108","display" : "Helical Beam","definition" : "A treatment technique in which the field shape continously changes during delivery while the source position follows a continous arc in parallel to a simultaneous patient support movement."},{"code" : "130109","display" : "Topographic Beam","definition" : "A treatment technique in which the field shape and the source position do not change during\" delivery while the patient support is moving."},{"code" : "130110","display" : "Headframe","definition" : "A device attached to the tabletop that is also screwed into the skull of the patient's head to position and orient the head in a prescribed geometry relative to the tabletop. The device is commonly known as a \"halo\"."},{"code" : "130111","display" : "Head Mask","definition" : "A device that is placed over the patient's face and attached to the tabletop to prevent the patient from moving relative to the tabletop."},{"code" : "130112","display" : "Head and Neck Mask","definition" : "A device that is placed over the patient's face and neck and attached to the tabletop to prevent the patient from moving relative to the tabletop."},{"code" : "130113","display" : "Mold","definition" : "A device that is modified by pressure (molded) to fit another object (such as the patient\"s anatomy) and then used to control the reproducibility of the patient\"s treatment position."},{"code" : "130114","display" : "Cast","definition" : "A device that is fabricated from a mold of another object (like the patient\"s anatomy) and then used to control the reproducibility of the patient\"s treatment position."},{"code" : "130116","display" : "Breast Board","definition" : "A device placed on the tabletop to support the chest and arms of a patient in a prescribed position and orientation."},{"code" : "130117","display" : "Body Frame","definition" : "A device placed beneath a patient to support the whole body in a prescribed position and orientation relative to the table top."},{"code" : "130118","display" : "Vacuum Mold","definition" : "A device placed beneath a patient to support a body part in a prescribed position and orientation relative to the table top. It is commonly a bag containing low density polystyrene spheres that becomes semi-hard when vacuum is applied conforming to the bottom surface of the patient."},{"code" : "130119","display" : "Whole Body Pod","definition" : "A device placed beneath a patient to support the whole body in a prescribed position and orientation relative to the table top. It is commonly shaped like a hollow half cylinder. The space between the patient and the wall is commonly filled with a dual component foam that hardens conforming to the bottom surface of the patient."},{"code" : "130120","display" : "Rectal Balloon","definition" : "A flexible fluid container inserted into the rectum to maintain an immovable geometry during treatment."},{"code" : "130121","display" : "Vaginal Cylinder","definition" : "An intracavity cylinder inserted into the vagina to achieve greater radiation dose control and radiation dose shaping. Radioactive sources are inserted into the cylinder for treatment."},{"code" : "130123","display" : "Aperture Block","definition" : "A device, typically made of a low temperature alloy, such as Lipowitz\"s metal, that provides an opening in a beam block with constant attenuation across an area of the beam to prevent or reduce radiation dose delivery to normal tissues."},{"code" : "130124","display" : "Accessory Tray","definition" : "A device placed into a machine slot or an applicator to which accessories are attached."},{"code" : "130125","display" : "Radiotherapy Applicator","definition" : "A device placed into a radiotherapy machine slot which provide slot to add other devices and/or to limit the beam."},{"code" : "130126","display" : "Radiation transport-based methods","definition" : "A category of methods for the calculation of effective dose that are based on radiation transport and are used to predict the Relative Biological Effectiveness of an ion beam based on the quality of the radiation used.[Wambersie A, RBE, reference RBE and clinical RBE: Applications of these concepts in hadron therapy, Strahlentherapie und Onkologie 1999 June, 175(2) : 39-43][Paganetti H, et al., Relative biological effectiveness (RBE) values for proton beam therapy, Int J Rad. Onc Biol Phys, 2002 June; 53(2) : 407-421]"},{"code" : "130127","display" : "Fractionation-based or temporally-based methods","definition" : "A category of methods for the calculation of effective dose that are based on Fractionation or temporal patterns and are used to predict the Biologically Effective Dose.[Thames HD, Hendry JH. Fractionation in radiotherapy. New York: Taylor & Francis; 1987][Barendsen, G.W (1982) Dose fractionation, dose rate and iso-effect relationships for normal tissue responses, Int. J. Radiat. Oncol. Biol. Phys. 8 (11) : 1981-1997.]"},{"code" : "130128","display" : "Local Effect Model","definition" : "The Local Effect Model (LEM) method used to predict the Relative Biological Effectiveness of dose delivered using ion beams.[Grun, R. Friedrich, T. Elasasser, T. Kramer, M. Zink, K. Karger, C. P. Durante, M. Engenhard-Cabillic, R. Scholz, M. (2012) \"Impact of enhancements in the local effect model (LEM) on the predicted RBE-weighted target dose distribution in carbon ion therapy\" Physics in Medicine and Biology 57: 7261 - 7274.]"},{"code" : "130129","display" : "Microdosimetric Kinetic Model","definition" : "The Microdosimetric Kinetic Model (MKM) \" used to predict the Relative Biological Effectiveness of dose delivered using ion beams.[Inaniwa, T. Furukawa, T. Kase, Y. Matsufuji, N. Toshito, T. Matsumoto, Y. Furusawa, Y. Node, K. (2010) \"Treatment planning for a scanned carbon beam with a modified microdosimetric kinetic model\" Physics in Medicine and Biology 55: 6721 - 6737.]"},{"code" : "130130","display" : "Equivalent 2-Gray Fractions Model","definition" : "The linear quadratic model usedto compute the equivalent Biologically Effective Dose (BED) delivered in 2 Gray dose fractions.[Fowler JF. The linear-quadratic formula and progress in fractionated radiotherapy. Br J Radiol. 1989 Aug; 62 (740) : 679-94.]"},{"code" : "130131","display" : "Linear-Quadratic Model","definition" : "The linear quadratic model usedto compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate.[Fowler JF, Br J Radiol. 1989; 62: 679-694]"},{"code" : "130132","display" : "Linear-Quadratic Model with Time Factor","definition" : "The modified linear quadratic model with time factor method usedto compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate, taking into account tumor repopulation during treatment.[Fowler JF, Semin. Radiat. Oncol. 1992; 2(1) : 16-21]"},{"code" : "130133","display" : "Linear-Quadratic-Linear Model","definition" : "The linear-quadratic-linear dose-response model usedto compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate, taking into account linear cell survival with high dose fractions.[Astrahan M, Med.Phys. 2008; 35: 4161-4172]"},{"code" : "130134","display" : "Linear-Quadratic Model for Low-Dose Rate Brachytherapy","definition" : "The linear-quadratic dose-response model modified for low-dose rate brachytherapy used to compute the equivalent Biologically Effective Dose (BED) delivered at an infinitely low dose-rate.[Sing R, Al-Hallaq H, Med.Dosim. 2003; 28(4) : 225-259]"},{"code" : "130135","display" : "Historical RT Prescription","definition" : "A Radiotherapy prescription prescribed prior to the current prescription."},{"code" : "130136","display" : "RT Prescription Input Images","definition" : "Image Instances available as input for prescribing a Radiotherapy treatment prescription."},{"code" : "130137","display" : "RT Treatment Planning Input Images","definition" : "Image Instances available as input for planning a Radiotherapy treatment plan."},{"code" : "130138","display" : "Multiple Fixed Sources","definition" : "A treatment technique using multiple decaying radiation sources at fixed spatial locations."},{"code" : "130139","display" : "Synchronized Robotic Treatment","definition" : "A treatment technique using a robotic delivery device with real-time motion tracking and compensation."},{"code" : "130140","display" : "Non-Synchronized Robotic Treatment","definition" : "A treatment technique using a robotic delivery device without real-time motion tracking and compensation."},{"code" : "130141","display" : "^3^Helium nucleus","definition" : "Ionized helium atom with 2 protons and 1 neutron."},{"code" : "130142","display" : "^4^Helium nucleus","definition" : "Ionized helium atom with 2 protons and 2 neutrons."},{"code" : "130143","display" : "^12^Carbon nucleus","definition" : "Ionized carbon atom with 6 protons and 6 neutrons."},{"code" : "130144","display" : "^16^Oxygen nucleus","definition" : "Ionized oxygen atom with 8 protons and 8 neutrons."},{"code" : "130150","display" : "Pressure above warning limit","definition" : "The injector device detected a pressure above the warning threshold, generated a warning and did not automatically terminate the administration."},{"code" : "130151","display" : "Pressure above adjustment limit","definition" : "The injector device detected a pressure above the adjustment limit, took compensating action and did not automatically terminate the administration."},{"code" : "130152","display" : "Flow rate above warning limit","definition" : "The injector device detected a flow rate above the warning threshold, generated a warning and did not automatically terminate the administration."},{"code" : "130153","display" : "Flow rate above adjustment limit","definition" : "The injector device detected a flow rate above the adjustment limit, took compensating action and did not automatically terminate the administration."},{"code" : "130154","display" : "Terminated due to request from operator","definition" : "The injector device terminated the administration due to detection of an abort request by the operator."},{"code" : "130155","display" : "Fixed duration pause ended","definition" : "The device detected that a pause duration has been reached and the device resumed automatically."},{"code" : "130156","display" : "Terminated due to pressure above termination limit","definition" : "The injector device detected a pressure above the termination limit and automatically terminated the administration."},{"code" : "130157","display" : "Terminated due to flow rate above termination limit","definition" : "The injector device detected a flow rate above the termination limit and automatically terminated the administration."},{"code" : "130158","display" : "Terminated due to excessive duration pause","definition" : "The Injector device detected that a pause duration has exceeded limit and the injector device terminated the administration."},{"code" : "130159","display" : "Terminated due to injector communication loss","definition" : "The injector device detected a communication loss and automaticallyterminated the administration."},{"code" : "130160","display" : "Terminated due to unspecified injector failure","definition" : "The injector device detected an unspecified failure and automaticallyterminated the administration."},{"code" : "130161","display" : "Keep vein open started","definition" : "The injector device started saline flow for the purpose of keeping vein open."},{"code" : "130162","display" : "Keep vein open ended","definition" : "The injector device ended saline flow for the purpose of keeping vein open."},{"code" : "130163","display" : "Syringe attached","definition" : "The injector device detected that a syringe was attached to the injector."},{"code" : "130164","display" : "Syringe detached","definition" : "The injector device detected that a syringe was detached from the injector."},{"code" : "130165","display" : "Total Keep Vein Open Volume Administered","definition" : "Total volume of flush delivered by the keep vein open function of the injector."},{"code" : "130168","display" : "Automatic Programmed Administration Phase","definition" : "An administration phase where fluid is being delivered by an injector system according to the programmed instructions."},{"code" : "130169","display" : "Automatic Programmed Delay Phase","definition" : "An administration phase where fluid delivery is stopped by the injector system until a programmed time elapses."},{"code" : "130170","display" : "Automatic with Manual Hold Phase","definition" : "An administration phase where the fluid is delivered automatically by an injector system and stopped under manual control by the operator."},{"code" : "130171","display" : "Automated Manual Inject Phase","definition" : "An administration phase where the fluid is delivered by the injector system under manual control by the operator."},{"code" : "130172","display" : "Manually Triggered Injection Information","definition" : "Information only available if injection was triggered manually."},{"code" : "130173","display" : "Automated Administration","definition" : "An administration mode where the fluid is delivered by a mechanical injector system."},{"code" : "130174","display" : "Manual Administration","definition" : "An administration mode where the substance is delivered manually"},{"code" : "130175","display" : "Air detected","definition" : "The injector device detected air in the tubing or syringe before or during the Imaging Agent administration and did not automatically terminate the administration."},{"code" : "130176","display" : "Terminated due to air detected","definition" : "The injector device detected air in the tubing or syringe and terminated the administration."},{"code" : "130177","display" : "Terminated by scanner","definition" : "The injector device received instruction from scanner to terminate the administration and terminated the administration."},{"code" : "130178","display" : "Terminated due to critical battery level","definition" : "The injector device detected critical battery level and terminated the administration."},{"code" : "130179","display" : "Terminated due to consumable removal","definition" : "The injector device detected removal of a consumable from the injector device and terminated the administration."},{"code" : "130181","display" : "Administration Mode","definition" : "A code that specifies how the Imaging Agent is administered to the patient."},{"code" : "130182","display" : "Planned Imaging Agent Administration Procedure Report","definition" : "A report of the planned patient-specific Imaging Agent administration steps."},{"code" : "130183","display" : "Imaging Agent Information","definition" : "Description of a specific Imaging Agent that was planned or was administered."},{"code" : "130184","display" : "Osmolality at 37C","definition" : "Number of osmoles of solute per kilogram of solvent at 37°C."},{"code" : "130185","display" : "Osmolarity at 37C","definition" : "Number of osmoles of solute per liter (L) at 37°C."},{"code" : "130186","display" : "Viscosity at 37C","definition" : "A measure of a resistance of a fluid to gradual deformation by stress, measured at 37°C."},{"code" : "130187","display" : "Imaging Agent Warmed","definition" : "Indicates if an Imaging Agent was warmed prior to the administration procedure."},{"code" : "130188","display" : "Contrast Transverse Relaxivity","definition" : "The degree to which a paramagnetic contrast agent can enhance the proton transverse relaxation rate constant (R2, 1/T2), normalized to the concentration of the contrast agent.Also referred to as r2. Typically expressed in units l/mmol/s."},{"code" : "130189","display" : "Is Ionic","definition" : "Indicates whether the Imaging Agent is Ionic or non-ionic."},{"code" : "130190","display" : "Dosing Factor","definition" : "Indicates normalized dose of Imaging Agent per kg of patient weight. Typically recommended by the vendor.For e.g,. grams Iodine per Kg (gI / Kg)."},{"code" : "130191","display" : "Imaging Agent Component Usage","definition" : "Information about use of Imaging Agent component(s)."},{"code" : "130192","display" : "Imaging Agent Administration Steps","definition" : "Information about list of administration steps for administering Imaging Agent."},{"code" : "130193","display" : "Pressure Limit","definition" : "A limit set at the power injector device indicating the maximum allowed pressure planned for administering the Imaging Agent."},{"code" : "130194","display" : "Time after the start of injection","definition" : "Time after the start of injection of a delivered Imaging Agent administration."},{"code" : "130195","display" : "Imaging Agent Administration Step","definition" : "An individual administration step in the Imaging Agent administration plan."},{"code" : "130196","display" : "Imaging Agent Administration Step Identifier","definition" : "Identifies a step in an Imaging Agent administration plan."},{"code" : "130197","display" : "Imaging Agent Administration Delay","definition" : "Time difference between the nominal start of the administration step and the actual start of Imaging Agent administration."},{"code" : "130198","display" : "Scan Delay","definition" : "Time delay for start of image acquisition after start of Imaging Agent administration."},{"code" : "130199","display" : "Imaging Agent Administration Steps Description","definition" : "Description of Imaging Agent administration plan."},{"code" : "130200","display" : "Imaging Agent Administration Protocol Name","definition" : "Protocol name for Imaging Agent administration."},{"code" : "130202","display" : "Imaging Agent Administration Phase","definition" : "Information about a delivery phase of an Imaging Agent administration step."},{"code" : "130203","display" : "Imaging Agent Administration Phase Identifier","definition" : "Identifies a phase in an Imaging Agent administration step."},{"code" : "130204","display" : "Imaging Agent Administration Phase Type","definition" : "Type of phase in an Imaging Agent administration step."},{"code" : "130205","display" : "Initial Volume of Imaging Agent in Container","definition" : "The volume of the Imaging Agent in an Imaging Agent container before administration."},{"code" : "130206","display" : "Residual Volume of Imaging Agent in Container","definition" : "The volume of the Imaging Agent remaining in the Imaging Agent container after administration."},{"code" : "130207","display" : "Rise Time","definition" : "Time for the injector to build up from zero to the set pressure."},{"code" : "130208","display" : "Starting Flow Rate of administration","definition" : "Flow rate at the start of an administration of the Imaging Agent."},{"code" : "130209","display" : "Ending Flow Rate of administration","definition" : "Flow rate at the end of an administration of the Imaging Agent."},{"code" : "130210","display" : "Bolus Shaping Curve","definition" : "A vendor-specific code indicating the shape of the flow rate curve within an administration phase."},{"code" : "130211","display" : "Imaging Agent Administration Completion Status","definition" : "The status of the Imaging Agent administration procedure at completion as reported by the automated injector or by the administering person."},{"code" : "130212","display" : "Imaging Agent Administration Adverse Events","definition" : "Information about adverse events occurring during administration of an Imaging Agent."},{"code" : "130214","display" : "Estimated Extravasation Volume","definition" : "The estimated volume lost at the injection site.The estimation includes extravasation, paravenous administration and leakage at the injection site."},{"code" : "130215","display" : "Adverse Event Detection DateTime","definition" : "Date and Time when an adverse event was noticed by the observer."},{"code" : "130216","display" : "Referenced Imaging Agent Administration Step UID","definition" : "The unique identifier of the Imaging Agent administration step being referenced."},{"code" : "130217","display" : "Referenced Imaging Agent Administration Phase Identifier","definition" : "The identifier of an Imaging Agent administration phase being referenced."},{"code" : "130218","display" : "Programmable Injector Device","definition" : "An injector device that can be configured to execute a series of phases automatically."},{"code" : "130219","display" : "Number of Injector Heads","definition" : "Number of injector heads or pumps (single, dual or many) in an injector device."},{"code" : "130220","display" : "Administration discontinued","definition" : "Whether the agent administration was discontinued."},{"code" : "130221","display" : "Imaging Agent Volume per Unit of Presentation","definition" : "The volume of Imaging Agent in one unit of presentation. The capacity of the unit of presentation may be larger than this."},{"code" : "130222","display" : "Imaging Agent Administration Consumable","definition" : "Information about the Imaging Agent accessory or consumable used for performing the Imaging Agent administration."},{"code" : "130223","display" : "Imaging Agent Administration Consumable Type","definition" : "Type of consumable used for performing the Imaging Agent administration."},{"code" : "130224","display" : "Consumable is New","definition" : "If the consumable is installed newly during the preparation process for this Imaging Agent Administration."},{"code" : "130226","display" : "Planned Imaging Agent Administration","definition" : "Information about the Imaging Agent administration steps that is patient-specific."},{"code" : "130227","display" : "Performed Imaging Agent Administration","definition" : "Information about the Imaging Agent administration steps that were delivered to a patient."},{"code" : "130228","display" : "Contrast Volume Limit","definition" : "The maximum volume of contrast agent allowed to be administered.This is typically specified by the prescribing health care professional for patient safety and quality purposes."},{"code" : "130229","display" : "Flow Rate vs Time","definition" : "Graph depicting the measurement of flow rate of fluid against time."},{"code" : "130230","display" : "Pressure vs Time","definition" : "Graph depicting the measurement of pressure of fluid against time."},{"code" : "130231","display" : "Barcode Value","definition" : "The alphanumeric string from reading a barcode."},{"code" : "130232","display" : "Imaging Agent Administration Graph","definition" : "Information about two-dimensional graph data for a syringe or pump."},{"code" : "130233","display" : "Imaging Agent Administration Injector Events","definition" : "Information about events that occurred at an injector during an Imaging Agent administration."},{"code" : "130234","display" : "Imaging Agent Administration Injector Event Type","definition" : "Type of event that occurred at an injector during an Imaging Agent administration."},{"code" : "130235","display" : "Injector Event Detection DateTime","definition" : "Date and time when an injector event was detected."},{"code" : "130236","display" : "Planned Imaging Agent Administration SOP Instance","definition" : "Reference to a Planned Imaging Agent Administration SOP instance."},{"code" : "130237","display" : "Imaging Agent Administration Activity","definition" : "Information about the activity in an Imaging Agent administration phase. In an Automated Injection system this describes the activity of one of the pump or syringe units used."},{"code" : "130238","display" : "Imaging Agent Component","definition" : "Information about a component of an Imaging Agent."},{"code" : "130239","display" : "Component Volume","definition" : "Volume of one agent component in a mixture of multiple components."},{"code" : "130240","display" : "Total Phase Volume Administered","definition" : "Total volume administered by all syringes/pump actions during a single phase."},{"code" : "130241","display" : "Total Step Volume Administered","definition" : "Total volume administered by all syringes/pump actions within all phases during a single Step."},{"code" : "130242","display" : "Total number of manually triggered injections","definition" : "Total number of times that an injection was triggered manually."},{"code" : "130244","display" : "Peak Flow Rate in Phase Activity","definition" : "Peak flow rate value detected at a specific location (syringe or pump) during a specific activity of an administration phase."},{"code" : "130245","display" : "Peak Pressure in Phase Activity","definition" : "Peak pressure value detected at a location (syringe or pump) during a single administration phase activity."},{"code" : "130246","display" : "Imaging Agent Administration Performed Step UID","definition" : "Unique identification of a single performed Imaging Agent administration step actually delivered on a specific occasion"},{"code" : "130247","display" : "Patency Test Injection","definition" : "An injection of an inactive agent to test for blockages or leakages in the delivery path, usually performed prior to an administration of an imaging or therapeutic agent."},{"code" : "130248","display" : "Transit Time Test Injection","definition" : "An injection of a bolus of Imaging Agent to determine the appropriate delay time for a diagnostic administration."},{"code" : "130249","display" : "Diagnostic Administration","definition" : "Administration of an Imaging Agent for the purpose of enhancing contrast in an image."},{"code" : "130250","display" : "Administration Step Type","definition" : "Type of step in an Imaging Agent administration. For example, a test administration or a diagnostic administration."},{"code" : "130251","display" : "Flush Administration","definition" : "Injection of an inactive fluid to clear the administration path of an active agent."},{"code" : "130252","display" : "Negative exponential","definition" : "A curve that decays exponentially from a specified start value, at a specified decay rate."},{"code" : "130253","display" : "Linear Curve","definition" : "A curve that changes linearly from a specified start value to a specified end value.Note: The start value and the end value may be the same, indicating a flat curve."},{"code" : "130254","display" : "Imaging Agent Identifier","definition" : "Identifies an Imaging Agent uniquely within a set of Imaging Agents. The Imaging Agent may be a single component or a mix of multiple components."},{"code" : "130255","display" : "Referenced Imaging Agent Identifier","definition" : "The identifier of an Imaging Agent being referenced."},{"code" : "130257","display" : "Consumable Catheter Type","definition" : "Type of catheter used for Imaging Agent administration."},{"code" : "130259","display" : "Contrast Reaction Prophylactic Agent","definition" : "A pharmaceutical agent administered as a pre-medication to prevent contrast reactions."},{"code" : "130261","display" : "Imaging Agent Administration Performed Phase UID","definition" : "Unique identification of a single Imaging Agent administration performed phase."},{"code" : "130262","display" : "Referenced Imaging Agent Administration Phase UID","definition" : "The unique identifier of the Imaging Agent administration performed phase being referenced"},{"code" : "130263","display" : "Automatic Programmed Wait Phase","definition" : "A non time-determined administration phase that is not automatically terminated, where fluid delivery is stopped until manually resumed."},{"code" : "130264","display" : "Imaging Agent Administration Injector Phase Identifier","definition" : "The Imaging Agent Administration Injector Phase Identifier used for presenting this Phase to the User Interface of the injector. Not necessarily the same as the Imaging Agent Administration Phase Identifier of the IAASR Plan."},{"code" : "130265","display" : "Imaging Agent Administration Phase with Manual Hold","definition" : "Indicator for marking this phase as a Automated Administration Phase, which has undergone a manual hold during execution."},{"code" : "130266","display" : "Programmed hold started","definition" : "A programmed administration phase initiated an injector hold/wait state."},{"code" : "130267","display" : "Manual hold started","definition" : "A manual intervention of the technologist initiated an injector hold/wait state."},{"code" : "130268","display" : "Manual resume from hold","definition" : "A manual intervention of the technologist has resumed injector fluid administration. It does not matter if the hold/wait state was initiated programmed or manually."},{"code" : "130269","display" : "Terminated hold due to timeout","definition" : "The injector terminated injection processing from hold/wait after exceeding a time limit."},{"code" : "130290","display" : "Median","definition" : "Towards the mid-sagittal plane of the body."},{"code" : "130300","display" : "Skin of paraspinal area of the neck","definition" : "Structure of skin of paraspinal area of the neck."},{"code" : "130301","display" : "Skin of paraspinal area of the superior back","definition" : "Structure of skin of paraspinal area of the superior back."},{"code" : "130302","display" : "Skin of upper paraspinal region","definition" : "Structure of skin of upper paraspinal region."},{"code" : "130303","display" : "Skin of mid paraspinal region","definition" : "Structure of skin of mid paraspinal region."},{"code" : "130304","display" : "Skin of lower paraspinal region","definition" : "Structure of skin of lower paraspinal region."},{"code" : "130305","display" : "Skin of anterior helix of ear","definition" : "Structure of skin of anterior helix of ear."},{"code" : "130306","display" : "Skin of caruncle of eye","definition" : "Structure of skin of caruncle of eye."},{"code" : "130307","display" : "Skin of inferior helix of ear","definition" : "Structure of skin of inferior helix of ear."},{"code" : "130308","display" : "Skin of inferior posterior surface of the pinna","definition" : "Structure of skin of inferior posterior surface of the pinna."},{"code" : "130309","display" : "Skin of lateral part of dorsum of foot","definition" : "Structure of skin of lateral part of dorsum of foot."},{"code" : "130310","display" : "Skin of lower antihelix of ear","definition" : "Structure of skin of lower antihelix of ear."},{"code" : "130311","display" : "Skin of lower eyelid margin","definition" : "Structure of skin of lower eyelid margin."},{"code" : "130312","display" : "Skin of infraalar groove","definition" : "Structure of skin of infraalar groove."},{"code" : "130313","display" : "Skin of medial part of dorsum of foot","definition" : "Structure of skin of medial part of dorsum of foot."},{"code" : "130314","display" : "Skin of paranasal cheek","definition" : "Structure of skin of paranasal cheek."},{"code" : "130315","display" : "Skin of posterior helix of ear","definition" : "Structure of skin of posterior helix of ear."},{"code" : "130316","display" : "Skin of posterior lobule of the ear","definition" : "Structure of skin of posterior lobule of the ear."},{"code" : "130317","display" : "Skin of sole of forefoot","definition" : "Structure of skin of sole of forefoot."},{"code" : "130318","display" : "Skin of superior antihelix of ear","definition" : "Structure of skin of superior antihelix of ear."},{"code" : "130319","display" : "Skin of superior posterior helix of ear","definition" : "Structure of skin of superior posterior helix of ear."},{"code" : "130320","display" : "Skin of superior posterior surface of the pinna","definition" : "Structure of skin of superior posterior surface of the pinna."},{"code" : "130321","display" : "Skin of upper antihelix of ear","definition" : "Structure of skin of upper antihelix of ear."},{"code" : "130322","display" : "Skin of upper eyelid margin","definition" : "Structure of skin of upper eyelid margin."},{"code" : "130323","display" : "Skin of mid back","definition" : "Structure of skin of mid back."},{"code" : "130324","display" : "Functional condition present during acquisition","definition" : "A functional condition present during acquisition, such as phonation, weight bearing, voiding of the bladder or hemodynamic physiological challenges."},{"code" : "130325","display" : "Orthognathic Functional Condition","definition" : "A functional condition present during acquisition that is related to the jaw, such as the position of the lips, mouth, or mandible."},{"code" : "130330","display" : "Jaw Pair","definition" : "RT beam limiting device jaw pair"},{"code" : "130331","display" : "Leaf Pairs","definition" : "RT beam limiting device multi-element leaf pairs"},{"code" : "130332","display" : "Variable Circular Collimator","definition" : "A circular, aperture size adjustable beam limiting device for an RT treatment device."},{"code" : "130333","display" : "Single Leaves","definition" : "RT beam limiting device multi-element unpaired leaves"},{"code" : "130334","display" : "X Orientation","definition" : "Oriented in the X direction of a defined coordinate system."},{"code" : "130335","display" : "Y Orientation","definition" : "Oriented in the Y direction of a defined coordinate system."},{"code" : "130340","display" : "Physical Compensator","definition" : "Physical RT external beam compensator to compensate for inhomogeneity."},{"code" : "130341","display" : "Total Body Irradiation","definition" : "RT Treatment irradiating the body of the Patient in part or in whole."},{"code" : "130342","display" : "Total Skin Irradiation","definition" : "RT Treatment irradiating the surface of the skin of the Patient in part or in whole."},{"code" : "126812","display" : "Isocentric Patient Support Continuous Pitch Angle","definition" : "Patient SupportContinuous Pitch Angle at the isocenter position about the x-axis of the Equipment Coordinate System."},{"code" : "126813","display" : "Isocentric Patient Support Continuous Roll Angle","definition" : "Patient Support Continuous Roll Angle at the isocenter position about the y-axis of the Equipment Coordinate System."},{"code" : "126814","display" : "Isocentric Patient Support Continuous Yaw Angle","definition" : "Patient Support Continuous Yaw Angle at the isocenter position about the z-axis of the Equipment Coordinate System."},{"code" : "126815","display" : "Isocentric Patient Support Lateral Position","definition" : "Patient Support Lateral Position along the x-axis of the Equipment Coordinate System."},{"code" : "126816","display" : "Isocentric Patient Support Longitudinal Position","definition" : "Patient Support Longitudinal Position along the y-axis of the Equipment Coordinate System."},{"code" : "126817","display" : "Isocentric Patient Support Vertical Position","definition" : "Patient Support Vertical Position along the z-axis of the Equipment Coordinate System."},{"code" : "130343","display" : "Electron Fixed Aperture","definition" : "A type of device (or cone) for electron treatments that attaches to the applicator carriage of an RT treatment device for the purpose of holding an aperture and a bolus close to the patient's skin. Several beam applicators may be available to reduce the weight of apertures lifted by therapists, decrease the aperture/bolus-to-skin distance, and reduce leakage radiation."},{"code" : "130344","display" : "Photon Fixed Aperture","definition" : "A type of device (or cone) for photon treatments that is attached to the radiation head of an RT treatment device into which beam modifiers are installed."},{"code" : "130345","display" : "Intraoperative Fixed Aperture","definition" : "A type of device which is used to delimit the radiation of an RT treatment device in case of an intraoperative radiotherapeutic treatment."},{"code" : "130346","display" : "Hard Wedge","definition" : "A physical device placed inside the radiation head used to modify the fluence distribution across the field."},{"code" : "130347","display" : "Motorized Wedge","definition" : "A physical device manually placed between the radiation head and the patient used to modify the fluence distribution across the field. It is motorized and can be inserted/extracted from the beam path."},{"code" : "130348","display" : "Dynamic Wedge","definition" : "An effective wedge generated by the movement of a jaw across the treatment field while delivering radiation."},{"code" : "130349","display" : "Graticule","definition" : "Mechanical grid to embed scaling information in a radiographic image"},{"code" : "130350","display" : "Reticle","definition" : "Mechanical crosshair to embed a crosshair representing axes and scaling information in a radiographic image"},{"code" : "130351","display" : "Image Detector","definition" : "An electronic radiographic imaging device"},{"code" : "130352","display" : "Film Holder","definition" : "Mechanical device to hold imaging film"},{"code" : "130353","display" : "Winston-Lutz Pointer","definition" : "A spherical mechanical indicator used for alignment"},{"code" : "130354","display" : "Bowtie Filter","definition" : "A bowtie-shaped filter used in imaging"},{"code" : "130355","display" : "Flattening Filter Beam","definition" : "Beam that uses a filter to produce a nearly uniform intensity profile."},{"code" : "130356","display" : "Non-Flattening Filter Beam","definition" : "Beam that does not use a filter to produce a nearly uniform intensity profile."},{"code" : "130357","display" : "Partial Flattening Filter Beam","definition" : "Beam that uses a filter to produce a nearly uniform region across part of the intensity profile."},{"code" : "128678","display" : "Physics Assistant","definition" : "A medical professional capable of developing a radiotherapy plan from a Physicians prescription and assisting in radiation machine calibration and other radiotherapy quality assurance work under supervision of a Medical Physicist."},{"code" : "130358","display" : "Nominal Radiation Source Location","definition" : "The point location defined as the nominal source of radiation."},{"code" : "130359","display" : "Treatment Machine Isocenter","definition" : "The center point of the treatment machine through which all beam central axes pass under all gantry angles."},{"code" : "130360","display" : "Fixed Laser Setup Point","definition" : "A fixed point at which initial patient setup is performed based on lasers."},{"code" : "130361","display" : "Radiotherapy Treatment Device","definition" : "A device delivering radiotherapy treatments."},{"code" : "130362","display" : "Head Node Set","definition" : "Set of Robotic Nodes that can be used for targets associated with the patient's head."},{"code" : "130363","display" : "Body Node Set","definition" : "Set of Robotic Nodes that can be used for targets within the patient's body, excluding the head."},{"code" : "130364","display" : "Trigeminal Node Set","definition" : "Set of Robotic Nodes that can be used for targets near the patient's trigeminal nerve."},{"code" : "130365","display" : "QA Node Pair","definition" : "Two Robotic Nodes for Quality Assurance, for example daily checks."},{"code" : "130366","display" : "QA Node","definition" : "Single Robotic Node for Quality Assurance."},{"code" : "130370","display" : "RTV Rendition","definition" : "DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a simultaneous presentation."},{"code" : "130371","display" : "RTV Audio and Video Rendition","definition" : "Audio and Video DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a simultaneous presentation."},{"code" : "130372","display" : "RTV Stereo Video Rendition","definition" : "Two Video DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a stereo video."},{"code" : "130373","display" : "RTV Audio and Stereo Video Rendition","definition" : "Audio and two Video DICOM objects communicated in time-synchronized flows using DICOM-RTV, intended for a stereo video."},{"code" : "130400","display" : "Geometric purpose of region","definition" : "The purpose of defining a region."},{"code" : "130401","display" : "Visual explanation","definition" : "A visual explanation of how an algorithm produced its results."},{"code" : "130402","display" : "Class activation","definition" : "Values are derived using global average pooling in convolutional neural networks to produce a localization map highlighting the important regions in the image for predicting a class. The class activation map (CAM) indicates the discriminative image regions used by the network to identify a class."},{"code" : "130403","display" : "Gradient-weighted class activation","definition" : "Values are derived using the gradients of a target class flowing into the final convolutional layer of a convolutional neural network to produce a localization map highlighting the important regions in the image for predicting a class. The gradient-weighted class activation map (Grad-CAM) indicates the discriminative image regions used by the network to identify a class."},{"code" : "130404","display" : "Saliency","definition" : "Values are derived using a single back-propagation pass through a network to produce a localization map highlighting the spatial support of a given class in a given image."},{"code" : "130405","display" : "Patient-Attached Dose Control Object","definition" : "An object which is attached to the patient to attenuate the therapeutic dose (such as a Bolus or a lead shield)."},{"code" : "130406","display" : "Non-uterine leiomyosarcoma","definition" : "A leiomyosarcoma (sarcoma containing large spindle cells of smooth muscle) occuring at a site other than the uterus."},{"code" : "130407","display" : "Bone and soft tissue","definition" : "Body structures of bone and soft tissue."},{"code" : "130408","display" : "Perivascular adipose tissue fat attenuation index","definition" : "A measure of weighted attenuation shifts within perivascular adipose tissue, computed as a weighted measure of attenuation in concentric layers of perivascular tissue around the arterial wall, capturing the respective perivascular attenuation gradients. Abbreviated \"FAI\".See Antoniades C, Kotanidis CP, Berman DS. State-of-the-art review article. Atherosclerosis affecting fat: What can we learn by imaging perivascular adipose tissue? Journal of Cardiovascular Computed Tomography. 2019 Mar 29;0(0). Available from: http://​www.journalofcardiovascularct.com/​article/​S1934-5925(18)30618-X/​abstract."},{"code" : "130410","display" : "Patient position","definition" : "A channel monitoring the patient’s position."},{"code" : "130411","display" : "Patient rotation longitudinal","definition" : "A channel monitoring the patient’s rotation around the body’s longitudinal (head – feet) axis."},{"code" : "130412","display" : "Patient elevation","definition" : "A channel monitoring the angle of elevation of the patient against horizontal."},{"code" : "130413","display" : "Hyperventilation begin","definition" : "Begin of deepened or accelerated breathing."},{"code" : "130414","display" : "Hyperventilation end","definition" : "End of deepened or accelerated breathing."},{"code" : "130415","display" : "Post-hyperventilation","definition" : "Point in time after end of hyperventilation."},{"code" : "130416","display" : "Airflow Thermistor","definition" : "Airflow measured by a thermistor sensor."},{"code" : "130417","display" : "Airflow Thermocouple","definition" : "Airflow measured by a thermocouple sensor."},{"code" : "130418","display" : "Airflow Nasal Prong","definition" : "Airflow measurement by a nasal prong."},{"code" : "130419","display" : "Airflow PVDF","definition" : "Airflow measurement by a nasal piezoelectric polyvinylidenefluoride sensor."},{"code" : "130420","display" : "Airflow CPAP","definition" : "Airflow measurement by a Continuous Positive Airway Pressure device."},{"code" : "130421","display" : "Airflow","definition" : "Airflow measured by an unspecified method or device."},{"code" : "130422","display" : "PAP Pressure","definition" : "Pressure delivered by a positive airway pressure device like a CPAP or BiPAP machine."},{"code" : "130423","display" : "PAP Leak Pressure","definition" : "Pressure of air leaking from a positive airway pressure device like a CPAP or BiPAP machine."},{"code" : "130424","display" : "PAP Tidal Volume","definition" : "Tidal volume during breathing when subject is using a positive airway pressure device like a CPAP or BiPAP machine."},{"code" : "130425","display" : "Esophageal Pressure","definition" : "Pressure in the esophagus measured by esophageal manometry."},{"code" : "130426","display" : "Respiratory Pressure","definition" : "Respiratory pressure measured with an unspecified method or device."},{"code" : "130427","display" : "Thoracic Respiratory Inductance","definition" : "Respiratory effort delivered by a respiratory inductance plethysmography (RIP) belt applied on the patient’s thorax."},{"code" : "130428","display" : "Abdominal Respiratory Inductance","definition" : "Respiratory effort delivered by a respiratory inductance plethysmography (RIP) belt applied on the patient’s abdomen."},{"code" : "130429","display" : "Thoracic Respiratory PVDF","definition" : "Respiratory effort delivered by a piezoelectric polyvinylidenefluoride sensor belt applied on the patient’s thorax."},{"code" : "130430","display" : "Abdominal Respiratory PVDF","definition" : "Respiratory effort delivered by a piezoelectric polyvinylidenefluoride sensor belt applied on the patient’s abdomen."},{"code" : "130431","display" : "Thoracic Respiratory Effort","definition" : "Respiratory effort measured by an unspecified method or device on the patient’s thorax."},{"code" : "130432","display" : "Abdominal Respiratory Effort","definition" : "Respiratory effort measured by an unspecified method or device on the patients abdomen."},{"code" : "130433","display" : "Respiratory Effort","definition" : "Respiratory effort measured by an unspecified method or device."},{"code" : "130434","display" : "CO2 Transcutaneous","definition" : "Partial pressure of carbon dioxide in the respiratory gases measured transcutaneously."},{"code" : "130435","display" : "CO2 Waveform End-tidal Main-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal main-stream respiratory gases."},{"code" : "130436","display" : "CO2 Trend End-tidal Main-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal main-stream respiratory gases averaged over time."},{"code" : "130437","display" : "CO2 Waveform End-tidal Side-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal side-stream respiratory gases."},{"code" : "130438","display" : "CO2 Trend End-tidal Side-stream","definition" : "Partial pressure of carbon dioxide measured in the end-tidal side-stream respiratory gases averaged over time."},{"code" : "130439","display" : "CO2 Waveform Main-stream","definition" : "Partial pressure of carbon dioxide measured in the main-stream respiratory gases."},{"code" : "130440","display" : "CO2 Waveform Side-stream","definition" : "Partial pressure of carbon dioxide measured in the side-stream respiratory gases."},{"code" : "130441","display" : "CO2 Trend Main-stream","definition" : "Partial pressure of carbon dioxide measured in the main-stream respiratory gases averaged over time."},{"code" : "130442","display" : "CO2 Trend Side-stream","definition" : "Partial pressure of carbon dioxide measured in the side-stream respiratory gases averaged over time."},{"code" : "130443","display" : "CO2 Respiration","definition" : "Partial pressure of carbon dioxide in the respiratory gases measured using an unspecified method or device."},{"code" : "130444","display" : "RT Treatment with Ad Hoc Planning","definition" : "Radiotherapy treatment delivery where treatment parameters are defined at the treatment device, rather than specified by a treatment plan."},{"code" : "130445","display" : "Imaging Agent Administration Step Sequence Number","definition" : "The order in which Imaging Agent administration steps are planned to be performed."},{"code" : "130450","display" : "Operator decision to terminate treatment","definition" : "Decision was made by the operator of the equipment to discontinue treatment."},{"code" : "130451","display" : "Patient decision to terminate treatment","definition" : "Decision was made by the patient to discontinue treatment."},{"code" : "130452","display" : "Physician decision to terminate treatment","definition" : "Decision was made by the physician to discontinue treatment."},{"code" : "130453","display" : "Treatment Terminated","definition" : "Treatment delivery of this RT Radiation was terminated."},{"code" : "130454","display" : "Interlock Overridden","definition" : "An out-of-tolerance delivery parameter was accepted or re-specified and treatment delivery was continued."},{"code" : "130455","display" : "Patient Repositioned","definition" : "The patient was re-positioned and treatment delivery was continued."},{"code" : "130456","display" : "Bolus Present","definition" : "A bolus is confirmed to be present."},{"code" : "130457","display" : "Cone Present","definition" : "A cone is confirmed to be present."},{"code" : "130458","display" : "Block Present","definition" : "A block is confirmed to be present."},{"code" : "130459","display" : "Applicator Present","definition" : "An applicator is confirmed to be present."},{"code" : "130460","display" : "Headframe Present","definition" : "A headframe is confirmed to be present."},{"code" : "130461","display" : "Inappropriate Patient Orientation","definition" : "The patient could not be positioned on the patient positioning device in a way, that the shape of treatment area has an unacceptable orientation to match the intended target area."},{"code" : "130462","display" : "Inappropriate Patient Position","definition" : "The patient could not be positioned on the patient positioning device in a way, that the that the shape of treatment area radiated the intended target area."},{"code" : "130463","display" : "Machine Not Available","definition" : "The machine intended to be used for treatment was not available."},{"code" : "130464","display" : "Change in Patient Anatomy","definition" : "The patient´s anatomy is found to be inconsistent with the patient model used during planning to the extent that treatment delivery was impacted."},{"code" : "130465","display" : "Machine Calibration Adjustment","definition" : "A re-calibration of the treatment device impacted the treatment delivery."},{"code" : "130466","display" : "Unavailability of a Beam Modifier","definition" : "A planned Beam Modifier was not available at the time of treatment."},{"code" : "130467","display" : "Machine Capability License Expired","definition" : "A capability of the treatment device was not available because the corresponding license expired."},{"code" : "130468","display" : "Beam Targeting Tolerance Violation","definition" : "Beam targeting parameters have been adjusted in a way that violated a clinical tolerance."},{"code" : "130469","display" : "Meterset Tolerance Violation","definition" : "A Meterset value has been adjusted in a way that violated a clinical tolerance."},{"code" : "130470","display" : "Delivery Rate Tolerance Violation","definition" : "A Delivery Rate has been adjusted in a way that violated a clinical tolerance."},{"code" : "130471","display" : "Jaw Position Tolerance Violation","definition" : "Jaw positions exceeded the machine tolerance."},{"code" : "130472","display" : "MLC Position Tolerance Violation","definition" : "One or more MLC leave positions exceeded the machine tolerance."},{"code" : "130473","display" : "Source Position Tolerance Violation","definition" : "The Source Position angle exceeded the machine tolerance."},{"code" : "130474","display" : "Dose Rate Tolerance Violation","definition" : "The dose rate exceeded the machine tolerance."},{"code" : "130475","display" : "Primary Fluence Monitoring System Interlock","definition" : "An interlock triggered by the primary fluence-monitoring system."},{"code" : "130476","display" : "Secondary Fluence Monitoring System Interlock","definition" : "An interlock triggered by the secondary fluence-monitoring system (also known as Secondary Dose Monitoring System )."},{"code" : "130477","display" : "Timer Interlock","definition" : "An interlock triggered by a controlling timer."},{"code" : "130478","display" : "Door Interlock","definition" : "An interlock triggered by a door being open."},{"code" : "130479","display" : "Patient Motion Interlock","definition" : "An interlock triggered by patient movement."},{"code" : "130480","display" : "Family history of non-melanoma skin cancer","definition" : "Information about non-melanoma skin cancers in blood relatives of the patient."},{"code" : "130481","display" : "Family history of melanoma in situ","definition" : "Information about in situ melanoma in blood relatives of the patient."},{"code" : "130482","display" : "History of non-melanoma skin cancer","definition" : "Information about non-melanoma skin cancers in the patient."},{"code" : "130483","display" : "Number of malignant melanomas","definition" : "The number of malignant melanomas the patient has had diagnosed."},{"code" : "130484","display" : "Number of melanomas in situ","definition" : "The number of in situ melanomas the patient has had diagnosed."},{"code" : "130485","display" : "Firm skin lesion","definition" : "A skin lesion that is firm on palpation."},{"code" : "130486","display" : "Raised skin lesion","definition" : "A lesion that is raised from the skin surface on palpation."},{"code" : "130487","display" : "Number of first-degree relatives affected by malignant melanoma","definition" : "The number of direct relatives (i.e., parent, sibling, offspring) who have malignant melanoma."},{"code" : "130488","display" : "Region in Space","definition" : "A continuous part of space, not necessarily associated with a particular image."},{"code" : "130489","display" : "Referenced Region of Interest Identifier","definition" : "A reference to an identifier of a Region of Interest.For example, the value of ROI Number (3006,0022) within an Item of Structure Set ROI Sequence (3006,0020) in an Instance of RT Structure Set Storage SOP Class."},{"code" : "130490","display" : "Centerline","definition" : "A path along the long axis of an elongated finding or feature, which is equidistant from its surface, such as along the center of the lumen of a vessel."},{"code" : "130491","display" : "Stimulation Mode","definition" : "Mode of stimulation used when applying stimulation techniques during procedure."},{"code" : "130492","display" : "Stimulus Sample Position","definition" : "The sample number where the first stimulation event takes place."},{"code" : "130493","display" : "Stimulus Time Offset","definition" : "The time offset where the stimulation starts, relative to the start time of the recorded waveform data."},{"code" : "130494","display" : "Number of Stimulus Events","definition" : "How many stimulation events took place."},{"code" : "130495","display" : "Frequency of Stimulus Events","definition" : "The frequency with which periodic stimulation occurs."},{"code" : "130500","display" : "Accumulated Dose Data","definition" : "Description of dosimetric-related values that can be summarized for the entire scope of accumulation."},{"code" : "130501","display" : "Irradiation Event Summary Data","definition" : "Description of dosimetric-related values that can be summarized for a single irradiation event."},{"code" : "130502","display" : "Reference Point Dosimetry","definition" : "Description of the reference point definition and accumulated dose values at the reference point."},{"code" : "130503","display" : "Is Rejected Acquisition","definition" : "This acquisition of data (e.g., for constructing an image) was for some reason unsatisfactory."},{"code" : "130504","display" : "Reason for Rejecting Acquisition","definition" : "The reason that data (e.g., for constructing an image) was rejected."},{"code" : "130505","display" : "Irradiation Details","definition" : "Description of the radiation dose characteristics independent of an irradiation event."},{"code" : "130506","display" : "RDSR Frame of Reference Origin","definition" : "The component that is used to define the origin of the RDSR RCS."},{"code" : "130507","display" : "RDSR Frame of Reference Description","definition" : "The description of the RDSR reference coordinate system. It should include a description of where the origin is, as well as the orientation of the coordinate system."},{"code" : "130508","display" : "Radiation Source Characteristics","definition" : "Description of the radiation source characteristics"},{"code" : "130509","display" : "X-Ray Filter Thickness","definition" : "The thickness of the X-Ray filter"},{"code" : "130510","display" : "Reported Value Type","definition" : "Describes if a reported value is a mean, median, maximum, minimum, etc."},{"code" : "130511","display" : "Radiation Technique","definition" : "Description of radiation technique details"},{"code" : "130512","display" : "Filtration","definition" : "Description of a filter"},{"code" : "130513","display" : "Attenuators","definition" : "Description of attenuators"},{"code" : "130514","display" : "Radiation Output","definition" : "Description of the output measurement point dose accumulation timing and values."},{"code" : "130515","display" : "Air Kerma at Output Measurement Point","definition" : "The air kerma (in mGy) accumulated at the output measurement point during a given period of time."},{"code" : "130516","display" : "Radiation Field Area","definition" : "Description of the radiation field area and corresponding timing and source index."},{"code" : "130517","display" : "Radiation Field Outline","definition" : "A list of three-dimensional coordinates that describe the perimeter of the radiation field. The points shall be coplanar and are limited to describing either polygons or ellipses."},{"code" : "130518","display" : "Value Timing","definition" : "Specifies when a value was determined within a period of time."},{"code" : "130519","display" : "X-Ray Source Reference Coordinate System","definition" : "Description of the X-Ray source coordinate reference system and the transformation matrix that relates it to the RDSR reference coordinate system"},{"code" : "130520","display" : "Transformation Matrix","definition" : "A transformation matrix that relates one coordinate system to another"},{"code" : "130521","display" : "Center of Rotation","definition" : "The point about which an object rotates"},{"code" : "130522","display" : "Rotation Plane Normal Point","definition" : "A point defining a vector relative to the center of rotation that defines a normal vector of the rotation plane"},{"code" : "130523","display" : "Rotation Angle","definition" : "The angle about the center of rotation for a rotating object"},{"code" : "130524","display" : "Beam Position","definition" : "Description of component positions described in the X-Ray source reference coordinate system"},{"code" : "130525","display" : "Output Measurement Point Position","definition" : "The three-dimensional coordinate of the output measurement position. The output measurement position is described in the X-Ray source reference coordinate system."},{"code" : "130526","display" : "Reference Point Position","definition" : "The three-dimensional coordinate of the reference point position. The reference point position is described in the X-Ray source reference coordinate system. The reference point may be at the same position as the output measurement point."},{"code" : "130527","display" : "Identification of the Attenuator","definition" : "Textual identification for each attenuator described. The identifier is used to link the description of the attenuator to its position described in the beam position or attenuator position template. The identifier shall not change during the scope of accumulation described in 10040, and shall not be repeated."},{"code" : "130528","display" : "Attenuator Position","definition" : "Description of positions and corresponding timing for attenuators"},{"code" : "130529","display" : "Patient Attenuation Characteristics","definition" : "Description of various patient attenuation characteristics that may be known by the system and may change during the course of the scope of accumulation"},{"code" : "130530","display" : "Procedure Characteristics","definition" : "Description of various procedure characteristics that may change during a study and may be useful to aid in dosimetry or quality assurance"},{"code" : "130531","display" : "Attenuator Characteristics","definition" : "Characteristics of an X-Ray attenuator used as either a filter or attenuating object in the X-Ray beam. Includes a description of actual or equivalent material, as well as thickness information."},{"code" : "130532","display" : "Duration of Time Period","definition" : "All the points in time throughout a defined period of time"},{"code" : "130533","display" : "Beginning of Time Period","definition" : "The point in time at the beginning of a defined period of time"},{"code" : "130534","display" : "End of Time Period","definition" : "The point in time at the end of a defined period of time"},{"code" : "130535","display" : "Middle of Time Period","definition" : "The point in time at the middle of a defined period of time"},{"code" : "130536","display" : "Room Origin","definition" : "The origin of the Frame of Reference is defined as part of the room in which the equipment is located"},{"code" : "130537","display" : "Equipment Origin","definition" : "The origin of the Frame of Reference is defined as part of the equipment"},{"code" : "130538","display" : "Patient Support Origin","definition" : "The origin of the Frame of Reference is defined as part of the patient support"},{"code" : "130539","display" : "Isocenter Origin","definition" : "The origin of the Frame of Reference is defined as the isocenter of the imaging system"},{"code" : "130540","display" : "Patient Coordinate System Origin","definition" : "The origin of the RDSR Frame of Reference is defined as the origin of the patient coordinate system in the images."},{"code" : "130541","display" : "100 mm Pediatric Head CT Dosimetry Phantom","definition" : "A dosimetry phantom consisting of a 100 mm diameter polymethyl methacrylate (PMMA) cylinder. The phantom will be at least 140 mm in length. The phantom will be longer than the length of the sensitive volume of the radiation detector used for measurements. The phantom will have five holes just large enough to accept a radiation detector and will be parallel to the axis of symmetry: one hole at the center, and four holes with their centers 10 mm below the surface of the phantom at 90° intervals. For the holes not used during a measurement, properly fitting insert parts made of PMMA will be used."},{"code" : "130542","display" : "Magnetic field strength","definition" : "Nominal field strength of MR magnet."},{"code" : "130543","display" : "Endorectal coil used","definition" : "Indication of whether endorectal coil was used during MR examination."},{"code" : "130544","display" : "Endorectal coil type","definition" : "Type of the endorectal coil used during MR examination."},{"code" : "130545","display" : "Inflatable endorectal coil fill substance","definition" : "Substance used to fill endorectal coil in order to suppress distortion artifacts during MR examination."},{"code" : "130546","display" : "Cross-sectional scan plane orientation","definition" : "Orientation of the plane defining image acquisition."},{"code" : "130547","display" : "Dynamic contrast-enhanced temporal resolution","definition" : "Time between acquisition of imaging samples corresponding to the same tissue location during dynamic contrast-enhanced examination."},{"code" : "130548","display" : "Genitourinary History","definition" : "Clinical history of the patient related to the genitourinary health."},{"code" : "130549","display" : "Imaging Study Quality","definition" : "Assessment of the imaging study related to its quality, as defined by the compliance with the technical acquisition requirements or as perceived by the reader."},{"code" : "130550","display" : "Imaging Series Quality","definition" : "Assessment of a specific imaging series related to its quality, as defined by the compliance with the technical acquisition requirements or as perceived by the reader."},{"code" : "130551","display" : "Reporting system","definition" : "Standard or guideline used to perform structured evaluation of imaging study."},{"code" : "130552","display" : "Prostate MRI relevant procedure information","definition" : "Information relevant for evaluation of prostate MR imaging study."},{"code" : "130553","display" : "Prostate Imaging Findings","definition" : "Findings identified in prostate images"},{"code" : "130554","display" : "Overall Prostate Finding","definition" : "Finding relating to the overall assessment of the prostate gland"},{"code" : "130555","display" : "Localized Prostate Finding","definition" : "Finding relating to the localized entities within the prostate gland"},{"code" : "130556","display" : "Prostate relational measurements","definition" : "Measurements relating localized findings to the prostate gland"},{"code" : "130557","display" : "Distance from neurovascular bundle","definition" : "Distance between a finding and a neurovascular bundle"},{"code" : "130558","display" : "Lesion capsular contact length","definition" : "Length of the portion of the lesion abutting the prostate capsule as observed in the image."},{"code" : "130559","display" : "Extra-prostatic Finding","definition" : "Finding identified in prostate MRI that is located outside of the prostate gland."},{"code" : "130560","display" : "PI-RADS Localized Abnormality Assessment","definition" : "Evaluation of a localized abnormality within the gland using Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130561","display" : "PI-RADS T2WI Lesion Assessment","definition" : "Assessment of the lesions characteristics based on its appearance in T2-weighted MR images following the Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130562","display" : "PI-RADS DWI Lesion Assessment","definition" : "Assessment of the lesions characteristics based on its appearance in diffusion-weighted MR images following the Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130563","display" : "PI-RADS DCE Lesion Assessment","definition" : "Assessment of the lesions characteristics based on its appearance in Dynamic Contrast-enhanced MR images following the Prostate Imaging Reporting and Data System (PI-RADS®) guidelines."},{"code" : "130564","display" : "PI-RADS v2.0","definition" : "Prostate Imaging Reporting and Data System (PI-RADS®) version 2.0. ."},{"code" : "130565","display" : "PI-RADS v2.1","definition" : "Prostate Imaging Reporting and Data System (PI-RADS®) version 2.1 ."},{"code" : "130566","display" : "Diffusion-weighted Acquisition Highest b-value image","definition" : "Image from a diffusion-weighted acquisition corresponding to the highest b-value."},{"code" : "130567","display" : "Dynamic Contrast-Enhanced Acquisition","definition" : "Image acquisition that involves injection of a contrast agent into the bloodstream."},{"code" : "130568","display" : "Dynamic Contrast-Enhanced Acquisition Subtraction image","definition" : "Image obtained as a difference in image intensities between two phases of a dynamic contrast-enhanced acquisition."},{"code" : "130569","display" : "Utricle cyst","definition" : "Area of focal dilatation that occurs within the prostatic utricle."},{"code" : "130570","display" : "Protocol not followed","definition" : "Imaging protocol was not followed."},{"code" : "130571","display" : "Coil placement concern","definition" : "Based on image appearance, the coil was not placed correctly."},{"code" : "130572","display" : "Coil selection concern","definition" : "Incorrect coil was selected during MR acquisition."},{"code" : "130573","display" : "Study performed did not match request","definition" : "The imaging procedure performed did not correspond to what was requested."},{"code" : "130574","display" : "Incomplete study","definition" : "Study is missing data."},{"code" : "130575","display" : "Suboptimal patient preparation","definition" : "Some patient preparation procedures were not performed sufficiently with respect to what was expected."},{"code" : "130576","display" : "Anatomy coverage incomplete","definition" : "Coverage of the imaged anatomy is not complete."},{"code" : "130577","display" : "Poor FOV selection","definition" : "Choice of Field of View size or position is not fit for the purpose of the acquisition."},{"code" : "130578","display" : "Poor SNR","definition" : "Signal-to-noise characteristics are insufficient for the purpose of the acquisition."},{"code" : "130579","display" : "Poor contrast timing","definition" : "Timing of the contrast injection relative to the timing of the image acquisition was not properly selected."},{"code" : "130580","display" : "Inadequate contrast enhancement","definition" : "Contrast enhancement observed in the image is not sufficient for the purpose of the acquisition."},{"code" : "130581","display" : "Subtraction image missing","definition" : "The study lacks a sufficient set of subtraction images."},{"code" : "130582","display" : "Unwanted subtraction images","definition" : "Extra subtraction image sets are present that are incorrect or confusing."},{"code" : "130583","display" : "Expected b-value is missing","definition" : "Diffusion-weighted MR image obtained with an expected b-value is not present."},{"code" : "130584","display" : "Severe distortion in the area of interest","definition" : "Severe geometric distortions are present in the image, and are affecting the area of interest in the image."},{"code" : "130585","display" : "Expected ADC map is missing","definition" : "Apparent Diffusion parametric map image is missing, but was expected."},{"code" : "130586","display" : "Distortion artifact in the area of interest","definition" : "Geometric distortions are present in the image, and are affecting the area of interest in the image."},{"code" : "130587","display" : "No family history of prostate cancer","definition" : "There is no history of prostate cancer in the patient’s family."},{"code" : "130588","display" : "Pre-biopsy localization of prostate lesion","definition" : "The purpose of imaging is to identify and localize targets suspicious of the presence of prostate cancer prior to biopsy."},{"code" : "130589","display" : "Active surveillance of prostate cancer","definition" : "Continual monitoring of a patient with localized prostate cancer, with a view to curative intent, according to locally agreed pathways. After [Kuru 2013]"},{"code" : "130590","display" : "Assess change","definition" : "The need to detect or measure the amount of change in the condition."},{"code" : "130591","display" : "Focal abnormality","definition" : "Abnormality localized at a focus, central point or locus."},{"code" : "130592","display" : "Non-focal abnormality","definition" : "Abnormality not localized to a single focus."},{"code" : "130593","display" : "Partially encapsulated","definition" : "Partially but not entirely surrounded (bounded) by a distinct tissue layer, such as a smooth low-signal line on MRI."},{"code" : "130594","display" : "Completely encapsulated","definition" : "Entirely surrounded (bounded) by a distinct tissue layer, such as a smooth low-signal line on MRI, in more than one spatial dimension (at least two imaging planes)."},{"code" : "130595","display" : "ADC Hyperintense","definition" : "Having higher signal intensity (more intense, brighter) than background tissue on the apparent diffusion coefficient map."},{"code" : "130596","display" : "ADC Hypointense","definition" : "Having lower intensity (darker) than a reference background tissue on apparent diffusion coefficient map."},{"code" : "130597","display" : "Persistent delayed phase: Type 1 curve","definition" : "Continued increase of signal intensity over time."},{"code" : "130598","display" : "Plateau delayed phase: Type 2 curve","definition" : "Signal intensity does not change over time after its initial rise, flat; plateau refers to signal that varies <10% from the peak signal over the duration of the DCE MRI."},{"code" : "130599","display" : "Washout delayed phase: Type 3 curve","definition" : "Signal intensity decreases after its highest point after its initial rise."},{"code" : "130600","display" : "Positive DCE","definition" : "Focal, early enhancement corresponding to a focal peripheral zone of transition zone lesion on T2 and/or DWI MRI."},{"code" : "130601","display" : "Negative DCE","definition" : "Lack of early enhancement. Diffuse enhancement not corresponding to a focal lesion on T2 and/or DWI MRI. Focal enhancement corresponding to a BPH lesion."},{"code" : "130602","display" : "Early Contrast Enhancement","definition" : "Contrast-enhanced is observed in the early stage following contrast injection"},{"code" : "130603","display" : "Diffuse Contrast Enhancement","definition" : "Contrast enhancement is non-focal and diffused over a region."},{"code" : "130604","display" : "Focal Contrast Enhancement","definition" : "Contrast enhancement is concentrated in a focal tissue area."},{"code" : "130605","display" : "Perfluorocarbon","definition" : "Class of organofluorine compounds containing only carbon and fluorine."},{"code" : "130606","display" : "ESUR 2012 prostate MRI acquisition requirements","definition" : "Prostate MRI technical acquisition requirements defined in ."},{"code" : "130607","display" : "PI-RADS 2.0 prostate MRI acquisition requirements","definition" : "Prostate MRI technical acquisition requirements defined in PI-RADS® 2.0 ."},{"code" : "130608","display" : "PI-RADS 2.1 prostate MRI acquisition requirements","definition" : "Prostate MRI technical acquisition requirements defined in PI-RADS® 2.1 ."},{"code" : "130609","display" : "2D Shear Wave Elastography","definition" : "A high-speed ultrasound imaging technique that quantitatively assesses the stiffness/elasticity of tissue based on the tracking of the propagation of a shear-wave and measuring its velocity over a 2D area."},{"code" : "130610","display" : "3D Shear Wave Elastography","definition" : "A high-speed ultrasound imaging technique that quantitatively assesses the stiffness/elasticity of tissue based on the tracking of the propagation of a shear-wave and measuring its velocity over a 3D volume."},{"code" : "130611","display" : "Shear Wave Speed","definition" : "The velocity at which a shear-wave propagates through a substance or tissue. The shear wave speed (SWS) is correlated with the elasticity of the substance or tissue."},{"code" : "130612","display" : "Shear Wave Dispersion Slope","definition" : "The rate at which shear wave speed is attenuated with changes in the frequency of the shear wave. The dispersion slope is correlated with both the elasticity and the viscosity of the substance or tissue."},{"code" : "130613","display" : "ROI Depth","definition" : "Distance from the ultrasound probe surface to the geometric center of the ROI."},{"code" : "130614","display" : "Interquartile Range of population","definition" : "The width of the center range within which 50% of the measured values in a reference population fall. The IQR may also be described as the first quartile value subtracted from the third quartile value, or equivalently the 25th percentile value subtracted from the 75th percentile value."},{"code" : "130615","display" : "Interquartile Range to Median Ratio of population","definition" : "The interquartile range value of a population divided by the median value of the same population. IQR/M, which is one way to describe the variability of a set of measurements, is sometimes used as a metric of measurement quality."},{"code" : "130616","display" : "Point Shear Wave Elastography","definition" : "A high-speed ultrasound imaging technique that quantitatively assesses the stiffness/elasticity of tissue based on the tracking of the propagation of a shear-wave and measuring its velocity at a point."},{"code" : "130620","display" : "left ventricle apical anteroseptal segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the anteroseptal segments at the mid and basal levels."},{"code" : "130621","display" : "left ventricle apical inferoseptal segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the inferoseptal segments at the mid and basal levels."},{"code" : "130622","display" : "left ventricle apical inferolateral segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the inferolateral segments at the mid and basal levels."},{"code" : "130623","display" : "left ventricle apical anterolateral segment","definition" : "A segment of wall of the left ventricle at the apical level whose circumferential extent aligns with that of the anterolateral segments at the mid and basal levels."},{"code" : "130630","display" : "Isocentric Setup Method","definition" : "Method to position the patient such that the device isocenter is at a specific location in the patient. For a radiotherapeutic treatment, this allows rotational delivery of radiation treatment fields that maintain a focus on that location."},{"code" : "130631","display" : "Controlled SSD Setup Method","definition" : "Method to position the patient such that the distance between the radiation source and the patient skin is a specific value."},{"code" : "130632","display" : "TBI Setup Method","definition" : "Method to position the patient at an extended distance from the radiation source, typically 2-6 meters, to create a large treatment field for total body irradiation (TBI)."},{"code" : "130633","display" : "Stereotactic Setup Method","definition" : "Method to position the patient using high-accuracy localization imaging from multiple angles. Typically combined with rigorous fixation to reduce patient motion."},{"code" : "130634","display" : "Skin Apposition Setup Method","definition" : "Method to position the patient using three-dimensional skin surface registration."},{"code" : "130635","display" : "Ocular Gaze Setup Method","definition" : "Method to set up the patient for ocular treatments by focusing the patient’s gaze on a particular location."},{"code" : "130636","display" : "Patient Shielding Procedure","definition" : "Preparation procedure to set up devices to shield parts of the patient from radiation."},{"code" : "130637","display" : "Patient Fixation Procedure","definition" : "Preparation procedure to set up devices to fixate parts of the patient. Fixation involves both preventing motion of the patient part and putting the patient part into an intended configuration."},{"code" : "130638","display" : "Patient Alignment Procedure","definition" : "Preparation procedure to orient and position parts of the patient with respect to a physical reference."},{"code" : "130639","display" : "Patient Motion Management Setup Procedure","definition" : "Preparation procedure for controlling or compensating for motion of parts of the patient."},{"code" : "130640","display" : "Cavity radiation shield","definition" : "Device to protect anatomical structures within a body cavity."},{"code" : "130641","display" : "Independent radiation shield","definition" : "A radiation shielding device that is not in contact with the patient or the treatment delivery device."},{"code" : "130642","display" : "Optical Distance Meter","definition" : "An optical distance measuring device."},{"code" : "130643","display" : "Mechanical Pointer","definition" : "A mechanical distance measuring device."},{"code" : "130644","display" : "Radiofrequency Transponder","definition" : "Radiofrequency-based positioning beacon that responds to interrogation."},{"code" : "130645","display" : "Infrared Marker","definition" : "A device that reflects infrared light. Often used to position patients."},{"code" : "130646","display" : "Radioactive Marker","definition" : "A device that emits radiation from a radioactive source. Often used to position patients."},{"code" : "130647","display" : "Thermal Imager","definition" : "A device that produces a temperature map."},{"code" : "130648","display" : "Combined Structured Light/Thermal Imager","definition" : "A device that projects a controlled pattern of light and captures data based on infrared and visible light measurements."},{"code" : "130649","display" : "Ocular Fixation Light","definition" : "A light to which the patient’s gaze is aligned."},{"code" : "130650","display" : "Coaching Device","definition" : "Device to help patients to follow certain instructions."},{"code" : "130651","display" : "Patient Distraction Device","definition" : "Device to hold the attention of the patient. May be used to reduce the anxiety or discomfort of the patient during a procedure."},{"code" : "130652","display" : "Collision checks","definition" : "Procedure to minimize risk of collision between a primary device, the patient, and associated devices."},{"code" : "130653","display" : "Breast Bridge","definition" : "Device used to position the breast."},{"code" : "130654","display" : "Abdominal Compression Belt","definition" : "Belt used to limit abdominal motion by compressing the abdomen."},{"code" : "130655","display" : "Abdominal Compression Arch","definition" : "Arch-shaped device used to limit abdominal motion by maintaining pressure on the abdomen."},{"code" : "130656","display" : "Head Fixation Board","definition" : "A board to which the patient’s head is fixed to prevent the patient from moving relative to the tabletop. Typically the patient’s head is fixed with a mask."},{"code" : "130657","display" : "Couch Index Label","definition" : "A label designating a specific location on an patient support table top."},{"code" : "130658","display" : "Fixation Device Angle","definition" : "Positioning angle on a fixation device with a single degree of angular freedom."},{"code" : "130659","display" : "Abdominal Compression Plate Position Number","definition" : "The number indicating the position of the plate of an abdominal compression device."},{"code" : "130660","display" : "Abdominal Compression Belt Length","definition" : "Length of the part of the abdominal compression belt being used to compress the abdomen."},{"code" : "130661","display" : "Abdominal Compression Belt Pressure","definition" : "Pressure applied to the abdomen by the abdominal compression belt."},{"code" : "130662","display" : "Referenced Patient Alignment Reference","definition" : "References to SOP Instances providing the basis for patient alignment. May contain the intended orientation. The basis for alignment is also referred to as the alignment reference."},{"code" : "130663","display" : "RT Radiation previously delivered","definition" : "The RT Radiation has been already delivered in a previous Treatment Session."},{"code" : "130664","display" : "Treatment unnecessary","definition" : "It has been assessed that the delivery of the Treatment is unnecessary to meet the current treatment goals."},{"code" : "130665","display" : "Treatment exceeds patient tolerance","definition" : "It has been assessed that the delivery of the Treatment would result in effects that exceed the physical or psychological tolerance of the patient."},{"code" : "130666","display" : "Radiotherapy Fiducial","definition" : "Fiducial defined or used during a radiotherapeutic procedure, e.g., treatment planning or positioning."},{"code" : "130670","display" : "Longitudinal Lagrangian Strain","definition" : "Lagrangian strain parallel to the reference contour (i.e. in the longitudinal direction) calculated as: SL(t)=(L(t) -L0)/L0, where L(t) is the length at a given point t in time and L0 is the reference length at the reference time t0.Strain values are negative with shortening. Due to the common convention of using end-diastole as the t0 reference time, echocardiography strain values are typically negative."},{"code" : "130671","display" : "Peak Longitudinal Lagrangian Strain","definition" : "Peak value of longitudinal Lagrangian strain during an identified interval, such as systole or a full cardiac cycle."},{"code" : "130672","display" : "Time to Peak Longitudinal Lagrangian Strain","definition" : "The time from the beginning of the interval to the time of the peak longitudinal Lagrangian strain."},{"code" : "130673","display" : "Mechanical Dispersion","definition" : "The standard deviation of the time to peak longitudinal strain value for different myocardial segments. Typically assessed over 18-segments of the left ventricle."},{"code" : "130674","display" : "Longitudinal Lagrangian Strain Rate","definition" : "Rate of change of longitudinal strain over time."},{"code" : "130675","display" : "Radial Lagrangian Strain","definition" : "Lagrangian strain in the wall of a cavity perpendicular to the longitudinal strain and towards the center of the cavity."},{"code" : "130676","display" : "Radial Lagrangian Strain Rate","definition" : "Rate of change of radial Lagrangian strain over time."},{"code" : "130677","display" : "Circumferential Lagrangian Strain","definition" : "Lagrangian strain tangential to the reference contour, perpendicular to the longitudinal strain, with positive values in the counterclockwise direction when viewed from the apex."},{"code" : "130678","display" : "Circumferential Lagrangian Strain Rate","definition" : "Rate of change of circumferential Lagrangian strain over time."},{"code" : "130679","display" : "2D Speckle Tracking","definition" : "A method of analyzing the motion of tissue, such as the heart muscle or blood, by using naturally occurring speckle patterns in 2D ultrasound imaging."},{"code" : "130680","display" : "3D Speckle Tracking","definition" : "A method of analyzing the motion of tissue, such as the heart muscle or blood, by using naturally occurring speckle patterns in 3D ultrasound imaging."},{"code" : "130681","display" : "Apical four chamber RV Focused","definition" : "A view obtained from the apical four chamber view by angling the beam medially toward the patient’s right shoulder to better include the right ventricle."},{"code" : "130682","display" : "Apical four chamber RV Modified","definition" : "A view obtained from the apical four chamber view by angling the beam laterally toward the patient’s left shoulder to better include the right ventricle."},{"code" : "130683","display" : "Endocardial Method","definition" : "A measurement method that uses a contour representing the estimated endocardial boundary."},{"code" : "130684","display" : "Epicardial Method","definition" : "A measurement method that uses a contour representing the estimated epicardial boundary."},{"code" : "130685","display" : "Myocardial Midlayer Method","definition" : "A measurement method that uses a contour representing the estimated mid-layer of the myocardium (between the endocardium and epicardium)."},{"code" : "130686","display" : "LV End-systolic GLS Multiview Mean (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle calculated as the arithmetic mean of LV End-systolic Global Longitudinal Strain 4CH (Endocardial), LV End-systolic Global Longitudinal Strain 2CH (Endocardial), and LV End-systolic Global Longitudinal Strain ALAX (Endocardial)."},{"code" : "130687","display" : "LV End-systolic GLS 4CH (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical four chamber view at end systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle.Sometimes abbreviated GLS4C."},{"code" : "130688","display" : "LV End-systolic GLS 2CH (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical two chamber view at end systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle.Sometimes abbreviated GLS2C."},{"code" : "130689","display" : "LV End-systolic GLS ALAX (Endocardial)","definition" : "The longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical long axis view at end systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle.Sometimes abbreviated GLSALAX."},{"code" : "130690","display" : "LV Peak Systolic GLS Multiview Mean (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle calculated as the arithmetic mean of LV Peak Systolic Global Longitudinal Strain 4CH (Endocardial), LV Peak Systolic Global Longitudinal Strain 2CH (Endocardial), and LV Peak Systolic Global Longitudinal Strain ALAX (Endocardial)."},{"code" : "130691","display" : "LV Peak Systolic GLS 4CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical four chamber view during systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130692","display" : "LV Peak Systolic GLS 2CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical two chamber view during systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130693","display" : "LV Peak Systolic GLS ALAX (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical long axis view during systole using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130694","display" : "LV Peak GLS Multiview Mean (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle calculated as the arithmetic mean of LV Peak Global Longitudinal Strain 4CH (Endocardial), LV Peak Global Longitudinal Strain 2CH (Endocardial), and LV Peak Global Longitudinal Strain ALAX (Endocardial)."},{"code" : "130695","display" : "LV Peak GLS 4CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical four chamber view over the cardiac cycle using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130696","display" : "LV Peak GLS 2CH (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical two chamber view over the cardiac cycle using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130697","display" : "LV Peak GLS ALAX (Endocardial)","definition" : "The peak longitudinal Lagrangian strain of the left ventricle measured along the entire myocardial length in 2D Speckle mode in the apical long axis view over the cardiac cycle using the endocardial method.The measurement may have been taken at any point in the respiration cycle."},{"code" : "130698","display" : "LV End-systolic Mechanical Dispersion","definition" : "The mechanical dispersion of the left ventricle in 2D Speckle mode at end systole.The measurement may have been taken using any view, using any segment model (16, 17 or 18-segment) and at any point in the respiration cycle."},{"code" : "130699","display" : "Mitral Valve Closure","definition" : "The point in time in a cardiac cycle when the mitral valve nominally finishes closing."},{"code" : "130700","display" : "Mitral Valve Opening","definition" : "The point in time in a cardiac cycle when the mitral valve nominally begins opening."},{"code" : "130701","display" : "Aortic Valve Closure","definition" : "The point in time in a cardiac cycle when the aortic valve nominally finishes closing."},{"code" : "130702","display" : "Aortic Valve Opening","definition" : "The point in time in a cardiac cycle when the aortic valve nominally begins opening."},{"code" : "130710","display" : "Fp9","definition" : "EEG electrode placement on the head located inferior frontopolar, left."},{"code" : "130711","display" : "Fp10","definition" : "EEG electrode placement on the head located inferior frontopolar, right."},{"code" : "130712","display" : "AF9","definition" : "EEG electrode placement on the head located inferior anterior frontal, left."},{"code" : "130713","display" : "AF10","definition" : "EEG electrode placement on the head located inferior anterior frontal, right."},{"code" : "130714","display" : "PO9","definition" : "EEG electrode placement on the head located inferior parietooccipital, left."},{"code" : "130715","display" : "PO10","definition" : "EEG electrode placement on the head located inferior parietooccipital, right."},{"code" : "130716","display" : "O9","definition" : "EEG electrode placement on the head located inferior occipital, left."},{"code" : "130717","display" : "O10","definition" : "EEG electrode placement on the head located inferior occipital, right."},{"code" : "130720","display" : "Coronary Artery Disease Assessment"},{"code" : "130721","display" : "Coronary Artery Disease Assessment Modifier"},{"code" : "130722","display" : "Coronary Artery Disease Stenosis Assessment Modifier"},{"code" : "130723","display" : "0 - Documented absence of CAD","definition" : "Degree of maximal coronary stenosis is 0%."},{"code" : "130724","display" : "1 - Minimal non-obstructive CAD","definition" : "Degree of maximal coronary stenosis is 1-24%."},{"code" : "130725","display" : "2 - Mild non-obstructive CAD","definition" : "Degree of maximal coronary stenosis is 25-49%."},{"code" : "130726","display" : "3 - Moderate stenosis","definition" : "Degree of maximal coronary stenosis is 50-69%."},{"code" : "130727","display" : "4 - Severe stenosis","definition" : "Degree of maximal coronary stenosis is 70-99%, or left main coronary stenosis is >50%, or coronary stenosis is >=70% in 3 vessels."},{"code" : "130728","display" : "4A - Severe stenosis","definition" : "Degree of maximal coronary stenosis is 70-99% stenosis."},{"code" : "130729","display" : "4B - Severe stenosis","definition" : "Left main coronary stenosis is >50% or coronary stenosis is >=70% in 3 vessels."},{"code" : "130730","display" : "5 - Total coronary occlusion","definition" : "Degree of maximal coronary stenosis is 100% (total occlusion)."},{"code" : "130731","display" : "N - Non-diagnostic study","definition" : "No more than mild coronary stenosis in interpretable segments, and one or more vessel segments non-diagnostic."},{"code" : "130732","display" : "N - Non-diagnostic segments","definition" : "One or more vessel segments were non-diagnostic for coronary stenosis."},{"code" : "130733","display" : "S - Stent","definition" : "At least one coronary stent is present in the coronary system."},{"code" : "130734","display" : "G - Graft","definition" : "At least one coronary artery bypass graft is present."},{"code" : "130735","display" : "V - Vulnerable plaque","definition" : "Vulnerable plaque or high risk plaque features are present."},{"code" : "130736","display" : "Titanium alloy (Titanium Molybdenum-15 Zirconium-5 Aluminium-3)","definition" : "Wrought titanium 15-molybdenum 5-zirconium 3-aluminium alloy."},{"code" : "130737","display" : "RT Segment Material","definition" : "Material identifiers used during or for an RT planning process."},{"code" : "130738","display" : "Dose Limit Interlock","definition" : "An interlock triggered by reaching a predefined dose limit."},{"code" : "130739","display" : "Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between objects."},{"code" : "130740","display" : "Machine Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between machine and machine."},{"code" : "130741","display" : "Patient Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between machine and patient."},{"code" : "130742","display" : "Accessory Clearance Interlock","definition" : "An interlock triggered by the occurrence, or anticipation, of a physical collision caused by lack of separation distance between an accessory and the machine, patient or another accessory.An accessory can be e.g., an electron applicator or a stereotactic cone."},{"code" : "130743","display" : "Out of Tolerance Interlock","definition" : "An interlock triggered by an actual value being outside of tolerance from the planned value."},{"code" : "130744","display" : "Interlock Resolved","definition" : "The interlock was resolved, and treatment delivery was continued."},{"code" : "130745","display" : "CT Dose Length Product Sub-Total","definition" : "The total dose length product for irradiation events within in the defined scope of accumulation that were computed using the same phantom."},{"code" : "130746","display" : "RT Registration Mark","definition" : "Marker used in a registration process."},{"code" : "130747","display" : "Isodose Volume","definition" : "A volume whose surface represents an isodose."},{"code" : "130748","display" : "Radiotherapy Dose Region","definition" : "Region defined by the spatial extent of a radiation dose."},{"code" : "130750","display" : "Quality control material image","definition" : "Images that contain quality control material for the current procedure."},{"code" : "130751","display" : "Tissue not of interest","definition" : "Tissue that is other than that which is of interest for the purpose of the task."},{"code" : "130752","display" : "Data Not Accessible from Storage","definition" : "Requested data cannot be read from storage media, e.g., data physically deleted, or storage media no longer available."},{"code" : "130753","display" : "Processed Key Object Selection","definition" : "The SOP Instance is a Key Object Selection Document, used for referenced object change management, that has had its directives processed and is no longer to be used (see ."},{"code" : "130754","display" : "Replaced by Alternate Representation","definition" : "The SOP Instance has been replaced by a SOP Instance with an alternate encoding. The alternate encoding may utilize a different SOP Class or have different image quality characteristics (e.g., lossy compression)."},{"code" : "130755","display" : "Reference Measurement Group","definition" : "A grouping of related measurements and calculations that share a common context and that serves as a reference against which similar measurement groups are compared."},{"code" : "130756","display" : "Particle Displacement Method","definition" : "A method for detecting a shear wave in ultrasound data based on the displacement of particles relative to their referenced baseline positions."},{"code" : "130757","display" : "Particle Velocity Method","definition" : "A method for detecting a shear wave in ultrasound data based on estimated particle velocity. Particle velocity is estimated from frame to frame particle displacement."},{"code" : "130758","display" : "Shear Wave Dispersion Slope Center Frequency","definition" : "The center frequency of the range over which the shear wave dispersion slope was assessed."},{"code" : "130759","display" : "Shear Wave Detection Method","definition" : "Method used to detect and characterize a shear wave motion signal in an ultrasound signal."},{"code" : "130760","display" : "Butterworth filter","definition" : "A signal processing filter of the Butterworth type."},{"code" : "130761","display" : "Chebyshev filter","definition" : "A signal processing filter of the Chebyshev type."},{"code" : "130762","display" : "Elliptic filter","definition" : "An elliptic signal processing filter."},{"code" : "130763","display" : "Bessel filter","definition" : "A signal processing filter of the Bessel type."},{"code" : "130764","display" : "Gaussian filter","definition" : "A signal processing filter of the Gaussian type"},{"code" : "130765","display" : "K-type filter","definition" : "A K-type (constant k) signal processing filter."},{"code" : "130766","display" : "M-derived filter","definition" : "An M-derived (m-type) signal processing filter."},{"code" : "130767","display" : "Double-m-derived filter","definition" : "A double-m-derived (mm'-type) signal processing filter."},{"code" : "130768","display" : "Bode filter","definition" : "A signal processing filter of the Bode type."},{"code" : "130769","display" : "Zobel filter","definition" : "A signal processing filter of the Zobel type."},{"code" : "130770","display" : "FIR filter","definition" : "A finite impulse response (FIR) signal processing filter."},{"code" : "130771","display" : "CIC filter","definition" : "A cascaded integrator–comb (CIC) signal processing filter."},{"code" : "130772","display" : "IIR filter","definition" : "An infinite impulse response (IIR) signal processing filter."},{"code" : "130773","display" : "Biquad filter","definition" : "A biquadratic signal processing filter (second order recursive linear filter)."},{"code" : "130774","display" : "Hz normalized","definition" : "Frequency in Hz divided by ½ of the sampling rate."},{"code" : "130775","display" : "Hz angular","definition" : "Frequency in Hz divided by ½ of the sampling rate and then multiplied by π (pi)."},{"code" : "130776","display" : "Magnitude normalized","definition" : "Ratio of output magnitude to input magnitude, has no units and a value between 0-1."},{"code" : "130780","display" : "Specific observation subject class","definition" : "The type of entity that is the subject of a specific observation, such as a measurement or qualitative evaluation."},{"code" : "130781","display" : "Image frame","definition" : "A single two-dimensional pixel plane of an image.Usually used in the context of a multi-frame image."},{"code" : "130782","display" : "RT Patient Position Acquisition, Integrated Dose MV","definition" : "Acquisition of patient positioning information using continuous megavoltage acquisition during treatment delivery."},{"code" : "130783","display" : "RT Patient Position Acquisition, Film Cassette MV","definition" : "Acquisition of patient positioning information using a radiation-sensitive film suited for megavoltage radiation."},{"code" : "130784","display" : "RT Patient Position Acquisition, Film Cassette kV","definition" : "Acquisition of patient positioning information using a radiation-sensitive film suited for photon radiation."},{"code" : "130785","display" : "RT Patient Position Acquisition, Cone-Beam CT kV","definition" : "Acquisition of patient positioning information using kilovoltage Cone-Beam CT imaging."},{"code" : "130786","display" : "RT Patient Position Acquisition, Conventional CT kV","definition" : "Acquisition of patient positioning information using kilovoltage conventional CT imaging."},{"code" : "130787","display" : "RT Patient Position Acquisition, Cone-Beam CT MV","definition" : "Acquisition of patient positioning information using megavoltage Cone-Beam CT imaging."},{"code" : "130788","display" : "RT Patient Position Acquisition, Conventional CT MV","definition" : "Acquisition of patient positioning information using megavoltage conventional CT imaging."},{"code" : "130789","display" : "Nominal Imaging Source Location","definition" : "The point location defined as the nominal source of radiation used for imaging."},{"code" : "130790","display" : "RT Patient Positioning Reference Image","definition" : "Image(s) of the patient used to provide a reference for positioning of the patient for the planned treatment."},{"code" : "130791","display" : "Acquisition Initiation Type","definition" : "The type of method used to start the acquisition."},{"code" : "130792","display" : "Acquisition Initiation not defined","definition" : "The acquisition trigger is not specified. Acquisition may be initiated manually by the device operator."},{"code" : "130793","display" : "Acquisition Initiation before start of Radiation","definition" : "The acquisition is started before delivering the therapeutic radiation. It is expected that the therapeutic beam is not started before the acquisition is completed."},{"code" : "130794","display" : "Acquisition Initiation after end of Radiation","definition" : "The acquisition is started after delivering the therapeutic radiation."},{"code" : "130795","display" : "Acquisition Initiation by triggering parameter","definition" : "The acquisition is started when the triggering parameter reaches specific value(s)."},{"code" : "130796","display" : "Incremental Acquisition Triggering","definition" : "Flag denoting whether the acquisition is to be repeated in regular intervals separated by a certain increment."},{"code" : "130797","display" : "Meterset","definition" : "A single parameter from which the absorbed dose delivered can be calculated through a calibration procedure with additional information."},{"code" : "130798","display" : "Source Continuous Roll Angle","definition" : "Angle in degrees about the Y-axis of the Equipment Coordinate System by which the source is rotated. A Continuous Rotation Angle is an angle in the range (-∞,+∞). Continuous Rotation Angle represent a rotation direction and magnitude. The magnitude is not limited to be between 0 and 360 degrees."},{"code" : "130799","display" : "Time after start of Radiation","definition" : "Time elapsed after the start of the delivery of an RT Radiation."},{"code" : "130800","display" : "Percentage of expected beam-on time of Radiation","definition" : "Delivered percentage of the duration of a Radiation at a given point in time. The denominator is the duration of time that the beam is expected to be on between the start and the end of the delivery of an RT Radiation. The numerator is the duration of time that the beam has been on since the start of the first beam-on. Both durations exclude \"beam-hold\" periods within the treatment delivery (e.g. during gated treatments)."},{"code" : "130801","display" : "IEC61217 Imaging Source to Axis Distance","definition" : "Distance from the imaging source, in mm, to the gantry rotation axis of a IEC C-Arm Device. This parameter is not specifically defined by , but is consistent with"},{"code" : "130802","display" : "IEC61217 X-Ray Image Receptor Radial Displacement from Isocenter","definition" : "X-Ray Image Receptor Radial Displacement From Isocenter, in mm (in the IEC GANTRY Coordinate System) as defined by ."},{"code" : "130803","display" : "IEC61217 X-Ray Image Receptor Longitudinal Displacement","definition" : "X-Ray Image Receptor Longitudinal Displacement, in mm (in the IEC GANTRY Coordinate System) as defined by ."},{"code" : "130804","display" : "IEC61217 X-Ray Image Receptor Lateral Displacement","definition" : "X-Ray Image Receptor Lateral Displacement, in mm (in the IEC GANTRY Coordinate System) as defined by ."},{"code" : "130805","display" : "IEC61217 X-Ray Image Receptor Rotation","definition" : "X-Ray Image Receptor rotation (around the z-axis of the IEC X-RAY IMAGE RECEPTOR Coordinate System) as defined by . DICOM represents this value as a Continous Rotation Angle in degrees."},{"code" : "130806","display" : "Configured Lowest Imaging Energy","definition" : "Lowest energy for acquiring an image as configured on the device."},{"code" : "130807","display" : "Configured Default Imaging Energy","definition" : "Default energy for acquiring an image as configured on the device."},{"code" : "130808","display" : "Planar matrix ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by multiple transducer elements arranged in a grid on a plane."},{"code" : "130809","display" : "Hemispherical ultrasound transducer geometry","definition" : "Ultrasonic transducer geometry characterized by multiple transducer elements arranged on a hemispherical surface."},{"code" : "130810","display" : "Single-side illumination","definition" : "The subject is illuminated from a single direction."},{"code" : "130811","display" : "Dual-side illumination","definition" : "The subject is illuminated from two distinct directions."},{"code" : "130812","display" : "Multi-side illumination","definition" : "The subject is illuminated from more than two (potentially a very large number of) distinct directions."},{"code" : "130813","display" : "Through-transducer illumination","definition" : "The subject is illuminated through the transducer. Light may pass through the transducer at one or more locations."},{"code" : "130814","display" : "Interstitial illumination","definition" : "The subject is illuminated internally. Light is delivered via a device (other than the transducer) inside the body."},{"code" : "130815","display" : "Piezocomposite Transducer","definition" : "Ultrasound Transducer that utilizes Piezo-composite crystalline structures."},{"code" : "130816","display" : "MEMS-based Transducer","definition" : "Ultrasound Transducer that utilizes Micro-electro-mechanical systems (MEMS)-based structures."},{"code" : "130817","display" : "Interferometric Transducer","definition" : "Ultrasound Transducer that utilizes interferometric detection systems."},{"code" : "130818","display" : "Uniform Speed of Sound Correction","definition" : "Mechanism for correction of data using a sound propagation model based on a single speed of sound, where the speed for the acoustic coupling medium (if present) is assumed to be the same as for the imaged object."},{"code" : "130819","display" : "Dual Speed of Sound Correction","definition" : "Mechanism for correction of data using a sound propagation model based on two speeds of sound, one for the acoustic coupling medium and one for the imaged object."},{"code" : "130820","display" : "Speed of Sound Map Correction","definition" : "Mechanism for correction of data using a sound propagation model based on a speed of sound map that defines the speed of sound on a per-pixel basis."},{"code" : "130821","display" : "Spherical Back Projection","definition" : "A family of algorithms for reconstructing an image from measured data by back-projection over spheres or parts of spheres. May include linear or nonlinear processing steps before and/or after the back-projection step. Includes methods termed ‘beamforming’ and ‘delay-and-sum’."},{"code" : "130822","display" : "Numerical Acoustic Model","definition" : "A family of algorithms for reconstructing an image from measured data by iteratively adjusting the image to minimize a cost function between the data and a numerical model or that uses non-iterative (e.g. time-reversal) methods, or that performs inversion of a forward model matrix."},{"code" : "130823","display" : "Blood Deoxygenation Level","definition" : "Signal intensity of a Blood Deoxygenation Level image."},{"code" : "130824","display" : "Scan Spot Interlock","definition" : "An interlock triggered during scan spot delivery that is not covered by a more specific code."},{"code" : "130825","display" : "Scan Spot Position Interlock","definition" : "An interlock triggered by the scan spot position being outside of tolerance."},{"code" : "130826","display" : "Scan Spot Size Interlock","definition" : "An interlock triggered by the scan spot size being outside of tolerance."},{"code" : "130827","display" : "Scan Spot Meterset Interlock","definition" : "An interlock triggered by the Meterset delivered for a spot being outside of tolerance."},{"code" : "130828","display" : "Radiation Detected During Beam Hold Interlock","definition" : "An interlock triggered by detection of radiation when the beam is supposed to be off."},{"code" : "130829","display" : "MLC Position Interlock","definition" : "An interlock triggered by a multileaf collimator (MLC) leaf position being outside of tolerance."},{"code" : "130830","display" : "Meterset Rate Interlock","definition" : "An interlock triggered by the detected Meterset rate being outside of tolerance."},{"code" : "130831","display" : "Beam Energy Interlock","definition" : "An interlock triggered by the detected energy of the beam being outside of tolerance."},{"code" : "130832","display" : "Skin lesion color","definition" : "A visual assessment of the coloration of a skin lesion."},{"code" : "130833","display" : "Pre-surgical anatomy","definition" : "The anatomy of the subject prior to the effect of a surgical procedure."},{"code" : "130834","display" : "Sleep Stage N1","definition" : "Non-REM Sleep Stage 1 is the transition between wakefulness and sleep."},{"code" : "130835","display" : "Sleep Stage N2","definition" : "Non-REM Sleep Stage 2 is light sleep."},{"code" : "130836","display" : "Sleep Stage N3","definition" : "Non-REM Sleep Stage 3 is deep sleep."},{"code" : "130840","display" : "Seat Pan Height","definition" : "The adjustable distance between the seat pan (the resting place for the patient’s bottom) and the nominal floor of the upright fixation device. Adjustment allows the feet to be placed firmly on the nominal floor without the legs being stretched or too cramped."},{"code" : "130841","display" : "Seat Pan Pitch Angle","definition" : "The adjustable angle of the pitch of the seat pan. Adjustment provides thigh support while pitching downward changes the angle between the upper legs (knee to hip) and the abdomen. An angle of zero is a typical sitting position. A large positive angle, such as 75, puts a person in a nearly standing stance."},{"code" : "130842","display" : "Backrest Pitch Angle","definition" : "The adjustable angle of the pitch of the backrest. Adjustment controls the angle of the patient’s back (when in a nominally seated or upright position) with respect to gravity. Typically tilted back a bit so that the back is resting and slightly supported. An angle of zero means the backrest is vertical. A positive angle means the patient is reclining."},{"code" : "130843","display" : "Shin Rest Position","definition" : "The adjustable distance between the shin rest and the nominal center under the seat of the chair. Adjustment accommodates the leg length and stance of the patient (the stance of the patient is adjusted primarily through the seat pan pitch angle and the backrest fixation pitch angle)."},{"code" : "130844","display" : "Heel Stop Position","definition" : "The adjustable distance between the heel stop and the shin rest. Adjustment accommodates the patient foot size, shin rest position, lower leg length, and the angle of the lower legs with respect to gravity. The zero point is device-specific."},{"code" : "130845","display" : "Left Arm Rest Position","definition" : "The adjustable lateral distance between the left arm rest and patient’s thorax. The zero point is device-specific."},{"code" : "130846","display" : "Left Arm Rest Pitch Angle","definition" : "The adjustable angle of the pitch of the left arm rest. Adjustment controls one of the angles of the elbow. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130847","display" : "Left Arm Rest Roll Angle","definition" : "The adjustable angle of the roll of the left arm rest. Adjustment controls the roll angle of the lower arm. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130848","display" : "Right Arm Rest Position","definition" : "The adjustable lateral distance between the right arm rest and the patient’s thorax. The zero point is device-specific."},{"code" : "130849","display" : "Right Arm Rest Pitch Angle","definition" : "The adjustable angle of the pitch of the right arm rest. Adjustment controls one of the angles of the elbow. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130850","display" : "Right Arm Rest Roll Angle","definition" : "The adjustable angle of the roll of the right arm rest. Adjustment controls the roll angle of the lower arm. An angle of zero means the arm rest is parallel to the ground."},{"code" : "130851","display" : "Hand Grips Presence","definition" : "Whether the hand grips are inserted into the backrest or not. If hand grips are present, it is implicit that the patient is intended to grip the hand grips with their hands."},{"code" : "130852","display" : "Shin Rest","definition" : "A fixation device that immobilizes the patient’s shins by the natural weight and pressure of the shins against the device."},{"code" : "130853","display" : "Heel Stop","definition" : "A fixation device that immobilizes the heels of the patient in counterpoint to the shin rest."},{"code" : "130854","display" : "Hand Grips","definition" : "A fixation device placed above the patient’s shoulders along the back rest, such that when gripped, ensures that the patient’s arms and elbows are lifted and not obstructing lateral access to the chest or breasts."},{"code" : "130855","display" : "Seat Pan","definition" : "A fixation device that supports the thighs (and bottom) of the patient. The seat pan is distinct from the backrest."},{"code" : "130860","display" : "Pattern Event","definition" : "Classification of a Waveform annotation as a pattern."},{"code" : "130861","display" : "EEG Annotation","definition" : "Classification of a Waveform annotation as belonging to EEG."},{"code" : "130862","display" : "EMG Annotation","definition" : "Classification of a Waveform annotation as belonging to ECG."},{"code" : "130863","display" : "EOG Annotation","definition" : "Classification of a Waveform annotation as belonging to EOG."},{"code" : "130864","display" : "Device-related and Environment-related Event","definition" : "Classification of a Waveform annotation as an event, which occurred in the recording device or in the environment (e.g. the room)."},{"code" : "130865","display" : "Patient Consciousness","definition" : "Classification of a Waveform annotation as a description of the patient’s consciousness."},{"code" : "130866","display" : "ECG Annotation","definition" : "Classification of a Waveform annotation as belonging to ECG."},{"code" : "130867","display" : "Neurophysiology Recording Annotations","definition" : "A Waveform annotation report comprising neurophysiology annotations added during recording."},{"code" : "130868","display" : "Neurophysiology Post-hoc Review Annotations","definition" : "A Waveform annotation report containing neurophysiology annotations resulting from post-hoc review."},{"code" : "130869","display" : "Neurophysiology Automated Analysis Annotations","definition" : "A Waveform annotation report containing neurophysiology annotations resulting from automated analysis."},{"code" : "130870","display" : "Waveform Annotations","definition" : "A container that groups waveform annotations."},{"code" : "130871","display" : "Procedure annotated","definition" : "The neurophysiology or cardiology procedure to which annotations apply."},{"code" : "130872","display" : "Waveform Annotation Group","definition" : "A container that groups a set of associated waveform annotations."},{"code" : "130873","display" : "Waveform Annotation Group Number","definition" : "A number identifying a set of associated annotations."},{"code" : "130874","display" : "Waveform Annotation Group Label","definition" : "A text describing a set of associated annotations."},{"code" : "130875","display" : "Waveform Annotation Modifier","definition" : "Coded modifier for a coded waveform annotation."},{"code" : "130876","display" : "Annotation Note","definition" : "A free text information."},{"code" : "130877","display" : "Waveform Library","definition" : "A container that references properties of involved waveforms"},{"code" : "130878","display" : "Waveform Library Group","definition" : "A container that groups common information about a set of involved waveforms"},{"code" : "130879","display" : "Waveform Library Entry Multiplex Group Descriptors","definition" : "A container that groups common information about a waveform multiplex group comprising a set of recording channel"},{"code" : "130880","display" : "Multiplex Group Number","definition" : "Identifying number of a waveform multiplex group"},{"code" : "130881","display" : "Multiplex Group UID","definition" : "Unique identifier of a waveform multiplex group"},{"code" : "130882","display" : "Sampling Frequency","definition" : "Frequency of waveform digitalization"},{"code" : "130883","display" : "Number of Channels","definition" : "Number of channels in a waveform multiplex group"},{"code" : "130884","display" : "Acquisition DateTime","definition" : "Date and Time of an Acquisition"},{"code" : "130885","display" : "Synchronization Frame of Reference UID","definition" : "UID of common synchronization environment."},{"code" : "130886","display" : "Line noise artifact","definition" : "50 Hz or 60 Hz line noise artifact from a power supply"},{"code" : "130887","display" : "Video recording on","definition" : "Video recording turned on automatically or by the operator"},{"code" : "130888","display" : "Video recording off","definition" : "Video recording turned off automatically or by the operator"},{"code" : "130889","display" : "Preamplifier connected","definition" : "Machine code for when the preamplifier (the headbox in case of EEG recordings) is connected to the recording device."},{"code" : "130890","display" : "Preamplifier disconnected","definition" : "Machine code for when preamplifier (the headbox in case of EEG recordings) is disconnected."},{"code" : "130891","display" : "Breakout box connected","definition" : "A breakout box was connected or reconnected."},{"code" : "130892","display" : "Breakout box disconnected","definition" : "A breakout box was disconnected."},{"code" : "130893","display" : "Event button pressed","definition" : "The event button was pressed for the purpose of capturing an event."},{"code" : "130894","display" : "Event button test","definition" : "The event button was pressed for the purpose of testing."},{"code" : "130895","display" : "Tap test begin","definition" : "A tap test has started."},{"code" : "130896","display" : "Tap test end","definition" : "A tap test has finished."},{"code" : "130901","display" : "Follicle Count Group","definition" : "The counted group of follicles that fall within a specified type and size range."},{"code" : "130902","display" : "Diameter Range Minimum Value","definition" : "The lowest value that is included in a diameter range."},{"code" : "130903","display" : "Diameter Range Maximum Value","definition" : "The highest value that is included in a diameter range."},{"code" : "130904","display" : "Volume Range Minimum Value","definition" : "The lowest value that is included in a volume range."},{"code" : "130905","display" : "Volume Range Maximum Value","definition" : "The highest value that is included in a volume range."},{"code" : "130906","display" : "Number of Follicles in Range","definition" : "The number of follicles observed in a specified size range."},{"code" : "130907","display" : "Total Antral Follicle Count","definition" : "The total number of antral follicles counted in both ovaries."},{"code" : "130908","display" : "Follicle Type","definition" : "The type of ovarian follicle as determined by its developmental stage."},{"code" : "130909","display" : "Dominant Follicle","definition" : "An antral follicle that has grown to dominate its neighboring follicles which then undergo atresia. Typically, only one or two antral follicles will become dominant in each cycle and mature to ovulation."},{"code" : "130910","display" : "Antral Follicle","definition" : "An ovarian follicle that has progressed from the secondary stage and has developed a small fluid-filled cavity called the antrum. Antral Follicles are also referred to as Tertiary Follicles or Graafian Follicles."},{"code" : "130911","display" : "Secondary Follicle","definition" : "An ovarian follicle that has progressed from the primary stage and has added theca cells."},{"code" : "130912","display" : "Primary Follicle","definition" : "An ovarian follicle that has been activated from the primordial stage."},{"code" : "130913","display" : "Primordial Follicle","definition" : "An ovarian follicle that is quiescent in its original state."},{"code" : "130914","display" : "Follicle Count Group Identifier","definition" : "The identifier of a referenced follicle count group."},{"code" : "130920","display" : "Dice Similarity Coefficient","definition" : "A measure of the pair-wise overlap of two sets defined as two times the intersection of the two samples, divided by the sum of the two samples. Also known as the Sørensen–Dice coefficient. The samples may be points representing pixels or voxels in a geometric region."},{"code" : "130921","display" : "Jaccard Index","definition" : "A measure of the pair-wise overlap of two samples defined as the intersection of the two regions, divided by the union of the two samples. Also known as the Intersection Over Union (IoU). The samples may be points representing pixels or voxels in a geometric region."},{"code" : "130922","display" : "Number of pixels","definition" : "A count of the number of pixels in an image or a region of an image."},{"code" : "130923","display" : "Number of voxels","definition" : "A count of the number of voxels in a volume."},{"code" : "130924","display" : "Mean intensity projection","definition" : "Values are derived by mean intensity projection of acquired data."},{"code" : "130925","display" : "Median intensity projection","definition" : "Values are derived by median intensity projection of acquired data"},{"code" : "130926","display" : "Summation projection","definition" : "Values are derived by summation of values in the projection of acquired data"},{"code" : "131001","display" : "Ventriculoatrial time interval","definition" : "Ventriculoatrial time interval (VA time), defined as the interval between the onset of ventricular systole and the onset of atrial systole."},{"code" : "131002","display" : "Atrioventricular time interval","definition" : "Atrioventricular time interval (AV time or AVI), defined as the interval between the onset of atrial systole and the onset of ventricular systole."},{"code" : "131003","display" : "Left Atrium-Descending Aorta Distance","definition" : "The shortest distance (LD) between any point on the inside of the atrium wall and any point on the outside of the descending thoracic aorta wall measured in a four-chamber view of the heart."},{"code" : "131004","display" : "Post-Left Atrium Space Index","definition" : "Post-Left Atrium Space (PLAS) Index is the distance between the left atrium and the descending thoracic aorta divided by the diameter of the descending thoracic aorta, where both measurements are taken in the same view (thus defining the point in the descending thoracic aorta for the diameter measurement)."},{"code" : "131009","display" : "Cerebroplacental ratio","definition" : "The pulsatility index at the middle cerebral artery of the fetus divided by the pulsatility index at the umbilical artery. Abbreviated CPR."},{"code" : "131010","display" : "Umbilicocerebral ratio","definition" : "The pulsatility index at the umbilical artery divided by the pulsatility index at the middle cerebral artery of the fetus."},{"code" : "131011","display" : "IVC preload index","definition" : "The ratio of the peak retrograde flow during the A-wave to the peak forward flow during the S-wave, as measured at the inferior vena cava using pulsed-wave doppler. Abbreviated a/S."},{"code" : "131012","display" : "IVC S/a","definition" : "The ratio of the peak forward flow during the S-wave to the peak retrograde flow during the A-wave, as measured at the inferior vena cava using pulsed-wave doppler. This is the inverse of the Preload index."},{"code" : "131013","display" : "Peak Velocity Index","definition" : "A blood flow index calculated by subtracting the peak retrograde flow during the A-wave from the peak forward flow during the S-wave, then dividing by the peak forward flow during the D-wave, i.e., (S-a)/D."},{"code" : "131014","display" : "DV Pulsatility Index in Veins","definition" : "The pulsatility index measured in the ductus venosus during the full cardiac cycle in pulsed doppler mode in any view. Abbreviated PIV."},{"code" : "131015","display" : "DV Peak Velocity Index in Veins","definition" : "The peak velocity index measured in the ductus venosus during the full cardiac cycle in pulsed doppler mode in any view. Abbreviated PVIV."},{"code" : "131017","display" : "Right ventricular inlet length","definition" : "The length of the right ventricle measured at end diastole in 2D mode using a method that includes the inlet portion of the chamber in any view."},{"code" : "131018","display" : "Left ventricular inlet length","definition" : "The length of the left ventricle measured at end diastole in 2D mode using a method that includes the inlet portion of the chamber in any view."},{"code" : "131019","display" : "Inlet Included","definition" : "A method of measuring a cardiac chamber length that includes the inlet portion of the chamber in the length."},{"code" : "131020","display" : "Free Cord Loop Method","definition" : "A method of measuring hemodynamics in the umbilical cord by taking the measurement in a free loop of the cord. A free loop is a portion of the umbilical cord that is not attached to the fetal body or the placenta and is instead floating freely within the amniotic fluid."},{"code" : "131021","display" : "Ductus Arteriosus Arch","definition" : "The ductal arch formed by the ductus arteriosus as it travels from its origin at the pulmonary artery to the point of entry into the descending aorta."},{"code" : "131022","display" : "Aortic arch view","definition" : "A planar view of the heart showing the aortic valve, ascending aorta, aortic arch, descending aorta and inferior vena cava."},{"code" : "131023","display" : "Oblique short axis view at ductus arteriosus","definition" : "A planar oblique short-axis view of the heart showing the pulmonary trunk (main pulmonary artery, right pulmonary artery) and the ductus arteriosus."},{"code" : "131024","display" : "Short axis view at pulmonary artery level","definition" : "A planar short-axis view of the heart showing the pulmonary valve, main pulmonary artery, right and left pulmonary arteries."},{"code" : "131025","display" : "Three vessel view","definition" : "An axial planar view of the heart showing the main pulmonary artery, ascending aorta in cross-section, and superior vena cava (SVC) in cross-section. One or both branch pulmonary arteries may also be included. Abbreviated 3VV."},{"code" : "131026","display" : "Three vessel and trachea view","definition" : "An axial planar view of the heart showing the trachea and the aortic and ductal arches converging to form the proximal descending thoracic aorta. Abbreviated 3VT."},{"code" : "131028","display" : "Left ventricular outflow tract view","definition" : "An axial planar view of the heart showing the subaortic area, aortic valve, supravalvular region, and ascending aorta."},{"code" : "131029","display" : "Four chamber view","definition" : "An axial planar view of the heart showing both ventricles and both atria. The view does not necessarily include the apex of the heart."},{"code" : "131030","display" : "Fetal Cardiovascular Profile","definition" : "Report section for assessment of cardiovascular observations that evaluate fetal well-being."},{"code" : "131031","display" : "Hydrops Fetalis Score","definition" : "A point-based assessment of abnormal fluid accumulation in fetal body areas. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131032","display" : "Cardiothoracic Size Ratio Score","definition" : "A point-based assessment of heart size relative to thoracic size based on observations of the circumferences or areas. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131033","display" : "Cardiac Function Score","definition" : "A point-based assessment of cardiac function based on observations of valve inflow and regurgitation patterns and ventricular shortening. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131034","display" : "Venous Doppler Score","definition" : "A point-based assessment of venous flow based on Doppler observations of the umbilical vein and ductus venosus. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131035","display" : "Arterial Doppler Score","definition" : "A point-based assessment of arterial flow based on Doppler observations of the umbilical artery. This is a component of the Fetal Cardiovascular Profile Score."},{"code" : "131036","display" : "Fetal Cardiovascular Profile Score","definition" : "A point-based score that sums the scores of five component assessments of cardiovascular observations to evaluate fetal well-being according to Makikallio et al, Human fetal cardiovascular profile score and neonatal outcome in intrauterine growth restriction. Ultrasound Obstet Gynecol 2008; 31: 48‒54 doi:10.​1002/​uog.​5210 Abbreviated CVPS."},{"code" : "131050","display" : "PV VTI Forward","definition" : "The velocity time integral measured in the pulmonary vein for the antegrade flow during the full cycle in pulsed doppler mode in any view. Forward flow occurs during the D-wave and the S-wave."},{"code" : "131051","display" : "PV VTI Reverse","definition" : "The velocity time integral measured in the pulmonary vein for the retrograde flow during the A-wave in pulsed doppler mode in any view."},{"code" : "131052","display" : "PV VTIR/VTIF ratio","definition" : "The ratio of the retrograde velocity time integral to the antegrade velocity time integral at the pulmonary vein."},{"code" : "131053","display" : "Right Ventricle Cardiac Output","definition" : "The volume rate of blood output by the right ventricle derived from the right ventricle stroke volume and heart rate. Abbreviated RVCO."},{"code" : "131054","display" : "Combined Cardiac Output","definition" : "The volume rate of blood output by the heart derived from the cardiac output of the left and right ventricles. Abbreviated CCO."},{"code" : "131060","display" : "Mitral valve annulus diameter","definition" : "The diameter of the annulus of the mitral valve measured during diastole in 2D mode in a short axis view at the level of the mitral valve."},{"code" : "131061","display" : "Tricuspid valve annulus diameter","definition" : "The diameter of the annulus of the tricuspid valve measured during diastole in 2D mode in a short axis view at the level of the mitral valve."},{"code" : "131062","display" : "IVC S-wave peak velocity","definition" : "The peak velocity measured in the inferior vena cava during the S-wave in pulsed doppler mode in any view."},{"code" : "131063","display" : "IVC a-wave peak velocity","definition" : "The peak velocity measured in the inferior vena cava during the a-wave in pulsed doppler mode in any view."},{"code" : "131090","display" : "Pre-procedural Structural Heart Measurement Report","definition" : "A report containing the quantitative results of human, or machine analysis of imaging acquired prior to a transcatheter structural heart procedure, focusing on measurements used to guide procedural planning and device selection."},{"code" : "131091","display" : "Intra-procedural Structural Heart Measurement Report","definition" : "A report containing the quantitative results of human, or machine analysis of imaging acquired during a transcatheter structural heart procedure, focusing on real-time measurements to guide procedural execution and assess immediate outcomes."},{"code" : "131092","display" : "Post-procedural Structural Heart Measurement Report","definition" : "A report containing the quantitative results of human, or machine analysis of imaging acquired after a transcatheter structural heart procedure, focusing on the evaluation of procedural success, device placement, and patient outcomes."},{"code" : "131100","display" : "Mid-esophageal 0 degree TEE","definition" : "A mid-esophageal view directed anteriorly with the transesophageal transducer in its baseline orientation."},{"code" : "131101","display" : "Mid-esophageal 45 degree TEE","definition" : "A mid-esophageal plane directed 45 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131102","display" : "Mid-esophageal 60 degree TEE","definition" : "A mid-esophageal plane directed 60 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131103","display" : "Mid-esophageal 90 degree TEE","definition" : "A mid-esophageal plane directed 90 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131104","display" : "Mid-esophageal 135 degree TEE","definition" : "A mid-esophageal plane directed 135 degrees clockwise from the mid-esophageal 0 degree TEE."},{"code" : "131110","display" : "Ball and disk type left atrial appendage closure device","definition" : "A device, in the form of a disk and cylindrical lobe connected by a central waist, for sealing off a left atrium appendage."},{"code" : "131111","display" : "Ball type left atrial appendage closure device","definition" : "A spherical device for sealing off a left atrium appendage."},{"code" : "131112","display" : "Left atrial appendage closure device","definition" : "A device for sealing off a left atrium appendage."},{"code" : "131120","display" : "Ostium of Left Auricular Appendage","definition" : "The anatomical orifice connecting the left atrial appendage to the left atrium of the heart."},{"code" : "131130","display" : "Transseptal puncture height","definition" : "The distance from the mitral leaflets to the level of the transseptal puncture measured during systole in a four-chamber view, with the measurement line drawn parallel to the atrial septum."},{"code" : "131140","display" : "Aorta sinotubular junction area","definition" : "The cross-sectional area of the ascending aorta measured between the aortic sinuses of Valsalva and normal tubular configuration of the aorta during diastole in 2D or 3D, in the long axis view."},{"code" : "131142","display" : "Aortic annulus calcification severity","definition" : "The qualitative severity of calcification of the annulus of the aortic valve, evaluated during systole, in any view at the level of the annulus of the aortic valve."},{"code" : "131143","display" : "Aortic annulus max diameter","definition" : "The widest diameter of the annulus of the aortic valve measured at systole, in a short axis view at the level of the annulus of the aortic valve."},{"code" : "131144","display" : "Aortic annulus min diameter","definition" : "The narrowest diameter of the annulus of the aortic valve measured at systole, in a short axis view at the level of the annulus of the aortic valve."},{"code" : "131145","display" : "Aortic annulus perimeter","definition" : "The length of the perimeter of the annulus of the aortic valve measured at systole, in a short axis view at the level of the annulus of the aortic valve."},{"code" : "131146","display" : "Aortic calcification volume","definition" : "The volume of calcification of the annulus of the aortic valve, evaluated during systole, in a short axis view at the level of the annulus of the aortic valve, using a qualitative method."},{"code" : "131147","display" : "Aortic commissures calcification severity","definition" : "The qualitative severity of calcification of the commissures of the aortic valve, evaluated at any time during the cardiac cycle, in any view at the level of the annulus of the aortic valve."},{"code" : "131148","display" : "Aortic root height","definition" : "The distance from the aortic annulus to the sinotubular junction measured during diastole in the long axis view."},{"code" : "131149","display" : "Aortic sinotubular junction diameter","definition" : "The diameter of the ascending aorta measured at the level of the sinotubular junction during diastole, in any view."},{"code" : "131150","display" : "Aortic sinus of valsalva area","definition" : "The area within the sinus of valsalva measured during diastole, in a short axis view, at the level of the sinus of valsalva."},{"code" : "131152","display" : "Aortic valve coaptation length","definition" : "The length of coaptation (where the aortic valve leaflets are in contact), measured during diastole in the long axis view."},{"code" : "131153","display" : "Aortic valve noncoronary leaflet intercommissural angle","definition" : "The angle between the two commissures of the noncoronary leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131154","display" : "Aortic valve right leaflet intercommissural angle","definition" : "The angle between the two commissures of the right leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131155","display" : "Aortic valve left leaflet intercommissural angle","definition" : "The angle between the two commissures of the left leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131156","display" : "Aortic valve noncoronary leaflet intercommissural distance","definition" : "The straight-line distance between the two commissures of the left leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131157","display" : "Aortic valve right leaflet intercommissural distance","definition" : "The straight-line distance between the two commissures of the right leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131158","display" : "Aortic valve left leaflet intercommissural distance","definition" : "The straight-line distance between the two commissures of the left leaflet of the aortic valve measured during diastole, in a short axis view at the level of the aortic valve."},{"code" : "131159","display" : "Aortic valve left coronary leaflet height","definition" : "The perpendicular distance from the plane of the annulus to the tip of the left coronary leaflet measured during diastole, in a long axis view."},{"code" : "131160","display" : "Aortic valve left coronary leaflet length","definition" : "The distance along the surface of the left coronary leaflet from the tip to the hinge point of the leaflet to the aortic annulus, measured during diastole, in a long axis view."},{"code" : "131161","display" : "Aortic valve noncoronary leaflet height","definition" : "The perpendicular distance from the plane of the annulus to the tip of the noncoronary leaflet measured during diastole, in a long axis view."},{"code" : "131162","display" : "Aortic valve noncoronary leaflet length","definition" : "The distance along the surface of the noncoronary leaflet from the tip to the hinge point of the leaflet to the aortic annulus, measured during diastole, in a long axis view."},{"code" : "131163","display" : "Aortic valve right coronary leaflet height","definition" : "The perpendicular distance from the plane of the annulus to the tip of the right coronary leaflet measured during diastole, in a long axis view."},{"code" : "131164","display" : "Aortic valve right coronary leaflet length","definition" : "The distance along the surface of the right coronary leaflet from the tip to the hinge point of the leaflet to the aortic annulus, measured during diastole, in a long axis view."},{"code" : "131165","display" : "Ascending Aorta diameter","definition" : "The diameter within the ascending aorta measured during diastole in 2D, in any view at the level of the right pulmonary artery."},{"code" : "131166","display" : "Left main coronary ostium height","definition" : "The distance between the aortic annulus and the left main coronary ostium measured at their closest points, during systole, in a long axis view."},{"code" : "131167","display" : "Left ventricular outflow tract calcification severity","definition" : "The qualitative severity of calcification of the left ventricular outflow tract, from the annular plane to 5 mm below, evaluated at any time during the cardiac cycle and in any view."},{"code" : "131168","display" : "Maximum aortic plaque thickness","definition" : "The maximum thickness of the largest atherosclerotic plaque deposit found within the ascending aorta, measured during systole, in the view that demonstrates the thickest plaque, using any appropriate imaging method"},{"code" : "131169","display" : "Right coronary artery ostium height","definition" : "The distance between the aortic annulus and the right main coronary ostium measured at their closest points, during systole, in a long axis view."},{"code" : "131170","display" : "Right ventricle diastolic major axis","definition" : "The internal longitudinal length of the right ventricle from the apex to the tricuspid annulus, measured during diastole, in a four-chamber view."},{"code" : "131171","display" : "Right ventricular diastolic mid segment minor axis","definition" : "The internal diameter of the right ventricle from the interventricular septum to the free wall, measured at the level of the papillary muscles during diastole, in a four-chamber view."},{"code" : "131172","display" : "Right ventricular diastolic basal minor axis","definition" : "The internal diameter of the right ventricle from the interventricular septum to the free wall, measured in the basal third of the right ventricle during diastole, in a four-chamber view."},{"code" : "131173","display" : "Mitral anterior leaflet A1 scallop length","definition" : "The distance along the hinge line of the A1 scallop of the anterior leaflet of the mitral valve, measured during systole, in the long axis view."},{"code" : "131174","display" : "Mitral anterior leaflet A2 scallop length","definition" : "The distance along the hinge line of the A2 scallop of the anterior leaflet of the mitral valve, measured during systole, in the long axis view."},{"code" : "131175","display" : "Mitral anterior leaflet A3 scallop length","definition" : "The distance along the hinge line of the A3 scallop of the anterior leaflet of the mitral valve, measured during systole, in the long axis view."},{"code" : "131176","display" : "Mitral anterior leaflet area","definition" : "The area of the atrial surface of the anterior leaflet of the mitral valve measured during systole, in a 3D en face view of the mitral valve."},{"code" : "131177","display" : "Aorto-mitral inter annular angle","definition" : "The angle between the plane passing through the aortic annulus and the plane passing through the mitral annulus measured during systole, in the long axis view."},{"code" : "131178","display" : "Mitral commissure distance","definition" : "The straight-line distance between the two commissures of the anterior and posterior leaflets of the mitral valve measured during diastole, in a two-chamber view."},{"code" : "131179","display" : "Mitral trigone-to-trigone distance","definition" : "The straight-line distance between a point in the right trigone region of the mitral annulus and a point in the left trigone region of the mitral annulus, measured during systole, in a 3D en face view of the mitral valve."},{"code" : "131180","display" : "Mitral annular excursion","definition" : "The longitudinal displacement of the plane of the mitral annulus over the course of a cardiac cycle, measured any view."},{"code" : "131181","display" : "Mitral annulus anterolateral to posteromedial diameter","definition" : "The diameter of the annulus of the mitral valve measured from the anterolateral aspect to the posteromedial aspect, during systole, in a 3D en face view of the mitral valve."},{"code" : "131182","display" : "Mitral annulus anteroposterior diameter","definition" : "The diameter of the annulus of the mitral valve measured from the anterior aspect to the posterior aspect, during systole, in the short axis view at the level of the mitral annulus."},{"code" : "131183","display" : "Mitral annulus area","definition" : "The area within the annulus of the mitral valve measured during systole, in a short axis view at the level of the annulus of the mitral valve."},{"code" : "131184","display" : "Mitral annulus calcification severity","definition" : "The qualitative severity of calcification of the annulus of the mitral valve, evaluated during diastole, in any view, at the level of the annulus of the mitral valve."},{"code" : "131185","display" : "Mitral annulus commissural diameter","definition" : "The diameter of the annulus of the mitral valve at the level of the commissures of the annulus, measured during systole, in a 3D en face view of the mitral valve."},{"code" : "131186","display" : "Mitral annulus diameter ratio","definition" : "The ratio of the anteroposterior diameter of the mitral annulus and the anterolateral diameter of the mitral annulus, measured during systole."},{"code" : "131187","display" : "Mitral annulus height","definition" : "The sum of the vertical distance from the highest point on the mitral annulus to the mitral annular plane and the vertical distance from the lowest point on the mitral annulus to the mitral annular plane. It is measured at systole, in a 3D transverse view of the mitral valve."},{"code" : "131188","display" : "Mitral annulus nonplanarity angle","definition" : "The angle between a vector from the furthest anterior aspect of the annulus to the midpoint of the commissural diameter and a vector from the furthest posterior aspect of the annulus to the midpoint of the commissural diameter. It is measured at systole, in a 3D view of the mitral valve."},{"code" : "131189","display" : "Mitral annulus perimeter","definition" : "The length of the perimeter of the annulus of the mitral valve measured during systole, in a short axis view at the level of the annulus of the mitral valve."},{"code" : "131190","display" : "Mitral valve coaptation length","definition" : "The length of coaptation (where the anterior and posterior leaflets are in contact) of the mitral valve, measured during systole, in a 3D view."},{"code" : "131191","display" : "Mitral valve interpapillary distance","definition" : "The distance between the two papillary muscle tips of the mitral valve, measured during diastole in a four-chamber view."},{"code" : "131192","display" : "Anterolateral papillary muscle to the left trigone","definition" : "The distance between the anterolateral papillary muscle tip and a point in the left trigone region of the mitral annulus, measured during systole in a four-chamber view."},{"code" : "131193","display" : "Posteromedial papillary muscle to the right trigone","definition" : "The distance between the posteromedial papillary muscle tip and a point in the right trigone region of the mitral annulus, measured during systole in a four-chamber view."},{"code" : "131194","display" : "Mitral valve prolapse area","definition" : "The surface area of the portion of the mitral valve leaflets that is displaced above the annular plane (prolapsed) measured during systole, in a short axis view."},{"code" : "131195","display" : "Mitral valve prolapse volume","definition" : "The volume encompassed by annular plane and the portion of the mitral valve leaflets that is displaced above the annular plane (prolapsed) measured during systole, in a short axis view."},{"code" : "131196","display" : "Mitral valve segment flail gap","definition" : "The distance between the tip of the free edge of a flail mitral valve leaflet or segment and the plane of the mitral annulus measured during systole, in any view."},{"code" : "131197","display" : "Mitral valve sphericity index","definition" : "The ratio of the transverse diameter of the left ventricle at the level of the papillary muscle base divided by the longitudinal distance between the level of the papillary muscle base and the mitral annulus plane, measured at diastole in a four-chamber view. See doi:10.1016/j.jcmg.2008.12.025"},{"code" : "131198","display" : "Mitral valve tenting height","definition" : "The perpendicular distance from the point of coaptation (where the anterior and posterior leaflets of the mitral valve meet) to the annular plane measured during systole, in a 3D or 2D view at the level of the mitral annulus."},{"code" : "131199","display" : "Mitral valve tenting area","definition" : "The area between the ventricular surface of the leaflets of the mitral valve and the annular plane measured during systole, in a 3D view at the level of the mitral annulus."},{"code" : "131200","display" : "Mitral valve tenting segment height A1-P1","definition" : "The distance from the point where the A1-P1 scallops of the mitral valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber view at the level of the mitral annulus."},{"code" : "131201","display" : "Mitral valve tenting segment height A2-P2","definition" : "The distance from the point where the A2-P2 scallops of the mitral valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber view at the level of the mitral annulus."},{"code" : "131202","display" : "Mitral valve tenting segment height A3-P3","definition" : "The distance from the point where the A3-P3 scallops of the mitral valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber view at the level of the mitral annulus."},{"code" : "131203","display" : "Posterior mitral valve leaflet area","definition" : "The combined area of the P1, P2 and P3 leaflet scallops of the posterior mitral valve, measured during systole, in the long axis view."},{"code" : "131204","display" : "Posterior mitral valve leaflet length","definition" : "The distance along the hinge line of the posterior mitral valve P1, P2 and P3 leaflet scallops measured during systole, in the long axis view."},{"code" : "131205","display" : "Posterior mitral valve P1 leaflet scallop length","definition" : "The distance along the hinge line of the posterior mitral valve P1 leaflet scallop during systole, in the long axis view."},{"code" : "131206","display" : "Posterior mitral valve P2 leaflet scallop length","definition" : "The distance along the hinge line of the posterior mitral valve P2 leaflet scallop during systole, in the long axis view."},{"code" : "131207","display" : "Posterior mitral valve P3 leaflet scallop length","definition" : "The distance along the hinge line of the posterior mitral valve P3 leaflet scallop during systole, in the long axis view."},{"code" : "131208","display" : "Tricuspid annulus area","definition" : "The area within the annulus of the tricuspid valve measured during diastole, in a 3D en face view of the tricuspid valve."},{"code" : "131209","display" : "Tricuspid annulus area diastolic systolic ratio","definition" : "The area within the annulus of the tricuspid valve calculated at diastole divided by the area within the annulus of the tricuspid valve calculated at systole, in a 3D en face view of the tricuspid valve."},{"code" : "131210","display" : "Tricuspid annulus perimeter","definition" : "The length of the perimeter of the annulus of the tricuspid valve measured during diastole, in a four-chamber view."},{"code" : "131211","display" : "Tricuspid valve coaptation length","definition" : "The length of coaptation (where the anterior, posterior, and septal leaflets are in contact), measured during systole, in a 3D view."},{"code" : "131212","display" : "Tricuspid valve major axis diastole","definition" : "The maximum diameter of the annulus of the tricuspid valve measured during diastole, in a four-chamber view."},{"code" : "131213","display" : "Tricuspid valve minor axis","definition" : "The minimum diameter of the annulus of the tricuspid valve measured during diastole, in a four-chamber view."},{"code" : "131214","display" : "Tricuspid valve sphericity index","definition" : "The ratio of the maximum diameter of the annulus of the tricuspid valve and the minimum diameter of the annulus of the tricuspid valve, measured during diastole, in a four-chamber view."},{"code" : "131215","display" : "Tricuspid valve tenting height","definition" : "The distance from the point where the leaflets of the tricuspid valve contact (coaptation point) to the annular plane measured during systole, in a four-chamber 3D transverse view of the tricuspid valve."},{"code" : "131216","display" : "Tricuspid valve tenting volume","definition" : "The volume of the region between atrial surface of the leaflets and the annular plane measured during systole, in a 3D view of the tricuspid valve."},{"code" : "131217","display" : "Left atrial appendage closure device circumference","definition" : "The circumference of the left atrial appendage closure device after deployment, measured at the shoulder during end-systole in a 2D or 3D view of the left atrial appendage."},{"code" : "131218","display" : "Left atrial appendage closure device compression ratio","definition" : "The ratio of the diameter of the left atrial appendage closure device after deployment, measured at the shoulder during end-systole in a 2D or 3D view of the left atrial appendage, and diameter of the left atrial appendage closure device as specified by its manufacturer."},{"code" : "131219","display" : "Left atrial appendage closure device diameter","definition" : "The diameter of the left atrial appendage closure device after deployment, measured at the shoulder during end-systole in a 2D view of the left atrial appendage."},{"code" : "131220","display" : "Left atrial appendage closure device size","definition" : "The diameter of the left atrial appendage closure device as specified by its manufacturer."},{"code" : "131221","display" : "Left atrial appendage depth","definition" : "The maximum distance from the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), to the most distal point of the left atrial appendage cavity, measured during end-diastole in a 2D view of the left atrial appendage."},{"code" : "131222","display" : "Left atrial appendage landing zone major axis","definition" : "The maximum diameter of the left atrial appendage measured 1cm to 1.5cm inferior to the orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), during end-systole, in a 2D view of the left atrial appendage."},{"code" : "131223","display" : "Left atrial appendage major axis","definition" : "The maximum diameter of the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), measured during end-systole, in a 2D view of the left atrial appendage."},{"code" : "131224","display" : "Left atrial appendage minor axis","definition" : "The minimum diameter of the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), measured during end-systole, in a 2D view of the left atrial appendage."},{"code" : "131225","display" : "Left atrial appendage ostium perimeter","definition" : "The perimeter of the left atrial appendage orifice (the plane between the left upper pulmonary vein ridge and the left circumflex artery), measured during end-systole, in a 3D en face view of the left atrial appendage."},{"code" : "131230","display" : "Female-typical","definition" : "Available data indicates that diagnostics, analytics, and treatments should consider best practices associated with female reference populations.This concept and definition taken from http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html."},{"code" : "131231","display" : "Male-typical","definition" : "Available data indicates that diagnostics, analytics, and treatments should consider best practices associated with male reference populations.This concept and definition taken from http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html."},{"code" : "131232","display" : "Specified","definition" : "vailable data indicates that diagnostics, analytics, and treatment best practices may be undefined or not aligned with sex-derived reference populations. Additional information may be available in the form of comments and/or observations.This concept and definition taken from http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html."},{"code" : "131233","display" : "Subject Sex Parameters for Clinical Use Category","definition" : "Sex Parameters for Clinical Use category of patient who is the subject of these observations.See http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html"},{"code" : "131234","display" : "Sex Parameters for Clinical Use Category Comment","definition" : "Further explanation about the choice, intention, or context of use for the sex parameter for clinical use.See http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html"},{"code" : "131235","display" : "Sex Parameters for Clinical Use Category Reference","definition" : "Other clinical evidence or documentation that was used to determine the sex parameter for clinical use.See http:​//hl7.org​/fhir​/extensions​/StructureDefinition-​patient-​sexParameterForClinicalUse.html"},{"code" : "131240","display" : "Visual Field Key Measurements","definition" : "Clinically relevant measurements of patient Visual Field."},{"code" : "131241","display" : "Optic Disc Key Measurements","definition" : "Clinically relevant measurements of Optic Disc."},{"code" : "131242","display" : "Circumpapillary Retinal Nerve Fiber Layer Key Measurements","definition" : "Clinically relevant measurements of the Circumpapillary Retinal Nerve Fiber Layer."},{"code" : "131243","display" : "Macular Thickness Key Measurements","definition" : "Clinically relevant measurements of Macular Thickness."},{"code" : "131244","display" : "Ganglion Cell Layer Key Measurements","definition" : "Clinically relevant measurements of Gangion Cell Layer."},{"code" : "131245","display" : "Endothelial Cell Count Key Measurements","definition" : "Clinically relevant measurements of Endothelial Cell Count."},{"code" : "131246","display" : "Ophthalmic Image ROI Measurements","definition" : "Measurements of Ophthalmic Images based on a Region of Interest."},{"code" : "131247","display" : "Repositioned ROI or grid","definition" : "Indicator that measurements were made with ROI or grid positioned differently than used for a prior measurement set."},{"code" : "131248","display" : "Visual Field Global Deviation from Normal","definition" : "Weighted average deviation from the age corrected normal visual field, as decibel. Corresponds to Global Deviation from Normal (0024,0066) in the Results Normals Sequence (0024,0064)."},{"code" : "131249","display" : "Visual Field Localized Deviation From Normal","definition" : "Weighted square root of loss variance in visual field, as decibel. Corresponds to Localized Deviation From Normal (0024,0068) in the Results Normals Sequence (0024,0064)."},{"code" : "131250","display" : "Fixation false positive ratio","definition" : "The ratio between the number of times patient responses occurred when no visual stimulus was present (false positive responses) and the number of trials presented. Corresponds to ratio of False Positives Quantity (0024,0060) to Positive Catch Trials Quantity (0024,0056) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131251","display" : "Fixation false positive percent","definition" : "Estimated percentage of all patient responses that occurred at a time when no visual stimulus was present (false positive responses) , as percent. Corresponds to False Positives Estimate (0024,0054) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131252","display" : "Fixation false negative ratio","definition" : "The ratio between the number of times stimuli were not seen by the patient but were previously seen at a lower luminance earlier in the visual field test (false negative responses) and the number of trials presented. Corresponds to ratio of False Negatives Quantity (0024,0050) to Negative Catch Trials Quantity (0024,0048) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131253","display" : "Fixation false negative percent","definition" : "Estimated percentage of all stimuli that were not seen by the patient but were previously seen at a lower luminance earlier in the visual field test (false negative responses) , as percent. Corresponds to False Negatives Estimate (0024,0046) in the Visual Field Catch Trial Sequence (0024,0034)."},{"code" : "131254","display" : "Fixation losses ratio","definition" : "The ratio between the number of times a patient loses visual fixation while maintaining a visual gaze on a single location and the number of trials presented. Corresponds to ratio of Patient Not Properly Fixated Quantity (0024,0036) to Fixation Checked Quantity (0024,0035) in Fixation Sequence (0024,0032)."},{"code" : "131255","display" : "Average macular thickness","definition" : "Average macular thickness across all ETDRS subfields."},{"code" : "131256","display" : "Cup to disc area ratio","definition" : "Ratio of the optic cup area to the optic disc area."},{"code" : "131257","display" : "Cup to disc ratio vertical","definition" : "Ratio of the vertical diameter of the optic cup to that of the vertical diameter of the optic disc."},{"code" : "131258","display" : "Cup to disc ratio horizontal","definition" : "Ratio of the horizontal diameter of the optic cup to that of the horizontal diameter of the optic disc."},{"code" : "131259","display" : "Neuroretinal rim area","definition" : "Area of the neuroretinal rim portion of the optic nerve head, or Bruch's Membrane Opening-based Minimum Rim Area (BMO-MRA)."},{"code" : "131260","display" : "Neuroretinal rim width","definition" : "Average width of the neuroretinal rim portion of the optic nerve head, or Bruch's Membrane Opening-based Minimum Rim Width (BMO-MRW)."},{"code" : "131261","display" : "Optic cup area","definition" : "Area of the cup portion of the optic nerve head."},{"code" : "131262","display" : "Optic disc area","definition" : "Area of the optic disc or Bruch's Membrane Opening (BMO)."},{"code" : "131263","display" : "Optic cup volume","definition" : "Volume of the cup portion of the optic nerve head."},{"code" : "131264","display" : "RNFL average thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , across the entire ROI (also denoted as the global RNFL thickness)."},{"code" : "131265","display" : "RNFL inferior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the inferior sector as defined by the measurement method."},{"code" : "131266","display" : "RNFL superior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the superior sector as defined by the measurement method."},{"code" : "131267","display" : "RNFL temporal sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the temporal sector as defined by the measurement method."},{"code" : "131268","display" : "RNFL nasal sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the nasal sector as defined by the measurement method."},{"code" : "131269","display" : "RNFL nasal-superior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the nasal-superior sector as defined by the measurement method."},{"code" : "131270","display" : "RNFL nasal-inferior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the nasal-inferior sector as defined by the measurement method."},{"code" : "131271","display" : "RNFL temporal-inferior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the temporal-inferior sector as defined by the measurement method."},{"code" : "131272","display" : "RNFL temporal-superior sector thickness","definition" : "Average measured thickness of the retinal nerve fiber layer (RNFL) , i.e., the distance between the internal limiting membrane (ILM) and the Gangion Cell Layer (GCL) , in the temporal-superior sector as defined by the measurement method."},{"code" : "131273","display" : "Retinal nerve fiber layer symmetry","definition" : "Ratio of the global retinal nerve fiber layer (RNFL) thickness measurement of the right eye to that of the left eye."},{"code" : "131274","display" : "Retinal ROI width","definition" : "Region of interest circular area diameter, eliptical area major axis, or rectangular area major dimension, used for measurement of retinal layer thicknesses."},{"code" : "131275","display" : "Retinal ROI height","definition" : "Region of interest eliptical area minor axis, or rectangular area minor dimension, used for measurement of retinal layer thicknesses."},{"code" : "131276","display" : "RNFL clockface position 1 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 1, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal superior quadrant."},{"code" : "131277","display" : "RNFL clockface position 2 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 2, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal superior quadrant."},{"code" : "131278","display" : "RNFL clockface position 3 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 3, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is the nasal position."},{"code" : "131279","display" : "RNFL clockface position 4 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 4, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal inferior quadrant."},{"code" : "131280","display" : "RNFL clockface position 5 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 5, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the nasal inferior quadrant."},{"code" : "131281","display" : "RNFL clockface position 6 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 6. This is the inferior position."},{"code" : "131282","display" : "RNFL clockface position 7 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 7, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal inferior quadrant."},{"code" : "131283","display" : "RNFL clockface position 8 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 8, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal inferior quadrant."},{"code" : "131284","display" : "RNFL clockface position 9 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 9, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is the temporal position."},{"code" : "131285","display" : "RNFL clockface position 10 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 10, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal superior quadrant."},{"code" : "131286","display" : "RNFL clockface position 11 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 11, in the clockwise direction for the right eye and the counter-clockwise direction for the left eye, as viewed from an anterior position. This is in the temporal superior quadrant."},{"code" : "131287","display" : "RNFL clockface position 12 thickness","definition" : "Retinal nerve fiber layer thickness at clockface position 12. This is the superior position."},{"code" : "131288","display" : "Average ganglion cell thickness","definition" : "Average thickness of the ganglion cell layer across the entire ROI (also denoted as the global GCL thickness)."},{"code" : "131289","display" : "Minimum ganglion cell thickness","definition" : "Minimum thickness of the ganglion cell layer over a single meridian crossing the annulus."},{"code" : "131290","display" : "Average ganglion cell thickness superior sector","definition" : "Average ganglion cell thickness in the superior sector as defined by the measurement method."},{"code" : "131291","display" : "Average ganglion cell thickness nasal-superior sector","definition" : "Average ganglion cell thickness in the nasal-superior sector as defined by the measurement method."},{"code" : "131292","display" : "Average ganglion cell thickness nasal sector","definition" : "Average ganglion cell thickness in the nasal sector as defined by the measurement method."},{"code" : "131293","display" : "Average ganglion cell thickness nasal-inferior sector","definition" : "Average ganglion cell thickness in the nasal-inferior sector as defined by the measurement method."},{"code" : "131294","display" : "Average ganglion cell thickness inferior sector","definition" : "Average ganglion cell thickness in the inferior sector as defined by the measurement method."},{"code" : "131295","display" : "Average ganglion cell thickness temporal-inferior sector","definition" : "Average ganglion cell thickness in the temporal-inferior as defined by the measurement method."},{"code" : "131296","display" : "Average ganglion cell thickness temporal sector","definition" : "Average ganglion cell thickness in the temporal sector as defined by the measurement method."},{"code" : "131297","display" : "Average ganglion cell thickness temporal-superior sector","definition" : "Average ganglion cell thickness in the temporal-superior sector as defined by the measurement method."},{"code" : "131298","display" : "Average ganglion cell thickness in posterior pole grid","definition" : "Average ganglion cell thickness in the posterior pole grid, as a table of values."},{"code" : "131299","display" : "Ganglion cell and inner plexiform layers","definition" : "Anatomic region including the ganglion cell layer (GCL) and the inner plexiform layer (IPL)."},{"code" : "131300","display" : "Ganglion cell complex","definition" : "Anatomic region including the Ganglion cell layer (GCL) , the inner plexiform layer (IPL) , and the retinal nerve fiber layer (RNFL)."},{"code" : "131301","display" : "Semicircular sectors","definition" : "Measurement method on a circular ROI with four overlapping 180° semicircular sectors centered on vertical and horizontal axes (superior, inferior, nasal, temporal)."},{"code" : "131302","display" : "Quadrant sectors","definition" : "Measurement method on a circular ROI with four 90° sectors centered on vertical and horizontal axes (superior, inferior, nasal, temporal)."},{"code" : "131303","display" : "SNIT rectangular sectors","definition" : "Measurement method on a rectangular ROI with four overlapping rectangular sectors (superior, nasal, inferior, temporal)."},{"code" : "131304","display" : "Elliptical annulus sectors","definition" : "Measurement method on an elliptical annulus ROI, divided into six 60° sectors with boundaries beginning at 30° from vertical (superior, nasal-superior, nasal-inferior, inferior, temporal-inferior, temporal-superior). The outer ellipse of the annulus has a minor axis diameter equal to the Retinal ROI height and is aligned vertically, and a major axis diameter equal to the Retinal ROI width aligned horizontally. The dimensions of the inner ellipse of the annulus, centered on the fovea, are manufacturer specific."},{"code" : "131305","display" : "Garway-Heath sectors","definition" : "Measurement method on a circular ROI, divided into six sectors - a 110° nasal sector and a 90° temporal sector centered on the fovea-Bruch's membrane opening (BMO) axis, and four 40° sectors (temporal-superior, nasal-superior, nasal-inferior, temporal-inferior)."},{"code" : "131306","display" : "Quadrant-octant sectors","definition" : "Measurement method on a circular ROI, divided into six sectors - 90° nasal and temporal quadrants centered on the horizontal axis, and four 45° octants (temporal-superior, nasal-superior, nasal-inferior, temporal-inferior)."},{"code" : "131307","display" : "Posterior pole 8x8 grid","definition" : "Measurement method on a rectangular ROI, divided into an 8x8 grid positioned symmetrically to the fovea-optic disc axis and centered on the optic disc."},{"code" : "131308","display" : "RNFL Clockface Method","definition" : "Measurement method on a circular ROI, centered on the optic nerve head, with twelve measurements of retinal nerve fiber layer thickness made at 30° intervals on the circumference."},{"code" : "131309","display" : "Endothelial cell density","definition" : "The density of endothelial cells present on the innermost surface of the cornea."},{"code" : "131310","display" : "Geographic atrophy area","definition" : "The sum of the areas of all macular atrophy lesions."},{"code" : "131315","display" : "Plan meets prescription","definition" : "The plan meets the intended course of treatment as prescribed."},{"code" : "131316","display" : "Plan QA passed","definition" : "The plan has passed quality assurance checks."}]}

#30

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fdicom.nema.org%2Fmedical%2Fdicom%2Fcurrent%2Foutput%2Fchtml%2Fpart16%2Fsect_CID_7013.html HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1447
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:39 GMT
pragma:no-cache
server:nginx
x-request-id:252-199114

{"resourceType" : "Bundle","id" : "66066e85-a825-45a7-b215-b139ef329e","meta" : {"lastUpdated" : "2025-12-15T20:11:39.504Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7013.html"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/ValueSet/dicom-cid-7013-NonImageSourceInstancePurposeOfReference","resource" : {"resourceType" : "ValueSet","id" : "dicom-cid-7013-NonImageSourceInstancePurposeOfReference","url" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7013.html","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:1.2.840.10008.6.1.1134"}],"version" : "2025.3.20250714","name" : "NonImageSourceInstancePurposeofReference","status" : "active","experimental" : false,"date" : "2025-07-14","publisher" : "NEMA MITA DICOM","description" : "Transitive closure of CID 7013 NonImageSourceInstancePurposeofReference","copyright" : "© 2025 NEMA","compose" : {"include" : [{"system" : "http://dicom.nema.org/resources/ontology/DCM","concept" : [{"code" : "128224","display" : "Source measurement"},{"code" : "128226","display" : "Source raw data"},{"code" : "128225","display" : "Source report"},{"code" : "128228","display" : "Source segmentation"},{"code" : "125028","display" : "Source Deformable Spatial Registration"},{"code" : "128227","display" : "Source real world value map"}]}]}}}]}

#31

GET https://tx.fhir.org/r5/ValueSet/dicom-cid-7013-NonImageSourceInstancePurposeOfReference HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1020
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:39 GMT
pragma:no-cache
server:nginx
x-request-id:252-199115

{"resourceType" : "ValueSet","id" : "dicom-cid-7013-NonImageSourceInstancePurposeOfReference","url" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7013.html","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:1.2.840.10008.6.1.1134"}],"version" : "2025.3.20250714","name" : "NonImageSourceInstancePurposeofReference","status" : "active","experimental" : false,"date" : "2025-07-14","publisher" : "NEMA MITA DICOM","description" : "Transitive closure of CID 7013 NonImageSourceInstancePurposeofReference","copyright" : "© 2025 NEMA","compose" : {"include" : [{"system" : "http://dicom.nema.org/resources/ontology/DCM","concept" : [{"code" : "128224","display" : "Source measurement"},{"code" : "128226","display" : "Source raw data"},{"code" : "128225","display" : "Source report"},{"code" : "128228","display" : "Source segmentation"},{"code" : "125028","display" : "Source Deformable Spatial Registration"},{"code" : "128227","display" : "Source real world value map"}]}]}}

#32

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fdicom.nema.org%2Fmedical%2Fdicom%2Fcurrent%2Foutput%2Fchtml%2Fpart16%2Fsect_CID_7201.html HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2305
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:39 GMT
pragma:no-cache
server:nginx
x-request-id:252-199116

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#33

GET https://tx.fhir.org/r5/ValueSet/dicom-cid-7201-ReferencedImagePurposeOfReference HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1885
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:39 GMT
pragma:no-cache
server:nginx
x-request-id:252-199117

{"resourceType" : "ValueSet","id" : "dicom-cid-7201-ReferencedImagePurposeOfReference","url" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7201.html","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:1.2.840.10008.6.1.508"}],"version" : "2025.3.20250714","name" : "ReferencedImagePurposeofReference","status" : "active","experimental" : false,"date" : "2025-07-14","publisher" : "NEMA MITA DICOM","description" : "Transitive closure of CID 7201 ReferencedImagePurposeofReference","copyright" : "© 2025 NEMA","compose" : {"include" : [{"system" : "http://dicom.nema.org/resources/ontology/DCM","concept" : [{"code" : "121316","display" : "Images related to standalone object"},{"code" : "121338","display" : "Anatomic image"},{"code" : "121349","display" : "Temporal Successor"},{"code" : "121317","display" : "Spectroscopy"},{"code" : "121339","display" : "Functional image"},{"code" : "121314","display" : "Other image of biplane pair"},{"code" : "121347","display" : "Volume corresponding to spatially-related acquisition frames"},{"code" : "121315","display" : "Other image of stereoscopic pair"},{"code" : "121348","display" : "Temporal Predecessor"},{"code" : "121312","display" : "Biopsy localizer"},{"code" : "121313","display" : "Other partial views"},{"code" : "121346","display" : "Acquisition frames corresponding to volume"},{"code" : "121311","display" : "Localizer"},{"code" : "129201","display" : "Image used for Treatment Planning"},{"code" : "130750","display" : "Quality control material image"},{"code" : "129203","display" : "Image Acquired during Treatment"},{"code" : "129202","display" : "Image used for Dose Calculation"},{"code" : "129204","display" : "Image used as Reference Image for Treatment"},{"code" : "121341","display" : "Device localizer"},{"code" : "121340","display" : "Spectral filtered image"}]}]}}

#34

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fdicom.nema.org%2Fmedical%2Fdicom%2Fcurrent%2Foutput%2Fchtml%2Fpart16%2Fsect_CID_7151.html HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:95101
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:40 GMT
pragma:no-cache
server:nginx
x-request-id:252-199118

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"T-A1000","display" : "Cerebrospinal Fluid"},{"code" : "T-F7040","display" : "Primitive pulmonary artery"},{"code" : "T-D0801","display" : "Eye region"},{"code" : "T-15460","display" : "Wrist joint"},{"code" : "T-47490","display" : "Genicular artery"},{"code" : "T-48340","display" : "Azygos vein"},{"code" : "A-12210","display" : "Cervical collar"},{"code" : "T-28770","display" : "Lobe of lung"},{"code" : "T-59470","display" : "Sigmoid colon"},{"code" : "R-FCFCC","display" : "Armrest"},{"code" : "T-14120","display" : "Pectoralis minor muscle"},{"code" : "T-B3000","display" : "Adrenal gland"},{"code" : "T-14122","display" : "Chest wall muscle"},{"code" : "T-AA706","display" : "Anterior surface of lens"},{"code" : "A-10042","display" : "Compression paddle"},{"code" : "T-AA707","display" : "Posterior surface of lens"},{"code" : "T-59000","display" : "Large intestine"},{"code" : "T-26100","display" : "Right main bronchus"},{"code" : "T-03000","display" : "Subcutaneous tissue"},{"code" : "T-A3200","display" : "Caudate nucleus"},{"code" : "T-14150","display" : "Levatores costarum muscles"},{"code" : "T-49250","display" : "Median Cubital vein"},{"code" : "A-04200","display" : "Dental Prosthesis"},{"code" : "T-15001","display" : "Joint"},{"code" : "T-D0821","display" : "Bone of upper limb"},{"code" : "T-15009","display" : "Meniscus"},{"code" : "C-10080","display" : "Gas"},{"code" : "T-14140","display" : "Serratus anterior muscle"},{"code" : "T-A0191","display" : "Cranial venous system"},{"code" : "T-28300","display" : "Middle lobe of right lung"},{"code" : "T-14172","display" : "Latissimus dorsi muscle"},{"code" : "T-14171","display" : "Trapezius muscle"},{"code" : "T-49230","display" : "Basilic vein"},{"code" : "T-D7000","display" : "Inguinal region"},{"code" : "T-A3230","display" : "Amygdala"},{"code" : "T-72000","display" : "Renal pelvis"},{"code" : "T-14161","display" : "External intercostal muscle"},{"code" : "T-14163","display" : "Internal intercostal 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system"},{"code" : "T-49426","display" : "Cockett's perforating vein"},{"code" : "T-49424","display" : "Boyd's perforating vein"},{"code" : "T-24100","display" : "Larynx"},{"code" : "T-13450","display" : "Scalenous anterior muscle"},{"code" : "A-040CB","display" : "Cardiac pacemaker lead"},{"code" : "T-47240","display" : "Superficial Palmar Arch"},{"code" : "T-4942D","display" : "Gastrocnemius vein"},{"code" : "T-4942A","display" : "Hunterian perforating vein"},{"code" : "T-01000","display" : "Skin"},{"code" : "T-A9605","display" : "Autonomic nerve"},{"code" : "T-49429","display" : "Dodd's perforating vein"},{"code" : "T-48540","display" : "Inferior left pulmonary vein"},{"code" : "T-47690","display" : "Plantar Arterial Arch"},{"code" : "T-13009","display" : "Muscle"},{"code" : "T-DD006","display" : "Trachea and bronchus"},{"code" : "T-4940B","display" : "Saphenous vein"},{"code" : "T-35250","display" : "pulmonary valve sinuses"},{"code" : "T-46740","display" : "Internal iliac artery"},{"code" : "T-1163B","display" : "C3/C4 disc"},{"code" : "T-48920","display" : "Common iliac vein"},{"code" : "T-45410","display" : "Lacrimal artery"},{"code" : "T-AA110","display" : "Sclera"},{"code" : "T-43230","display" : "Marginal Coronary Artery"},{"code" : "R-1024F","display" : "Middle Cerebral Artery M1 Segment"},{"code" : "T-11640","display" : "C4 vertebra"},{"code" : "T-28080","display" : "Hilum of lung"},{"code" : "T-A9630","display" : "Sympathetic trunk"},{"code" : "T-4105E","display" : "Systemic artery"},{"code" : "T-A5271","display" : "Medial Lemniscus"},{"code" : "T-45416","display" : "Lacrimal artery of right eye"},{"code" : "T-AA117","display" : "Inner surface of sclera"},{"code" : "T-AA116","display" : "External surface of sclera"},{"code" : "T-AA120","display" : "Lamina cribrosa of sclera"},{"code" : "T-47600","display" : "Posterior tibial artery"},{"code" : "R-10259","display" : "Great Saphenous Vein of Thigh"},{"code" : "T-48930","display" : "External iliac vein"},{"code" : "R-10258","display" : "Common Iliac Artery Bifurcation"},{"code" : "T-65010","display" : "Pancreatic duct"},{"code" : "T-41065","display" : "Coronary Artery Graft"},{"code" : "R-1025A","display" : "Great Saphenous Vein of Calf"},{"code" : "T-11630","display" : "C3 vertebra"},{"code" : "R-10253","display" : "Posterior Cerebral Artery P1 Segment"},{"code" : "T-D021B","display" : "Cartilage"},{"code" : "R-10251","display" : "Middle Cerebral Artery M2 Segment"},{"code" : "T-41068","display" : "Iliac and/or femoral artery"},{"code" : "T-20101","display" : "Pharynx and larynx"},{"code" : "R-10255","display" : "Posterior Cerebral Artery P2 Segment"},{"code" : "T-43211","display" : "Posterolateral branch of right Coronary Artery"},{"code" : "T-65000","display" : "Pancreas"},{"code" : "T-43210","display" : "Posterior Descending Right Coronary Artery"},{"code" : "T-11660","display" : "C6 vertebra"},{"code" : "T-D4600","display" : "Omentum"},{"code" : "A-A23F4","display" : "Floor"},{"code" : "T-43215","display" : "3rd Right posterolateral Coronary Artery"},{"code" : "T-43214","display" : "2nd Right posterolateral Coronary Artery"},{"code" : "T-43213","display" : "1st Right posterolateral Coronary Artery"},{"code" : "T-43212","display" : "Right posterior AV Coronary Artery"},{"code" : "T-1166B","display" : "C6/C7 disc"},{"code" : "T-1164B","display" : "C4/C5 disc"},{"code" : "T-42370","display" : "Ligamentum arteriosum"},{"code" : "T-45400","display" : "Ophthalmic artery"},{"code" : "T-90010","display" : "Male external genitalia"},{"code" : "T-12980","display" : "Sesamoid bones of foot"},{"code" : "T-11650","display" : "C5 vertebra"},{"code" : "T-32100","display" : "Atrium"},{"code" : "T-48910","display" : "Inferior Mesenteric Vein"},{"code" : "T-1165B","display" : "C5/C6 disc"},{"code" : "T-47630","display" : "Peroneal artery"},{"code" : "T-21000","display" : "Nose"},{"code" : "T-AB001","display" : "Ear"},{"code" : "T-60610","display" : "Bile duct"},{"code" : "T-A7010","display" : "Spinal cord"},{"code" : "T-46310","display" : "Bronchial artery"},{"code" : "T-11670","display" : "C7 vertebra"},{"code" : "T-D1100","display" : "Head"},{"code" : "T-4630D","display" : "Esophageal artery"},{"code" : "T-A7020","display" : "Spinal cord gray matter"},{"code" : "T-1167B","display" : "C7/T1 disc"},{"code" : "T-60600","display" : "Biliary tract"},{"code" : "T-48940","display" : "Internal iliac vein"},{"code" : "T-45430","display" : "Central Retinal Artery"},{"code" : "T-44100","display" : "Trunk of pulmonary artery"},{"code" : "T-32150","display" : "Interatrial septum"},{"code" : "T-D3300","display" : "Mediastinum"},{"code" : "T-11210","display" : "Sternum"},{"code" : "T-59600","display" : "Rectum"},{"code" : "T-11218","display" : "Suprasternal notch"},{"code" : "T-A1740","display" : "Third ventricle"},{"code" : "T-48081","display" : "Systemic vein"},{"code" : "T-D2010","display" : "Upper trunk"},{"code" : "T-484A4","display" : "Inferior cardiac vein"},{"code" : "T-D1160","display" : "Scalp"},{"code" : "T-42300","display" : "Aortic arch"},{"code" : "T-1A010","display" : "Fat"},{"code" : "D4-32506","display" : "Congenital coronary artery fistula to left ventricle"},{"code" : "T-D2000","display" : "Trunk"},{"code" : "D4-32509","display" : "Congenital coronary artery fistula to right atrium"},{"code" : "D4-32504","display" : "Congenital coronary artery fistula to left atrium"},{"code" : "T-42310","display" : "Aortic isthmus"},{"code" : "T-1A000","display" : "Soft tissue"},{"code" : "T-A2610","display" : "Insula"},{"code" : "T-11BF0","display" : "Coccyx"},{"code" : "T-A7070","display" : "Spinal cord white matter"},{"code" : "T-D4210","display" : "Subcostal"},{"code" : "T-D4212","display" : "Right hypochondriac region"},{"code" : "T-D4211","display" : "Left hypochondriac region"},{"code" : "T-32502","display" : "Apex of right ventricle"},{"code" : "G-A460","display" : "Normal"},{"code" : "T-32500","display" : "Right ventricle"},{"code" : "T-D2020","display" : "Lower trunk"},{"code" : "T-B1100","display" : "Adenohypophysis"},{"code" : "T-D4200","display" : "Epigastric region"},{"code" : "T-28000","display" : "Lung"},{"code" : "T-45800","display" : "Basilar artery"},{"code" : "T-A7093","display" : "Lateral corticospinal tract"},{"code" : "T-D4230","display" : "Umbilical region"},{"code" : "T-46700","display" : "Iliac artery"},{"code" : "T-43200","display" : "Right Coronary Artery"},{"code" : "T-53000","display" : "Tongue"},{"code" : "T-43202","display" : "Distal Right Coronary Artery"},{"code" : "T-43201","display" : "Proximal Right Coronary Artery"},{"code" : "T-46710","display" : "Common iliac artery"},{"code" : "A-32110","display" : "Bullet"},{"code" : "T-A3500","display" : "Globus pallidus"},{"code" : "A-11C08","display" : "Ureteric stent"},{"code" : "T-43205","display" : "Right Coronary Artery Ostium"},{"code" : "D4-32510","display" : "Congenital coronary artery fistula to right ventricle"},{"code" : "T-11620","display" : "C2 vertebra"},{"code" : "T-32550","display" : "Right ventricle outflow tract"},{"code" : "R-FCC16","display" : "MOSFET radiation therapy dosimetry system dosimeter"},{"code" : "T-41000","display" : "Artery"},{"code" : "A-11206","display" : "Defibrillator"},{"code" : "T-11610","display" : "C1 vertebra"},{"code" : "T-32540","display" : "Right ventricle inflow"},{"code" : "T-D4240","display" : "Hypogastric region"},{"code" : "T-48000","display" : "Vein"},{"code" : "T-48003","display" : "Venous network"},{"code" : "T-49330","display" : "Ulnar vein"},{"code" : "T-B2000","display" : "Pineal Gland"},{"code" : "T-A2200","display" : "Frontal lobe"},{"code" : "T-11190","display" : "Hyoid bone"},{"code" : "T-72100","display" : "Calyx"},{"code" : "T-49340","display" : "Radial vein"},{"code" : "A-04110","display" : "Heart valve prosthesis"},{"code" : "T-47160","display" : "Brachial artery"},{"code" : "T-11196","display" : "Facial bones"},{"code" : "T-04430","display" : "Fatty tissue of breast"},{"code" : "T-A0036","display" : "Limbic lobe"},{"code" : "T-C4000","display" : "Lymph node"},{"code" : "M-8FFFF","display" : "Neoplasm"},{"code" : "D4-31220","display" : "Atrial Septal Defect"},{"code" : "R-102BD","display" : "Terminal internal carotid artery"},{"code" : "R-102BB","display" : "Internal Carotid Artery C5 segment"},{"code" : "T-73000","display" : "Ureter"},{"code" : "T-A3100","display" : "Corpus striatum"},{"code" : "T-49350","display" : "Brachial vein"},{"code" : "M-3340A","display" : "Cyst"},{"code" : "T-D0721","display" : "Spinal cerebrospinal fluid pathway"},{"code" : "T-88920","display" : "Uterus and fallopian tubes"},{"code" : "T-04003","display" : "Lower inner quadrant of breast"},{"code" : "T-04002","display" : "Upper inner quadrant of breast"},{"code" : "T-04000","display" : "Breast"},{"code" : "T-61007","display" : "Salivary gland"},{"code" : "T-04005","display" : "Lower outer quadrant of breast"},{"code" : "T-A6620","display" : "Superior cerebellar peduncle"},{"code" : "T-04004","display" : "Upper outer quadrant of breast"},{"code" : "T-AB959","display" : "Internal Auditory Canal"},{"code" : "R-FAED1","display" : "Internal Carotid Artery C6 segment"},{"code" : "T-D8200","display" : "Upper arm"},{"code" : "T-A0090","display" : "Central nervous system"},{"code" : "T-A0095","display" : "White Matter"},{"code" : "T-64500","display" : "Common bile duct"},{"code" : "T-A0096","display" : "Gray Matter"},{"code" : "T-A6630","display" : "Middle cerebellar peduncle"},{"code" : "T-46460","display" : "Splenic artery"},{"code" : "T-C6010","display" : "Lymphatic vessel"},{"code" : "A-12030","display" : "Bone Screw"},{"code" : "T-22000","display" : "Paranasal sinus"},{"code" : "T-D930A","display" : "Saphenofemoral junction"},{"code" : "T-15710","display" : "Hip Joint"},{"code" : "A-25350","display" : "Endotracheal tube"},{"code" : "M-0100C","display" : "Inflammation"},{"code" : "T-D9310","display" : "Popliteal fossa"},{"code" : "T-59300","display" : "Colon"},{"code" : "T-C6000","display" : "Lymphatic system"},{"code" : "T-48620","display" : "Innominate vein"},{"code" : "T-02424","display" : "Skin of chest"},{"code" : "T-46440","display" : "Gastroduodenal Artery"},{"code" : "T-D2700","display" : "Perineum"},{"code" : "A-11FCD","display" : "Left ventricular assist device"},{"code" : "T-47300","display" : "Radial artery"},{"code" : "T-D051D","display" : "Fissure of lung"},{"code" : "T-D8000","display" : "Upper limb"},{"code" : "T-02430","display" : "Skin of breast"},{"code" : "T-A5100","display" : "Midbrain"},{"code" : "A-12062","display" : "Clip"},{"code" : "T-49535","display" : "Posterior medial tributary"},{"code" : "T-117B0","display" : "T11 vertebra"},{"code" : "R-FB4D3","display" : "Female internal genitalia"},{"code" : "T-49530","display" : "Great saphenous vein"},{"code" : "T-D4900","display" : "Retroperitoneal space"},{"code" : "T-45170","display" : "Carotid Bulb"},{"code" : "T-13100","display" : "Muscle of head"},{"code" : "A-61000","display" : "Jewelry"},{"code" : "T-58000","display" : "Small intestine"},{"code" : "T-117BB","display" : "T11/T12 disc"},{"code" : "T-D054F","display" : "Couinaud hepatic segment II"},{"code" : "T-48214","display" : "Occipital vein"},{"code" : "T-117A0","display" : "T10 vertebra"},{"code" : "T-91000","display" : "Penis"},{"code" : "T-15750","display" : "Ankle joint"},{"code" : "T-117AB","display" : "T10/T11 disc"},{"code" : "A-81080","display" : "Laser"},{"code" : "T-AB300","display" : "Middle ear"},{"code" : "T-D0567","display" : "Couinaud hepatic segment III"},{"code" : "T-A8640","display" : "Vagus nerve"},{"code" : "T-D056D","display" : "Couinaud hepatic segment VII"},{"code" : "T-D056C","display" : "Couinaud hepatic segment VI"},{"code" : "T-D056B","display" : "Couinaud hepatic segment V"},{"code" : "T-D056A","display" : "Couinaud hepatic segment IV"},{"code" : "T-D056E","display" : "Couinaud hepatic segment VIII"},{"code" : "T-117C0","display" : "T12 vertebra"},{"code" : "T-D0558","display" : "Brain stem"},{"code" : "T-46010","display" : "Innominate artery"},{"code" : "T-47340","display" : "Deep Palmar Arch of Radial Artery"},{"code" : "T-15770","display" : "Tarsal joint"},{"code" : "T-45160","display" : "Carotid Bifurcation"},{"code" : "T-D1400","display" : "Intracranial"},{"code" : "T-117CB","display" : "T12/L1 disc"},{"code" : "A-17310","display" : "Stretcher"},{"code" : "T-1175B","display" : "T5/T6 disc"},{"code" : "T-45530","display" : "Anterior communicating artery"},{"code" : "T-44200","display" : "Right pulmonary artery"},{"code" : "T-11760","display" : "T6 vertebra"},{"code" : "T-32210","display" : "Right auricular appendage"},{"code" : "T-A6000","display" : "Cerebellum"},{"code" : "T-1176B","display" : "T6/T7 disc"},{"code" : "T-45540","display" : "Anterior Cerebral Artery"},{"code" : "T-1174B","display" : "T4/T5 disc"},{"code" : "A-00435","display" : "Wall"},{"code" : "T-AA000","display" : "Eye"},{"code" : "T-11750","display" : "T5 vertebra"},{"code" : "T-A5160","display" : "Substantia nigra"},{"code" : "T-32200","display" : "Right atrium"},{"code" : "T-54010","display" : "Tooth"},{"code" : "T-45510","display" : "Cerebral artery"},{"code" : "T-42000","display" : "Aorta"},{"code" : "T-11780","display" : "T8 vertebra"},{"code" : "T-D2300","display" : "Lumbar region"},{"code" : "T-11300","display" : "Rib"},{"code" : "T-F6713","display" : "Thigh perforator"},{"code" : "T-D1460","display" : "Sella turcica"},{"code" : "M-37000","display" : "Hemorrhage"},{"code" : "A-16016","display" : "ID Plate"},{"code" : "T-1178B","display" : "T8/T9 disc"},{"code" : "T-45520","display" : "Circle of Willis"},{"code" : "T-11770","display" : "T7 vertebra"},{"code" : "T-F6724","display" : "Lateral calf perforator"},{"code" : "T-47700","display" : "Anterior tibial artery"},{"code" : "A-17350","display" : "Table"},{"code" : "T-1177B","display" : "T7/T8 disc"},{"code" : "T-46420","display" : "Hepatic artery"},{"code" : "T-46421","display" : "Common Hepatic Artery"},{"code" : "T-46422","display" : "Proper Hepatic Artery"},{"code" : "T-48600","display" : "Vena cava"},{"code" : "T-46423","display" : "Right Branch of Hepatic Artery"},{"code" : "T-D1000","display" : "Head and Neck"},{"code" : "T-58400","display" : "Jejunum"},{"code" : "G-A15A","display" : "Intra-articular"},{"code" : "T-46427","display" : "Left Branch of Hepatic Artery"},{"code" : "T-45100","display" : "Common carotid artery"},{"code" : "T-48610","display" : "Superior vena cava"},{"code" : "T-11790","display" : "T9 vertebra"},{"code" : "T-42070","display" : "Thoracic aorta"},{"code" : "T-D2310","display" : "Flank"},{"code" : "T-1179B","display" : "T9/T10 disc"},{"code" : "T-46400","display" : "Truncus coeliacus"},{"code" : "T-A1600","display" : "Brain ventricle"},{"code" : "T-D0170","display" : "Bone of thorax"},{"code" : "T-35300","display" : "Mitral Valve"},{"code" : "T-D3200","display" : "Intra-thoracic"},{"code" : "D3-40208","display" : "Pulmonary arteriovenous fistula"},{"code" : "A-30360","display" : "Needle"},{"code" : "T-47740","display" : "Dorsalis Pedis Artery"},{"code" : "T-46410","display" : "Gastric Artery"},{"code" : "A-28040","display" : "Insulin pump"},{"code" : "T-A6080","display" : "Cerebellar white matter"},{"code" : "T-D3213","display" : "Subxiphoid"},{"code" : "T-D05A1","display" : "Glandular structure of breast"},{"code" : "T-A0305","display" : "Nerve"},{"code" : "T-32602","display" : "Apex of left ventricle"},{"code" : "T-32600","display" : "Left ventricle"},{"code" : "T-62023","display" : "Couinaud hepatic segment I"},{"code" : "T-74000","display" : "Bladder"},{"code" : "T-A2970","display" : "Cerebral fornix"},{"code" : "T-42400","display" : "Descending thoracic aorta"},{"code" : "T-98000","display" : "Scrotum"},{"code" : "T-A1650","display" : "Lateral ventricle"},{"code" : "T-A2500","display" : "Temporal lobe"},{"code" : "T-15290","display" : "Temporomandibular joint"},{"code" : "T-40230","display" : "Lumen of blood vessel"},{"code" : "T-62000","display" : "Liver"},{"code" : "T-1171B","display" : "T1/T2 disc"},{"code" : "M-54000","display" : "Necrosis"},{"code" : "T-D9800","display" : "Toe"},{"code" : "T-D4110","display" : "Right upper quadrant of abdomen"},{"code" : "T-11720","display" : "T2 vertebra"},{"code" : "T-32650","display" : "Left ventricle outflow tract"},{"code" : "T-29000","display" : "Pleura"},{"code" : "T-46820","display" : "Uterine Artery"},{"code" : "A-00916","display" : "Clothing"},{"code" : "A-04036","display" : "Inlay Dental Restoration"},{"code" : "T-17010","display" : "Tendon"},{"code" : "A-04034","display" : "Radioactive implant"},{"code" : "T-B1000","display" : "Pituitary"},{"code" : "T-32640","display" : "Left ventricle inflow tract"},{"code" : "T-11710","display" : "T1 vertebra"},{"code" : "T-55300","display" : "Hypopharynx"},{"code" : "F-A004A","display" : "Lesion of Brain"},{"code" : "A-32475","display" : "BB shot (Lead Pellet)"},{"code" : "T-1173B","display" : "T3/T4 disc"},{"code" : "T-D14AE","display" : "Orbital structure"},{"code" : "T-11740","display" : "T4 vertebra"},{"code" : "T-1A190","display" : "Adventitia"},{"code" : "T-D4130","display" : "Left upper quadrant of abdomen"},{"code" : "R-FAB53","display" : "Neck, Chest and Abdomen"},{"code" : "R-FAB52","display" : "Neck and Chest"},{"code" : "T-C6510","display" : "Thoracic Duct"},{"code" : "R-FAB56","display" : "Chest, Abdomen and Pelvis"},{"code" : "T-C3000","display" : "Spleen"},{"code" : "R-FAB55","display" : "Chest and Abdomen"},{"code" : "R-FAB54","display" : "Neck, Chest, Abdomen and Pelvis"},{"code" : "T-1172B","display" : "T2/T3 disc"},{"code" : "A-04010","display" : "Implant"},{"code" : "T-11730","display" : "T3 vertebra"},{"code" : "T-1A180","display" : "Media"},{"code" : "T-30000","display" : "Cardiovascular system"},{"code" : "T-D4120","display" : "Right lower quadrant of abdomen"},{"code" : "T-A3400","display" : "Putamen"},{"code" : "M-30400","display" : "Foreign body"},{"code" : "T-A1220","display" : "Arachnoid"},{"code" : "T-15680","display" : "Sacroiliac joint"},{"code" : "T-15200","display" : "Fontanel of skull"},{"code" : "A-04000","display" : "Prosthesis"},{"code" : "D4-31120","display" : "Common ventricle"},{"code" : "A-11100","display" : "Cardiac Pacemaker"},{"code" : "T-61100","display" : "Parotid gland"},{"code" : "A-14611","display" : "Vena cava filter"},{"code" : "T-25000","display" : "Trachea"},{"code" : "T-D8500","display" : "Forearm"},{"code" : "T-D4140","display" : "Left lower quadrant of abdomen"},{"code" : "T-A2570","display" : "Hippocampus"},{"code" : "T-48581","display" : "Pulmonary vein"},{"code" : "T-4858F","display" : "Pulmonary Vein"},{"code" : "T-47260","display" : "Digital artery of hand"},{"code" : "T-A2594","display" : "Entorhinal Cortex"},{"code" : "T-50007","display" : "Liver and biliary structure"},{"code" : "T-48160","display" : "External 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#35

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"Thymus"},{"code" : "T-DD123","display" : "Bladder and urethra"},{"code" : "T-AA230","display" : "Bowman's layer"},{"code" : "T-43112","display" : "Distal Left Anterior Descending Coronary Artery"},{"code" : "A-00203","display" : "Baffle"},{"code" : "T-43111","display" : "Proximal Left Anterior Descending Coronary Artery"},{"code" : "T-43110","display" : "Left Anterior Descending Coronary Artery"},{"code" : "M-03010","display" : "Nodule"},{"code" : "T-58600","display" : "Ileum"},{"code" : "T-43115","display" : "Mid Left Anterior Descending Coronary Artery"},{"code" : "T-43119","display" : "3rd diagonal Coronary Artery"},{"code" : "T-43118","display" : "2nd Diagonal Coronary Artery"},{"code" : "T-43117","display" : "1st Diagonal Coronary Artery"},{"code" : "T-45300","display" : "Internal carotid artery"},{"code" : "T-48810","display" : "Portal vein"},{"code" : "T-AA240","display" : "Stroma of cornea"},{"code" : "T-43122","display" : "Distal Circumflex Coronary Artery"},{"code" : "T-43121","display" : "Proximal Circumflex Coronary Artery"},{"code" : "T-43120","display" : "Circumflex Coronary Artery"},{"code" : "T-11510","display" : "Vertebra"},{"code" : "T-4312C","display" : "2nd Left Posterolateral Coronary Artery"},{"code" : "T-4312B","display" : "1st Left Posterolateral Coronary Artery"},{"code" : "T-4312A","display" : "3rd Marginal Coronary Artery"},{"code" : "T-43127","display" : "Mid Circumflex Coronary Artery"},{"code" : "T-43125","display" : "Left Posterolateral Circumflex Coronary Artery"},{"code" : "T-45308","display" : "Carotid Siphon"},{"code" : "T-43124","display" : "AV groove continuation of Circumflex Artery"},{"code" : "T-43129","display" : "2nd Marginal Coronary Artery"},{"code" : "T-48814","display" : "Left Main Branch of Portal Vein"},{"code" : "T-43128","display" : "1st Marginal Coronary Artery"},{"code" : "T-48813","display" : "Right Main Branch of Portal Vein"},{"code" : "T-AA250","display" : "Descemet's membrane"},{"code" : "T-21342","display" : "Vomer bone"},{"code" : "T-AB100","display" : "External ear"},{"code" : "T-A1800","display" : "Cerebral aqueduct"},{"code" : "T-D1213","display" : "Jaw region"},{"code" : "R-FE814","display" : "Chair"},{"code" : "T-46600","display" : "Renal artery"},{"code" : "T-AA260","display" : "Corneal endothelium"},{"code" : "T-20001","display" : "Airway structure"},{"code" : "T-43100","display" : "Left Coronary Artery"},{"code" : "M-03000","display" : "Mass"},{"code" : "T-D1206","display" : "Cheek"},{"code" : "T-D1200","display" : "Face"},{"code" : "T-DD163","display" : "Esophagus, stomach and duodenum"},{"code" : "T-43107","display" : "Left Main Coronary Artery"},{"code" : "T-48840","display" : "Superior Mesenteric Vein"},{"code" : "T-A1820","display" : "Fourth ventricle"},{"code" : "T-44000","display" : "Pulmonary artery"},{"code" : "T-12410","display" : "Humerus"},{"code" : "T-D3412","display" : "Esophageal Hiatus"},{"code" : "T-4884A","display" : "Mesenteric vein"},{"code" : "T-44007","display" : "Systemic collateral artery to lung"},{"code" : "T-46668","display" : "Perforating Artery of Kidney"},{"code" : "T-44010","display" : "Suprapulmonic valve area"},{"code" : "T-A0500","display" : "Peripheral nerve"},{"code" : "M-80006","display" : "Neoplasm, Secondary"},{"code" : "T-D3400","display" : "Diaphragm"},{"code" : "T-4667C","display" : "Lobar Artery"},{"code" : "T-32000","display" : "Heart"},{"code" : "T-4667D","display" : "Interlobar Artery of Kidney"},{"code" : "T-4667E","display" : "Interlobular Artery of Kidney"},{"code" : "T-46640","display" : "Accessory Renal Artery"},{"code" : "T-48820","display" : "Gastric vein"},{"code" : "T-88000","display" : "Fallopian tube"},{"code" : "T-4312E","display" : "Left Posterior Descending Circumflex Coronary Artery"},{"code" : "T-4312D","display" : "3rd Left Posterolateral Coronary Artery"},{"code" : "T-11100","display" : "Skull"},{"code" : "T-11102","display" : "Optic canal"},{"code" : "T-A8000","display" : "Cranial nerve"},{"code" : "T-A2700","display" : "Corpus callosum"},{"code" : "T-45320","display" : "Posterior communication artery"},{"code" : "T-48832","display" : "Umbilical vein"},{"code" : "T-A800B","display" : "Optic chiasm"},{"code" : "T-47500","display" : "Popliteal artery"},{"code" : "T-D2100","display" : "Back"},{"code" : "T-46659","display" : "Segmental Artery"},{"code" : "P1-26100","display" : "Tracheotomy"},{"code" : "T-1191B","display" : "L1/L2 disc"},{"code" : "T-11920","display" : "L2 vertebra"},{"code" : "T-461A0","display" : "Dorsal scapular artery"},{"code" : "T-40000","display" : "Blood Vessel"},{"code" : "T-74250","display" : "Endo-vesical"},{"code" : "T-A4904","display" : "Posterior cerebral commissure"},{"code" : "T-B1200","display" : "Neurohypophysis"},{"code" : "T-11910","display" : "L1 vertebra"},{"code" : "T-45700","display" : "Vertebral artery"},{"code" : "T-1193B","display" : "L3/L4 disc"},{"code" : "T-11AD0","display" : "Sacrum"},{"code" : "T-11940","display" : "L4 vertebra"},{"code" : "T-1192B","display" : "L2/L3 disc"},{"code" : "T-39000","display" : "Pericardium"},{"code" : "T-D6500","display" : "Broad ligament"},{"code" : "T-11930","display" : "L3 vertebra"},{"code" : "T-51120","display" : "Soft palate"},{"code" : "T-39050","display" : "Pericardial cavity"},{"code" : "T-45730","display" : "Anterior spinal artery"},{"code" : "T-A8060","display" : "Optic tract"},{"code" : "T-32410","display" : "Interventricular septum"},{"code" : "T-44400","display" : "Left pulmonary artery"},{"code" : "T-96000","display" : "Vas deferens"},{"code" : "T-A0100","display" : "Brain"},{"code" : "T-A0103","display" : "Telencephalon"},{"code" : "T-A0102","display" : "Diencephalon"},{"code" : "T-40050","display" : "Capillary"},{"code" : "T-1194B","display" : "L4/L5 disc"},{"code" : "A-26802","display" : "Guiding catheter"},{"code" : "T-A0109","display" : "Brain cerebrospinal fluid pathway"},{"code" : "A-26800","display" : "Catheter"},{"code" : "D4-33512","display" : "Pulmonary vein confluence"},{"code" : "T-59900","display" : "Anus"},{"code" : "T-32400","display" : "Ventricle"},{"code" : "T-D6515","display" : "Mid Right Coronary Artery"},{"code" : "T-D8700","display" : "Hand"},{"code" : "T-11950","display" : "L5 vertebra"},{"code" : "T-A010F","display" : "Cerebral hemisphere"},{"code" : "D4-33514","display" : "Pulmonary venous atrium"},{"code" : "T-F7001","display" : "Primitive aorta"},{"code" : "D4-33516","display" : "Systemic venous atrium"},{"code" : "T-11501","display" : "Cervical spine"},{"code" : "T-11502","display" : "Thoracic spine"},{"code" : "T-11503","display" : "Lumbar spine"},{"code" : "T-52000","display" : "Lip"},{"code" : "A-13500","display" : "Suture"},{"code" : "T-A2300","display" : "Parietal lobe"},{"code" : "T-21300","display" : "Endo-nasal"},{"code" : "T-32423","display" : "Trabeculae carnae"},{"code" : "T-49217","display" : "Superficial Palmar Venous Arch"},{"code" : "A-25500","display" : "Stent"},{"code" : "T-49215","display" : "Antecubital vein"},{"code" : "T-D305A","display" : "Intercostal artery"},{"code" : "T-14110","display" : "Pectoralis major muscle"},{"code" : "T-46180","display" : "Costocervical trunk"},{"code" : "T-A0140","display" : "Peripheral nervous system"},{"code" : "T-49218","display" : "Deep Palmar Venous Arch"},{"code" : "T-59490","display" : "Anus, rectum and sigmoid colon"},{"code" : "T-A0149","display" : "Nucleus accumbens"},{"code" : "T-23050","display" : "Endo-nasopharyngeal"},{"code" : "T-15430","display" : "Elbow joint"},{"code" : "A-04232","display" : "Cochlear Implant"},{"code" : "T-A1000","display" : "Cerebrospinal Fluid"},{"code" : "T-F7040","display" : "Primitive pulmonary artery"},{"code" : "T-D0801","display" : "Eye region"},{"code" : "T-15460","display" : "Wrist joint"},{"code" : "T-47490","display" : "Genicular artery"},{"code" : "T-48340","display" : "Azygos vein"},{"code" : "A-12210","display" : "Cervical collar"},{"code" : "T-28770","display" : "Lobe of lung"},{"code" : "T-59470","display" : "Sigmoid colon"},{"code" : "R-FCFCC","display" : "Armrest"},{"code" : "T-14120","display" : "Pectoralis minor muscle"},{"code" : "T-B3000","display" : "Adrenal gland"},{"code" : "T-14122","display" : "Chest wall muscle"},{"code" : "T-AA706","display" : "Anterior surface of lens"},{"code" : "A-10042","display" : "Compression paddle"},{"code" : "T-AA707","display" : "Posterior surface of lens"},{"code" : "T-59000","display" : "Large intestine"},{"code" : "T-26100","display" : "Right main bronchus"},{"code" : "T-03000","display" : "Subcutaneous tissue"},{"code" : "T-A3200","display" : "Caudate nucleus"},{"code" : "T-14150","display" : "Levatores costarum muscles"},{"code" : "T-49250","display" : "Median Cubital vein"},{"code" : "A-04200","display" : "Dental Prosthesis"},{"code" : "T-15001","display" : "Joint"},{"code" : "T-D0821","display" : "Bone of upper limb"},{"code" : "T-15009","display" : "Meniscus"},{"code" : "C-10080","display" : "Gas"},{"code" : "T-14140","display" : "Serratus anterior muscle"},{"code" : "T-A0191","display" : "Cranial venous system"},{"code" : "T-28300","display" : "Middle lobe of right lung"},{"code" : "T-14172","display" : "Latissimus dorsi muscle"},{"code" : "T-14171","display" : "Trapezius muscle"},{"code" : "T-49230","display" : "Basilic vein"},{"code" : "T-D7000","display" : "Inguinal region"},{"code" : "T-A3230","display" : "Amygdala"},{"code" : "T-72000","display" : "Renal pelvis"},{"code" : "T-14161","display" : "External intercostal muscle"},{"code" : "T-14163","display" : "Internal intercostal muscle"},{"code" : "T-14165","display" : "Innermost intercostal muscles"},{"code" : "T-14167","display" : "Transversus thoracis"},{"code" : "T-49240","display" : "Cephalic vein"},{"code" : "T-14166","display" : "Subcostal muscle"},{"code" : "A-12260","display" : "Backrest"},{"code" : "T-45010","display" : "Carotid Artery"},{"code" : "T-48520","display" : "Inferior right pulmonary vein"},{"code" : "T-11240","display" : "Costal Cartilage"},{"code" : "G-0370","display" : "Ileal vein"},{"code" : "G-036B","display" : "Soleal vein"},{"code" : "G-036C","display" : "Transjugular Intrahepatic Portosystemic Shunt"},{"code" : "T-35200","display" : "Pulmonary valve"},{"code" : "G-036F","display" : "Giacomini vein"},{"code" : "T-60650","display" : "Bile"},{"code" : "G-036D","display" : "Inferior Right Hepatic Vein"},{"code" : "G-036E","display" : "Posterior arch vein"},{"code" : "G-0368","display" : "Anterior-Middle Cerebral Artery Bifurcation"},{"code" : "G-0369","display" : "Anterior-Posterior Cerebral Artery Bifurcation"},{"code" : "G-0362","display" : "Fifth Lumbar Artery"},{"code" : "G-0363","display" : "Sixth Lumbar Artery"},{"code" : "G-0360","display" : "Third Lumbar Artery"},{"code" : "G-0361","display" : "Fourth Lumbar Artery"},{"code" : "T-46350","display" : "Superior phrenic artery"},{"code" : "T-47200","display" : "Ulnar artery"},{"code" : "T-48530","display" : "Superior left pulmonary vein"},{"code" : "R-FD5EB","display" : "Digital imager"},{"code" : "G-035A","display" : "Superficial Femoral Vein"},{"code" : "T-57000","display" : "Stomach"},{"code" : "G-035B","display" : "Common Femoral Vein"},{"code" : "T-59666","display" : "Feces"},{"code" : "D3-81922","display" : "Aortic fistula"},{"code" : "T-D8104","display" : "Axilla"},{"code" : "G-035E","display" : "First Lumbar Artery"},{"code" : "G-035F","display" : "Second Lumbar Artery"},{"code" : "G-035C","display" : "Hilar Artery"},{"code" : "T-48502","display" : "Left Pulmonary Vein"},{"code" : "T-48501","display" : "Right Pulmonary Vein"},{"code" : "R-FEEC3","display" : "Headrest"},{"code" : "T-32190","display" : "Pulmonary chamber of cor triatriatum"},{"code" : "T-48503","display" : "Anomalous pulmonary vein"},{"code" : "T-48510","display" : "Superior right pulmonary vein"},{"code" : "T-280A0","display" : "Apex of Lung"},{"code" : "T-D0634","display" : "Fascial layer"},{"code" : "T-15610","display" : "Sternoclavicular joint"},{"code" : "M-520F8","display" : "Vascular sclerosis"},{"code" : "T-280D0","display" : "Segment of lung"},{"code" : "T-90020","display" : "Male internal genitalia"},{"code" : "T-49410","display" : "Femoral vein"},{"code" : "T-D0662","display" : "Mouth"},{"code" : "T-4940E","display" : "Iliac vein"},{"code" : "T-7000B","display" : "Upper urinary tract"},{"code" : "T-4941A","display" : "Saphenopopliteal junction"},{"code" : "T-D9000","display" : "Lower limb"},{"code" : "T-04500","display" : "Interlobular mammary connective tissue"},{"code" : "T-70001","display" : "Urinary system"},{"code" : "T-49426","display" : "Cockett's perforating vein"},{"code" : "T-49424","display" : "Boyd's perforating vein"},{"code" : "T-24100","display" : "Larynx"},{"code" : "T-13450","display" : "Scalenous anterior muscle"},{"code" : "A-040CB","display" : "Cardiac pacemaker lead"},{"code" : "T-47240","display" : "Superficial Palmar Arch"},{"code" : "T-4942D","display" : "Gastrocnemius vein"},{"code" : "T-4942A","display" : "Hunterian perforating vein"},{"code" : "T-01000","display" : "Skin"},{"code" : "T-A9605","display" : "Autonomic nerve"},{"code" : "T-49429","display" : "Dodd's perforating vein"},{"code" : "T-48540","display" : "Inferior left pulmonary vein"},{"code" : "T-47690","display" : "Plantar Arterial Arch"},{"code" : "T-13009","display" : "Muscle"},{"code" : "T-DD006","display" : "Trachea and bronchus"},{"code" : "T-4940B","display" : "Saphenous vein"},{"code" : "T-35250","display" : "pulmonary valve sinuses"},{"code" : "T-46740","display" : "Internal iliac artery"},{"code" : "T-1163B","display" : "C3/C4 disc"},{"code" : "T-48920","display" : "Common iliac vein"},{"code" : "T-45410","display" : "Lacrimal artery"},{"code" : "T-AA110","display" : "Sclera"},{"code" : "T-43230","display" : "Marginal Coronary Artery"},{"code" : "R-1024F","display" : "Middle Cerebral Artery M1 Segment"},{"code" : "T-11640","display" : "C4 vertebra"},{"code" : "T-28080","display" : "Hilum of lung"},{"code" : "T-A9630","display" : "Sympathetic trunk"},{"code" : "T-4105E","display" : "Systemic artery"},{"code" : "T-A5271","display" : "Medial Lemniscus"},{"code" : "T-45416","display" : "Lacrimal artery of right eye"},{"code" : "T-AA117","display" : "Inner surface of sclera"},{"code" : "T-AA116","display" : "External surface of sclera"},{"code" : "T-AA120","display" : "Lamina cribrosa of sclera"},{"code" : "T-47600","display" : "Posterior tibial artery"},{"code" : "R-10259","display" : "Great Saphenous Vein of Thigh"},{"code" : "T-48930","display" : "External iliac vein"},{"code" : "R-10258","display" : "Common Iliac Artery Bifurcation"},{"code" : "T-65010","display" : "Pancreatic duct"},{"code" : "T-41065","display" : "Coronary Artery Graft"},{"code" : "R-1025A","display" : "Great Saphenous Vein of Calf"},{"code" : "T-11630","display" : "C3 vertebra"},{"code" : "R-10253","display" : "Posterior Cerebral Artery P1 Segment"},{"code" : "T-D021B","display" : "Cartilage"},{"code" : "R-10251","display" : "Middle Cerebral Artery M2 Segment"},{"code" : "T-41068","display" : "Iliac and/or femoral artery"},{"code" : "T-20101","display" : "Pharynx and larynx"},{"code" : "R-10255","display" : "Posterior Cerebral Artery P2 Segment"},{"code" : "T-43211","display" : "Posterolateral branch of right Coronary Artery"},{"code" : "T-65000","display" : "Pancreas"},{"code" : "T-43210","display" : "Posterior Descending Right Coronary Artery"},{"code" : "T-11660","display" : "C6 vertebra"},{"code" : "T-D4600","display" : "Omentum"},{"code" : "A-A23F4","display" : "Floor"},{"code" : "T-43215","display" : "3rd Right posterolateral Coronary Artery"},{"code" : "T-43214","display" : "2nd Right posterolateral Coronary Artery"},{"code" : "T-43213","display" : "1st Right posterolateral Coronary Artery"},{"code" : "T-43212","display" : "Right posterior AV Coronary Artery"},{"code" : "T-1166B","display" : "C6/C7 disc"},{"code" : "T-1164B","display" : "C4/C5 disc"},{"code" : "T-42370","display" : "Ligamentum arteriosum"},{"code" : "T-45400","display" : "Ophthalmic artery"},{"code" : "T-90010","display" : "Male external genitalia"},{"code" : "T-12980","display" : "Sesamoid bones of foot"},{"code" : "T-11650","display" : "C5 vertebra"},{"code" : "T-32100","display" : "Atrium"},{"code" : "T-48910","display" : "Inferior Mesenteric Vein"},{"code" : "T-1165B","display" : "C5/C6 disc"},{"code" : "T-47630","display" : "Peroneal artery"},{"code" : "T-21000","display" : "Nose"},{"code" : "T-AB001","display" : "Ear"},{"code" : "T-60610","display" : "Bile duct"},{"code" : "T-A7010","display" : "Spinal cord"},{"code" : "T-46310","display" : "Bronchial artery"},{"code" : "T-11670","display" : "C7 vertebra"},{"code" : "T-D1100","display" : "Head"},{"code" : "T-4630D","display" : "Esophageal artery"},{"code" : "T-A7020","display" : "Spinal cord gray matter"},{"code" : "T-1167B","display" : "C7/T1 disc"},{"code" : "T-60600","display" : "Biliary tract"},{"code" : "T-48940","display" : "Internal iliac vein"},{"code" : "T-45430","display" : "Central Retinal Artery"},{"code" : "T-44100","display" : "Trunk of pulmonary artery"},{"code" : "T-32150","display" : "Interatrial septum"},{"code" : "T-D3300","display" : "Mediastinum"},{"code" : "T-11210","display" : "Sternum"},{"code" : "T-59600","display" : "Rectum"},{"code" : "T-11218","display" : "Suprasternal notch"},{"code" : "T-A1740","display" : "Third ventricle"},{"code" : "T-48081","display" : "Systemic vein"},{"code" : "T-D2010","display" : "Upper trunk"},{"code" : "T-484A4","display" : "Inferior cardiac vein"},{"code" : "T-D1160","display" : "Scalp"},{"code" : "T-42300","display" : "Aortic arch"},{"code" : "T-1A010","display" : "Fat"},{"code" : "D4-32506","display" : "Congenital coronary artery fistula to left ventricle"},{"code" : "T-D2000","display" : "Trunk"},{"code" : "D4-32509","display" : "Congenital coronary artery fistula to right atrium"},{"code" : "D4-32504","display" : "Congenital coronary artery fistula to left atrium"},{"code" : "T-42310","display" : "Aortic isthmus"},{"code" : "T-1A000","display" : "Soft tissue"},{"code" : "T-A2610","display" : "Insula"},{"code" : "T-11BF0","display" : "Coccyx"},{"code" : "T-A7070","display" : "Spinal cord white matter"},{"code" : "T-D4210","display" : "Subcostal"},{"code" : "T-D4212","display" : "Right hypochondriac region"},{"code" : "T-D4211","display" : "Left hypochondriac region"},{"code" : "T-32502","display" : "Apex of right ventricle"},{"code" : "G-A460","display" : "Normal"},{"code" : "T-32500","display" : "Right ventricle"},{"code" : "T-D2020","display" : "Lower trunk"},{"code" : "T-B1100","display" : "Adenohypophysis"},{"code" : "T-D4200","display" : "Epigastric region"},{"code" : "T-28000","display" : "Lung"},{"code" : "T-45800","display" : "Basilar artery"},{"code" : "T-A7093","display" : "Lateral corticospinal tract"},{"code" : "T-D4230","display" : "Umbilical region"},{"code" : "T-46700","display" : "Iliac artery"},{"code" : "T-43200","display" : "Right Coronary Artery"},{"code" : "T-53000","display" : "Tongue"},{"code" : "T-43202","display" : "Distal Right Coronary Artery"},{"code" : "T-43201","display" : "Proximal Right Coronary Artery"},{"code" : "T-46710","display" : "Common iliac artery"},{"code" : "A-32110","display" : "Bullet"},{"code" : "T-A3500","display" : "Globus pallidus"},{"code" : "A-11C08","display" : "Ureteric stent"},{"code" : "T-43205","display" : "Right Coronary Artery Ostium"},{"code" : "D4-32510","display" : "Congenital coronary artery fistula to right ventricle"},{"code" : "T-11620","display" : "C2 vertebra"},{"code" : "T-32550","display" : "Right ventricle outflow tract"},{"code" : "R-FCC16","display" : "MOSFET radiation therapy dosimetry system dosimeter"},{"code" : "T-41000","display" : "Artery"},{"code" : "A-11206","display" : "Defibrillator"},{"code" : "T-11610","display" : "C1 vertebra"},{"code" : "T-32540","display" : "Right ventricle inflow"},{"code" : "T-D4240","display" : "Hypogastric region"},{"code" : "T-48000","display" : "Vein"},{"code" : "T-48003","display" : "Venous network"},{"code" : "T-49330","display" : "Ulnar vein"},{"code" : "T-B2000","display" : "Pineal Gland"},{"code" : "T-A2200","display" : "Frontal lobe"},{"code" : "T-11190","display" : "Hyoid bone"},{"code" : "T-72100","display" : "Calyx"},{"code" : "T-49340","display" : "Radial vein"},{"code" : "A-04110","display" : "Heart valve prosthesis"},{"code" : "T-47160","display" : "Brachial artery"},{"code" : "T-11196","display" : "Facial bones"},{"code" : "T-04430","display" : "Fatty tissue of breast"},{"code" : "T-A0036","display" : "Limbic lobe"},{"code" : "T-C4000","display" : "Lymph node"},{"code" : "M-8FFFF","display" : "Neoplasm"},{"code" : "D4-31220","display" : "Atrial Septal Defect"},{"code" : "R-102BD","display" : "Terminal 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arm"},{"code" : "T-A0090","display" : "Central nervous system"},{"code" : "T-A0095","display" : "White Matter"},{"code" : "T-64500","display" : "Common bile duct"},{"code" : "T-A0096","display" : "Gray Matter"},{"code" : "T-A6630","display" : "Middle cerebellar peduncle"},{"code" : "T-46460","display" : "Splenic artery"},{"code" : "T-C6010","display" : "Lymphatic vessel"},{"code" : "A-12030","display" : "Bone Screw"},{"code" : "T-22000","display" : "Paranasal sinus"},{"code" : "T-D930A","display" : "Saphenofemoral junction"},{"code" : "T-15710","display" : "Hip Joint"},{"code" : "A-25350","display" : "Endotracheal tube"},{"code" : "M-0100C","display" : "Inflammation"},{"code" : "T-D9310","display" : "Popliteal fossa"},{"code" : "T-59300","display" : "Colon"},{"code" : "T-C6000","display" : "Lymphatic system"},{"code" : "T-48620","display" : "Innominate vein"},{"code" : "T-02424","display" : "Skin of chest"},{"code" : "T-46440","display" : "Gastroduodenal Artery"},{"code" : "T-D2700","display" : "Perineum"},{"code" : "A-11FCD","display" : "Left ventricular assist device"},{"code" : "T-47300","display" : "Radial artery"},{"code" : "T-D051D","display" : "Fissure of lung"},{"code" : "T-D8000","display" : "Upper limb"},{"code" : "T-02430","display" : "Skin of breast"},{"code" : "T-A5100","display" : "Midbrain"},{"code" : "A-12062","display" : "Clip"},{"code" : "T-49535","display" : "Posterior medial tributary"},{"code" : "T-117B0","display" : "T11 vertebra"},{"code" : "R-FB4D3","display" : "Female internal genitalia"},{"code" : "T-49530","display" : "Great saphenous vein"},{"code" : "T-D4900","display" : "Retroperitoneal space"},{"code" : "T-45170","display" : "Carotid Bulb"},{"code" : "T-13100","display" : "Muscle of head"},{"code" : "A-61000","display" : "Jewelry"},{"code" : "T-58000","display" : "Small intestine"},{"code" : "T-117BB","display" : "T11/T12 disc"},{"code" : "T-D054F","display" : "Couinaud hepatic segment II"},{"code" : "T-48214","display" : "Occipital vein"},{"code" : "T-117A0","display" : "T10 vertebra"},{"code" : "T-91000","display" : "Penis"},{"code" : "T-15750","display" : "Ankle joint"},{"code" : "T-117AB","display" : "T10/T11 disc"},{"code" : "A-81080","display" : "Laser"},{"code" : "T-AB300","display" : "Middle ear"},{"code" : "T-D0567","display" : "Couinaud hepatic segment III"},{"code" : "T-A8640","display" : "Vagus nerve"},{"code" : "T-D056D","display" : "Couinaud hepatic segment VII"},{"code" : "T-D056C","display" : "Couinaud hepatic segment VI"},{"code" : "T-D056B","display" : "Couinaud hepatic segment V"},{"code" : "T-D056A","display" : "Couinaud hepatic segment IV"},{"code" : "T-D056E","display" : "Couinaud hepatic segment VIII"},{"code" : "T-117C0","display" : "T12 vertebra"},{"code" : "T-D0558","display" : "Brain stem"},{"code" : "T-46010","display" : "Innominate artery"},{"code" : "T-47340","display" : "Deep Palmar Arch of Radial Artery"},{"code" : "T-15770","display" : "Tarsal joint"},{"code" : "T-45160","display" : "Carotid Bifurcation"},{"code" : "T-D1400","display" : "Intracranial"},{"code" : "T-117CB","display" : "T12/L1 disc"},{"code" : "A-17310","display" : "Stretcher"},{"code" : "T-1175B","display" : "T5/T6 disc"},{"code" : "T-45530","display" : "Anterior communicating artery"},{"code" : "T-44200","display" : "Right pulmonary artery"},{"code" : "T-11760","display" : "T6 vertebra"},{"code" : "T-32210","display" : "Right auricular appendage"},{"code" : "T-A6000","display" : "Cerebellum"},{"code" : "T-1176B","display" : "T6/T7 disc"},{"code" : "T-45540","display" : "Anterior Cerebral Artery"},{"code" : "T-1174B","display" : "T4/T5 disc"},{"code" : "A-00435","display" : "Wall"},{"code" : "T-AA000","display" : "Eye"},{"code" : "T-11750","display" : "T5 vertebra"},{"code" : "T-A5160","display" : "Substantia nigra"},{"code" : "T-32200","display" : "Right atrium"},{"code" : "T-54010","display" : "Tooth"},{"code" : "T-45510","display" : "Cerebral artery"},{"code" : "T-42000","display" : "Aorta"},{"code" : "T-11780","display" : "T8 vertebra"},{"code" : "T-D2300","display" : "Lumbar region"},{"code" : "T-11300","display" : "Rib"},{"code" : "T-F6713","display" : "Thigh perforator"},{"code" : "T-D1460","display" : "Sella turcica"},{"code" : "M-37000","display" : "Hemorrhage"},{"code" : "A-16016","display" : "ID Plate"},{"code" : "T-1178B","display" : "T8/T9 disc"},{"code" : "T-45520","display" : "Circle of Willis"},{"code" : "T-11770","display" : "T7 vertebra"},{"code" : "T-F6724","display" : "Lateral calf perforator"},{"code" : "T-47700","display" : "Anterior tibial artery"},{"code" : "A-17350","display" : "Table"},{"code" : "T-1177B","display" : "T7/T8 disc"},{"code" : "T-46420","display" : "Hepatic artery"},{"code" : "T-46421","display" : "Common Hepatic Artery"},{"code" : "T-46422","display" : "Proper Hepatic Artery"},{"code" : "T-48600","display" : "Vena cava"},{"code" : "T-46423","display" : "Right Branch of Hepatic Artery"},{"code" : 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"T-48330","display" : "Subclavian vein"},{"code" : "T-49660","display" : "Profunda Femoris Vein"},{"code" : "T-49630","display" : "Anterior Tibial Vein"},{"code" : "T-15420","display" : "Acromioclavicular joint"},{"code" : "T-45270","display" : "Superficial temporal artery"},{"code" : "T-48780","display" : "Ovarian vein"},{"code" : "M-35300","display" : "Embolus"},{"code" : "T-35020","display" : "Chordae tendineae cordis"},{"code" : "C-20005","display" : "Glue"},{"code" : "T-46130","display" : "Thyrocervical trunk"},{"code" : "T-B7000","display" : "Parathyroid"},{"code" : "T-49640","display" : "Peroneal Vein"},{"code" : "T-46500","display" : "Mesenteric artery"},{"code" : "T-AB200","display" : "External auditory canal"},{"code" : "T-46980","display" : "Ovarian Artery"},{"code" : "T-12730","display" : "Patella"},{"code" : "T-46510","display" : "Superior mesenteric artery"},{"code" : "T-43002","display" : "1st Septal Coronary Artery"},{"code" : "T-43000","display" : "Coronary 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"T-13610","display" : "Supraspinatus muscle"},{"code" : "T-47403","display" : "Superficial Femoral Artery"},{"code" : "T-46520","display" : "Inferior mesenteric artery"},{"code" : "T-D08DC","display" : "L5/S1 disc"},{"code" : "T-12310","display" : "Clavicle"},{"code" : "T-D4400","display" : "Peritioneum"},{"code" : "T-13640","display" : "Teres major muscle"},{"code" : "T-D0050","display" : "Tissue"},{"code" : "T-45200","display" : "External carotid artery"},{"code" : "T-48710","display" : "Inferior vena cava"},{"code" : "T-A2820","display" : "Superior longitudinal fasciculus"},{"code" : "T-13630","display" : "Teres minor muscle"},{"code" : "T-D2220","display" : "Shoulder"},{"code" : "T-55000","display" : "Pharynx"},{"code" : "T-A1500","display" : "Subarachnoid space"},{"code" : "R-FCE69","display" : "Thermoluminescent radiation dosimeter"},{"code" : "T-A2830","display" : "Uncinate fasciculus"},{"code" : "T-D006D","display" : "Bone structure of head and/or neck"},{"code" : "T-63000","display" : "Gallbladder"},{"code" : "D4-31400","display" : "Truncus arteriosus communis"},{"code" : "T-D4425","display" : "Peritoneal cavity"},{"code" : "T-D0070","display" : "Body fluid"},{"code" : "T-A2840","display" : "Cingulum"},{"code" : "T-D0062","display" : "Organ"},{"code" : "T-A2850","display" : "Inferior longitudinal fasciculus"},{"code" : "T-46910","display" : "External iliac artery"},{"code" : "T-D8800","display" : "Finger"},{"code" : "T-D8810","display" : "Thumb"},{"code" : "T-D4450","display" : "Omental bursa"},{"code" : "DF-00651","display" : "Neoplasm, Primary"},{"code" : "T-42520","display" : "Infra-renal Aorta"},{"code" : "T-87000","display" : "Ovary"},{"code" : "T-46940","display" : "Inferior phrenic artery"},{"code" : "T-C2000","display" : "Blood"},{"code" : "T-42100","display" : "Ascending aorta"},{"code" : "A-26912","display" : "Percutaneous transluminal angioplasty balloon"},{"code" : "T-D3136","display" : "Parasternal"},{"code" : "A-13600","display" : "Staple"},{"code" : "T-A2880","display" : "Optic radiation"},{"code" : "T-A2400","display" : "Occipital lobe"},{"code" : "T-F1810","display" : "Umbilical artery"},{"code" : "A-25600","display" : "Atherectomy device"},{"code" : "T-18010","display" : "Ligament"},{"code" : "T-12710","display" : "Femur"},{"code" : "T-D9700","display" : "Foot"},{"code" : "T-32310","display" : "Left auricular appendage"},{"code" : "T-75000","display" : "Urethra"},{"code" : "A-25610","display" : "Rotational atherectomy device"},{"code" : "A-25612","display" : "Embolization coil"},{"code" : "A-25614","display" : "Embolization ball"},{"code" : "T-32300","display" : "Left atrium"},{"code" : "T-12700","display" : "Bone of lower limb"},{"code" : "T-45600","display" : "Middle Cerebral Artery"},{"code" : "D4-31005","display" : "Common atrium"},{"code" : "T-D04FF","display" : "Spine"},{"code" : "T-02480","display" : "Skin of abdomen"},{"code" : "A-25616","display" : "Embolization particulate"},{"code" : "T-A1110","display" : "Meninges"},{"code" : "T-12280","display" : "Scapula"},{"code" : "A-10141","display" : "Measuring ruler"},{"code" : "T-A1120","display" : "Dura mater"},{"code" : "T-71000","display" : "Kidney"},{"code" : "T-49550","display" : "Lesser Saphenous Vein"},{"code" : "T-D00A3","display" : "Body cavity"},{"code" : "T-AA810","display" : "Eyelid"},{"code" : "T-04211","display" : "Areolar tissue of breast"},{"code" : "T-48286","display" : "Central Retinal Vein"},{"code" : "T-14030","display" : "Iliocostalis muscle"},{"code" : "A-1016B","display" : "J Wire"},{"code" : "T-42500","display" : "Abdominal aorta"},{"code" : "D4-31052","display" : "Juxtaposed atrial appendage"},{"code" : "T-14020","display" : "Erector spinae muscle"},{"code" : "T-D00AB","display" : "Body conduit"},{"code" : "T-26000","display" : "Bronchus"},{"code" : "T-42510","display" : "Supra-renal Aorta"},{"code" : "T-1A200","display" : "Connective tissue"},{"code" : "T-14050","display" : "Spinalis muscle"},{"code" : "T-49110","display" : "Axillary vein"},{"code" : "T-B4000","display" : "Carotid Body"},{"code" : "T-65600","display" : "Pancreatic duct and bile duct systems"},{"code" : "T-AB700","display" : "Inner ear"},{"code" : "T-A2020","display" : "Cerebral cortex"},{"code" : "T-14040","display" : "Longissimus muscle"},{"code" : "T-83000","display" : "Uterus"},{"code" : "T-A2030","display" : "Cerebral White Matter"}]}]}}

#36

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{"resourceType" : "Bundle","id" : "6a46824d-a9f1-41e3-ae24-23410fdd44","meta" : {"lastUpdated" : "2025-12-15T20:11:50.379Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v3-ActCode"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v3-ActCode","resource" : {"resourceType" : "CodeSystem","id" : "v3-ActCode","language" : "en","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.4"}],"version" : "9.0.0","name" : "ActCode","title" : "ActCode","status" : "active","experimental" : false,"date" : "2023-05-30","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "A code specifying the particular kind of Act that the Act-instance represents within its class.\r\n\r\n*Constraints:* The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc.\r\n\r\nConceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure.\r\n\r\nAct.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code \"potassium\" together with and Act.classCode for \"laboratory observation\" to somehow mean \"potassium laboratory observation\" and then use the same Act.code for \"potassium\" together with Act.classCode for \"medication\" to mean \"substitution of potassium\". This mutually modifying use of Act.code and Act.classCode is not permitted.","copyright" : "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"hierarchyMeaning" : "is-a","content" : "complete","property" : [{"extension" : [{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode" : "Specializes"}],"code" : "rim-ClassifiesClassCode","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ClassifiesClassCode","description" : "The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code.  Used only in RIM backbone classes to link the code and classCode values.","type" : "Coding"},{"code" : "internalId","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description" : "The internal identifier for the concept in the HL7 Access database repository.","type" : "code"},{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type" : "code"},{"code" : "deprecationDate","uri" : "http://hl7.org/fhir/concept-properties#deprecationDate","description" : "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type" : "dateTime"},{"code" : "notSelectable","uri" : "http://hl7.org/fhir/concept-properties#notSelectable","description" : "Indicates that the code is abstract - only intended to be used as a selector for other concepts","type" : "boolean"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"},{"code" : "synonymCode","uri" : "http://hl7.org/fhir/concept-properties#synonym","description" : "An additional concept code that was also attributed to a concept","type" : "code"},{"code" : "subsumedBy","uri" : "http://hl7.org/fhir/concept-properties#parent","description" : "The concept code of a parent concept","type" : "code"}],"concept" : [{"code" : "_ActAccountCode","display" : "ActAccountCode","definition" : "An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACCT"}},{"code" : "internalId","valueCode" : "20849"}]},{"code" : "_ActAdjudicationCode","display" : "ActAdjudicationCode","definition" : "Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ADJUD"}},{"code" : "internalId","valueCode" : "20850"}]},{"code" : "_ActAdjudicationResultActionCode","display" : "ActAdjudicationResultActionCode","definition" : "Actions to be carried out by the recipient of the Adjudication Result information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20853"}]},{"code" : "_ActBillableModifierCode","display" : "ActBillableModifierCode","definition" : "**Definition:**An identifying modifier code for healthcare interventions or procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21993"}]},{"code" : "_ActBillingArrangementCode","display" : "ActBillingArrangementCode","definition" : "The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20857"}]},{"code" : "_ActBoundedROICode","display" : "ActBoundedROICode","definition" : "Type of bounded ROI.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ROIBND"}},{"code" : "internalId","valueCode" : "20858"}]},{"code" : "_ActCareProvisionCode","display" : "act care provision","definition" : "**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21825"}]},{"code" : "_ActClaimAttachmentCategoryCode","display" : "ActClaimAttachmentCategoryCode","definition" : "**Description:** Coded types of attachments included to support a healthcare claim.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "CATEGORY"}},{"code" : "internalId","valueCode" : "23004"}]},{"code" : "_ActConsentType","display" : "ActConsentType","definition" : "**Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "CONS"}},{"code" : "internalId","valueCode" : "22199"}]},{"code" : "_ActContainerRegistrationCode","display" : "ActContainerRegistrationCode","definition" : "Constrains the ActCode to the domain of Container Registration","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "CONTREG"}},{"code" : "internalId","valueCode" : "20860"}]},{"code" : "_ActControlVariable","display" : "ActControlVariable","definition" : "An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.\r\n\r\nControl variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. 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Examples include \"household\", \"care giver\", \"intimate partner\", \"common space\", \"common substance\", etc. to further describe the nature of interaction.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "EXPOS"}},{"code" : "internalId","valueCode" : "22353"}]},{"code" : "_ActFinancialTransactionCode","display" : "ActFinancialTransactionCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "XACT"}},{"code" : "internalId","valueCode" : "20872"}]},{"code" : "_ActIncidentCode","display" : "ActIncidentCode","definition" : "Set of codes indicating the type of incident or accident.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INC"}},{"code" : "internalId","valueCode" : "20873"}]},{"code" : "_ActInformationAccessCode","display" : "ActInformationAccessCode","definition" : "**Description:** The type of health information to which the subject of the information or the subject's delegate consents or dissents.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22244"}]},{"code" : "_ActInformationAccessContextCode","display" : "ActInformationAccessContextCode","definition" : "Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22332"}]},{"code" : "_ActInformationCategoryCode","display" : "ActInformationCategoryCode","definition" : "**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "DOC"}},{"code" : "internalId","valueCode" : "22386"}]},{"code" : "_ActInvoiceElementCode","display" : "ActInvoiceElementCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20888"}]},{"code" : "_ActInvoiceElementSummaryCode","display" : "ActInvoiceElementSummaryCode","definition" : "Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20889"}]},{"code" : "_ActInvoiceOverrideCode","display" : "ActInvoiceOverrideCode","definition" : "Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20892"}]},{"code" : "_ActListCode","display" : "ActListCode","definition" : "Provides codes associated with ActClass value of LIST (working list)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "20895"}]},{"code" : "_ActMonitoringProtocolCode","display" : "ActMonitoringProtocolCode","definition" : "Identifies types of monitoring programs","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "MPROT"}},{"code" : "internalId","valueCode" : "20897"}]},{"code" : "_ActNonObservationIndicationCode","display" : "ActNonObservationIndicationCode","definition" : "**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACT"}},{"code" : "internalId","valueCode" : "22387"}]},{"code" : "_ActObservationVerificationType","display" : "act observation verification","definition" : "Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.\r\n\r\n**Examples:**\r\n\r\n1.  Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program\r\n2.  Verification of record - e.g., person has record in an immunization registry\r\n3.  Verification of enumeration - e.g. NPI\r\n4.  Verification of Board Certification - provider specific\r\n5.  Verification of Certification - e.g. JAHCO, NCQA, URAC\r\n6.  Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria\r\n7.  Verification of Provider Credentials\r\n8.  Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "VERIF"}},{"code" : "internalId","valueCode" : "21907"}]},{"code" : "_ActPaymentCode","display" : "ActPaymentCode","definition" : "Code identifying the method or the movement of payment instructions.\r\n\r\nCodes are drawn from X12 data element 591 (PaymentMethodCode)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "XACT"}},{"code" : "internalId","valueCode" : "20900"}]},{"code" : "_ActPharmacySupplyType","display" : "ActPharmacySupplyType","definition" : "Identifies types of dispensing events","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPLY"}},{"code" : "internalId","valueCode" : "20901"}]},{"code" : "_ActPolicyType","display" : "ActPolicyType","definition" : "A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "POLICY"}},{"code" : "internalId","valueCode" : "22182"}]},{"code" : "_ActProductAcquisitionCode","display" : "ActProductAcquisitionCode","definition" : "The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPLY"}},{"code" : "internalId","valueCode" : "20903"}]},{"code" : "_ActSpecimenTransportCode","display" : "ActSpecimenTransportCode","definition" : "Transportation of a specimen.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "TRNS"}},{"code" : "internalId","valueCode" : "22388"}]},{"code" : "_ActSpecimenTreatmentCode","display" : "ActSpecimenTreatmentCode","definition" : "Set of codes related to specimen treatments","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPCTRT"}},{"code" : "internalId","valueCode" : "20905"}]},{"code" : "_ActSubstanceAdministrationCode","display" : "ActSubstanceAdministrationCode","definition" : "**Description:** Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SBADM"}},{"code" : "internalId","valueCode" : "21517"}]},{"code" : "_ActTaskCode","display" : "ActTaskCode","definition" : "**Description:** A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACT"}},{"code" : "internalId","valueCode" : "22047"}]},{"code" : "_ActTransportationModeCode","display" : "ActTransportationModeCode","definition" : "Characterizes how a transportation act was or will be carried out.\r\n\r\n*Examples:* Via private transport, via public transit, via courier.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "TRNS"}},{"code" : "internalId","valueCode" : "21545"}]},{"code" : "_ObservationType","display" : "ObservationType","definition" : "Identifies the kinds of observations that can be performed","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "20930"}]},{"code" : "_ROIOverlayShape","display" : "ROIOverlayShape","definition" : "Shape of the region on the object being referenced","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20931"}]},{"code" : "C","display" : "corrected","definition" : "**Description:**Indicates that result data has been corrected.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22831"}]},{"code" : "DIET","display" : "Diet","definition" : "Code set to define specialized/allowed diets","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10376"}]},{"code" : "DRUGPRG","display" : "drug program","definition" : "**Definition:** A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22132"}]},{"code" : "F","display" : "final","definition" : "**Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22830"}]},{"code" : "PRLMN","display" : "preliminary","definition" : "**Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22829"}]},{"code" : "SECOBS","display" : "SecurityObservationType","definition" : "An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels.\r\n\r\n*Rationale:* According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:\r\n\r\n *  The security policy identifiers shall be identical\r\n *  The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and\r\n *  For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target.\r\n\r\n**Examples:** SecurityObservationType security label fields include:\r\n\r\n *  Confidentiality classification\r\n *  Compartment category\r\n *  Sensitivity category\r\n *  Security mechanisms used to ensure data integrity or to perform authorized data transformation\r\n *  Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance.\r\n\r\n*Usage Note:* SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the \"security label tag\".","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23471"}]},{"code" : "SUBSIDFFS","display" : "subsidized fee for service program","definition" : "**Definition:** A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22138"}]},{"code" : "WRKCOMP","display" : "(workers compensation program","definition" : "**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22146"}]},{"code" : "_ActAdjudicationInformationCode","display" : "ActAdjudicationInformationCode","definition" : "Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice.\r\n\r\nCodes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim).\r\n\r\nExample adjudication information code is 54540 - Patient has reached Plan Maximum for current year.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20852"}]},{"code" : "_ActBillableTreatmentPlanCode","display" : "ActBillableTreatmentPlanCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20856"}]},{"code" : "_ActCognitiveProfessionalServiceCode","display" : "ActCognitiveProfessionalServiceCode","definition" : "Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21511"}]},{"code" : "_ActIdentityDocumentCode","display" : "ActIdentityDocumentCode","definition" : "Code identifying the type of identification document (e.g. passport, drivers license)\r\n\r\n**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22267"}]},{"code" : "_ActOrderCode","display" : "ActOrderCode","definition" : "The type of order that was fulfilled by the clinical service","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20899"}]},{"code" : "_ActPrivilegeCategorization","display" : "ActPrivilegeCategorization","definition" : "An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21535"}]},{"code" : "_ActProcedureCode","display" : "ActProcedureCode","definition" : "An identifying code for healthcare interventions/procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20902"}]},{"code" : "_ActRegistryCode","display" : "ActRegistryCode","definition" : "This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20904"}]},{"code" : "_ActSecurityObjectCode","display" : "ActSecurityObjectCode","definition" : "**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22641"}]},{"code" : "_AdvanceBeneficiaryNoticeType","display" : "AdvanceBeneficiaryNoticeType","definition" : "**Description:**\r\n\r\nRepresents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.\r\n\r\n**Examples:**\r\n\r\n *  Advanced beneficiary medically necessity notice.\r\n *  Advanced beneficiary agreement to pay notice.\r\n *  Advanced beneficiary requests payer billed.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22095"}]},{"code" : "_CPT4","display" : "CPT4","definition" : "**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22176"}]},{"code" : "_ExternallyDefinedActCodes","display" : "ExternallyDefinedActCodes","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20919"}]},{"code" : "_HL7DefinedActCodes","display" : "HL7DefinedActCodes","definition" : "Domain provides the root for HL7-defined detailed or rich codes for the Act classes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20921"}]},{"code" : "_IndividualCaseSafetyReportCriteria","display" : "IndividualCaseSafetyReportCriteria","definition" : "**Description:** Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22078"}]},{"code" : "_IndividualCaseSafetyReportProductCharacteristic","display" : "IndividualCaseSafetyReportProductCharacteristic","definition" : "**Description:** Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.\r\n\r\n**Examples:**Weight, color, dimensions.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22079"}]},{"code" : "_ObservationActAgeGroupType","display" : "ObservationActAgeGroupType","definition" : "**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22046"}]},{"code" : "COPAY","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17501"}]},{"code" : "DEDUCT","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17500"}]},{"code" : "DOSEIND","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17793"}]},{"code" : "PRA","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "16675"}]},{"code" : "STORE","display" : "Storage","definition" : "The act of putting something away for safe keeping. The \"something\" may be physical object such as a specimen, or information, such as observations regarding a specimen.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21456"}]},{"code" : "ACCTRECEIVABLE","display" : "account receivable","definition" : "An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21361"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "CASH","display" : "Cash","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14810"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "CC","display" : "credit card","definition" : "**Description:** Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23013"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "PBILLACCT","display" : "patient billing account","definition" : "An account representing charges and credits (financial transactions) for a patient's encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21301"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "_CreditCard","display" : "CreditCard","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20912"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "_ActAdjudicationGroupCode","display" : "ActAdjudicationGroupCode","definition" : "Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ADJUD"}},{"code" : "internalId","valueCode" : "20851"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "AA","display" : "adjudicated with adjustments","definition" : "The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).\r\n\r\nAlso includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19347"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "AR","display" : "adjudicated as refused","definition" : "The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.\r\n\r\nIncludes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').\r\n\r\nIf one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.\r\n\r\nA refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.\r\n\r\nInvoice element cannot be reversed (nullified) as there is nothing to reverse.\r\n\r\nRecommend that the invoice element is not saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17619"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "AS","display" : "adjudicated as submitted","definition" : "The invoice element was/will be paid exactly as submitted, without financial adjustment(s).\r\n\r\nIf the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as \"Adjudicated with Adjustment\".\r\n\r\nIf information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17617"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "CONT","display" : "contract","definition" : "Transaction counts and value totals by Contract Identifier.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17974"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "DAY","display" : "day","definition" : "Transaction counts and value totals for each calendar day within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17969"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "LOC","display" : "location","definition" : "Transaction counts and value totals by service location (e.g clinic).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17976"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "MONTH","display" : "month","definition" : "Transaction counts and value totals for each calendar month within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17970"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PERIOD","display" : "period","definition" : "Transaction counts and value totals for the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17971"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PROV","display" : "provider","definition" : "Transaction counts and value totals by Provider Identifier.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17975"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "WEEK","display" : "week","definition" : "Transaction counts and value totals for each calendar week within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17972"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "YEAR","display" : "year","definition" : "Transaction counts and value totals for each calendar year within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17973"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "DISPLAY","display" : "Display","definition" : "The adjudication result associated is to be displayed to the receiver of the adjudication result.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17475"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationResultActionCode"}]},{"code" : "FORM","display" : "Print on Form","definition" : "The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17473"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationResultActionCode"}]},{"code" : "NAT","display" : "Insufficient authorization","definition" : "The requesting party has insufficient authorization to invoke the interaction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21390"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code" : "SUPPRESSED","display" : "record suppressed","definition" : "**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23274"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code" : "VALIDAT","display" : "validation issue","definition" : "**Description:**The specified element did not pass business-rule validation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21651"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code" : "_ActAdministrativeAuthorizationDetectedIssueCode","display" : "ActAdministrativeAuthorizationDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21389"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeDetectedIssueCode"}]},{"code" : "_ActAdministrativeRuleDetectedIssueCode","display" : "ActAdministrativeRuleDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21391"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeDetectedIssueCode"}]},{"code" : "_AuthorizationIssueManagementCode","display" : "Authorization Issue Management Code","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "21387"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeDetectedIssueManagementCode"}]},{"code" : "KEY204","display" : "Unknown key identifier","definition" : "The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21392"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "KEY205","display" : "Duplicate key identifier","definition" : "The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21393"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "KEY206","display" : "non-matching identification","definition" : "**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23272"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"}]},{"code" : "OBSOLETE","display" : "obsolete record returned","definition" : "**Description:** One or more records in the query response have a status of 'obsolete'.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23275"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"}]},{"code" : "CPTM","display" : "CPT modifier codes","definition" : "**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22151"},{"code" : "subsumedBy","valueCode" : "_ActBillableModifierCode"}]},{"code" : "HCPCSA","display" : "HCPCS Level II and Carrier-assigned","definition" : "**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22150"},{"code" : "subsumedBy","valueCode" : "_ActBillableModifierCode"}]},{"code" : "_ActMedicalBillableServiceCode","display" : "ActMedicalBillableServiceCode","definition" : "**Definition:** An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22219"},{"code" : "subsumedBy","valueCode" : "_ActBillableServiceCode"}]},{"code" : "_ActNonMedicalBillableServiceCode","display" : "ActNonMedicalBillableServiceCode","definition" : "**Definition:** An identifying code for billable services that are not medical procedures, such as social services or governmental program services.\r\n\r\n**Example:** Building a wheelchair ramp, help with groceries, giving someone a ride, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22220"},{"code" : "subsumedBy","valueCode" : "_ActBillableServiceCode"}]},{"code" : "BLK","display" : "block funding","definition" : "A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.\r\n\r\nThis billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17480"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "CAP","display" : "capitation funding","definition" : "A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17484"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "CONTF","display" : "contract funding","definition" : "A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17481"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "FINBILL","display" : "financial","definition" : "A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19723"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "ROST","display" : "roster funding","definition" : "A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17482"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "SESS","display" : "sessional funding","definition" : "A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17483"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "FFS","display" : "fee for service","definition" : "A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.\r\n\r\nFee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17479"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "ROIFS","display" : "fully specified ROI","definition" : "A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of \"ST elevation\" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17897"},{"code" : "subsumedBy","valueCode" : "_ActBoundedROICode"}]},{"code" : "ROIPS","display" : "partially specified ROI","definition" : "A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17898"},{"code" : "subsumedBy","valueCode" : "_ActBoundedROICode"}]},{"code" : "_ActCredentialedCareCode","display" : "act credentialed care","definition" : "**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.\r\n\r\n**Example:**Hospital license; physician license; clinic accreditation.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21826"},{"code" : "subsumedBy","valueCode" : "_ActCareProvisionCode"}]},{"code" : "_ActEncounterCode","display" : "ActEncounterCode","definition" : "Domain provides codes that qualify the ActEncounterClass (ENC)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ENC"}},{"code" : "internalId","valueCode" : "20869"},{"code" : "subsumedBy","valueCode" : "_ActCareProvisionCode"}]},{"code" : "_ActMedicalServiceCode","display" : "ActMedicalServiceCode","definition" : "General category of medical service provided to the patient during their encounter.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20896"},{"code" : "subsumedBy","valueCode" : "_ActCareProvisionCode"}]},{"code" : "AUTOATTCH","display" : "auto attachment","definition" : "**Description:** Automobile Information Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23012"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "DOCUMENT","display" : "document","definition" : "**Description:** Document Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23008"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "HEALTHREC","display" : "health record","definition" : "**Description:** Health Record Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23010"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "IMG","display" : "image attachment","definition" : "**Description:** Image Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23006"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "LABRESULTS","display" : "lab results","definition" : "**Description:** Lab Results Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23009"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "MODEL","display" : "model","definition" : "**Description:** Digital Model Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23007"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "WIATTCH","display" : "work injury report attachment","definition" : "**Description:** Work Injury related additional Information Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23011"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "XRAY","display" : "x-ray","definition" : "**Description:** Digital X-Ray Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23005"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "_ActDecision","display" : "_ActDecision","definition" : "Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24107"},{"code" : "subsumedBy","valueCode" : "_ActConsent"}]},{"code" : "_ActPrivacyConsentDirective","display" : "_ActPrivacyConsentDirective","definition" : "Specifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24108"},{"code" : "subsumedBy","valueCode" : "_ActConsent"}]},{"code" : "EMRGONLY","display" : "emergency only","definition" : "Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.\r\n\r\n*Usage Note:* To specify the scope of an \"EMRGONLY\" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\n\r\n *  ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\n *  BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\n *  ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"Break the Glass\" purpose of use.\r\n *  THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\n *  DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\n\r\nMap: An \"emergency only\" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23325"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"}]},{"code" : "GRANTORCHOICE","display" : "grantor choice","definition" : "A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\n*Comment:* A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.\r\n\r\n*Usage Note:* If the grantor's term of agreement must be accepted in full, then this is considered \"basic consent\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A PHR account holder \\[grantor\\] may require any PHR user \\[grantee\\] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user.\r\n *  Non-healthcare: The owner of a resource server \\[grantor\\] may require any authorization server \\[grantee\\] to meet authorization requirements stipulated in the grantor's terms of agreement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23754"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "IMPLIED","display" : "implied consent","definition" : "A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\n*Comment:* Implied or \"implicit\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.\r\n\r\n*Usage Note:* Implied consent with no opportunity to assent or dissent to certain terms is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient \\[grantor\\] agrees to the rights granted to the provider \\[grantee\\] in an implicit consent directive.\r\n *  An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws.\r\n *  Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests.\r\n *  A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23755"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "IMPLIEDD","display" : "implied consent with opportunity to dissent","definition" : "A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\n*Comment:* A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Implied or \"implicit\" consent with an \"opportunity to dissent\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.\r\n *  A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations.\r\n *  Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23756"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "NOCONSENT","display" : "no consent","definition" : "No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\n*Comment:* A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles \\[FIPP\\] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.\r\n\r\n*Usage Note:* The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented.\r\n *  Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement.\r\n *  Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling.\r\n *  Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23757"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "NOPP","display" : "notice of privacy practices","definition" : "An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.\r\n\r\n*Usage Notes:* Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\"."},{"code" : "internalId","valueCode" : "23370"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"}]},{"code" : "OPTIN","display" : "opt-in","definition" : "A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\n*Comment:* Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] signs a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies.\r\n *  Non-healthcare: An employee \\[grantor\\] signs an employer's \\[grantee's\\] non-disclosure and non-compete agreement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23326"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "OPTINR","display" : "opt-in with restrictions","definition" : "A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\n*Comment:* A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Opt-in with restrictions is considered \"granular consent\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list.\r\n *  Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23758"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "OPTOUT","display" : "op-out","definition" : "A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\n*Comment:* Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] declines to sign a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.\r\n *  Non-healthcare: An employee \\[grantor\\] refuses to sign an employer's \\[grantee's\\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.\r\n *  A citizen \\[grantor\\] refuses to enroll in mandatory government \\[grantee\\] health insurance based on religious beliefs, which is an exemption.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23327"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "OPTOUTE","display" : "opt-out with exceptions","definition" : "A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\n*Comment:* A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.\r\n\r\n*Usage Note:* Opt-out with exceptions is considered a \"granular consent\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"time to live\" shared secret \\[e.g., a token or password\\], which the patient can give to a provider when seeking care.\r\n *  Non-healthcare: A social media user \\[grantor\\] dissents from public access to their account, but assents to access to a circle of friends.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23759"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "ICOL","display" : "information collection","definition" : "**Definition:** Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22203"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "IDSCL","display" : "information disclosure","definition" : "**Definition:** Consent to have collected healthcare information disclosed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22204"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "INFA","display" : "information access","definition" : "**Definition:** Consent to access healthcare information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22200"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "IRDSCL","display" : "information redisclosure","definition" : "**Definition:** Information re-disclosed without the patient's consent.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22205"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "RESEARCH","display" : "research information access","definition" : "**Definition:** Consent to have healthcare information in an electronic health record accessed for research purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22206"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "ID","display" : "Identified","definition" : "Used by one system to inform another that it has received a container.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14059"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "IP","display" : "In Position","definition" : "Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14060"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "L","display" : "Left Equipment","definition" : "Used by one system to inform another that the container has been released from that system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14063"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "M","display" : "Missing","definition" : "Used by one system to inform another that the container did not arrive at its next expected location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14064"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "O","display" : "In Process","definition" : "Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14061"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "R","display" : "Process Completed","definition" : "Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14062"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "X","display" : "Container Unavailable","definition" : "Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14065"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "AUTO","display" : "auto-repeat permission","definition" : "Specifies whether or not automatic repeat testing is to be initiated on specimens.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16860"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "ENDC","display" : "endogenous content","definition" : "A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16858"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "REFLEX","display" : "reflex permission","definition" : "Specifies whether or not further testing may be automatically or manually initiated on specimens.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16859"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "_ECGControlVariable","display" : "ECGControlVariable","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20916"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "AUTH","display" : "Authorized","definition" : "Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17492"},{"code" : "subsumedBy","valueCode" : "_ActCoverageAuthorizationConfirmationCode"}]},{"code" : "NAUTH","display" : "Not Authorized","definition" : "Authorization for specified healthcare service(s) and/or product(s) denied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17493"},{"code" : "subsumedBy","valueCode" : "_ActCoverageAuthorizationConfirmationCode"}]},{"code" : "_ActCoverageAuthorizationConfirmationCode","display" : "ActCoverageAuthorizationConfirmationCode","definition" : "Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "20862"},{"code" : "subsumedBy","valueCode" : "_ActCoverageConfirmationCode"}]},{"code" : "_ActCoverageEligibilityConfirmationCode","display" : "ActCoverageEligibilityConfirmationCode","definition" : "Indication of eligibility coverage for healthcare service(s) and/or product(s).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20864"},{"code" : "subsumedBy","valueCode" : "_ActCoverageConfirmationCode"}]},{"code" : "ELG","display" : "Eligible","definition" : "Insurance coverage is in effect for healthcare service(s) and/or product(s).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17489"},{"code" : "subsumedBy","valueCode" : "_ActCoverageEligibilityConfirmationCode"}]},{"code" : "NELG","display" : "Not Eligible","definition" : "Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17490"},{"code" : "subsumedBy","valueCode" : "_ActCoverageEligibilityConfirmationCode"}]},{"code" : "_ActCoverageQuantityLimitCode","display" : "ActCoverageQuantityLimitCode","definition" : "Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "22342"},{"code" : "subsumedBy","valueCode" : "_ActCoverageLimitCode"}]},{"code" : "COVMX","display" : "coverage maximum","definition" : "**Definition:** Codes representing the maximum coverate or financial participation requirements.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22239"},{"code" : "subsumedBy","valueCode" : "_ActCoverageLimitCode"}]},{"code" : "_ActCoveredPartyLimitCode","display" : "ActCoveredPartyLimitCode","definition" : "Codes representing the types of covered parties that may receive covered benefits under a policy or program.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22344"},{"code" : "subsumedBy","valueCode" : "_ActCoverageLimitCode"}]},{"code" : "COVPRD","display" : "coverage period","definition" : "Codes representing the time period during which coverage is available; or financial participation requirements are in effect.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22343"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "LFEMX","display" : "life time maximum","definition" : "**Definition:** Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22240"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"},{"code" : "subsumedBy","valueCode" : "COVMX"}]},{"code" : "NETAMT","display" : "Net Amount","definition" : "Maximum net amount that will be covered for the product or service specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17497"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "PRDMX","display" : "period maximum","definition" : "**Definition:** Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22241"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"},{"code" : "subsumedBy","valueCode" : "COVMX"}]},{"code" : "UNITPRICE","display" : "Unit Price","definition" : "Maximum unit price that will be covered for the authorized product or service.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17499"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "UNITQTY","display" : "Unit Quantity","definition" : "Maximum number of items that will be covered of the product or service specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17498"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "_ActInsurancePolicyCode","display" : "ActInsurancePolicyCode","definition" : "Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "POLICY"}},{"code" : "internalId","valueCode" : "20874"},{"code" : "subsumedBy","valueCode" : "_ActCoverageTypeCode"}]},{"code" : "_ActInsuranceTypeCode","display" : "ActInsuranceTypeCode","definition" : "**Definition:** Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured.\r\n\r\n*Discussion:* In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22097"},{"code" : "subsumedBy","valueCode" : "_ActCoverageTypeCode"}]},{"code" : "_ActProgramTypeCode","display" : "ActProgramTypeCode","definition" : "**Definition:** A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds.\r\n\r\n*Discussion:* Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22098"},{"code" : "subsumedBy","valueCode" : "_ActCoverageTypeCode"}]},{"code" : "_ActCoveragePartyLimitGroupCode","display" : "ActCoveragePartyLimitGroupCode","definition" : "Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22345"},{"code" : "subsumedBy","valueCode" : "_ActCoveredPartyLimitCode"}]},{"code" : "_ActCredentialedCareProvisionPersonCode","display" : "act credentialed care provision peron","definition" : "**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21827"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareCode"}]},{"code" : "_ActCredentialedCareProvisionProgramCode","display" : "act credentialed care provision program","definition" : "**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21828"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareCode"}]},{"code" : "CACC","display" : "certified anatomic pathology and clinical pathology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21848"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CAIC","display" : "certified allergy and immunology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21830"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CAMC","display" : "certified aerospace medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21854"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CANC","display" : "certified anesthesiology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21831"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CAPC","display" : "certified anatomic pathology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21849"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CBGC","display" : "certified clinical biochemical genetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21837"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCCC","display" : "certified clinical cytogenetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21838"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCGC","display" : "certified clinical genetics (M.D.) care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21839"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCPC","display" : "certified clinical pathology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21850"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCSC","display" : "certified colon and rectal surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21832"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CDEC","display" : "certified dermatology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21833"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CDRC","display" : "certified diagnostic radiology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21860"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CEMC","display" : "certified emergency medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21834"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CFPC","display" : "certified family practice care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21835"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CIMC","display" : "certified internal medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21836"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CMGC","display" : "certified clinical molecular genetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21840"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNEC","display" : "certified neurology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21858"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNMC","display" : "certified nuclear medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21843"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNQC","display" : "certified neurology with special qualifications in child neurology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21859"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNSC","display" : "certified neurological surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21842"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COGC","display" : "certified obstetrics and gynecology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21844"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COMC","display" : "certified occupational medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21855"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COPC","display" : "certified ophthalmology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : 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When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated.\r\n\r\n*Usage Note:* This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23573"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "SS","display" : "short stay","definition" : "An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21444"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "VR","display" : "virtual","definition" : "A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16236"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "CHLDCARE","display" : "Day care - Child care Interaction","definition" : "**Description:** Exposure participants' interaction occurred in a child care setting","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22357"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "CONVEYNC","display" : "Common Conveyance Interaction","definition" : "**Description:** An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22358"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HLTHCARE","display" : "Health Care Interaction - Not Patient Care","definition" : "**Description:** Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22355"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOMECARE","display" : "Care Giver Interaction","definition" : "**Description:** Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22354"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOSPPTNT","display" : "Hospital Patient Interaction","definition" : "**Description:** Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22362"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOSPVSTR","display" : "Hospital Visitor Interaction","definition" : "**Description:** Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22363"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOUSEHLD","display" : "Household Interaction","definition" : "**Description:** Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22364"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "INMATE","display" : "Inmate Interaction","definition" : "**Description:** Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22365"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "INTIMATE","display" : "Intimate Interaction","definition" : "**Description:** Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22366"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "LTRMCARE","display" : "Long Term Care Facility Interaction","definition" : "**Description:** Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22367"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "PLACE","display" : "Common Space Interaction","definition" : "**Description:** An interaction where the exposure participants were both present in the same location/place/space.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22361"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "PTNTCARE","display" : "Health Care Interaction - Patient Care","definition" : "**Description:** Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22356"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "SCHOOL2","display" : "School Interaction","definition" : "**Description:** Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22368"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "SOCIAL2","display" : "Social/Extended Family Interaction","definition" : "**Description:** An interaction where the exposure participants are social associates or members of the same extended family","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22369"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "SUBSTNCE","display" : "Common Substance Interaction","definition" : "**Description:** An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22359"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "TRAVINT","display" : "Common Travel Interaction","definition" : "**Description:** An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22360"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "WORK2","display" : "Work Interaction","definition" : "**Description:** Exposure interaction occurred in a work setting, i.e. participants are co-workers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22370"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "CHRG","display" : "Standard Charge","definition" : "A type of transaction that represents a charge for a service or product. Expressed in monetary terms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14805"},{"code" : "subsumedBy","valueCode" : "_ActFinancialTransactionCode"}]},{"code" : "REV","display" : "Standard Charge Reversal","definition" : "A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14806"},{"code" : "subsumedBy","valueCode" : "_ActFinancialTransactionCode"}]},{"code" : "GDPRCD","display" : "GDPR Consent Directive","definition" : "A consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nWhere processing is based on consent, the controller shall be able to demonstrate that the data subject has consented to processing of his or her personal data. If the data subject's consent is given in the context of a written declaration which also concerns other matters, the request for consent shall be presented in a manner which is clearly distinguishable from the other matters, in an intelligible and easily accessible form, using clear and plain language. Any part of such a declaration which constitutes an infringement of this Regulation shall not be binding. The data subject shall have the right to withdraw his or her consent at any time. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal. Prior to giving consent, the data subject shall be informed thereof. It shall be as easy to withdraw as to give consent. When assessing whether consent is freely given, utmost account shall be taken of whether, inter alia, the performance of a contract, including the provision of a service, is conditional on consent to the processing of personal data that is not necessary for the performance of that contract. Consent should be given by a clear affirmative act establishing a freely given, specific, informed and unambiguous indication of the data subject's agreement to the processing of personal data relating to him or her, such as by a written statement, including by electronic means, or an oral statement. This could include ticking a box when visiting an internet website, choosing technical settings for information society services or another statement or conduct which clearly indicates in this context the data subject's acceptance of the proposed processing of his or her personal data. Silence, pre-ticked boxes or inactivity should not therefore constitute consent. Consent should cover all processing activities carried out for the same purpose or purposes. When the processing has multiple purposes, consent should be given for all of them. If the data subject's consent is to be given following a request by electronic means, the request must be clear, concise and not unnecessarily disruptive to the use of the service for which it is provided.\r\n\r\n*Usage Note:* Article 4.11 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ 11) 'Consent' of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her. Article 7 GDPR Conditions for consent https://gdpr-info.eu/art-7-gdpr Recital 32 Conditions for consent\\* https://gdpr-info.eu/recitals/no-32 Recital 42 Burden of proof and requirements for consent\\* https://gdpr-info.eu/recitals/no-42/> Recital 43 Freely given consent\\* https://gdpr-info.eu/recitals/no-43 GDPR Consent Brief https://gdpr-info.eu/issues/consent/ Art. 4 GDPR Definitions Art. 6 GDPR Lawfulness of processing Art. 7 GDPR Conditions for consent Art. 8 GDPR Conditions applicable to child's consent in relation to information society services Art. 9 GDPR Processing of special categories of personal data Art. 22 GDPR Automated individual decision-making, including profiling Art. 49 GDPR Derogations for specific situations\r\n\r\nRelevant GDPR Recitals: (32) Conditions for consent (33) Consent to certain areas of scientific research (38) Special protection of children's personal data (40) Lawfulness of data processing (42) Burden of proof and requirements for consent (43) Freely given consent (50) Further processing of personal data (51) Protecting sensitive personal data (54) Processing of sensitive data in public health sector (71) Profiling (111) Exceptions for certain cases of international transfers (155) Processing in the employment context (161) Consenting to the participation in clinical trials (171) Repeal of Directive 95/46/EC and transitional provisions","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24110"},{"code" : "subsumedBy","valueCode" : "_ActGDPRConsentDirective"}]},{"code" : "GDPRResearchCD","display" : "GDPR Research Consent Directive","definition" : "A consent directive that complies with regulatory requirements for a consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nGDPR research consent directive has the additional caveat that it is often not possible to fully identify the purpose of personal data processing for scientific research purposes at the time of data collection. Therefore, data subjects should be allowed to give their consent to certain areas of scientific research when in keeping with recognized ethical standards for scientific research. Data subjects should have the opportunity to give their consent only to certain areas of research or parts of research projects to the extent allowed by the intended purpose.\r\n\r\n*Usage Note:* HL7 Purpose of Use codes include specialize research purposes of use, which could be used to convey a data subject's purpose of use restrictions related to areas of research or parts of research projects. See citations for GDPRResearchCD and below: Recital 33 Consent to certain areas of scientific research https://gdpr-info.eu/recitals/no-33/> Recital 157 Information from registries and scientific research https://gdpr-info.eu/recitals/no-157 Recital 159 Processing for scientific research purposes\\* https://gdpr-info.eu/recitals/no-159/","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24111"},{"code" : "subsumedBy","valueCode" : "_ActGDPRConsentDirective"}]},{"code" : "GDPRCONSENT","display" : "GDPR Consent","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful only if the data subject has given explicit consent to the processing of his or her personal data, inclusive of the special categories of data, for one or more specific purposes, except where Union or Member State law provide that the prohibition to use the data may not be lifted by the data subject; and for personal data which are manifestly made public by the data subject.\r\n\r\n*Usage Note:* The description is based on the following GDPR provisions: Article 6.1.a https://gdpr-info.eu/art-6-gdpr/ 1Processing shall be lawful only if and to the extent that at least one of the following applies: (a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes. Article 9.1, 9.2a., 9.2.e https://gdpr-info.eu/art-9-gdpr/ 1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation shall be prohibited. 2. Paragraph 1 shall not apply if one of the following applies: (a) the data subject has given explicit consent to the processing of those personal data for one or more specified purposes, except where Union or Member State law provide that the prohibition referred to in paragraph 1 may not be lifted by the data subject; and (e) processing relates to personal data which are manifestly made public by the data subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24121"},{"code" : "subsumedBy","valueCode" : "_ActGDPRPrivacyLaw"}]},{"code" : "OIC","display" : "opt-in to personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive permitting the collection of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to collection of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" consent directive maps to ISO/TS 17975:2015(E) definitions for \"Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care\" and \"Opt-in\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24115"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "OIS","display" : "opt-in to personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive permitting access, use, or disclosure of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" consent directive maps to ISO/TS 17975:2015(E) Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care and \"Opt-in\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24116"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "OOC","display" : "opt-out of personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting collection of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" opt-out to collection consent directive maps to ISO/TS 17975:2015(E) definitions for \"Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care\" and \"Express or Expressed (and Informed) Denial\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24113"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "OOS","display" : "opt-out of personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" opt-out to sharing consent directive maps to ISO/TS 17975:2015(E) definitions for \"Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care\" and \"Express or Expressed (and Informed) Denial\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24114"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "DENTAL","display" : "dental care policy","definition" : "**Definition:** A health insurance policy that that covers benefits for dental services.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22105"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "DISEASE","display" : "disease specific policy","definition" : "**Definition:** A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22106"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "DRUGPOL","display" : "drug policy","definition" : "**Definition:** A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22107"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "EHCPOL","display" : "extended healthcare","definition" : "Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19722"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"}]},{"code" : "HIP","display" : "health insurance plan policy","definition" : "**Definition:** A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.\r\n\r\n*Discussion:* Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22108"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "HSAPOL","display" : "health spending account","definition" : "Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19720"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"}]},{"code" : "LTC","display" : "long term care policy","definition" : "**Definition:** An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including:\r\n\r\n *  Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing\r\n *  Care in the community, such as in an adult day care facility\r\n *  Supervised care provided in an assisted living facility\r\n *  Skilled care provided in a nursing home","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22109"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "MCPOL","display" : "managed care policy","definition" : "**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.\r\n\r\nManaged care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.\r\n\r\n*Discussion:* Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22147"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "MENTPOL","display" : "mental health policy","definition" : "**Definition:** A health insurance policy that covers benefits for mental health services and prescriptions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22113"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "POS","display" : "point of service policy","definition" : "**Definition:** A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22111"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"},{"code" : "subsumedBy","valueCode" : "MCPOL"}]},{"code" : "SUBPOL","display" : "substance use policy","definition" : "**Definition:** A health insurance policy that covers benefits for substance use services.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22114"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "VISPOL","display" : "vision care policy","definition" : "**Definition:** Set of codes for a policy that provides coverage for health care expenses arising from vision services.\r\n\r\nA health insurance policy that covers benefits for vision care services, prescriptions, and products.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22115"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "MVA","display" : "Motor vehicle accident","definition" : "Incident or accident as the result of a motor vehicle accident","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16509"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "SCHOOL","display" : "School Accident","definition" : "Incident or accident is the result of a school place accident.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17468"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "SPT","display" : "Sporting Accident","definition" : "Incident or accident is the result of a sporting accident.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17469"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "WPA","display" : "Workplace accident","definition" : "Incident or accident is the result of a work place accident","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16510"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "_ActPatientSafetyIncidentCode","display" : "ActPatientSafetyIncidentCode","definition" : "**Definition:** A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents.\r\n\r\n**Examples:**\"Medication incident\", \"slips, trips and falls incident\".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22265"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "ACADR","display" : "adverse drug reaction access","definition" : "**Description:** Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22245"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACALL","display" : "all access","definition" : "**Description:** Provide consent to collect, use, disclose, or access all information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22868"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACALLG","display" : "allergy access","definition" : "**Description:** Provide consent to collect, use, disclose, or access allergy information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22246"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACCONS","display" : "informational consent access","definition" : "**Description:** Provide consent to collect, use, disclose, or access informational consent information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22869"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACDEMO","display" : "demographics access","definition" : "**Description:** Provide consent to collect, use, disclose, or access demographics information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22254"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACDI","display" : "diagnostic imaging access","definition" : "**Description:** Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22810"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACIMMUN","display" : "immunization access","definition" : "**Description:** Provide consent to collect, use, disclose, or access immunization information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22255"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACLAB","display" : "lab test result access","definition" : "**Description:** Provide consent to collect, use, disclose, or access lab test result information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22247"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACMED","display" : "medication access","definition" : "**Description:** Provide consent to collect, use, disclose, or access medical condition information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22248"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACMEDC","display" : "medical condition access","definition" : "**Definition:** Provide consent to view or access medical condition information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22249"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACMEN","display" : "mental health access","definition" : "**Description:**Provide consent to collect, use, disclose, or access mental health information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22904"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACOBS","display" : "common observations access","definition" : "**Description:** Provide consent to collect, use, disclose, or access common observation information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22253"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACPOLPRG","display" : "policy or program information access","definition" : "**Description:** Provide consent to collect, use, disclose, or access coverage policy or program for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22252"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACPROV","display" : "provider information access","definition" : "**Description:** Provide consent to collect, use, disclose, or access provider information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22251"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACPSERV","display" : "professional service access","definition" : "**Description:** Provide consent to collect, use, disclose, or access professional service information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22250"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACSUBSTAB","display" : "substance abuse access","definition" : "**Description:**Provide consent to collect, use, disclose, or access substance abuse information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22905"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "INFAUT","display" : "authorized information transfer","definition" : "Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22643"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFCRT","display" : "only on court order","definition" : "Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22337"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFDNG","display" : "only if danger to others","definition" : "Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22335"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFEMER","display" : "only in an emergency","definition" : "Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22333"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFPWR","display" : "only if public welfare risk","definition" : "Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22336"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFREG","display" : "regulatory information transfer","definition" : "Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22642"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFOACCESS","display" : "access information","definition" : "Authorization to obtain information with no further permission to collect and store it.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24088"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOCOLLECT","display" : "collect information","definition" : "Authorization to gather and store information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24089"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFODEIDENTIFIY","display" : "deidentify information","definition" : "Authorization to alter or remove identifying characteristics of an entity or individual that is a subject of the information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24090"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFODISCLOSE","display" : "disclose information","definition" : "Authorization to make information known to another party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24091"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOMASK","display" : "mask information","definition" : "Authorization to alter information in order to conceal it from unauthorized recipients.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24092"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREADONLY","display" : "read only information","definition" : "Authorization to access information within a specific context for communication purposes only. Storing, manipulating, and further disclosure are prohibited and may be technically disabled.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24093"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREDACT","display" : "redact information","definition" : "Authorization to remove information that a recipient is not authorized to access.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24094"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREDISCLOSE","display" : "redisclose information","definition" : "Authorization to make disclosed information known to another party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24095"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREIDENTIFY","display" : "reidentify information","definition" : "Authorization to alter or relink deidentified information so that an entity or individual that is the subject of that information identifiable.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24096"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOUSE","display" : "use information","definition" : "Authorization to employ or alter information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24097"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "ALLCAT","display" : "all categories","definition" : "**Description:** All patient information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22870"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "ALLGCAT","display" : "allergy category","definition" : "**Definition:**All information pertaining to a patient's allergy and intolerance records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21614"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "ARCAT","display" : "adverse drug reaction category","definition" : "**Description:** All information pertaining to a patient's adverse drug reactions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22811"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "COBSCAT","display" : "common observation category","definition" : "**Definition:**All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21617"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "DEMOCAT","display" : "demographics category","definition" : "**Definition:**All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21618"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "DICAT","display" : "diagnostic image category","definition" : "**Definition:**All information pertaining to a patient's diagnostic image records (orders & results).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21613"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "IMMUCAT","display" : "immunization category","definition" : "**Definition:**All information pertaining to a patient's vaccination records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21619"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "LABCAT","display" : "lab test category","definition" : "**Description:** All information pertaining to a patient's lab test records (orders & results)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21611"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "MEDCCAT","display" : "medical condition category","definition" : "**Definition:**All information pertaining to a patient's medical condition records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21616"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "MENCAT","display" : "mental health category","definition" : "**Description:** All information pertaining to a patient's mental health records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22871"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "PSVCCAT","display" : "professional service category","definition" : "**Definition:**All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21615"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "RXCAT","display" : "medication category","definition" : "**Definition:**All information pertaining to a patient's medication records (orders, dispenses and other active medications).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21612"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "JurisIP","display" : "jurisdictional information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24074"},{"code" : "subsumedBy","valueCode" : "_ActInformationPolicy"}]},{"code" : "OrgIP","display" : "organizational information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information, which does not conflict with jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24066"},{"code" : "subsumedBy","valueCode" : "_ActInformationPolicy"}]},{"code" : "PersIP","display" : "personal information policy","definition" : "Personal policy on collection, access, use, or disclosure of information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24082"},{"code" : "subsumedBy","valueCode" : "_ActInformationPolicy"}]},{"code" : "ETH","display" : "substance abuse information sensitivity","definition" : "Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23338"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "GDIS","display" : "genetic disease information sensitivity","definition" : "Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23339"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "HIV","display" : "HIV/AIDS information sensitivity","definition" : "Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23340"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "MST","display" : "military sexual trauma information sensitivity","definition" : "Policy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality.\r\n\r\nAccess control concerns for military sexual trauma is based on the patient being subject to control by a higher ranking military perpetrator and/or censure by others within the military unit. Due to the relatively unfettered access to healthcare information by higher ranking military personnel and those who have command over the patient, there is a need to sequester this information outside of the typical controls on access to military health records.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23888"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "PREGNANT","display" : "pregnancy information sensitivity","definition" : "Policy for handling information about an individual's current or past pregnancy status, deemed sensitive by the individual or by policy, which may be afforded heightened confidentiality.\r\n\r\n*Usage Note:* \r\n\r\nInformation about a patient's current or past pregnancy status may be considered sensitive in circumstances in which that status could result in discrimination or stigmatization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24123"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SCA","display" : "sickle cell anemia information sensitivity","definition" : "Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23576"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SDV","display" : "sexual assault, abuse, or domestic violence information sensitivity","definition" : "Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive.\r\n\r\nSDV code covers violence perpetrated by related and non-related persons. This code should be specific to physical and mental trauma caused by a related person only. The access control concerns are keeping the patient safe from the perpetrator who may have an abusive psychological control over the patient, may be stalking the patient, or may try to manipulate care givers into allowing the perpetrator to make contact with the patient. The definition needs to be clarified.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23342"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SEX","display" : "sexuality and reproductive health information sensitivity","definition" : "Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23343"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SPI","display" : "specially protected information sensitivity","definition" : "Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23889"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "STD","display" : "sexually transmitted disease information sensitivity","definition" : "Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23344"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "TBOO","display" : "taboo","definition" : "Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.\r\n\r\n*Open Issue:* This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23345"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "VIO","display" : "violence information sensitivity","definition" : "Policy for handling information related to harm by violence, which is afforded heightened confidentiality. Harm by violence is perpetrated by an unrelated person.\r\n\r\nAccess control concerns for information about mental or physical harm resulting from violence caused by an unrelated person may include manipulation of care givers or access to records that enable the perpetrator contact or locate the patient, but the perpetrator will likely not have established abusive psychological control over the patient.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23887"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "IDS","display" : "Identifier Sensitivity","definition" : "Policy for handling information related to an identifier of an information subject, which will be afforded heightened confidentiality. Usage Note: Such policies may govern the sensitivity of information related to an identifier of an act, such as the identifier of a contract; a role, such as a citizen, a patient, a practitioner, or an organization; or an entity such as a medical device due to potential impact on the privacy, well-being, safety or integrity of an information subject. For example, protection against identity fraud or counterfeit.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24800"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SICKLE","display" : "sickle cell","definition" : "Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as \"constraints around appropriate disclosure of information about this Act, regardless of mood.\"\r\n\r\n*Usage Note:* ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23459"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "AUTOPOL","display" : "automobile","definition" : "Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19721"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "PUBLICPOL","display" : "public healthcare","definition" : "Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19718"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "WCBPOL","display" : "worker's compensation","definition" : "Insurance policy for injuries sustained in the work place or in the course of employment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19719"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "_ActHealthInsuranceTypeCode","display" : "ActHealthInsuranceTypeCode","definition" : "**Definition:** Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22099"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "DIS","display" : "disability insurance policy","definition" : "**Definition:** An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22102"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "EWB","display" : "employee welfare benefit plan policy","definition" : "**Definition:** An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22103"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "FLEXP","display" : "flexible benefit plan policy","definition" : "**Definition:**  An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan.\r\n\r\n *Discussion:* See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22104"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "LIFE","display" : "life insurance policy","definition" : "**Definition:** A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion.\r\n\r\n*Discussion:*A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22148"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "PNC","display" : "property and casualty insurance policy","definition" : "**Definition:** A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms \"casualty\" and \"liability\" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22119"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "REI","display" : "reinsurance policy","definition" : "**Definition:** An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company.\r\n\r\n**Discussion:** Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies.\r\n\r\nFor example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called *risk control insurance or stop-loss insurance.*","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22120"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "SURPL","display" : "surplus line insurance policy","definition" : "**Definition:** \r\n\r\n1.  A risk or part of a risk for which there is no normal insurance market available.\r\n2.  Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22121"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "UMBRL","display" : "umbrella liability insurance policy","definition" : "**Definition:** A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22122"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "_ActInvoiceAdjudicationPaymentGroupCode","display" : "ActInvoiceAdjudicationPaymentGroupCode","definition" : "Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "_ActInvoicePaymentCode"},{"code" : "internalId","valueCode" : "20893"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentCode"}]},{"code" : "_ActInvoicePaymentCode","display" : "ActInvoiceAdjudicationPaymentGroupCode","definition" : "Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "internalId","valueCode" : "20893"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentCode"}]},{"code" : "_ActInvoiceAdjudicationPaymentSummaryCode","display" : "ActInvoiceAdjudicationPaymentSummaryCode","definition" : "Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20876"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentCode"}]},{"code" : "ALEC","display" : "alternate electronic","definition" : "Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20077"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "BONUS","display" : "bonus","definition" : "Bonus payments based on performance, volume, etc. as agreed to by the payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20058"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "CFWD","display" : "carry forward adjusment","definition" : "An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20068"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "EDU","display" : "education fees","definition" : "Fees deducted on behalf of a payee for tuition and continuing education.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20059"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "EPYMT","display" : "early payment fee","definition" : "Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20065"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "GARN","display" : "garnishee","definition" : "Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20066"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "INVOICE","display" : "submitted invoice","definition" : "Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20063"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "PINV","display" : "paper invoice","definition" : "Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20067"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "PPRD","display" : "prior period adjustment","definition" : "An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20069"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "PROA","display" : "professional association deduction","definition" : "Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20060"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "RECOV","display" : "recovery","definition" : "Retroactive adjustment such as fee rate adjustment due to contract negotiations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20061"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "RETRO","display" : "retro adjustment","definition" : "Bonus payments based on performance, volume, etc. as agreed to by the payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20062"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "TRAN","display" : "transaction fee","definition" : "Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20064"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "INVTYPE","display" : "invoice type","definition" : "Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20055"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PAYEE","display" : "payee","definition" : "Transaction counts and value totals by each instance of an invoice payee.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20057"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PAYOR","display" : "payor","definition" : "Transaction counts and value totals by each instance of an invoice payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20056"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "SENDAPP","display" : "sending application","definition" : "Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20054"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "UNSPSC","display" : "United Nations Standard Products and Services Classification","definition" : "**Description:**United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22179"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalProductCode"}]},{"code" : "_CPT5","display" : "CPT5","definition" : "**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22177"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_HCPCS","display" : "HCPCS","definition" : "**Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance AdministrationaTMs (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22175"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ICD10PCS","display" : "ICD10PCS","definition" : "**Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22173"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ICD9PCS","display" : "ICD9PCS","definition" : "**Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22174"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ActInvoiceDetailClinicalProductCode","display" : "ActInvoiceDetailClinicalProductCode","definition" : "An identifying data string for healthcare products.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20877"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailDrugProductCode","display" : "ActInvoiceDetailDrugProductCode","definition" : "An identifying data string for A substance used as a medication or in the preparation of medication.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20880"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailGenericCode","display" : "ActInvoiceDetailGenericCode","definition" : "The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20882"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailPreferredAccommodationCode","display" : "ActInvoiceDetailPreferredAccommodationCode","definition" : "An identifying data string for medical facility accommodations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20886"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailClinicalServiceCode","display" : "ActInvoiceDetailClinicalServiceCode","definition" : "An identifying data string for healthcare procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20878"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailOralHealthProcedureCode","display" : "ActInvoiceDetailOralHealthProcedureCode","definition" : "An identifying data string for oral health procedure codes, e.g. extract tooth.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20885"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "GTIN","display" : "Global Trade Item Number","definition" : "**Description:**Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22181"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailDrugProductCode"}]},{"code" : "UPC","display" : "Universal Product Code","definition" : "**Description:**Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22180"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailDrugProductCode"}]},{"code" : "COIN","display" : "coinsurance","definition" : "That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21946"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "COPAYMENT","display" : "patient co-pay","definition" : "That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20052"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "DEDUCTIBLE","display" : "deductible","definition" : "That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20051"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "PAY","display" : "payment","definition" : "The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21362"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "SPEND","display" : "spend down","definition" : "That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21947"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "COINS","display" : "co-insurance","definition" : "The covered party pays a percentage of the cost of covered services.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20053"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "_ActInvoiceDetailGenericAdjudicatorCode","display" : "ActInvoiceDetailGenericAdjudicatorCode","definition" : "The billable item codes to identify adjudicator specified components to the total billing of a claim.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20881"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "_ActInvoiceDetailGenericModifierCode","display" : "ActInvoiceDetailGenericModifierCode","definition" : "The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20883"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "_ActInvoiceDetailGenericProviderCode","display" : "ActInvoiceDetailGenericProviderCode","definition" : "The billable item codes to identify provider supplied charges or changes to the total billing of a claim.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20884"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "_ActInvoiceDetailTaxCode","display" : "ActInvoiceDetailTaxCode","definition" : "The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20887"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "AFTHRS","display" : "non-normal hours","definition" : "Premium paid on service fees in compensation for practicing outside of normal working hours.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20049"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericModifierCode"}]},{"code" : "ISOL","display" : "isolation allowance","definition" : "Premium paid on service fees in compensation for practicing in a remote location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20048"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericModifierCode"}]},{"code" : "OOO","display" : "out of office","definition" : "Premium paid on service fees in compensation for practicing at a location other than normal working location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20050"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericModifierCode"}]},{"code" : "CANCAPT","display" : "cancelled appointment","definition" : "A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20040"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "DSC","display" : "discount","definition" : "A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20042"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "ESA","display" : "extraordinary service assessment","definition" : "A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20043"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "FFSTOP","display" : "fee for service top off","definition" : "Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21311"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "FNLFEE","display" : "final fee","definition" : "Anticipated or actual final fee associated with treating a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21314"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "FRSTFEE","display" : "first fee","definition" : "Anticipated or actual initial fee associated with treating a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21313"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "MARKUP","display" : "markup or up-charge","definition" : "An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20038"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "MISSAPT","display" : "missed appointment","definition" : "A charge to compensate the provider when a patient does not show for an appointment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20039"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "PERFEE","display" : "periodic fee","definition" : "Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21312"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "PERMBNS","display" : "performance bonus","definition" : "The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21310"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "RESTOCK","display" : "restocking fee","definition" : "A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20044"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "TRAVEL","display" : "travel","definition" : "A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20041"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "URGENT","display" : "urgent","definition" : "Premium paid on service fees in compensation for providing an expedited response to an urgent situation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21315"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "_ActEncounterAccommodationCode","display" : "ActEncounterAccommodationCode","definition" : "Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACCM"}},{"code" : "internalId","valueCode" : "20868"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailPreferredAccommodationCode"}]},{"code" : "FST","display" : "federal sales tax","definition" : "Federal tax on transactions such as the Goods and Services Tax (GST)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20045"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailTaxCode"}]},{"code" : "HST","display" : "harmonized sales Tax","definition" : "Joint Federal/Provincial Sales Tax","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20047"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailTaxCode"}]},{"code" : "PST","display" : "provincial/state sales tax","definition" : "Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20046"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailTaxCode"}]},{"code" : "_ActInvoiceAdjudicationPaymentCode","display" : "ActInvoiceAdjudicationPaymentCode","definition" : "Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20875"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementCode"}]},{"code" : "_ActInvoiceDetailCode","display" : "ActInvoiceDetailCode","definition" : "Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as \"office visit\", \"drug X\", \"wheelchair\" and other billable items such as taxes, service charges and discounts.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20879"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementCode"}]},{"code" : "_ActInvoiceGroupCode","display" : "ActInvoiceGroupCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.\r\n\r\nInvoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20890"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementCode"}]},{"code" : "_InvoiceElementAdjudicated","display" : "InvoiceElementAdjudicated","definition" : "Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20924"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementSummaryCode"}]},{"code" : "_InvoiceElementPaid","display" : "InvoiceElementPaid","definition" : "Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20925"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementSummaryCode"}]},{"code" : "_InvoiceElementSubmitted","display" : "InvoiceElementSubmitted","definition" : "Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20926"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementSummaryCode"}]},{"code" : "_ActInvoiceInterGroupCode","display" : "ActInvoiceInterGroupCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.\r\n\r\nInvoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.\r\n\r\nThe domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20891"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceGroupCode"}]},{"code" : "_ActInvoiceRootGroupCode","display" : "ActInvoiceRootGroupCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.\r\n\r\nInvoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.\r\n\r\nCodes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20894"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceGroupCode"}]},{"code" : "CPNDDRGING","display" : "compound drug invoice group","definition" : "A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20033"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "CPNDINDING","display" : "compound ingredient invoice group","definition" : "A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20034"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "CPNDSUPING","display" : "compound supply invoice group","definition" : "A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20035"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "DRUGING","display" : "drug invoice group","definition" : "A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20032"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "FRAMEING","display" : "frame invoice group","definition" : "A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20037"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "LENSING","display" : "lens invoice group","definition" : "A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20036"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "PRDING","display" : "product invoice group","definition" : "A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20031"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "COVGE","display" : "coverage problem","definition" : "Insurance coverage problems have been encountered. Additional explanation information to be supplied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17594"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "EFORM","display" : "electronic form to follow","definition" : "Electronic form with supporting or additional information to follow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20021"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "FAX","display" : "fax to follow","definition" : "Fax with supporting or additional information to follow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20022"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "GFTH","display" : "good faith indicator","definition" : "The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17592"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "LATE","display" : "late invoice","definition" : "Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17593"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "MANUAL","display" : "manual review","definition" : "Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19713"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "OOJ","display" : "out of jurisdiction","definition" : "The medical service and/or product was provided to a patient that has coverage in another jurisdiction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "18036"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "ORTHO","display" : "orthodontic service","definition" : "The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21317"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "PAPER","display" : "paper documentation to follow","definition" : "Paper documentation (or other physical format) with supporting or additional information to follow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20020"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "PIE","display" : "public insurance exhausted","definition" : "Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20023"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "PYRDELAY","display" : "delayed by a previous payor","definition" : "Allows provider to explain lateness of invoice to a subsequent payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17591"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "REFNR","display" : "referral not required","definition" : "Rules of practice do not require a physician's referral for the provider to perform a billable service.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "18037"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "REPSERV","display" : "repeated service","definition" : "The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19711"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "UNRELAT","display" : "unrelated service","definition" : "The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21316"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "VERBAUTH","display" : "verbal authorization","definition" : "The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19712"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "CPINV","display" : "clinical product invoice","definition" : "Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).\r\n\r\nFor example, a crutch or a wheelchair.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "CP"},{"code" : "internalId","valueCode" : "19715"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CP","display" : "clinical product invoice","definition" : "Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).\r\n\r\nFor example, a crutch or a wheelchair.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "CPINV"},{"code" : "internalId","valueCode" : "19715"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CSINV","display" : "clinical service invoice","definition" : "Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.\r\n\r\n\\[1\\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.\r\n\r\nFor example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).\r\n\r\n\\[2\\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.\r\n\r\nFor example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.\r\n\r\n\\[3\\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.\r\n\r\nFor example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "CS"},{"code" : "internalId","valueCode" : "19714"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CS","display" : "clinical service invoice","definition" : "Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.\r\n\r\n\\[1\\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.\r\n\r\nFor example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).\r\n\r\n\\[2\\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.\r\n\r\nFor example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.\r\n\r\n\\[3\\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.\r\n\r\nFor example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "CSINV"},{"code" : "internalId","valueCode" : "19714"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CSPINV","display" : "clinical service and product","definition" : "A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts).\r\n\r\nAll items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.\r\n\r\nFor example , a brace (product) invoiced together with the fitting (service).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20076"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "FININV","display" : "financial invoice","definition" : "Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider.\r\n\r\nExamples are interest charges and mileage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19716"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "OHSINV","display" : "oral health service","definition" : "A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts).\r\n\r\nAll items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21309"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "PAINV","display" : "preferred accommodation invoice","definition" : "HealthCare facility preferred accommodation invoice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PA"},{"code" : "internalId","valueCode" : "20029"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "PA","display" : "preferred accommodation invoice","definition" : "HealthCare facility preferred accommodation invoice.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PAINV"},{"code" : "internalId","valueCode" : "20029"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXCINV","display" : "Rx compound invoice","definition" : "Pharmacy dispense invoice for a compound.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "RXC"},{"code" : "internalId","valueCode" : "20027"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXC","display" : "Rx compound invoice","definition" : "Pharmacy dispense invoice for a compound.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "RXCINV"},{"code" : "internalId","valueCode" : "20027"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXDINV","display" : "Rx dispense invoice","definition" : "Pharmacy dispense invoice not involving a compound","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "RXD"},{"code" : "internalId","valueCode" : "20028"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXD","display" : "Rx dispense invoice","definition" : "Pharmacy dispense invoice not involving a compound","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "RXDINV"},{"code" : "internalId","valueCode" : "20028"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "SBFINV","display" : "sessional or block fee invoice","definition" : "Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19717"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "VRXINV","display" : "vision dispense invoice","definition" : "Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20030"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "_ActObservationList","display" : "ActObservationList","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "20898"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "_ActTherapyDurationWorkingListCode","display" : "ActTherapyDurationWorkingListCode","definition" : "Codes used to identify different types of 'duration-based' working lists. Examples include \"Continuous/Chronic\", \"Short-Term\" and \"As-Needed\".","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "21522"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "MEDLIST","display" : "medication list","definition" : "List of medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19976"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "_ActProcedureCategoryList","display" : "ActProcedureCategoryList","definition" : "**Description:**Describes the high level classification of professional services for grouping.\r\n\r\n**Examples:**Education, Counseling, Surgery, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22076"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "ALC","display" : "Alternative Level of Care","definition" : "Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17459"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "CARD","display" : "Cardiology","definition" : "Provision of diagnosis and treatment of diseases and disorders affecting the heart","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20092"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "CHR","display" : "Chronic","definition" : "Provision of recurring care for chronic illness.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17453"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "DNTL","display" : "Dental","definition" : "Provision of treatment for oral health and/or dental surgery.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17456"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "DRGRHB","display" : "Drug Rehab","definition" : "Provision of treatment for drug abuse.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17454"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "GENRL","display" : "General","definition" : "General care performed by a general practitioner or family doctor as a responsible provider for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19974"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "MED","display" : "Medical","definition" : "Provision of diagnostic and/or therapeutic treatment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17450"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "OBS","display" : "Obstetrics","definition" : "Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17460"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "ONC","display" : "Oncology","definition" : "Provision of treatment and/or diagnosis related to tumors and/or cancer.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17457"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PALL","display" : "Palliative","definition" : "Provision of care for patients who are living or dying from an advanced illness.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17452"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PED","display" : "Pediatrics","definition" : "Provision of diagnosis and treatment of diseases and disorders affecting children.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17461"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PHAR","display" : "Pharmaceutical","definition" : "Pharmaceutical care performed by a pharmacist.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19975"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PHYRHB","display" : "Physical Rehab","definition" : "Provision of treatment for physical injury.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17455"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PSYCH","display" : "Psychiatric","definition" : "Provision of treatment of psychiatric disorder relating to mental illness.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17458"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "SURG","display" : "Surgical","definition" : "Provision of surgical treatment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17451"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "ACU","display" : "short term/acute","definition" : "**Definition:**A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21756"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "CHRON","display" : "continuous/chronic","definition" : "**Definition:**A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21755"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "ONET","display" : "one time","definition" : "**Definition:**A list of medications which the patient is intended to be administered only once.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21757"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "PRN","display" : "as needed","definition" : "**Definition:**A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21758"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "CTLSUB","display" : "Controlled Substance","definition" : "A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16232"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "INV","display" : "investigational","definition" : "**Definition:**A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22860"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "LU","display" : "limited use","definition" : "**Description:**A drug that can be prescribed (and reimbursed) only if it meets certain criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22025"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "OTC","display" : "non prescription medicine","definition" : "Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23062"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "RX","display" : "prescription only medicine","definition" : "Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23061"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "SA","display" : "special authorization","definition" : "**Definition:**A drug that requires prior approval (to be reimbursed) before being dispensed","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22861"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "SAC","display" : "special access","definition" : "**Description:**A drug that requires special access permission to be prescribed and dispensed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22026"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "IND01","display" : "imaging study requiring contrast","definition" : "**Description:**Contrast agent required for imaging study.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21679"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND02","display" : "colonoscopy prep","definition" : "**Description:**Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21680"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND03","display" : "prophylaxis","definition" : "**Description:**Provision of medication as a preventative measure during a treatment or other period of increased risk.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21681"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND04","display" : "surgical prophylaxis","definition" : "**Description:**Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21682"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND05","display" : "pregnancy prophylaxis","definition" : "**Description:**Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21683"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "CARELIST","display" : "care plan","definition" : "List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19984"},{"code" : "subsumedBy","valueCode" : "_ActObservationList"}]},{"code" : "CONDLIST","display" : "condition list","definition" : "List of condition observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21322"},{"code" : "subsumedBy","valueCode" : "_ActObservationList"}]},{"code" : "GOALLIST","display" : "goal list","definition" : "List of observations in goal mood.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19981"},{"code" : "subsumedBy","valueCode" : "_ActObservationList"}]},{"code" : "VFPAPER","display" : "verify paper","definition" : "**Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "VRFPAPER"},{"code" : "internalId","valueCode" : "22862"},{"code" : "subsumedBy","valueCode" : "_ActObservationVerificationType"}]},{"code" : "VRFPAPER","display" : "verify paper","definition" : "**Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "VFPAPER"},{"code" : "internalId","valueCode" : "22862"},{"code" : "subsumedBy","valueCode" : "_ActObservationVerificationType"}]},{"code" : "ANNDI","display" : "diagnostic image note","definition" : "**Description:**A note that is specific to a patient's diagnostic images, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22825"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNGEN","display" : "general note","definition" : "**Description:**A general or uncategorized note.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22822"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNIMM","display" : "immunization note","definition" : "A note that is specific to a patient's immunizations, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23099"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNLAB","display" : "laboratory note","definition" : "**Description:**A note that is specific to a patient's laboratory results, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22824"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNMED","display" : "medication note","definition" : "**Description:**A note that is specific to a patient's medications, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22823"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "AFOOT","display" : "pedestrian transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "OnFoot"},{"code" : "internalId","valueCode" : "21551"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "OnFoot","display" : "pedestrian transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AFOOT"},{"code" : "internalId","valueCode" : "21551"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "AMBT","display" : "ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "Ambulance"},{"code" : "internalId","valueCode" : "21547"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "Ambulance","display" : "ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBT"},{"code" : "internalId","valueCode" : "21547"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "LAWENF","display" : "law enforcement transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "LawEnforcementVehicle"},{"code" : "internalId","valueCode" : "21548"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "LawEnforcementVehicle","display" : "law enforcement transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "LAWENF"},{"code" : "internalId","valueCode" : "21548"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PRVTRN","display" : "private transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PrivateTransport"},{"code" : "internalId","valueCode" : "21550"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PrivateTransport","display" : "private transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PRVTRN"},{"code" : "internalId","valueCode" : "21550"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PUBTRN","display" : "public transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PublicTransport"},{"code" : "internalId","valueCode" : "21549"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PublicTransport","display" : "public transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PUBTRN"},{"code" : "internalId","valueCode" : "21549"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "ACH","display" : "Automated Clearing House","definition" : "Automated Clearing House (ACH).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17611"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "CHK","display" : "Cheque","definition" : "A written order to a bank to pay the amount specified from funds on deposit.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17612"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "DDP","display" : "Direct Deposit","definition" : "Electronic Funds Transfer (EFT) deposit into the payee's bank account","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17613"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "NON","display" : "Non-Payment Data","definition" : "Non-Payment Data.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17614"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "DF","display" : "Daily Fill","definition" : "A fill providing sufficient supply for one day","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16214"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "EM","display" : "Emergency Supply","definition" : "A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16220"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "FF","display" : "First Fill","definition" : "The initial fill against an order. (This includes initial fills against refill orders.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16209"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "FS","display" : "Floor stock","definition" : "A supply action to restock a smaller more local dispensary.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16222"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "MS","display" : "Manufacturer Sample","definition" : "A supply of a manufacturer sample","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16219"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "RF","display" : "Refill","definition" : "A fill against an order that has already been filled (or partially filled) at least once.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16215"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "UD","display" : "Unit Dose","definition" : "A supply action that provides sufficient material for a single dose.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16223"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "UDE","display" : "unit dose equivalent","definition" : "A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21824"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "_ActConsent","display" : "_ActConsent","definition" : "Specifies the type or actual definition of a contractually binding agreement or a non-binding representation of that agreement between a grantor and a grantee as to the exchange of the grantee's considerations in return for the grantor's control of certain assets. The type of assets exchanged include rights, license, terms of service, valued items, information and real property assets and control over such assets such as physical and locatable property; intellectual property; biospecimen; genomic and genetic information related to an individual including that disclosed by genetically related individuals with or without the individual's consent; personal identifiable, pseudonymized, anonymized, de-identified per some rubric, and relinkable variants.\r\n\r\n*Usage Note:* Types or actual definitions of a contractually binding agreement or a non-binding representation of that agreement include:\r\n\r\n *  \\_ActDecision (formally ActConsentDirective), which specifies the type of decision made by the grantor. The decision types are mapped to ISO/TS 17975 Health informatics - Principles and data requirements for consent in the Collection, Use or Disclosure of personal health information;\r\n *  \\_ActPrivacyConsentDirective, which is the parent of types of registry participation consent directives, and of realm specific privacy consent directive policies such as \\_USPrivacyConsentDirective and \\_GDPRPrivacyConsentDirective.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24098"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActInformationActionPolicy","display" : "_ActInformationActionPolicy","definition" : "The type of action permitted on information by jurisdictional, organizational, or personal policy.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24087"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActInformationPolicy","display" : "_ActInformationPolicy","definition" : "Information management directives related to privacy, security, integrity, and control concerns, which may be governed by specific laws; based on private sector self-governance; adopted \"best practices\" recognized by a community of interest; or terms of license, participation, or service as implemented in jurisdictional, organizational, or personal policies.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24065"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActPrivacyPolicy","display" : "ActPrivacyPolicy","definition" : "A policy deeming certain information to be private to an individual or organization.\r\n\r\n*Definition:* A mandate, obligation, requirement, rule, or expectation relating to privacy.\r\n\r\n*Discussion:* ActPrivacyPolicyType codes support the designation of the 1..\\* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..\\* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates.\r\n\r\n*Usage Note:* Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23323"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "ActTrustPolicyType","display" : "trust policy","definition" : "A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions.\r\n\r\nTrust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability).\r\n\r\nTrust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \\[Based on ISO IEC 10181-1 and NIST SP 800-63-2\\]\r\n\r\nFor example, identity proofing , level of assurance, and Trust Framework.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23658"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "COVPOL","display" : "benefit policy","definition" : "**Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on:\r\n\r\n *  The activity of another party\r\n *  The behavior of another party\r\n *  The manner in which an act is executed\r\n\r\n**Examples:**A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22183"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "SecurityPolicy","display" : "security policy","definition" : "Types of security policies that further specify the ActClassPolicy value set.\r\n\r\n**Examples:**\r\n\r\n *  obligation to encrypt\r\n *  refrain from redisclosure without consent","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23371"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActGDPRConsentDirective","display" : "_ActGDPRConsentDirective","definition" : "European Union General Data Protection Regulation (GDPR) consent directives.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24109"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyConsentDirective"}]},{"code" : "_ActGenericConsentDirective","display" : "_ActGenericConsentDirective","definition" : "Specifies types of consent directives authorizing a registry or repository to collect and, under certain terms, manage the access, use, and disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.\r\n\r\nRegistries governed by registry consent directives are data management systems, which use metadata to support the collection, access, use, and disclosure of personal information or effects as well as observational or analytic information generated about personal information or effects stored in federated repositories. Such registries are used for a variety of purposes by federated health information exchanges, health information systems, personal record systems, and research organizations to locate and retrieve personal information or effects as well as observational or analytic information generated about personal information stored externally to their systems.\r\n\r\nRepositories governed by registry consent directives are data stores used to collect, access, use, and disclose personal information or effects as well as observational or analytic information generated about personal information or effects and metadata used to manage the repository contents. Such repositories are used for a variety of purposes by centralized health information exchanges, health information systems used by providers and payers, personal record systems, and research organizations. A repository typically includes a registry component that provides the data store with content management capabilities for internal purposes. A repository may also interface with one or more external registries, which provide federated content management.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24112"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyConsentDirective"}]},{"code" : "_ActUSPrivacyConsentDirective","display" : "_ActUSPrivacyConsentDirective","definition" : "Specific US privacy consent directives in accordance with US federal, state, regional, organizational, or personal privacy policies.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24099"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyConsentDirective"}]},{"code" : "_ActGDPRPrivacyLaw","display" : "General Data Protection Regulation","definition" : "GDPR is a regulation on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (Data Protection Directive). Promulgated by the European Parliament and Council of the European Union. Regulation available at L119, 4 May 2016, p. 1-88.\r\n\r\nGDPR privacy policies specifying types of lawful personal data processing based on a controller meeting one or more processing condition such as specified by law, compliance with data controller legal obligations, protection of data subject's vital interests, perform tasks in the public interest, related to legal claims, research and statistics, management of health or social care systems, legitimate interests of controller or third party. Processing sensitive personal data, including genetic, biometric and health data, as well as personal data from which racial and ethnic origin, political opinions, religious or ideological convictions or membership in a union can be attributed to a person, requires meeting at least one sensitive personal processing condition.\r\n\r\nGDPR 'processing' means any operation or set of operations which is performed on personal data or on sets of personal data, whether or not by automated means, such as collection, recording, organisation, structuring, storage, adaptation or alteration, retrieval, consultation, use, disclosure by transmission, dissemination or otherwise making available, alignment or combination, restriction, erasure or destruction. Article 4 https://gdpr-info.eu/art-4-gdpr/\r\n\r\n*Usage Note:* \r\n\r\n *  Confidentiality: e.g., U (unrestricted) for anonymized personal information; L (low) for pseudonymized U (unrestricted) for anonymized personal information; M (moderate) for indirectly identifiable information such as test scores and work times; N (normal) for personal information; and R (restricted) for sensitive personal information\r\n *  DPR sensitivity \\[personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation, some of which are defined at Article 4 https://gdpr-info.eu/art-4-gdpr/\r\n *  GDPR processing policies and GDPR ConsentDirectiveTypes, such as data subject consent and research consent.\r\n *  Other security category codes, such as compartment codes for legitimate relationship,\r\n *  Handling instructions including\r\n *  Purpose of use stipulated in a GDPR consent or contract restricting processing or related to the scope of the processing policy such as public health, research, and legal obligations\r\n *  Obligation policies such as GDPR Information Obligations https://gdpr-info.eu/issues/information-obligations, data minimization and deleting when processing is complete\r\n *  Refrain policies such as no relinking\r\n\r\nSee Intersoft GDPR at https://gdpr-info.eu/issues/personal-data/ Art. 4 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ Art. 9 GDPR Processing of special categories of personal data https://gdpr-info.eu/art-9-gdpr/ Relevant Recitals (26) Not applicable to anonymous data (30) Online identifiers for profiling and identification (34) Genetic data (35) Health data (51) Protecting sensitive personal data at Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/\r\n\r\nAuthorities\r\n\r\n *  European Data Protection Supervisor - Security Measures for Personal Data Processing (Link)\r\n *  Data Protection Authority Isle of Man - Know your data - Mapping the 5 W's (Link)\r\n *  Data Protection Authority UK - Key definitions (Link)\r\n *  European Commission - What is personal data? (Link)\r\n *  European Commission - What personal data is considered sensitive? (Link)\r\n *  EU publications - Handbook on European data protection law - Personal data, page 83 (Link)\r\n\r\nExpert contribution A&L Goodbody - The GDPR: A Guide for Businesses - Definition of Personal & Sensitive Data, Page 8 (Link) Bird & Bird - Sensitive data and lawful processing (Link) https://ec.europa.eu/commission/priorities/justice-and-fundamental-rights/data-protection/2018-reform-eu-data-protection-rules\\_en General Data Protection Regulation https://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1528874672298&uri=CELEX%3A32016R0679 Communication on data protection - guidance on direct application of the GDPR http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1517578296944&uri=CELEX%3A52018DC0043 Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24120"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyLaw"}]},{"code" : "_ActUSPrivacyLaw","display" : "_ActUSPrivacyLaw","definition" : "*Definition:* A jurisdictional mandate in the U.S. relating to privacy.\r\n\r\n*Usage Note:* ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23760"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyLaw"}]},{"code" : "_ActConsentDirective","display" : "ActConsentDirective","definition" : "Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23324"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "_ActPrivacyLaw","display" : "ActPrivacyLaw","definition" : "A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on:\r\n\r\n *  The activity of a governed party\r\n *  The behavior of a governed party\r\n *  The manner in which an act is executed by a governed party","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23328"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "_InformationSensitivityPolicy","display" : "InformationSensitivityPolicy","definition" : "A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations.\r\n\r\n*Usage Note:* Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an employee's sensitivity code would make little sense for use outside of a policy domain. 'Taboo' would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable InformationSensitivityPolicy Act.code may be useful in some scenarios if used in combination with a sensitivity identifier and/or Act.title.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23329"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "COMPT","display" : "compartment","definition" : "This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field.\r\n\r\nMap: Aligns with ISO 2382-8 definition of Compartment - \"A division of data into isolated blocks with separate security controls for the purpose of reducing risk.\"","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23577"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "_ActBillableServiceCode","display" : "ActBillableServiceCode","definition" : "**Definition:** An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22218"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ActOralHealthProcedureCode","display" : "ActOralHealthProcedureCode","definition" : "**Description:**An identifying code for oral health interventions/procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22178"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "LOAN","display" : "Loan","definition" : "Temporary supply of a product without transfer of ownership for the product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17961"},{"code" : "subsumedBy","valueCode" : "_ActProductAcquisitionCode"}]},{"code" : "TRANSFER","display" : "Transfer","definition" : "Transfer of ownership for a product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17959"},{"code" : "subsumedBy","valueCode" : "_ActProductAcquisitionCode"}]},{"code" : "CHAR","display" : "charity program","definition" : "**Definition:** A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22123"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "CRIME","display" : "crime victim program","definition" : "**Definition:** A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22124"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "EAP","display" : "employee assistance program","definition" : "**Definition:** An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22125"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "GOVEMP","display" : "government employee health program","definition" : "**Definition:** A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation\r\n\r\n**Example:** Federal employee health benefit program in the U.S.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22126"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "HIRISK","display" : "high risk pool program","definition" : "**Definition:** A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a\" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22127"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "IND","display" : "indigenous peoples health program","definition" : "**Definition:** Services provided directly and through contracted and operated indigenous peoples health programs.\r\n\r\n**Example:** Indian Health Service in the U.S.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22128"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "MILITARY","display" : "military health program","definition" : "**Definition:** A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations.\r\n\r\n**Example:** In the U.S., TRICARE, CHAMPUS.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22130"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "RETIRE","display" : "retiree health program","definition" : "**Definition:** A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22129"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "SOCIAL","display" : "social service program","definition" : "**Definition:** A social service program funded by a public or governmental entity.\r\n\r\n**Example:** Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22144"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "VET","display" : "veteran health program","definition" : "**Definition:** Services provided directly and through contracted and operated veteran health programs.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22145"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "SREC","display" : "specimen received","definition" : "**Description:**Specimen has been received by the participating organization/department.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21675"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTransportCode"}]},{"code" : "SSTOR","display" : "specimen in storage","definition" : "**Description:**Specimen has been placed into storage at a participating location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21677"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTransportCode"}]},{"code" : "STRAN","display" : "specimen in transit","definition" : "**Description:**Specimen has been put in transit to a participating receiver.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21676"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTransportCode"}]},{"code" : "ACID","display" : "Acidification","definition" : "The lowering of specimen pH through the addition of an acid","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14044"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "ALK","display" : "Alkalization","definition" : "The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14046"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "DEFB","display" : "Defibrination","definition" : "The removal of fibrin from whole blood or plasma through physical or chemical means","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14043"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "FILT","display" : "Filtration","definition" : "The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14047"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "LDLP","display" : "LDL Precipitation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14041"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "NEUT","display" : "Neutralization","definition" : "The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14045"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "RECA","display" : "Recalcification","definition" : "The addition of calcium back to a specimen after it was removed by chelating agents","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14042"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "UFIL","display" : "Ultrafiltration","definition" : "The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14048"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "ARTBLD","display" : "ActSpecObsArtBldCode","definition" : "Describes the artificial blood identifier that is associated with the specimen.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14387"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "DILUTION","display" : "ActSpecObsDilutionCode","definition" : "An observation that reports the dilution of a sample.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14352"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "EVNFCTS","display" : "ActSpecObsEvntfctsCode","definition" : "Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14390"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "INTFR","display" : "ActSpecObsInterferenceCode","definition" : "An observation that relates to factors that may potentially cause interference with the observation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14382"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "VOLUME","display" : "ActSpecObsVolumeCode","definition" : "An observation that reports the volume of a sample.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14369"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "DRUG","display" : "Drug therapy","definition" : "The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21518"},{"code" : "subsumedBy","valueCode" : "_ActSubstanceAdministrationCode"}]},{"code" : "FD","display" : "food","definition" : "**Description:** The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23110"},{"code" : "subsumedBy","valueCode" : "_ActSubstanceAdministrationCode"}]},{"code" : "IMMUNIZ","display" : "Immunization","definition" : "The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21519"},{"code" : "subsumedBy","valueCode" : "_ActSubstanceAdministrationCode"}]},{"code" : "_AdministrationDetectedIssueCode","display" : "AdministrationDetectedIssueCode","definition" : "Administration of the proposed therapy may be inappropriate or contraindicated as proposed","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20908"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "_SupplyDetectedIssueCode","display" : "SupplyDetectedIssueCode","definition" : "Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20933"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "HISTORIC","display" : "record recorded as historical","definition" : "**Description:** While the record was accepted in the repository, there is a more recent version of a record of this type.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23273"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "PATPREF","display" : "violates stated preferences","definition" : "**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22835"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "OE","display" : "order entry task","definition" : "A clinician creates a request for a service to be performed for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22048"},{"code" : "subsumedBy","valueCode" : "_ActTaskCode"}]},{"code" : "PATDOC","display" : "patient documentation task","definition" : "A person enters documentation about a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22067"},{"code" : "subsumedBy","valueCode" : "_ActTaskCode"}]},{"code" : "PATINFO","display" : "patient information review task","definition" : "A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22051"},{"code" : "subsumedBy","valueCode" : "_ActTaskCode"}]},{"code" : "_ActMedicationTherapyDurationWorkingListCode","display" : "act medication therapy duration working list","definition" : "**Definition:**A collection of concepts that identifies different types of 'duration-based' mediation working lists.\r\n\r\n**Examples:**\"Continuous/Chronic\" \"Short-Term\" and \"As Needed\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "21754"},{"code" : "subsumedBy","valueCode" : "_ActTherapyDurationWorkingListCode"}]},{"code" : "_ActPatientTransportationModeCode","display" : "ActPatientTransportationModeCode","definition" : "Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.\r\n\r\n*Examples:* Via ambulance, via public transit, on foot.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "TRNS"}},{"code" : "internalId","valueCode" : "21546"},{"code" : "subsumedBy","valueCode" : "_ActTransportationModeCode"}]},{"code" : "42CFRPart2CD","display" : "42 CFR Part 2 consent directive","definition" : "A code representing an individual's privacy consent directive that complies with 42 CFR Part 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements of a written consent to a disclosure under the regulations in Part 2.\r\n\r\n(1) The name of the patient. (2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. (3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. (4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or (ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or (iii)Entities without a treating provider relationship with the patient. (A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or (B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and (1) The name(s) of an individual participant(s); or (2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or (3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. (i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). (ii) \\[Reserved\\] (5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. (6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer (7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. (8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. (9) The date on which the consent is signed.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's 42 CFR Part 2.31 consent directive, \"42CFRPart2CD\" as the security label policy code.\r\n\r\nSince information governed by an individual's 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR § 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24100"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "CompoundResearchCD","display" : "Compound HIPAA Research Authorization and Informed Consent for Research","definition" : "A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization.\r\n\r\n*Usage Note:* The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf.\r\n\r\nUsed to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.508 use \"CompoundResearchCD\" as the security label policy code.\r\n\r\nInformation or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code \"M\" (moderate).\r\n\r\nSee ActCode.\\_ActPolicyType.\\_ActPrivacyPolicy.\\_ActPrivacyLaw.\\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24105"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAAuthCD","display" : "HIPAA Authorization Consent Directive","definition" : "A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section.\r\n\r\nAn \"authorization\" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html\r\n\r\nA HIPAA Authorization must comply with 45 CFR Section164.508(c) Implementation specifications: Core elements and requirements - (1) Core elements. A valid authorization under this Section must contain at least the following elements: (i) A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. (ii) The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure. (iii) The name or other specific identification of the person(s), or class of persons, to whom the covered entity may make the requested use or disclosure. (iv) A description of each purpose of the requested use or disclosure. The statement \"at the request of the individual\" is a sufficient description of the purpose when an individual initiates the authorization and does not, or elects not to, provide a statement of the purpose. (v) An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure. The statement \"end of the research study,\" \"none,\" or similar language is sufficient if the authorization is for a use or disclosure of protected health information for research, including for the creation and maintenance of a research database or research repository. (vi) Signature of the individual and date. If the authorization is signed by a personal representative of the individual, a description of such representative's authority to act for the individual must also be provided. (2)Required statements. In addition to the core elements, the authorization must contain statements adequate to place the individual on notice of all of the following: (i) The individual's right to revoke the authorization in writing, and either: (A) The exceptions to the right to revoke and a description of how the individual may revoke the authorization; or (B) To the extent that the information in paragraph (c)(2)(i)(A) of this section is included in the notice required by Section 164.520, a reference to the covered entity's notice. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a an individual's HIPAA Authorization for Disclosure, use \"HIPAAAuthCD\" as the security label policy code.\r\n\r\nInformation governed under a HIPAA Authorization for Disclosure has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"N\" (normal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24101"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAConsentCD","display" : "HIPAA Consent Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf, which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.\"\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's consent directive under 45 CFR Section 164.522 use \"HIPAAConsentCD\" as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24102"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAResearchAuthCD","display" : "HIPAA Authorization for Disclosure for Research Consent Directive","definition" : "A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's HIPAA Authorization for Disclosure for Research under 45 CFR Section 164.508 use \"HIPAAResearchAuthCD\" as the security label policy code.\r\n\r\nInformation disclosed under an individual's HIPAA Authorization for Disclosure for Research are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code \"M\" (moderate).\r\n\r\nSee ActCode.\\_ActPolicyType.\\_ActPrivacyPolicy.\\_ActPrivacyLaw.\\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24104"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAROAD","display" : "HIPAA Right of Access Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf, stipulating the policy elements of an individual's written and signed right of access directive requesting that a covered entity send the individual's protected health information (PHI) to a third party.\r\n\r\nSee 45 CFR 164.524(c)(3)(ii) If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf\r\n\r\nThis right applies to PHI in a designated record set, which is defined as \"Designated record set means: (1) A group of records maintained by or for a covered entity that is: (i) The medical records and billing records about individuals maintained by or for a covered health care provider; (ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. \\[https://www.law.cornell.edu/cfr/text/45/164.501\\]. Also see HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 \\[https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html\\#maximumflatfee\\].\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.524 use \"HIPAAROAD\" as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"M\" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24103"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "MDHHS-5515","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes","definition" : "The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it.\r\n\r\n*Usage Note:* For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\\_2941\\_58005-343686--,00.html","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24106"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "42CFRPart2","display" : "42 CFR Part2","definition" : "A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent. https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, the collection, access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use \"42CFRPart2\" as the security label policy code.\r\n\r\nSince information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23761"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "CommonRule","display" : "Common Rule","definition" : "A code representing U.S. Federal laws governing research-related privacy policies known as the \"Common Rule\". The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use \"COMMONRULE\" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code \"M\" (moderate).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23762"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAAuth","display" : "HIPAA Authorization for Disclosure","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed \"authorizations\".\r\n\r\nAn \"authorization\" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where use or disclosure of healthcare information is governed by a covered entity's HIPAA Authorization for Disclosure, use \"HIPAAAuth\" as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA Authorization for Disclosure no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"M\" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24118"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAConsent","display" : "HIPAA Consent","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent\".\r\n\r\nThe Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use 'HIPAAConsent' as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code 'R' (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24135"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAANOPP","display" : "HIPAA notice of privacy practices","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.520), which stipulates an individual's right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Relevant HIPAA Privacy Rule provisions are at Section 164.520 (a) Standard: Notice of privacy practices. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-520.pdf\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, if collection, access, use, or disclosure of healthcare information is governed by a covered entity's HIPAA Notice of Privacy Practices, use \"HIPAANOPP\" as the security label policy code.\r\n\r\nInformation governed under a HIPAA Notice of Privacy Practices has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , which is considered the \"norm\", assign the HL7 Confidentiality code \"N\" (normal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23763"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAPsyNotes","display" : "HIPAA psychotherapy notes","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508), which stipulates the privacy rights of an individual who is the subject of psychotherapy notes, and requires authorization for certain uses and disclosure of that information.\r\n\r\nDefinition of Psychotherapy notes 45 CFR Section 164.501 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-501.pdf: Psychotherapy notes means notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date.\r\n\r\nSee Section 164.508 Uses and disclosures for which an authorization is required. (2)Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf: Notwithstanding any provision of this subpart, other than the transition provisions in Section 164.532, a covered entity must obtain an authorization for any use or disclosure of psychotherapy notes, except: (i) To carry out the following treatment, payment, or health care operations: (A) Use by the originator of the psychotherapy notes for treatment; (B) Use or disclosure by the covered entity for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or (C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual; and (ii) A use or disclosure that is required by Section 164.502(a)(2)(ii) or permitted by Section 164.512(a); Section 164.512(d) with respect to the oversight of the originator of the psychotherapy notes; Section 164.512(g)(1); Section 164.512(j)(1)(i).\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.508 (2) Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , use \"HIPAAPsyNotes\" as the security label policy code.\r\n\r\nSince information governed by a HIPAA 45 CFR 164.508 (2) has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23764"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAROA","display" : "HIPAA Right of Access","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.govinfo.gov/app/details/CFR-2017-title45-vol1/CFR-2017-title45-vol1-sec164-524, which stipulates that an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected health information is maintained in the designated record set with exceptions stipulated in HIPAA Privacy Rule Section 164.524. Exceptions include psychotherapy notes and information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.\r\n\r\nIf an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.\r\n\r\nFor discussion on extent of right, grounds for denial, and documentation requirements see: HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html and HHS FAQ on Right of Access vs. HIPAA Authorization https://www.hhs.gov/hipaa/for-professionals/faq/2041/why-depend-on-the-individuals-right/index.html\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed under 45 CFR Section 164.5224 use \"HIPAAROA\" as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"M\" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24119"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAASelfPay","display" : "HIPAA self-pay","definition" : "A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer.\r\n\r\nSee 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use \"HIPAASelfPay\" as the security label policy code.\r\n\r\nSince information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23765"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "Title38Section7332","display" : "Title 38 Section 7332","definition" : "A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights of veterans diagnosed and treated for substance use disorders, infection with the human immunodeficiency virus, or sickle cell anemia.\r\n\r\nhttps://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html . (1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b). (2) Paragraph (1) prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed. (b) (1) The content of any record referred to in subsection (a) may be disclosed by the Secretary in accordance with the prior written consent of the patient or subject with respect to whom such record is maintained, but only to such extent, under such circumstances, and for such purposes as may be allowed in regulations prescribed by the Secretary. (2) Whether or not any patient or subject, with respect to whom any given record referred to in subsection (a) is maintained, gives written consent, the content of such record may be disclosed by the Secretary as follows: (A) To medical personnel to the extent necessary to meet a bona fide medical emergency. (B) To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient or subject in any report of such research, audit, or evaluation, or otherwise disclose patient or subject identities in any manner. (C) (i) In the case of any record which is maintained in connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law. (ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made. (D) If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient or subject, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure. (E) To an entity described in paragraph (1)(B) of section 5701(k) of this title, but only to the extent authorized by such section. (F) (i) To a representative of a patient who lacks decision-making capacity, when a practitioner deems the content of the given record necessary for that representative to make an informed decision regarding the patient's treatment. (ii) In this subparagraph, the term \"representative\" means an individual, organization, or other body authorized under section 7331 of this title and its implementing regulations to give informed consent on behalf of a patient who lacks decision-making capacity. (G) To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g-3), to the extent necessary to prevent misuse and diversion of prescription medicines. (H) (i) To a non-Department entity (including private entities and other Federal agencies) for purposes of providing health care, including hospital care, medical services, and extended care services, to Veterans or performing other health care-related activities or functions. (ii) An entity to which a record is disclosed under this subparagraph may not disclose or use such record for a purpose other than that for which the disclosure was made or as permitted by law. (I) To a third party in order to recover or collect reasonable charges for care furnished to, or paid on behalf of, a Veteran in connection with a non-service connected disability as permitted by section 1729 of this title or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under the Act entitled 'An Act to provide for the recovery from tortiously liable third persons of the cost of hospital and medical care and treatment furnished by the United States' (Public Law 87-693; 42 U.S.C. 2651 et seq.; commonly known as the 'Federal Medical Care Recovery Act').\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 38 U.S. Code Section 7332 - Confidentiality of certain medical records https://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html use \"Title38Section7332\" as the security label policy code.\r\n\r\nSince information governed by a Title 38 Section 7332 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23766"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "a) HIPAAConsent","display" : "HIPAA Consent","definition" : "Code retired in December 2019 and replaced by code HIPAAConsent. Originally entered with copy/paste error in code value.\r\n\r\nA code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.\" The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use \"HIPAAConsent\" as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "24117"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "USResearchInformedAssent","display" : "Informed Assent for Research","definition" : "An informed assertion by a minor who is a candidate research subject, of the individual's willingness to participate in research. Assent means a child's affirmative agreement to participate in a clinical investigation. Mere failure to object should not, absent affirmative agreement, be construed as assent. The minor's assent must be accompanied by parental or guardian consent that the minor participate in a specified research. The assent is not legally binding, however, the accompanying consent is legally binding. Background: In the US, informed assent is governed under 21 CFR Part 50, Subpart D - Additional Safeguards for Children in Clinical Investigations. Available at https://www.law.cornell.edu/cfr/text/21/part-50/subpart-D","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "25100"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "USResearchInformedConsent","display" : "Informed Consent for Research","definition" : "An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in a specified research study. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "25101"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "USBroadResearchConsent","display" : "Broad Consent for Research","definition" : "An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in unspecified research studies, including storage, maintenance, and secondary research use of identifiable biospecimens and data.  If broad consent is obtained, any subsequent storage, maintenance, and secondary research uses of the individual’s identifiable biospecimens and data consistent with the broad consent would not require additional consent, so long as additional conditions are met, including limited review by an IRB. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "25102"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "_AppropriatenessDetectedIssueCode","display" : "AppropriatenessDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20910"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "COMPLY","display" : "Compliance Alert","definition" : "There may be an issue with the patient complying with the intentions of the proposed therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16687"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "DACT","display" : "drug action detected issue","definition" : "**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21699"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "DOSE","display" : "Dosage problem","definition" : "Proposed dosage instructions for therapy differ from standard practice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16680"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "DUPTHPY","display" : "Duplicate Therapy Alert","definition" : "The proposed therapy appears to duplicate an existing therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16688"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "TIME","display" : "timing detected issue","definition" : "**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21700"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "_DrugActionDetectedIssueCode","display" : "DrugActionDetectedIssueCode","definition" : "Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20914"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "_TimingDetectedIssueCode","display" : "TimingDetectedIssueCode","definition" : "Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20934"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "_ActPatientAnnotationType","display" : "ActPatientAnnotationType","definition" : "**Description:**Provides a categorization for annotations recorded directly against the patient .","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22821"},{"code" : "subsumedBy","valueCode" : "_AnnotationType"}]},{"code" : "_ECGAnnotationType","display" : "ECGAnnotationType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20915"},{"code" : "subsumedBy","valueCode" : "_AnnotationType"}]},{"code" : "_InteractionDetectedIssueCode","display" : "InteractionDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20923"},{"code" : "subsumedBy","valueCode" : "_AppropriatenessDetectedIssueCode"}]},{"code" : "OBSA","display" : "Observation Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16664"},{"code" : "subsumedBy","valueCode" : "_AppropriatenessDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "PREVINEF","display" : "previously ineffective","definition" : "**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22834"},{"code" : "subsumedBy","valueCode" : "_AppropriatenessDetectedIssueCode"}]},{"code" : "EMAUTH","display" : "emergency authorization override","definition" : "Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21388"},{"code" : "subsumedBy","valueCode" : "_AuthorizationIssueManagementCode"}]},{"code" : "AIRTRNS","display" : "airborne transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21915"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "ANANTRNS","display" : "animal to animal transmission","definition" : "Communication of an agent from one animal to another proximate animal.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21909"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "ANHUMTRNS","display" : "animal to human transmission","definition" : "Communication of an agent from an animal to a proximate person.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21910"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "BDYFLDTRNS","display" : "body fluid contact transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with any body fluid.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21911"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "BLDTRNS","display" : "blood borne transmission","definition" : "Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21912"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "DERMTRNS","display" : "transdermal transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21923"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "ENVTRNS","display" : "environmental exposure transmission","definition" : "Communication of an agent from an environmental surface or source to a living subject by direct contact.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21914"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "FECTRNS","display" : "fecal-oral transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21916"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "FOMTRNS","display" : "fomite transmission","definition" : "Communication of an agent from an non-living material to a living subject through direct contact.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21917"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "FOODTRNS","display" : "food-borne transmission","definition" : "Communication of an agent from a food source to a living subject via oral consumption.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21918"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "HUMHUMTRNS","display" : "human to human transmission","definition" : "Communication of an agent from a person to a proximate person.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21919"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "INDTRNS","display" : "indeterminate disease transmission mode","definition" : "Communication of an agent to a living subject via an undetermined route.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21920"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "LACTTRNS","display" : "lactation transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21913"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "NOSTRNS","display" : "nosocomial transmission","definition" : "Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21921"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "PARTRNS","display" : "parenteral transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21922"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "PLACTRNS","display" : "transplacental transmission","definition" : "Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21926"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "SEXTRNS","display" : "sexual transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21925"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "TRNSFTRNS","display" : "transfusion transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21924"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "VECTRNS","display" : "vector-borne transmission","definition" : "Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21927"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "WATTRNS","display" : "water-borne transmission","definition" : "Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21928"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "REPRESENTATIVE_BEAT","display" : "ECG representative beat waveforms","definition" : "This Observation Series type contains waveforms of a \"representative beat\" (a.k.a. \"median beat\" or \"average beat\"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the \"rhythm\" waveforms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19324"},{"code" : "subsumedBy","valueCode" : "_ECGObservationSeriesType"}]},{"code" : "RHYTHM","display" : "ECG rhythm waveforms","definition" : "This Observation type contains ECG \"rhythm\" waveforms. The waveform samples are measured in absolute time (a.k.a. \"subject time\" or \"effective time\"). These waveforms are usually \"raw\" with some minimal amount of noise reduction and baseline filtering applied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19323"},{"code" : "subsumedBy","valueCode" : "_ECGObservationSeriesType"}]},{"code" : "DEMO","display" : "all demographic information sensitivity","definition" : "Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23352"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "DOB","display" : "date of birth information sensitivity","definition" : "Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23353"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "GENDER","display" : "gender and sexual orientation information sensitivity","definition" : "Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23354"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "LIVARG","display" : "living arrangement information sensitivity","definition" : "Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23355"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "MARST","display" : "marital status information sensitivity","definition" : "Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23356"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "PATLOC","display" : "patient location","definition" : "Policy for handling information related to an individual's location, which is deemed sensitive when the disclosure could impact the privacy, well-being, or safety of that subject, and requires additional protection.\r\n\r\n*Usage Note:* If there is a jurisdictional, organizational, or individual mandate, then use the applicable ActPrivacyLaw or ActConsentDirective code from the ActCode system to and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24041"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "RACE","display" : "race information sensitivity","definition" : "Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23357"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "REL","display" : "religion information sensitivity","definition" : "Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23358"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "FDACOATING","display" : "coating","definition" : "FDA label coating","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19260"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDACOLOR","display" : "color","definition" : "FDA label color","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19259"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDAIMPRINTCD","display" : "imprint code","definition" : "FDA label imprint code","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19256"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDALOGO","display" : "logo","definition" : "FDA label logo","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19262"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDASCORING","display" : "scoring","definition" : "FDA label scoring","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19261"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDASHAPE","display" : "shape","definition" : "FDA label shape","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19258"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDASIZE","display" : "size","definition" : "FDA label size","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19257"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "GENE","display" : "gene","definition" : "**Description:** A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22651"},{"code" : "subsumedBy","valueCode" : "_GeneticObservationType"}]},{"code" : "I","display" : "Isolation","definition" : "Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16134"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "P","display" : "Private","definition" : "Accommodations in which there is only 1 bed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16131"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "S","display" : "Suite","definition" : "Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16133"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "SP","display" : "Semi-private","definition" : "Accommodations in which there are 2 beds.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16132"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "W","display" : "Ward","definition" : "Accommodations in which there are 3 or more beds.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16135"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "_ActDetectedIssueCode","display" : "ActDetectedIssueCode","definition" : "Identifies types of detected issues for Act class \"ALRT\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20866"},{"code" : "subsumedBy","valueCode" : "_HL7DefinedActCodes"}]},{"code" : "_HL7TriggerEventCode","display" : "HL7TriggerEventCode","definition" : "The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20922"},{"code" : "subsumedBy","valueCode" : "_HL7DefinedActCodes"}]},{"code" : "_SubstanceAdministrationActCode","display" : "SubstanceAdministrationActCode","definition" : "The specific chemical or radiological substance administered or to be administered into the body for therapeutic effect.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20932"},{"code" : "subsumedBy","valueCode" : "_HL7DefinedActCodes"}]},{"code" : "OBSANTC","display" : "antigen count","definition" : "**Description:** Indicates the valid antigen count.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23243"},{"code" : "subsumedBy","valueCode" : "_ImmunizationObservationType"}]},{"code" : "OBSANTV","display" : "antigen validity","definition" : "**Description:** Indicates whether an antigen is valid or invalid.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23242"},{"code" : "subsumedBy","valueCode" : "_ImmunizationObservationType"}]},{"code" : "PAT_ADV_EVNT","display" : "patient adverse event","definition" : "Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23104"},{"code" : "subsumedBy","valueCode" : "_IndividualCaseSafetyReportType"}]},{"code" : "VAC_PROBLEM","display" : "vaccine product problem","definition" : "Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23103"},{"code" : "subsumedBy","valueCode" : "_IndividualCaseSafetyReportType"}]},{"code" : "_ActInformationSensitivityPolicy","display" : "ActInformationSensitivityPolicy","definition" : "Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as \"constraints around appropriate disclosure of information about this Act, regardless of mood.\"\r\n\r\n*Usage Note:* ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23337"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "_EntitySensitivityPolicyType","display" : "EntityInformationSensitivityPolicy","definition" : "Types of sensitivity policies that may apply to a sensitive attribute on an Entity.\r\n\r\n*Usage Note:* EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as \"an indication of the appropriate disclosure of information about this Role with respect to the playing Entity.\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23351"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "_RoleInformationSensitivityPolicy","display" : "RoleInformationSensitivityPolicy","definition" : "Types of sensitivity policies that apply to Roles.\r\n\r\n*Usage Notes:* RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as \"an indication of the appropriate disclosure of information about this Role with respect to the playing Entity.\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy.  Role.confidentialityCode is defined in the RIM as \"an indication of the appropriate disclosure of information about this Role with respect to the playing Entity.\""},{"code" : "internalId","valueCode" : "23346"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "ADOL","display" : "adolescent information sensitivity","definition" : "Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:* For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23330"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "CEL","display" : "celebrity information sensitivity","definition" : "Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:*  For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "VIP"},{"code" : "internalId","valueCode" : "23331"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "VIP","display" : "celebrity information sensitivity","definition" : "Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:*  For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "CEL"},{"code" : "internalId","valueCode" : "23331"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "DIA","display" : "diagnosis information sensitivity","definition" : "Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality.\r\n\r\n*Usage Note:* For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23332"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "DRGIS","display" : "drug information sensitivity","definition" : "Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality.\r\n\r\n*Usage Note:* For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23333"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "EMP","display" : "employee information sensitivity","definition" : "Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:* Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23334"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "PDS","display" : "patient default information sensitivity","definition" : "Policy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default. Organizational policy may allow the sensitivity tag to be cleared on patient's request.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nFor example, VA deems employee information sensitive by default. Information about a patient who is being stalked or a victim of abuse or violence may be deemed sensitive by default per a provider organization's policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23336"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "PHY","display" : "physician requested information sensitivity","definition" : "Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive. Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law.\r\n\r\n*Usage Note:* For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.\r\n\r\nUse cases in which this code could be used are, e.g., in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23931"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "PRS","display" : "patient requested information sensitivity","definition" : "Policy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted. For example, a minor patient may request that information about reproductive health not be disclosed to the patient's family or to particular providers and payers.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23335"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "FOOD","display" : "Food Interaction Alert","definition" : "Proposed therapy may interact with certain foods","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16662"},{"code" : "subsumedBy","valueCode" : "_InteractionDetectedIssueCode"}]},{"code" : "TPROD","display" : "Therapeutic Product Alert","definition" : "Proposed therapy may interact with an existing or recent therapeutic product","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17807"},{"code" : "subsumedBy","valueCode" : "_InteractionDetectedIssueCode"}]},{"code" : "ADNFPPELAT","display" : "adjud. nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPELAT"},{"code" : "internalId","valueCode" : "20007"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPELAT","display" : "adjud. nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPELAT"},{"code" : "internalId","valueCode" : "20007"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFPPELCT","display" : "adjud. nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPELCT"},{"code" : "internalId","valueCode" : "20006"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPELCT","display" : "adjud. nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPELCT"},{"code" : "internalId","valueCode" : "20006"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFPPMNAT","display" : "adjud. nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPMNAT"},{"code" : "internalId","valueCode" : "20009"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPMNAT","display" : "adjud. nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPMNAT"},{"code" : "internalId","valueCode" : "20009"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFPPMNCT","display" : "adjud. nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPMNCT"},{"code" : "internalId","valueCode" : "20008"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPMNCT","display" : "adjud. nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPMNCT"},{"code" : "internalId","valueCode" : "20008"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPELAT","display" : "adjud. nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPELAT"},{"code" : "internalId","valueCode" : "20005"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPELAT","display" : "adjud. nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPELAT"},{"code" : "internalId","valueCode" : "20005"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPELCT","display" : "adjud. nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPELCT"},{"code" : "internalId","valueCode" : "20004"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPELCT","display" : "adjud. nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPELCT"},{"code" : "internalId","valueCode" : "20004"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPMNAT","display" : "adjud. nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPMNAT"},{"code" : "internalId","valueCode" : "20011"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPMNAT","display" : "adjud. nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPMNAT"},{"code" : "internalId","valueCode" : "20011"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPMNCT","display" : "adjud. nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPMNCT"},{"code" : "internalId","valueCode" : "20010"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPMNCT","display" : "adjud. nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPMNCT"},{"code" : "internalId","valueCode" : "20010"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPELAT","display" : "adjud. non-payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17544"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPELCT","display" : "adjud. non-payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17543"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPMNAT","display" : "adjud. non-payee payable prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17546"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPMNCT","display" : "adjud. non-payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17545"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPELAT","display" : "adjud. non-payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17540"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPELCT","display" : "adjud. non-payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17539"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPMNAT","display" : "adjud. non-payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17542"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPMNCT","display" : "adjud. non-payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17541"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPELAT","display" : "adjud. payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17536"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPELCT","display" : "adjud. payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17535"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPMNAT","display" : "adjud. payee payable prior-period manual amout","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17538"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPMNCT","display" : "adjud. payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17537"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPELAT","display" : "adjud. payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17532"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPELCT","display" : "adjud. payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17531"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPMNAT","display" : "adjud. payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17534"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPMNCT","display" : "adjud. payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17533"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPELAT","display" : "adjud. refused prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17560"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPELCT","display" : "adjud. refused prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17559"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPMNAT","display" : "adjud. refused prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17562"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPMNCT","display" : "adjud. refused prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17561"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPELAT","display" : "adjud. refused same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17556"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPELCT","display" : "adjud. refused same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17555"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPMNAT","display" : "adjud. refused same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17558"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPMNCT","display" : "adjud. refused same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17557"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "PDNFPPELAT","display" : "paid nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPELAT"},{"code" : "internalId","valueCode" : "20017"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPELAT","display" : "paid nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPELAT"},{"code" : "internalId","valueCode" : "20017"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFPPELCT","display" : "paid nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPELCT"},{"code" : "internalId","valueCode" : "20016"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPELCT","display" : "paid nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPELCT"},{"code" : "internalId","valueCode" : "20016"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFPPMNAT","display" : "paid nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPMNAT"},{"code" : "internalId","valueCode" : "20019"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPMNAT","display" : "paid nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPMNAT"},{"code" : "internalId","valueCode" : "20019"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFPPMNCT","display" : "paid nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPMNCT"},{"code" : "internalId","valueCode" : "20018"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPMNCT","display" : "paid nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPMNCT"},{"code" : "internalId","valueCode" : "20018"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPELAT","display" : "paid nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPELAT"},{"code" : "internalId","valueCode" : "20013"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPELAT","display" : "paid nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPELAT"},{"code" : "internalId","valueCode" : "20013"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPELCT","display" : "paid nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPELCT"},{"code" : "internalId","valueCode" : "20012"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPELCT","display" : "paid nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPELCT"},{"code" : "internalId","valueCode" : "20012"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPMNAT","display" : "paid nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPMNAT"},{"code" : "internalId","valueCode" : "20015"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPMNAT","display" : "paid nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPMNAT"},{"code" : "internalId","valueCode" : "20015"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPMNCT","display" : "paid nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPMNCT"},{"code" : "internalId","valueCode" : "20014"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPMNCT","display" : "paid nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPMNCT"},{"code" : "internalId","valueCode" : "20014"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPELAT","display" : "paid non-payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17577"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPELCT","display" : "paid non-payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17576"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPMNAT","display" : "paid non-payee payable prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17579"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPMNCT","display" : "paid non-payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17578"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPELAT","display" : "paid non-payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17573"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPELCT","display" : "paid non-payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17572"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPMNAT","display" : "paid non-payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17575"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPMNCT","display" : "paid non-payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17574"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPELAT","display" : "paid payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17569"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPELCT","display" : "paid payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17568"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPMNAT","display" : "paid payee payable prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17571"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPMNCT","display" : "paid payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17570"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPELAT","display" : "paid payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17565"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPELCT","display" : "paid payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17564"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPMNAT","display" : "paid payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17567"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPMNCT","display" : "paid payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17566"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "SBBLELAT","display" : "submitted billed electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBBLAT"},{"code" : "internalId","valueCode" : "19999"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBBLAT","display" : "submitted billed electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBBLELAT"},{"code" : "internalId","valueCode" : "19999"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBBLELCT","display" : "submitted billed electronic count","definition" : "Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBBLCT"},{"code" : "internalId","valueCode" : "19998"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBBLCT","display" : "submitted billed electronic count","definition" : "Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBBLELCT"},{"code" : "internalId","valueCode" : "19998"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBNFELAT","display" : "submitted nullified electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBCNAT"},{"code" : "internalId","valueCode" : "20001"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBCNAT","display" : "submitted nullified electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBNFELAT"},{"code" : "internalId","valueCode" : "20001"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBNFELCT","display" : "submitted cancelled electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBCNCT"},{"code" : "internalId","valueCode" : "20000"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBCNCT","display" : "submitted cancelled electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBNFELCT"},{"code" : "internalId","valueCode" : "20000"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDELAT","display" : "submitted pending electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBPDAT"},{"code" : "internalId","valueCode" : "20003"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDAT","display" : "submitted pending electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBPDELAT"},{"code" : "internalId","valueCode" : "20003"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDELCT","display" : "submitted pending electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBPDCT"},{"code" : "internalId","valueCode" : "20002"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDCT","display" : "submitted pending electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBPDELCT"},{"code" : "internalId","valueCode" : "20002"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "21611-9","display" : "age patient qn est","definition" : "**Definition:**Estimated age.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21630"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "21612-7","display" : "age patient qn reported","definition" : "**Definition:**Reported age.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21631"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "29553-5","display" : "age patient qn calc","definition" : "**Definition:**Calculated age.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21632"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "30525-0","display" : "age patient qn definition","definition" : "**Definition:**General specification of age with no implied method of determination.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21629"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "30972-4","display" : "age at onset of adverse event","definition" : "**Definition:**Age at onset of associated adverse event; no implied method of determination.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21633"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "REP_HALF_LIFE","display" : "representative half-life","definition" : "**Description:**This observation represents an 'average' or 'expected' half-life typical of the product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21678"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLCOATING","display" : "coating","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration).\r\n\r\n**Constraints:** The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21604"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLCOLOR","display" : "color","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling.\r\n\r\n**Constraints:** The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21608"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLIMAGE","display" : "image","definition" : "**Description:** A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21610"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLIMPRINT","display" : "imprint","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL.\r\n\r\n**Examples:** Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers.\r\n\r\n**Constraints:** The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21607"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSCORING","display" : "scoring","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s).\r\n\r\n**Example:** One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3.\r\n\r\n**Constraints:** Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21606"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSHAPE","display" : "shape","definition" : "**Description:** A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21609"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSIZE","display" : "size","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter.\r\n\r\n**Example:** SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21605"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSYMBOL","display" : "symbol","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics.\r\n\r\n**Constraints:** The Observation.value must be a Boolean (BL) with <u>true</u> indicating the presence and <u>false</u> for the absence of marks or symbols.\r\n\r\n**Example:**","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21603"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "ADMDX","display" : "admitting diagnosis","definition" : "Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16839"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "DISDX","display" : "discharge diagnosis","definition" : "Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16840"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "INTDX","display" : "intermediate diagnosis","definition" : "Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16841"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "NOI","display" : "nature of injury","definition" : "The type of injury that the injury coding specifies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20026"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "_CaseTransmissionMode","display" : "case transmission mode","definition" : "Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21908"},{"code" : "subsumedBy","valueCode" : "_ObservationIssueTriggerCodedObservationType"}]},{"code" : "AGGREGATE","display" : "aggregate measure observation","definition" : "Indicates that the observation is carrying out an aggregation calculation, contained in the value element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23626"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "CMPMSRMTH","display" : "composite measure method","definition" : "Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23788"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "CMPMSRSCRWGHT","display" : "component measure scoring weight","definition" : "An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23791"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "COPY","display" : "copyright","definition" : "Identifies the organization(s) who own the intellectual property represented by the eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23020"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "CRS","display" : "clinical recommendation statement","definition" : "Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23430"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "DEF","display" : "definition","definition" : "Description of individual terms, provided as needed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23433"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "DISC","display" : "disclaimer","definition" : "Disclaimer information for the eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23022"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "FINALDT","display" : "finalized date/time","definition" : "The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23440"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "GUIDE","display" : "guidance","definition" : "Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23434"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "IDUR","display" : "improvement notation","definition" : "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23431"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "ITMCNT","display" : "items counted","definition" : "Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23441"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "KEY","display" : "keyword","definition" : "A significant word that aids in discoverability.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23024"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MEDT","display" : "measurement end date","definition" : "The end date of the measurement period.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23439"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSD","display" : "measurement start date","definition" : "The start date of the measurement period.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23438"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRADJ","display" : "risk adjustment","definition" : "The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23028"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRAGG","display" : "rate aggregation","definition" : "Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two).\r\n\r\n*Open Issue:* The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23021"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRIMPROV","display" : "health quality measure improvement notation","definition" : "Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23023"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRJUR","display" : "jurisdiction","definition" : "The list of jurisdiction(s) for which the measure applies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23539"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRRPTR","display" : "reporter type","definition" : "Type of person or organization that is expected to report the issue.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23540"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRRPTTIME","display" : "timeframe for reporting","definition" : "The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23541"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRSCORE","display" : "measure scoring","definition" : "Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23029"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRSET","display" : "health quality measure care setting","definition" : "Location(s) in which care being measured is rendered\r\n\r\nUsage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23019"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRTOPIC","display" : "health quality measure topic type","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23031"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRTP","display" : "measurement period","definition" : "The time period for which the eMeasure applies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23432"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRTYPE","display" : "measure type","definition" : "Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23030"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "RAT","display" : "rationale","definition" : "Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23026"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "REF","display" : "reference","definition" : "Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23027"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "SDE","display" : "supplemental data elements","definition" : "Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23437"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "STRAT","display" : "stratification","definition" : "Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole \\[age 14-25\\] and each sub-stratum \\[14-19\\] and \\[20-25\\]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings \\[specific birth weights for neonatal intensive care units\\]).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23435"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "TRANF","display" : "transmission format","definition" : "Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23436"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "USE","display" : "notice of use","definition" : "Usage notes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23025"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "TIME_ABSOLUTE","display" : "absolute time sequence","definition" : "A sequence of values in the \"absolute\" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19326"},{"code" : "subsumedBy","valueCode" : "_ObservationSequenceType"}]},{"code" : "TIME_RELATIVE","display" : "relative time sequence","definition" : "A sequence of values in a \"relative\" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19327"},{"code" : "subsumedBy","valueCode" : "_ObservationSequenceType"}]},{"code" : "_ECGObservationSequenceType","display" : "ECGObservationSequenceType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20917"},{"code" : "subsumedBy","valueCode" : "_ObservationSequenceType"}]},{"code" : "_ECGObservationSeriesType","display" : "ECGObservationSeriesType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBSSER"}},{"code" : "internalId","valueCode" : "20918"},{"code" : "subsumedBy","valueCode" : "_ObservationSeriesType"}]},{"code" : "_ActSpecObsCode","display" : "ActSpecObsCode","definition" : "Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPCOBS"}},{"code" : "internalId","valueCode" : "20906"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_AnnotationType","display" : "AnnotationType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20909"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_GeneticObservationType","display" : "GeneticObservationType","definition" : "**Description:** None provided","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "22650"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ImmunizationObservationType","display" : "ImmunizationObservationType","definition" : "**Description:** Observation codes which describe characteristics of the immunization material.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23241"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_IndividualCaseSafetyReportType","display" : "Individual Case Safety Report Type","definition" : "A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report.\r\n\r\nExample concepts include: Spontaneous, Report from study, Other.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21394"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_LOINCObservationActContextAgeType","display" : "LOINCObservationActContextAgeType","definition" : "**Definition:**The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "22389"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_MedicationObservationType","display" : "MedicationObservationType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "22390"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationIssueTriggerCodedObservationType","display" : "ObservationIssueTriggerCodedObservationType","definition" : "Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21524"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationQualityMeasureAttribute","display" : "ObservationQualityMeasureAttribute","definition" : "Codes used to define various metadata aspects of a health quality measure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23018"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationSequenceType","display" : "ObservationSequenceType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20928"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationSeriesType","display" : "ObservationSeriesType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20929"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PatientImmunizationRelatedObservationType","display" : "PatientImmunizationRelatedObservationType","definition" : "**Description:** Reporting codes that are related to an immunization event.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23244"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PopulationInclusionObservationType","display" : "PopulationInclusionObservationType","definition" : "Observation types for specifying criteria used to assert that a subject is included in a particular population.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23543"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PreferenceObservationType","display" : "_PreferenceObservationType","definition" : "Types of observations that can be made about Preferences.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23622"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "ADVERSE_REACTION","display" : "Adverse Reaction","definition" : "Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21510"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "ASSERTION","display" : "Assertion","definition" : "**Description:**Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code=\"ASSERTION\" and observation.value=\"fracture of femur present\" is an assertion of a clinical finding of femur fracture.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22040"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CASESER","display" : "case seriousness criteria","definition" : "**Definition:**An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22833"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CDIO","display" : "case disease imported observation","definition" : "An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship.\r\n\r\n**OpenIssue:** This code could be moved to LOINC if it can be done before there are significant implemenations using it.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23467"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CRIT","display" : "criticality","definition" : "A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23572"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CTMO","display" : "case transmission mode observation","definition" : "An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.\r\n\r\n**OpenIssue:** This code could be moved to LOINC if it can be done before there are significant implemenations using it.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23466"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "DX","display" : "ObservationDiagnosisTypes","definition" : "Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "internalId","valueCode" : "20927"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationDiagnosisTypes","display" : "ObservationDiagnosisTypes","definition" : "Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "DX"},{"code" : "internalId","valueCode" : "20927"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "GISTIER","display" : "GIS tier","definition" : "**Description:** Accuracy determined as per the GIS tier code system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22710"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "HHOBS","display" : "household situation observation","definition" : "Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23073"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "ISSUE","display" : "detected issue","definition" : "There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.\r\n\r\n*Open Issue:* The definition of this code does not correctly represent the concept space of its specializations (children)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21697"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "KSUBJ","display" : "knowledge subject","definition" : "Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23090"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "KSUBT","display" : "knowledge subtopic","definition" : "Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23091"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "OINT","display" : "intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to an agent.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21498"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "SEV","display" : "Severity Observation","definition" : "A subjective evaluation of the seriousness or intensity associated with another observation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16642"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ActPrivilegeCategorizationType","display" : "ActPrivilegeCategorizationType","definition" : "This domain includes observations used to characterize a privilege, under which this additional information is classified.\r\n\r\n*Examples:*A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21585"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_AdverseSubstanceAdministrationEventActionTakenType","display" : "AdverseSubstanceAdministrationEventActionTakenType","definition" : "**Definition:** Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner's response to the patient's problem.\r\n\r\n**Examples:** Example values include dose withdrawn, dose reduced, dose not changed.\r\n\r\n**NOTE:** The concept domain is currently supported by a value set created by the International Conference on Harmonization","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22266"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_CommonClinicalObservationType","display" : "CommonClinicalObservationType","definition" : "Used in a patient care message to report and query simple clinical (non-lab) observations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21527"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_FDALabelData","display" : "FDALabelData","definition" : "FDA label data","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20920"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationAllergyTestCode","display" : "observation allergy test","definition" : "**Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities.\r\n\r\n**Example:**Skin tests and eosinophilia evaluations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21942"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationAllergyTestType","display" : "ObservationAllergyTestType","definition" : "Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21494"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationCausalityAssessmentType","display" : "observation causality assessment","definition" : "**Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation\r\n\r\n**Example:**Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21941"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationDosageDefinitionPreconditionType","display" : "observation dosage definition precondition type","definition" : "**Definition:**\r\n\r\nThe set of observation type concepts that can be used to express pre-conditions to a particular dosage definition.\r\n\r\nRationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21714"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationGenomicFamilyHistoryType","display" : "ObservationGenomicFamilyHistoryType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22041"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationIndicationType","display" : "ObservationIndicationType","definition" : "Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21541"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationIssueTriggerMeasuredObservationType","display" : "ObservationIssueTriggerMeasuredObservationType","definition" : "Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21525"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationQueryMatchType","display" : "ObservationQueryMatchType","definition" : "**Definition:** An observation related to a query response.\r\n\r\n**Example:**The degree of match or match weight returned by a matching algorithm in a response to a query.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22264"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationVisionPrescriptionType","display" : "ObservationVisionPrescriptionType","definition" : "**Definition:** Identifies the type of Vision Prescription Observation that is being described.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22243"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PatientCharacteristicObservationType","display" : "PatientCharacteristicObservationType","definition" : "Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21526"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_SimpleMeasurableClinicalObservationType","display" : "SimpleMeasurableClinicalObservationType","definition" : "Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21523"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CLSSRM","display" : "classroom","definition" : "**Description:** The class room associated with the patient during the immunization event.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23246"},{"code" : "subsumedBy","valueCode" : "_PatientImmunizationRelatedObservationType"}]},{"code" : "GRADE","display" : "grade","definition" : "**Description:** The school grade or level the patient was in when immunized.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23245"},{"code" : "subsumedBy","valueCode" : "_PatientImmunizationRelatedObservationType"}]},{"code" : "SCHL","display" : "school","definition" : "**Description:** The school the patient attended when immunized.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23247"},{"code" : "subsumedBy","valueCode" : "_PatientImmunizationRelatedObservationType"}]},{"code" : "SCHLDIV","display" : "school division","definition" : "**Description:** The school division or district associated with the patient during the immunization event.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23248"},{"code" : "subsumedBy","valueCode" : "_PatientImmunizationRelatedObservationType"}]},{"code" : "TEACHER","display" : "teacher","definition" : "**Description:** The patient's teacher when immunized.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23249"},{"code" : "subsumedBy","valueCode" : "_PatientImmunizationRelatedObservationType"}]},{"code" : "DENEX","display" : "denominator exclusions","definition" : "Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23544"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "DENEXCEP","display" : "denominator exceptions","definition" : "Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient (or subject) reasons\r\n *  System reasons","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23545"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "DENOM","display" : "denominator","definition" : "Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23546"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "IPOP","display" : "initial population","definition" : "Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23547"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "MSROBS","display" : "measure observation","definition" : "Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population.\r\n\r\n**Examples:** \r\n\r\n *  the median time from arrival in the Emergency Room to departure\r\n *  the median time from decision to admit to a hospital to the actual admission for Emergency Room patients","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23895"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "MSRPOPL","display" : "measure population","definition" : "Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23549"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "MSRPOPLEX","display" : "measure population exclusions","definition" : "Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23550"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "NUMER","display" : "numerator","definition" : "Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23551"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "NUMEX","display" : "numerator exclusions","definition" : "Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23552"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "PREFSTRENGTH","display" : "preference strength","definition" : "An observation about how important a preference is to the target of the preference.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23623"},{"code" : "subsumedBy","valueCode" : "_PreferenceObservationType"}]},{"code" : "CIRCLE","display" : "circle","definition" : "A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16118"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "ELLIPSE","display" : "ellipse","definition" : "An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16119"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "POINT","display" : "point","definition" : "A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16120"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "POLY","display" : "polyline","definition" : "A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16121"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "B","display" : "business information sensitivity","definition" : "Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality.\r\n\r\n*Usage Notes:* No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "No patient related information may ever be of this confidentiality level.   If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23347"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "EMPL","display" : "employer information sensitivity","definition" : "Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23348"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "LOCIS","display" : "location information sensitivity","definition" : "Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23349"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "SSP","display" : "sensitive service provider information sensitivity","definition" : "Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23350"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "ALLDONE","display" : "already performed","definition" : "**Definition:**The requested action has already been performed and so this request has no effect","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22847"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "FULFIL","display" : "fulfillment alert","definition" : "**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22839"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "HELD","display" : "held/suspended alert","definition" : "**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22848"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "TOOLATE","display" : "Refill Too Late Alert","definition" : "The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16693"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "TOOSOON","display" : "Refill Too Soon Alert","definition" : "The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16692"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "ENDLATE","display" : "End Too Late Alert","definition" : "Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17818"},{"code" : "subsumedBy","valueCode" : "_TimingDetectedIssueCode"}]},{"code" : "STRTLATE","display" : "Start Too Late Alert","definition" : "Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17817"},{"code" : "subsumedBy","valueCode" : "_TimingDetectedIssueCode"}]},{"code" : "19","display" : "Consulted Supplier","definition" : "Consulted other supplier/pharmacy, therapy confirmed","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17836"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "2","display" : "Assessed Patient","definition" : "Assessed patient, therapy is appropriate","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16697"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "22","display" : "appropriate indication or diagnosis","definition" : "**Description:** The patient has the appropriate indication or diagnosis for the action to be taken.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22814"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "23","display" : "prior therapy documented","definition" : "**Description:** It has been confirmed that the appropriate pre-requisite therapy has been tried.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22815"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "3","display" : "Patient Explanation","definition" : "Patient gave adequate explanation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16698"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "4","display" : "Consulted Other Source","definition" : "Consulted other supply source, therapy still appropriate","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16699"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "5","display" : "Consulted Prescriber","definition" : "Consulted prescriber, therapy confirmed","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16700"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "7","display" : "Interacting Therapy No Longer Active/Planned","definition" : "Concurrent therapy triggering alert is no longer on-going or planned","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16702"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "15","display" : "Replacement","definition" : "Patient's existing supply was lost/wasted","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16710"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "16","display" : "Vacation Supply","definition" : "Supply date is due to patient vacation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16711"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "17","display" : "Weekend Supply","definition" : "Supply date is intended to carry patient over weekend","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16712"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "18","display" : "Leave of Absence","definition" : "Supply is intended for use during a leave of absence from an institution.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17835"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "20","display" : "additional quantity on separate dispense","definition" : "**Description:** Supply is different than expected as an additional quantity has been supplied in a separate dispense.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22813"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "6","display" : "Prescriber Declined Change","definition" : "Consulted prescriber and recommended change, prescriber declined","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16701"},{"code" : "subsumedBy","valueCode" : "5"}]},{"code" : "10","display" : "Provided Patient Education","definition" : "Provided education or training to the patient on appropriate therapy use","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16705"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "11","display" : "Added Concurrent Therapy","definition" : "Instituted an additional therapy to mitigate potential negative effects","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16706"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "12","display" : "Temporarily Suspended Concurrent Therapy","definition" : "Suspended existing therapy that triggered interaction for the duration of this therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16707"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "13","display" : "Stopped Concurrent Therapy","definition" : "Aborted existing therapy that triggered interaction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16708"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "9","display" : "Instituted Ongoing Monitoring Program","definition" : "Arranged to monitor patient for adverse effects","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16704"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "ANF","display" : "adjudicated with adjustments and no financial impact","definition" : "The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19708"},{"code" : "subsumedBy","valueCode" : "AA"}]},{"code" : "TRSTACCRD","display" : "trust accreditation","definition" : "Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23659"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTAGRE","display" : "trust agreement","definition" : "Type of security metadata about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23660"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTASSUR","display" : "trust assurance","definition" : "Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23661"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTCERT","display" : "trust certificate","definition" : "Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23662"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTFWK","display" : "trust framework","definition" : "Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23663"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTMEC","display" : "trust mechanism","definition" : "Type of security metadata about a security architecture system component that supports enforcement of security policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23664"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "ADALRT","display" : "adult alert","definition" : "Proposed therapy is outside of the standard practice for an adult patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23556"},{"code" : "subsumedBy","valueCode" : "AGE"}]},{"code" : "DOSEHINDA","display" : "High Dose for Age Alert","definition" : "Proposed dosage exceeds standard practice for the patient's age","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17788"},{"code" : "subsumedBy","valueCode" : "AGE"},{"code" : "subsumedBy","valueCode" : "DOSEH"}]},{"code" : "DOSELINDA","display" : "Low Dose for Age Alert","definition" : "Proposed dosage is below suggested therapeutic levels for the patient's age","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17792"},{"code" : "subsumedBy","valueCode" : "AGE"},{"code" : "subsumedBy","valueCode" : "DOSEL"}]},{"code" : "GEALRT","display" : "geriatric alert","definition" : "Proposed therapy is outside of standard practice for a geriatric patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23554"},{"code" : "subsumedBy","valueCode" : "AGE"}]},{"code" : "PEALRT","display" : "pediatric alert","definition" : "Proposed therapy is outside of the standard practice for a pediatric patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23555"},{"code" : "subsumedBy","valueCode" : "AGE"}]},{"code" : "DALG","display" : "Drug Allergy","definition" : "An allergy to a pharmaceutical product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21504"},{"code" : "subsumedBy","valueCode" : "ALG"},{"code" : "subsumedBy","valueCode" : "DINT"}]},{"code" : "EALG","display" : "Environmental Allergy","definition" : "An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21506"},{"code" : "subsumedBy","valueCode" : "ALG"},{"code" : "subsumedBy","valueCode" : "EINT"}]},{"code" : "FALG","display" : "Food Allergy","definition" : "An allergy to a substance generally consumed for nutritional purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21505"},{"code" : "subsumedBy","valueCode" : "ALG"},{"code" : "subsumedBy","valueCode" : "FINT"}]},{"code" : "AMBAIR","display" : "fixed-wing ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "Fixed-wingAmbulance"},{"code" : "internalId","valueCode" : "21554"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "Fixed-wingAmbulance","display" : "fixed-wing ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBAIR"},{"code" : "internalId","valueCode" : "21554"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "AMBGRND","display" : "ground ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "GroundAmbulance"},{"code" : "internalId","valueCode" : "21552"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "GroundAmbulance","display" : "ground ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBGRND"},{"code" : "internalId","valueCode" : "21552"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "AMBHELO","display" : "helicopter ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "HelicopterAmbulance"},{"code" : "internalId","valueCode" : "21553"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "HelicopterAmbulance","display" : "helicopter ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBHELO"},{"code" : "internalId","valueCode" : "21553"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "ACCESSCONSCHEME","display" : "access control scheme","definition" : "An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies.\r\n\r\n*Usage Note:* Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service.\r\n\r\nThere are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also.\r\n\r\nAn access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or \"service\") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996)\r\n\r\n**Examples:** \r\n\r\n *  Attribute Based Access Control (ABAC)\r\n *  Discretionary Access Control (DAC)\r\n *  History Based Access Control (HBAC)\r\n *  Identity Based Access Control (IBAC)\r\n *  Mandatory Access Control (MAC)\r\n *  Organization Based Access Control (OrBAC)\r\n *  Relationship Based Access Control (RelBac)\r\n *  Responsibility Based Access Control (RespBAC)\r\n *  Risk Adaptable Access Control (RAdAC)\r\n\r\n>","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23935"},{"code" : "subsumedBy","valueCode" : "AUTHPOL"}]},{"code" : "COL","display" : "collision coverage policy","definition" : "**Definition:** An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22100"},{"code" : "subsumedBy","valueCode" : "AUTOPOL"}]},{"code" : "UNINSMOT","display" : "uninsured motorist policy","definition" : "**Definition:** An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22101"},{"code" : "subsumedBy","valueCode" : "AUTOPOL"}]},{"code" : "COGN","display" : "cognitive disability information sensitivity","definition" : "Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nExamples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23928"},{"code" : "subsumedBy","valueCode" : "BH"}]},{"code" : "DVD","display" : "developmental disability information sensitivity","definition" : "Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nA diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23929"},{"code" : "subsumedBy","valueCode" : "BH"}]},{"code" : "EMOTDIS","display" : "emotional disturbance information sensitivity","definition" : "Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nTypical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23930"},{"code" : "subsumedBy","valueCode" : "BH"}]},{"code" : "AE","display" : "American Express","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14814"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "DN","display" : "Diner's Club","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14815"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "DV","display" : "Discover Card","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14816"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "MC","display" : "Master Card","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14813"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "V","display" : "Visa","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14812"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "DIAGLISTE","display" : "diagnosis list entry task","definition" : "A clinician enters a diagnosis for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22071"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "DISCHINSTE","display" : "discharge instruction entry","definition" : "A person provides a discharge instruction to a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23628"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "DISCHSUME","display" : "discharge summary entry task","definition" : "A clinician enters a discharge summary for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22069"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "PATEDUE","display" : "patient education entry","definition" : "A person provides a patient-specific education handout to a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23627"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "PATREPE","display" : "pathology report entry task","definition" : "A pathologist enters a report for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22073"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "PROBLISTE","display" : "problem list entry task","definition" : "A clinician enters a problem for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22070"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "RADREPE","display" : "radiology report entry task","definition" : "A radiologist enters a report for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22072"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "DISCHSUMREV","display" : "discharge summary review task","definition" : "A person reviews a discharge summary of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22066"},{"code" : "subsumedBy","valueCode" : "CLINNOTEREV"}]},{"code" : "CODE_DEPREC","display" : "code has been deprecated","definition" : "**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21660"},{"code" : "subsumedBy","valueCode" : "CODE_INVAL"}]},{"code" : "ABUSE","display" : "commonly abused/misused alert","definition" : "**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21670"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "FRAUD","display" : "potential fraud","definition" : "**Description:**The request is suspected to have a fraudulent basis.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21669"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "PLYDOC","display" : "Poly-orderer Alert","definition" : "A similar or identical therapy was recently ordered by a different practitioner.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16689"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "PLYPHRM","display" : "Poly-supplier Alert","definition" : "This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009"},"value" : "Poly-pharmacy Alert"}],"property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16690"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "ACOCOMPT","display" : "accountable care organization compartment","definition" : "A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group.\r\n\r\nSecurity Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23880"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "CDSSCOMPT","display" : "CDS system compartment","definition" : "This compartment code may be used as a field value in an initiator's clearance to indicate permission for its Clinical Decision Support system (CDSS) to access and use an IT Resource with a security label having the same compartment value in the security category label field.\r\n\r\nThis code permits a CDS system to algorithmically process information with this compartment tag for the purpose of alerting an unauthorized end user that masked information is needed to address an emergency or a patient safety issue, such as a contraindicated medication. The alert would advise the end user to \"break the glass\", to access the masked information in an accountable manner, or to ask the patient about possibly masked information.\r\n\r\nFor example, releasing a list of sensitive medications with this compartment tag means that while the CDS system is permitted to use this list in its contraindication analysis, this sensitive information should not be shared directly with unauthorized end-users or end-user-facing Apps. Based on the results of the CDS system analysis (e.g., warnings about prescriptions) the end-user (e.g., a clinician) may still have the ability to access to the sensitive information by invoking \"break-the-glass protocol\".\r\n\r\n*Usage Note:* A security label with the CDS system compartment may be used in conjunction with other security labels, e.g., a label authorizing an end user with adequate clearance to access the same CDS system compartment tagged information. For example, a patient may restrict sharing sensitive information with most care team members except in an emergency or to prevent an adverse event, and may consent to sharing with their sensitive service care team providers, e.g., for mental health or substance abuse.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24132"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "CTCOMPT","display" : "care team compartment","definition" : "Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses.\r\n\r\nSecurity Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23878"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "FMCOMPT","display" : "financial management compartment","definition" : "Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows.\r\n\r\nSecurity Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23881"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "HRCOMPT","display" : "human resource compartment","definition" : "A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23580"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "LRCOMPT","display" : "legitimate relationship compartment","definition" : "Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses.\r\n\r\nSecurity Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23879"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "PACOMPT","display" : "patient administration compartment","definition" : "Patient administration members who have access to healthcare consumer information as part of a patient administration workflows.\r\n\r\nSecurity Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23882"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "RESCOMPT","display" : "research project compartment","definition" : "A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23578"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "RMGTCOMPT","display" : "records management compartment","definition" : "A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23579"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "HGHT","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17795"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "LACT","display" : "Lactation Alert","definition" : "Proposed therapy may be inappropriate or contraindicated when breast-feeding","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16667"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "PREG","display" : "Pregnancy Alert","definition" : "Proposed therapy may be inappropriate or contraindicated during pregnancy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16666"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "WGHT","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17794"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "INTOLIST","display" : "intolerance list","definition" : "List of intolerance observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19982"},{"code" : "subsumedBy","valueCode" : "CONDLIST"}]},{"code" : "PROBLIST","display" : "problem list","definition" : "List of problem observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19980"},{"code" : "subsumedBy","valueCode" : "CONDLIST"}]},{"code" : "RISKLIST","display" : "risk factors","definition" : "List of risk factor observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19983"},{"code" : "subsumedBy","valueCode" : "CONDLIST"}]},{"code" : "CONTROLLED","display" : "CONTROLLED","definition" : "A displayed mark, required to be rendered as \"CONTROLLED\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24053"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUI","display" : "CUI","definition" : "A displayed mark, required to be rendered as \"CUI\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24054"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIHLTH","display" : "CUI//HLTH","definition" : "A displayed mark, required to be rendered as \"CUI//HLTH\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24055"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIHLTHP","display" : "(CUI//HLTH)","definition" : "A displayed mark, required to be rendered as \"(CUI//HLTH)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24056"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIP","display" : "(CUI)","definition" : "A displayed mark, required to be rendered as \"(CUI)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24057"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIPRVCY","display" : "CUI//PRVCY","definition" : "A displayed mark, required to be rendered as \"CUI//PRVCY\", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24058"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIPRVCYP","display" : "(CUI//PRVCY)","definition" : "A displayed mark, required to be rendered as \"(CUI//PRVCY)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24059"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-HLTH","display" : "CUI//SP-HLTH","definition" : "A displayed mark, required to be rendered as \"CUI//SP-HLTH\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24060"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-HLTHP","display" : "(CUI//SP-HLTH)","definition" : "A displayed mark, required to be rendered as \"(CUI//SP-HLTH)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24061"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-PRVCY","display" : "CUI//SP-PRVCY","definition" : "A displayed mark, required to be rendered as \"CUI//SP-PRVCY\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Specified marking is OMB M-17-12ï‡? This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\\_0.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24062"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-PRVCYP","display" : "(CUI//SP-PRVCY)","definition" : "A displayed mark, required to be rendered as \"(CUI//SP-PRVCY)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Specified marking is OMB M-17-12ï‡? This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\\_0.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24063"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "UUI","display" : "(U)","definition" : "A displayed mark, required to be rendered as \"(U)\", indicating that a portion of an electronic or hardcopy information is neither Executive Order 13556 nor classified information authorities cover as protected. Although this information is not controlled or classified, agencies must still handle it in accordance with Federal Information Security Modernization Act (FISMA) requirements. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html\r\n\r\n*Usage Note:* Regulatory Source: 32 CFR §  2002.20 Marking. Federal Register Page 63344 63344 (ii) Authorized holders permitted to designate CUI must portion mark both CUI and uncontrolled unclassified portions.\r\n\r\nCUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf\r\n\r\nCUI Portion Marking: Portion marking of CUI is optional in a fully unclassified document, but is permitted and encouraged to facilitate information sharing and proper handling of the information. Agency heads may approve the required use of CUI Portion marking on all CUI generated within their agency. As such, users should consult their agency CUI policy when creating CUI documents. When CUI Portion Markings are used and a portion does not contain CUI a \"U\" is placed in parentheses to indicate that the portion contains Uncontrolled Unclassified Information. (Page 14)\r\n\r\nCUI Portion Markings are placed at the beginning of the portion to which they apply and must be used throughout the entire document. They are presented in all capital letters and separated as indicated in this handbook and the CUI Registry. The presence of EVEN ONE item of CUI in a document requires CUI marking of that document. Because of this, CUI Portion Markings can be of great assistance in determining if a document contains CUI and therefore must be marked as such. Remember: When portion markings are used and any portion does not contain CUI, a \"(U)\" is placed in front of that portion to indicate that it contains Uncontrolled - or non-CUI - Unclassified Information. (Page 15)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24064"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CPLYCC","display" : "comply with confidentiality code","definition" : "Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.\r\n\r\n*Usage Note:* CPLYCC may be used as a security label code to inform senders and receivers of information tagged with a Confidentiality Code to comply with applicable level of protection required by the assigned confidentiality code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23378"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYCD","display" : "comply with consent directive","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.\r\n\r\n*Usage Note:* CPLYCD may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType\\_ActConsent code or an ActCode\\_ActPolicyType\\_ActPrivacyPolicy\\_ActConsentDirective code to comply with applicable consent directives.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23379"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYCUI","display" : "comply with controlled unclassified information policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable Controlled Unclassified Information (CUI) policies associated with the target information.\r\n\r\n*Usage Note:* In the US, CPLYCUI may be used as a security label code to inform recipients of information designated by a US Federal Agency as Controlled Unclassified Information (CUI) to comply with the applicable laws, regulations, executive orders, and other guidances, such as included in DURSAs, to persist, mark, and enforce required CUI controls\r\n\r\nBackground:\r\n\r\nIn accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI).\r\n\r\nThe following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html\r\n\r\n *  CUI is defined as \"information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls.\"\r\n *  Designating CUI occurs when an authorized holder, consistent with 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory.\r\n *  The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI.\r\n *  The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information.\r\n *  • Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency.\r\n\r\nOnce designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook.\r\n\r\nCUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems.\r\n\r\nWhen HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings.\r\n\r\n**Impact of CUI markings:**\r\n\r\nCUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings.\r\n\r\nFor most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf\r\n\r\nFederal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies.\r\n\r\nApplicable CUI policies include the following and any future applicable updates to policies or laws related to CUI:\r\n\r\n *  Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information\r\n *  US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf\r\n *  NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf\r\n *  NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A\r\n *  CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf\r\n *  CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info\r\n *  CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination\r\n *  CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24131"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYJPP","display" : "comply with jurisdictional privacy policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.\r\n\r\n*Usage Note:* CPLYJPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType\\_ActPrivacyPolicy\\_ActPrivacyLaw code or an ActCode\\_ActPolicyType\\_ActInformationPolicy.JurisIP code to comply with applicable jurisdictional privacy policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23380"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYJSP","display" : "comply with jurisdictional security policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional security policies associated with the target information.\r\n\r\n*Usage Note:* CPLYJSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType.SecurityPolicy code to comply with applicable jurisdictional security policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24130"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYOPP","display" : "comply with organizational privacy policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.\r\n\r\n*Usage Note:* CPLYOPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType\\_ActInformationPolicy.OrgIP code to comply with applicable organizational privacy policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23381"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYOSP","display" : "comply with organizational security policy","definition" : "Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.\r\n\r\n*Usage Note:* CPLYOSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType.SecurityPolicy code to comply with applicable organizational security policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23382"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "_DEADrugSchedule","display" : "DEADrugSchedule","definition" : "DEA schedule for a drug.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20913"},{"code" : "subsumedBy","valueCode" : "CTLSUB"}]},{"code" : "BR","display" : "breikost (GE)","definition" : "A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10379"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "DM","display" : "diabetes mellitus diet","definition" : "A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10383"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "FAST","display" : "fasting","definition" : "No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10382"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "FORMULA","display" : "formula diet","definition" : "A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23529"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "GF","display" : "gluten free","definition" : "Gluten free diet for celiac disease.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10390"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LF","display" : "low fat","definition" : "A diet low in fat, particularly to patients with hepatic diseases.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10386"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LP","display" : "low protein","definition" : "A low protein diet for patients with renal failure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10389"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LQ","display" : "liquid","definition" : "A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10380"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LS","display" : "low sodium","definition" : "A diet low in sodium for patients with congestive heart failure and/or renal failure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10388"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "N","display" : "normal diet","definition" : "A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10377"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "NF","display" : "no fat","definition" : "A no fat diet for acute hepatic diseases.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10387"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "PAF","display" : "phenylalanine free","definition" : "Phenylketonuria diet.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10391"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "PAR","display" : "parenteral","definition" : "Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10385"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "RD","display" : "reduction diet","definition" : "A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10384"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "SCH","display" : "schonkost (GE)","definition" : "A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10378"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "SUPPLEMENT","display" : "nutritional supplement","definition" : "A diet that is not intended to be complete but is added to other diets.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23530"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "T","display" : "tea only","definition" : "This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10381"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "VLI","display" : "low valin, leucin, isoleucin","definition" : "Diet with low content of the amino-acids valin, leucin, and isoleucin, for \"maple syrup disease.\"","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10392"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "AUTO-HIGH","display" : "Auto-High Dilution","definition" : "The dilution of a sample performed by automated equipment. The value is specified by the equipment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13958"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "AUTO-LOW","display" : "Auto-Low Dilution","definition" : "The dilution of a sample performed by automated equipment. The value is specified by the equipment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13959"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "PRE","display" : "Pre-Dilution","definition" : "The dilution of the specimen made prior to being loaded onto analytical equipment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13961"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "RERUN","display" : "Rerun Dilution","definition" : "The value of the dilution of a sample after it had been analyzed at a prior dilution value","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13960"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "DNAINT","display" : "Drug Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21507"},{"code" : "subsumedBy","valueCode" : "DINT"},{"code" : "subsumedBy","valueCode" : "NAINT"}]},{"code" : "CANPRG","display" : "women's cancer detection program","definition" : "**Definition:** A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages.\r\n\r\n**Example:** To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22134"},{"code" : "subsumedBy","valueCode" : "DISEASEPRG"}]},{"code" : "ENDRENAL","display" : "end renal program","definition" : "**Definition:** A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.\r\n\r\nExample: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22135"},{"code" : "subsumedBy","valueCode" : "DISEASEPRG"}]},{"code" : "HIVAIDS","display" : "HIV-AIDS program","definition" : "**Definition:** Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.\r\n\r\n**Example:** In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22136"},{"code" : "subsumedBy","valueCode" : "DISEASEPRG"}]},{"code" : "DOSECOND","display" : "dosage-condition alert","definition" : "**Description:**Proposed dosage is inappropriate due to patient's medical condition.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21671"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEDUR","display" : "Dose-Duration Alert","definition" : "Proposed length of therapy differs from standard practice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16684"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEH","display" : "High Dose Alert","definition" : "Proposed dosage exceeds standard practice","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16681"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEIVL","display" : "Dose-Interval Alert","definition" : "Proposed dosage interval/timing differs from standard practice","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16683"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEL","display" : "Low Dose Alert","definition" : "Proposed dosage is below suggested therapeutic levels","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16682"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "MDOSE","display" : "maximum dosage reached","definition" : "**Description:**The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21698"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEDURH","display" : "Dose-Duration High Alert","definition" : "Proposed length of therapy is longer than standard practice","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16686"},{"code" : "subsumedBy","valueCode" : "DOSEDUR"}]},{"code" : "DOSEDURL","display" : "Dose-Duration Low Alert","definition" : "Proposed length of therapy is shorter than that necessary for therapeutic effect","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16685"},{"code" : "subsumedBy","valueCode" : "DOSEDUR"}]},{"code" : "DOSEDURHIND","display" : "Dose-Duration High for Indication Alert","definition" : "Proposed length of therapy is longer than standard practice for the identified indication or diagnosis","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17782"},{"code" : "subsumedBy","valueCode" : "DOSEDURH"}]},{"code" : "DOSEDURLIND","display" : "Dose-Duration Low for Indication Alert","definition" : "Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17783"},{"code" : "subsumedBy","valueCode" : "DOSEDURL"}]},{"code" : "DOSEHIND","display" : "High Dose for Indication Alert","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17785"},{"code" : "subsumedBy","valueCode" : "DOSEH"}]},{"code" : "DOSEHINDSA","display" : "High Dose for Height/Surface Area Alert","definition" : "Proposed dosage exceeds standard practice for the patient's height or body surface area","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17787"},{"code" : "subsumedBy","valueCode" : "DOSEH"}]},{"code" : "DOSEHINDW","display" : "High Dose for Weight Alert","definition" : "Proposed dosage exceeds standard practice for the patient's weight","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17786"},{"code" : "subsumedBy","valueCode" : "DOSEH"}]},{"code" : "DOSEIVLIND","display" : "Dose-Interval for Indication Alert","definition" : "Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17784"},{"code" : "subsumedBy","valueCode" : "DOSEIVL"}]},{"code" : "DOSELIND","display" : "Low Dose for Indication Alert","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17789"},{"code" : "subsumedBy","valueCode" : "DOSEL"}]},{"code" : "DOSELINDSA","display" : "Low Dose for Height/Surface Area Alert","definition" : "Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17791"},{"code" : "subsumedBy","valueCode" : "DOSEL"}]},{"code" : "DOSELINDW","display" : "Low Dose for Weight Alert","definition" : "Proposed dosage is below suggested therapeutic levels for the patient's weight","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17790"},{"code" : "subsumedBy","valueCode" : "DOSEL"}]},{"code" : "DUPTHPCLS","display" : "duplicate therapeutic alass alert","definition" : "**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21667"},{"code" : "subsumedBy","valueCode" : "DUPTHPY"}]},{"code" : "DUPTHPGEN","display" : "duplicate generic alert","definition" : "**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21668"},{"code" : "subsumedBy","valueCode" : "DUPTHPY"}]},{"code" : "ENAINT","display" : "Environmental Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21509"},{"code" : "subsumedBy","valueCode" : "EINT"},{"code" : "subsumedBy","valueCode" : "NAINT"}]},{"code" : "SO","display" : "Script Owing","definition" : "An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16221"},{"code" : "subsumedBy","valueCode" : "EM"}]},{"code" : "21","display" : "authorization confirmed","definition" : "**Description:** Indicates that the permissions have been externally verified and the request should be processed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22812"},{"code" : "subsumedBy","valueCode" : "EMAUTH"}]},{"code" : "ENCRYPTR","display" : "encrypt at rest","definition" : "Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when \"at rest\" or in storage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23386"},{"code" : "subsumedBy","valueCode" : "ENCRYPT"}]},{"code" : "ENCRYPTT","display" : "encrypt in transit","definition" : "Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while \"in transit\" or being transported by any means.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23387"},{"code" : "subsumedBy","valueCode" : "ENCRYPT"}]},{"code" : "ENCRYPTU","display" : "encrypt in use","definition" : "Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23388"},{"code" : "subsumedBy","valueCode" : "ENCRYPT"}]},{"code" : "FFC","display" : "First Fill - Complete","definition" : "A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16210"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "FFP","display" : "First Fill - Part Fill","definition" : "A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16211"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "FFPS","display" : "first fill, part fill, partial strength","definition" : "A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21817"},{"code" : "subsumedBy","valueCode" : "FF"},{"code" : "subsumedBy","valueCode" : "FFS"},{"code" : "subsumedBy","valueCode" : "FFSS"}]},{"code" : "FFSS","display" : "first fill, partial strength","definition" : "A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23017"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "TF","display" : "Trial Fill","definition" : "A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16212"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "FFCS","display" : "first fill complete, partial strength","definition" : "A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21816"},{"code" : "subsumedBy","valueCode" : "FFC"},{"code" : "subsumedBy","valueCode" : "FFS"},{"code" : "subsumedBy","valueCode" : "FFSS"}]},{"code" : "TFS","display" : "trial fill partial strength","definition" : "A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21818"},{"code" : "subsumedBy","valueCode" : "FFS"},{"code" : "subsumedBy","valueCode" : "FFSS"},{"code" : "subsumedBy","valueCode" : "TF"}]},{"code" : "FNAINT","display" : "Food Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21508"},{"code" : "subsumedBy","valueCode" : "FINT"},{"code" : "subsumedBy","valueCode" : "NAINT"}]},{"code" : "NOTACTN","display" : "no longer actionable","definition" : "**Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22840"},{"code" : "subsumedBy","valueCode" : "FULFIL"}]},{"code" : "NOTEQUIV","display" : "not equivalent alert","definition" : "**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22841"},{"code" : "subsumedBy","valueCode" : "FULFIL"}]},{"code" : "TIMING","display" : "event timing incorrect alert","definition" : "**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22844"},{"code" : "subsumedBy","valueCode" : "FULFIL"}]},{"code" : "BOOSTER","display" : "Booster Immunization","definition" : "An additional immunization administration within a series intended to bolster or enhance immunity.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21521"},{"code" : "subsumedBy","valueCode" : "IMMUNIZ"}]},{"code" : "INITIMMUNIZ","display" : "Initial Immunization","definition" : "The first immunization administration in a series intended to produce immunity","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21520"},{"code" : "subsumedBy","valueCode" : "IMMUNIZ"}]},{"code" : "ACUTE","display" : "inpatient acute","definition" : "An acute inpatient encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13956"},{"code" : "subsumedBy","valueCode" : "IMP"}]},{"code" : "NONAC","display" : "inpatient non-acute","definition" : "Any category of inpatient encounter except 'acute'","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16238"},{"code" : "subsumedBy","valueCode" : "IMP"}]},{"code" : "INFAO","display" : "access only","definition" : "**Definition:** Consent to access or \"read\" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be.\r\n\r\n**Example:** Opened and then emailed or screen printed for use outside of the consent directive purpose.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22201"},{"code" : "subsumedBy","valueCode" : "INFA"}]},{"code" : "INFASO","display" : "access and save only","definition" : "**Definition:** Consent to access and save only, which entails that access to the saved copy will remain locked.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22202"},{"code" : "subsumedBy","valueCode" : "INFA"}]},{"code" : "INFCON","display" : "after explicit consent","definition" : "Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22334"},{"code" : "subsumedBy","valueCode" : "INFAUT"}]},{"code" : "FIBRIN","display" : "Fibrin","definition" : "The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14386"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "HEMOLYSIS","display" : "Hemolysis","definition" : "An observation of the hemolysis index of the specimen in g/L","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14383"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "ICTERUS","display" : "Icterus","definition" : "An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14385"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "LIPEMIA","display" : "Lipemia","definition" : "An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14384"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "IPPOP","display" : "initial patient population","definition" : "Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23548"},{"code" : "subsumedBy","valueCode" : "IPOP"}]},{"code" : "_ActAdministrativeDetectedIssueCode","display" : "ActAdministrativeDetectedIssueCode","definition" : "Identifies types of detectyed issues for Act class \"ALRT\" for the administrative and patient administrative acts domains.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20854"},{"code" : "subsumedBy","valueCode" : "ISSUE"}]},{"code" : "_ActSuppliedItemDetectedIssueCode","display" : "ActSuppliedItemDetectedIssueCode","definition" : "Identifies types of detected issues regarding the administration or supply of an item to a patient.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20907"},{"code" : "subsumedBy","valueCode" : "ISSUE"}]},{"code" : "_ActFinancialDetectedIssueCode","display" : "ActFinancialDetectedIssueCode","definition" : "Identifies types of detected issues for Act class \"ALRT\" for the financial acts domain.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20870"},{"code" : "subsumedBy","valueCode" : "ISSUE"}]},{"code" : "_ClinicalActionDetectedIssueCode","display" : "ClinicalActionDetectedIssueCode","definition" : "Identifies types of issues detected regarding the performance of a clinical action on a patient.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20911"},{"code" : "subsumedBy","valueCode" : "ISSUE"}],"concept" : [{"code" : "CAREGAP","display" : "Caregap","definition" : "Identifies the type of detected issue is a care gap","property" : [{"code" : "internalId","valueCode" : "120911"},{"code" : "status","valueCode" : "active"},{"code" : "subsumedBy","valueCode" : "_ClinicalActionDetectedIssueCode"}]},{"code" : "CODINGGAP","display" : "Codinggap","definition" : "Identifies the type of detected issue is a risk adjustment coding gap","property" : [{"code" : "internalId","valueCode" : "1120911"},{"code" : "status","valueCode" : "active"},{"code" : "subsumedBy","valueCode" : "_ClinicalActionDetectedIssueCode"}]}]},{"code" : "JurisCUI","display" : "jurisdictional controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of controlled unclassified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24075"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisDEID","display" : "jurisdictional de-identified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24076"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisLDS","display" : "jurisdictional limited data set","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24077"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisNSI","display" : "jurisdictional non-sensitive information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24078"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisPI","display" : "jurisdictional public information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed public by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24079"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisSP-CUI","display" : "jurisdictional specified controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24080"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisUUI","display" : "jurisdictional uncontrolled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24081"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "LEN_LONG","display" : "length is too long","definition" : "**Description:**The length of the data specified is greater than the maximum length defined for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21658"},{"code" : "subsumedBy","valueCode" : "LEN_RANGE"}]},{"code" : "LEN_SHORT","display" : "length is too short","definition" : "**Description:**The length of the data specified is less than the minimum length defined for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21657"},{"code" : "subsumedBy","valueCode" : "LEN_RANGE"}]},{"code" : "ANNU","display" : "annuity policy","definition" : "**Definition:** A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.\r\n\r\nFor example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22118"},{"code" : "subsumedBy","valueCode" : "LIFE"}]},{"code" : "TLIFE","display" : "term life insurance policy","definition" : "**Definition:** Life insurance under which the benefit is payable only if the 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If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22116"},{"code" : "subsumedBy","valueCode" : "LIFE"}]},{"code" : "ULIFE","display" : "universal life insurance policy","definition" : "**Definition:** Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22117"},{"code" : "subsumedBy","valueCode" : "LIFE"}]},{"code" : "RENT","display" : "Rent","definition" : "Temporary supply of a product with financial compensation, without transfer of ownership for the product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17962"},{"code" : "subsumedBy","valueCode" : "LOAN"}]},{"code" : "HMO","display" : "health maintenance organization policy","definition" : "**Definition:** A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22110"},{"code" : "subsumedBy","valueCode" : "MCPOL"}]},{"code" : "PPO","display" : "preferred provider organization policy","definition" : "**Definition:** A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a \"preferred\" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22112"},{"code" : "subsumedBy","valueCode" : "MCPOL"}]},{"code" : "MDHHS-5515MMHC","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-Michigan Mental Health Code","definition" : "The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health governed by the Michigan Mental Health Code Act 258 of 1974, which require patient authorization for purposes other than treatment, payment, and coordination of care, in accordance with Public Act 129 of 2014.\r\n\r\n*Usage Note:* For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\\_2941\\_58005-343686--,00.html","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24134"},{"code" : "subsumedBy","valueCode" : "MDHHS-5515"}]},{"code" : "MDHHS-5515Part2","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-US 42 CFR Part 2","definition" : "The State of Michigan standard privacy consent form for sharing of health information specific to substance use information governed under US 42 CFR Part 2 in accordance with Public Act 129 of 2014.\r\n\r\n*Usage Note:* For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\\_2941\\_58005-343686--,00.html","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24133"},{"code" : "subsumedBy","valueCode" : "MDHHS-5515"}]},{"code" : "CURMEDLIST","display" : "current medication list","definition" : "List of current medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19977"},{"code" : "subsumedBy","valueCode" : "MEDLIST"}]},{"code" : "DISCMEDLIST","display" : "discharge medication list","definition" : "List of discharge medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19979"},{"code" : "subsumedBy","valueCode" : "MEDLIST"}]},{"code" : "HISTMEDLIST","display" : "medication history","definition" : "Historical list of medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19978"},{"code" : "subsumedBy","valueCode" : "MEDLIST"}]},{"code" : "MICROORGRREV","display" : "microbiology organisms results review task","definition" : "A person reviews organisms of microbiology results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22057"},{"code" : "subsumedBy","valueCode" : "MICRORREV"}]},{"code" : "MICROSENSRREV","display" : "microbiology sensitivity test results review task","definition" : "A person reviews the sensitivity test of microbiology results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22058"},{"code" : "subsumedBy","valueCode" : "MICRORREV"}]},{"code" : "MARWLREV","display" : "medication administration record work list review task","definition" : "A clinician reviews a work list of medications to be administered to a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22054"},{"code" : "subsumedBy","valueCode" : "MLREV"}]},{"code" : "NOTEQUIVGEN","display" : "not generically equivalent alert","definition" : "**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22843"},{"code" : "subsumedBy","valueCode" : "NOTEQUIV"}]},{"code" : "NOTEQUIVTHER","display" : "not therapeutically equivalent alert","definition" : "**Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22842"},{"code" : "subsumedBy","valueCode" : "NOTEQUIV"}]},{"code" : "ANONY","display" : "anonymize","definition" : "Custodian system must remove any information that could result in identifying the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23374"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AOD","display" : "accounting of disclosure","definition" : "Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual's protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23373"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AUDIT","display" : "audit","definition" : "Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23375"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AUDTR","display" : "audit trail","definition" : "Custodian system must monitor and maintain retrievable log for each user and operation on information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23376"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "CPLYPOL","display" : "comply with policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.\r\n\r\n*Usage Note:* CPLYPOL may be used as a security label code to inform senders and receivers of the tagged information to comply with applicable policy without specifying the specific policy type(s).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23377"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DECLASSIFYLABEL","display" : "declassify security label","definition" : "Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23751"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DEID","display" : "deidentify","definition" : "Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23383"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DELAU","display" : "delete after use","definition" : "Custodian system must remove target information from access after use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23384"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DOWNGRDLABEL","display" : "downgrade security label","definition" : "Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23752"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DRIVLABEL","display" : "derive security label","definition" : "Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23749"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "ENCRYPT","display" : "encrypt","definition" : "Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext.\r\n\r\n*Usage Notes:* A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all.  (Per Infoway.)"},{"code" : "internalId","valueCode" : "23385"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "HUAPRV","display" : "human approval","definition" : "Custodian system must require human review and approval for permission requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23391"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "LABEL","display" : "assign security label","definition" : "Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.\r\n\r\n*Usage Note:* In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23748"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "MASK","display" : "mask","definition" : "Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or \"shared secret\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23389"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "MINEC","display" : "minimum necessary","definition" : "Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use.\r\n\r\n*Usage Note:* Limiting the information available for access and disclosure to that an authorized user or receiver \"needs to know\" in order to perform permitted workflow or purpose of use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23574"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PERSISTLABEL","display" : "persist security label","definition" : "Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23750"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PRIVMARK","display" : "privacy mark","definition" : "Custodian must create and/or maintain human readable security label tags as required by policy.\r\n\r\nMap: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: \"If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label.\"","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23575"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PSEUD","display" : "pseudonymize","definition" : "Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23392"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "REDACT","display" : "redact","definition" : "Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23390"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "UPGRDLABEL","display" : "upgrade security label","definition" : "Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23753"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PROCESSINLINELABEL","display" : "process inline security label","definition" : "Custodian security system must take note that the data object contains inline security labels and process them.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23850"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AGE","display" : "Age Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to patient age","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16669"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "COND","display" : "Condition Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16665"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "CREACT","display" : "common reaction alert","definition" : "**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.\r\n\r\n**Example:**There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21666"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "GEN","display" : "Genetic Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16671"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "GEND","display" : "Gender Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to patient gender.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16670"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "LAB","display" : "Lab Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to recent lab test results","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16668"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "REACT","display" : "Reaction Alert","definition" : "Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16672"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "RREACT","display" : "Related Reaction Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16676"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "LABOE","display" : "laboratory test order entry task","definition" : "A clinician creates a request for a laboratory test to be done for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22049"},{"code" : "subsumedBy","valueCode" : "OE"}]},{"code" : "MEDOE","display" : "medication order entry task","definition" : "A clinician creates a request for the administration of one or more medications to a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22050"},{"code" : "subsumedBy","valueCode" : "OE"}]},{"code" : "ALG","display" : "Allergy","definition" : "Hypersensitivity to an agent caused by an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21499"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "DINT","display" : "Drug Intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to a drug.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21501"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "EINT","display" : "Environmental Intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21503"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "FINT","display" : "Food Intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to food.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21502"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "NAINT","display" : "Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21500"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "OrgCUI","display" : "organizational basic controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of basic controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24067"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgDEID","display" : "organizational de-identified informati)on policy","definition" : "Organizational policy on collection, access, use, or disclosure of de-identified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24068"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgLDS","display" : "organizational limited data set information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information in a limited data set as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24069"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgNSI","display" : "organizational non-sensitive information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24070"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgPI","display" : "organizational public information policy","definition" : "Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24071"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgSP-CUI","display" : "organizational specified controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24072"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgUUI","display" : "organizational uncontrolled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by the organization or governing jurisdiction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24073"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "ALLERLREV","display" : "allergy list review","definition" : "**Description:** A person reviews a list of known allergies of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23268"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "CLINNOTEE","display" : "clinical note entry task","definition" : "A clinician enters a clinical note about a given patient","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22068"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "IMMLREV","display" : "immunization list review","definition" : "**Description:** A person reviews a list of immunizations due or received for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23269"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "REMLREV","display" : "reminder list review","definition" : "**Description:** A person reviews a list of health care reminders for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23270"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "ALLERLE","display" : "allergy list entry","definition" : "**Description:** A person enters a known allergy for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23264"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "CDSREV","display" : "clinical decision support intervention review","definition" : "A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23429"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "CLINNOTEREV","display" : "clinical note review task","definition" : "A person reviews a clinical note of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22065"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "DIAGLISTREV","display" : "diagnosis list review task","definition" : "A person reviews a list of diagnoses of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22060"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "IMMLE","display" : "immunization list entry","definition" : "**Description:** A person enters an immunization due or received for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23265"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "LABRREV","display" : "laboratory results review task","definition" : "A person reviews a list of laboratory results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22055"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "MICRORREV","display" : "microbiology results review task","definition" : "A person reviews a list of microbiology results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22056"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "MLREV","display" : "medication list review task","definition" : "A person reviews a list of medication orders submitted to a given patient","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22053"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "OREV","display" : "orders review task","definition" : "A person reviews a list of orders submitted to a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22052"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "PATREPREV","display" : "pathology report review task","definition" : "A person reviews a pathology report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22062"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "PROBLISTREV","display" : "problem list review task","definition" : "A person reviews a list of problems of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22059"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "RADREPREV","display" : "radiology report review task","definition" : "A person reviews a radiology report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22061"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "REMLE","display" : "reminder list entry","definition" : "**Description:** A person enters a health care reminder for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23266"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "RISKASSESS","display" : "risk assessment instrument task","definition" : "A person reviews a Risk Assessment Instrument report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22063"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "PATPREFALT","display" : "violates stated preferences, alternate available","definition" : "**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22836"},{"code" : "subsumedBy","valueCode" : "PATPREF"}]},{"code" : "PersDEID","display" : "personal de-identified information policy","definition" : "Personal policy on collection, access, use, or disclosure of de-identified information as defined by the information subject or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24083"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "PersLDS","display" : "personal limited data set information policy","definition" : "Personal policy personal policy on collection, access, use, or disclosure of information in a limited data set by the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24085"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "PersNSI","display" : "personal non-sensitive information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24084"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "PersPI","display" : "personal public information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed public by the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24086"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "ControlledUnclassifiedInformation","display" : "ControlledUnclassifiedInformation","definition" : "Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls. However, CUI does not include classified information (see definition above) or information a non-executive branch entity possesses and maintains in its own systems that did not come from, or was not created or possessed by or for, an executive branch agency or an entity acting for an agency. Law, regulation, or Government-wide policy may require or permit safeguarding or dissemination controls in three ways: Requiring or permitting agencies to control or protect the information but providing no specific controls, which makes the information CUI Basic; requiring or permitting agencies to control or protect the information and providing specific controls for doing so, which makes the information CUI Specified; or requiring or permitting agencies to control the information and specifying only some of those controls, which makes the information CUI Specified, but with CUI Basic controls where the authority does not specify. Based on CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html .\r\n\r\n*Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. For definitions of key terms see CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24052"},{"code" : "subsumedBy","valueCode" : "PrivacyMark"}]},{"code" : "SecurityLabelMark","display" : "Security Label Mark","definition" : "An abstract code for displayed Security Label tags.\r\n\r\n*Usage Note:* These marks may be based on any of the HL7 Security Labeling related codes from various code systems and values sets, which are organized according to the HL7 Privacy and Security Classification System into HL7 Security Observation Type Named Tag Sets and valued with codes associated with the HL7 Security Observation Value Tag Set Names.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24046"},{"code" : "subsumedBy","valueCode" : "PrivacyMark"}]},{"code" : "CUIMark","display" : "CUI Mark","definition" : "An originator must mark, persist, display, and convey computable and renderable Controlled Unclassified Information (CUI) marks as required by policy. A recipient must consume, persist, display, and reconvey CUI marks on information received based on agreements with the originator..\r\n\r\n**Examples:** \r\n\r\n *  As CUI custodians, Federal Agencies and their contractors must mark, persist, display, and convey these marks.\r\n *  All CUI receivers must consume, persist, display, and reconvey CUI markings on information further disclosed\r\n\r\n*Usage Note:* \r\n\r\nIn accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI).\r\n\r\nThe following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html\r\n\r\n *  CUI is defined as \"information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls\"\r\n *  Designating CUI occurs when an authorized holder, consistent with US 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory.\r\n *  The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI.\r\n *  The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information.\r\n *  Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency.\r\n\r\nOnce designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook.\r\n\r\nCUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems.\r\n\r\nWhen HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings.\r\n\r\n**Impact of CUI markings:**\r\n\r\nCUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings.\r\n\r\nFor most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf\r\n\r\nFederal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies.\r\n\r\nApplicable CUI policies include the following and any future applicable updates to policies or laws related to CUI:\r\n\r\n *  Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information\r\n *  US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf\r\n *  NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf\r\n *  NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A\r\n *  CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf\r\n *  CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info\r\n *  CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination\r\n *  CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24129"},{"code" : "subsumedBy","valueCode" : "PRIVMARK"}]},{"code" : "DENTPRG","display" : "dental program","definition" : "**Definition:** A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22131"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "DISEASEPRG","display" : "public health program","definition" : "**Definition:** A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease.\r\n\r\n**Example:** Reproductive health, sexually transmitted disease, and end renal disease programs.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22133"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "MANDPOL","display" : "mandatory health program","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22149"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "MENTPRG","display" : "mental health program","definition" : "**Definition:** Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.\r\n\r\n**Example:** In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22141"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "SAFNET","display" : "safety net clinic program","definition" : "**Definition:** Government administered and funded program to support provision of care to underserved populations through safety net clinics.\r\n\r\n**Example:** In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22142"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "SUBPRG","display" : "substance use program","definition" : "**Definition:** Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.\r\n\r\n**Example:** In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22143"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "SUBSIDIZ","display" : "subsidized health program","definition" : "**Definition:** A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22137"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "ALGY","display" : "Allergy Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16674"},{"code" : "subsumedBy","valueCode" : "REACT"}]},{"code" : "INT","display" : "Intolerance Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16673"},{"code" : "subsumedBy","valueCode" : "REACT"}]},{"code" : "NOAUTH","display" : "no disclosure without subject authorization","definition" : "Prohibition on disclosure without information subject's authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23394"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOCOLLECT","display" : "no collection","definition" : "Prohibition on collection or storage of the information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23395"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NODSCLCD","display" : "no disclosure without consent directive","definition" : "Prohibition on disclosure without organizational approved patient restriction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23396"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NODSCLCDS","display" : "no disclosure without information subject's consent directive","definition" : "Prohibition on disclosure without a consent directive from the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23629"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOINTEGRATE","display" : "no integration","definition" : "Prohibition on Integration into other records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23397"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOLIST","display" : "no unlisted entity disclosure","definition" : "Prohibition on disclosure except to entities on specific access list.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23398"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOMOU","display" : "no disclosure without MOU","definition" : "Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23399"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOORGPOL","display" : "no disclosure without organizational authorization","definition" : "Prohibition on disclosure without organizational authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23400"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOPAT","display" : "no disclosure to patient, family or caregivers without attending provider's authorization","definition" : "Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.\r\n\r\n*Usage Note:* The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.\r\n\r\nMaps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance.\r\n\r\nFHIR print name is \"keep information from patient\". Maps to the French realm - code: INVISIBLE\\_PATIENT.\r\n\r\n *  displayName: Document non visible par le patient\r\n *  codingScheme: 1.2.250.1.213.1.1.4.13\r\n\r\nFrench use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23657"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOPERSISTP","display" : "no collection beyond purpose of use","definition" : "Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23401"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSCLCD","display" : "no redisclosure without consent directive","definition" : "Prohibition on redisclosure without patient consent directive.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "NORDSLCD"},{"code" : "internalId","valueCode" : "23402"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSLCD","display" : "no redisclosure without consent directive","definition" : "Prohibition on redisclosure without patient consent directive.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "NORDSCLCD"},{"code" : "internalId","valueCode" : "23402"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSCLCDS","display" : "no redisclosure without information subject's consent directive","definition" : "Prohibition on redisclosure without a consent directive from the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23630"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSCLW","display" : "no disclosure without jurisdictional authorization","definition" : "Prohibition on disclosure without authorization under jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23403"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORELINK","display" : "no relinking","definition" : "Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23404"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOREUSE","display" : "no reuse beyond purpose of use","definition" : "Prohibition on use of the information beyond the purpose of use initially authorized.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23405"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOVIP","display" : "no unauthorized VIP disclosure","definition" : "Prohibition on disclosure except to principals with access permission to specific VIP information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23406"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "ORCON","display" : "no disclosure without originator authorization","definition" : "Prohibition on disclosure except as permitted by the information originator.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23407"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "WELLREMLE","display" : "wellness reminder list entry","definition" : "**Description:** A person enters a wellness or preventive care reminder for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23267"},{"code" : "subsumedBy","valueCode" : "REMLE"}]},{"code" : "WELLREMLREV","display" : "wellness reminder list review","definition" : "**Description:** A person reviews a list of wellness or preventive care reminders for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23271"},{"code" : "subsumedBy","valueCode" : "REMLREV"}]},{"code" : "MAXOCCURS","display" : "repetitions above maximum","definition" : "**Description:**The number of repeating elements is above the maximum number of repetitions allowed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21664"},{"code" : "subsumedBy","valueCode" : "REP_RANGE"}]},{"code" : "MINOCCURS","display" : "repetitions below minimum","definition" : "**Description:**The number of repeating elements is below the minimum number of repetitions allowed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21663"},{"code" : "subsumedBy","valueCode" : "REP_RANGE"}]},{"code" : "RSDID","display" : "de-identified information access","definition" : "**Definition:** Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22207"},{"code" : "subsumedBy","valueCode" : "RESEARCH"}]},{"code" : "RSREID","display" : "re-identifiable information access","definition" : "**Definition:** Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent.\r\n\r\n**Example::** Where there is a need to inform the subject of potential health issues.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22208"},{"code" : "subsumedBy","valueCode" : "RESEARCH"}]},{"code" : "RFC","display" : "Refill - Complete","definition" : "A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16216"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFF","display" : "Refill (First fill this facility)","definition" : "The first fill against an order that has already been filled at least once at another facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16218"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFP","display" : "Refill - Part Fill","definition" : "A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16217"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFS","display" : "refill partial strength","definition" : "A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21819"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "TB","display" : "Trial Balance","definition" : "A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16213"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFCS","display" : "refill complete partial strength","definition" : "A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21820"},{"code" : "subsumedBy","valueCode" : "RFC"}]},{"code" : "RFFS","display" : "refill partial strength (first fill this facility)","definition" : "The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21821"},{"code" : "subsumedBy","valueCode" : "RFF"}]},{"code" : "RFPS","display" : "refill part fill partial strength","definition" : "A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21822"},{"code" : "subsumedBy","valueCode" : "RFP"}]},{"code" : "FALLRISK","display" : "falls risk assessment instrument task","definition" : "A person reviews a Falls Risk Assessment Instrument report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22064"},{"code" : "subsumedBy","valueCode" : "RISKASSESS"}]},{"code" : "RALG","display" : "Related Allergy Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16678"},{"code" : "subsumedBy","valueCode" : "RREACT"}]},{"code" : "RAR","display" : "Related Prior Reaction Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16679"},{"code" : "subsumedBy","valueCode" : "RREACT"}]},{"code" : "RINT","display" : "Related Intolerance Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16677"},{"code" : "subsumedBy","valueCode" : "RREACT"}]},{"code" : "SECALTINTOBS","display" : "security alteration integrity observation","definition" : "Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.\r\n\r\n**Examples:** Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including:\r\n\r\n *  translation\r\n *  syntactic transformation\r\n *  semantic mapping\r\n *  redaction\r\n *  masking\r\n *  pseudonymization\r\n *  anonymization","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23478"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECDATINTOBS","display" : "security data integrity observation","definition" : "Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: \"The property that data has not been altered or destroyed in an unauthorized manner\", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made.\"\r\n\r\n**Examples:** Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23479"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTCONOBS","display" : "security integrity confidence observation","definition" : "Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.\r\n\r\n**Examples:** Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable.\r\n\r\n*Usage Note:* A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23477"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTPRVOBS","display" : "security integrity provenance observation","definition" : "Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness.\r\n\r\n**Examples:** Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include:\r\n\r\n *  completeness or workflow status, such as authentication\r\n *  the entity responsible for original authoring or informing about an IT resource\r\n *  the entity responsible for a report or assertion about an IT resource relayed \"second-hand\"\r\n *  the entity responsible for excerpting, transforming, or compiling an IT resource","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23480"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTSTOBS","display" : "security integrity status observation","definition" : "Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource.\r\n\r\n**Examples:** Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23476"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTPRVABOBS","display" : "security integrity provenance asserted by observation","definition" : "Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource.\r\n\r\n**Examples:** Types of security integrity provenance asserted by observation metadata, which may value the observation, including:\r\n\r\n *  assertions about an IT resource by a patient\r\n *  assertions about an IT resource by a clinician\r\n *  assertions about an IT resource by a device","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23482"},{"code" : "subsumedBy","valueCode" : "SECINTPRVOBS"}]},{"code" : "SECINTPRVRBOBS","display" : "security integrity provenance reported by observation","definition" : "Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource.\r\n\r\n**Examples:** Types of security integrity provenance reported by observation metadata, which may value the observation, include:\r\n\r\n *  reports about an IT resource by a patient\r\n *  reports about an IT resource by a clinician\r\n *  reports about an IT resource by a device","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23481"},{"code" : "subsumedBy","valueCode" : "SECINTPRVOBS"}]},{"code" : "SECCATOBS","display" : "security category observation","definition" : "Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: \"A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone.\"\r\n\r\n*Rationale:* A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. \\[FIPS 199\\]\r\n\r\n**Examples:** Types of security categories include:\r\n\r\n *  Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that \"segments\" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System)\r\n *  Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23473"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECCLASSOBS","display" : "security classification observation","definition" : "Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: \"The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection.\" Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure.\r\n\r\n*Rationale:* A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality.\r\n\r\n**Examples:** Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential.\r\n\r\n*Usage Note:* Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the \"security label tag\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23472"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECCONOBS","display" : "security control observation","definition" : "Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource.\r\n\r\n*Rationale:* A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. \\[FIPS 199\\]\r\n\r\n**Examples:** Types of security control metadata include:\r\n\r\n *  handling caveats\r\n *  dissemination controls\r\n *  obligations\r\n *  refrain policies\r\n *  purpose of use constraints","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23474"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECINTOBS","display" : "security integrity observation","definition" : "Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.\r\n\r\n*Rationale:* A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542)\r\n\r\n**Examples:** Types of security integrity metadata include:\r\n\r\n *  Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability)\r\n *  Integrity confidence, which indicates the reliability and trustworthiness of an IT resource\r\n *  Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource\r\n *  Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8)\r\n *  Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource\r\n *  Integrity provenance, which indicates the entity responsible for a report or assertion relayed \"second-hand\" about an IT resource","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23475"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECTRSTOBS","display" : "SECTRSTOBS","definition" : "An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23665"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "TRSTACCRDOBS","display" : "trust accreditation observation","definition" : "Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23667"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTAGREOBS","display" : "trust agreement observation","definition" : "Type of security metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23666"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTCERTOBS","display" : "trust certificate observation","definition" : "Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\n**For example,**\r\n\r\n *  A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. \\[Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.\r\n *  A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. \\[Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23668"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTFWKOBS","display" : "trust framework observation","definition" : "Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23670"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTLOAOBS","display" : "trust assurance observation","definition" : "Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23669"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTMECOBS","display" : "trust mechanism observation","definition" : "Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23671"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "ConfidentialMark","display" : "confidential mark","definition" : "A displayed mark rendered as \"Confidential\", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy.\r\n\r\nMay be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy.\r\n\r\n*Usage Note:* \r\n\r\nThe ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.\r\n\r\n*Usage Note:* Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.\r\n\r\nMap: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24048"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "COPYMark","display" : "copy of original mark","definition" : "A displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content.\r\n\r\n*Usage Note:* Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or \"banner\" of electronic or hardcopy pages, or as watermarks set diagonally across each page.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24051"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "DeliverToAddresseeOnlyMark","display" : "deliver only to addressee mark","definition" : "A displayed mark on an electronic transmission or physical container such as an electronic transmittal wrapper, batch file, message header, or a physical envelop or package indicating that the contents, whether electronic or hardcopy information, must only be delivered to the authorized recipient(s) named in the address.\r\n\r\n*Usage Note:* Required by US 32 CRF Part 2002 for container storing or transmitting CUI.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24050"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "RedisclosureProhibitionMark","display" : "prohibition against redisclosure mark","definition" : "A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR §  2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see §  2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at § §  2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32\r\n\r\n*Usage Note:* Example of marking requirement from SAMHSA FAQ Response to question 13:\r\n\r\nWould a logon or splash page notification on an HIO's portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2's requirement that disclosures made with patient consent be accompanied by such a statement?\r\n\r\nNo. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR §  2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by §  2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24049"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "RestrictedConfidentialityMark","display" : "restricted confidentiality mark","definition" : "A displayed mark rendered to end users as \"Restricted Confidentiality\", which indicates that the electronic or hardcopy information they are viewing, must be protected at a restricted level of confidentiality protection as defined by HL7 Confidentiality code \"R\" (restricted). Examples: Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. Use cases include a display to alert authorized EHR users that they are viewing additionally protected health information deemed sensitive by an applicable jurisdictional, organizational, or personal privacy policy.\r\n\r\n*Usage Note:* The definition is based on HL7 Confidentiality code \"R\" (restricted), which is described as:\r\n\r\nPrivacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Foundational definitions of Confidentiality: From HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.\r\n\r\nUsage Note from HL7 Confidentiality code \"R\": Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.\r\n\r\nThis metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization.\r\n\r\nMap: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24047"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "DRAFTMark","display" : "Draft Mark","definition" : "A displayed mark indicating that the electronic or hard-copy information is still under development and is not yet considered to be ready for normal use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24150"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "AUTHPOL","display" : "authorization policy","definition" : "Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system.\r\n\r\nA positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23934"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "DELEPOL","display" : "delegation policy","definition" : "Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated.\r\n\r\nDelegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden.\r\n\r\nA Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23933"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "ObligationPolicy","display" : "obligation policy","definition" : "Conveys the mandated workflow action that an information custodian, receiver, or user must perform.\r\n\r\n*Usage Notes:* Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model:  This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision."},{"code" : "internalId","valueCode" : "23372"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "PrivacyMark","display" : "privacy mark","definition" : "An abstract code for human readable marks indicating, e.g., the level of confidentiality protection, an authorized compartment, the integrity, or the handling instruction required by applicable policy. Such markings must be displayed as directed by applicable policy on electronically rendered information content and any electronic transmittal envelope or container; or on hardcopy information and any physical transmittal envelope or container.\r\n\r\nExamples of protocols for marking displays on electronic or hardcopy rendered content: Across the top or \"banner\" of each page ; as a watermark placed diagonally cross each page; at the bottom or \"footer\" of each page; and may be displayed at the beginning of any portion within the content that required markings different than other portions of the content. The banner or top of page marking typically acts as a \"high watermark\" by including all of the markings made on any marked portions within the entirety of the information content.\r\n\r\n*Usage Note:* A \"Privacy Mark\" is a Security Control Observation (SECCONOBS) named tag set as specified by the HL7 Privacy and Security Classification System (HCS). A Privacy Mark Named Tag Set is valued with a Privacy Mark leaf code \"tag\", which is a member of the Security Control Observation Value (\\_SecurityObservationValue) tag set. Related Security Control Observation named tag sets are Purpose of Use, Obligation Policy, and Refrain Policy, each with their own Security Control Observation Value tag sets.\r\n\r\nFoundational standard definitions: ISO 22600-3 Section A.3.4.3 - If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label. IEEE Security Glossary Compendium 93- CESG Memorandum No.1 Issue 1.2 Oct 1992 - Human readable word or phrase acting as an indicator of all or part of the security constraints that apply to a document so marked. NOTE: A machine readable representation of a marking.\r\n\r\n*Comment:* While policies requiring creators, processors, custodians, senders or recipients apply, enforce, and persist applicable Privacy Marks may be dictated by a jurisdiction, organization or personal privacy, security, or integrity policy, those required to comply may be governed under different policies, so compliance may need to be enforced through trust contracts. For example, information content marked with GDPR related policies may require adherence by processors or recipients outside of the European Union. For this reason, this code system is likely to evolve with the inclusion of multiple policy domains needing to communicate encoded policies in a standard, interoperable manner.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24045"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "RefrainPolicy","display" : "refrain policy","definition" : "Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.\r\n\r\n*Usage Notes:* ISO 22600-2 species that a Refrain Policy \"defines actions the subjects must refrain from performing\". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "ISO 22600-2 species that a Refrain Policy \"defines actions the subjects must refrain from performing\".  Per HL7 Composite Security and Privacy Domain Analysis Model:  May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc."},{"code" : "internalId","valueCode" : "23393"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "BH","display" : "behavioral health information sensitivity","definition" : "Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23894"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "MH","display" : "mental health information sensitivity","definition" : "Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23893"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "PSY","display" : "psychiatry disorder information sensitivity","definition" : "Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23341"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "PSYTHPN","display" : "psychotherapy note information sensitivity","definition" : "Policy for handling psychotherapy note information, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* In some jurisdiction, disclosure of psychotherapy notes requires patient consent.\r\n\r\nIf there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23932"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "SUD","display" : "substance use disorder information sensitivity","definition" : "Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23890"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "SUBSIDMC","display" : "subsidized managed care program","definition" : "**Definition:** A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22139"},{"code" : "subsumedBy","valueCode" : "SUBSIDIZ"}]},{"code" : "SUBSUPP","display" : "subsidized supplemental health program","definition" : "**Definition:** A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n**Example:** Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22140"},{"code" : "subsumedBy","valueCode" : "SUBSIDIZ"}]},{"code" : "ETHUD","display" : "alcohol use disorder information sensitivity","definition" : "Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23891"},{"code" : "subsumedBy","valueCode" : "SUD"}]},{"code" : "OPIOIDUD","display" : "opioid use disorder information sensitivity","definition" : "Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23892"},{"code" : "subsumedBy","valueCode" : "SUD"}]},{"code" : "TBS","display" : "trial balance partial strength","definition" : "A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21823"},{"code" : "subsumedBy","valueCode" : "TB"}]},{"code" : "ALRTENDLATE","display" : "end too late alert","definition" : "**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22837"},{"code" : "subsumedBy","valueCode" : "TIME"}]},{"code" : "ALRTSTRTLATE","display" : "start too late alert","definition" : "**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22838"},{"code" : "subsumedBy","valueCode" : "TIME"}]},{"code" : "INTERVAL","display" : "outside requested time","definition" : "**Definition:**The therapy action is being performed outside the bounds of the time period requested","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22846"},{"code" : "subsumedBy","valueCode" : "TIMING"}]},{"code" : "MINFREQ","display" : "too soon within frequency based on the usage","definition" : "**Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22845"},{"code" : "subsumedBy","valueCode" : "TIMING"}]},{"code" : "DRG","display" : "Drug Interaction Alert","definition" : "Proposed therapy may interact with an existing or recent drug therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16660"},{"code" : "subsumedBy","valueCode" : "TPROD"}]},{"code" : "NHP","display" : "Natural Health Product Alert","definition" : "Proposed therapy may interact with existing or recent natural health product therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16661"},{"code" : "subsumedBy","valueCode" : "TPROD"}]},{"code" : "NONRX","display" : "Non-Prescription Interaction Alert","definition" : "Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16663"},{"code" : "subsumedBy","valueCode" : "TPROD"}]},{"code" : "SALE","display" : "Sale","definition" : "Transfer of ownership for a product for financial compensation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17960"},{"code" : "subsumedBy","valueCode" : "TRANSFER"}]},{"code" : "BUS","display" : "business constraint violation","definition" : "**Description:**A local business rule relating multiple elements has been violated.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21665"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "CODE_INVAL","display" : "code is not valid","definition" : "**Description:**The specified code is not valid against the list of codes allowed for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21659"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "FORMAT","display" : "invalid format","definition" : "**Description:**The element does not follow the formatting or type rules defined for the field.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21655"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "ILLEGAL","display" : "illegal","definition" : "**Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21652"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "LEN_RANGE","display" : "length out of range","definition" : "**Description:**The length of the data specified falls out of the range defined for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21656"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "MISSCOND","display" : "conditional element missing","definition" : "**Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21654"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "MISSMAND","display" : "mandatory element missing","definition" : "**Description:**The specified element is mandatory and was not included in the instance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21653"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "NODUPS","display" : "duplicate values are not permitted","definition" : "**Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21661"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "NOPERSIST","display" : "element will not be persisted","definition" : "**Description:** Element in submitted message will not persist in data storage based on detected issue.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23276"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "REP_RANGE","display" : "repetitions out of range","definition" : "**Description:**The number of repeating elements falls outside the range of the allowed number of repetitions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21662"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "AVAILABLE","display" : "Available Volume","definition" : "The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13963"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]},{"code" : "CONSUMPTION","display" : "Consumption Volume","definition" : "The quantity of specimen that is used each time the equipment uses this substance","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13965"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]},{"code" : "CURRENT","display" : "Current Volume","definition" : "The current quantity of the specimen, i.e., initial quantity minus what has been actually used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13962"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]},{"code" : "INITIAL","display" : "Initial Volume","definition" : "The initial quantity of the specimen in inventory","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13964"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]}]}}]}

#37

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{"resourceType" : "CodeSystem","id" : "v3-ActCode","language" : "en","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.4"}],"version" : "9.0.0","name" : "ActCode","title" : "ActCode","status" : "active","experimental" : false,"date" : "2023-05-30","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "A code specifying the particular kind of Act that the Act-instance represents within its class.\r\n\r\n*Constraints:* The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc.\r\n\r\nConceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure.\r\n\r\nAct.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code \"potassium\" together with and Act.classCode for \"laboratory observation\" to somehow mean \"potassium laboratory observation\" and then use the same Act.code for \"potassium\" together with Act.classCode for \"medication\" to mean \"substitution of potassium\". This mutually modifying use of Act.code and Act.classCode is not permitted.","copyright" : "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"hierarchyMeaning" : "is-a","content" : "complete","property" : [{"extension" : [{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode" : "Specializes"}],"code" : "rim-ClassifiesClassCode","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ClassifiesClassCode","description" : "The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code.  Used only in RIM backbone classes to link the code and classCode values.","type" : "Coding"},{"code" : "internalId","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description" : "The internal identifier for the concept in the HL7 Access database repository.","type" : "code"},{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type" : "code"},{"code" : "deprecationDate","uri" : "http://hl7.org/fhir/concept-properties#deprecationDate","description" : "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type" : "dateTime"},{"code" : "notSelectable","uri" : "http://hl7.org/fhir/concept-properties#notSelectable","description" : "Indicates that the code is abstract - only intended to be used as a selector for other concepts","type" : "boolean"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"},{"code" : "synonymCode","uri" : "http://hl7.org/fhir/concept-properties#synonym","description" : "An additional concept code that was also attributed to a concept","type" : "code"},{"code" : "subsumedBy","uri" : "http://hl7.org/fhir/concept-properties#parent","description" : "The concept code of a parent concept","type" : "code"}],"concept" : [{"code" : "_ActAccountCode","display" : "ActAccountCode","definition" : "An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACCT"}},{"code" : "internalId","valueCode" : "20849"}]},{"code" : "_ActAdjudicationCode","display" : "ActAdjudicationCode","definition" : "Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ADJUD"}},{"code" : "internalId","valueCode" : "20850"}]},{"code" : "_ActAdjudicationResultActionCode","display" : "ActAdjudicationResultActionCode","definition" : "Actions to be carried out by the recipient of the Adjudication Result information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20853"}]},{"code" : "_ActBillableModifierCode","display" : "ActBillableModifierCode","definition" : "**Definition:**An identifying modifier code for healthcare interventions or procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21993"}]},{"code" : "_ActBillingArrangementCode","display" : "ActBillingArrangementCode","definition" : "The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20857"}]},{"code" : "_ActBoundedROICode","display" : "ActBoundedROICode","definition" : "Type of bounded ROI.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ROIBND"}},{"code" : "internalId","valueCode" : "20858"}]},{"code" : "_ActCareProvisionCode","display" : "act care provision","definition" : "**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21825"}]},{"code" : "_ActClaimAttachmentCategoryCode","display" : "ActClaimAttachmentCategoryCode","definition" : "**Description:** Coded types of attachments included to support a healthcare claim.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "CATEGORY"}},{"code" : "internalId","valueCode" : "23004"}]},{"code" : "_ActConsentType","display" : "ActConsentType","definition" : "**Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "CONS"}},{"code" : "internalId","valueCode" : "22199"}]},{"code" : "_ActContainerRegistrationCode","display" : "ActContainerRegistrationCode","definition" : "Constrains the ActCode to the domain of Container Registration","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "CONTREG"}},{"code" : "internalId","valueCode" : "20860"}]},{"code" : "_ActControlVariable","display" : "ActControlVariable","definition" : "An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.\r\n\r\nControl variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "20861"}]},{"code" : "_ActCoverageConfirmationCode","display" : "ActCoverageConfirmationCode","definition" : "Response to an insurance coverage eligibility query or authorization request.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "20863"}]},{"code" : "_ActCoverageLimitCode","display" : "ActCoverageLimitCode","definition" : "Criteria that are applicable to the authorized coverage.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "20865"}]},{"code" : "_ActCoverageTypeCode","display" : "ActCoverageTypeCode","definition" : "**Definition:** Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "22096"}]},{"code" : "_ActDetectedIssueManagementCode","display" : "ActDetectedIssueManagementCode","definition" : "Codes dealing with the management of Detected Issue observations","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20867"}]},{"code" : "_ActExposureCode","display" : "ActExposureCode","definition" : "Concepts that identify the type or nature of exposure interaction. Examples include \"household\", \"care giver\", \"intimate partner\", \"common space\", \"common substance\", etc. to further describe the nature of interaction.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "EXPOS"}},{"code" : "internalId","valueCode" : "22353"}]},{"code" : "_ActFinancialTransactionCode","display" : "ActFinancialTransactionCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "XACT"}},{"code" : "internalId","valueCode" : "20872"}]},{"code" : "_ActIncidentCode","display" : "ActIncidentCode","definition" : "Set of codes indicating the type of incident or accident.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INC"}},{"code" : "internalId","valueCode" : "20873"}]},{"code" : "_ActInformationAccessCode","display" : "ActInformationAccessCode","definition" : "**Description:** The type of health information to which the subject of the information or the subject's delegate consents or dissents.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22244"}]},{"code" : "_ActInformationAccessContextCode","display" : "ActInformationAccessContextCode","definition" : "Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22332"}]},{"code" : "_ActInformationCategoryCode","display" : "ActInformationCategoryCode","definition" : "**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "DOC"}},{"code" : "internalId","valueCode" : "22386"}]},{"code" : "_ActInvoiceElementCode","display" : "ActInvoiceElementCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20888"}]},{"code" : "_ActInvoiceElementSummaryCode","display" : "ActInvoiceElementSummaryCode","definition" : "Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20889"}]},{"code" : "_ActInvoiceOverrideCode","display" : "ActInvoiceOverrideCode","definition" : "Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20892"}]},{"code" : "_ActListCode","display" : "ActListCode","definition" : "Provides codes associated with ActClass value of LIST (working list)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "20895"}]},{"code" : "_ActMonitoringProtocolCode","display" : "ActMonitoringProtocolCode","definition" : "Identifies types of monitoring programs","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "MPROT"}},{"code" : "internalId","valueCode" : "20897"}]},{"code" : "_ActNonObservationIndicationCode","display" : "ActNonObservationIndicationCode","definition" : "**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACT"}},{"code" : "internalId","valueCode" : "22387"}]},{"code" : "_ActObservationVerificationType","display" : "act observation verification","definition" : "Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.\r\n\r\n**Examples:**\r\n\r\n1.  Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program\r\n2.  Verification of record - e.g., person has record in an immunization registry\r\n3.  Verification of enumeration - e.g. NPI\r\n4.  Verification of Board Certification - provider specific\r\n5.  Verification of Certification - e.g. JAHCO, NCQA, URAC\r\n6.  Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria\r\n7.  Verification of Provider Credentials\r\n8.  Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "VERIF"}},{"code" : "internalId","valueCode" : "21907"}]},{"code" : "_ActPaymentCode","display" : "ActPaymentCode","definition" : "Code identifying the method or the movement of payment instructions.\r\n\r\nCodes are drawn from X12 data element 591 (PaymentMethodCode)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "XACT"}},{"code" : "internalId","valueCode" : "20900"}]},{"code" : "_ActPharmacySupplyType","display" : "ActPharmacySupplyType","definition" : "Identifies types of dispensing events","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPLY"}},{"code" : "internalId","valueCode" : "20901"}]},{"code" : "_ActPolicyType","display" : "ActPolicyType","definition" : "A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "POLICY"}},{"code" : "internalId","valueCode" : "22182"}]},{"code" : "_ActProductAcquisitionCode","display" : "ActProductAcquisitionCode","definition" : "The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPLY"}},{"code" : "internalId","valueCode" : "20903"}]},{"code" : "_ActSpecimenTransportCode","display" : "ActSpecimenTransportCode","definition" : "Transportation of a specimen.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "TRNS"}},{"code" : "internalId","valueCode" : "22388"}]},{"code" : "_ActSpecimenTreatmentCode","display" : "ActSpecimenTreatmentCode","definition" : "Set of codes related to specimen treatments","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPCTRT"}},{"code" : "internalId","valueCode" : "20905"}]},{"code" : "_ActSubstanceAdministrationCode","display" : "ActSubstanceAdministrationCode","definition" : "**Description:** Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SBADM"}},{"code" : "internalId","valueCode" : "21517"}]},{"code" : "_ActTaskCode","display" : "ActTaskCode","definition" : "**Description:** A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACT"}},{"code" : "internalId","valueCode" : "22047"}]},{"code" : "_ActTransportationModeCode","display" : "ActTransportationModeCode","definition" : "Characterizes how a transportation act was or will be carried out.\r\n\r\n*Examples:* Via private transport, via public transit, via courier.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "TRNS"}},{"code" : "internalId","valueCode" : "21545"}]},{"code" : "_ObservationType","display" : "ObservationType","definition" : "Identifies the kinds of observations that can be performed","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "20930"}]},{"code" : "_ROIOverlayShape","display" : "ROIOverlayShape","definition" : "Shape of the region on the object being referenced","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20931"}]},{"code" : "C","display" : "corrected","definition" : "**Description:**Indicates that result data has been corrected.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22831"}]},{"code" : "DIET","display" : "Diet","definition" : "Code set to define specialized/allowed diets","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10376"}]},{"code" : "DRUGPRG","display" : "drug program","definition" : "**Definition:** A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22132"}]},{"code" : "F","display" : "final","definition" : "**Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22830"}]},{"code" : "PRLMN","display" : "preliminary","definition" : "**Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22829"}]},{"code" : "SECOBS","display" : "SecurityObservationType","definition" : "An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels.\r\n\r\n*Rationale:* According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:\r\n\r\n *  The security policy identifiers shall be identical\r\n *  The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and\r\n *  For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target.\r\n\r\n**Examples:** SecurityObservationType security label fields include:\r\n\r\n *  Confidentiality classification\r\n *  Compartment category\r\n *  Sensitivity category\r\n *  Security mechanisms used to ensure data integrity or to perform authorized data transformation\r\n *  Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance.\r\n\r\n*Usage Note:* SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the \"security label tag\".","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23471"}]},{"code" : "SUBSIDFFS","display" : "subsidized fee for service program","definition" : "**Definition:** A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22138"}]},{"code" : "WRKCOMP","display" : "(workers compensation program","definition" : "**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22146"}]},{"code" : "_ActAdjudicationInformationCode","display" : "ActAdjudicationInformationCode","definition" : "Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice.\r\n\r\nCodes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim).\r\n\r\nExample adjudication information code is 54540 - Patient has reached Plan Maximum for current year.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20852"}]},{"code" : "_ActBillableTreatmentPlanCode","display" : "ActBillableTreatmentPlanCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20856"}]},{"code" : "_ActCognitiveProfessionalServiceCode","display" : "ActCognitiveProfessionalServiceCode","definition" : "Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21511"}]},{"code" : "_ActIdentityDocumentCode","display" : "ActIdentityDocumentCode","definition" : "Code identifying the type of identification document (e.g. passport, drivers license)\r\n\r\n**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22267"}]},{"code" : "_ActOrderCode","display" : "ActOrderCode","definition" : "The type of order that was fulfilled by the clinical service","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20899"}]},{"code" : "_ActPrivilegeCategorization","display" : "ActPrivilegeCategorization","definition" : "An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21535"}]},{"code" : "_ActProcedureCode","display" : "ActProcedureCode","definition" : "An identifying code for healthcare interventions/procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20902"}]},{"code" : "_ActRegistryCode","display" : "ActRegistryCode","definition" : "This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20904"}]},{"code" : "_ActSecurityObjectCode","display" : "ActSecurityObjectCode","definition" : "**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22641"}]},{"code" : "_AdvanceBeneficiaryNoticeType","display" : "AdvanceBeneficiaryNoticeType","definition" : "**Description:**\r\n\r\nRepresents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.\r\n\r\n**Examples:**\r\n\r\n *  Advanced beneficiary medically necessity notice.\r\n *  Advanced beneficiary agreement to pay notice.\r\n *  Advanced beneficiary requests payer billed.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22095"}]},{"code" : "_CPT4","display" : "CPT4","definition" : "**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22176"}]},{"code" : "_ExternallyDefinedActCodes","display" : "ExternallyDefinedActCodes","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20919"}]},{"code" : "_HL7DefinedActCodes","display" : "HL7DefinedActCodes","definition" : "Domain provides the root for HL7-defined detailed or rich codes for the Act classes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20921"}]},{"code" : "_IndividualCaseSafetyReportCriteria","display" : "IndividualCaseSafetyReportCriteria","definition" : "**Description:** Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22078"}]},{"code" : "_IndividualCaseSafetyReportProductCharacteristic","display" : "IndividualCaseSafetyReportProductCharacteristic","definition" : "**Description:** Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.\r\n\r\n**Examples:**Weight, color, dimensions.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22079"}]},{"code" : "_ObservationActAgeGroupType","display" : "ObservationActAgeGroupType","definition" : "**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22046"}]},{"code" : "COPAY","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17501"}]},{"code" : "DEDUCT","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17500"}]},{"code" : "DOSEIND","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17793"}]},{"code" : "PRA","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "16675"}]},{"code" : "STORE","display" : "Storage","definition" : "The act of putting something away for safe keeping. The \"something\" may be physical object such as a specimen, or information, such as observations regarding a specimen.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21456"}]},{"code" : "ACCTRECEIVABLE","display" : "account receivable","definition" : "An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21361"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "CASH","display" : "Cash","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14810"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "CC","display" : "credit card","definition" : "**Description:** Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23013"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "PBILLACCT","display" : "patient billing account","definition" : "An account representing charges and credits (financial transactions) for a patient's encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21301"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "_CreditCard","display" : "CreditCard","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20912"},{"code" : "subsumedBy","valueCode" : "_ActAccountCode"}]},{"code" : "_ActAdjudicationGroupCode","display" : "ActAdjudicationGroupCode","definition" : "Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ADJUD"}},{"code" : "internalId","valueCode" : "20851"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "AA","display" : "adjudicated with adjustments","definition" : "The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).\r\n\r\nAlso includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19347"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "AR","display" : "adjudicated as refused","definition" : "The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.\r\n\r\nIncludes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').\r\n\r\nIf one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.\r\n\r\nA refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.\r\n\r\nInvoice element cannot be reversed (nullified) as there is nothing to reverse.\r\n\r\nRecommend that the invoice element is not saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17619"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "AS","display" : "adjudicated as submitted","definition" : "The invoice element was/will be paid exactly as submitted, without financial adjustment(s).\r\n\r\nIf the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as \"Adjudicated with Adjustment\".\r\n\r\nIf information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17617"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationCode"}]},{"code" : "CONT","display" : "contract","definition" : "Transaction counts and value totals by Contract Identifier.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17974"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "DAY","display" : "day","definition" : "Transaction counts and value totals for each calendar day within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17969"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "LOC","display" : "location","definition" : "Transaction counts and value totals by service location (e.g clinic).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17976"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "MONTH","display" : "month","definition" : "Transaction counts and value totals for each calendar month within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17970"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PERIOD","display" : "period","definition" : "Transaction counts and value totals for the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17971"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PROV","display" : "provider","definition" : "Transaction counts and value totals by Provider Identifier.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17975"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "WEEK","display" : "week","definition" : "Transaction counts and value totals for each calendar week within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17972"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "YEAR","display" : "year","definition" : "Transaction counts and value totals for each calendar year within the date range specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17973"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "DISPLAY","display" : "Display","definition" : "The adjudication result associated is to be displayed to the receiver of the adjudication result.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17475"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationResultActionCode"}]},{"code" : "FORM","display" : "Print on Form","definition" : "The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17473"},{"code" : "subsumedBy","valueCode" : "_ActAdjudicationResultActionCode"}]},{"code" : "NAT","display" : "Insufficient authorization","definition" : "The requesting party has insufficient authorization to invoke the interaction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21390"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code" : "SUPPRESSED","display" : "record suppressed","definition" : "**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23274"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code" : "VALIDAT","display" : "validation issue","definition" : "**Description:**The specified element did not pass business-rule validation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21651"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code" : "_ActAdministrativeAuthorizationDetectedIssueCode","display" : "ActAdministrativeAuthorizationDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21389"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeDetectedIssueCode"}]},{"code" : "_ActAdministrativeRuleDetectedIssueCode","display" : "ActAdministrativeRuleDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21391"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeDetectedIssueCode"}]},{"code" : "_AuthorizationIssueManagementCode","display" : "Authorization Issue Management Code","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "21387"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeDetectedIssueManagementCode"}]},{"code" : "KEY204","display" : "Unknown key identifier","definition" : "The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21392"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "KEY205","display" : "Duplicate key identifier","definition" : "The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21393"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "KEY206","display" : "non-matching identification","definition" : "**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23272"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"}]},{"code" : "OBSOLETE","display" : "obsolete record returned","definition" : "**Description:** One or more records in the query response have a status of 'obsolete'.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23275"},{"code" : "subsumedBy","valueCode" : "_ActAdministrativeRuleDetectedIssueCode"}]},{"code" : "CPTM","display" : "CPT modifier codes","definition" : "**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22151"},{"code" : "subsumedBy","valueCode" : "_ActBillableModifierCode"}]},{"code" : "HCPCSA","display" : "HCPCS Level II and Carrier-assigned","definition" : "**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22150"},{"code" : "subsumedBy","valueCode" : "_ActBillableModifierCode"}]},{"code" : "_ActMedicalBillableServiceCode","display" : "ActMedicalBillableServiceCode","definition" : "**Definition:** An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22219"},{"code" : "subsumedBy","valueCode" : "_ActBillableServiceCode"}]},{"code" : "_ActNonMedicalBillableServiceCode","display" : "ActNonMedicalBillableServiceCode","definition" : "**Definition:** An identifying code for billable services that are not medical procedures, such as social services or governmental program services.\r\n\r\n**Example:** Building a wheelchair ramp, help with groceries, giving someone a ride, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22220"},{"code" : "subsumedBy","valueCode" : "_ActBillableServiceCode"}]},{"code" : "BLK","display" : "block funding","definition" : "A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.\r\n\r\nThis billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17480"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "CAP","display" : "capitation funding","definition" : "A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17484"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "CONTF","display" : "contract funding","definition" : "A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17481"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "FINBILL","display" : "financial","definition" : "A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19723"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "ROST","display" : "roster funding","definition" : "A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17482"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "SESS","display" : "sessional funding","definition" : "A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17483"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"}]},{"code" : "FFS","display" : "fee for service","definition" : "A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.\r\n\r\nFee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17479"},{"code" : "subsumedBy","valueCode" : "_ActBillingArrangementCode"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "ROIFS","display" : "fully specified ROI","definition" : "A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of \"ST elevation\" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17897"},{"code" : "subsumedBy","valueCode" : "_ActBoundedROICode"}]},{"code" : "ROIPS","display" : "partially specified ROI","definition" : "A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17898"},{"code" : "subsumedBy","valueCode" : "_ActBoundedROICode"}]},{"code" : "_ActCredentialedCareCode","display" : "act credentialed care","definition" : "**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.\r\n\r\n**Example:**Hospital license; physician license; clinic accreditation.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21826"},{"code" : "subsumedBy","valueCode" : "_ActCareProvisionCode"}]},{"code" : "_ActEncounterCode","display" : "ActEncounterCode","definition" : "Domain provides codes that qualify the ActEncounterClass (ENC)","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ENC"}},{"code" : "internalId","valueCode" : "20869"},{"code" : "subsumedBy","valueCode" : "_ActCareProvisionCode"}]},{"code" : "_ActMedicalServiceCode","display" : "ActMedicalServiceCode","definition" : "General category of medical service provided to the patient during their encounter.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20896"},{"code" : "subsumedBy","valueCode" : "_ActCareProvisionCode"}]},{"code" : "AUTOATTCH","display" : "auto attachment","definition" : "**Description:** Automobile Information Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23012"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "DOCUMENT","display" : "document","definition" : "**Description:** Document Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23008"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "HEALTHREC","display" : "health record","definition" : "**Description:** Health Record Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23010"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "IMG","display" : "image attachment","definition" : "**Description:** Image Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23006"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "LABRESULTS","display" : "lab results","definition" : "**Description:** Lab Results Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23009"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "MODEL","display" : "model","definition" : "**Description:** Digital Model Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23007"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "WIATTCH","display" : "work injury report attachment","definition" : "**Description:** Work Injury related additional Information Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23011"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "XRAY","display" : "x-ray","definition" : "**Description:** Digital X-Ray Attachment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23005"},{"code" : "subsumedBy","valueCode" : "_ActClaimAttachmentCategoryCode"}]},{"code" : "_ActDecision","display" : "_ActDecision","definition" : "Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24107"},{"code" : "subsumedBy","valueCode" : "_ActConsent"}]},{"code" : "_ActPrivacyConsentDirective","display" : "_ActPrivacyConsentDirective","definition" : "Specifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24108"},{"code" : "subsumedBy","valueCode" : "_ActConsent"}]},{"code" : "EMRGONLY","display" : "emergency only","definition" : "Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.\r\n\r\n*Usage Note:* To specify the scope of an \"EMRGONLY\" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\n\r\n *  ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\n *  BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\n *  ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"Break the Glass\" purpose of use.\r\n *  THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\n *  DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\n\r\nMap: An \"emergency only\" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23325"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"}]},{"code" : "GRANTORCHOICE","display" : "grantor choice","definition" : "A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\n*Comment:* A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.\r\n\r\n*Usage Note:* If the grantor's term of agreement must be accepted in full, then this is considered \"basic consent\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A PHR account holder \\[grantor\\] may require any PHR user \\[grantee\\] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user.\r\n *  Non-healthcare: The owner of a resource server \\[grantor\\] may require any authorization server \\[grantee\\] to meet authorization requirements stipulated in the grantor's terms of agreement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23754"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "IMPLIED","display" : "implied consent","definition" : "A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\n*Comment:* Implied or \"implicit\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.\r\n\r\n*Usage Note:* Implied consent with no opportunity to assent or dissent to certain terms is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient \\[grantor\\] agrees to the rights granted to the provider \\[grantee\\] in an implicit consent directive.\r\n *  An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws.\r\n *  Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests.\r\n *  A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23755"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "IMPLIEDD","display" : "implied consent with opportunity to dissent","definition" : "A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\n*Comment:* A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Implied or \"implicit\" consent with an \"opportunity to dissent\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.\r\n *  A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations.\r\n *  Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23756"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "NOCONSENT","display" : "no consent","definition" : "No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\n*Comment:* A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles \\[FIPP\\] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.\r\n\r\n*Usage Note:* The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented.\r\n *  Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement.\r\n *  Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling.\r\n *  Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23757"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "NOPP","display" : "notice of privacy practices","definition" : "An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.\r\n\r\n*Usage Notes:* Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\"."},{"code" : "internalId","valueCode" : "23370"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"}]},{"code" : "OPTIN","display" : "opt-in","definition" : "A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\n*Comment:* Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] signs a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies.\r\n *  Non-healthcare: An employee \\[grantor\\] signs an employer's \\[grantee's\\] non-disclosure and non-compete agreement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23326"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "OPTINR","display" : "opt-in with restrictions","definition" : "A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\n*Comment:* A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Opt-in with restrictions is considered \"granular consent\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list.\r\n *  Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23758"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "OPTOUT","display" : "op-out","definition" : "A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\n*Comment:* Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] declines to sign a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.\r\n *  Non-healthcare: An employee \\[grantor\\] refuses to sign an employer's \\[grantee's\\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.\r\n *  A citizen \\[grantor\\] refuses to enroll in mandatory government \\[grantee\\] health insurance based on religious beliefs, which is an exemption.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23327"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "OPTOUTE","display" : "opt-out with exceptions","definition" : "A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\n*Comment:* A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.\r\n\r\n*Usage Note:* Opt-out with exceptions is considered a \"granular consent\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"time to live\" shared secret \\[e.g., a token or password\\], which the patient can give to a provider when seeking care.\r\n *  Non-healthcare: A social media user \\[grantor\\] dissents from public access to their account, but assents to access to a circle of friends.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23759"},{"code" : "subsumedBy","valueCode" : "_ActConsentDirective"},{"code" : "subsumedBy","valueCode" : "_ActDecision"}]},{"code" : "ICOL","display" : "information collection","definition" : "**Definition:** Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22203"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "IDSCL","display" : "information disclosure","definition" : "**Definition:** Consent to have collected healthcare information disclosed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22204"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "INFA","display" : "information access","definition" : "**Definition:** Consent to access healthcare information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22200"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "IRDSCL","display" : "information redisclosure","definition" : "**Definition:** Information re-disclosed without the patient's consent.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22205"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "RESEARCH","display" : "research information access","definition" : "**Definition:** Consent to have healthcare information in an electronic health record accessed for research purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22206"},{"code" : "subsumedBy","valueCode" : "_ActConsentType"}]},{"code" : "ID","display" : "Identified","definition" : "Used by one system to inform another that it has received a container.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14059"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "IP","display" : "In Position","definition" : "Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14060"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "L","display" : "Left Equipment","definition" : "Used by one system to inform another that the container has been released from that system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14063"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "M","display" : "Missing","definition" : "Used by one system to inform another that the container did not arrive at its next expected location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14064"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "O","display" : "In Process","definition" : "Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14061"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "R","display" : "Process Completed","definition" : "Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14062"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "X","display" : "Container Unavailable","definition" : "Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14065"},{"code" : "subsumedBy","valueCode" : "_ActContainerRegistrationCode"}]},{"code" : "AUTO","display" : "auto-repeat permission","definition" : "Specifies whether or not automatic repeat testing is to be initiated on specimens.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16860"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "ENDC","display" : "endogenous content","definition" : "A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16858"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "REFLEX","display" : "reflex permission","definition" : "Specifies whether or not further testing may be automatically or manually initiated on specimens.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16859"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "_ECGControlVariable","display" : "ECGControlVariable","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20916"},{"code" : "subsumedBy","valueCode" : "_ActControlVariable"}]},{"code" : "AUTH","display" : "Authorized","definition" : "Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17492"},{"code" : "subsumedBy","valueCode" : "_ActCoverageAuthorizationConfirmationCode"}]},{"code" : "NAUTH","display" : "Not Authorized","definition" : "Authorization for specified healthcare service(s) and/or product(s) denied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17493"},{"code" : "subsumedBy","valueCode" : "_ActCoverageAuthorizationConfirmationCode"}]},{"code" : "_ActCoverageAuthorizationConfirmationCode","display" : "ActCoverageAuthorizationConfirmationCode","definition" : "Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "20862"},{"code" : "subsumedBy","valueCode" : "_ActCoverageConfirmationCode"}]},{"code" : "_ActCoverageEligibilityConfirmationCode","display" : "ActCoverageEligibilityConfirmationCode","definition" : "Indication of eligibility coverage for healthcare service(s) and/or product(s).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20864"},{"code" : "subsumedBy","valueCode" : "_ActCoverageConfirmationCode"}]},{"code" : "ELG","display" : "Eligible","definition" : "Insurance coverage is in effect for healthcare service(s) and/or product(s).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17489"},{"code" : "subsumedBy","valueCode" : "_ActCoverageEligibilityConfirmationCode"}]},{"code" : "NELG","display" : "Not Eligible","definition" : "Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "17490"},{"code" : "subsumedBy","valueCode" : "_ActCoverageEligibilityConfirmationCode"}]},{"code" : "_ActCoverageQuantityLimitCode","display" : "ActCoverageQuantityLimitCode","definition" : "Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "COV"}},{"code" : "internalId","valueCode" : "22342"},{"code" : "subsumedBy","valueCode" : "_ActCoverageLimitCode"}]},{"code" : "COVMX","display" : "coverage maximum","definition" : "**Definition:** Codes representing the maximum coverate or financial participation requirements.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22239"},{"code" : "subsumedBy","valueCode" : "_ActCoverageLimitCode"}]},{"code" : "_ActCoveredPartyLimitCode","display" : "ActCoveredPartyLimitCode","definition" : "Codes representing the types of covered parties that may receive covered benefits under a policy or program.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22344"},{"code" : "subsumedBy","valueCode" : "_ActCoverageLimitCode"}]},{"code" : "COVPRD","display" : "coverage period","definition" : "Codes representing the time period during which coverage is available; or financial participation requirements are in effect.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22343"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "LFEMX","display" : "life time maximum","definition" : "**Definition:** Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22240"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"},{"code" : "subsumedBy","valueCode" : "COVMX"}]},{"code" : "NETAMT","display" : "Net Amount","definition" : "Maximum net amount that will be covered for the product or service specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17497"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "PRDMX","display" : "period maximum","definition" : "**Definition:** Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22241"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"},{"code" : "subsumedBy","valueCode" : "COVMX"}]},{"code" : "UNITPRICE","display" : "Unit Price","definition" : "Maximum unit price that will be covered for the authorized product or service.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17499"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "UNITQTY","display" : "Unit Quantity","definition" : "Maximum number of items that will be covered of the product or service specified.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17498"},{"code" : "subsumedBy","valueCode" : "_ActCoverageQuantityLimitCode"}]},{"code" : "_ActInsurancePolicyCode","display" : "ActInsurancePolicyCode","definition" : "Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "POLICY"}},{"code" : "internalId","valueCode" : "20874"},{"code" : "subsumedBy","valueCode" : "_ActCoverageTypeCode"}]},{"code" : "_ActInsuranceTypeCode","display" : "ActInsuranceTypeCode","definition" : "**Definition:** Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured.\r\n\r\n*Discussion:* In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22097"},{"code" : "subsumedBy","valueCode" : "_ActCoverageTypeCode"}]},{"code" : "_ActProgramTypeCode","display" : "ActProgramTypeCode","definition" : "**Definition:** A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds.\r\n\r\n*Discussion:* Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22098"},{"code" : "subsumedBy","valueCode" : "_ActCoverageTypeCode"}]},{"code" : "_ActCoveragePartyLimitGroupCode","display" : "ActCoveragePartyLimitGroupCode","definition" : "Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22345"},{"code" : "subsumedBy","valueCode" : "_ActCoveredPartyLimitCode"}]},{"code" : "_ActCredentialedCareProvisionPersonCode","display" : "act credentialed care provision peron","definition" : "**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21827"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareCode"}]},{"code" : "_ActCredentialedCareProvisionProgramCode","display" : "act credentialed care provision program","definition" : "**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "PCPR"}},{"code" : "internalId","valueCode" : "21828"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareCode"}]},{"code" : "CACC","display" : "certified anatomic pathology and clinical pathology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21848"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CAIC","display" : "certified allergy and immunology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21830"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CAMC","display" : "certified aerospace medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21854"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CANC","display" : "certified anesthesiology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21831"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CAPC","display" : "certified anatomic pathology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21849"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CBGC","display" : "certified clinical biochemical genetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21837"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCCC","display" : "certified clinical cytogenetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21838"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCGC","display" : "certified clinical genetics (M.D.) care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21839"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCPC","display" : "certified clinical pathology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21850"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CCSC","display" : "certified colon and rectal surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21832"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CDEC","display" : "certified dermatology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21833"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CDRC","display" : "certified diagnostic radiology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21860"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CEMC","display" : "certified emergency medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21834"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CFPC","display" : "certified family practice care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21835"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CIMC","display" : "certified internal medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21836"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CMGC","display" : "certified clinical molecular genetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21840"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNEC","display" : "certified neurology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21858"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNMC","display" : "certified nuclear medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21843"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNQC","display" : "certified neurology with special qualifications in child neurology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21859"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CNSC","display" : "certified neurological surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21842"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COGC","display" : "certified obstetrics and gynecology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21844"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COMC","display" : "certified occupational medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21855"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COPC","display" : "certified ophthalmology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21845"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COSC","display" : "certified orthopaedic surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21846"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "COTC","display" : "certified otolaryngology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21847"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CPEC","display" : "certified pediatrics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21851"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CPGC","display" : "certified Ph.D. medical genetics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21841"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CPHC","display" : "certified public health and general preventive medicine care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21856"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CPRC","display" : "certified physical medicine and rehabilitation care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21852"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CPSC","display" : "certified plastic surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21853"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CPYC","display" : "certified psychiatry care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21857"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CROC","display" : "certified radiation oncology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21861"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CRPC","display" : "certified radiological physics care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21862"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CSUC","display" : "certified surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21863"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CTSC","display" : "certified thoracic surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21865"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CURC","display" : "certified urology care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21866"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "CVSC","display" : "certified vascular surgery care","definition" : "**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21864"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "LGPC","display" : "licensed general physician care","definition" : "**Description:**Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21829"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionPersonCode"}]},{"code" : "AALC","display" : "accredited assisted living care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21868"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "AAMC","display" : "accredited ambulatory care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21867"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "ABHC","display" : "accredited behavioral health care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21869"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "ACAC","display" : "accredited critical access hospital care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21870"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "ACHC","display" : "accredited hospital care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21872"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "AHOC","display" : "accredited home care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21871"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "ALTC","display" : "accredited long term care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21873"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "AOSC","display" : "accredited office-based surgery care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21874"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CACS","display" : "certified acute coronary syndrome care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21875"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CAMI","display" : "certified acute myocardial infarction care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21876"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CAST","display" : "certified asthma care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21877"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CBAR","display" : "certified bariatric surgery care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21878"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CCAD","display" : "certified coronary artery disease care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21881"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CCAR","display" : "certified cardiac care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21879"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CDEP","display" : "certified depression care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21882"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CDGD","display" : "certified digestive/gastrointestinal disorders care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21884"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CDIA","display" : "certified diabetes care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21883"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CEPI","display" : "certified epilepsy care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21885"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CFEL","display" : "certified frail elderly care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21886"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CHFC","display" : "certified heart failure care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21887"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CHRO","display" : "certified high risk obstetrics care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21888"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CHYP","display" : "certified hyperlipidemia care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21889"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CMIH","display" : "certified migraine headache care","definition" : "**Description:**.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21890"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CMSC","display" : "certified multiple sclerosis care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21891"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "COJR","display" : "certified orthopedic joint replacement care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21894"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CONC","display" : "certified oncology care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21892"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "COPD","display" : "certified chronic obstructive pulmonary disease care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21880"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CORT","display" : "certified organ transplant care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21893"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CPAD","display" : "certified parkinsons disease care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21895"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CPND","display" : "certified pneumonia disease care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21896"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CPST","display" : "certified primary stroke center care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21897"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CSDM","display" : "certified stroke disease management care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21901"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CSIC","display" : "certified sickle cell care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21898"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CSLD","display" : "certified sleep disorders care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21899"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CSPT","display" : "certified spine treatment care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21900"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CTBU","display" : "certified trauma/burn center care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21902"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CVDC","display" : "certified vascular diseases care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21903"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CWMA","display" : "certified wound management care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21905"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "CWOH","display" : "certified women's health care","definition" : "**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21904"},{"code" : "subsumedBy","valueCode" : "_ActCredentialedCareProvisionProgramCode"}]},{"code" : "_ActAdministrativeDetectedIssueManagementCode","display" : "ActAdministrativeDetectedIssueManagementCode","definition" : "Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20855"},{"code" : "subsumedBy","valueCode" : "_ActDetectedIssueManagementCode"}]},{"code" : "1","display" : "Therapy Appropriate","definition" : "Confirmed drug therapy appropriate","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16696"},{"code" : "subsumedBy","valueCode" : "_ActDetectedIssueManagementCode"}]},{"code" : "14","display" : "Supply Appropriate","definition" : "Confirmed supply action appropriate","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16709"},{"code" : "subsumedBy","valueCode" : "_ActDetectedIssueManagementCode"}]},{"code" : "8","display" : "Other Action Taken","definition" : "Order is performed as issued, but other action taken to mitigate potential adverse effects","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16703"},{"code" : "subsumedBy","valueCode" : "_ActDetectedIssueManagementCode"}]},{"code" : "_ActFinancialDetectedIssueManagementCode","display" : "ActFinancialDetectedIssueManagementCode","definition" : "Codes dealing with the management of Detected Issue observations for the financial acts domain.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20871"},{"code" : "subsumedBy","valueCode" : "_ActDetectedIssueManagementCode"}]},{"code" : "_HL7AccommodationCode","display" : "HL7AccommodationCode","definition" : "**Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACCM"}},{"code" : "internalId","valueCode" : "22153"},{"code" : "subsumedBy","valueCode" : "_ActEncounterAccommodationCode"}]},{"code" : "_HCPCSAccommodationCode","display" : "HCPCSAccommodationCode","definition" : "**Description:**External value set for accommodation types used in the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22152"},{"code" : "subsumedBy","valueCode" : "_ActEncounterAccommodationCode"}]},{"code" : "AMB","display" : "ambulatory","definition" : "A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16239"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "EMER","display" : "emergency","definition" : "A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16240"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "FLD","display" : "field","definition" : "A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16235"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "HH","display" : "home health","definition" : "Healthcare encounter that takes place in the residence of the patient or a designee","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16237"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "IMP","display" : "inpatient encounter","definition" : "A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16847"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "OBSENC","display" : "observation encounter","definition" : "An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23896"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "PRENC","display" : "pre-admission","definition" : "A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated.\r\n\r\n*Usage Note:* This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23573"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "SS","display" : "short stay","definition" : "An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21444"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "VR","display" : "virtual","definition" : "A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16236"},{"code" : "subsumedBy","valueCode" : "_ActEncounterCode"}]},{"code" : "CHLDCARE","display" : "Day care - Child care Interaction","definition" : "**Description:** Exposure participants' interaction occurred in a child care setting","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22357"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "CONVEYNC","display" : "Common Conveyance Interaction","definition" : "**Description:** An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22358"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HLTHCARE","display" : "Health Care Interaction - Not Patient Care","definition" : "**Description:** Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22355"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOMECARE","display" : "Care Giver Interaction","definition" : "**Description:** Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22354"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOSPPTNT","display" : "Hospital Patient Interaction","definition" : "**Description:** Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22362"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOSPVSTR","display" : "Hospital Visitor Interaction","definition" : "**Description:** Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22363"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "HOUSEHLD","display" : "Household Interaction","definition" : "**Description:** Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22364"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "INMATE","display" : "Inmate Interaction","definition" : "**Description:** Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22365"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "INTIMATE","display" : "Intimate Interaction","definition" : "**Description:** Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22366"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "LTRMCARE","display" : "Long Term Care Facility Interaction","definition" : "**Description:** Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22367"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "PLACE","display" : "Common Space Interaction","definition" : "**Description:** An interaction where the exposure participants were both present in the same location/place/space.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22361"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "PTNTCARE","display" : "Health Care Interaction - Patient Care","definition" : "**Description:** Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22356"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "SCHOOL2","display" : "School Interaction","definition" : "**Description:** Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22368"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "SOCIAL2","display" : "Social/Extended Family Interaction","definition" : "**Description:** An interaction where the exposure participants are social associates or members of the same extended family","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22369"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "SUBSTNCE","display" : "Common Substance Interaction","definition" : "**Description:** An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22359"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "TRAVINT","display" : "Common Travel Interaction","definition" : "**Description:** An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22360"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "WORK2","display" : "Work Interaction","definition" : "**Description:** Exposure interaction occurred in a work setting, i.e. participants are co-workers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22370"},{"code" : "subsumedBy","valueCode" : "_ActExposureCode"}]},{"code" : "CHRG","display" : "Standard Charge","definition" : "A type of transaction that represents a charge for a service or product. Expressed in monetary terms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14805"},{"code" : "subsumedBy","valueCode" : "_ActFinancialTransactionCode"}]},{"code" : "REV","display" : "Standard Charge Reversal","definition" : "A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14806"},{"code" : "subsumedBy","valueCode" : "_ActFinancialTransactionCode"}]},{"code" : "GDPRCD","display" : "GDPR Consent Directive","definition" : "A consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nWhere processing is based on consent, the controller shall be able to demonstrate that the data subject has consented to processing of his or her personal data. If the data subject's consent is given in the context of a written declaration which also concerns other matters, the request for consent shall be presented in a manner which is clearly distinguishable from the other matters, in an intelligible and easily accessible form, using clear and plain language. Any part of such a declaration which constitutes an infringement of this Regulation shall not be binding. The data subject shall have the right to withdraw his or her consent at any time. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal. Prior to giving consent, the data subject shall be informed thereof. It shall be as easy to withdraw as to give consent. When assessing whether consent is freely given, utmost account shall be taken of whether, inter alia, the performance of a contract, including the provision of a service, is conditional on consent to the processing of personal data that is not necessary for the performance of that contract. Consent should be given by a clear affirmative act establishing a freely given, specific, informed and unambiguous indication of the data subject's agreement to the processing of personal data relating to him or her, such as by a written statement, including by electronic means, or an oral statement. This could include ticking a box when visiting an internet website, choosing technical settings for information society services or another statement or conduct which clearly indicates in this context the data subject's acceptance of the proposed processing of his or her personal data. Silence, pre-ticked boxes or inactivity should not therefore constitute consent. Consent should cover all processing activities carried out for the same purpose or purposes. When the processing has multiple purposes, consent should be given for all of them. If the data subject's consent is to be given following a request by electronic means, the request must be clear, concise and not unnecessarily disruptive to the use of the service for which it is provided.\r\n\r\n*Usage Note:* Article 4.11 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ 11) 'Consent' of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her. Article 7 GDPR Conditions for consent https://gdpr-info.eu/art-7-gdpr Recital 32 Conditions for consent\\* https://gdpr-info.eu/recitals/no-32 Recital 42 Burden of proof and requirements for consent\\* https://gdpr-info.eu/recitals/no-42/> Recital 43 Freely given consent\\* https://gdpr-info.eu/recitals/no-43 GDPR Consent Brief https://gdpr-info.eu/issues/consent/ Art. 4 GDPR Definitions Art. 6 GDPR Lawfulness of processing Art. 7 GDPR Conditions for consent Art. 8 GDPR Conditions applicable to child's consent in relation to information society services Art. 9 GDPR Processing of special categories of personal data Art. 22 GDPR Automated individual decision-making, including profiling Art. 49 GDPR Derogations for specific situations\r\n\r\nRelevant GDPR Recitals: (32) Conditions for consent (33) Consent to certain areas of scientific research (38) Special protection of children's personal data (40) Lawfulness of data processing (42) Burden of proof and requirements for consent (43) Freely given consent (50) Further processing of personal data (51) Protecting sensitive personal data (54) Processing of sensitive data in public health sector (71) Profiling (111) Exceptions for certain cases of international transfers (155) Processing in the employment context (161) Consenting to the participation in clinical trials (171) Repeal of Directive 95/46/EC and transitional provisions","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24110"},{"code" : "subsumedBy","valueCode" : "_ActGDPRConsentDirective"}]},{"code" : "GDPRResearchCD","display" : "GDPR Research Consent Directive","definition" : "A consent directive that complies with regulatory requirements for a consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nGDPR research consent directive has the additional caveat that it is often not possible to fully identify the purpose of personal data processing for scientific research purposes at the time of data collection. Therefore, data subjects should be allowed to give their consent to certain areas of scientific research when in keeping with recognized ethical standards for scientific research. Data subjects should have the opportunity to give their consent only to certain areas of research or parts of research projects to the extent allowed by the intended purpose.\r\n\r\n*Usage Note:* HL7 Purpose of Use codes include specialize research purposes of use, which could be used to convey a data subject's purpose of use restrictions related to areas of research or parts of research projects. See citations for GDPRResearchCD and below: Recital 33 Consent to certain areas of scientific research https://gdpr-info.eu/recitals/no-33/> Recital 157 Information from registries and scientific research https://gdpr-info.eu/recitals/no-157 Recital 159 Processing for scientific research purposes\\* https://gdpr-info.eu/recitals/no-159/","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24111"},{"code" : "subsumedBy","valueCode" : "_ActGDPRConsentDirective"}]},{"code" : "GDPRCONSENT","display" : "GDPR Consent","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful only if the data subject has given explicit consent to the processing of his or her personal data, inclusive of the special categories of data, for one or more specific purposes, except where Union or Member State law provide that the prohibition to use the data may not be lifted by the data subject; and for personal data which are manifestly made public by the data subject.\r\n\r\n*Usage Note:* The description is based on the following GDPR provisions: Article 6.1.a https://gdpr-info.eu/art-6-gdpr/ 1Processing shall be lawful only if and to the extent that at least one of the following applies: (a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes. Article 9.1, 9.2a., 9.2.e https://gdpr-info.eu/art-9-gdpr/ 1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation shall be prohibited. 2. Paragraph 1 shall not apply if one of the following applies: (a) the data subject has given explicit consent to the processing of those personal data for one or more specified purposes, except where Union or Member State law provide that the prohibition referred to in paragraph 1 may not be lifted by the data subject; and (e) processing relates to personal data which are manifestly made public by the data subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24121"},{"code" : "subsumedBy","valueCode" : "_ActGDPRPrivacyLaw"}]},{"code" : "OIC","display" : "opt-in to personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive permitting the collection of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to collection of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" consent directive maps to ISO/TS 17975:2015(E) definitions for \"Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care\" and \"Opt-in\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24115"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "OIS","display" : "opt-in to personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive permitting access, use, or disclosure of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" consent directive maps to ISO/TS 17975:2015(E) Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care and \"Opt-in\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24116"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "OOC","display" : "opt-out of personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting collection of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" opt-out to collection consent directive maps to ISO/TS 17975:2015(E) definitions for \"Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care\" and \"Express or Expressed (and Informed) Denial\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24113"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "OOS","display" : "opt-out of personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.\r\n\r\n*Usage Note:* Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.\r\n\r\nMap: An \"expressed\" opt-out to sharing consent directive maps to ISO/TS 17975:2015(E) definitions for \"Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care\" and \"Express or Expressed (and Informed) Denial\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24114"},{"code" : "subsumedBy","valueCode" : "_ActGenericConsentDirective"}]},{"code" : "DENTAL","display" : "dental care policy","definition" : "**Definition:** A health insurance policy that that covers benefits for dental services.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22105"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "DISEASE","display" : "disease specific policy","definition" : "**Definition:** A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22106"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "DRUGPOL","display" : "drug policy","definition" : "**Definition:** A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22107"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "EHCPOL","display" : "extended healthcare","definition" : "Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19722"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"}]},{"code" : "HIP","display" : "health insurance plan policy","definition" : "**Definition:** A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.\r\n\r\n*Discussion:* Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22108"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "HSAPOL","display" : "health spending account","definition" : "Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19720"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"}]},{"code" : "LTC","display" : "long term care policy","definition" : "**Definition:** An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including:\r\n\r\n *  Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing\r\n *  Care in the community, such as in an adult day care facility\r\n *  Supervised care provided in an assisted living facility\r\n *  Skilled care provided in a nursing home","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22109"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "MCPOL","display" : "managed care policy","definition" : "**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.\r\n\r\nManaged care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.\r\n\r\n*Discussion:* Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22147"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "MENTPOL","display" : "mental health policy","definition" : "**Definition:** A health insurance policy that covers benefits for mental health services and prescriptions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22113"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "POS","display" : "point of service policy","definition" : "**Definition:** A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22111"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"},{"code" : "subsumedBy","valueCode" : "MCPOL"}]},{"code" : "SUBPOL","display" : "substance use policy","definition" : "**Definition:** A health insurance policy that covers benefits for substance use services.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22114"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "VISPOL","display" : "vision care policy","definition" : "**Definition:** Set of codes for a policy that provides coverage for health care expenses arising from vision services.\r\n\r\nA health insurance policy that covers benefits for vision care services, prescriptions, and products.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22115"},{"code" : "subsumedBy","valueCode" : "_ActHealthInsuranceTypeCode"}]},{"code" : "MVA","display" : "Motor vehicle accident","definition" : "Incident or accident as the result of a motor vehicle accident","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16509"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "SCHOOL","display" : "School Accident","definition" : "Incident or accident is the result of a school place accident.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17468"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "SPT","display" : "Sporting Accident","definition" : "Incident or accident is the result of a sporting accident.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17469"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "WPA","display" : "Workplace accident","definition" : "Incident or accident is the result of a work place accident","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16510"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "_ActPatientSafetyIncidentCode","display" : "ActPatientSafetyIncidentCode","definition" : "**Definition:** A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents.\r\n\r\n**Examples:**\"Medication incident\", \"slips, trips and falls incident\".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22265"},{"code" : "subsumedBy","valueCode" : "_ActIncidentCode"}]},{"code" : "ACADR","display" : "adverse drug reaction access","definition" : "**Description:** Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22245"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACALL","display" : "all access","definition" : "**Description:** Provide consent to collect, use, disclose, or access all information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22868"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACALLG","display" : "allergy access","definition" : "**Description:** Provide consent to collect, use, disclose, or access allergy information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22246"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACCONS","display" : "informational consent access","definition" : "**Description:** Provide consent to collect, use, disclose, or access informational consent information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22869"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACDEMO","display" : "demographics access","definition" : "**Description:** Provide consent to collect, use, disclose, or access demographics information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22254"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACDI","display" : "diagnostic imaging access","definition" : "**Description:** Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22810"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACIMMUN","display" : "immunization access","definition" : "**Description:** Provide consent to collect, use, disclose, or access immunization information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22255"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACLAB","display" : "lab test result access","definition" : "**Description:** Provide consent to collect, use, disclose, or access lab test result information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22247"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACMED","display" : "medication access","definition" : "**Description:** Provide consent to collect, use, disclose, or access medical condition information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22248"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACMEDC","display" : "medical condition access","definition" : "**Definition:** Provide consent to view or access medical condition information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22249"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACMEN","display" : "mental health access","definition" : "**Description:**Provide consent to collect, use, disclose, or access mental health information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22904"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACOBS","display" : "common observations access","definition" : "**Description:** Provide consent to collect, use, disclose, or access common observation information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22253"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACPOLPRG","display" : "policy or program information access","definition" : "**Description:** Provide consent to collect, use, disclose, or access coverage policy or program for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22252"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACPROV","display" : "provider information access","definition" : "**Description:** Provide consent to collect, use, disclose, or access provider information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22251"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACPSERV","display" : "professional service access","definition" : "**Description:** Provide consent to collect, use, disclose, or access professional service information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22250"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "ACSUBSTAB","display" : "substance abuse access","definition" : "**Description:**Provide consent to collect, use, disclose, or access substance abuse information for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22905"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessCode"}]},{"code" : "INFAUT","display" : "authorized information transfer","definition" : "Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22643"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFCRT","display" : "only on court order","definition" : "Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22337"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFDNG","display" : "only if danger to others","definition" : "Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22335"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFEMER","display" : "only in an emergency","definition" : "Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22333"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFPWR","display" : "only if public welfare risk","definition" : "Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22336"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFREG","display" : "regulatory information transfer","definition" : "Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22642"},{"code" : "subsumedBy","valueCode" : "_ActInformationAccessContextCode"}]},{"code" : "INFOACCESS","display" : "access information","definition" : "Authorization to obtain information with no further permission to collect and store it.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24088"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOCOLLECT","display" : "collect information","definition" : "Authorization to gather and store information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24089"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFODEIDENTIFIY","display" : "deidentify information","definition" : "Authorization to alter or remove identifying characteristics of an entity or individual that is a subject of the information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24090"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFODISCLOSE","display" : "disclose information","definition" : "Authorization to make information known to another party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24091"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOMASK","display" : "mask information","definition" : "Authorization to alter information in order to conceal it from unauthorized recipients.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24092"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREADONLY","display" : "read only information","definition" : "Authorization to access information within a specific context for communication purposes only. Storing, manipulating, and further disclosure are prohibited and may be technically disabled.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24093"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREDACT","display" : "redact information","definition" : "Authorization to remove information that a recipient is not authorized to access.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24094"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREDISCLOSE","display" : "redisclose information","definition" : "Authorization to make disclosed information known to another party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24095"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOREIDENTIFY","display" : "reidentify information","definition" : "Authorization to alter or relink deidentified information so that an entity or individual that is the subject of that information identifiable.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24096"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "INFOUSE","display" : "use information","definition" : "Authorization to employ or alter information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24097"},{"code" : "subsumedBy","valueCode" : "_ActInformationActionPolicy"}]},{"code" : "ALLCAT","display" : "all categories","definition" : "**Description:** All patient information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22870"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "ALLGCAT","display" : "allergy category","definition" : "**Definition:**All information pertaining to a patient's allergy and intolerance records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21614"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "ARCAT","display" : "adverse drug reaction category","definition" : "**Description:** All information pertaining to a patient's adverse drug reactions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22811"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "COBSCAT","display" : "common observation category","definition" : "**Definition:**All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21617"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "DEMOCAT","display" : "demographics category","definition" : "**Definition:**All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21618"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "DICAT","display" : "diagnostic image category","definition" : "**Definition:**All information pertaining to a patient's diagnostic image records (orders & results).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21613"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "IMMUCAT","display" : "immunization category","definition" : "**Definition:**All information pertaining to a patient's vaccination records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21619"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "LABCAT","display" : "lab test category","definition" : "**Description:** All information pertaining to a patient's lab test records (orders & results)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21611"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "MEDCCAT","display" : "medical condition category","definition" : "**Definition:**All information pertaining to a patient's medical condition records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21616"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "MENCAT","display" : "mental health category","definition" : "**Description:** All information pertaining to a patient's mental health records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22871"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "PSVCCAT","display" : "professional service category","definition" : "**Definition:**All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21615"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "RXCAT","display" : "medication category","definition" : "**Definition:**All information pertaining to a patient's medication records (orders, dispenses and other active medications).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21612"},{"code" : "subsumedBy","valueCode" : "_ActInformationCategoryCode"}]},{"code" : "JurisIP","display" : "jurisdictional information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24074"},{"code" : "subsumedBy","valueCode" : "_ActInformationPolicy"}]},{"code" : "OrgIP","display" : "organizational information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information, which does not conflict with jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24066"},{"code" : "subsumedBy","valueCode" : "_ActInformationPolicy"}]},{"code" : "PersIP","display" : "personal information policy","definition" : "Personal policy on collection, access, use, or disclosure of information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24082"},{"code" : "subsumedBy","valueCode" : "_ActInformationPolicy"}]},{"code" : "ETH","display" : "substance abuse information sensitivity","definition" : "Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23338"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "GDIS","display" : "genetic disease information sensitivity","definition" : "Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23339"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "HIV","display" : "HIV/AIDS information sensitivity","definition" : "Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23340"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "MST","display" : "military sexual trauma information sensitivity","definition" : "Policy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality.\r\n\r\nAccess control concerns for military sexual trauma is based on the patient being subject to control by a higher ranking military perpetrator and/or censure by others within the military unit. Due to the relatively unfettered access to healthcare information by higher ranking military personnel and those who have command over the patient, there is a need to sequester this information outside of the typical controls on access to military health records.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23888"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "PREGNANT","display" : "pregnancy information sensitivity","definition" : "Policy for handling information about an individual's current or past pregnancy status, deemed sensitive by the individual or by policy, which may be afforded heightened confidentiality.\r\n\r\n*Usage Note:* \r\n\r\nInformation about a patient's current or past pregnancy status may be considered sensitive in circumstances in which that status could result in discrimination or stigmatization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24123"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SCA","display" : "sickle cell anemia information sensitivity","definition" : "Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23576"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SDV","display" : "sexual assault, abuse, or domestic violence information sensitivity","definition" : "Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive.\r\n\r\nSDV code covers violence perpetrated by related and non-related persons. This code should be specific to physical and mental trauma caused by a related person only. The access control concerns are keeping the patient safe from the perpetrator who may have an abusive psychological control over the patient, may be stalking the patient, or may try to manipulate care givers into allowing the perpetrator to make contact with the patient. The definition needs to be clarified.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23342"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SEX","display" : "sexuality and reproductive health information sensitivity","definition" : "Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23343"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SPI","display" : "specially protected information sensitivity","definition" : "Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23889"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "STD","display" : "sexually transmitted disease information sensitivity","definition" : "Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23344"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "TBOO","display" : "taboo","definition" : "Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.\r\n\r\n*Open Issue:* This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23345"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "VIO","display" : "violence information sensitivity","definition" : "Policy for handling information related to harm by violence, which is afforded heightened confidentiality. Harm by violence is perpetrated by an unrelated person.\r\n\r\nAccess control concerns for information about mental or physical harm resulting from violence caused by an unrelated person may include manipulation of care givers or access to records that enable the perpetrator contact or locate the patient, but the perpetrator will likely not have established abusive psychological control over the patient.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23887"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "IDS","display" : "Identifier Sensitivity","definition" : "Policy for handling information related to an identifier of an information subject, which will be afforded heightened confidentiality. Usage Note: Such policies may govern the sensitivity of information related to an identifier of an act, such as the identifier of a contract; a role, such as a citizen, a patient, a practitioner, or an organization; or an entity such as a medical device due to potential impact on the privacy, well-being, safety or integrity of an information subject. For example, protection against identity fraud or counterfeit.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24800"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "SICKLE","display" : "sickle cell","definition" : "Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as \"constraints around appropriate disclosure of information about this Act, regardless of mood.\"\r\n\r\n*Usage Note:* ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23459"},{"code" : "subsumedBy","valueCode" : "_ActInformationSensitivityPolicy"}]},{"code" : "AUTOPOL","display" : "automobile","definition" : "Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19721"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "PUBLICPOL","display" : "public healthcare","definition" : "Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19718"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "WCBPOL","display" : "worker's compensation","definition" : "Insurance policy for injuries sustained in the work place or in the course of employment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19719"},{"code" : "subsumedBy","valueCode" : "_ActInsurancePolicyCode"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "_ActHealthInsuranceTypeCode","display" : "ActHealthInsuranceTypeCode","definition" : "**Definition:** Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22099"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "DIS","display" : "disability insurance policy","definition" : "**Definition:** An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22102"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "EWB","display" : "employee welfare benefit plan policy","definition" : "**Definition:** An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22103"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "FLEXP","display" : "flexible benefit plan policy","definition" : "**Definition:**  An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan.\r\n\r\n *Discussion:* See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22104"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "LIFE","display" : "life insurance policy","definition" : "**Definition:** A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion.\r\n\r\n*Discussion:*A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22148"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "PNC","display" : "property and casualty insurance policy","definition" : "**Definition:** A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms \"casualty\" and \"liability\" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22119"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "REI","display" : "reinsurance policy","definition" : "**Definition:** An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company.\r\n\r\n**Discussion:** Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies.\r\n\r\nFor example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called *risk control insurance or stop-loss insurance.*","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22120"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "SURPL","display" : "surplus line insurance policy","definition" : "**Definition:** \r\n\r\n1.  A risk or part of a risk for which there is no normal insurance market available.\r\n2.  Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22121"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "UMBRL","display" : "umbrella liability insurance policy","definition" : "**Definition:** A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22122"},{"code" : "subsumedBy","valueCode" : "_ActInsuranceTypeCode"}]},{"code" : "_ActInvoiceAdjudicationPaymentGroupCode","display" : "ActInvoiceAdjudicationPaymentGroupCode","definition" : "Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "_ActInvoicePaymentCode"},{"code" : "internalId","valueCode" : "20893"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentCode"}]},{"code" : "_ActInvoicePaymentCode","display" : "ActInvoiceAdjudicationPaymentGroupCode","definition" : "Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "internalId","valueCode" : "20893"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentCode"}]},{"code" : "_ActInvoiceAdjudicationPaymentSummaryCode","display" : "ActInvoiceAdjudicationPaymentSummaryCode","definition" : "Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20876"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentCode"}]},{"code" : "ALEC","display" : "alternate electronic","definition" : "Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20077"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "BONUS","display" : "bonus","definition" : "Bonus payments based on performance, volume, etc. as agreed to by the payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20058"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "CFWD","display" : "carry forward adjusment","definition" : "An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20068"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "EDU","display" : "education fees","definition" : "Fees deducted on behalf of a payee for tuition and continuing education.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20059"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "EPYMT","display" : "early payment fee","definition" : "Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20065"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "GARN","display" : "garnishee","definition" : "Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20066"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "INVOICE","display" : "submitted invoice","definition" : "Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20063"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "PINV","display" : "paper invoice","definition" : "Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20067"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "PPRD","display" : "prior period adjustment","definition" : "An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20069"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "PROA","display" : "professional association deduction","definition" : "Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20060"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "RECOV","display" : "recovery","definition" : "Retroactive adjustment such as fee rate adjustment due to contract negotiations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20061"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "RETRO","display" : "retro adjustment","definition" : "Bonus payments based on performance, volume, etc. as agreed to by the payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20062"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "TRAN","display" : "transaction fee","definition" : "Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20064"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentGroupCode"},{"code" : "subsumedBy","valueCode" : "_ActInvoicePaymentCode"}]},{"code" : "INVTYPE","display" : "invoice type","definition" : "Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20055"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PAYEE","display" : "payee","definition" : "Transaction counts and value totals by each instance of an invoice payee.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20057"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "PAYOR","display" : "payor","definition" : "Transaction counts and value totals by each instance of an invoice payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20056"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "SENDAPP","display" : "sending application","definition" : "Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20054"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code" : "UNSPSC","display" : "United Nations Standard Products and Services Classification","definition" : "**Description:**United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22179"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalProductCode"}]},{"code" : "_CPT5","display" : "CPT5","definition" : "**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22177"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_HCPCS","display" : "HCPCS","definition" : "**Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance AdministrationaTMs (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22175"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ICD10PCS","display" : "ICD10PCS","definition" : "**Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22173"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ICD9PCS","display" : "ICD9PCS","definition" : "**Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22174"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailClinicalServiceCode"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ActInvoiceDetailClinicalProductCode","display" : "ActInvoiceDetailClinicalProductCode","definition" : "An identifying data string for healthcare products.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20877"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailDrugProductCode","display" : "ActInvoiceDetailDrugProductCode","definition" : "An identifying data string for A substance used as a medication or in the preparation of medication.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20880"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailGenericCode","display" : "ActInvoiceDetailGenericCode","definition" : "The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20882"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailPreferredAccommodationCode","display" : "ActInvoiceDetailPreferredAccommodationCode","definition" : "An identifying data string for medical facility accommodations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20886"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailClinicalServiceCode","display" : "ActInvoiceDetailClinicalServiceCode","definition" : "An identifying data string for healthcare procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20878"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "_ActInvoiceDetailOralHealthProcedureCode","display" : "ActInvoiceDetailOralHealthProcedureCode","definition" : "An identifying data string for oral health procedure codes, e.g. extract tooth.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20885"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailCode"}]},{"code" : "GTIN","display" : "Global Trade Item Number","definition" : "**Description:**Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22181"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailDrugProductCode"}]},{"code" : "UPC","display" : "Universal Product Code","definition" : "**Description:**Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22180"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailDrugProductCode"}]},{"code" : "COIN","display" : "coinsurance","definition" : "That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21946"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "COPAYMENT","display" : "patient co-pay","definition" : "That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20052"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "DEDUCTIBLE","display" : "deductible","definition" : "That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20051"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "PAY","display" : "payment","definition" : "The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21362"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "SPEND","display" : "spend down","definition" : "That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21947"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "COINS","display" : "co-insurance","definition" : "The covered party pays a percentage of the cost of covered services.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20053"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"}]},{"code" : "_ActInvoiceDetailGenericAdjudicatorCode","display" : "ActInvoiceDetailGenericAdjudicatorCode","definition" : "The billable item codes to identify adjudicator specified components to the total billing of a claim.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20881"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "_ActInvoiceDetailGenericModifierCode","display" : "ActInvoiceDetailGenericModifierCode","definition" : "The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20883"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "_ActInvoiceDetailGenericProviderCode","display" : "ActInvoiceDetailGenericProviderCode","definition" : "The billable item codes to identify provider supplied charges or changes to the total billing of a claim.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20884"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "_ActInvoiceDetailTaxCode","display" : "ActInvoiceDetailTaxCode","definition" : "The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20887"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericCode"}]},{"code" : "AFTHRS","display" : "non-normal hours","definition" : "Premium paid on service fees in compensation for practicing outside of normal working hours.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20049"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericModifierCode"}]},{"code" : "ISOL","display" : "isolation allowance","definition" : "Premium paid on service fees in compensation for practicing in a remote location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20048"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericModifierCode"}]},{"code" : "OOO","display" : "out of office","definition" : "Premium paid on service fees in compensation for practicing at a location other than normal working location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20050"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericModifierCode"}]},{"code" : "CANCAPT","display" : "cancelled appointment","definition" : "A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20040"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "DSC","display" : "discount","definition" : "A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20042"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "ESA","display" : "extraordinary service assessment","definition" : "A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20043"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "FFSTOP","display" : "fee for service top off","definition" : "Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21311"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "FNLFEE","display" : "final fee","definition" : "Anticipated or actual final fee associated with treating a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21314"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "FRSTFEE","display" : "first fee","definition" : "Anticipated or actual initial fee associated with treating a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21313"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "MARKUP","display" : "markup or up-charge","definition" : "An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20038"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "MISSAPT","display" : "missed appointment","definition" : "A charge to compensate the provider when a patient does not show for an appointment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20039"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "PERFEE","display" : "periodic fee","definition" : "Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21312"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "PERMBNS","display" : "performance bonus","definition" : "The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21310"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "RESTOCK","display" : "restocking fee","definition" : "A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20044"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "TRAVEL","display" : "travel","definition" : "A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20041"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "URGENT","display" : "urgent","definition" : "Premium paid on service fees in compensation for providing an expedited response to an urgent situation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21315"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailGenericProviderCode"}]},{"code" : "_ActEncounterAccommodationCode","display" : "ActEncounterAccommodationCode","definition" : "Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ACCM"}},{"code" : "internalId","valueCode" : "20868"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailPreferredAccommodationCode"}]},{"code" : "FST","display" : "federal sales tax","definition" : "Federal tax on transactions such as the Goods and Services Tax (GST)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20045"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailTaxCode"}]},{"code" : "HST","display" : "harmonized sales Tax","definition" : "Joint Federal/Provincial Sales Tax","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20047"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailTaxCode"}]},{"code" : "PST","display" : "provincial/state sales tax","definition" : "Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20046"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceDetailTaxCode"}]},{"code" : "_ActInvoiceAdjudicationPaymentCode","display" : "ActInvoiceAdjudicationPaymentCode","definition" : "Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20875"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementCode"}]},{"code" : "_ActInvoiceDetailCode","display" : "ActInvoiceDetailCode","definition" : "Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as \"office visit\", \"drug X\", \"wheelchair\" and other billable items such as taxes, service charges and discounts.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20879"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementCode"}]},{"code" : "_ActInvoiceGroupCode","display" : "ActInvoiceGroupCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.\r\n\r\nInvoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20890"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementCode"}]},{"code" : "_InvoiceElementAdjudicated","display" : "InvoiceElementAdjudicated","definition" : "Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20924"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementSummaryCode"}]},{"code" : "_InvoiceElementPaid","display" : "InvoiceElementPaid","definition" : "Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20925"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementSummaryCode"}]},{"code" : "_InvoiceElementSubmitted","display" : "InvoiceElementSubmitted","definition" : "Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20926"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceElementSummaryCode"}]},{"code" : "_ActInvoiceInterGroupCode","display" : "ActInvoiceInterGroupCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.\r\n\r\nInvoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.\r\n\r\nThe domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20891"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceGroupCode"}]},{"code" : "_ActInvoiceRootGroupCode","display" : "ActInvoiceRootGroupCode","definition" : "Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.\r\n\r\nInvoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.\r\n\r\nCodes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "INVE"}},{"code" : "internalId","valueCode" : "20894"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceGroupCode"}]},{"code" : "CPNDDRGING","display" : "compound drug invoice group","definition" : "A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20033"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "CPNDINDING","display" : "compound ingredient invoice group","definition" : "A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20034"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "CPNDSUPING","display" : "compound supply invoice group","definition" : "A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20035"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "DRUGING","display" : "drug invoice group","definition" : "A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20032"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "FRAMEING","display" : "frame invoice group","definition" : "A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20037"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "LENSING","display" : "lens invoice group","definition" : "A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20036"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "PRDING","display" : "product invoice group","definition" : "A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20031"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceInterGroupCode"}]},{"code" : "COVGE","display" : "coverage problem","definition" : "Insurance coverage problems have been encountered. Additional explanation information to be supplied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17594"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "EFORM","display" : "electronic form to follow","definition" : "Electronic form with supporting or additional information to follow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20021"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "FAX","display" : "fax to follow","definition" : "Fax with supporting or additional information to follow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20022"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "GFTH","display" : "good faith indicator","definition" : "The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17592"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "LATE","display" : "late invoice","definition" : "Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17593"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "MANUAL","display" : "manual review","definition" : "Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19713"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "OOJ","display" : "out of jurisdiction","definition" : "The medical service and/or product was provided to a patient that has coverage in another jurisdiction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "18036"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "ORTHO","display" : "orthodontic service","definition" : "The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21317"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "PAPER","display" : "paper documentation to follow","definition" : "Paper documentation (or other physical format) with supporting or additional information to follow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20020"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "PIE","display" : "public insurance exhausted","definition" : "Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20023"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "PYRDELAY","display" : "delayed by a previous payor","definition" : "Allows provider to explain lateness of invoice to a subsequent payor.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17591"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "REFNR","display" : "referral not required","definition" : "Rules of practice do not require a physician's referral for the provider to perform a billable service.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "18037"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "REPSERV","display" : "repeated service","definition" : "The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19711"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "UNRELAT","display" : "unrelated service","definition" : "The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21316"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "VERBAUTH","display" : "verbal authorization","definition" : "The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19712"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceOverrideCode"}]},{"code" : "CPINV","display" : "clinical product invoice","definition" : "Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).\r\n\r\nFor example, a crutch or a wheelchair.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "CP"},{"code" : "internalId","valueCode" : "19715"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CP","display" : "clinical product invoice","definition" : "Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).\r\n\r\nFor example, a crutch or a wheelchair.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "CPINV"},{"code" : "internalId","valueCode" : "19715"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CSINV","display" : "clinical service invoice","definition" : "Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.\r\n\r\n\\[1\\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.\r\n\r\nFor example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).\r\n\r\n\\[2\\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.\r\n\r\nFor example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.\r\n\r\n\\[3\\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.\r\n\r\nFor example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "CS"},{"code" : "internalId","valueCode" : "19714"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CS","display" : "clinical service invoice","definition" : "Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.\r\n\r\n\\[1\\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.\r\n\r\nFor example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).\r\n\r\n\\[2\\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.\r\n\r\nFor example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.\r\n\r\n\\[3\\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.\r\n\r\nFor example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "CSINV"},{"code" : "internalId","valueCode" : "19714"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "CSPINV","display" : "clinical service and product","definition" : "A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts).\r\n\r\nAll items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.\r\n\r\nFor example , a brace (product) invoiced together with the fitting (service).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20076"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "FININV","display" : "financial invoice","definition" : "Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider.\r\n\r\nExamples are interest charges and mileage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19716"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "OHSINV","display" : "oral health service","definition" : "A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts).\r\n\r\nAll items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21309"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "PAINV","display" : "preferred accommodation invoice","definition" : "HealthCare facility preferred accommodation invoice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PA"},{"code" : "internalId","valueCode" : "20029"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "PA","display" : "preferred accommodation invoice","definition" : "HealthCare facility preferred accommodation invoice.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PAINV"},{"code" : "internalId","valueCode" : "20029"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXCINV","display" : "Rx compound invoice","definition" : "Pharmacy dispense invoice for a compound.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "RXC"},{"code" : "internalId","valueCode" : "20027"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXC","display" : "Rx compound invoice","definition" : "Pharmacy dispense invoice for a compound.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "RXCINV"},{"code" : "internalId","valueCode" : "20027"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXDINV","display" : "Rx dispense invoice","definition" : "Pharmacy dispense invoice not involving a compound","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "RXD"},{"code" : "internalId","valueCode" : "20028"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "RXD","display" : "Rx dispense invoice","definition" : "Pharmacy dispense invoice not involving a compound","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "RXDINV"},{"code" : "internalId","valueCode" : "20028"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "SBFINV","display" : "sessional or block fee invoice","definition" : "Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19717"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "VRXINV","display" : "vision dispense invoice","definition" : "Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20030"},{"code" : "subsumedBy","valueCode" : "_ActInvoiceRootGroupCode"}]},{"code" : "_ActObservationList","display" : "ActObservationList","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "20898"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "_ActTherapyDurationWorkingListCode","display" : "ActTherapyDurationWorkingListCode","definition" : "Codes used to identify different types of 'duration-based' working lists. Examples include \"Continuous/Chronic\", \"Short-Term\" and \"As-Needed\".","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "21522"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "MEDLIST","display" : "medication list","definition" : "List of medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19976"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "_ActProcedureCategoryList","display" : "ActProcedureCategoryList","definition" : "**Description:**Describes the high level classification of professional services for grouping.\r\n\r\n**Examples:**Education, Counseling, Surgery, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22076"},{"code" : "subsumedBy","valueCode" : "_ActListCode"}]},{"code" : "ALC","display" : "Alternative Level of Care","definition" : "Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17459"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "CARD","display" : "Cardiology","definition" : "Provision of diagnosis and treatment of diseases and disorders affecting the heart","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20092"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "CHR","display" : "Chronic","definition" : "Provision of recurring care for chronic illness.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17453"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "DNTL","display" : "Dental","definition" : "Provision of treatment for oral health and/or dental surgery.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17456"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "DRGRHB","display" : "Drug Rehab","definition" : "Provision of treatment for drug abuse.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17454"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "GENRL","display" : "General","definition" : "General care performed by a general practitioner or family doctor as a responsible provider for a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19974"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "MED","display" : "Medical","definition" : "Provision of diagnostic and/or therapeutic treatment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17450"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "OBS","display" : "Obstetrics","definition" : "Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17460"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "ONC","display" : "Oncology","definition" : "Provision of treatment and/or diagnosis related to tumors and/or cancer.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17457"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PALL","display" : "Palliative","definition" : "Provision of care for patients who are living or dying from an advanced illness.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17452"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PED","display" : "Pediatrics","definition" : "Provision of diagnosis and treatment of diseases and disorders affecting children.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17461"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PHAR","display" : "Pharmaceutical","definition" : "Pharmaceutical care performed by a pharmacist.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19975"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PHYRHB","display" : "Physical Rehab","definition" : "Provision of treatment for physical injury.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17455"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "PSYCH","display" : "Psychiatric","definition" : "Provision of treatment of psychiatric disorder relating to mental illness.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17458"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "SURG","display" : "Surgical","definition" : "Provision of surgical treatment.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17451"},{"code" : "subsumedBy","valueCode" : "_ActMedicalServiceCode"}]},{"code" : "ACU","display" : "short term/acute","definition" : "**Definition:**A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21756"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "CHRON","display" : "continuous/chronic","definition" : "**Definition:**A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21755"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "ONET","display" : "one time","definition" : "**Definition:**A list of medications which the patient is intended to be administered only once.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21757"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "PRN","display" : "as needed","definition" : "**Definition:**A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21758"},{"code" : "subsumedBy","valueCode" : "_ActMedicationTherapyDurationWorkingListCode"}]},{"code" : "CTLSUB","display" : "Controlled Substance","definition" : "A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16232"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "INV","display" : "investigational","definition" : "**Definition:**A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22860"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "LU","display" : "limited use","definition" : "**Description:**A drug that can be prescribed (and reimbursed) only if it meets certain criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22025"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "OTC","display" : "non prescription medicine","definition" : "Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23062"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "RX","display" : "prescription only medicine","definition" : "Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23061"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "SA","display" : "special authorization","definition" : "**Definition:**A drug that requires prior approval (to be reimbursed) before being dispensed","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22861"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "SAC","display" : "special access","definition" : "**Description:**A drug that requires special access permission to be prescribed and dispensed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22026"},{"code" : "subsumedBy","valueCode" : "_ActMonitoringProtocolCode"}]},{"code" : "IND01","display" : "imaging study requiring contrast","definition" : "**Description:**Contrast agent required for imaging study.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21679"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND02","display" : "colonoscopy prep","definition" : "**Description:**Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21680"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND03","display" : "prophylaxis","definition" : "**Description:**Provision of medication as a preventative measure during a treatment or other period of increased risk.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21681"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND04","display" : "surgical prophylaxis","definition" : "**Description:**Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21682"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "IND05","display" : "pregnancy prophylaxis","definition" : "**Description:**Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21683"},{"code" : "subsumedBy","valueCode" : "_ActNonObservationIndicationCode"}]},{"code" : "CARELIST","display" : "care plan","definition" : "List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19984"},{"code" : "subsumedBy","valueCode" : "_ActObservationList"}]},{"code" : "CONDLIST","display" : "condition list","definition" : "List of condition observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21322"},{"code" : "subsumedBy","valueCode" : "_ActObservationList"}]},{"code" : "GOALLIST","display" : "goal list","definition" : "List of observations in goal mood.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19981"},{"code" : "subsumedBy","valueCode" : "_ActObservationList"}]},{"code" : "VFPAPER","display" : "verify paper","definition" : "**Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "VRFPAPER"},{"code" : "internalId","valueCode" : "22862"},{"code" : "subsumedBy","valueCode" : "_ActObservationVerificationType"}]},{"code" : "VRFPAPER","display" : "verify paper","definition" : "**Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "VFPAPER"},{"code" : "internalId","valueCode" : "22862"},{"code" : "subsumedBy","valueCode" : "_ActObservationVerificationType"}]},{"code" : "ANNDI","display" : "diagnostic image note","definition" : "**Description:**A note that is specific to a patient's diagnostic images, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22825"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNGEN","display" : "general note","definition" : "**Description:**A general or uncategorized note.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22822"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNIMM","display" : "immunization note","definition" : "A note that is specific to a patient's immunizations, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23099"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNLAB","display" : "laboratory note","definition" : "**Description:**A note that is specific to a patient's laboratory results, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22824"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "ANNMED","display" : "medication note","definition" : "**Description:**A note that is specific to a patient's medications, either historical, current or planned.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22823"},{"code" : "subsumedBy","valueCode" : "_ActPatientAnnotationType"}]},{"code" : "AFOOT","display" : "pedestrian transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "OnFoot"},{"code" : "internalId","valueCode" : "21551"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "OnFoot","display" : "pedestrian transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AFOOT"},{"code" : "internalId","valueCode" : "21551"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "AMBT","display" : "ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "Ambulance"},{"code" : "internalId","valueCode" : "21547"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "Ambulance","display" : "ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBT"},{"code" : "internalId","valueCode" : "21547"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "LAWENF","display" : "law enforcement transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "LawEnforcementVehicle"},{"code" : "internalId","valueCode" : "21548"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "LawEnforcementVehicle","display" : "law enforcement transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "LAWENF"},{"code" : "internalId","valueCode" : "21548"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PRVTRN","display" : "private transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PrivateTransport"},{"code" : "internalId","valueCode" : "21550"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PrivateTransport","display" : "private transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PRVTRN"},{"code" : "internalId","valueCode" : "21550"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PUBTRN","display" : "public transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PublicTransport"},{"code" : "internalId","valueCode" : "21549"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "PublicTransport","display" : "public transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PUBTRN"},{"code" : "internalId","valueCode" : "21549"},{"code" : "subsumedBy","valueCode" : "_ActPatientTransportationModeCode"}]},{"code" : "ACH","display" : "Automated Clearing House","definition" : "Automated Clearing House (ACH).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17611"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "CHK","display" : "Cheque","definition" : "A written order to a bank to pay the amount specified from funds on deposit.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17612"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "DDP","display" : "Direct Deposit","definition" : "Electronic Funds Transfer (EFT) deposit into the payee's bank account","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17613"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "NON","display" : "Non-Payment Data","definition" : "Non-Payment Data.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17614"},{"code" : "subsumedBy","valueCode" : "_ActPaymentCode"}]},{"code" : "DF","display" : "Daily Fill","definition" : "A fill providing sufficient supply for one day","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16214"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "EM","display" : "Emergency Supply","definition" : "A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16220"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "FF","display" : "First Fill","definition" : "The initial fill against an order. (This includes initial fills against refill orders.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16209"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "FS","display" : "Floor stock","definition" : "A supply action to restock a smaller more local dispensary.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16222"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "MS","display" : "Manufacturer Sample","definition" : "A supply of a manufacturer sample","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16219"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "RF","display" : "Refill","definition" : "A fill against an order that has already been filled (or partially filled) at least once.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16215"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "UD","display" : "Unit Dose","definition" : "A supply action that provides sufficient material for a single dose.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16223"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "UDE","display" : "unit dose equivalent","definition" : "A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21824"},{"code" : "subsumedBy","valueCode" : "_ActPharmacySupplyType"}]},{"code" : "_ActConsent","display" : "_ActConsent","definition" : "Specifies the type or actual definition of a contractually binding agreement or a non-binding representation of that agreement between a grantor and a grantee as to the exchange of the grantee's considerations in return for the grantor's control of certain assets. The type of assets exchanged include rights, license, terms of service, valued items, information and real property assets and control over such assets such as physical and locatable property; intellectual property; biospecimen; genomic and genetic information related to an individual including that disclosed by genetically related individuals with or without the individual's consent; personal identifiable, pseudonymized, anonymized, de-identified per some rubric, and relinkable variants.\r\n\r\n*Usage Note:* Types or actual definitions of a contractually binding agreement or a non-binding representation of that agreement include:\r\n\r\n *  \\_ActDecision (formally ActConsentDirective), which specifies the type of decision made by the grantor. The decision types are mapped to ISO/TS 17975 Health informatics - Principles and data requirements for consent in the Collection, Use or Disclosure of personal health information;\r\n *  \\_ActPrivacyConsentDirective, which is the parent of types of registry participation consent directives, and of realm specific privacy consent directive policies such as \\_USPrivacyConsentDirective and \\_GDPRPrivacyConsentDirective.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24098"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActInformationActionPolicy","display" : "_ActInformationActionPolicy","definition" : "The type of action permitted on information by jurisdictional, organizational, or personal policy.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24087"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActInformationPolicy","display" : "_ActInformationPolicy","definition" : "Information management directives related to privacy, security, integrity, and control concerns, which may be governed by specific laws; based on private sector self-governance; adopted \"best practices\" recognized by a community of interest; or terms of license, participation, or service as implemented in jurisdictional, organizational, or personal policies.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24065"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActPrivacyPolicy","display" : "ActPrivacyPolicy","definition" : "A policy deeming certain information to be private to an individual or organization.\r\n\r\n*Definition:* A mandate, obligation, requirement, rule, or expectation relating to privacy.\r\n\r\n*Discussion:* ActPrivacyPolicyType codes support the designation of the 1..\\* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..\\* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates.\r\n\r\n*Usage Note:* Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23323"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "ActTrustPolicyType","display" : "trust policy","definition" : "A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions.\r\n\r\nTrust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability).\r\n\r\nTrust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \\[Based on ISO IEC 10181-1 and NIST SP 800-63-2\\]\r\n\r\nFor example, identity proofing , level of assurance, and Trust Framework.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23658"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "COVPOL","display" : "benefit policy","definition" : "**Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on:\r\n\r\n *  The activity of another party\r\n *  The behavior of another party\r\n *  The manner in which an act is executed\r\n\r\n**Examples:**A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22183"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "SecurityPolicy","display" : "security policy","definition" : "Types of security policies that further specify the ActClassPolicy value set.\r\n\r\n**Examples:**\r\n\r\n *  obligation to encrypt\r\n *  refrain from redisclosure without consent","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23371"},{"code" : "subsumedBy","valueCode" : "_ActPolicyType"}]},{"code" : "_ActGDPRConsentDirective","display" : "_ActGDPRConsentDirective","definition" : "European Union General Data Protection Regulation (GDPR) consent directives.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24109"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyConsentDirective"}]},{"code" : "_ActGenericConsentDirective","display" : "_ActGenericConsentDirective","definition" : "Specifies types of consent directives authorizing a registry or repository to collect and, under certain terms, manage the access, use, and disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.\r\n\r\nRegistries governed by registry consent directives are data management systems, which use metadata to support the collection, access, use, and disclosure of personal information or effects as well as observational or analytic information generated about personal information or effects stored in federated repositories. Such registries are used for a variety of purposes by federated health information exchanges, health information systems, personal record systems, and research organizations to locate and retrieve personal information or effects as well as observational or analytic information generated about personal information stored externally to their systems.\r\n\r\nRepositories governed by registry consent directives are data stores used to collect, access, use, and disclose personal information or effects as well as observational or analytic information generated about personal information or effects and metadata used to manage the repository contents. Such repositories are used for a variety of purposes by centralized health information exchanges, health information systems used by providers and payers, personal record systems, and research organizations. A repository typically includes a registry component that provides the data store with content management capabilities for internal purposes. A repository may also interface with one or more external registries, which provide federated content management.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24112"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyConsentDirective"}]},{"code" : "_ActUSPrivacyConsentDirective","display" : "_ActUSPrivacyConsentDirective","definition" : "Specific US privacy consent directives in accordance with US federal, state, regional, organizational, or personal privacy policies.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24099"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyConsentDirective"}]},{"code" : "_ActGDPRPrivacyLaw","display" : "General Data Protection Regulation","definition" : "GDPR is a regulation on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (Data Protection Directive). Promulgated by the European Parliament and Council of the European Union. Regulation available at L119, 4 May 2016, p. 1-88.\r\n\r\nGDPR privacy policies specifying types of lawful personal data processing based on a controller meeting one or more processing condition such as specified by law, compliance with data controller legal obligations, protection of data subject's vital interests, perform tasks in the public interest, related to legal claims, research and statistics, management of health or social care systems, legitimate interests of controller or third party. Processing sensitive personal data, including genetic, biometric and health data, as well as personal data from which racial and ethnic origin, political opinions, religious or ideological convictions or membership in a union can be attributed to a person, requires meeting at least one sensitive personal processing condition.\r\n\r\nGDPR 'processing' means any operation or set of operations which is performed on personal data or on sets of personal data, whether or not by automated means, such as collection, recording, organisation, structuring, storage, adaptation or alteration, retrieval, consultation, use, disclosure by transmission, dissemination or otherwise making available, alignment or combination, restriction, erasure or destruction. Article 4 https://gdpr-info.eu/art-4-gdpr/\r\n\r\n*Usage Note:* \r\n\r\n *  Confidentiality: e.g., U (unrestricted) for anonymized personal information; L (low) for pseudonymized U (unrestricted) for anonymized personal information; M (moderate) for indirectly identifiable information such as test scores and work times; N (normal) for personal information; and R (restricted) for sensitive personal information\r\n *  DPR sensitivity \\[personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation, some of which are defined at Article 4 https://gdpr-info.eu/art-4-gdpr/\r\n *  GDPR processing policies and GDPR ConsentDirectiveTypes, such as data subject consent and research consent.\r\n *  Other security category codes, such as compartment codes for legitimate relationship,\r\n *  Handling instructions including\r\n *  Purpose of use stipulated in a GDPR consent or contract restricting processing or related to the scope of the processing policy such as public health, research, and legal obligations\r\n *  Obligation policies such as GDPR Information Obligations https://gdpr-info.eu/issues/information-obligations, data minimization and deleting when processing is complete\r\n *  Refrain policies such as no relinking\r\n\r\nSee Intersoft GDPR at https://gdpr-info.eu/issues/personal-data/ Art. 4 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ Art. 9 GDPR Processing of special categories of personal data https://gdpr-info.eu/art-9-gdpr/ Relevant Recitals (26) Not applicable to anonymous data (30) Online identifiers for profiling and identification (34) Genetic data (35) Health data (51) Protecting sensitive personal data at Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/\r\n\r\nAuthorities\r\n\r\n *  European Data Protection Supervisor - Security Measures for Personal Data Processing (Link)\r\n *  Data Protection Authority Isle of Man - Know your data - Mapping the 5 W's (Link)\r\n *  Data Protection Authority UK - Key definitions (Link)\r\n *  European Commission - What is personal data? (Link)\r\n *  European Commission - What personal data is considered sensitive? (Link)\r\n *  EU publications - Handbook on European data protection law - Personal data, page 83 (Link)\r\n\r\nExpert contribution A&L Goodbody - The GDPR: A Guide for Businesses - Definition of Personal & Sensitive Data, Page 8 (Link) Bird & Bird - Sensitive data and lawful processing (Link) https://ec.europa.eu/commission/priorities/justice-and-fundamental-rights/data-protection/2018-reform-eu-data-protection-rules\\_en General Data Protection Regulation https://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1528874672298&uri=CELEX%3A32016R0679 Communication on data protection - guidance on direct application of the GDPR http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1517578296944&uri=CELEX%3A52018DC0043 Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24120"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyLaw"}]},{"code" : "_ActUSPrivacyLaw","display" : "_ActUSPrivacyLaw","definition" : "*Definition:* A jurisdictional mandate in the U.S. relating to privacy.\r\n\r\n*Usage Note:* ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23760"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyLaw"}]},{"code" : "_ActConsentDirective","display" : "ActConsentDirective","definition" : "Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23324"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "_ActPrivacyLaw","display" : "ActPrivacyLaw","definition" : "A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on:\r\n\r\n *  The activity of a governed party\r\n *  The behavior of a governed party\r\n *  The manner in which an act is executed by a governed party","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23328"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "_InformationSensitivityPolicy","display" : "InformationSensitivityPolicy","definition" : "A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations.\r\n\r\n*Usage Note:* Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an employee's sensitivity code would make little sense for use outside of a policy domain. 'Taboo' would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable InformationSensitivityPolicy Act.code may be useful in some scenarios if used in combination with a sensitivity identifier and/or Act.title.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23329"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "COMPT","display" : "compartment","definition" : "This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field.\r\n\r\nMap: Aligns with ISO 2382-8 definition of Compartment - \"A division of data into isolated blocks with separate security controls for the purpose of reducing risk.\"","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23577"},{"code" : "subsumedBy","valueCode" : "_ActPrivacyPolicy"}]},{"code" : "_ActBillableServiceCode","display" : "ActBillableServiceCode","definition" : "**Definition:** An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22218"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "_ActOralHealthProcedureCode","display" : "ActOralHealthProcedureCode","definition" : "**Description:**An identifying code for oral health interventions/procedures.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22178"},{"code" : "subsumedBy","valueCode" : "_ActProcedureCode"}]},{"code" : "LOAN","display" : "Loan","definition" : "Temporary supply of a product without transfer of ownership for the product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17961"},{"code" : "subsumedBy","valueCode" : "_ActProductAcquisitionCode"}]},{"code" : "TRANSFER","display" : "Transfer","definition" : "Transfer of ownership for a product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17959"},{"code" : "subsumedBy","valueCode" : "_ActProductAcquisitionCode"}]},{"code" : "CHAR","display" : "charity program","definition" : "**Definition:** A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22123"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "CRIME","display" : "crime victim program","definition" : "**Definition:** A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22124"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "EAP","display" : "employee assistance program","definition" : "**Definition:** An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22125"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "GOVEMP","display" : "government employee health program","definition" : "**Definition:** A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation\r\n\r\n**Example:** Federal employee health benefit program in the U.S.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22126"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "HIRISK","display" : "high risk pool program","definition" : "**Definition:** A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a\" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22127"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "IND","display" : "indigenous peoples health program","definition" : "**Definition:** Services provided directly and through contracted and operated indigenous peoples health programs.\r\n\r\n**Example:** Indian Health Service in the U.S.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22128"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "MILITARY","display" : "military health program","definition" : "**Definition:** A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations.\r\n\r\n**Example:** In the U.S., TRICARE, CHAMPUS.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22130"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "RETIRE","display" : "retiree health program","definition" : "**Definition:** A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22129"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "SOCIAL","display" : "social service program","definition" : "**Definition:** A social service program funded by a public or governmental entity.\r\n\r\n**Example:** Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22144"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "VET","display" : "veteran health program","definition" : "**Definition:** Services provided directly and through contracted and operated veteran health programs.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22145"},{"code" : "subsumedBy","valueCode" : "_ActProgramTypeCode"}]},{"code" : "SREC","display" : "specimen received","definition" : "**Description:**Specimen has been received by the participating organization/department.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21675"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTransportCode"}]},{"code" : "SSTOR","display" : "specimen in storage","definition" : "**Description:**Specimen has been placed into storage at a participating location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21677"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTransportCode"}]},{"code" : "STRAN","display" : "specimen in transit","definition" : "**Description:**Specimen has been put in transit to a participating receiver.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21676"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTransportCode"}]},{"code" : "ACID","display" : "Acidification","definition" : "The lowering of specimen pH through the addition of an acid","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14044"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "ALK","display" : "Alkalization","definition" : "The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14046"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "DEFB","display" : "Defibrination","definition" : "The removal of fibrin from whole blood or plasma through physical or chemical means","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14043"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "FILT","display" : "Filtration","definition" : "The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14047"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "LDLP","display" : "LDL Precipitation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14041"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "NEUT","display" : "Neutralization","definition" : "The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14045"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "RECA","display" : "Recalcification","definition" : "The addition of calcium back to a specimen after it was removed by chelating agents","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14042"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "UFIL","display" : "Ultrafiltration","definition" : "The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14048"},{"code" : "subsumedBy","valueCode" : "_ActSpecimenTreatmentCode"}]},{"code" : "ARTBLD","display" : "ActSpecObsArtBldCode","definition" : "Describes the artificial blood identifier that is associated with the specimen.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14387"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "DILUTION","display" : "ActSpecObsDilutionCode","definition" : "An observation that reports the dilution of a sample.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14352"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "EVNFCTS","display" : "ActSpecObsEvntfctsCode","definition" : "Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14390"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "INTFR","display" : "ActSpecObsInterferenceCode","definition" : "An observation that relates to factors that may potentially cause interference with the observation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14382"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "VOLUME","display" : "ActSpecObsVolumeCode","definition" : "An observation that reports the volume of a sample.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14369"},{"code" : "subsumedBy","valueCode" : "_ActSpecObsCode"}]},{"code" : "DRUG","display" : "Drug therapy","definition" : "The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21518"},{"code" : "subsumedBy","valueCode" : "_ActSubstanceAdministrationCode"}]},{"code" : "FD","display" : "food","definition" : "**Description:** The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23110"},{"code" : "subsumedBy","valueCode" : "_ActSubstanceAdministrationCode"}]},{"code" : "IMMUNIZ","display" : "Immunization","definition" : "The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21519"},{"code" : "subsumedBy","valueCode" : "_ActSubstanceAdministrationCode"}]},{"code" : "_AdministrationDetectedIssueCode","display" : "AdministrationDetectedIssueCode","definition" : "Administration of the proposed therapy may be inappropriate or contraindicated as proposed","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20908"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "_SupplyDetectedIssueCode","display" : "SupplyDetectedIssueCode","definition" : "Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20933"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "HISTORIC","display" : "record recorded as historical","definition" : "**Description:** While the record was accepted in the repository, there is a more recent version of a record of this type.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23273"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "PATPREF","display" : "violates stated preferences","definition" : "**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22835"},{"code" : "subsumedBy","valueCode" : "_ActSuppliedItemDetectedIssueCode"}]},{"code" : "OE","display" : "order entry task","definition" : "A clinician creates a request for a service to be performed for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22048"},{"code" : "subsumedBy","valueCode" : "_ActTaskCode"}]},{"code" : "PATDOC","display" : "patient documentation task","definition" : "A person enters documentation about a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22067"},{"code" : "subsumedBy","valueCode" : "_ActTaskCode"}]},{"code" : "PATINFO","display" : "patient information review task","definition" : "A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22051"},{"code" : "subsumedBy","valueCode" : "_ActTaskCode"}]},{"code" : "_ActMedicationTherapyDurationWorkingListCode","display" : "act medication therapy duration working list","definition" : "**Definition:**A collection of concepts that identifies different types of 'duration-based' mediation working lists.\r\n\r\n**Examples:**\"Continuous/Chronic\" \"Short-Term\" and \"As Needed\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "LIST"}},{"code" : "internalId","valueCode" : "21754"},{"code" : "subsumedBy","valueCode" : "_ActTherapyDurationWorkingListCode"}]},{"code" : "_ActPatientTransportationModeCode","display" : "ActPatientTransportationModeCode","definition" : "Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.\r\n\r\n*Examples:* Via ambulance, via public transit, on foot.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "TRNS"}},{"code" : "internalId","valueCode" : "21546"},{"code" : "subsumedBy","valueCode" : "_ActTransportationModeCode"}]},{"code" : "42CFRPart2CD","display" : "42 CFR Part 2 consent directive","definition" : "A code representing an individual's privacy consent directive that complies with 42 CFR Part 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements of a written consent to a disclosure under the regulations in Part 2.\r\n\r\n(1) The name of the patient. (2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. (3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. (4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or (ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or (iii)Entities without a treating provider relationship with the patient. (A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or (B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and (1) The name(s) of an individual participant(s); or (2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or (3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. (i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). (ii) \\[Reserved\\] (5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. (6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer (7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. (8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. (9) The date on which the consent is signed.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's 42 CFR Part 2.31 consent directive, \"42CFRPart2CD\" as the security label policy code.\r\n\r\nSince information governed by an individual's 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR § 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24100"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "CompoundResearchCD","display" : "Compound HIPAA Research Authorization and Informed Consent for Research","definition" : "A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization.\r\n\r\n*Usage Note:* The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf.\r\n\r\nUsed to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.508 use \"CompoundResearchCD\" as the security label policy code.\r\n\r\nInformation or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code \"M\" (moderate).\r\n\r\nSee ActCode.\\_ActPolicyType.\\_ActPrivacyPolicy.\\_ActPrivacyLaw.\\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24105"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAAuthCD","display" : "HIPAA Authorization Consent Directive","definition" : "A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section.\r\n\r\nAn \"authorization\" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html\r\n\r\nA HIPAA Authorization must comply with 45 CFR Section164.508(c) Implementation specifications: Core elements and requirements - (1) Core elements. A valid authorization under this Section must contain at least the following elements: (i) A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. (ii) The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure. (iii) The name or other specific identification of the person(s), or class of persons, to whom the covered entity may make the requested use or disclosure. (iv) A description of each purpose of the requested use or disclosure. The statement \"at the request of the individual\" is a sufficient description of the purpose when an individual initiates the authorization and does not, or elects not to, provide a statement of the purpose. (v) An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure. The statement \"end of the research study,\" \"none,\" or similar language is sufficient if the authorization is for a use or disclosure of protected health information for research, including for the creation and maintenance of a research database or research repository. (vi) Signature of the individual and date. If the authorization is signed by a personal representative of the individual, a description of such representative's authority to act for the individual must also be provided. (2)Required statements. In addition to the core elements, the authorization must contain statements adequate to place the individual on notice of all of the following: (i) The individual's right to revoke the authorization in writing, and either: (A) The exceptions to the right to revoke and a description of how the individual may revoke the authorization; or (B) To the extent that the information in paragraph (c)(2)(i)(A) of this section is included in the notice required by Section 164.520, a reference to the covered entity's notice. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a an individual's HIPAA Authorization for Disclosure, use \"HIPAAAuthCD\" as the security label policy code.\r\n\r\nInformation governed under a HIPAA Authorization for Disclosure has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"N\" (normal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24101"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAConsentCD","display" : "HIPAA Consent Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf, which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.\"\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's consent directive under 45 CFR Section 164.522 use \"HIPAAConsentCD\" as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24102"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAResearchAuthCD","display" : "HIPAA Authorization for Disclosure for Research Consent Directive","definition" : "A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's HIPAA Authorization for Disclosure for Research under 45 CFR Section 164.508 use \"HIPAAResearchAuthCD\" as the security label policy code.\r\n\r\nInformation disclosed under an individual's HIPAA Authorization for Disclosure for Research are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code \"M\" (moderate).\r\n\r\nSee ActCode.\\_ActPolicyType.\\_ActPrivacyPolicy.\\_ActPrivacyLaw.\\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24104"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "HIPAAROAD","display" : "HIPAA Right of Access Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf, stipulating the policy elements of an individual's written and signed right of access directive requesting that a covered entity send the individual's protected health information (PHI) to a third party.\r\n\r\nSee 45 CFR 164.524(c)(3)(ii) If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf\r\n\r\nThis right applies to PHI in a designated record set, which is defined as \"Designated record set means: (1) A group of records maintained by or for a covered entity that is: (i) The medical records and billing records about individuals maintained by or for a covered health care provider; (ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. \\[https://www.law.cornell.edu/cfr/text/45/164.501\\]. Also see HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 \\[https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html\\#maximumflatfee\\].\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.524 use \"HIPAAROAD\" as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"M\" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24103"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "MDHHS-5515","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes","definition" : "The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it.\r\n\r\n*Usage Note:* For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\\_2941\\_58005-343686--,00.html","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24106"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "42CFRPart2","display" : "42 CFR Part2","definition" : "A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent. https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, the collection, access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use \"42CFRPart2\" as the security label policy code.\r\n\r\nSince information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23761"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "CommonRule","display" : "Common Rule","definition" : "A code representing U.S. Federal laws governing research-related privacy policies known as the \"Common Rule\". The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use \"COMMONRULE\" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code \"M\" (moderate).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23762"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAAuth","display" : "HIPAA Authorization for Disclosure","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed \"authorizations\".\r\n\r\nAn \"authorization\" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where use or disclosure of healthcare information is governed by a covered entity's HIPAA Authorization for Disclosure, use \"HIPAAAuth\" as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA Authorization for Disclosure no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"M\" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24118"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAConsent","display" : "HIPAA Consent","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent\".\r\n\r\nThe Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use 'HIPAAConsent' as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code 'R' (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24135"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAANOPP","display" : "HIPAA notice of privacy practices","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.520), which stipulates an individual's right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Relevant HIPAA Privacy Rule provisions are at Section 164.520 (a) Standard: Notice of privacy practices. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-520.pdf\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, if collection, access, use, or disclosure of healthcare information is governed by a covered entity's HIPAA Notice of Privacy Practices, use \"HIPAANOPP\" as the security label policy code.\r\n\r\nInformation governed under a HIPAA Notice of Privacy Practices has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , which is considered the \"norm\", assign the HL7 Confidentiality code \"N\" (normal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23763"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAPsyNotes","display" : "HIPAA psychotherapy notes","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508), which stipulates the privacy rights of an individual who is the subject of psychotherapy notes, and requires authorization for certain uses and disclosure of that information.\r\n\r\nDefinition of Psychotherapy notes 45 CFR Section 164.501 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-501.pdf: Psychotherapy notes means notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date.\r\n\r\nSee Section 164.508 Uses and disclosures for which an authorization is required. (2)Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf: Notwithstanding any provision of this subpart, other than the transition provisions in Section 164.532, a covered entity must obtain an authorization for any use or disclosure of psychotherapy notes, except: (i) To carry out the following treatment, payment, or health care operations: (A) Use by the originator of the psychotherapy notes for treatment; (B) Use or disclosure by the covered entity for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or (C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual; and (ii) A use or disclosure that is required by Section 164.502(a)(2)(ii) or permitted by Section 164.512(a); Section 164.512(d) with respect to the oversight of the originator of the psychotherapy notes; Section 164.512(g)(1); Section 164.512(j)(1)(i).\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.508 (2) Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , use \"HIPAAPsyNotes\" as the security label policy code.\r\n\r\nSince information governed by a HIPAA 45 CFR 164.508 (2) has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23764"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAAROA","display" : "HIPAA Right of Access","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.govinfo.gov/app/details/CFR-2017-title45-vol1/CFR-2017-title45-vol1-sec164-524, which stipulates that an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected health information is maintained in the designated record set with exceptions stipulated in HIPAA Privacy Rule Section 164.524. Exceptions include psychotherapy notes and information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.\r\n\r\nIf an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.\r\n\r\nFor discussion on extent of right, grounds for denial, and documentation requirements see: HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html and HHS FAQ on Right of Access vs. HIPAA Authorization https://www.hhs.gov/hipaa/for-professionals/faq/2041/why-depend-on-the-individuals-right/index.html\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed under 45 CFR Section 164.5224 use \"HIPAAROA\" as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the \"norm\", assign the HL7 Confidentiality code \"M\" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24119"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "HIPAASelfPay","display" : "HIPAA self-pay","definition" : "A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer.\r\n\r\nSee 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use \"HIPAASelfPay\" as the security label policy code.\r\n\r\nSince information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23765"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "Title38Section7332","display" : "Title 38 Section 7332","definition" : "A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights of veterans diagnosed and treated for substance use disorders, infection with the human immunodeficiency virus, or sickle cell anemia.\r\n\r\nhttps://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html . (1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b). (2) Paragraph (1) prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed. (b) (1) The content of any record referred to in subsection (a) may be disclosed by the Secretary in accordance with the prior written consent of the patient or subject with respect to whom such record is maintained, but only to such extent, under such circumstances, and for such purposes as may be allowed in regulations prescribed by the Secretary. (2) Whether or not any patient or subject, with respect to whom any given record referred to in subsection (a) is maintained, gives written consent, the content of such record may be disclosed by the Secretary as follows: (A) To medical personnel to the extent necessary to meet a bona fide medical emergency. (B) To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient or subject in any report of such research, audit, or evaluation, or otherwise disclose patient or subject identities in any manner. (C) (i) In the case of any record which is maintained in connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law. (ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made. (D) If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient or subject, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure. (E) To an entity described in paragraph (1)(B) of section 5701(k) of this title, but only to the extent authorized by such section. (F) (i) To a representative of a patient who lacks decision-making capacity, when a practitioner deems the content of the given record necessary for that representative to make an informed decision regarding the patient's treatment. (ii) In this subparagraph, the term \"representative\" means an individual, organization, or other body authorized under section 7331 of this title and its implementing regulations to give informed consent on behalf of a patient who lacks decision-making capacity. (G) To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g-3), to the extent necessary to prevent misuse and diversion of prescription medicines. (H) (i) To a non-Department entity (including private entities and other Federal agencies) for purposes of providing health care, including hospital care, medical services, and extended care services, to Veterans or performing other health care-related activities or functions. (ii) An entity to which a record is disclosed under this subparagraph may not disclose or use such record for a purpose other than that for which the disclosure was made or as permitted by law. (I) To a third party in order to recover or collect reasonable charges for care furnished to, or paid on behalf of, a Veteran in connection with a non-service connected disability as permitted by section 1729 of this title or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under the Act entitled 'An Act to provide for the recovery from tortiously liable third persons of the cost of hospital and medical care and treatment furnished by the United States' (Public Law 87-693; 42 U.S.C. 2651 et seq.; commonly known as the 'Federal Medical Care Recovery Act').\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 38 U.S. Code Section 7332 - Confidentiality of certain medical records https://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html use \"Title38Section7332\" as the security label policy code.\r\n\r\nSince information governed by a Title 38 Section 7332 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23766"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "a) HIPAAConsent","display" : "HIPAA Consent","definition" : "Code retired in December 2019 and replaced by code HIPAAConsent. Originally entered with copy/paste error in code value.\r\n\r\nA code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.\" The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf.\r\n\r\n*Usage Note:* Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use \"HIPAAConsent\" as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \"R\" (restricted).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "24117"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyLaw"}]},{"code" : "USResearchInformedAssent","display" : "Informed Assent for Research","definition" : "An informed assertion by a minor who is a candidate research subject, of the individual's willingness to participate in research. Assent means a child's affirmative agreement to participate in a clinical investigation. Mere failure to object should not, absent affirmative agreement, be construed as assent. The minor's assent must be accompanied by parental or guardian consent that the minor participate in a specified research. The assent is not legally binding, however, the accompanying consent is legally binding. Background: In the US, informed assent is governed under 21 CFR Part 50, Subpart D - Additional Safeguards for Children in Clinical Investigations. Available at https://www.law.cornell.edu/cfr/text/21/part-50/subpart-D","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "25100"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "USResearchInformedConsent","display" : "Informed Consent for Research","definition" : "An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in a specified research study. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "25101"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "USBroadResearchConsent","display" : "Broad Consent for Research","definition" : "An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in unspecified research studies, including storage, maintenance, and secondary research use of identifiable biospecimens and data.  If broad consent is obtained, any subsequent storage, maintenance, and secondary research uses of the individual’s identifiable biospecimens and data consistent with the broad consent would not require additional consent, so long as additional conditions are met, including limited review by an IRB. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "25102"},{"code" : "subsumedBy","valueCode" : "_ActUSPrivacyConsentDirective"}]},{"code" : "_AppropriatenessDetectedIssueCode","display" : "AppropriatenessDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20910"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "COMPLY","display" : "Compliance Alert","definition" : "There may be an issue with the patient complying with the intentions of the proposed therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16687"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "DACT","display" : "drug action detected issue","definition" : "**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21699"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "DOSE","display" : "Dosage problem","definition" : "Proposed dosage instructions for therapy differ from standard practice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16680"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "DUPTHPY","display" : "Duplicate Therapy Alert","definition" : "The proposed therapy appears to duplicate an existing therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16688"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "TIME","display" : "timing detected issue","definition" : "**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21700"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "_DrugActionDetectedIssueCode","display" : "DrugActionDetectedIssueCode","definition" : "Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20914"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "_TimingDetectedIssueCode","display" : "TimingDetectedIssueCode","definition" : "Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20934"},{"code" : "subsumedBy","valueCode" : "_AdministrationDetectedIssueCode"}]},{"code" : "_ActPatientAnnotationType","display" : "ActPatientAnnotationType","definition" : "**Description:**Provides a categorization for annotations recorded directly against the patient .","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22821"},{"code" : "subsumedBy","valueCode" : "_AnnotationType"}]},{"code" : "_ECGAnnotationType","display" : "ECGAnnotationType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20915"},{"code" : "subsumedBy","valueCode" : "_AnnotationType"}]},{"code" : "_InteractionDetectedIssueCode","display" : "InteractionDetectedIssueCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20923"},{"code" : "subsumedBy","valueCode" : "_AppropriatenessDetectedIssueCode"}]},{"code" : "OBSA","display" : "Observation Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16664"},{"code" : "subsumedBy","valueCode" : "_AppropriatenessDetectedIssueCode"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "PREVINEF","display" : "previously ineffective","definition" : "**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22834"},{"code" : "subsumedBy","valueCode" : "_AppropriatenessDetectedIssueCode"}]},{"code" : "EMAUTH","display" : "emergency authorization override","definition" : "Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21388"},{"code" : "subsumedBy","valueCode" : "_AuthorizationIssueManagementCode"}]},{"code" : "AIRTRNS","display" : "airborne transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21915"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "ANANTRNS","display" : "animal to animal transmission","definition" : "Communication of an agent from one animal to another proximate animal.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21909"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "ANHUMTRNS","display" : "animal to human transmission","definition" : "Communication of an agent from an animal to a proximate person.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21910"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "BDYFLDTRNS","display" : "body fluid contact transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with any body fluid.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21911"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "BLDTRNS","display" : "blood borne transmission","definition" : "Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21912"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "DERMTRNS","display" : "transdermal transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21923"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "ENVTRNS","display" : "environmental exposure transmission","definition" : "Communication of an agent from an environmental surface or source to a living subject by direct contact.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21914"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "FECTRNS","display" : "fecal-oral transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21916"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "FOMTRNS","display" : "fomite transmission","definition" : "Communication of an agent from an non-living material to a living subject through direct contact.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21917"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "FOODTRNS","display" : "food-borne transmission","definition" : "Communication of an agent from a food source to a living subject via oral consumption.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21918"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "HUMHUMTRNS","display" : "human to human transmission","definition" : "Communication of an agent from a person to a proximate person.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21919"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "INDTRNS","display" : "indeterminate disease transmission mode","definition" : "Communication of an agent to a living subject via an undetermined route.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21920"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "LACTTRNS","display" : "lactation transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21913"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "NOSTRNS","display" : "nosocomial transmission","definition" : "Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21921"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "PARTRNS","display" : "parenteral transmission","definition" : "Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21922"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "PLACTRNS","display" : "transplacental transmission","definition" : "Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21926"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "SEXTRNS","display" : "sexual transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21925"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "TRNSFTRNS","display" : "transfusion transmission","definition" : "Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21924"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "VECTRNS","display" : "vector-borne transmission","definition" : "Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21927"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "WATTRNS","display" : "water-borne transmission","definition" : "Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21928"},{"code" : "subsumedBy","valueCode" : "_CaseTransmissionMode"}]},{"code" : "REPRESENTATIVE_BEAT","display" : "ECG representative beat waveforms","definition" : "This Observation Series type contains waveforms of a \"representative beat\" (a.k.a. \"median beat\" or \"average beat\"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the \"rhythm\" waveforms.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19324"},{"code" : "subsumedBy","valueCode" : "_ECGObservationSeriesType"}]},{"code" : "RHYTHM","display" : "ECG rhythm waveforms","definition" : "This Observation type contains ECG \"rhythm\" waveforms. The waveform samples are measured in absolute time (a.k.a. \"subject time\" or \"effective time\"). These waveforms are usually \"raw\" with some minimal amount of noise reduction and baseline filtering applied.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19323"},{"code" : "subsumedBy","valueCode" : "_ECGObservationSeriesType"}]},{"code" : "DEMO","display" : "all demographic information sensitivity","definition" : "Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23352"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "DOB","display" : "date of birth information sensitivity","definition" : "Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23353"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "GENDER","display" : "gender and sexual orientation information sensitivity","definition" : "Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23354"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "LIVARG","display" : "living arrangement information sensitivity","definition" : "Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23355"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "MARST","display" : "marital status information sensitivity","definition" : "Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23356"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "PATLOC","display" : "patient location","definition" : "Policy for handling information related to an individual's location, which is deemed sensitive when the disclosure could impact the privacy, well-being, or safety of that subject, and requires additional protection.\r\n\r\n*Usage Note:* If there is a jurisdictional, organizational, or individual mandate, then use the applicable ActPrivacyLaw or ActConsentDirective code from the ActCode system to and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24041"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "RACE","display" : "race information sensitivity","definition" : "Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23357"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "REL","display" : "religion information sensitivity","definition" : "Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23358"},{"code" : "subsumedBy","valueCode" : "_EntitySensitivityPolicyType"}]},{"code" : "FDACOATING","display" : "coating","definition" : "FDA label coating","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19260"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDACOLOR","display" : "color","definition" : "FDA label color","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19259"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDAIMPRINTCD","display" : "imprint code","definition" : "FDA label imprint code","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19256"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDALOGO","display" : "logo","definition" : "FDA label logo","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19262"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDASCORING","display" : "scoring","definition" : "FDA label scoring","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19261"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDASHAPE","display" : "shape","definition" : "FDA label shape","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19258"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "FDASIZE","display" : "size","definition" : "FDA label size","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "19257"},{"code" : "subsumedBy","valueCode" : "_FDALabelData"}]},{"code" : "GENE","display" : "gene","definition" : "**Description:** A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22651"},{"code" : "subsumedBy","valueCode" : "_GeneticObservationType"}]},{"code" : "I","display" : "Isolation","definition" : "Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16134"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "P","display" : "Private","definition" : "Accommodations in which there is only 1 bed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16131"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "S","display" : "Suite","definition" : "Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16133"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "SP","display" : "Semi-private","definition" : "Accommodations in which there are 2 beds.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16132"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "W","display" : "Ward","definition" : "Accommodations in which there are 3 or more beds.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16135"},{"code" : "subsumedBy","valueCode" : "_HL7AccommodationCode"}]},{"code" : "_ActDetectedIssueCode","display" : "ActDetectedIssueCode","definition" : "Identifies types of detected issues for Act class \"ALRT\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20866"},{"code" : "subsumedBy","valueCode" : "_HL7DefinedActCodes"}]},{"code" : "_HL7TriggerEventCode","display" : "HL7TriggerEventCode","definition" : "The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20922"},{"code" : "subsumedBy","valueCode" : "_HL7DefinedActCodes"}]},{"code" : "_SubstanceAdministrationActCode","display" : "SubstanceAdministrationActCode","definition" : "The specific chemical or radiological substance administered or to be administered into the body for therapeutic effect.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20932"},{"code" : "subsumedBy","valueCode" : "_HL7DefinedActCodes"}]},{"code" : "OBSANTC","display" : "antigen count","definition" : "**Description:** Indicates the valid antigen count.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23243"},{"code" : "subsumedBy","valueCode" : "_ImmunizationObservationType"}]},{"code" : "OBSANTV","display" : "antigen validity","definition" : "**Description:** Indicates whether an antigen is valid or invalid.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23242"},{"code" : "subsumedBy","valueCode" : "_ImmunizationObservationType"}]},{"code" : "PAT_ADV_EVNT","display" : "patient adverse event","definition" : "Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23104"},{"code" : "subsumedBy","valueCode" : "_IndividualCaseSafetyReportType"}]},{"code" : "VAC_PROBLEM","display" : "vaccine product problem","definition" : "Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23103"},{"code" : "subsumedBy","valueCode" : "_IndividualCaseSafetyReportType"}]},{"code" : "_ActInformationSensitivityPolicy","display" : "ActInformationSensitivityPolicy","definition" : "Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as \"constraints around appropriate disclosure of information about this Act, regardless of mood.\"\r\n\r\n*Usage Note:* ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23337"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "_EntitySensitivityPolicyType","display" : "EntityInformationSensitivityPolicy","definition" : "Types of sensitivity policies that may apply to a sensitive attribute on an Entity.\r\n\r\n*Usage Note:* EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as \"an indication of the appropriate disclosure of information about this Role with respect to the playing Entity.\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23351"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "_RoleInformationSensitivityPolicy","display" : "RoleInformationSensitivityPolicy","definition" : "Types of sensitivity policies that apply to Roles.\r\n\r\n*Usage Notes:* RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as \"an indication of the appropriate disclosure of information about this Role with respect to the playing Entity.\"","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy.  Role.confidentialityCode is defined in the RIM as \"an indication of the appropriate disclosure of information about this Role with respect to the playing Entity.\""},{"code" : "internalId","valueCode" : "23346"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "ADOL","display" : "adolescent information sensitivity","definition" : "Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:* For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23330"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "CEL","display" : "celebrity information sensitivity","definition" : "Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:*  For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "VIP"},{"code" : "internalId","valueCode" : "23331"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "VIP","display" : "celebrity information sensitivity","definition" : "Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:*  For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "CEL"},{"code" : "internalId","valueCode" : "23331"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "DIA","display" : "diagnosis information sensitivity","definition" : "Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality.\r\n\r\n*Usage Note:* For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23332"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "DRGIS","display" : "drug information sensitivity","definition" : "Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality.\r\n\r\n*Usage Note:* For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23333"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "EMP","display" : "employee information sensitivity","definition" : "Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.\r\n\r\n*Usage Note:* Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23334"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "PDS","display" : "patient default information sensitivity","definition" : "Policy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default. Organizational policy may allow the sensitivity tag to be cleared on patient's request.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nFor example, VA deems employee information sensitive by default. Information about a patient who is being stalked or a victim of abuse or violence may be deemed sensitive by default per a provider organization's policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23336"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "PHY","display" : "physician requested information sensitivity","definition" : "Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive. Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law.\r\n\r\n*Usage Note:* For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.\r\n\r\nUse cases in which this code could be used are, e.g., in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23931"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "PRS","display" : "patient requested information sensitivity","definition" : "Policy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted. For example, a minor patient may request that information about reproductive health not be disclosed to the patient's family or to particular providers and payers.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23335"},{"code" : "subsumedBy","valueCode" : "_InformationSensitivityPolicy"}]},{"code" : "FOOD","display" : "Food Interaction Alert","definition" : "Proposed therapy may interact with certain foods","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16662"},{"code" : "subsumedBy","valueCode" : "_InteractionDetectedIssueCode"}]},{"code" : "TPROD","display" : "Therapeutic Product Alert","definition" : "Proposed therapy may interact with an existing or recent therapeutic product","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17807"},{"code" : "subsumedBy","valueCode" : "_InteractionDetectedIssueCode"}]},{"code" : "ADNFPPELAT","display" : "adjud. nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPELAT"},{"code" : "internalId","valueCode" : "20007"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPELAT","display" : "adjud. nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPELAT"},{"code" : "internalId","valueCode" : "20007"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFPPELCT","display" : "adjud. nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPELCT"},{"code" : "internalId","valueCode" : "20006"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPELCT","display" : "adjud. nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPELCT"},{"code" : "internalId","valueCode" : "20006"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFPPMNAT","display" : "adjud. nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPMNAT"},{"code" : "internalId","valueCode" : "20009"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPMNAT","display" : "adjud. nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPMNAT"},{"code" : "internalId","valueCode" : "20009"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFPPMNCT","display" : "adjud. nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNPPMNCT"},{"code" : "internalId","valueCode" : "20008"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNPPMNCT","display" : "adjud. nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFPPMNCT"},{"code" : "internalId","valueCode" : "20008"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPELAT","display" : "adjud. nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPELAT"},{"code" : "internalId","valueCode" : "20005"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPELAT","display" : "adjud. nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPELAT"},{"code" : "internalId","valueCode" : "20005"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPELCT","display" : "adjud. nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPELCT"},{"code" : "internalId","valueCode" : "20004"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPELCT","display" : "adjud. nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPELCT"},{"code" : "internalId","valueCode" : "20004"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPMNAT","display" : "adjud. nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPMNAT"},{"code" : "internalId","valueCode" : "20011"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPMNAT","display" : "adjud. nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPMNAT"},{"code" : "internalId","valueCode" : "20011"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNFSPMNCT","display" : "adjud. nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ADCNSPMNCT"},{"code" : "internalId","valueCode" : "20010"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADCNSPMNCT","display" : "adjud. nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "ADNFSPMNCT"},{"code" : "internalId","valueCode" : "20010"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPELAT","display" : "adjud. non-payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17544"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPELCT","display" : "adjud. non-payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17543"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPMNAT","display" : "adjud. non-payee payable prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17546"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPPPMNCT","display" : "adjud. non-payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17545"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPELAT","display" : "adjud. non-payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17540"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPELCT","display" : "adjud. non-payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17539"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPMNAT","display" : "adjud. non-payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17542"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADNPSPMNCT","display" : "adjud. non-payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17541"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPELAT","display" : "adjud. payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17536"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPELCT","display" : "adjud. payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17535"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPMNAT","display" : "adjud. payee payable prior-period manual amout","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17538"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPPPMNCT","display" : "adjud. payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17537"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPELAT","display" : "adjud. payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17532"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPELCT","display" : "adjud. payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17531"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPMNAT","display" : "adjud. payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17534"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADPPSPMNCT","display" : "adjud. payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17533"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPELAT","display" : "adjud. refused prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17560"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPELCT","display" : "adjud. refused prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17559"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPMNAT","display" : "adjud. refused prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17562"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFPPMNCT","display" : "adjud. refused prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17561"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPELAT","display" : "adjud. refused same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17556"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPELCT","display" : "adjud. refused same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17555"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPMNAT","display" : "adjud. refused same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17558"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "ADRFSPMNCT","display" : "adjud. refused same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17557"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementAdjudicated"}]},{"code" : "PDNFPPELAT","display" : "paid nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPELAT"},{"code" : "internalId","valueCode" : "20017"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPELAT","display" : "paid nullified prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPELAT"},{"code" : "internalId","valueCode" : "20017"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFPPELCT","display" : "paid nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPELCT"},{"code" : "internalId","valueCode" : "20016"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPELCT","display" : "paid nullified prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPELCT"},{"code" : "internalId","valueCode" : "20016"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFPPMNAT","display" : "paid nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPMNAT"},{"code" : "internalId","valueCode" : "20019"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPMNAT","display" : "paid nullified prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPMNAT"},{"code" : "internalId","valueCode" : "20019"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFPPMNCT","display" : "paid nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNPPMNCT"},{"code" : "internalId","valueCode" : "20018"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNPPMNCT","display" : "paid nullified prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFPPMNCT"},{"code" : "internalId","valueCode" : "20018"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPELAT","display" : "paid nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPELAT"},{"code" : "internalId","valueCode" : "20013"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPELAT","display" : "paid nullified same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPELAT"},{"code" : "internalId","valueCode" : "20013"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPELCT","display" : "paid nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPELCT"},{"code" : "internalId","valueCode" : "20012"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPELCT","display" : "paid nullified same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPELCT"},{"code" : "internalId","valueCode" : "20012"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPMNAT","display" : "paid nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPMNAT"},{"code" : "internalId","valueCode" : "20015"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPMNAT","display" : "paid nullified same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPMNAT"},{"code" : "internalId","valueCode" : "20015"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNFSPMNCT","display" : "paid nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "PDCNSPMNCT"},{"code" : "internalId","valueCode" : "20014"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDCNSPMNCT","display" : "paid nullified same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "PDNFSPMNCT"},{"code" : "internalId","valueCode" : "20014"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPELAT","display" : "paid non-payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17577"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPELCT","display" : "paid non-payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17576"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPMNAT","display" : "paid non-payee payable prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17579"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPPPMNCT","display" : "paid non-payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17578"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPELAT","display" : "paid non-payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17573"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPELCT","display" : "paid non-payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17572"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPMNAT","display" : "paid non-payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17575"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDNPSPMNCT","display" : "paid non-payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17574"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPELAT","display" : "paid payee payable prior-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17569"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPELCT","display" : "paid payee payable prior-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17568"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPMNAT","display" : "paid payee payable prior-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17571"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPPPMNCT","display" : "paid payee payable prior-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17570"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPELAT","display" : "paid payee payable same-period electronic amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17565"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPELCT","display" : "paid payee payable same-period electronic count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17564"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPMNAT","display" : "paid payee payable same-period manual amount","definition" : "Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17567"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "PDPPSPMNCT","display" : "paid payee payable same-period manual count","definition" : "Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17566"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementPaid"}]},{"code" : "SBBLELAT","display" : "submitted billed electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBBLAT"},{"code" : "internalId","valueCode" : "19999"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBBLAT","display" : "submitted billed electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBBLELAT"},{"code" : "internalId","valueCode" : "19999"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBBLELCT","display" : "submitted billed electronic count","definition" : "Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBBLCT"},{"code" : "internalId","valueCode" : "19998"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBBLCT","display" : "submitted billed electronic count","definition" : "Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBBLELCT"},{"code" : "internalId","valueCode" : "19998"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBNFELAT","display" : "submitted nullified electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBCNAT"},{"code" : "internalId","valueCode" : "20001"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBCNAT","display" : "submitted nullified electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBNFELAT"},{"code" : "internalId","valueCode" : "20001"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBNFELCT","display" : "submitted cancelled electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBCNCT"},{"code" : "internalId","valueCode" : "20000"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBCNCT","display" : "submitted cancelled electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBNFELCT"},{"code" : "internalId","valueCode" : "20000"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDELAT","display" : "submitted pending electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBPDAT"},{"code" : "internalId","valueCode" : "20003"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDAT","display" : "submitted pending electronic amount","definition" : "Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBPDELAT"},{"code" : "internalId","valueCode" : "20003"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDELCT","display" : "submitted pending electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "SBPDCT"},{"code" : "internalId","valueCode" : "20002"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "SBPDCT","display" : "submitted pending electronic count","definition" : "Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "SBPDELCT"},{"code" : "internalId","valueCode" : "20002"},{"code" : "subsumedBy","valueCode" : "_InvoiceElementSubmitted"}]},{"code" : "21611-9","display" : "age patient qn est","definition" : "**Definition:**Estimated age.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21630"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "21612-7","display" : "age patient qn reported","definition" : "**Definition:**Reported age.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21631"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "29553-5","display" : "age patient qn calc","definition" : "**Definition:**Calculated age.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21632"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "30525-0","display" : "age patient qn definition","definition" : "**Definition:**General specification of age with no implied method of determination.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21629"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "30972-4","display" : "age at onset of adverse event","definition" : "**Definition:**Age at onset of associated adverse event; no implied method of determination.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21633"},{"code" : "subsumedBy","valueCode" : "_LOINCObservationActContextAgeType"}]},{"code" : "REP_HALF_LIFE","display" : "representative half-life","definition" : "**Description:**This observation represents an 'average' or 'expected' half-life typical of the product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21678"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLCOATING","display" : "coating","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration).\r\n\r\n**Constraints:** The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21604"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLCOLOR","display" : "color","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling.\r\n\r\n**Constraints:** The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21608"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLIMAGE","display" : "image","definition" : "**Description:** A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21610"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLIMPRINT","display" : "imprint","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL.\r\n\r\n**Examples:** Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers.\r\n\r\n**Constraints:** The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21607"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSCORING","display" : "scoring","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s).\r\n\r\n**Example:** One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3.\r\n\r\n**Constraints:** Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21606"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSHAPE","display" : "shape","definition" : "**Description:** A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21609"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSIZE","display" : "size","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter.\r\n\r\n**Example:** SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21605"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "SPLSYMBOL","display" : "symbol","definition" : "**Definition:** A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics.\r\n\r\n**Constraints:** The Observation.value must be a Boolean (BL) with <u>true</u> indicating the presence and <u>false</u> for the absence of marks or symbols.\r\n\r\n**Example:**","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21603"},{"code" : "subsumedBy","valueCode" : "_MedicationObservationType"}]},{"code" : "ADMDX","display" : "admitting diagnosis","definition" : "Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16839"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "DISDX","display" : "discharge diagnosis","definition" : "Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16840"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "INTDX","display" : "intermediate diagnosis","definition" : "Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16841"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "NOI","display" : "nature of injury","definition" : "The type of injury that the injury coding specifies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20026"},{"code" : "subsumedBy","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "subsumedBy","valueCode" : "DX"}]},{"code" : "_CaseTransmissionMode","display" : "case transmission mode","definition" : "Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21908"},{"code" : "subsumedBy","valueCode" : "_ObservationIssueTriggerCodedObservationType"}]},{"code" : "AGGREGATE","display" : "aggregate measure observation","definition" : "Indicates that the observation is carrying out an aggregation calculation, contained in the value element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23626"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "CMPMSRMTH","display" : "composite measure method","definition" : "Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23788"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "CMPMSRSCRWGHT","display" : "component measure scoring weight","definition" : "An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23791"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "COPY","display" : "copyright","definition" : "Identifies the organization(s) who own the intellectual property represented by the eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23020"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "CRS","display" : "clinical recommendation statement","definition" : "Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23430"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "DEF","display" : "definition","definition" : "Description of individual terms, provided as needed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23433"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "DISC","display" : "disclaimer","definition" : "Disclaimer information for the eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23022"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "FINALDT","display" : "finalized date/time","definition" : "The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23440"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "GUIDE","display" : "guidance","definition" : "Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23434"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "IDUR","display" : "improvement notation","definition" : "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23431"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "ITMCNT","display" : "items counted","definition" : "Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23441"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "KEY","display" : "keyword","definition" : "A significant word that aids in discoverability.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23024"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MEDT","display" : "measurement end date","definition" : "The end date of the measurement period.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23439"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSD","display" : "measurement start date","definition" : "The start date of the measurement period.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23438"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRADJ","display" : "risk adjustment","definition" : "The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23028"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRAGG","display" : "rate aggregation","definition" : "Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two).\r\n\r\n*Open Issue:* The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23021"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRIMPROV","display" : "health quality measure improvement notation","definition" : "Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23023"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRJUR","display" : "jurisdiction","definition" : "The list of jurisdiction(s) for which the measure applies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23539"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRRPTR","display" : "reporter type","definition" : "Type of person or organization that is expected to report the issue.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23540"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRRPTTIME","display" : "timeframe for reporting","definition" : "The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23541"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRSCORE","display" : "measure scoring","definition" : "Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23029"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRSET","display" : "health quality measure care setting","definition" : "Location(s) in which care being measured is rendered\r\n\r\nUsage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23019"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRTOPIC","display" : "health quality measure topic type","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23031"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRTP","display" : "measurement period","definition" : "The time period for which the eMeasure applies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23432"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "MSRTYPE","display" : "measure type","definition" : "Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23030"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "RAT","display" : "rationale","definition" : "Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23026"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "REF","display" : "reference","definition" : "Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23027"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "SDE","display" : "supplemental data elements","definition" : "Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23437"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "STRAT","display" : "stratification","definition" : "Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole \\[age 14-25\\] and each sub-stratum \\[14-19\\] and \\[20-25\\]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings \\[specific birth weights for neonatal intensive care units\\]).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23435"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "TRANF","display" : "transmission format","definition" : "Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23436"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "USE","display" : "notice of use","definition" : "Usage notes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23025"},{"code" : "subsumedBy","valueCode" : "_ObservationQualityMeasureAttribute"}]},{"code" : "TIME_ABSOLUTE","display" : "absolute time sequence","definition" : "A sequence of values in the \"absolute\" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19326"},{"code" : "subsumedBy","valueCode" : "_ObservationSequenceType"}]},{"code" : "TIME_RELATIVE","display" : "relative time sequence","definition" : "A sequence of values in a \"relative\" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19327"},{"code" : "subsumedBy","valueCode" : "_ObservationSequenceType"}]},{"code" : "_ECGObservationSequenceType","display" : "ECGObservationSequenceType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20917"},{"code" : "subsumedBy","valueCode" : "_ObservationSequenceType"}]},{"code" : "_ECGObservationSeriesType","display" : "ECGObservationSeriesType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBSSER"}},{"code" : "internalId","valueCode" : "20918"},{"code" : "subsumedBy","valueCode" : "_ObservationSeriesType"}]},{"code" : "_ActSpecObsCode","display" : "ActSpecObsCode","definition" : "Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "SPCOBS"}},{"code" : "internalId","valueCode" : "20906"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_AnnotationType","display" : "AnnotationType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20909"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_GeneticObservationType","display" : "GeneticObservationType","definition" : "**Description:** None provided","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "22650"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ImmunizationObservationType","display" : "ImmunizationObservationType","definition" : "**Description:** Observation codes which describe characteristics of the immunization material.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23241"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_IndividualCaseSafetyReportType","display" : "Individual Case Safety Report Type","definition" : "A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report.\r\n\r\nExample concepts include: Spontaneous, Report from study, Other.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21394"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_LOINCObservationActContextAgeType","display" : "LOINCObservationActContextAgeType","definition" : "**Definition:**The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "22389"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_MedicationObservationType","display" : "MedicationObservationType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "OBS"}},{"code" : "internalId","valueCode" : "22390"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationIssueTriggerCodedObservationType","display" : "ObservationIssueTriggerCodedObservationType","definition" : "Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21524"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationQualityMeasureAttribute","display" : "ObservationQualityMeasureAttribute","definition" : "Codes used to define various metadata aspects of a health quality measure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23018"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationSequenceType","display" : "ObservationSequenceType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20928"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationSeriesType","display" : "ObservationSeriesType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20929"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PatientImmunizationRelatedObservationType","display" : "PatientImmunizationRelatedObservationType","definition" : "**Description:** Reporting codes that are related to an immunization event.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23244"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PopulationInclusionObservationType","display" : "PopulationInclusionObservationType","definition" : "Observation types for specifying criteria used to assert that a subject is included in a particular population.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23543"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PreferenceObservationType","display" : "_PreferenceObservationType","definition" : "Types of observations that can be made about Preferences.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23622"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "ADVERSE_REACTION","display" : "Adverse Reaction","definition" : "Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21510"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "ASSERTION","display" : "Assertion","definition" : "**Description:**Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code=\"ASSERTION\" and observation.value=\"fracture of femur present\" is an assertion of a clinical finding of femur fracture.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22040"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CASESER","display" : "case seriousness criteria","definition" : "**Definition:**An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22833"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CDIO","display" : "case disease imported observation","definition" : "An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship.\r\n\r\n**OpenIssue:** This code could be moved to LOINC if it can be done before there are significant implemenations using it.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23467"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CRIT","display" : "criticality","definition" : "A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23572"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "CTMO","display" : "case transmission mode observation","definition" : "An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.\r\n\r\n**OpenIssue:** This code could be moved to LOINC if it can be done before there are significant implemenations using it.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23466"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "DX","display" : "ObservationDiagnosisTypes","definition" : "Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "_ObservationDiagnosisTypes"},{"code" : "internalId","valueCode" : "20927"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationDiagnosisTypes","display" : "ObservationDiagnosisTypes","definition" : "Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "DX"},{"code" : "internalId","valueCode" : "20927"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "GISTIER","display" : "GIS tier","definition" : "**Description:** Accuracy determined as per the GIS tier code system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22710"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "HHOBS","display" : "household situation observation","definition" : "Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23073"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "ISSUE","display" : "detected issue","definition" : "There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.\r\n\r\n*Open Issue:* The definition of this code does not correctly represent the concept space of its specializations (children)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21697"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "KSUBJ","display" : "knowledge subject","definition" : "Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23090"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "KSUBT","display" : "knowledge subtopic","definition" : "Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23091"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "OINT","display" : "intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to an agent.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21498"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "SEV","display" : "Severity Observation","definition" : "A subjective evaluation of the seriousness or intensity associated with another observation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16642"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ActPrivilegeCategorizationType","display" : "ActPrivilegeCategorizationType","definition" : "This domain includes observations used to characterize a privilege, under which this additional information is classified.\r\n\r\n*Examples:*A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21585"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_AdverseSubstanceAdministrationEventActionTakenType","display" : "AdverseSubstanceAdministrationEventActionTakenType","definition" : "**Definition:** Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner's response to the patient's problem.\r\n\r\n**Examples:** Example values include dose withdrawn, dose reduced, dose not changed.\r\n\r\n**NOTE:** The concept domain is currently supported by a value set created by the International Conference on Harmonization","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22266"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_CommonClinicalObservationType","display" : "CommonClinicalObservationType","definition" : "Used in a patient care message to report and query simple clinical (non-lab) observations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21527"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_FDALabelData","display" : "FDALabelData","definition" : "FDA label data","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20920"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationAllergyTestCode","display" : "observation allergy test","definition" : "**Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities.\r\n\r\n**Example:**Skin tests and eosinophilia evaluations.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21942"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationAllergyTestType","display" : "ObservationAllergyTestType","definition" : "Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21494"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationCausalityAssessmentType","display" : "observation causality assessment","definition" : "**Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation\r\n\r\n**Example:**Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21941"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationDosageDefinitionPreconditionType","display" : "observation dosage definition precondition type","definition" : "**Definition:**\r\n\r\nThe set of observation type concepts that can be used to express pre-conditions to a particular dosage definition.\r\n\r\nRationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21714"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationGenomicFamilyHistoryType","display" : "ObservationGenomicFamilyHistoryType","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22041"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationIndicationType","display" : "ObservationIndicationType","definition" : "Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21541"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationIssueTriggerMeasuredObservationType","display" : "ObservationIssueTriggerMeasuredObservationType","definition" : "Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21525"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationQueryMatchType","display" : "ObservationQueryMatchType","definition" : "**Definition:** An observation related to a query response.\r\n\r\n**Example:**The degree of match or match weight returned by a matching algorithm in a response to a query.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22264"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_ObservationVisionPrescriptionType","display" : "ObservationVisionPrescriptionType","definition" : "**Definition:** Identifies the type of Vision Prescription Observation that is being described.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "22243"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_PatientCharacteristicObservationType","display" : "PatientCharacteristicObservationType","definition" : "Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21526"},{"code" : "subsumedBy","valueCode" : "_ObservationType"}]},{"code" : "_SimpleMeasurableClinicalObservationType","display" : "SimpleMeasurableClinicalObservationType","definition" : "Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. 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Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23544"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "DENEXCEP","display" : "denominator exceptions","definition" : "Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient (or subject) reasons\r\n *  System reasons","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23545"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "DENOM","display" : "denominator","definition" : "Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23546"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "IPOP","display" : "initial population","definition" : "Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23547"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "MSROBS","display" : "measure observation","definition" : "Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population.\r\n\r\n**Examples:** \r\n\r\n *  the median time from arrival in the Emergency Room to departure\r\n *  the median time from decision to admit to a hospital to the actual admission for Emergency Room patients","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23895"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "MSRPOPL","display" : "measure population","definition" : "Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23549"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "MSRPOPLEX","display" : "measure population exclusions","definition" : "Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23550"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "NUMER","display" : "numerator","definition" : "Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23551"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "NUMEX","display" : "numerator exclusions","definition" : "Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23552"},{"code" : "subsumedBy","valueCode" : "_PopulationInclusionObservationType"}]},{"code" : "PREFSTRENGTH","display" : "preference strength","definition" : "An observation about how important a preference is to the target of the preference.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23623"},{"code" : "subsumedBy","valueCode" : "_PreferenceObservationType"}]},{"code" : "CIRCLE","display" : "circle","definition" : "A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16118"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "ELLIPSE","display" : "ellipse","definition" : "An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16119"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "POINT","display" : "point","definition" : "A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16120"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "POLY","display" : "polyline","definition" : "A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16121"},{"code" : "subsumedBy","valueCode" : "_ROIOverlayShape"}]},{"code" : "B","display" : "business information sensitivity","definition" : "Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality.\r\n\r\n*Usage Notes:* No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "No patient related information may ever be of this confidentiality level.   If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23347"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "EMPL","display" : "employer information sensitivity","definition" : "Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23348"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "LOCIS","display" : "location information sensitivity","definition" : "Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23349"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "SSP","display" : "sensitive service provider information sensitivity","definition" : "Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services.\r\n\r\n*Usage Notes:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code."},{"code" : "internalId","valueCode" : "23350"},{"code" : "subsumedBy","valueCode" : "_RoleInformationSensitivityPolicy"}]},{"code" : "ALLDONE","display" : "already performed","definition" : "**Definition:**The requested action has already been performed and so this request has no effect","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22847"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "FULFIL","display" : "fulfillment alert","definition" : "**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22839"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "HELD","display" : "held/suspended alert","definition" : "**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22848"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "TOOLATE","display" : "Refill Too Late Alert","definition" : "The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16693"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "TOOSOON","display" : "Refill Too Soon Alert","definition" : "The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16692"},{"code" : "subsumedBy","valueCode" : "_SupplyDetectedIssueCode"}]},{"code" : "ENDLATE","display" : "End Too Late Alert","definition" : "Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17818"},{"code" : "subsumedBy","valueCode" : "_TimingDetectedIssueCode"}]},{"code" : "STRTLATE","display" : "Start Too Late Alert","definition" : "Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17817"},{"code" : "subsumedBy","valueCode" : "_TimingDetectedIssueCode"}]},{"code" : "19","display" : "Consulted Supplier","definition" : "Consulted other supplier/pharmacy, therapy confirmed","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17836"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "2","display" : "Assessed Patient","definition" : "Assessed patient, therapy is appropriate","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16697"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "22","display" : "appropriate indication or diagnosis","definition" : "**Description:** The patient has the appropriate indication or diagnosis for the action to be taken.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22814"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "23","display" : "prior therapy documented","definition" : "**Description:** It has been confirmed that the appropriate pre-requisite therapy has been tried.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22815"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "3","display" : "Patient Explanation","definition" : "Patient gave adequate explanation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16698"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "4","display" : "Consulted Other Source","definition" : "Consulted other supply source, therapy still appropriate","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16699"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "5","display" : "Consulted Prescriber","definition" : "Consulted prescriber, therapy confirmed","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16700"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "7","display" : "Interacting Therapy No Longer Active/Planned","definition" : "Concurrent therapy triggering alert is no longer on-going or planned","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16702"},{"code" : "subsumedBy","valueCode" : "1"}]},{"code" : "15","display" : "Replacement","definition" : "Patient's existing supply was lost/wasted","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16710"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "16","display" : "Vacation Supply","definition" : "Supply date is due to patient vacation","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16711"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "17","display" : "Weekend Supply","definition" : "Supply date is intended to carry patient over weekend","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16712"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "18","display" : "Leave of Absence","definition" : "Supply is intended for use during a leave of absence from an institution.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17835"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "20","display" : "additional quantity on separate dispense","definition" : "**Description:** Supply is different than expected as an additional quantity has been supplied in a separate dispense.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22813"},{"code" : "subsumedBy","valueCode" : "14"}]},{"code" : "6","display" : "Prescriber Declined Change","definition" : "Consulted prescriber and recommended change, prescriber declined","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16701"},{"code" : "subsumedBy","valueCode" : "5"}]},{"code" : "10","display" : "Provided Patient Education","definition" : "Provided education or training to the patient on appropriate therapy use","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16705"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "11","display" : "Added Concurrent Therapy","definition" : "Instituted an additional therapy to mitigate potential negative effects","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16706"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "12","display" : "Temporarily Suspended Concurrent Therapy","definition" : "Suspended existing therapy that triggered interaction for the duration of this therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16707"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "13","display" : "Stopped Concurrent Therapy","definition" : "Aborted existing therapy that triggered interaction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16708"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "9","display" : "Instituted Ongoing Monitoring Program","definition" : "Arranged to monitor patient for adverse effects","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16704"},{"code" : "subsumedBy","valueCode" : "8"}]},{"code" : "ANF","display" : "adjudicated with adjustments and no financial impact","definition" : "The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19708"},{"code" : "subsumedBy","valueCode" : "AA"}]},{"code" : "TRSTACCRD","display" : "trust accreditation","definition" : "Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23659"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTAGRE","display" : "trust agreement","definition" : "Type of security metadata about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23660"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTASSUR","display" : "trust assurance","definition" : "Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23661"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTCERT","display" : "trust certificate","definition" : "Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23662"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTFWK","display" : "trust framework","definition" : "Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23663"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "TRSTMEC","display" : "trust mechanism","definition" : "Type of security metadata about a security architecture system component that supports enforcement of security policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23664"},{"code" : "subsumedBy","valueCode" : "ActTrustPolicyType"}]},{"code" : "ADALRT","display" : "adult alert","definition" : "Proposed therapy is outside of the standard practice for an adult patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23556"},{"code" : "subsumedBy","valueCode" : "AGE"}]},{"code" : "DOSEHINDA","display" : "High Dose for Age Alert","definition" : "Proposed dosage exceeds standard practice for the patient's age","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17788"},{"code" : "subsumedBy","valueCode" : "AGE"},{"code" : "subsumedBy","valueCode" : "DOSEH"}]},{"code" : "DOSELINDA","display" : "Low Dose for Age Alert","definition" : "Proposed dosage is below suggested therapeutic levels for the patient's age","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17792"},{"code" : "subsumedBy","valueCode" : "AGE"},{"code" : "subsumedBy","valueCode" : "DOSEL"}]},{"code" : "GEALRT","display" : "geriatric alert","definition" : "Proposed therapy is outside of standard practice for a geriatric patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23554"},{"code" : "subsumedBy","valueCode" : "AGE"}]},{"code" : "PEALRT","display" : "pediatric alert","definition" : "Proposed therapy is outside of the standard practice for a pediatric patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23555"},{"code" : "subsumedBy","valueCode" : "AGE"}]},{"code" : "DALG","display" : "Drug Allergy","definition" : "An allergy to a pharmaceutical product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21504"},{"code" : "subsumedBy","valueCode" : "ALG"},{"code" : "subsumedBy","valueCode" : "DINT"}]},{"code" : "EALG","display" : "Environmental Allergy","definition" : "An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21506"},{"code" : "subsumedBy","valueCode" : "ALG"},{"code" : "subsumedBy","valueCode" : "EINT"}]},{"code" : "FALG","display" : "Food Allergy","definition" : "An allergy to a substance generally consumed for nutritional purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21505"},{"code" : "subsumedBy","valueCode" : "ALG"},{"code" : "subsumedBy","valueCode" : "FINT"}]},{"code" : "AMBAIR","display" : "fixed-wing ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "Fixed-wingAmbulance"},{"code" : "internalId","valueCode" : "21554"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "Fixed-wingAmbulance","display" : "fixed-wing ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBAIR"},{"code" : "internalId","valueCode" : "21554"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "AMBGRND","display" : "ground ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "GroundAmbulance"},{"code" : "internalId","valueCode" : "21552"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "GroundAmbulance","display" : "ground ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBGRND"},{"code" : "internalId","valueCode" : "21552"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "AMBHELO","display" : "helicopter ambulance transport","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "HelicopterAmbulance"},{"code" : "internalId","valueCode" : "21553"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "HelicopterAmbulance","display" : "helicopter ambulance transport","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "AMBHELO"},{"code" : "internalId","valueCode" : "21553"},{"code" : "subsumedBy","valueCode" : "AMBT"},{"code" : "subsumedBy","valueCode" : "Ambulance"}]},{"code" : "ACCESSCONSCHEME","display" : "access control scheme","definition" : "An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies.\r\n\r\n*Usage Note:* Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service.\r\n\r\nThere are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also.\r\n\r\nAn access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or \"service\") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996)\r\n\r\n**Examples:** \r\n\r\n *  Attribute Based Access Control (ABAC)\r\n *  Discretionary Access Control (DAC)\r\n *  History Based Access Control (HBAC)\r\n *  Identity Based Access Control (IBAC)\r\n *  Mandatory Access Control (MAC)\r\n *  Organization Based Access Control (OrBAC)\r\n *  Relationship Based Access Control (RelBac)\r\n *  Responsibility Based Access Control (RespBAC)\r\n *  Risk Adaptable Access Control (RAdAC)\r\n\r\n>","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23935"},{"code" : "subsumedBy","valueCode" : "AUTHPOL"}]},{"code" : "COL","display" : "collision coverage policy","definition" : "**Definition:** An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22100"},{"code" : "subsumedBy","valueCode" : "AUTOPOL"}]},{"code" : "UNINSMOT","display" : "uninsured motorist policy","definition" : "**Definition:** An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22101"},{"code" : "subsumedBy","valueCode" : "AUTOPOL"}]},{"code" : "COGN","display" : "cognitive disability information sensitivity","definition" : "Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nExamples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23928"},{"code" : "subsumedBy","valueCode" : "BH"}]},{"code" : "DVD","display" : "developmental disability information sensitivity","definition" : "Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nA diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23929"},{"code" : "subsumedBy","valueCode" : "BH"}]},{"code" : "EMOTDIS","display" : "emotional disturbance information sensitivity","definition" : "Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.\r\n\r\nTypical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23930"},{"code" : "subsumedBy","valueCode" : "BH"}]},{"code" : "AE","display" : "American Express","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14814"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "DN","display" : "Diner's Club","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14815"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "DV","display" : "Discover Card","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14816"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "MC","display" : "Master Card","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14813"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "V","display" : "Visa","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14812"},{"code" : "subsumedBy","valueCode" : "CC"}]},{"code" : "DIAGLISTE","display" : "diagnosis list entry task","definition" : "A clinician enters a diagnosis for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22071"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "DISCHINSTE","display" : "discharge instruction entry","definition" : "A person provides a discharge instruction to a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23628"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "DISCHSUME","display" : "discharge summary entry task","definition" : "A clinician enters a discharge summary for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22069"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "PATEDUE","display" : "patient education entry","definition" : "A person provides a patient-specific education handout to a patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23627"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "PATREPE","display" : "pathology report entry task","definition" : "A pathologist enters a report for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22073"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "PROBLISTE","display" : "problem list entry task","definition" : "A clinician enters a problem for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22070"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "RADREPE","display" : "radiology report entry task","definition" : "A radiologist enters a report for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22072"},{"code" : "subsumedBy","valueCode" : "CLINNOTEE"}]},{"code" : "DISCHSUMREV","display" : "discharge summary review task","definition" : "A person reviews a discharge summary of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22066"},{"code" : "subsumedBy","valueCode" : "CLINNOTEREV"}]},{"code" : "CODE_DEPREC","display" : "code has been deprecated","definition" : "**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21660"},{"code" : "subsumedBy","valueCode" : "CODE_INVAL"}]},{"code" : "ABUSE","display" : "commonly abused/misused alert","definition" : "**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21670"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "FRAUD","display" : "potential fraud","definition" : "**Description:**The request is suspected to have a fraudulent basis.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21669"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "PLYDOC","display" : "Poly-orderer Alert","definition" : "A similar or identical therapy was recently ordered by a different practitioner.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16689"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "PLYPHRM","display" : "Poly-supplier Alert","definition" : "This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009"},"value" : "Poly-pharmacy Alert"}],"property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16690"},{"code" : "subsumedBy","valueCode" : "COMPLY"}]},{"code" : "ACOCOMPT","display" : "accountable care organization compartment","definition" : "A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group.\r\n\r\nSecurity Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23880"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "CDSSCOMPT","display" : "CDS system compartment","definition" : "This compartment code may be used as a field value in an initiator's clearance to indicate permission for its Clinical Decision Support system (CDSS) to access and use an IT Resource with a security label having the same compartment value in the security category label field.\r\n\r\nThis code permits a CDS system to algorithmically process information with this compartment tag for the purpose of alerting an unauthorized end user that masked information is needed to address an emergency or a patient safety issue, such as a contraindicated medication. The alert would advise the end user to \"break the glass\", to access the masked information in an accountable manner, or to ask the patient about possibly masked information.\r\n\r\nFor example, releasing a list of sensitive medications with this compartment tag means that while the CDS system is permitted to use this list in its contraindication analysis, this sensitive information should not be shared directly with unauthorized end-users or end-user-facing Apps. Based on the results of the CDS system analysis (e.g., warnings about prescriptions) the end-user (e.g., a clinician) may still have the ability to access to the sensitive information by invoking \"break-the-glass protocol\".\r\n\r\n*Usage Note:* A security label with the CDS system compartment may be used in conjunction with other security labels, e.g., a label authorizing an end user with adequate clearance to access the same CDS system compartment tagged information. For example, a patient may restrict sharing sensitive information with most care team members except in an emergency or to prevent an adverse event, and may consent to sharing with their sensitive service care team providers, e.g., for mental health or substance abuse.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24132"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "CTCOMPT","display" : "care team compartment","definition" : "Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses.\r\n\r\nSecurity Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23878"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "FMCOMPT","display" : "financial management compartment","definition" : "Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows.\r\n\r\nSecurity Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23881"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "HRCOMPT","display" : "human resource compartment","definition" : "A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23580"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "LRCOMPT","display" : "legitimate relationship compartment","definition" : "Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses.\r\n\r\nSecurity Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23879"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "PACOMPT","display" : "patient administration compartment","definition" : "Patient administration members who have access to healthcare consumer information as part of a patient administration workflows.\r\n\r\nSecurity Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23882"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "RESCOMPT","display" : "research project compartment","definition" : "A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23578"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "RMGTCOMPT","display" : "records management compartment","definition" : "A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23579"},{"code" : "subsumedBy","valueCode" : "COMPT"}]},{"code" : "HGHT","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17795"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "LACT","display" : "Lactation Alert","definition" : "Proposed therapy may be inappropriate or contraindicated when breast-feeding","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16667"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "PREG","display" : "Pregnancy Alert","definition" : "Proposed therapy may be inappropriate or contraindicated during pregnancy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16666"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "WGHT","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17794"},{"code" : "subsumedBy","valueCode" : "COND"}]},{"code" : "INTOLIST","display" : "intolerance list","definition" : "List of intolerance observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19982"},{"code" : "subsumedBy","valueCode" : "CONDLIST"}]},{"code" : "PROBLIST","display" : "problem list","definition" : "List of problem observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19980"},{"code" : "subsumedBy","valueCode" : "CONDLIST"}]},{"code" : "RISKLIST","display" : "risk factors","definition" : "List of risk factor observations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19983"},{"code" : "subsumedBy","valueCode" : "CONDLIST"}]},{"code" : "CONTROLLED","display" : "CONTROLLED","definition" : "A displayed mark, required to be rendered as \"CONTROLLED\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24053"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUI","display" : "CUI","definition" : "A displayed mark, required to be rendered as \"CUI\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24054"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIHLTH","display" : "CUI//HLTH","definition" : "A displayed mark, required to be rendered as \"CUI//HLTH\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24055"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIHLTHP","display" : "(CUI//HLTH)","definition" : "A displayed mark, required to be rendered as \"(CUI//HLTH)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24056"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIP","display" : "(CUI)","definition" : "A displayed mark, required to be rendered as \"(CUI)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24057"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIPRVCY","display" : "CUI//PRVCY","definition" : "A displayed mark, required to be rendered as \"CUI//PRVCY\", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24058"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUIPRVCYP","display" : "(CUI//PRVCY)","definition" : "A displayed mark, required to be rendered as \"(CUI//PRVCY)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24059"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-HLTH","display" : "CUI//SP-HLTH","definition" : "A displayed mark, required to be rendered as \"CUI//SP-HLTH\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24060"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-HLTHP","display" : "(CUI//SP-HLTH)","definition" : "A displayed mark, required to be rendered as \"(CUI//SP-HLTH)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24061"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-PRVCY","display" : "CUI//SP-PRVCY","definition" : "A displayed mark, required to be rendered as \"CUI//SP-PRVCY\", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Specified marking is OMB M-17-12ï‡? This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\\_0.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24062"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CUISP-PRVCYP","display" : "(CUI//SP-PRVCY)","definition" : "A displayed mark, required to be rendered as \"(CUI//SP-PRVCY)\", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.\r\n\r\n*Usage Note:* Examples of privacy regulation governing CUI Specified marking is OMB M-17-12ï‡? This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\\_0.pdf.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24063"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "UUI","display" : "(U)","definition" : "A displayed mark, required to be rendered as \"(U)\", indicating that a portion of an electronic or hardcopy information is neither Executive Order 13556 nor classified information authorities cover as protected. Although this information is not controlled or classified, agencies must still handle it in accordance with Federal Information Security Modernization Act (FISMA) requirements. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html\r\n\r\n*Usage Note:* Regulatory Source: 32 CFR §  2002.20 Marking. Federal Register Page 63344 63344 (ii) Authorized holders permitted to designate CUI must portion mark both CUI and uncontrolled unclassified portions.\r\n\r\nCUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf\r\n\r\nCUI Portion Marking: Portion marking of CUI is optional in a fully unclassified document, but is permitted and encouraged to facilitate information sharing and proper handling of the information. Agency heads may approve the required use of CUI Portion marking on all CUI generated within their agency. As such, users should consult their agency CUI policy when creating CUI documents. When CUI Portion Markings are used and a portion does not contain CUI a \"U\" is placed in parentheses to indicate that the portion contains Uncontrolled Unclassified Information. (Page 14)\r\n\r\nCUI Portion Markings are placed at the beginning of the portion to which they apply and must be used throughout the entire document. They are presented in all capital letters and separated as indicated in this handbook and the CUI Registry. The presence of EVEN ONE item of CUI in a document requires CUI marking of that document. Because of this, CUI Portion Markings can be of great assistance in determining if a document contains CUI and therefore must be marked as such. Remember: When portion markings are used and any portion does not contain CUI, a \"(U)\" is placed in front of that portion to indicate that it contains Uncontrolled - or non-CUI - Unclassified Information. (Page 15)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24064"},{"code" : "subsumedBy","valueCode" : "ControlledUnclassifiedInformation"}]},{"code" : "CPLYCC","display" : "comply with confidentiality code","definition" : "Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.\r\n\r\n*Usage Note:* CPLYCC may be used as a security label code to inform senders and receivers of information tagged with a Confidentiality Code to comply with applicable level of protection required by the assigned confidentiality code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23378"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYCD","display" : "comply with consent directive","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.\r\n\r\n*Usage Note:* CPLYCD may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType\\_ActConsent code or an ActCode\\_ActPolicyType\\_ActPrivacyPolicy\\_ActConsentDirective code to comply with applicable consent directives.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23379"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYCUI","display" : "comply with controlled unclassified information policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable Controlled Unclassified Information (CUI) policies associated with the target information.\r\n\r\n*Usage Note:* In the US, CPLYCUI may be used as a security label code to inform recipients of information designated by a US Federal Agency as Controlled Unclassified Information (CUI) to comply with the applicable laws, regulations, executive orders, and other guidances, such as included in DURSAs, to persist, mark, and enforce required CUI controls\r\n\r\nBackground:\r\n\r\nIn accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI).\r\n\r\nThe following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html\r\n\r\n *  CUI is defined as \"information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls.\"\r\n *  Designating CUI occurs when an authorized holder, consistent with 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory.\r\n *  The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI.\r\n *  The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information.\r\n *  • Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency.\r\n\r\nOnce designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook.\r\n\r\nCUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems.\r\n\r\nWhen HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings.\r\n\r\n**Impact of CUI markings:**\r\n\r\nCUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings.\r\n\r\nFor most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf\r\n\r\nFederal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies.\r\n\r\nApplicable CUI policies include the following and any future applicable updates to policies or laws related to CUI:\r\n\r\n *  Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information\r\n *  US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf\r\n *  NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf\r\n *  NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A\r\n *  CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf\r\n *  CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info\r\n *  CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination\r\n *  CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24131"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYJPP","display" : "comply with jurisdictional privacy policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.\r\n\r\n*Usage Note:* CPLYJPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType\\_ActPrivacyPolicy\\_ActPrivacyLaw code or an ActCode\\_ActPolicyType\\_ActInformationPolicy.JurisIP code to comply with applicable jurisdictional privacy policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23380"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYJSP","display" : "comply with jurisdictional security policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional security policies associated with the target information.\r\n\r\n*Usage Note:* CPLYJSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType.SecurityPolicy code to comply with applicable jurisdictional security policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24130"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYOPP","display" : "comply with organizational privacy policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.\r\n\r\n*Usage Note:* CPLYOPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType\\_ActInformationPolicy.OrgIP code to comply with applicable organizational privacy policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23381"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "CPLYOSP","display" : "comply with organizational security policy","definition" : "Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.\r\n\r\n*Usage Note:* CPLYOSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\\_ActPolicyType.SecurityPolicy code to comply with applicable organizational security policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23382"},{"code" : "subsumedBy","valueCode" : "CPLYPOL"}]},{"code" : "_DEADrugSchedule","display" : "DEADrugSchedule","definition" : "DEA schedule for a drug.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20913"},{"code" : "subsumedBy","valueCode" : "CTLSUB"}]},{"code" : "BR","display" : "breikost (GE)","definition" : "A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10379"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "DM","display" : "diabetes mellitus diet","definition" : "A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10383"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "FAST","display" : "fasting","definition" : "No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10382"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "FORMULA","display" : "formula diet","definition" : "A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23529"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "GF","display" : "gluten free","definition" : "Gluten free diet for celiac disease.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10390"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LF","display" : "low fat","definition" : "A diet low in fat, particularly to patients with hepatic diseases.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10386"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LP","display" : "low protein","definition" : "A low protein diet for patients with renal failure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10389"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LQ","display" : "liquid","definition" : "A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10380"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "LS","display" : "low sodium","definition" : "A diet low in sodium for patients with congestive heart failure and/or renal failure.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10388"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "N","display" : "normal diet","definition" : "A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10377"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "NF","display" : "no fat","definition" : "A no fat diet for acute hepatic diseases.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10387"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "PAF","display" : "phenylalanine free","definition" : "Phenylketonuria diet.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10391"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "PAR","display" : "parenteral","definition" : "Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10385"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "RD","display" : "reduction diet","definition" : "A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10384"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "SCH","display" : "schonkost (GE)","definition" : "A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10378"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "SUPPLEMENT","display" : "nutritional supplement","definition" : "A diet that is not intended to be complete but is added to other diets.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23530"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "T","display" : "tea only","definition" : "This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10381"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "VLI","display" : "low valin, leucin, isoleucin","definition" : "Diet with low content of the amino-acids valin, leucin, and isoleucin, for \"maple syrup disease.\"","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10392"},{"code" : "subsumedBy","valueCode" : "DIET"}]},{"code" : "AUTO-HIGH","display" : "Auto-High Dilution","definition" : "The dilution of a sample performed by automated equipment. The value is specified by the equipment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13958"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "AUTO-LOW","display" : "Auto-Low Dilution","definition" : "The dilution of a sample performed by automated equipment. The value is specified by the equipment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13959"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "PRE","display" : "Pre-Dilution","definition" : "The dilution of the specimen made prior to being loaded onto analytical equipment","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13961"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "RERUN","display" : "Rerun Dilution","definition" : "The value of the dilution of a sample after it had been analyzed at a prior dilution value","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13960"},{"code" : "subsumedBy","valueCode" : "DILUTION"}]},{"code" : "DNAINT","display" : "Drug Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21507"},{"code" : "subsumedBy","valueCode" : "DINT"},{"code" : "subsumedBy","valueCode" : "NAINT"}]},{"code" : "CANPRG","display" : "women's cancer detection program","definition" : "**Definition:** A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages.\r\n\r\n**Example:** To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22134"},{"code" : "subsumedBy","valueCode" : "DISEASEPRG"}]},{"code" : "ENDRENAL","display" : "end renal program","definition" : "**Definition:** A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.\r\n\r\nExample: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22135"},{"code" : "subsumedBy","valueCode" : "DISEASEPRG"}]},{"code" : "HIVAIDS","display" : "HIV-AIDS program","definition" : "**Definition:** Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.\r\n\r\n**Example:** In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22136"},{"code" : "subsumedBy","valueCode" : "DISEASEPRG"}]},{"code" : "DOSECOND","display" : "dosage-condition alert","definition" : "**Description:**Proposed dosage is inappropriate due to patient's medical condition.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21671"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEDUR","display" : "Dose-Duration Alert","definition" : "Proposed length of therapy differs from standard practice.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16684"},{"code" : "subsumedBy","valueCode" : "DOSE"}]},{"code" : "DOSEH","display" : "High 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(e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16210"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "FFP","display" : "First Fill - Part Fill","definition" : "A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16211"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "FFPS","display" : "first fill, part fill, partial strength","definition" : "A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21817"},{"code" : "subsumedBy","valueCode" : "FF"},{"code" : "subsumedBy","valueCode" : "FFS"},{"code" : "subsumedBy","valueCode" : "FFSS"}]},{"code" : "FFSS","display" : "first fill, partial strength","definition" : "A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23017"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "TF","display" : "Trial Fill","definition" : "A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16212"},{"code" : "subsumedBy","valueCode" : "FF"}]},{"code" : "FFCS","display" : "first fill complete, partial strength","definition" : "A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21816"},{"code" : "subsumedBy","valueCode" : "FFC"},{"code" : "subsumedBy","valueCode" : "FFS"},{"code" : "subsumedBy","valueCode" : "FFSS"}]},{"code" : "TFS","display" : "trial fill partial strength","definition" : "A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21818"},{"code" : "subsumedBy","valueCode" : "FFS"},{"code" : "subsumedBy","valueCode" : "FFSS"},{"code" : "subsumedBy","valueCode" : "TF"}]},{"code" : "FNAINT","display" : "Food Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21508"},{"code" : "subsumedBy","valueCode" : "FINT"},{"code" : "subsumedBy","valueCode" : "NAINT"}]},{"code" : "NOTACTN","display" : "no longer actionable","definition" : "**Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22840"},{"code" : "subsumedBy","valueCode" : "FULFIL"}]},{"code" : "NOTEQUIV","display" : "not equivalent alert","definition" : "**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22841"},{"code" : "subsumedBy","valueCode" : "FULFIL"}]},{"code" : "TIMING","display" : "event timing incorrect alert","definition" : "**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22844"},{"code" : "subsumedBy","valueCode" : "FULFIL"}]},{"code" : "BOOSTER","display" : "Booster Immunization","definition" : "An additional immunization administration within a series intended to bolster or enhance immunity.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21521"},{"code" : "subsumedBy","valueCode" : "IMMUNIZ"}]},{"code" : "INITIMMUNIZ","display" : "Initial Immunization","definition" : "The first immunization administration in a series intended to produce immunity","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21520"},{"code" : "subsumedBy","valueCode" : "IMMUNIZ"}]},{"code" : "ACUTE","display" : "inpatient acute","definition" : "An acute inpatient encounter.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13956"},{"code" : "subsumedBy","valueCode" : "IMP"}]},{"code" : "NONAC","display" : "inpatient non-acute","definition" : "Any category of inpatient encounter except 'acute'","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16238"},{"code" : "subsumedBy","valueCode" : "IMP"}]},{"code" : "INFAO","display" : "access only","definition" : "**Definition:** Consent to access or \"read\" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be.\r\n\r\n**Example:** Opened and then emailed or screen printed for use outside of the consent directive purpose.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22201"},{"code" : "subsumedBy","valueCode" : "INFA"}]},{"code" : "INFASO","display" : "access and save only","definition" : "**Definition:** Consent to access and save only, which entails that access to the saved copy will remain locked.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22202"},{"code" : "subsumedBy","valueCode" : "INFA"}]},{"code" : "INFCON","display" : "after explicit consent","definition" : "Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22334"},{"code" : "subsumedBy","valueCode" : "INFAUT"}]},{"code" : "FIBRIN","display" : "Fibrin","definition" : "The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14386"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "HEMOLYSIS","display" : "Hemolysis","definition" : "An observation of the hemolysis index of the specimen in g/L","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14383"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "ICTERUS","display" : "Icterus","definition" : "An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14385"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "LIPEMIA","display" : "Lipemia","definition" : "An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14384"},{"code" : "subsumedBy","valueCode" : "INTFR"}]},{"code" : "IPPOP","display" : "initial patient population","definition" : "Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23548"},{"code" : "subsumedBy","valueCode" : "IPOP"}]},{"code" : "_ActAdministrativeDetectedIssueCode","display" : "ActAdministrativeDetectedIssueCode","definition" : "Identifies types of detectyed issues for Act class \"ALRT\" for the administrative and patient administrative acts domains.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20854"},{"code" : "subsumedBy","valueCode" : "ISSUE"}]},{"code" : "_ActSuppliedItemDetectedIssueCode","display" : "ActSuppliedItemDetectedIssueCode","definition" : "Identifies types of detected issues regarding the administration or supply of an item to a patient.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "rim-ClassifiesClassCode","valueCoding" : {"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass","code" : "ALRT"}},{"code" : "internalId","valueCode" : "20907"},{"code" : "subsumedBy","valueCode" : "ISSUE"}]},{"code" : "_ActFinancialDetectedIssueCode","display" : "ActFinancialDetectedIssueCode","definition" : "Identifies types of detected issues for Act class \"ALRT\" for the financial acts domain.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "20870"},{"code" : "subsumedBy","valueCode" : "ISSUE"}]},{"code" : "_ClinicalActionDetectedIssueCode","display" : "ClinicalActionDetectedIssueCode","definition" : "Identifies types of issues detected regarding the performance of a clinical action on a patient.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20911"},{"code" : "subsumedBy","valueCode" : "ISSUE"}],"concept" : [{"code" : "CAREGAP","display" : "Caregap","definition" : "Identifies the type of detected issue is a care gap","property" : [{"code" : "internalId","valueCode" : "120911"},{"code" : "status","valueCode" : "active"},{"code" : "subsumedBy","valueCode" : "_ClinicalActionDetectedIssueCode"}]},{"code" : "CODINGGAP","display" : "Codinggap","definition" : "Identifies the type of detected issue is a risk adjustment coding gap","property" : [{"code" : "internalId","valueCode" : "1120911"},{"code" : "status","valueCode" : "active"},{"code" : "subsumedBy","valueCode" : "_ClinicalActionDetectedIssueCode"}]}]},{"code" : "JurisCUI","display" : "jurisdictional controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of controlled unclassified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24075"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisDEID","display" : "jurisdictional de-identified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24076"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisLDS","display" : "jurisdictional limited data set","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24077"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisNSI","display" : "jurisdictional non-sensitive information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24078"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisPI","display" : "jurisdictional public information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed public by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24079"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisSP-CUI","display" : "jurisdictional specified controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24080"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "JurisUUI","display" : "jurisdictional uncontrolled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24081"},{"code" : "subsumedBy","valueCode" : "JurisIP"}]},{"code" : "LEN_LONG","display" : "length is too long","definition" : "**Description:**The length of the data specified is greater than the maximum length defined for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21658"},{"code" : "subsumedBy","valueCode" : "LEN_RANGE"}]},{"code" : "LEN_SHORT","display" : "length is too short","definition" : "**Description:**The length of the data specified is less than the minimum length defined for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21657"},{"code" : "subsumedBy","valueCode" : "LEN_RANGE"}]},{"code" : "ANNU","display" : "annuity policy","definition" : "**Definition:** A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.\r\n\r\nFor example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22118"},{"code" : "subsumedBy","valueCode" : "LIFE"}]},{"code" : "TLIFE","display" : "term life insurance policy","definition" : "**Definition:** Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22116"},{"code" : "subsumedBy","valueCode" : "LIFE"}]},{"code" : "ULIFE","display" : "universal life insurance policy","definition" : "**Definition:** Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22117"},{"code" : "subsumedBy","valueCode" : "LIFE"}]},{"code" : "RENT","display" : "Rent","definition" : "Temporary supply of a product with financial compensation, without transfer of ownership for the product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17962"},{"code" : "subsumedBy","valueCode" : "LOAN"}]},{"code" : "HMO","display" : "health maintenance organization policy","definition" : "**Definition:** A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22110"},{"code" : "subsumedBy","valueCode" : "MCPOL"}]},{"code" : "PPO","display" : "preferred provider organization policy","definition" : "**Definition:** A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a \"preferred\" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22112"},{"code" : "subsumedBy","valueCode" : "MCPOL"}]},{"code" : "MDHHS-5515MMHC","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-Michigan Mental Health Code","definition" : "The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health governed by the Michigan Mental Health Code Act 258 of 1974, which require patient authorization for purposes other than treatment, payment, and coordination of care, in accordance with Public Act 129 of 2014.\r\n\r\n*Usage Note:* For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\\_2941\\_58005-343686--,00.html","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24134"},{"code" : "subsumedBy","valueCode" : "MDHHS-5515"}]},{"code" : "MDHHS-5515Part2","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-US 42 CFR Part 2","definition" : "The State of Michigan standard privacy consent form for sharing of health information specific to substance use information governed under US 42 CFR Part 2 in accordance with Public Act 129 of 2014.\r\n\r\n*Usage Note:* For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\\_2941\\_58005-343686--,00.html","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24133"},{"code" : "subsumedBy","valueCode" : "MDHHS-5515"}]},{"code" : "CURMEDLIST","display" : "current medication list","definition" : "List of current medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19977"},{"code" : "subsumedBy","valueCode" : "MEDLIST"}]},{"code" : "DISCMEDLIST","display" : "discharge medication list","definition" : "List of discharge medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19979"},{"code" : "subsumedBy","valueCode" : "MEDLIST"}]},{"code" : "HISTMEDLIST","display" : "medication history","definition" : "Historical list of medications.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19978"},{"code" : "subsumedBy","valueCode" : "MEDLIST"}]},{"code" : "MICROORGRREV","display" : "microbiology organisms results review task","definition" : "A person reviews organisms of microbiology results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22057"},{"code" : "subsumedBy","valueCode" : "MICRORREV"}]},{"code" : "MICROSENSRREV","display" : "microbiology sensitivity test results review task","definition" : "A person reviews the sensitivity test of microbiology results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22058"},{"code" : "subsumedBy","valueCode" : "MICRORREV"}]},{"code" : "MARWLREV","display" : "medication administration record work list review task","definition" : "A clinician reviews a work list of medications to be administered to a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22054"},{"code" : "subsumedBy","valueCode" : "MLREV"}]},{"code" : "NOTEQUIVGEN","display" : "not generically equivalent alert","definition" : "**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22843"},{"code" : "subsumedBy","valueCode" : "NOTEQUIV"}]},{"code" : "NOTEQUIVTHER","display" : "not therapeutically equivalent alert","definition" : "**Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22842"},{"code" : "subsumedBy","valueCode" : "NOTEQUIV"}]},{"code" : "ANONY","display" : "anonymize","definition" : "Custodian system must remove any information that could result in identifying the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23374"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AOD","display" : "accounting of disclosure","definition" : "Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual's protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23373"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AUDIT","display" : "audit","definition" : "Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23375"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AUDTR","display" : "audit trail","definition" : "Custodian system must monitor and maintain retrievable log for each user and operation on information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23376"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "CPLYPOL","display" : "comply with policy","definition" : "Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.\r\n\r\n*Usage Note:* CPLYPOL may be used as a security label code to inform senders and receivers of the tagged information to comply with applicable policy without specifying the specific policy type(s).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23377"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DECLASSIFYLABEL","display" : "declassify security label","definition" : "Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23751"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DEID","display" : "deidentify","definition" : "Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23383"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DELAU","display" : "delete after use","definition" : "Custodian system must remove target information from access after use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23384"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DOWNGRDLABEL","display" : "downgrade security label","definition" : "Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23752"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "DRIVLABEL","display" : "derive security label","definition" : "Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23749"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "ENCRYPT","display" : "encrypt","definition" : "Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext.\r\n\r\n*Usage Notes:* A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all.  (Per Infoway.)"},{"code" : "internalId","valueCode" : "23385"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "HUAPRV","display" : "human approval","definition" : "Custodian system must require human review and approval for permission requested.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23391"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "LABEL","display" : "assign security label","definition" : "Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.\r\n\r\n*Usage Note:* In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23748"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "MASK","display" : "mask","definition" : "Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or \"shared secret\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23389"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "MINEC","display" : "minimum necessary","definition" : "Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use.\r\n\r\n*Usage Note:* Limiting the information available for access and disclosure to that an authorized user or receiver \"needs to know\" in order to perform permitted workflow or purpose of use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23574"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PERSISTLABEL","display" : "persist security label","definition" : "Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23750"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PRIVMARK","display" : "privacy mark","definition" : "Custodian must create and/or maintain human readable security label tags as required by policy.\r\n\r\nMap: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: \"If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label.\"","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23575"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PSEUD","display" : "pseudonymize","definition" : "Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23392"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "REDACT","display" : "redact","definition" : "Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23390"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "UPGRDLABEL","display" : "upgrade security label","definition" : "Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23753"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "PROCESSINLINELABEL","display" : "process inline security label","definition" : "Custodian security system must take note that the data object contains inline security labels and process them.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23850"},{"code" : "subsumedBy","valueCode" : "ObligationPolicy"}]},{"code" : "AGE","display" : "Age Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to patient age","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16669"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "COND","display" : "Condition Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16665"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "CREACT","display" : "common reaction alert","definition" : "**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.\r\n\r\n**Example:**There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21666"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "GEN","display" : "Genetic Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16671"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "GEND","display" : "Gender Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to patient gender.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16670"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "LAB","display" : "Lab Alert","definition" : "Proposed therapy may be inappropriate or contraindicated due to recent lab test results","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16668"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "REACT","display" : "Reaction Alert","definition" : "Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16672"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "RREACT","display" : "Related Reaction Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16676"},{"code" : "subsumedBy","valueCode" : "OBSA"}]},{"code" : "LABOE","display" : "laboratory test order entry task","definition" : "A clinician creates a request for a laboratory test to be done for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22049"},{"code" : "subsumedBy","valueCode" : "OE"}]},{"code" : "MEDOE","display" : "medication order entry task","definition" : "A clinician creates a request for the administration of one or more medications to a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22050"},{"code" : "subsumedBy","valueCode" : "OE"}]},{"code" : "ALG","display" : "Allergy","definition" : "Hypersensitivity to an agent caused by an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21499"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "DINT","display" : "Drug Intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to a drug.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21501"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "EINT","display" : "Environmental Intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21503"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "FINT","display" : "Food Intolerance","definition" : "Hypersensitivity resulting in an adverse reaction upon exposure to food.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21502"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "NAINT","display" : "Non-Allergy Intolerance","definition" : "Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21500"},{"code" : "subsumedBy","valueCode" : "OINT"}]},{"code" : "OrgCUI","display" : "organizational basic controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of basic controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24067"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgDEID","display" : "organizational de-identified informati)on policy","definition" : "Organizational policy on collection, access, use, or disclosure of de-identified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24068"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgLDS","display" : "organizational limited data set information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information in a limited data set as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24069"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgNSI","display" : "organizational non-sensitive information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24070"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgPI","display" : "organizational public information policy","definition" : "Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24071"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgSP-CUI","display" : "organizational specified controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24072"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "OrgUUI","display" : "organizational uncontrolled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by the organization or governing jurisdiction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24073"},{"code" : "subsumedBy","valueCode" : "OrgIP"}]},{"code" : "ALLERLREV","display" : "allergy list review","definition" : "**Description:** A person reviews a list of known allergies of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23268"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "CLINNOTEE","display" : "clinical note entry task","definition" : "A clinician enters a clinical note about a given patient","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22068"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "IMMLREV","display" : "immunization list review","definition" : "**Description:** A person reviews a list of immunizations due or received for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23269"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "REMLREV","display" : "reminder list review","definition" : "**Description:** A person reviews a list of health care reminders for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23270"},{"code" : "subsumedBy","valueCode" : "PATDOC"}]},{"code" : "ALLERLE","display" : "allergy list entry","definition" : "**Description:** A person enters a known allergy for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23264"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "CDSREV","display" : "clinical decision support intervention review","definition" : "A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23429"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "CLINNOTEREV","display" : "clinical note review task","definition" : "A person reviews a clinical note of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22065"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "DIAGLISTREV","display" : "diagnosis list review task","definition" : "A person reviews a list of diagnoses of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22060"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "IMMLE","display" : "immunization list entry","definition" : "**Description:** A person enters an immunization due or received for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23265"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "LABRREV","display" : "laboratory results review task","definition" : "A person reviews a list of laboratory results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22055"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "MICRORREV","display" : "microbiology results review task","definition" : "A person reviews a list of microbiology results of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22056"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "MLREV","display" : "medication list review task","definition" : "A person reviews a list of medication orders submitted to a given patient","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22053"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "OREV","display" : "orders review task","definition" : "A person reviews a list of orders submitted to a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22052"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "PATREPREV","display" : "pathology report review task","definition" : "A person reviews a pathology report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22062"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "PROBLISTREV","display" : "problem list review task","definition" : "A person reviews a list of problems of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22059"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "RADREPREV","display" : "radiology report review task","definition" : "A person reviews a radiology report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22061"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "REMLE","display" : "reminder list entry","definition" : "**Description:** A person enters a health care reminder for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23266"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "RISKASSESS","display" : "risk assessment instrument task","definition" : "A person reviews a Risk Assessment Instrument report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22063"},{"code" : "subsumedBy","valueCode" : "PATINFO"}]},{"code" : "PATPREFALT","display" : "violates stated preferences, alternate available","definition" : "**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22836"},{"code" : "subsumedBy","valueCode" : "PATPREF"}]},{"code" : "PersDEID","display" : "personal de-identified information policy","definition" : "Personal policy on collection, access, use, or disclosure of de-identified information as defined by the information subject or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24083"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "PersLDS","display" : "personal limited data set information policy","definition" : "Personal policy personal policy on collection, access, use, or disclosure of information in a limited data set by the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24085"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "PersNSI","display" : "personal non-sensitive information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24084"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "PersPI","display" : "personal public information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed public by the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24086"},{"code" : "subsumedBy","valueCode" : "PersIP"}]},{"code" : "ControlledUnclassifiedInformation","display" : "ControlledUnclassifiedInformation","definition" : "Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls. However, CUI does not include classified information (see definition above) or information a non-executive branch entity possesses and maintains in its own systems that did not come from, or was not created or possessed by or for, an executive branch agency or an entity acting for an agency. Law, regulation, or Government-wide policy may require or permit safeguarding or dissemination controls in three ways: Requiring or permitting agencies to control or protect the information but providing no specific controls, which makes the information CUI Basic; requiring or permitting agencies to control or protect the information and providing specific controls for doing so, which makes the information CUI Specified; or requiring or permitting agencies to control the information and specifying only some of those controls, which makes the information CUI Specified, but with CUI Basic controls where the authority does not specify. Based on CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html .\r\n\r\n*Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. For definitions of key terms see CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24052"},{"code" : "subsumedBy","valueCode" : "PrivacyMark"}]},{"code" : "SecurityLabelMark","display" : "Security Label Mark","definition" : "An abstract code for displayed Security Label tags.\r\n\r\n*Usage Note:* These marks may be based on any of the HL7 Security Labeling related codes from various code systems and values sets, which are organized according to the HL7 Privacy and Security Classification System into HL7 Security Observation Type Named Tag Sets and valued with codes associated with the HL7 Security Observation Value Tag Set Names.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24046"},{"code" : "subsumedBy","valueCode" : "PrivacyMark"}]},{"code" : "CUIMark","display" : "CUI Mark","definition" : "An originator must mark, persist, display, and convey computable and renderable Controlled Unclassified Information (CUI) marks as required by policy. A recipient must consume, persist, display, and reconvey CUI marks on information received based on agreements with the originator..\r\n\r\n**Examples:** \r\n\r\n *  As CUI custodians, Federal Agencies and their contractors must mark, persist, display, and convey these marks.\r\n *  All CUI receivers must consume, persist, display, and reconvey CUI markings on information further disclosed\r\n\r\n*Usage Note:* \r\n\r\nIn accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI).\r\n\r\nThe following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html\r\n\r\n *  CUI is defined as \"information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls\"\r\n *  Designating CUI occurs when an authorized holder, consistent with US 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory.\r\n *  The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI.\r\n *  The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information.\r\n *  Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency.\r\n\r\nOnce designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook.\r\n\r\nCUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems.\r\n\r\nWhen HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings.\r\n\r\n**Impact of CUI markings:**\r\n\r\nCUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings.\r\n\r\nFor most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf\r\n\r\nFederal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies.\r\n\r\nApplicable CUI policies include the following and any future applicable updates to policies or laws related to CUI:\r\n\r\n *  Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information\r\n *  US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf\r\n *  NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf\r\n *  NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A\r\n *  CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf\r\n *  CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info\r\n *  CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination\r\n *  CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24129"},{"code" : "subsumedBy","valueCode" : "PRIVMARK"}]},{"code" : "DENTPRG","display" : "dental program","definition" : "**Definition:** A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22131"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "DISEASEPRG","display" : "public health program","definition" : "**Definition:** A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease.\r\n\r\n**Example:** Reproductive health, sexually transmitted disease, and end renal disease programs.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22133"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "MANDPOL","display" : "mandatory health program","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22149"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "MENTPRG","display" : "mental health program","definition" : "**Definition:** Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.\r\n\r\n**Example:** In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22141"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "SAFNET","display" : "safety net clinic program","definition" : "**Definition:** Government administered and funded program to support provision of care to underserved populations through safety net clinics.\r\n\r\n**Example:** In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22142"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "SUBPRG","display" : "substance use program","definition" : "**Definition:** Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.\r\n\r\n**Example:** In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22143"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "SUBSIDIZ","display" : "subsidized health program","definition" : "**Definition:** A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22137"},{"code" : "subsumedBy","valueCode" : "PUBLICPOL"}]},{"code" : "ALGY","display" : "Allergy Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16674"},{"code" : "subsumedBy","valueCode" : "REACT"}]},{"code" : "INT","display" : "Intolerance Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16673"},{"code" : "subsumedBy","valueCode" : "REACT"}]},{"code" : "NOAUTH","display" : "no disclosure without subject authorization","definition" : "Prohibition on disclosure without information subject's authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23394"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOCOLLECT","display" : "no collection","definition" : "Prohibition on collection or storage of the information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23395"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NODSCLCD","display" : "no disclosure without consent directive","definition" : "Prohibition on disclosure without organizational approved patient restriction.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23396"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NODSCLCDS","display" : "no disclosure without information subject's consent directive","definition" : "Prohibition on disclosure without a consent directive from the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23629"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOINTEGRATE","display" : "no integration","definition" : "Prohibition on Integration into other records.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23397"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOLIST","display" : "no unlisted entity disclosure","definition" : "Prohibition on disclosure except to entities on specific access list.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23398"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOMOU","display" : "no disclosure without MOU","definition" : "Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23399"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOORGPOL","display" : "no disclosure without organizational authorization","definition" : "Prohibition on disclosure without organizational authorization.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23400"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOPAT","display" : "no disclosure to patient, family or caregivers without attending provider's authorization","definition" : "Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.\r\n\r\n*Usage Note:* The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.\r\n\r\nMaps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance.\r\n\r\nFHIR print name is \"keep information from patient\". Maps to the French realm - code: INVISIBLE\\_PATIENT.\r\n\r\n *  displayName: Document non visible par le patient\r\n *  codingScheme: 1.2.250.1.213.1.1.4.13\r\n\r\nFrench use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23657"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOPERSISTP","display" : "no collection beyond purpose of use","definition" : "Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23401"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSCLCD","display" : "no redisclosure without consent directive","definition" : "Prohibition on redisclosure without patient consent directive.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "NORDSLCD"},{"code" : "internalId","valueCode" : "23402"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSLCD","display" : "no redisclosure without consent directive","definition" : "Prohibition on redisclosure without patient consent directive.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "NORDSCLCD"},{"code" : "internalId","valueCode" : "23402"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSCLCDS","display" : "no redisclosure without information subject's consent directive","definition" : "Prohibition on redisclosure without a consent directive from the information subject.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23630"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORDSCLW","display" : "no disclosure without jurisdictional authorization","definition" : "Prohibition on disclosure without authorization under jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23403"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NORELINK","display" : "no relinking","definition" : "Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23404"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOREUSE","display" : "no reuse beyond purpose of use","definition" : "Prohibition on use of the information beyond the purpose of use initially authorized.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23405"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "NOVIP","display" : "no unauthorized VIP disclosure","definition" : "Prohibition on disclosure except to principals with access permission to specific VIP information.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23406"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "ORCON","display" : "no disclosure without originator authorization","definition" : "Prohibition on disclosure except as permitted by the information originator.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23407"},{"code" : "subsumedBy","valueCode" : "RefrainPolicy"}]},{"code" : "WELLREMLE","display" : "wellness reminder list entry","definition" : "**Description:** A person enters a wellness or preventive care reminder for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23267"},{"code" : "subsumedBy","valueCode" : "REMLE"}]},{"code" : "WELLREMLREV","display" : "wellness reminder list review","definition" : "**Description:** A person reviews a list of wellness or preventive care reminders for a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23271"},{"code" : "subsumedBy","valueCode" : "REMLREV"}]},{"code" : "MAXOCCURS","display" : "repetitions above maximum","definition" : "**Description:**The number of repeating elements is above the maximum number of repetitions allowed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21664"},{"code" : "subsumedBy","valueCode" : "REP_RANGE"}]},{"code" : "MINOCCURS","display" : "repetitions below minimum","definition" : "**Description:**The number of repeating elements is below the minimum number of repetitions allowed.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21663"},{"code" : "subsumedBy","valueCode" : "REP_RANGE"}]},{"code" : "RSDID","display" : "de-identified information access","definition" : "**Definition:** Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22207"},{"code" : "subsumedBy","valueCode" : "RESEARCH"}]},{"code" : "RSREID","display" : "re-identifiable information access","definition" : "**Definition:** Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent.\r\n\r\n**Example::** Where there is a need to inform the subject of potential health issues.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22208"},{"code" : "subsumedBy","valueCode" : "RESEARCH"}]},{"code" : "RFC","display" : "Refill - Complete","definition" : "A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16216"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFF","display" : "Refill (First fill this facility)","definition" : "The first fill against an order that has already been filled at least once at another facility.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16218"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFP","display" : "Refill - Part Fill","definition" : "A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16217"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFS","display" : "refill partial strength","definition" : "A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21819"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "TB","display" : "Trial Balance","definition" : "A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16213"},{"code" : "subsumedBy","valueCode" : "RF"}]},{"code" : "RFCS","display" : "refill complete partial strength","definition" : "A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21820"},{"code" : "subsumedBy","valueCode" : "RFC"}]},{"code" : "RFFS","display" : "refill partial strength (first fill this facility)","definition" : "The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21821"},{"code" : "subsumedBy","valueCode" : "RFF"}]},{"code" : "RFPS","display" : "refill part fill partial strength","definition" : "A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21822"},{"code" : "subsumedBy","valueCode" : "RFP"}]},{"code" : "FALLRISK","display" : "falls risk assessment instrument task","definition" : "A person reviews a Falls Risk Assessment Instrument report of a given patient.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22064"},{"code" : "subsumedBy","valueCode" : "RISKASSESS"}]},{"code" : "RALG","display" : "Related Allergy Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16678"},{"code" : "subsumedBy","valueCode" : "RREACT"}]},{"code" : "RAR","display" : "Related Prior Reaction Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16679"},{"code" : "subsumedBy","valueCode" : "RREACT"}]},{"code" : "RINT","display" : "Related Intolerance Alert","definition" : "Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16677"},{"code" : "subsumedBy","valueCode" : "RREACT"}]},{"code" : "SECALTINTOBS","display" : "security alteration integrity observation","definition" : "Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.\r\n\r\n**Examples:** Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including:\r\n\r\n *  translation\r\n *  syntactic transformation\r\n *  semantic mapping\r\n *  redaction\r\n *  masking\r\n *  pseudonymization\r\n *  anonymization","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23478"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECDATINTOBS","display" : "security data integrity observation","definition" : "Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: \"The property that data has not been altered or destroyed in an unauthorized manner\", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made.\"\r\n\r\n**Examples:** Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23479"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTCONOBS","display" : "security integrity confidence observation","definition" : "Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.\r\n\r\n**Examples:** Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable.\r\n\r\n*Usage Note:* A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23477"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTPRVOBS","display" : "security integrity provenance observation","definition" : "Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness.\r\n\r\n**Examples:** Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include:\r\n\r\n *  completeness or workflow status, such as authentication\r\n *  the entity responsible for original authoring or informing about an IT resource\r\n *  the entity responsible for a report or assertion about an IT resource relayed \"second-hand\"\r\n *  the entity responsible for excerpting, transforming, or compiling an IT resource","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23480"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTSTOBS","display" : "security integrity status observation","definition" : "Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource.\r\n\r\n**Examples:** Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23476"},{"code" : "subsumedBy","valueCode" : "SECINTOBS"}]},{"code" : "SECINTPRVABOBS","display" : "security integrity provenance asserted by observation","definition" : "Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource.\r\n\r\n**Examples:** Types of security integrity provenance asserted by observation metadata, which may value the observation, including:\r\n\r\n *  assertions about an IT resource by a patient\r\n *  assertions about an IT resource by a clinician\r\n *  assertions about an IT resource by a device","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23482"},{"code" : "subsumedBy","valueCode" : "SECINTPRVOBS"}]},{"code" : "SECINTPRVRBOBS","display" : "security integrity provenance reported by observation","definition" : "Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource.\r\n\r\n**Examples:** Types of security integrity provenance reported by observation metadata, which may value the observation, include:\r\n\r\n *  reports about an IT resource by a patient\r\n *  reports about an IT resource by a clinician\r\n *  reports about an IT resource by a device","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23481"},{"code" : "subsumedBy","valueCode" : "SECINTPRVOBS"}]},{"code" : "SECCATOBS","display" : "security category observation","definition" : "Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: \"A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone.\"\r\n\r\n*Rationale:* A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. \\[FIPS 199\\]\r\n\r\n**Examples:** Types of security categories include:\r\n\r\n *  Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that \"segments\" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System)\r\n *  Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23473"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECCLASSOBS","display" : "security classification observation","definition" : "Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: \"The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection.\" Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure.\r\n\r\n*Rationale:* A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality.\r\n\r\n**Examples:** Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential.\r\n\r\n*Usage Note:* Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the \"security label tag\".","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23472"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECCONOBS","display" : "security control observation","definition" : "Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource.\r\n\r\n*Rationale:* A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. \\[FIPS 199\\]\r\n\r\n**Examples:** Types of security control metadata include:\r\n\r\n *  handling caveats\r\n *  dissemination controls\r\n *  obligations\r\n *  refrain policies\r\n *  purpose of use constraints","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23474"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECINTOBS","display" : "security integrity observation","definition" : "Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.\r\n\r\n*Rationale:* A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542)\r\n\r\n**Examples:** Types of security integrity metadata include:\r\n\r\n *  Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability)\r\n *  Integrity confidence, which indicates the reliability and trustworthiness of an IT resource\r\n *  Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource\r\n *  Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8)\r\n *  Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource\r\n *  Integrity provenance, which indicates the entity responsible for a report or assertion relayed \"second-hand\" about an IT resource","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23475"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "SECTRSTOBS","display" : "SECTRSTOBS","definition" : "An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23665"},{"code" : "subsumedBy","valueCode" : "SECOBS"}]},{"code" : "TRSTACCRDOBS","display" : "trust accreditation observation","definition" : "Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23667"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTAGREOBS","display" : "trust agreement observation","definition" : "Type of security metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23666"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTCERTOBS","display" : "trust certificate observation","definition" : "Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\n**For example,**\r\n\r\n *  A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. \\[Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.\r\n *  A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. \\[Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23668"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTFWKOBS","display" : "trust framework observation","definition" : "Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23670"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTLOAOBS","display" : "trust assurance observation","definition" : "Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23669"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "TRSTMECOBS","display" : "trust mechanism observation","definition" : "Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23671"},{"code" : "subsumedBy","valueCode" : "SECTRSTOBS"}]},{"code" : "ConfidentialMark","display" : "confidential mark","definition" : "A displayed mark rendered as \"Confidential\", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy.\r\n\r\nMay be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy.\r\n\r\n*Usage Note:* \r\n\r\nThe ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.\r\n\r\n*Usage Note:* Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.\r\n\r\nMap: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24048"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "COPYMark","display" : "copy of original mark","definition" : "A displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content.\r\n\r\n*Usage Note:* Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or \"banner\" of electronic or hardcopy pages, or as watermarks set diagonally across each page.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24051"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "DeliverToAddresseeOnlyMark","display" : "deliver only to addressee mark","definition" : "A displayed mark on an electronic transmission or physical container such as an electronic transmittal wrapper, batch file, message header, or a physical envelop or package indicating that the contents, whether electronic or hardcopy information, must only be delivered to the authorized recipient(s) named in the address.\r\n\r\n*Usage Note:* Required by US 32 CRF Part 2002 for container storing or transmitting CUI.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24050"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "RedisclosureProhibitionMark","display" : "prohibition against redisclosure mark","definition" : "A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR §  2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see §  2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at § §  2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32\r\n\r\n*Usage Note:* Example of marking requirement from SAMHSA FAQ Response to question 13:\r\n\r\nWould a logon or splash page notification on an HIO's portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2's requirement that disclosures made with patient consent be accompanied by such a statement?\r\n\r\nNo. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR §  2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by §  2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24049"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "RestrictedConfidentialityMark","display" : "restricted confidentiality mark","definition" : "A displayed mark rendered to end users as \"Restricted Confidentiality\", which indicates that the electronic or hardcopy information they are viewing, must be protected at a restricted level of confidentiality protection as defined by HL7 Confidentiality code \"R\" (restricted). Examples: Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. Use cases include a display to alert authorized EHR users that they are viewing additionally protected health information deemed sensitive by an applicable jurisdictional, organizational, or personal privacy policy.\r\n\r\n*Usage Note:* The definition is based on HL7 Confidentiality code \"R\" (restricted), which is described as:\r\n\r\nPrivacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Foundational definitions of Confidentiality: From HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.\r\n\r\nUsage Note from HL7 Confidentiality code \"R\": Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.\r\n\r\nThis metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization.\r\n\r\nMap: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24047"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "DRAFTMark","display" : "Draft Mark","definition" : "A displayed mark indicating that the electronic or hard-copy information is still under development and is not yet considered to be ready for normal use.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24150"},{"code" : "subsumedBy","valueCode" : "SecurityLabelMark"}]},{"code" : "AUTHPOL","display" : "authorization policy","definition" : "Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system.\r\n\r\nA positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23934"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "DELEPOL","display" : "delegation policy","definition" : "Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated.\r\n\r\nDelegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden.\r\n\r\nA Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23933"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "ObligationPolicy","display" : "obligation policy","definition" : "Conveys the mandated workflow action that an information custodian, receiver, or user must perform.\r\n\r\n*Usage Notes:* Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model:  This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision."},{"code" : "internalId","valueCode" : "23372"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "PrivacyMark","display" : "privacy mark","definition" : "An abstract code for human readable marks indicating, e.g., the level of confidentiality protection, an authorized compartment, the integrity, or the handling instruction required by applicable policy. Such markings must be displayed as directed by applicable policy on electronically rendered information content and any electronic transmittal envelope or container; or on hardcopy information and any physical transmittal envelope or container.\r\n\r\nExamples of protocols for marking displays on electronic or hardcopy rendered content: Across the top or \"banner\" of each page ; as a watermark placed diagonally cross each page; at the bottom or \"footer\" of each page; and may be displayed at the beginning of any portion within the content that required markings different than other portions of the content. The banner or top of page marking typically acts as a \"high watermark\" by including all of the markings made on any marked portions within the entirety of the information content.\r\n\r\n*Usage Note:* A \"Privacy Mark\" is a Security Control Observation (SECCONOBS) named tag set as specified by the HL7 Privacy and Security Classification System (HCS). A Privacy Mark Named Tag Set is valued with a Privacy Mark leaf code \"tag\", which is a member of the Security Control Observation Value (\\_SecurityObservationValue) tag set. Related Security Control Observation named tag sets are Purpose of Use, Obligation Policy, and Refrain Policy, each with their own Security Control Observation Value tag sets.\r\n\r\nFoundational standard definitions: ISO 22600-3 Section A.3.4.3 - If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label. IEEE Security Glossary Compendium 93- CESG Memorandum No.1 Issue 1.2 Oct 1992 - Human readable word or phrase acting as an indicator of all or part of the security constraints that apply to a document so marked. NOTE: A machine readable representation of a marking.\r\n\r\n*Comment:* While policies requiring creators, processors, custodians, senders or recipients apply, enforce, and persist applicable Privacy Marks may be dictated by a jurisdiction, organization or personal privacy, security, or integrity policy, those required to comply may be governed under different policies, so compliance may need to be enforced through trust contracts. For example, information content marked with GDPR related policies may require adherence by processors or recipients outside of the European Union. For this reason, this code system is likely to evolve with the inclusion of multiple policy domains needing to communicate encoded policies in a standard, interoperable manner.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "24045"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "RefrainPolicy","display" : "refrain policy","definition" : "Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.\r\n\r\n*Usage Notes:* ISO 22600-2 species that a Refrain Policy \"defines actions the subjects must refrain from performing\". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "ISO 22600-2 species that a Refrain Policy \"defines actions the subjects must refrain from performing\".  Per HL7 Composite Security and Privacy Domain Analysis Model:  May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc."},{"code" : "internalId","valueCode" : "23393"},{"code" : "subsumedBy","valueCode" : "SecurityPolicy"}]},{"code" : "BH","display" : "behavioral health information sensitivity","definition" : "Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23894"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "MH","display" : "mental health information sensitivity","definition" : "Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23893"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "PSY","display" : "psychiatry disorder information sensitivity","definition" : "Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23341"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "PSYTHPN","display" : "psychotherapy note information sensitivity","definition" : "Policy for handling psychotherapy note information, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* In some jurisdiction, disclosure of psychotherapy notes requires patient consent.\r\n\r\nIf there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23932"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "SUD","display" : "substance use disorder information sensitivity","definition" : "Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23890"},{"code" : "subsumedBy","valueCode" : "SPI"}]},{"code" : "SUBSIDMC","display" : "subsidized managed care program","definition" : "**Definition:** A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22139"},{"code" : "subsumedBy","valueCode" : "SUBSIDIZ"}]},{"code" : "SUBSUPP","display" : "subsidized supplemental health program","definition" : "**Definition:** A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n**Example:** Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22140"},{"code" : "subsumedBy","valueCode" : "SUBSIDIZ"}]},{"code" : "ETHUD","display" : "alcohol use disorder information sensitivity","definition" : "Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23891"},{"code" : "subsumedBy","valueCode" : "SUD"}]},{"code" : "OPIOIDUD","display" : "opioid use disorder information sensitivity","definition" : "Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.\r\n\r\n*Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23892"},{"code" : "subsumedBy","valueCode" : "SUD"}]},{"code" : "TBS","display" : "trial balance partial strength","definition" : "A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21823"},{"code" : "subsumedBy","valueCode" : "TB"}]},{"code" : "ALRTENDLATE","display" : "end too late alert","definition" : "**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22837"},{"code" : "subsumedBy","valueCode" : "TIME"}]},{"code" : "ALRTSTRTLATE","display" : "start too late alert","definition" : "**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22838"},{"code" : "subsumedBy","valueCode" : "TIME"}]},{"code" : "INTERVAL","display" : "outside requested time","definition" : "**Definition:**The therapy action is being performed outside the bounds of the time period requested","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22846"},{"code" : "subsumedBy","valueCode" : "TIMING"}]},{"code" : "MINFREQ","display" : "too soon within frequency based on the usage","definition" : "**Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "22845"},{"code" : "subsumedBy","valueCode" : "TIMING"}]},{"code" : "DRG","display" : "Drug Interaction Alert","definition" : "Proposed therapy may interact with an existing or recent drug therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16660"},{"code" : "subsumedBy","valueCode" : "TPROD"}]},{"code" : "NHP","display" : "Natural Health Product Alert","definition" : "Proposed therapy may interact with existing or recent natural health product therapy","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16661"},{"code" : "subsumedBy","valueCode" : "TPROD"}]},{"code" : "NONRX","display" : "Non-Prescription Interaction Alert","definition" : "Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16663"},{"code" : "subsumedBy","valueCode" : "TPROD"}]},{"code" : "SALE","display" : "Sale","definition" : "Transfer of ownership for a product for financial compensation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "17960"},{"code" : "subsumedBy","valueCode" : "TRANSFER"}]},{"code" : "BUS","display" : "business constraint violation","definition" : "**Description:**A local business rule relating multiple elements has been violated.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21665"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "CODE_INVAL","display" : "code is not valid","definition" : "**Description:**The specified code is not valid against the list of codes allowed for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21659"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "FORMAT","display" : "invalid format","definition" : "**Description:**The element does not follow the formatting or type rules defined for the field.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21655"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "ILLEGAL","display" : "illegal","definition" : "**Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21652"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "LEN_RANGE","display" : "length out of range","definition" : "**Description:**The length of the data specified falls out of the range defined for the element.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21656"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "MISSCOND","display" : "conditional element missing","definition" : "**Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21654"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "MISSMAND","display" : "mandatory element missing","definition" : "**Description:**The specified element is mandatory and was not included in the instance.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21653"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "NODUPS","display" : "duplicate values are not permitted","definition" : "**Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21661"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "NOPERSIST","display" : "element will not be persisted","definition" : "**Description:** Element in submitted message will not persist in data storage based on detected issue.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23276"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "REP_RANGE","display" : "repetitions out of range","definition" : "**Description:**The number of repeating elements falls outside the range of the allowed number of repetitions.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21662"},{"code" : "subsumedBy","valueCode" : "VALIDAT"}]},{"code" : "AVAILABLE","display" : "Available Volume","definition" : "The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13963"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]},{"code" : "CONSUMPTION","display" : "Consumption Volume","definition" : "The quantity of specimen that is used each time the equipment uses this substance","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13965"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]},{"code" : "CURRENT","display" : "Current Volume","definition" : "The current quantity of the specimen, i.e., initial quantity minus what has been actually used.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13962"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]},{"code" : "INITIAL","display" : "Initial Volume","definition" : "The initial quantity of the specimen in inventory","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "13964"},{"code" : "subsumedBy","valueCode" : "VOLUME"}]}]}

#38

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=urn%3Aietf%3Abcp%3A47 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:233
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-199133

{"resourceType" : "Bundle","id" : "a6bda4f4-fc8a-4e8d-bd5c-c88c269bbd","meta" : {"lastUpdated" : "2025-12-15T20:11:52.410Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=urn:ietf:bcp:47"}]}

#39

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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#40

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#41

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date:Mon, 15 Dec 2025 20:11:52 GMT
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#42

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0001 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199137

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#43

GET https://tx.fhir.org/r5/CodeSystem/v2-0001 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199138

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#44

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0002 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
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content-length:6753
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199139

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#45

GET https://tx.fhir.org/r5/CodeSystem/v2-0002 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:6407
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199140

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#47

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#48

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#49

GET https://tx.fhir.org/r5/CodeSystem/v2-0004 HTTP/1.0
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date:Mon, 15 Dec 2025 20:11:56 GMT
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{"resourceType" : "CodeSystem","id" : "v2-0004","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "pa"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0004","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.5"}],"version" : "2.0.0","name" : "PatientClass","title" : "patientClass","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used by systems to categorize patients by site in HL7 Version 2.x interfaces in the PV1 segment.","purpose" : "Underlying Master Code System for V2 table 0004 (Patient Class)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0004","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "507","code" : "E","display" : "Emergency","definition" : "Emergency","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Notfall"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "508","code" : "I","display" : "Inpatient","definition" : "Inpatient","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "stationär"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "509","code" : "O","display" : "Outpatient","definition" : "Outpatient","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "ambulant"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "510","code" : "P","display" : "Preadmit","definition" : "Preadmit","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Voraufnahme"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "511","code" : "R","display" : "Recurring patient","definition" : "Recurring patient","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Wiederholungspatient"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "512","code" : "B","display" : "Obstetrics","definition" : "Obstetrics","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Geburtshilfe"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "513","code" : "C","display" : "Commercial Account","definition" : "Commercial Account","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "514","code" : "N","display" : "Not Applicable","definition" : "Not Applicable","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Segment nicht anwendbar"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "515","code" : "U","display" : "Unknown","definition" : "Unknown","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "unbekannt"}],"property" : [{"code" : "status","valueCode" : "active"}]}]}

#50

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"1002-5","display":"American Indian or Alaska Native"},{"code":"2028-9","display":"Asian"},{"code":"2054-5","display":"Black or African American"},{"code":"2076-8","display":"Native Hawaiian or Other Pacific Islander"},{"code":"2106-3","display":"White"},{"code":"2131-1","display":"Other Race"}]}]}}}]}
422
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connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:56 GMT
server:nginx
x-request-id:252-199146

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.6.238' could not be found, so the value set cannot be expanded"}}]}

#51

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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422
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connection:keep-alive
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date:Mon, 15 Dec 2025 20:11:56 GMT
server:nginx
x-request-id:252-199148

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#52

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0006 HTTP/1.0
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access-control-allow-origin:*
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cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199149

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"unbekannt"}],"property" : [{"code" : "status","valueCode" : "active"}]}]}

#54

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0007 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
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date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199152

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#55

GET https://tx.fhir.org/r5/CodeSystem/v2-0007 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199153

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#56

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0008 HTTP/1.0
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199154

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#57

GET https://tx.fhir.org/r5/CodeSystem/v2-0008 HTTP/1.0
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User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:11:57 GMT
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server:nginx
x-request-id:252-199155

{"resourceType" : "CodeSystem","id" : "v2-0008","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0008","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.10"}],"version" : "2.0.0","name" : "AcknowledgmentCodes","title" : "acknowledgmentCodes","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying acknowledgment codes.  For details of usage, see message processing rules in the published Standard.  Used in HL7 Version 2.x messaging in the MSA segment.","purpose" : "Underlying Master Code System for V2 table 0008 (Acknowledgment code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0008","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "629","code" : "AA","display" : "Original mode: Application Accept - Enhanced mode: Application acknowledgment: Accept","definition" : "Original mode: Application Accept - Enhanced mode: Application acknowledgment: Accept","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "akzeptiert durch Anwendung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "630","code" : "AE","display" : "Original mode: Application Error - Enhanced mode: Application acknowledgment: Error","definition" : "Original mode: Application Error - Enhanced mode: Application acknowledgment: Error","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Fehler in Anwendung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "631","code" : "AR","display" : "Original mode: Application Reject - Enhanced mode: Application acknowledgment: Reject","definition" : "Original mode: Application Reject - Enhanced mode: Application acknowledgment: Reject","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Abgelehnt durch Anwendung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "632","code" : "CA","display" : "Enhanced mode: Accept acknowledgment: Commit Accept","definition" : "Enhanced mode: Accept acknowledgment: Commit Accept","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Bei Eingangsprüfung akzeptiert (\"committed\")"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "633","code" : "CE","display" : "Enhanced mode: Accept acknowledgment: Commit Error","definition" : "Enhanced mode: Accept acknowledgment: Commit Error","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Fehler bei Eingangsprüfung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "634","code" : "CR","display" : "Enhanced mode: Accept acknowledgment: Commit Reject","definition" : "Enhanced mode: Accept acknowledgment: Commit Reject","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Bei Eingangsprüfung abgelehnt"}],"property" : [{"code" : "status","valueCode" : "active"}]}]}

#58

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0009 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199156

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Used in HL7 Version 2.x messaging in the PV1 segment.","purpose" : "Underlying Master Code System for V2 table 0009 (Ambulatory Status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0009","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "635","code" : "A0","display" : "No functional limitations","definition" : "No functional limitations","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Keine funktionalen Einschränkungen"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "636","code" : "A1","display" : "Ambulates with assistive device","definition" : "Ambulates with assistive device","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Patient benötigt Hilfsmittel"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "637","code" : "A2","display" : "Wheelchair/stretcher bound","definition" : "Wheelchair/stretcher bound","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Rollstuhl / Trage notwendig"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "638","code" : "A3","display" : "Comatose; 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#59

GET https://tx.fhir.org/r5/CodeSystem/v2-0009 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199157

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THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0009","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "635","code" : "A0","display" : "No functional limitations","definition" : "No functional limitations","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Keine funktionalen Einschränkungen"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "636","code" : "A1","display" : "Ambulates with assistive device","definition" : "Ambulates with assistive device","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Patient benötigt Hilfsmittel"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "637","code" : "A2","display" : "Wheelchair/stretcher bound","definition" : "Wheelchair/stretcher bound","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Rollstuhl / Trage notwendig"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "638","code" : "A3","display" : "Comatose; 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#60

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0012 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2695
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199158

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#61

GET https://tx.fhir.org/r5/CodeSystem/v2-0012 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2349
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
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#62

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0017 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
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connection:keep-alive
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date:Mon, 15 Dec 2025 20:11:57 GMT
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x-request-id:252-199161

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#63

GET https://tx.fhir.org/r5/CodeSystem/v2-0017 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199162

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#64

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0027 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199163

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#65

GET https://tx.fhir.org/r5/CodeSystem/v2-0027 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:11:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199164

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#66

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0033 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199165

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"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "topisch"}],"property" : [{"code" : "v2-table-deprecated","valueCode" : "2.2"},{"code" : "status","valueCode" : "active"}]},{"id" : "705","code" : "WA","display" : "Wash","definition" : "Wash","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "waschen"}],"property" : [{"code" : "v2-table-deprecated","valueCode" : "2.2"},{"code" : "status","valueCode" : "active"}]},{"id" : "706","code" : "WI","display" : "Wipe","definition" : "Wipe","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "wischen"}],"property" : [{"code" : "v2-table-deprecated","valueCode" : "2.2"},{"code" : "status","valueCode" : "active"}]}]}

#68

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0034 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2760
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199167

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#69

GET https://tx.fhir.org/r5/CodeSystem/v2-0034 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2414
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199169

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#70

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0038 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5613
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199170

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The purpose of these values are to report the status of an order either upon request (solicited), or when the status changes (unsolicited). The values are not intended to initiate action.  It is assumed that the order status value always reflects the status as it is known to the sending application at the time that a message is sent.  Only the filler can originate these values.  Used in HL7 Version 2.x messaging in the ORC segment.","purpose" : "Underlying Master Code System for V2 table 0038 (Order status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. 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#71

GET https://tx.fhir.org/r5/CodeSystem/v2-0038 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5267
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199171

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#72

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0048 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:14383
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199172

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: [{"code" : "status","valueCode" : "active"}]},{"id" : "811","code" : "RER","display" : "Pharmacy encoded order information","definition" : "Pharmacy encoded order information","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Medikamentenverordnung (Apotheke)"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "812","code" : "RDR","display" : "Pharmacy dispense information","definition" : "Pharmacy dispense information","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Abgabe von Medikamenten"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "813","code" : "RGR","display" : "Pharmacy give information","definition" : "Pharmacy give information","designation" : [{"language" : "de","use" : {"system" : 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"All schedule related information, including open slots, booked slots, blocked slots","definition" : "All schedule related information, including open slots, booked slots, blocked slots","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "817","code" : "SBK","display" : "Booked slots on the identified schedule","definition" : "Booked slots on the identified schedule","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "818","code" : "SBL","display" : "Blocked slots on the identified schedule","definition" : "Blocked slots on the identified schedule","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "819","code" : "SOF","display" : "First open slot on the identified schedule after the start date/tiem","definition" : "First open slot on the identified schedule after the start date/tiem","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "820","code" : "SOP","display" : "Open slots on the identified schedule between the begin 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#74

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200
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#75

GET https://tx.fhir.org/r5/CodeSystem/v2-0052 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:11:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199175

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#76

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0061 HTTP/1.0
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#77

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#78

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0062 HTTP/1.0
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#79

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200
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date:Mon, 15 Dec 2025 20:11:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-199180

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#80

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0063 HTTP/1.0
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server:nginx
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#81

GET https://tx.fhir.org/r5/CodeSystem/v2-0063 HTTP/1.0
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User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:11548
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:11:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-199182

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#82

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#83

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#84

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0066 HTTP/1.0
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#85

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#86

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0069 HTTP/1.0
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#87

GET https://tx.fhir.org/r5/CodeSystem/v2-0069 HTTP/1.0
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#88

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#94

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#95

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#96

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0083 HTTP/1.0
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server:nginx
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#97

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date:Mon, 15 Dec 2025 20:12:00 GMT
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server:nginx
x-request-id:252-199199

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#98

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0085 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-199200

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#99

GET https://tx.fhir.org/r5/CodeSystem/v2-0085 HTTP/1.0
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-199201

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results pending","definition" : "Specimen in lab; results pending","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Probe im Labor - Ergebnisse stehen an"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1294","code" : "N","display" : "Not asked; used to affirmatively document that the observation identified in the OBX was not sought when the universal service ID in OBR-4 implies that it would be sought.","definition" : "Not asked; used to affirmatively document that the observation identified in the OBX was not sought when the universal service ID in OBR-4 implies that it would be sought.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "ungefragte Übertragung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1295","code" : "O","display" : "Order detail description only (no result)","definition" : "Order detail description only (no result)","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Anforderungsbeschreibung (ohne Ergebnisse)"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1296","code" : "P","display" : "Preliminary results","definition" : "Preliminary results","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Vorläufige Ergebnisse"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1297","code" : "R","display" : "Results entered -- not verified","definition" : "Results entered -- not verified","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Nicht validierte Ergebnisse"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1298","code" : "S","display" : "Partial results.   Deprecated. Retained only for backward compatibility as of V2.6.","definition" : "Partial results.   Deprecated. Retained only for backward compatibility as of V2.6.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Teilergebnisse"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated."},{"code" : "status","valueCode" : "active"}]},{"id" : "1299","code" : "V","display" : "Verified - Final results reviewed and confirmed to be correct, no change to result value, normal range or abnormal flag","definition" : "Verified - Final results reviewed and confirmed to be correct, no change to result value, normal range or abnormal flag","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1300","code" : "X","display" : "Results cannot be obtained for this observation","definition" : "Results cannot be obtained for this observation","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Untersuchung führt zu keinem Ergebnis"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1301","code" : "U","display" : "Results status change to final without retransmitting results already sent as 'preliminary.'  E.g., radiology changes status from preliminary to final","definition" : "Results status change to final without retransmitting results already sent as 'preliminary.'  E.g., radiology changes status from preliminary to final","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Vorläufiges Ergebnis wird Endergebnis, da keine Änderung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1302","code" : "W","display" : "Post original as wrong, e.g., transmitted for wrong patient","definition" : "Post original as wrong, e.g., transmitted for wrong patient","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "fehlerhafte Übertragung"}],"property" : [{"code" : "status","valueCode" : "active"}]}]}

#100

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#101

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#102

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0092 HTTP/1.0
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#103

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#104

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0098 HTTP/1.0
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#105

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#106

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#107

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#108

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0102 HTTP/1.0
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#109

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200
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#110

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0103 HTTP/1.0
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#111

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#112

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#113

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#114

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#115

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#116

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#117

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#118

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#119

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#120

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0108 HTTP/1.0
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#121

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#122

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#123

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#124

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#125

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#126

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Refer to PA order control code for discussion."},{"code" : "status","valueCode" : "active"}]},{"id" : "1362","code" : "CN","display" : "Combined result","definition" : "Combined result","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Kumulatives Ergebnis (zu mehreren Aufträgen)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nThe combined result code provides a mechanism to transmit results that are associated with two or more orders. This situation occurs commonly in radiology reports when the radiologist dictates a single report for two or more exams represented as two or more orders. For example, knee and hand films for a rheumatoid arthritis patient might generate a single dictation on the part of the radiologist.\r\nWhen such results are reported the CN code replaces the RE code in all but the last ORC, and the results follow the last ORC and its OBR. An example follows of a single report following three ORCs:\r\nMSH|...<cr>\r\nPID|...<cr>\r\nORC|CN|...<cr>\r\nOBR|1|A4461XA^HIS|81641^RAD|73666^Bilateral Feet|...<cr>\r\nORC|CN|...<cr>\r\nOBR|2|A4461XB^HIS|81642^RAD|73642^Bilateral Hand PA|...<cr>\r\nORC|RE|...<cr>\r\nOBR|3|A4461XC^HIS|81643^RAD|73916^Bilateral Knees|...<cr>\r\nOBX|1|CE|73916&IMP|1|Radiologist’s Impression|...<cr>\r\nOBX|2|CE|73642&IMP|1|Radiologist’s Impression|...<cr>\r\nOBX|3|FT|73642&GDT|1|Description|...<cr>"},{"code" : "status","valueCode" : "active"}]},{"id" : "1363","code" : "CP","display" : "Cancel process step","definition" : "Cancel process step","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nThe control code CP – Cancel process step should be used in the ORC-1 for communication Filler-to-Filler, e.g., LIS-to-Analyzer, to differentiate from code CA (Placer-to-Filler).\r\nThe Filler should response with an acceptance of the cancellation using ORC-1 = CR and ORC-5 = CA."},{"code" : "status","valueCode" : "active"}]},{"id" : "1364","code" : "CR","display" : "Canceled as requested","definition" : "Canceled as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag anweisungsgemäß storniert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.<p>A response by the filler or placer application that a request to cancel (CA by the placer application) was performed successfully."},{"code" : "HL7usageNotes","valueString" : "A response by the filler or placer application that a request to cancel (CA by the placer application) was performed successfully."},{"code" : "status","valueCode" : "active"}]},{"id" : "1365","code" : "DC","display" : "Discontinue order/service request","definition" : "Discontinue order/service request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsausführung abbrechen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nA request by the placer for the filler, or the filler to the placer,  to discontinue a previously requested service. The differentiation between discontinue and cancel is that discontinue effects the order/service and all future occurrences, cancel refers to just the present action. \r\nTypical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel."},{"code" : "status","valueCode" : "active"}]},{"id" : "1366","code" : "DE","display" : "Data errors","definition" : "Data errors","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Datenfehler"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1367","code" : "DF","display" : "Order/service refill request denied","definition" : "Order/service refill request denied","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nIn response to a Filler application requesting refill authorization (RF), DF indicates that the placer does not authorize refills for the order. ORC-16 Order Control Code reason may be used to indicate the reason for the request denial. Some suggested values include:\r\nAA\tPatient unknown to the provider\r\nAB\tPatient never under provider care\r\nAC\tPatient no longer under provider care\r\nAD\tPatient has requested refill too soon\r\nAE\tMedication never prescribed for the patient\r\nAF\tPatient should contact provider first\r\nAG\tRefill not appropriate\r\nNote that these values originate from the NCPDP SCRIPT Response Segment Code List Qualifiers. Materials Reproduced with the consent of ©National Council for Prescription Drug Programs, Inc. 1988, 1992, 2002 NCPDP."},{"code" : "status","valueCode" : "active"}]},{"id" : "1368","code" : "DR","display" : "Discontinued as requested","definition" : "Discontinued as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsausführung anweisungsgemäß abgebrochen"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.<p>The filler or placer, in response to a request to discontinue (DC from the placer or filler application), has discontinued the order/service."},{"code" : "HL7usageNotes","valueString" : "The filler or placer, in response to a request to discontinue (DC from the placer or filler application), has discontinued the order/service."},{"code" : "status","valueCode" : "active"}]},{"id" : "1369","code" : "FU","display" : "Order/service refilled, unsolicited","definition" : "Order/service refilled, unsolicited","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>FU notifies the placer that the filler issued a refill for the order at the patient's request."},{"code" : "HL7usageNotes","valueString" : "FU notifies the placer that the filler issued a refill for the order at the patient's request."},{"code" : "status","valueCode" : "active"}]},{"id" : "1370","code" : "HD","display" : "Hold order request","definition" : "Hold order request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung aussetzen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>Typical responses include, but are not limited to, CR - Cancelled as requested, UC - Unable to Cancel."},{"code" : "HL7usageNotes","valueString" : "Typical responses include, but are not limited to, CR - Cancelled as requested, UC - Unable to Cancel."},{"code" : "status","valueCode" : "active"}]},{"id" : "1371","code" : "HR","display" : "On hold as requested","definition" : "On hold as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung anweisungsgemäß ausgesetzt"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1372","code" : "LI","display" : "Link order/service to patient care problem or goal","definition" : "Link order/service to patient care problem or goal","property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.<p>Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "HL7usageNotes","valueString" : "Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "status","valueCode" : "active"}]},{"id" : "1373","code" : "MC","display" : "Miscellaneous Charge - not associated with an order","definition" : "Miscellaneous Charge - not associated with an order","property" : [{"code" : "v2-concComment","valueString" : "applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11"},{"code" : "v2-concCommentAsPub","valueString" : "applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11"},{"code" : "HL7usageNotes","valueString" : "applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11"},{"code" : "status","valueCode" : "active"}]},{"id" : "1374","code" : "NA","display" : "Number assigned","definition" : "Number assigned","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Nummer zugewiesen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nThere are three circumstances that involve requesting an order number (ORC-2-placer order number or ORC-3-filler order number): \r\n\r\n(1) When the filler application needs to request an ORC-3-filler order number from a centralized application (e.g., HIS).\r\nSN – The send order number code provides a mechanism for the filler to request an ORC-3-filler order number from some centralized application (called “other” in the table below), such as a central HIS, by sending an ORM message containing an ORC-1-order control value of SN. This ORC has a null ORC-3-filler order number and an ORC-2-placer order number created by the filler application when the filler originates the order.\r\n\r\nThe order (SN type) message can be acknowledged by either one of two methods:\r\na) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC with ORC-1-order control value of NA to provide the actual number assigned.\r\n\r\nb) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.\r\n\r\nNA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned filler order number. ORC-1-order control contains value of NA, ORC-2-placer order number (from the ORC with the SN value), and the newly-assigned filler order number. \r\nCode\tFrom\tORC-2-Placer Order Number\tORC-3-Filler Order Number\r\nSN\tfiller application\tplacer order number^filler application ID\tNull\r\nNA\tother application\tplacer order number^filler application ID\tfiller order number^filler application ID\r\nNote: Both the placer order number and the filler order number have the filler’s application ID\r\n\r\n(2) When the filler application needs to request an ORC-2-placer order number from some other application (e.g., Order Entry).\r\n\r\nSN – The send order number code provides a mechanism for the filler application to request an ORC-2-placer order number from another application (called “other” in the table below) by sending an order message containing an ORC-1-order control value of SN. This ORC has a null ORC-2-placer order number and an ORC-3-filler order number created by the filler application when the filler originates the order. \r\n\r\nThe order (SN type) message can be acknowledged by two methods:\r\na) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC-1-order control value of NA to provide the actual number assigned.\r\n \r\nb) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.\r\nNA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned ORC-2-placer order number. The ORC contains an ORC-1-order control value of NA, the newly-assigned ORC-2-placer order number, and the ORC-3-filler order number (from the ORC with the SN value).\r\nCode\tFrom\tORC-2-Placer Order Number\tORC-3-Filler Order Number\r\nSN\tfiller application\tnull\tfiller order number^filler application ID\r\nNA\tother application\tplacer order number^placer application ID\tfiller order number^filler application ID\r\nNote: The new ORC-2-placer order number has the placer’s application ID\r\n\r\n(3) When an application (not the filler application) wants to assign an ORC-3-filler order number for a new order.\r\nNW – When the application creating an order (not the filler application) wants to assign a filler order number for a new order.\r\nor \r\nRO – (RO following an RP). In this case, the “other” application completes ORC-3-filler order number, using the filler application ID as the second component of the filler order number.\r\nCode\tFrom\tORC-2-Placer Order Number\tORC-3-Filler Order Number\r\nNW or RO\tOther application to filler application\tplacer order number^placer application ID\tfiller order number^filler application ID"},{"code" : "status","valueCode" : "active"}]},{"id" : "1375","code" : "NR","display" : "Notification Received","definition" : "Notifies the Filler that the Placer received a cancellation, discontinuance, or other state change notice","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1376","code" : "NW","display" : "New order/service","definition" : "New order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Neuer Auftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>See comments for NA - Number Assigned."},{"code" : "HL7usageNotes","valueString" : "See comments for NA - Number Assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "1377","code" : "OC","display" : "Order/service canceled","definition" : "Order/service canceled","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag storniert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1378","code" : "OD","display" : "Order/service discontinued","definition" : "Order/service discontinued","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsausführung abgebrochen"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1379","code" : "OE","display" : "Order/service released","definition" : "Order/service released","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1380","code" : "OF","display" : "Order/service refilled as requested","definition" : "Order/service refilled as requested","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>OF directly responds to the placer system's request for a refill."},{"code" : "HL7usageNotes","valueString" : "OF directly responds to the placer system's request for a refill."},{"code" : "status","valueCode" : "active"}]},{"id" : "1381","code" : "OH","display" : "Order/service held","definition" : "Order/service held","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung ausgesetzt"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1382","code" : "OK","display" : "Order/service accepted & OK","definition" : "Order/service accepted & OK","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag akzeptiert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>See comments for NA - Number Assigned."},{"code" : "HL7usageNotes","valueString" : "See comments for NA - Number Assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "1383","code" : "OP","display" : "Notification of order for outside dispense","definition" : "Notification of order for outside dispense","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nThese order control codes are used to communicate an order between systems where the order is intended for informational purposes. For example, an order that will be performed by a vendor outside the enterprise of communicating systems. The communicating systems may need to maintain information relative to the order for clinical continuity, but no actions to perform the ordered service are intended.\r\nOP represents an informational version of NW, PY represents the informational-only version of RO. NW and RO table notes also apply to OP and PY, respectively."},{"code" : "status","valueCode" : "active"}]},{"id" : "1384","code" : "OR","display" : "Released as requested","definition" : "Released as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung anweisungsgemäß wiederaufgenommen"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1385","code" : "PA","display" : "Parent order/service","definition" : "Parent order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Hauptauftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nThe parent (PA) and child (CH) order control codes allow the spawning of “child” orders from a “parent” order without changing the parent (original order). One or more ORC segments with an ORC-1-order control value of PA are followed by one or more ORC segments with an ORC-1-order control value of CH. Whether OBR segments must be present is determined by the value of ORC-6-response flag. \r\n\r\nFor example, suppose that a microbiology culture produced two organisms and corresponding susceptibility reports. Then the sequence of segments would be as follows: (see figure 4-4)\r\n\r\nThe assignment of placer order numbers in the parent-child paradigm depends on whether the placer or filler creates the child order and in the latter case, on whether the placer supports the SN/NA transaction. If the placer creates the child orders it will assign their placer order numbers according to its usual procedures. If the filler creates the child orders there are two possibilities: each child will inherit the placer order number of its parent, or the filler will use the SN/NA transaction to request that the placer assign a placer order number. In either case, the filler application creates the filler order numbers of the children according to its usual procedures.\r\n\r\nWhenever a child order is transmitted in a message the ORC segment’s ORC-8-parent is valued with the parent’s filler order number (if originating from the filler) and with the parent’s placer order number (if originating from the filler or if originating from the placer). \r\n\r\nThe parent child mechanism can be used to “expand” a parent order (e.g., an order for three EKGs on successive mornings)."},{"code" : "status","valueCode" : "active"}]},{"id" : "1386","code" : "PR","display" : "Previous Results with new order/service","definition" : "Previous Results with new order/service","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nPR indicates that this ORC is part of an ORU structure containing previous observation, which is embedded in the order.\r\n\r\nAt least two main use cases require that the complete results of the previous observations be transmitted with the order. \r\n\r\n•\tDiagnostic laboratories referring tests to another lab for either confirmation of results (HIV, etc.) or due to not being equipped to do the tests (genetic testing, etc.). \r\n\r\n•\tDiagnostic laboratories sending test results to Knowledge Bases for the automated generation of diagnostic comments for inclusion into the lab report."},{"code" : "status","valueCode" : "active"}]},{"id" : "1387","code" : "PY","display" : "Notification of replacement order for outside dispense","definition" : "Notification of replacement order for outside dispense","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>See comments for OP - Notification of order for outside dispense."},{"code" : "HL7usageNotes","valueString" : "See comments for OP - Notification of order for outside dispense."},{"code" : "status","valueCode" : "active"}]},{"id" : "1388","code" : "RA","display" : "Recommendation Accepted","definition" : "Identifies that this previously recommended replacement order has been accepted","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications: \nUsed in the Recommendation Accepted message; includes the assigned placer order number for the accepted replacement order\nFiller Applications: \nUsed in the acknowledgment response message to the Recommendation Accepted message"},{"code" : "status","valueCode" : "N"}]},{"id" : "1389","code" : "RC","display" : "Recommended Change","definition" : "Identifies that this OBR represents a recommended replacement order","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications.\nUsed in the recommendation message sent to the placer"},{"code" : "status","valueCode" : "N"}]},{"id" : "1390","code" : "RD","display" : "Recommendation Declined","definition" : "Identifies that this previously sent recommended replacement order has been declined","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications:\nUsed in the Recommendation Declined message \nFiller Applications: \nUsed in the acknowledgment response message to the Recommendation Declined message"},{"code" : "status","valueCode" : "N"}]},{"id" : "1391","code" : "RE","display" : "Observations/Performed Service to follow","definition" : "Observations/Performed Service to follow","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Untersuchungsergebnisse folgen (in späteren Segmenten dieser Nachricht)"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nThe observations-to-follow code is used to transmit patient-specific information with an order. An order detail segment (e.g., OBR) can be followed by one or more observation segments (OBX). Any observation that can be transmitted in an ORU message can be transmitted with this mechanism. When results are transmitted with an order, the results should immediately follow the order or orders that they support.\r\n\r\nThe following example shows the sequence of segments for three Pharmacy orders. It illustrates the use of the RE code:\r\nSegment\tOrder Control\tComment\r\nMSH\t\t\r\nPID\t\t\r\nORC\tNW\tFirst new order\r\nRXO\t\tFirst order segment\r\n\t\t\r\nORC\tNW\t2nd new order\r\nRXO\t\t2nd order segment\r\n[ORC\tRE\tPatient-specific observation, optional in V 2.2\r\n OBR]\t\tObservation OBR, optional in V 2.2\r\nOBX\t\tAn observation segment\r\nOBX\t\tAnother observation segment\r\nOBX\t\tAnother observation segment\r\nOBX\t\tAnother observation segment\r\n\t\t\r\nORC\tNW\t3rd order\r\nRXO\t\t3rd order segment\r\n\r\nIn this version of HL7, results can be transmitted with an order as one or more OBX segments without the necessity of including the ORC and OBR segments.\r\n\r\nObservations can be transmitted in an ORU message without using an ORC. There are times when it is necessary to transmit information not included in the OBR segments of the ORU message. In this case, it is recommended that the ORC be included in the ORU message.\r\n\r\nThe order control value of RE is required only in ORM messages to indicate that an order is followed by observation results (OBX). The RE code is not necessary in the ORU message because it is expected that the OBR segments can be followed by observation results (OBX)."},{"code" : "status","valueCode" : "active"}]},{"id" : "1392","code" : "RF","display" : "Refill order/service request","definition" : "Refill order/service request","property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nRF accommodates requests by either the filler or the placer. The filler may be requesting refill authorization from the placer. A placer system may be requesting a refill to be done by the filler system.\r\n\r\nTypical responses include, but are not limited to: For a Filler request AF – Order/service refill request approval, DF – Order/service refill request denied; for a Placer request RE – Observations/Performed Service to follow, UF – Unable to refill."},{"code" : "status","valueCode" : "active"}]},{"id" : "1393","code" : "RL","display" : "Release previous hold","definition" : "Release previous hold","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsberabeitung wiederaufnehmen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1394","code" : "RO","display" : "Replacement order","definition" : "Replacement order","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Ersatzauftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services.\r\n\r\nThe replaced orders are treated as though they were canceled. If and when an ordered service can be replaced are local site-specific determinations.\r\n\r\nUse the parent/child order control codes if the site specifies that the original order must remain intact. Do not use the replacement codes under this circumstance. \r\n\r\nFor each order to be replaced, use an ORC-1-order control value of RP (request for a replacement going to a filler) or RU (an unsolicited replacement created by the filler) used by the filler to notify the placer and/or other systems). By local agreement, the ORC segment (with RP or RU) may be followed by its original order detail segment. The ORC segments (with RP or RU) must be followed by an ORC segment with an ORC-1-order control value of RO (indicating the replacement order). By local agreement, the ORC with the RO value may be followed by an order detail segment. \r\n\r\nFor example, suppose that an ancillary application were replacing two OBR orders with three different orders. The sequence of segments would be as follows:\r\n\r\nSeg\tOrder Control\tComment\r\nORC\tRU\t1st replaced ORC\r\nOBR\t\t1st replaced order’s detail segment\r\n\t\t\r\nORC\tRU\t2nd replaced ORC\r\nOBR\t\t2nd replaced order’s detail segment\r\n\t\t\r\nORC\tRO\t1st replacement ORC\r\nOBR\t\t1st replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t2nd replacement ORC\r\nOBR\t\t2nd replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t3rd replacement ORC\r\nOBR\t\t3rd replacement order’s detail segment\r\n\r\nWhether the OBR segments must be present is determined by the value of ORC-6-response flag.\r\n\r\nThe described replacement method will handle all possible cases of replacement: one into one, many into one, one into many, and many into many. If the placer sent this request to the filler with two RPs, and this was a response back from the filler to the placer, the two RUs (replaced unsolicited) would be two RQs (replaced as requested). (see figure 4-3)\r\n\r\nSeg\tOrder Control\tComment\r\nORC\tRQ\t1st replaced ORC\r\nOBR\t\t1st replaced order’s detail segment\r\n\t\t\r\nORC\tRQ\t2nd replaced ORC\r\nOBR\t\t2nd replaced order’s detail segment\r\n\t\t\r\nORC\tRO\t1st replacement ORC\r\nOBR\t\t1st replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t2nd replacement ORC\r\nOBR\t\t2nd replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t3rd replacement ORC\r\nOBR\t\t3rd replacement order’s detail segment\r\n\r\nThe replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\nORC with an order control value of RO.\r\n\r\nAny OBR segments (can be replaced by any order detail segments).\r\n\r\nOptionally followed by observation result segments (OBX)\r\nNTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message."},{"code" : "status","valueCode" : "active"}]},{"id" : "1395","code" : "RP","display" : "Order/service replace request","definition" : "Order/service replace request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag ersetzen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.\r\n\r\nThe order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\na) ORC with an order control value of RO\r\n\r\nb) Any OBR segments (can be replaced by any order detail segments)\r\n\r\nc) Optionally followed by observation result segments (OBX)\r\n\r\nd) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message"},{"code" : "status","valueCode" : "active"}]},{"id" : "1396","code" : "RQ","display" : "Replaced as requested","definition" : "Replaced as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag anweisungsgemäß ersetzt"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.\r\n\r\nThe order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.\r\n\r\nThe replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\na) ORC with an order control value of RO\r\n\r\nb) Any OBR segments (can be replaced by any order detail segments)\r\n\r\nc) Optionally followed by observation result segments (OBX)\r\n\r\nd) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message"},{"code" : "status","valueCode" : "active"}]},{"id" : "1397","code" : "RR","display" : "Request received","definition" : "Request received","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Anforderung erhalten"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nLeft in for backward compatibility. In the current version it is equivalent to an accept acknowledgment. The request-received code indicates that an order message has been received and will be processed later. The order has not yet undergone the processing that would permit a more exact response."},{"code" : "status","valueCode" : "active"}]},{"id" : "1398","code" : "RU","display" : "Replaced unsolicited","definition" : "Replaced unsolicited","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag ersetzt (ohne Anweisung)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.\r\n\r\nThe unsolicited replacement code permits the filler application to notify another application without being requested from the placer application.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\na) ORC with an order control value of RO\r\n\r\nb) Any OBR segments (can be replaced by any order detail segments)\r\n\r\nc) Optionally followed by observation result segments (OBX)\r\n\r\nd) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message"},{"code" : "status","valueCode" : "active"}]},{"id" : "1399","code" : "SC","display" : "Status changed","definition" : "Status changed","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Statusänderung"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1400","code" : "SN","display" : "Send order/service number","definition" : "Send order/service number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrags- bzw. Bearbeitungsnummer zuweisen / übermitteln"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>See comments for NA - Number Assigned."},{"code" : "HL7usageNotes","valueString" : "See comments for NA - Number Assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "1401","code" : "SQ","display" : "Supplemented as requested","definition" : "Supplementation confirmation message indicating that an order was supplemented as requested.","property" : [{"code" : "v2-concComment","valueString" : "This code is used in the acknowledgment  response to the request messages."},{"code" : "status","valueCode" : "N"}]},{"id" : "1402","code" : "SR","display" : "Response to send order/service status request","definition" : "Response to send order/service status request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsstatus (Antwort)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1403","code" : "SS","display" : "Send order/service status request","definition" : "Send order/service status request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsstatus senden"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1404","code" : "SU","display" : "Supplement this order","definition" : "Identifies existing orders to be supplemented in Supplementation Recommendation (filler to placer) and Supplementation Request (placer to filler) messages.","property" : [{"code" : "v2-concComment","valueString" : "For example this code is used in the filler’s order message to identify an order that is missing a recommended order based on organizational protocol for example as described in the IHE Laboratory Communication (LCC) profile (LAB-6)."},{"code" : "status","valueCode" : "N"}]},{"id" : "1405","code" : "UA","display" : "Unable to accept order/service","definition" : "Unable to accept order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsannahme nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nAn unable to accept code is used when a new order cannot be accepted by the filler. Possible reasons include requesting a prescription for a drug which the patient is allergic to or for an order which requires certain equipment resources which are not available such that the order cannot be filled. Note that this is different from the communication level acceptance as defined within the MSA segment."},{"code" : "status","valueCode" : "active"}]},{"id" : "1406","code" : "UC","display" : "Unable to cancel","definition" : "Unable to cancel","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsstornierung nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.\r\nAn unable-to-cancel code is used when the ordered service is at a point that it cannot be canceled by the placer or filler or when local rules prevent cancellation by the filler. The use of this code is dependent on the value of ORC-6-response flag.\r\nIf the filler initiated the request to cancel and the placer is unable to cancel while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages."},{"code" : "status","valueCode" : "active"}]},{"id" : "1407","code" : "UD","display" : "Unable to discontinue","definition" : "Unable to discontinue","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Abbrechen nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.\r\nAn unable-to-discontinue code is used when the ordered service is at a point that it cannot be discontinued by the placer or filler or when local rules prevent discontinuance by the filler. The use of this code is dependent on the value of ORC-6-response flag.\r\nIf the filler initiated the request to discontinue and the placer is unable to discontinue while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages."},{"code" : "status","valueCode" : "active"}]},{"id" : "1408","code" : "UF","display" : "Unable to refill","definition" : "Unable to refill","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>Negative response to RF Refill order/service request, indicating that the receiving application was not able to complete the refill request."},{"code" : "HL7usageNotes","valueString" : "Negative response to RF Refill order/service request, indicating that the receiving application was not able to complete the refill request."},{"code" : "status","valueCode" : "active"}]},{"id" : "1409","code" : "UH","display" : "Unable to put on hold","definition" : "Unable to put on hold","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Aussetzen nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1410","code" : "UM","display" : "Unable to replace","definition" : "Unable to replace","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Ersetzen nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1411","code" : "UN","display" : "Unlink order/service from patient care problem or goal","definition" : "Unlink order/service from patient care problem or goal","property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.<p>Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "HL7usageNotes","valueString" : "Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "status","valueCode" : "active"}]},{"id" : "1412","code" : "UR","display" : "Unable to release","definition" : "Unable to release","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Wiederaufnahme nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1413","code" : "UX","display" : "Unable to change","definition" : "Unable to change","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Änderung nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1414","code" : "XO","display" : "Change order/service request","definition" : "Change order/service request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag ändern"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1415","code" : "XR","display" : "Changed as requested","definition" : "Changed as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag anweisungsgemäß geändert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1416","code" : "XX","display" : "Order/service changed, unsol.","definition" : "Order/service changed, unsol.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag geändert (ohne Anweisung)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]}]}}]}

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{"resourceType" : "CodeSystem","id" : "v2-0119","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v2-0119","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.48"}],"version" : "2.0.0","name" : "OrderControlCodes","title" : "orderControlCodes","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts which are used to determine the function of the order segment.  Depending on the message, the action specified by one of these control codes may refer to an order or an individual service.  Used in Version 2.x messaging of orders in the ORC segment.","purpose" : "Underlying Master Code System for V2 table 0119 (Order Control Codes)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0119","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"id" : "1359","code" : "AF","display" : "Order/service refill request approval","definition" : "AF is a response to RF where the placer authorizing a refill or quantity of refills.","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications ."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>AF is a response to RF where the placer authorizing a refill or quantity of refills."},{"code" : "status","valueCode" : "active"}]},{"id" : "1360","code" : "CA","display" : "Cancel order/service request","definition" : "Cancel order/service request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag stornieren"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications"},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nA cancellation is a request by the placer for the filler, or the filler to the placer, not to do a previously ordered service. Confirmation of the cancellation request is provided by the filler or placer, e.g., a message with an ORC-1-order control value of CR.\r\nTypical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel."},{"code" : "status","valueCode" : "active"}]},{"id" : "1361","code" : "CH","display" : "Child order/service","definition" : "Child order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "nachgeordneter Auftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.<p>Used in conjunction with the PA - Parent order control code. Refer to PA order control code for discussion."},{"code" : "HL7usageNotes","valueString" : "Used in conjunction with the PA - Parent order control code. Refer to PA order control code for discussion."},{"code" : "status","valueCode" : "active"}]},{"id" : "1362","code" : "CN","display" : "Combined result","definition" : "Combined result","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Kumulatives Ergebnis (zu mehreren Aufträgen)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nThe combined result code provides a mechanism to transmit results that are associated with two or more orders. This situation occurs commonly in radiology reports when the radiologist dictates a single report for two or more exams represented as two or more orders. For example, knee and hand films for a rheumatoid arthritis patient might generate a single dictation on the part of the radiologist.\r\nWhen such results are reported the CN code replaces the RE code in all but the last ORC, and the results follow the last ORC and its OBR. An example follows of a single report following three ORCs:\r\nMSH|...<cr>\r\nPID|...<cr>\r\nORC|CN|...<cr>\r\nOBR|1|A4461XA^HIS|81641^RAD|73666^Bilateral Feet|...<cr>\r\nORC|CN|...<cr>\r\nOBR|2|A4461XB^HIS|81642^RAD|73642^Bilateral Hand PA|...<cr>\r\nORC|RE|...<cr>\r\nOBR|3|A4461XC^HIS|81643^RAD|73916^Bilateral Knees|...<cr>\r\nOBX|1|CE|73916&IMP|1|Radiologist’s Impression|...<cr>\r\nOBX|2|CE|73642&IMP|1|Radiologist’s Impression|...<cr>\r\nOBX|3|FT|73642&GDT|1|Description|...<cr>"},{"code" : "status","valueCode" : "active"}]},{"id" : "1363","code" : "CP","display" : "Cancel process step","definition" : "Cancel process step","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nThe control code CP – Cancel process step should be used in the ORC-1 for communication Filler-to-Filler, e.g., LIS-to-Analyzer, to differentiate from code CA (Placer-to-Filler).\r\nThe Filler should response with an acceptance of the cancellation using ORC-1 = CR and ORC-5 = CA."},{"code" : "status","valueCode" : "active"}]},{"id" : "1364","code" : "CR","display" : "Canceled as requested","definition" : "Canceled as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag anweisungsgemäß storniert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.<p>A response by the filler or placer application that a request to cancel (CA by the placer application) was performed successfully."},{"code" : "HL7usageNotes","valueString" : "A response by the filler or placer application that a request to cancel (CA by the placer application) was performed successfully."},{"code" : "status","valueCode" : "active"}]},{"id" : "1365","code" : "DC","display" : "Discontinue order/service request","definition" : "Discontinue order/service request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsausführung abbrechen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nA request by the placer for the filler, or the filler to the placer,  to discontinue a previously requested service. The differentiation between discontinue and cancel is that discontinue effects the order/service and all future occurrences, cancel refers to just the present action. \r\nTypical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel."},{"code" : "status","valueCode" : "active"}]},{"id" : "1366","code" : "DE","display" : "Data errors","definition" : "Data errors","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Datenfehler"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1367","code" : "DF","display" : "Order/service refill request denied","definition" : "Order/service refill request denied","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nIn response to a Filler application requesting refill authorization (RF), DF indicates that the placer does not authorize refills for the order. ORC-16 Order Control Code reason may be used to indicate the reason for the request denial. Some suggested values include:\r\nAA\tPatient unknown to the provider\r\nAB\tPatient never under provider care\r\nAC\tPatient no longer under provider care\r\nAD\tPatient has requested refill too soon\r\nAE\tMedication never prescribed for the patient\r\nAF\tPatient should contact provider first\r\nAG\tRefill not appropriate\r\nNote that these values originate from the NCPDP SCRIPT Response Segment Code List Qualifiers. Materials Reproduced with the consent of ©National Council for Prescription Drug Programs, Inc. 1988, 1992, 2002 NCPDP."},{"code" : "status","valueCode" : "active"}]},{"id" : "1368","code" : "DR","display" : "Discontinued as requested","definition" : "Discontinued as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsausführung anweisungsgemäß abgebrochen"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.<p>The filler or placer, in response to a request to discontinue (DC from the placer or filler application), has discontinued the order/service."},{"code" : "HL7usageNotes","valueString" : "The filler or placer, in response to a request to discontinue (DC from the placer or filler application), has discontinued the order/service."},{"code" : "status","valueCode" : "active"}]},{"id" : "1369","code" : "FU","display" : "Order/service refilled, unsolicited","definition" : "Order/service refilled, unsolicited","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>FU notifies the placer that the filler issued a refill for the order at the patient's request."},{"code" : "HL7usageNotes","valueString" : "FU notifies the placer that the filler issued a refill for the order at the patient's request."},{"code" : "status","valueCode" : "active"}]},{"id" : "1370","code" : "HD","display" : "Hold order request","definition" : "Hold order request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung aussetzen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>Typical responses include, but are not limited to, CR - Cancelled as requested, UC - Unable to Cancel."},{"code" : "HL7usageNotes","valueString" : "Typical responses include, but are not limited to, CR - Cancelled as requested, UC - Unable to Cancel."},{"code" : "status","valueCode" : "active"}]},{"id" : "1371","code" : "HR","display" : "On hold as requested","definition" : "On hold as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung anweisungsgemäß ausgesetzt"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1372","code" : "LI","display" : "Link order/service to patient care problem or goal","definition" : "Link order/service to patient care problem or goal","property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.<p>Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "HL7usageNotes","valueString" : "Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "status","valueCode" : "active"}]},{"id" : "1373","code" : "MC","display" : "Miscellaneous Charge - not associated with an order","definition" : "Miscellaneous Charge - not associated with an order","property" : [{"code" : "v2-concComment","valueString" : "applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11"},{"code" : "v2-concCommentAsPub","valueString" : "applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11"},{"code" : "HL7usageNotes","valueString" : "applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11"},{"code" : "status","valueCode" : "active"}]},{"id" : "1374","code" : "NA","display" : "Number assigned","definition" : "Number assigned","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Nummer zugewiesen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nThere are three circumstances that involve requesting an order number (ORC-2-placer order number or ORC-3-filler order number): \r\n\r\n(1) When the filler application needs to request an ORC-3-filler order number from a centralized application (e.g., HIS).\r\nSN – The send order number code provides a mechanism for the filler to request an ORC-3-filler order number from some centralized application (called “other” in the table below), such as a central HIS, by sending an ORM message containing an ORC-1-order control value of SN. This ORC has a null ORC-3-filler order number and an ORC-2-placer order number created by the filler application when the filler originates the order.\r\n\r\nThe order (SN type) message can be acknowledged by either one of two methods:\r\na) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC with ORC-1-order control value of NA to provide the actual number assigned.\r\n\r\nb) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.\r\n\r\nNA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned filler order number. ORC-1-order control contains value of NA, ORC-2-placer order number (from the ORC with the SN value), and the newly-assigned filler order number. \r\nCode\tFrom\tORC-2-Placer Order Number\tORC-3-Filler Order Number\r\nSN\tfiller application\tplacer order number^filler application ID\tNull\r\nNA\tother application\tplacer order number^filler application ID\tfiller order number^filler application ID\r\nNote: Both the placer order number and the filler order number have the filler’s application ID\r\n\r\n(2) When the filler application needs to request an ORC-2-placer order number from some other application (e.g., Order Entry).\r\n\r\nSN – The send order number code provides a mechanism for the filler application to request an ORC-2-placer order number from another application (called “other” in the table below) by sending an order message containing an ORC-1-order control value of SN. This ORC has a null ORC-2-placer order number and an ORC-3-filler order number created by the filler application when the filler originates the order. \r\n\r\nThe order (SN type) message can be acknowledged by two methods:\r\na) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC-1-order control value of NA to provide the actual number assigned.\r\n \r\nb) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.\r\nNA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned ORC-2-placer order number. The ORC contains an ORC-1-order control value of NA, the newly-assigned ORC-2-placer order number, and the ORC-3-filler order number (from the ORC with the SN value).\r\nCode\tFrom\tORC-2-Placer Order Number\tORC-3-Filler Order Number\r\nSN\tfiller application\tnull\tfiller order number^filler application ID\r\nNA\tother application\tplacer order number^placer application ID\tfiller order number^filler application ID\r\nNote: The new ORC-2-placer order number has the placer’s application ID\r\n\r\n(3) When an application (not the filler application) wants to assign an ORC-3-filler order number for a new order.\r\nNW – When the application creating an order (not the filler application) wants to assign a filler order number for a new order.\r\nor \r\nRO – (RO following an RP). In this case, the “other” application completes ORC-3-filler order number, using the filler application ID as the second component of the filler order number.\r\nCode\tFrom\tORC-2-Placer Order Number\tORC-3-Filler Order Number\r\nNW or RO\tOther application to filler application\tplacer order number^placer application ID\tfiller order number^filler application ID"},{"code" : "status","valueCode" : "active"}]},{"id" : "1375","code" : "NR","display" : "Notification Received","definition" : "Notifies the Filler that the Placer received a cancellation, discontinuance, or other state change notice","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1376","code" : "NW","display" : "New order/service","definition" : "New order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Neuer Auftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>See comments for NA - Number Assigned."},{"code" : "HL7usageNotes","valueString" : "See comments for NA - Number Assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "1377","code" : "OC","display" : "Order/service canceled","definition" : "Order/service canceled","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag storniert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1378","code" : "OD","display" : "Order/service discontinued","definition" : "Order/service discontinued","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsausführung abgebrochen"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1379","code" : "OE","display" : "Order/service released","definition" : "Order/service released","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1380","code" : "OF","display" : "Order/service refilled as requested","definition" : "Order/service refilled as requested","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>OF directly responds to the placer system's request for a refill."},{"code" : "HL7usageNotes","valueString" : "OF directly responds to the placer system's request for a refill."},{"code" : "status","valueCode" : "active"}]},{"id" : "1381","code" : "OH","display" : "Order/service held","definition" : "Order/service held","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung ausgesetzt"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1382","code" : "OK","display" : "Order/service accepted & OK","definition" : "Order/service accepted & OK","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag akzeptiert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>See comments for NA - Number Assigned."},{"code" : "HL7usageNotes","valueString" : "See comments for NA - Number Assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "1383","code" : "OP","display" : "Notification of order for outside dispense","definition" : "Notification of order for outside dispense","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nThese order control codes are used to communicate an order between systems where the order is intended for informational purposes. For example, an order that will be performed by a vendor outside the enterprise of communicating systems. The communicating systems may need to maintain information relative to the order for clinical continuity, but no actions to perform the ordered service are intended.\r\nOP represents an informational version of NW, PY represents the informational-only version of RO. NW and RO table notes also apply to OP and PY, respectively."},{"code" : "status","valueCode" : "active"}]},{"id" : "1384","code" : "OR","display" : "Released as requested","definition" : "Released as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsbearbeitung anweisungsgemäß wiederaufgenommen"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1385","code" : "PA","display" : "Parent order/service","definition" : "Parent order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Hauptauftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nThe parent (PA) and child (CH) order control codes allow the spawning of “child” orders from a “parent” order without changing the parent (original order). One or more ORC segments with an ORC-1-order control value of PA are followed by one or more ORC segments with an ORC-1-order control value of CH. Whether OBR segments must be present is determined by the value of ORC-6-response flag. \r\n\r\nFor example, suppose that a microbiology culture produced two organisms and corresponding susceptibility reports. Then the sequence of segments would be as follows: (see figure 4-4)\r\n\r\nThe assignment of placer order numbers in the parent-child paradigm depends on whether the placer or filler creates the child order and in the latter case, on whether the placer supports the SN/NA transaction. If the placer creates the child orders it will assign their placer order numbers according to its usual procedures. If the filler creates the child orders there are two possibilities: each child will inherit the placer order number of its parent, or the filler will use the SN/NA transaction to request that the placer assign a placer order number. In either case, the filler application creates the filler order numbers of the children according to its usual procedures.\r\n\r\nWhenever a child order is transmitted in a message the ORC segment’s ORC-8-parent is valued with the parent’s filler order number (if originating from the filler) and with the parent’s placer order number (if originating from the filler or if originating from the placer). \r\n\r\nThe parent child mechanism can be used to “expand” a parent order (e.g., an order for three EKGs on successive mornings)."},{"code" : "status","valueCode" : "active"}]},{"id" : "1386","code" : "PR","display" : "Previous Results with new order/service","definition" : "Previous Results with new order/service","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nPR indicates that this ORC is part of an ORU structure containing previous observation, which is embedded in the order.\r\n\r\nAt least two main use cases require that the complete results of the previous observations be transmitted with the order. \r\n\r\n•\tDiagnostic laboratories referring tests to another lab for either confirmation of results (HIV, etc.) or due to not being equipped to do the tests (genetic testing, etc.). \r\n\r\n•\tDiagnostic laboratories sending test results to Knowledge Bases for the automated generation of diagnostic comments for inclusion into the lab report."},{"code" : "status","valueCode" : "active"}]},{"id" : "1387","code" : "PY","display" : "Notification of replacement order for outside dispense","definition" : "Notification of replacement order for outside dispense","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>See comments for OP - Notification of order for outside dispense."},{"code" : "HL7usageNotes","valueString" : "See comments for OP - Notification of order for outside dispense."},{"code" : "status","valueCode" : "active"}]},{"id" : "1388","code" : "RA","display" : "Recommendation Accepted","definition" : "Identifies that this previously recommended replacement order has been accepted","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications: \nUsed in the Recommendation Accepted message; includes the assigned placer order number for the accepted replacement order\nFiller Applications: \nUsed in the acknowledgment response message to the Recommendation Accepted message"},{"code" : "status","valueCode" : "N"}]},{"id" : "1389","code" : "RC","display" : "Recommended Change","definition" : "Identifies that this OBR represents a recommended replacement order","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications.\nUsed in the recommendation message sent to the placer"},{"code" : "status","valueCode" : "N"}]},{"id" : "1390","code" : "RD","display" : "Recommendation Declined","definition" : "Identifies that this previously sent recommended replacement order has been declined","property" : [{"code" : "v2-concComment","valueString" : "Placer Applications:\nUsed in the Recommendation Declined message \nFiller Applications: \nUsed in the acknowledgment response message to the Recommendation Declined message"},{"code" : "status","valueCode" : "N"}]},{"id" : "1391","code" : "RE","display" : "Observations/Performed Service to follow","definition" : "Observations/Performed Service to follow","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Untersuchungsergebnisse folgen (in späteren Segmenten dieser Nachricht)"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nThe observations-to-follow code is used to transmit patient-specific information with an order. An order detail segment (e.g., OBR) can be followed by one or more observation segments (OBX). Any observation that can be transmitted in an ORU message can be transmitted with this mechanism. When results are transmitted with an order, the results should immediately follow the order or orders that they support.\r\n\r\nThe following example shows the sequence of segments for three Pharmacy orders. It illustrates the use of the RE code:\r\nSegment\tOrder Control\tComment\r\nMSH\t\t\r\nPID\t\t\r\nORC\tNW\tFirst new order\r\nRXO\t\tFirst order segment\r\n\t\t\r\nORC\tNW\t2nd new order\r\nRXO\t\t2nd order segment\r\n[ORC\tRE\tPatient-specific observation, optional in V 2.2\r\n OBR]\t\tObservation OBR, optional in V 2.2\r\nOBX\t\tAn observation segment\r\nOBX\t\tAnother observation segment\r\nOBX\t\tAnother observation segment\r\nOBX\t\tAnother observation segment\r\n\t\t\r\nORC\tNW\t3rd order\r\nRXO\t\t3rd order segment\r\n\r\nIn this version of HL7, results can be transmitted with an order as one or more OBX segments without the necessity of including the ORC and OBR segments.\r\n\r\nObservations can be transmitted in an ORU message without using an ORC. There are times when it is necessary to transmit information not included in the OBR segments of the ORU message. In this case, it is recommended that the ORC be included in the ORU message.\r\n\r\nThe order control value of RE is required only in ORM messages to indicate that an order is followed by observation results (OBX). The RE code is not necessary in the ORU message because it is expected that the OBR segments can be followed by observation results (OBX)."},{"code" : "status","valueCode" : "active"}]},{"id" : "1392","code" : "RF","display" : "Refill order/service request","definition" : "Refill order/service request","property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nRF accommodates requests by either the filler or the placer. The filler may be requesting refill authorization from the placer. A placer system may be requesting a refill to be done by the filler system.\r\n\r\nTypical responses include, but are not limited to: For a Filler request AF – Order/service refill request approval, DF – Order/service refill request denied; for a Placer request RE – Observations/Performed Service to follow, UF – Unable to refill."},{"code" : "status","valueCode" : "active"}]},{"id" : "1393","code" : "RL","display" : "Release previous hold","definition" : "Release previous hold","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsberabeitung wiederaufnehmen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1394","code" : "RO","display" : "Replacement order","definition" : "Replacement order","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Ersatzauftrag"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services.\r\n\r\nThe replaced orders are treated as though they were canceled. If and when an ordered service can be replaced are local site-specific determinations.\r\n\r\nUse the parent/child order control codes if the site specifies that the original order must remain intact. Do not use the replacement codes under this circumstance. \r\n\r\nFor each order to be replaced, use an ORC-1-order control value of RP (request for a replacement going to a filler) or RU (an unsolicited replacement created by the filler) used by the filler to notify the placer and/or other systems). By local agreement, the ORC segment (with RP or RU) may be followed by its original order detail segment. The ORC segments (with RP or RU) must be followed by an ORC segment with an ORC-1-order control value of RO (indicating the replacement order). By local agreement, the ORC with the RO value may be followed by an order detail segment. \r\n\r\nFor example, suppose that an ancillary application were replacing two OBR orders with three different orders. The sequence of segments would be as follows:\r\n\r\nSeg\tOrder Control\tComment\r\nORC\tRU\t1st replaced ORC\r\nOBR\t\t1st replaced order’s detail segment\r\n\t\t\r\nORC\tRU\t2nd replaced ORC\r\nOBR\t\t2nd replaced order’s detail segment\r\n\t\t\r\nORC\tRO\t1st replacement ORC\r\nOBR\t\t1st replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t2nd replacement ORC\r\nOBR\t\t2nd replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t3rd replacement ORC\r\nOBR\t\t3rd replacement order’s detail segment\r\n\r\nWhether the OBR segments must be present is determined by the value of ORC-6-response flag.\r\n\r\nThe described replacement method will handle all possible cases of replacement: one into one, many into one, one into many, and many into many. If the placer sent this request to the filler with two RPs, and this was a response back from the filler to the placer, the two RUs (replaced unsolicited) would be two RQs (replaced as requested). (see figure 4-3)\r\n\r\nSeg\tOrder Control\tComment\r\nORC\tRQ\t1st replaced ORC\r\nOBR\t\t1st replaced order’s detail segment\r\n\t\t\r\nORC\tRQ\t2nd replaced ORC\r\nOBR\t\t2nd replaced order’s detail segment\r\n\t\t\r\nORC\tRO\t1st replacement ORC\r\nOBR\t\t1st replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t2nd replacement ORC\r\nOBR\t\t2nd replacement order’s detail segment\r\n\t\t\r\nORC\tRO\t3rd replacement ORC\r\nOBR\t\t3rd replacement order’s detail segment\r\n\r\nThe replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\nORC with an order control value of RO.\r\n\r\nAny OBR segments (can be replaced by any order detail segments).\r\n\r\nOptionally followed by observation result segments (OBX)\r\nNTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message."},{"code" : "status","valueCode" : "active"}]},{"id" : "1395","code" : "RP","display" : "Order/service replace request","definition" : "Order/service replace request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag ersetzen"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.\r\n\r\nThe order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\na) ORC with an order control value of RO\r\n\r\nb) Any OBR segments (can be replaced by any order detail segments)\r\n\r\nc) Optionally followed by observation result segments (OBX)\r\n\r\nd) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message"},{"code" : "status","valueCode" : "active"}]},{"id" : "1396","code" : "RQ","display" : "Replaced as requested","definition" : "Replaced as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag anweisungsgemäß ersetzt"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.\r\n\r\nThe order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.\r\n\r\nThe replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\na) ORC with an order control value of RO\r\n\r\nb) Any OBR segments (can be replaced by any order detail segments)\r\n\r\nc) Optionally followed by observation result segments (OBX)\r\n\r\nd) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message"},{"code" : "status","valueCode" : "active"}]},{"id" : "1397","code" : "RR","display" : "Request received","definition" : "Request received","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Anforderung erhalten"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.\r\nLeft in for backward compatibility. In the current version it is equivalent to an accept acknowledgment. The request-received code indicates that an order message has been received and will be processed later. The order has not yet undergone the processing that would permit a more exact response."},{"code" : "status","valueCode" : "active"}]},{"id" : "1398","code" : "RU","display" : "Replaced unsolicited","definition" : "Replaced unsolicited","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag ersetzt (ohne Anweisung)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nA replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.\r\n\r\nThe unsolicited replacement code permits the filler application to notify another application without being requested from the placer application.\r\n\r\nThe rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).\r\n\r\nIn the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.\r\n\r\nIn the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.\r\n\r\nIf a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:\r\n\r\na) ORC with an order control value of RO\r\n\r\nb) Any OBR segments (can be replaced by any order detail segments)\r\n\r\nc) Optionally followed by observation result segments (OBX)\r\n\r\nd) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message"},{"code" : "status","valueCode" : "active"}]},{"id" : "1399","code" : "SC","display" : "Status changed","definition" : "Status changed","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Statusänderung"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1400","code" : "SN","display" : "Send order/service number","definition" : "Send order/service number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrags- bzw. Bearbeitungsnummer zuweisen / übermitteln"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications.<p>See comments for NA - Number Assigned."},{"code" : "HL7usageNotes","valueString" : "See comments for NA - Number Assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "1401","code" : "SQ","display" : "Supplemented as requested","definition" : "Supplementation confirmation message indicating that an order was supplemented as requested.","property" : [{"code" : "v2-concComment","valueString" : "This code is used in the acknowledgment  response to the request messages."},{"code" : "status","valueCode" : "N"}]},{"id" : "1402","code" : "SR","display" : "Response to send order/service status request","definition" : "Response to send order/service status request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsstatus (Antwort)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1403","code" : "SS","display" : "Send order/service status request","definition" : "Send order/service status request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsstatus senden"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1404","code" : "SU","display" : "Supplement this order","definition" : "Identifies existing orders to be supplemented in Supplementation Recommendation (filler to placer) and Supplementation Request (placer to filler) messages.","property" : [{"code" : "v2-concComment","valueString" : "For example this code is used in the filler’s order message to identify an order that is missing a recommended order based on organizational protocol for example as described in the IHE Laboratory Communication (LCC) profile (LAB-6)."},{"code" : "status","valueCode" : "N"}]},{"id" : "1405","code" : "UA","display" : "Unable to accept order/service","definition" : "Unable to accept order/service","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsannahme nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.\r\nAn unable to accept code is used when a new order cannot be accepted by the filler. Possible reasons include requesting a prescription for a drug which the patient is allergic to or for an order which requires certain equipment resources which are not available such that the order cannot be filled. Note that this is different from the communication level acceptance as defined within the MSA segment."},{"code" : "status","valueCode" : "active"}]},{"id" : "1406","code" : "UC","display" : "Unable to cancel","definition" : "Unable to cancel","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftragsstornierung nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.\r\nAn unable-to-cancel code is used when the ordered service is at a point that it cannot be canceled by the placer or filler or when local rules prevent cancellation by the filler. The use of this code is dependent on the value of ORC-6-response flag.\r\nIf the filler initiated the request to cancel and the placer is unable to cancel while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages."},{"code" : "status","valueCode" : "active"}]},{"id" : "1407","code" : "UD","display" : "Unable to discontinue","definition" : "Unable to discontinue","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Abbrechen nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler or Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler or Placer Applications.\r\nAn unable-to-discontinue code is used when the ordered service is at a point that it cannot be discontinued by the placer or filler or when local rules prevent discontinuance by the filler. The use of this code is dependent on the value of ORC-6-response flag.\r\nIf the filler initiated the request to discontinue and the placer is unable to discontinue while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages."},{"code" : "status","valueCode" : "active"}]},{"id" : "1408","code" : "UF","display" : "Unable to refill","definition" : "Unable to refill","property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications.<p>Negative response to RF Refill order/service request, indicating that the receiving application was not able to complete the refill request."},{"code" : "HL7usageNotes","valueString" : "Negative response to RF Refill order/service request, indicating that the receiving application was not able to complete the refill request."},{"code" : "status","valueCode" : "active"}]},{"id" : "1409","code" : "UH","display" : "Unable to put on hold","definition" : "Unable to put on hold","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Aussetzen nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1410","code" : "UM","display" : "Unable to replace","definition" : "Unable to replace","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Ersetzen nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1411","code" : "UN","display" : "Unlink order/service from patient care problem or goal","definition" : "Unlink order/service from patient care problem or goal","property" : [{"code" : "v2-concComment","valueString" : "Placer or Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer or Filler Applications.<p>Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "HL7usageNotes","valueString" : "Refer to Chapter 12 Patient Care for complete discussion."},{"code" : "status","valueCode" : "active"}]},{"id" : "1412","code" : "UR","display" : "Unable to release","definition" : "Unable to release","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Wiederaufnahme nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1413","code" : "UX","display" : "Unable to change","definition" : "Unable to change","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Änderung nicht möglich"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1414","code" : "XO","display" : "Change order/service request","definition" : "Change order/service request","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag ändern"}],"property" : [{"code" : "v2-concComment","valueString" : "Placer Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Placer Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1415","code" : "XR","display" : "Changed as requested","definition" : "Changed as requested","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag anweisungsgemäß geändert"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]},{"id" : "1416","code" : "XX","display" : "Order/service changed, unsol.","definition" : "Order/service changed, unsol.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Auftrag geändert (ohne Anweisung)"}],"property" : [{"code" : "v2-concComment","valueString" : "Filler Applications."},{"code" : "v2-concCommentAsPub","valueString" : "Filler Applications."},{"code" : "status","valueCode" : "active"}]}]}

#128

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0121 HTTP/1.0
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#129

GET https://tx.fhir.org/r5/CodeSystem/v2-0121 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:03 GMT
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#130

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0122 HTTP/1.0
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#131

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#132

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#133

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#134

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#135

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#136

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Retained for backward compatibility only as of v 2.5,"},{"code" : "status","valueCode" : "B"}]},{"id" : "4730","code" : "MA","display" : "Multiplexed array","definition" : "Multiplexed array","property" : [{"code" : "v2-concComment","valueString" : "For waveform data only"},{"code" : "v2-concCommentAsPub","valueString" : "For waveform data only"},{"code" : "status","valueCode" : "active"}]},{"id" : "4731","code" : "MO","display" : "Money","definition" : "Money","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4732","code" : "MOC","display" : "Money and charge code","definition" : "Money and charge code","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.3.23 OBR-23 and 7.4.1.23- OBR-23 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.3.23 OBR-23 and 7.4.1.23- OBR-23 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4733","code" : "MOP","display" : "Money or percentage","definition" : "Money or percentage","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.8.5  IN3-5, as of v 2.5. This data type is restricted to this field."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.8.5  IN3-5, as of v 2.5. This data type is restricted to this field."},{"code" : "status","valueCode" : "active"}]},{"id" : "4734","code" : "MSG","display" : "Message type","definition" : "Message type","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 2.16.9.9 MSH-9 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 2.16.9.9 MSH-9 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4735","code" : "NA","display" : "Numeric array","definition" : "Numeric array","property" : [{"code" : "v2-concComment","valueString" : "For waveform data only"},{"code" : "v2-concCommentAsPub","valueString" : "For waveform data only"},{"code" : "status","valueCode" : "active"}]},{"id" : "4736","code" : "NDL","display" : "Name with date and location","definition" : "Name with date and location","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.3.32 and 7.4.1.32-( OBR-32) , 4.5.3.33 and 7.4.1.33  - ( OBR-33) 4.5.3.34 and 7.4.1.34 - ( OBR-34) 4.5.3.35 and 7.4.1.35 - ( OBR-35) as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.3.32 and 7.4.1.32-( OBR-32) , 4.5.3.33 and 7.4.1.33  - ( OBR-33) 4.5.3.34 and 7.4.1.34 - ( OBR-34) 4.5.3.35 and 7.4.1.35 - ( OBR-35) as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4737","code" : "NM","display" : "Numeric","definition" : "Numeric","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4738","code" : "NR","display" : "Numeric range","definition" : "Numeric range","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3and 8.8.4.6.4- OM2-6.4, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3and 8.8.4.6.4- OM2-6.4, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4739","code" : "OCD","display" : "Occurrence code and date","definition" : "Occurrence code and date","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 6.5.10.10 UB1-16 and 6.5.11.7 UB2-7, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 6.5.10.10 UB1-16 and 6.5.11.7 UB2-7, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4740","code" : "OSD","display" : "Order sequence definition","definition" : "Order sequence definition","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4741","code" : "OSP","display" : "Occurrence span code and date","definition" : "Occurrence span code and date","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.11.8 UB2-8, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.11.8 UB2-8, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4742","code" : "PIP","display" : "Practitioner institutional privileges","definition" : "Practitioner institutional privileges","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 15.4.5.7 PRA-7 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 15.4.5.7 PRA-7 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4743","code" : "PL","display" : "Person location","definition" : "Person location","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4744","code" : "PLN","display" : "Practitioner license or other ID number","definition" : "Practitioner license or other ID number","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 and 11.6.4.7 CTD-7 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 and 11.6.4.7 CTD-7 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4745","code" : "PN","display" : "Person name","definition" : "Person name","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4746","code" : "PPN","display" : "Performing person time stamp","definition" : "Performing person time stamp","property" : [{"code" : "v2-concComment","valueString" : "equivalent of an XCN joined with a TS"},{"code" : "v2-concCommentAsPub","valueString" : "equivalent of an XCN joined with a TS"},{"code" : "status","valueCode" : "active"}]},{"id" : "4747","code" : "PRL","display" : "Parent result link","definition" : "Parent result link","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.3.26 - OBR-26 and 7.4.1.26 - OBR-26 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.3.26 - OBR-26 and 7.4.1.26 - OBR-26 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4748","code" : "PT","display" : "Processing type","definition" : "Processing type","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4749","code" : "PTA","display" : "Policy type and amount","definition" : "Policy type and amount","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.7.29  IN2-29, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.7.29  IN2-29, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4750","code" : "QIP","display" : "Query input parameter list","definition" : "Query input parameter list","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4751","code" : "QSC","display" : "Query selection criteria","definition" : "Query selection criteria","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4752","code" : "RCD","display" : "Row column definition","definition" : "Row column definition","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4753","code" : "RFR","display" : "Reference range","definition" : "Reference range","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 8.8.4.6 - OM2-6, 8.8.4.7 - OM2-7 and8.8.4.8 - OM2-8 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 8.8.4.6 - OM2-6, 8.8.4.7 - OM2-7 and8.8.4.8 - OM2-8 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4754","code" : "RI","display" : "Repeat interval","definition" : "Repeat interval","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4755","code" : "RMC","display" : "Room coverage","definition" : "Room coverage","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.7.28  IN2-28, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.7.28  IN2-28, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4756","code" : "RP","display" : "Reference pointer","definition" : "Reference pointer","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4757","code" : "RPT","display" : "Repeat pattern","definition" : "Repeat pattern","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4758","code" : "SAD","display" : "Street Address","definition" : "Street Address","property" : [{"code" : "v2-concComment","valueString" : "Appears ONLY in the XAD data type."},{"code" : "v2-concCommentAsPub","valueString" : "Appears ONLY in the XAD data type."},{"code" : "status","valueCode" : "active"}]},{"id" : "4759","code" : "SCV","display" : "Scheduling class value pair","definition" : "Scheduling class value pair","property" : [{"code" : "v2-concComment","valueString" : "For scheduling data only. See Chapter 10"},{"code" : "v2-concCommentAsPub","valueString" : "For scheduling data only. See Chapter 10"},{"code" : "status","valueCode" : "active"}]},{"id" : "4760","code" : "SI","display" : "Sequence ID","definition" : "Sequence ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4761","code" : "SN","display" : "Structured numeric","definition" : "Structured numeric","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4762","code" : "SNM","display" : "String of telephone number digits","definition" : "String of telephone number digits","property" : [{"code" : "v2-concComment","valueString" : "Definition: a string whose characters are limited to \"+\" and the decimal digits 0 through 9.  As a string, leading zeros are always considered significant.  Maximum length: Not specified for the type. May be specified in the context of use."},{"code" : "v2-concCommentAsPub","valueString" : "Definition: a string whose characters are limited to \"+\" and the decimal digits 0 through 9.  As a string, leading zeros are always considered significant.  Maximum length: Not specified for the type. May be specified in the context of use."},{"code" : "status","valueCode" : "active"}]},{"id" : "4763","code" : "SPD","display" : "Specialty description","definition" : "Specialty description","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 15.4.5.5 PRA-5 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 15.4.5.5 PRA-5 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4764","code" : "SPS","display" : "Specimen source","definition" : "Specimen source","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4765","code" : "SRT","display" : "Sort order","definition" : "Sort order","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4766","code" : "ST","display" : "String data","definition" : "String data","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4767","code" : "TM","display" : "Time","definition" : "Time","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4768","code" : "TN","display" : "Telephone number","definition" : "Telephone number","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4769","code" : "TQ","display" : "Timing/quantity","definition" : "Timing/quantity","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4770","code" : "TS","display" : "Time stamp","definition" : "Time stamp","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4771","code" : "TX","display" : "Text data","definition" : "Text data","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4772","code" : "UVC","display" : "UB value code and amount","definition" : "UB value code and amount","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 6.5.10.10 UB1-10 and 6.5.11.6 UB2-6, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 6.5.10.10 UB1-10 and 6.5.11.6 UB2-6, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4773","code" : "VH","display" : "Visiting hours","definition" : "Visiting hours","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4774","code" : "VID","display" : "Version identifier","definition" : "Version identifier","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4775","code" : "VR","display" : "Value range","definition" : "Value range","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 5.10.5.3.11 QRD-11 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 5.10.5.3.11 QRD-11 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4776","code" : "WVI","display" : "Channel Identifier","definition" : "Channel Identifier","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 7.14.1.3.1 OBX-5.1 where OBX-5 Observation value (*) is data type CD as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 7.14.1.3.1 OBX-5.1 where OBX-5 Observation value (*) is data type CD as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4777","code" : "WVS","display" : "Waveform source","definition" : "Waveform source","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 7.14.1.4 OBX-5.2 where OBX-5 Observation value (*) is data type CD as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 7.14.1.4 OBX-5.2 where OBX-5 Observation value (*) is data type CD as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4778","code" : "XAD","display" : "Extended address","definition" : "Extended address","property" : [{"code" : "v2-concComment","valueString" : "Replaces AD as of v 2.3"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces AD as of v 2.3"},{"code" : "status","valueCode" : "active"}]},{"id" : "4779","code" : "XCN","display" : "Extended composite ID number and name for persons","definition" : "Extended composite ID number and name for persons","property" : [{"code" : "v2-concComment","valueString" : "Replaces CN as of v 2.3"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces CN as of v 2.3"},{"code" : "status","valueCode" : "active"}]},{"id" : "4780","code" : "XON","display" : "Extended composite name and ID number for organizations","definition" : "Extended composite name and ID number for organizations","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4781","code" : "XPN","display" : "Extended person name","definition" : "Extended person name","property" : [{"code" : "v2-concComment","valueString" : "Replaces PN as of v 2.3."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces PN as of v 2.3."},{"code" : "status","valueCode" : "active"}]},{"id" : "4782","code" : "XTN","display" : "Extended telecommunications number","definition" : "Extended telecommunications number","property" : [{"code" : "v2-concComment","valueString" : "Replaces TN as of v 2.3"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces TN as of v 2.3"},{"code" : "status","valueCode" : "active"}]}]}}]}

#137

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{"resourceType" : "CodeSystem","id" : "v2-0440","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0440","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.280"}],"version" : "2.0.0","name" : "DataTypes","title" : "dataTypes","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the format of the observation value in the Observation Result (OBX).   Used in HL7 Version 2.x messaging in the OBX, OM1, OM3 and OMC segments.","purpose" : "Underlying Master Code System for V2 table 0440 (Data Types)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0440","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "4687","code" : "AD","display" : "Address","definition" : "Address","property" : [{"code" : "v2-concComment","valueString" : "Replaced by XAD as of v 2.3"},{"code" : "v2-concCommentAsPub","valueString" : "Replaced by XAD as of v 2.3"},{"code" : "status","valueCode" : "active"}]},{"id" : "4688","code" : "AUI","display" : "Authorization information","definition" : "Authorization information","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 6.5.6.14 IN1-14, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 6.5.6.14 IN1-14, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4689","code" : "CCD","display" : "Charge code and date","definition" : "Charge code and date","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 4.5.2.1 BLG-1, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 4.5.2.1 BLG-1, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4690","code" : "CCP","display" : "Channel calibration parameters","definition" : "Channel calibration parameters","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4691","code" : "CD","display" : "Channel definition","definition" : "Channel definition","property" : [{"code" : "v2-concComment","valueString" : "For waveform data only;."},{"code" : "v2-concCommentAsPub","valueString" : "For waveform data only;."},{"code" : "status","valueCode" : "active"}]},{"id" : "4692","code" : "CE","display" : "Coded element","definition" : "Coded element","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4693","code" : "CF","display" : "Coded element with formatted values","definition" : "Coded element with formatted values","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4694","code" : "CK","display" : "Composite ID with check digit","definition" : "Composite ID with check digit","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4695","code" : "CM","display" : "Composite","definition" : "Composite","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN Replaced by numerous new unambiguous data types in v 2.5"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN Replaced by numerous new unambiguous data types in v 2.5"},{"code" : "status","valueCode" : "active"}]},{"id" : "4696","code" : "CN","display" : "Composite ID number and name","definition" : "Composite ID number and name","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN. Replaced by XCN as of v 2.3"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN. Replaced by XCN as of v 2.3"},{"code" : "status","valueCode" : "active"}]},{"id" : "4697","code" : "CNE","display" : "Coded with no exceptions","definition" : "Coded with no exceptions","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4698","code" : "CNS","display" : "Composite ID number and name simplified","definition" : "Composite ID number and name simplified","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4699","code" : "CNN","display" : "Composite ID number and name simplified","definition" : "Composite ID number and name simplified","property" : [{"code" : "v2-concComment","valueString" : "Restores the original data type CN as was initially implementable in the CM used in sections 4.5.3.32 and 7.4.1.32-(OBR-32), 4.5.3.33 and 7.4.1.33 - (OBR-33) 4.5.3.34 and 7.4.1.34 - (OBR-34) 4.5.3.35 and 7.4.1.35 - (OBR-35). Components 7 and 8, however, have been promoted to data type IS to be consistent with current practice without violating backward compatibility."},{"code" : "v2-concCommentAsPub","valueString" : "Restores the original data type CN as was initially implementable in the CM used in sections 4.5.3.32 and 7.4.1.32-(OBR-32), 4.5.3.33 and 7.4.1.33 - (OBR-33) 4.5.3.34 and 7.4.1.34 - (OBR-34) 4.5.3.35 and 7.4.1.35 - (OBR-35). Components 7 and 8, however, have been promoted to data type IS to be consistent with current practice without violating backward compatibility."},{"code" : "status","valueCode" : "active"}]},{"id" : "4700","code" : "CP","display" : "Composite price","definition" : "Composite price","property" : [{"code" : "v2-concComment","valueString" : "."},{"code" : "v2-concCommentAsPub","valueString" : "."},{"code" : "status","valueCode" : "active"}]},{"id" : "4701","code" : "CQ","display" : "Composite quantity with units","definition" : "Composite quantity with units","property" : [{"code" : "v2-concComment","valueString" : "CQ cannot be legally expressed when embedded within another data type. Its use is constrained to a segment field."},{"code" : "v2-concCommentAsPub","valueString" : "CQ cannot be legally expressed when embedded within another data type. Its use is constrained to a segment field."},{"code" : "status","valueCode" : "active"}]},{"id" : "4702","code" : "CSU","display" : "Channel sensitivity and units","definition" : "Channel sensitivity and units","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4703","code" : "CWE","display" : "Coded with exceptions","definition" : "Coded with exceptions","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4704","code" : "CX","display" : "Extended composite ID with check digit","definition" : "Extended composite ID with check digit","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4705","code" : "DDI","display" : "Daily deductible information","definition" : "Daily deductible information","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.7.30  IN2-30, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.7.30  IN2-30, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4706","code" : "DIN","display" : "Date and institution name","definition" : "Date and institution name","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 15.4.6.12 STF-12 and 15.4.6.14 STF-13, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 15.4.6.12 STF-12 and 15.4.6.14 STF-13, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4707","code" : "DLD","display" : "Discharge to location and date","definition" : "Discharge to location and date","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 8.8.4.9 - OM2-9, as of v 2.5"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 8.8.4.9 - OM2-9, as of v 2.5"},{"code" : "status","valueCode" : "active"}]},{"id" : "4708","code" : "DLN","display" : "Driver's license number","definition" : "Driver's license number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4709","code" : "DLT","display" : "Delta","definition" : "Delta","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4710","code" : "DR","display" : "Date/time range","definition" : "Date/time range","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4711","code" : "DT","display" : "Date","definition" : "Date","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4712","code" : "DTM","display" : "Date/time","definition" : "Date/time","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4713","code" : "DTN","display" : "Day type and number","definition" : "Day type and number","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.8.11  IN3-11, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.8.11  IN3-11, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4714","code" : "ED","display" : "Encapsulated data","definition" : "Encapsulated data","property" : [{"code" : "v2-concComment","valueString" : "Supports ASCII MIME-encoding of binary data."},{"code" : "v2-concCommentAsPub","valueString" : "Supports ASCII MIME-encoding of binary data."},{"code" : "status","valueCode" : "active"}]},{"id" : "4715","code" : "EI","display" : "Entity identifier","definition" : "Entity identifier","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4716","code" : "EIP","display" : "Entity identifier pair","definition" : "Entity identifier pair","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.1.8 - ORC-8, 4.5.3.29 - OBR-29, 7.3.1.29 - OBR-29, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.1.8 - ORC-8, 4.5.3.29 - OBR-29, 7.3.1.29 - OBR-29, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4717","code" : "ELD","display" : "Error location and description","definition" : "Error location and description","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4718","code" : "ERL","display" : "Error location","definition" : "Error location","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4719","code" : "FC","display" : "Financial class","definition" : "Financial class","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4720","code" : "FN","display" : "Family name","definition" : "Family name","property" : [{"code" : "v2-concComment","valueString" : "Appears ONLY in the PPN, XCN, and XPN."},{"code" : "v2-concCommentAsPub","valueString" : "Appears ONLY in the PPN, XCN, and XPN."},{"code" : "status","valueCode" : "active"}]},{"id" : "4721","code" : "FT","display" : "Formatted text","definition" : "Formatted text","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4722","code" : "GTS","display" : "General timing specification","definition" : "General timing specification","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4723","code" : "HD","display" : "Hierarchic designator","definition" : "Hierarchic designator","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4724","code" : "ICD","display" : "Insurance certification definition","definition" : "Insurance certification definition","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.8.20  IN3-20, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.8.20  IN3-20, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4725","code" : "ID","display" : "Coded values for HL7 tables","definition" : "Coded values for HL7 tables","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4726","code" : "IS","display" : "Coded value for user-defined tables","definition" : "Coded value for user-defined tables","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4727","code" : "JCC","display" : "Job code/class","definition" : "Job code/class","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4728","code" : "LA1","display" : "Location with address variation 1","definition" : "Location with address variation 1","property" : [{"code" : "v2-concComment","valueString" : "Datatype has been withdrawn from the Standard; the segments RXO-8 and RXE-8 were deprecated, and kept for backward compatibility only as of v2.5, and as of v2.9 they have been witdrawn so the code for the datapyt is here marked as backwars-compatible use (for historical records only)"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 4.14.1.8 RXO-8 and 4.14.4.8 RXE-8 as of v 2.5. Retained for backward compatibility only as of v 2.5"},{"code" : "status","valueCode" : "B"}]},{"id" : "4729","code" : "LA2","display" : "Location with address variation 2","definition" : "Location with address variation 2","property" : [{"code" : "v2-concComment","valueString" : "Datatype has been withdrawn from the Standard; the segments RXD-13, RXG-11 and RXA-11 were deprecated, and kept for backward compatibility only as of v2.5, and as of v2.9 they have been withdrawn so the code for the datatype is here marked as backwards-compatible use (for historical records only)"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 4.14.5.13 RXD-13, 4.14.6.11 RXG-11 and 4.14.7.11 RXA-11 as of v 2.5. Retained for backward compatibility only as of v 2.5,"},{"code" : "status","valueCode" : "B"}]},{"id" : "4730","code" : "MA","display" : "Multiplexed array","definition" : "Multiplexed array","property" : [{"code" : "v2-concComment","valueString" : "For waveform data only"},{"code" : "v2-concCommentAsPub","valueString" : "For waveform data only"},{"code" : "status","valueCode" : "active"}]},{"id" : "4731","code" : "MO","display" : "Money","definition" : "Money","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4732","code" : "MOC","display" : "Money and charge code","definition" : "Money and charge code","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.3.23 OBR-23 and 7.4.1.23- OBR-23 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.3.23 OBR-23 and 7.4.1.23- OBR-23 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4733","code" : "MOP","display" : "Money or percentage","definition" : "Money or percentage","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.8.5  IN3-5, as of v 2.5. This data type is restricted to this field."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.8.5  IN3-5, as of v 2.5. This data type is restricted to this field."},{"code" : "status","valueCode" : "active"}]},{"id" : "4734","code" : "MSG","display" : "Message type","definition" : "Message type","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 2.16.9.9 MSH-9 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 2.16.9.9 MSH-9 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4735","code" : "NA","display" : "Numeric array","definition" : "Numeric array","property" : [{"code" : "v2-concComment","valueString" : "For waveform data only"},{"code" : "v2-concCommentAsPub","valueString" : "For waveform data only"},{"code" : "status","valueCode" : "active"}]},{"id" : "4736","code" : "NDL","display" : "Name with date and location","definition" : "Name with date and location","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.3.32 and 7.4.1.32-( OBR-32) , 4.5.3.33 and 7.4.1.33  - ( OBR-33) 4.5.3.34 and 7.4.1.34 - ( OBR-34) 4.5.3.35 and 7.4.1.35 - ( OBR-35) as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.3.32 and 7.4.1.32-( OBR-32) , 4.5.3.33 and 7.4.1.33  - ( OBR-33) 4.5.3.34 and 7.4.1.34 - ( OBR-34) 4.5.3.35 and 7.4.1.35 - ( OBR-35) as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4737","code" : "NM","display" : "Numeric","definition" : "Numeric","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4738","code" : "NR","display" : "Numeric range","definition" : "Numeric range","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3and 8.8.4.6.4- OM2-6.4, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3and 8.8.4.6.4- OM2-6.4, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4739","code" : "OCD","display" : "Occurrence code and date","definition" : "Occurrence code and date","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 6.5.10.10 UB1-16 and 6.5.11.7 UB2-7, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 6.5.10.10 UB1-16 and 6.5.11.7 UB2-7, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4740","code" : "OSD","display" : "Order sequence definition","definition" : "Order sequence definition","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4741","code" : "OSP","display" : "Occurrence span code and date","definition" : "Occurrence span code and date","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.11.8 UB2-8, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.11.8 UB2-8, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4742","code" : "PIP","display" : "Practitioner institutional privileges","definition" : "Practitioner institutional privileges","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 15.4.5.7 PRA-7 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 15.4.5.7 PRA-7 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4743","code" : "PL","display" : "Person location","definition" : "Person location","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4744","code" : "PLN","display" : "Practitioner license or other ID number","definition" : "Practitioner license or other ID number","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 and 11.6.4.7 CTD-7 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 and 11.6.4.7 CTD-7 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4745","code" : "PN","display" : "Person name","definition" : "Person name","property" : [{"code" : "v2-concComment","valueString" : "WITHDRAWN"},{"code" : "v2-concCommentAsPub","valueString" : "WITHDRAWN"},{"code" : "status","valueCode" : "active"}]},{"id" : "4746","code" : "PPN","display" : "Performing person time stamp","definition" : "Performing person time stamp","property" : [{"code" : "v2-concComment","valueString" : "equivalent of an XCN joined with a TS"},{"code" : "v2-concCommentAsPub","valueString" : "equivalent of an XCN joined with a TS"},{"code" : "status","valueCode" : "active"}]},{"id" : "4747","code" : "PRL","display" : "Parent result link","definition" : "Parent result link","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 4.5.3.26 - OBR-26 and 7.4.1.26 - OBR-26 as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in sections 4.5.3.26 - OBR-26 and 7.4.1.26 - OBR-26 as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4748","code" : "PT","display" : "Processing type","definition" : "Processing type","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4749","code" : "PTA","display" : "Policy type and amount","definition" : "Policy type and amount","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in section 6.5.7.29  IN2-29, as of v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces the CM data type used in section 6.5.7.29  IN2-29, as of v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "4750","code" : "QIP","display" : "Query input parameter list","definition" : "Query input parameter list","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4751","code" : "QSC","display" : "Query selection criteria","definition" : "Query selection criteria","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4752","code" : "RCD","display" : "Row column definition","definition" : "Row column definition","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4753","code" : "RFR","display" : "Reference range","definition" : "Reference range","property" : [{"code" : "v2-concComment","valueString" : "Replaces the CM data type used in sections 8.8.4.6 - 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#138

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#139

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#140

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#141

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#142

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#143

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#144

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#145

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#146

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#147

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#148

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#149

GET https://tx.fhir.org/r5/CodeSystem/v2-0133 HTTP/1.0
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200
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#150

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0135 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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date:Mon, 15 Dec 2025 20:12:05 GMT
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x-request-id:252-199252

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#151

GET https://tx.fhir.org/r5/CodeSystem/v2-0135 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:05 GMT
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#152

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0532 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199254

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#153

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#154

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#155

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#156

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#157

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#158

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#159

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#160

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#161

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#162

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#163

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#164

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#165

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#166

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#167

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#168

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0148 HTTP/1.0
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#169

GET https://tx.fhir.org/r5/CodeSystem/v2-0148 HTTP/1.0
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200
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#170

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0149 HTTP/1.0
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server:nginx
x-request-id:252-199272

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#171

GET https://tx.fhir.org/r5/CodeSystem/v2-0149 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:06 GMT
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server:nginx
x-request-id:252-199273

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#172

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#173

GET https://tx.fhir.org/r5/CodeSystem/v2-0150 HTTP/1.0
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200
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x-request-id:252-199275

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#174

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#175

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#176

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#177

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#178

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#179

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#180

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#181

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#182

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0159 HTTP/1.0
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#183

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#184

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#185

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#186

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#187

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#188

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#191

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#192

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#193

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#194

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#195

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#196

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#197

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#198

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#199

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#200

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#201

GET https://tx.fhir.org/r5/CodeSystem/v2-0168 HTTP/1.0
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#202

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#203

GET https://tx.fhir.org/r5/CodeSystem/v2-0169 HTTP/1.0
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200
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#204

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0170 HTTP/1.0
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#205

GET https://tx.fhir.org/r5/CodeSystem/v2-0170 HTTP/1.0
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200
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#206

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#207

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#208

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#209

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#210

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#211

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#212

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#213

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#214

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#215

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#216

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#217

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#218

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0180 HTTP/1.0
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#219

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#220

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0181 HTTP/1.0
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#221

GET https://tx.fhir.org/r5/CodeSystem/v2-0181 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:11 GMT
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#222

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0183 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:11 GMT
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#223

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date:Mon, 15 Dec 2025 20:12:11 GMT
pragma:no-cache
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#224

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#225

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#226

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#227

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#228

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#229

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#230

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This would be used if reimbursement is based on the location of the service (to take into account the cost of those services)."},{"code" : "v2-concCommentAsPub","valueString" : "Refers to the location in which service is rendered. This would be used if reimbursement is based on the location of the service (to take into account the cost of those services)."},{"code" : "status","valueCode" : "active"}]},{"id" : "1905","code" : "SH","display" : "Shipping Address","definition" : "Shipping Address","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Versandadresse"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1906","code" : "TM","display" : "Tube Address","definition" : "Tube Address","property" : [{"code" : "v2-concComment","valueString" : "Pneumatic tube address (to which letters may be sent). A special transport system to transport small samples/containers and/or normal mail in small carriages on rail or in a tube.  (German Rohrpost)"},{"code" : "v2-concCommentAsPub","valueString" : "Pneumatic tube address (to which letters may be sent). A special transport system to transport small samples/containers and/or normal mail in small carriages on rail or in a tube.  (German Rohrpost)"},{"code" : "status","valueCode" : "active"}]},{"id" : "1907","code" : "V","display" : "Vacation","definition" : "Vacation","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Adresse des Ferienortes"}],"property" : [{"code" : "status","valueCode" : "active"}]}]}

#232

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#233

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#234

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#235

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#236

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Use \"L\" instead - has same meaning"},{"code" : "v2-concCommentAsPub","valueString" : "(animals only)<p>Retained for backwards compatibility only as of v2.7. Use \"L\" instead - has same meaning"},{"code" : "status","valueCode" : "active"}]},{"id" : "1943","code" : "REL","display" : "Religious","definition" : "Religious","property" : [{"code" : "v2-concComment","valueString" : "e.g. Sister Mary Francis, Brother John"},{"code" : "v2-concCommentAsPub","valueString" : "e.g. Sister Mary Francis, Brother John"},{"code" : "status","valueCode" : "active"}]},{"id" : "1944","code" : "S","display" : "Pseudonym","definition" : "Pseudonym","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Pseudonym (z.B. für Studien)"}],"property" : [{"code" : "v2-concComment","valueString" : "Coded Pseudo-Name to ensure anonymity"},{"code" : "v2-concCommentAsPub","valueString" : "Coded Pseudo-Name to ensure anonymity"},{"code" : "status","valueCode" : "active"}]},{"id" : "1945","code" : "T","display" : "Indigenous/Tribal","definition" : "Indigenous/Tribal","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Stammesname"}],"property" : [{"code" : "v2-concComment","valueString" : "Indigenous/Tribal/Community Name  e.g. Chief Red Cloud"},{"code" : "v2-concCommentAsPub","valueString" : "Indigenous/Tribal/Community Name  e.g. Chief Red Cloud"},{"code" : "status","valueCode" : "active"}]},{"id" : "1946","code" : "TEMP","display" : "Temporary Name","definition" : "Temporary Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "temporärer Name"}],"property" : [{"code" : "v2-concComment","valueString" : "A temporary name. Note that a name valid time can provide more detailed information."},{"code" : "v2-concCommentAsPub","valueString" : "A temporary name. Note that a name valid time can provide more detailed information."},{"code" : "status","valueCode" : "active"}]},{"id" : "1947","code" : "U","display" : "Unknown","definition" : "Unknown","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name unbekannt"}],"property" : [{"code" : "v2-concComment","valueString" : "Unknown"},{"code" : "v2-concCommentAsPub","valueString" : "Unknown"},{"code" : "status","valueCode" : "active"}]},{"id" : "1948","code" : "...","display" : "No suggested values defined","definition" : "No suggested values defined","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "deprecated"}]}]}}]}

#237

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{"resourceType" : "CodeSystem","id" : "v2-0200","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0200","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.105"}],"version" : "2.0.0","name" : "NameType2","title" : "nameType2","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts for types of names for persons.  Used in HL7 Version 2.x messaging in the XPN, PPN, XCN, PID and MRG segments.","purpose" : "Underlying Master Code System for V2 table 0200 (Name Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0200","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "1925","code" : "O","display" : "Other","definition" : "Other","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "sonstiger Name"}],"property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "1926","code" : "A","display" : "Assigned","definition" : "Assigned","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Aliasname"}],"property" : [{"code" : "v2-concComment","valueString" : "A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call \"alias\" may fit into this category."},{"code" : "v2-concCommentAsPub","valueString" : "A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call \"alias\" may fit into this category."},{"code" : "status","valueCode" : "active"}]},{"id" : "1927","code" : "B","display" : "Birth name","definition" : "Birth name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Geburtsname"}],"property" : [{"code" : "v2-concComment","valueString" : "A name that a person had shortly after being born. 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May also be known asa preferred name."},{"code" : "v2-concCommentAsPub","valueString" : "Known as/conventional/the one you use.  May also be known asa preferred name."},{"code" : "status","valueCode" : "active"}]},{"id" : "1931","code" : "F","display" : "Fathers Name","definition" : "Fathers Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name des Vaters"}],"property" : [{"code" : "v2-concComment","valueString" : "Fathers Name ( Patronymic Name)"},{"code" : "v2-concCommentAsPub","valueString" : "Fathers Name ( Patronymic Name)"},{"code" : "status","valueCode" : "active"}]},{"id" : "1932","code" : "I","display" : "Licensing Name","definition" : "Licensing Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "nicht verwendet"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1933","code" : "K","display" : "Business name","definition" : "Business name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Geschäftsname"}],"property" : [{"code" : "v2-concComment","valueString" : "A name used in a Professional or Business context. Also includes writer’s pseudonym, artist’s name, stage name, street name, etc.\r\n\r\nAn example of use is where a person with multiple proper names (i.e. married) uses one of the particular names in a professional"},{"code" : "v2-concCommentAsPub","valueString" : "A name used in a Professional or Business context. Also includes writer’s pseudonym, artist’s name, stage name, street name, etc.\r\n\r\nAn example of use is where a person with multiple proper names (i.e. married) uses one of the particular names in a professional"},{"code" : "status","valueCode" : "active"}]},{"id" : "1934","code" : "L","display" : "Official Registry Name","definition" : "Official Registry Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "gesetzlicher Name"}],"property" : [{"code" : "v2-concComment","valueString" : "The formal name as registered in an official (government) registry, but which name might not be commonly used. May correspond to legal name<p>For many people, customary name is also their official name"},{"code" : "v2-concCommentAsPub","valueString" : "The formal name as registered in an official (government) registry, but which name might not be commonly used. May correspond to legal name<p>For many people, customary name is also their official name"},{"code" : "status","valueCode" : "active"}]},{"id" : "1935","code" : "M","display" : "Maiden Name","definition" : "Maiden Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name als ledige Person (Ledigenname)"}],"property" : [{"code" : "v2-concComment","valueString" : "A name you had just before you got married"},{"code" : "v2-concCommentAsPub","valueString" : "A name you had just before you got married"},{"code" : "status","valueCode" : "active"}]},{"id" : "1936","code" : "MSK","display" : "Masked","definition" : "Masked","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name ist maskiert"}],"property" : [{"code" : "v2-concComment","valueString" : "There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.\r\n\r\nNote: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail."},{"code" : "v2-concCommentAsPub","valueString" : "There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.\r\n\r\nNote: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail."},{"code" : "status","valueCode" : "active"}]},{"id" : "1937","code" : "N","display" : "Nickname","definition" : "Nickname","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Spitzname"}],"property" : [{"code" : "v2-concComment","valueString" : "Nickname /\"Call me\" Name/Street Name"},{"code" : "v2-concCommentAsPub","valueString" : "Nickname /\"Call me\" Name/Street Name"},{"code" : "status","valueCode" : "active"}]},{"id" : "1938","code" : "NAV","display" : "Temporarily Unavailable","definition" : "Temporarily Unavailable","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name zeitweise nicht verfügbar"}],"property" : [{"code" : "v2-concComment","valueString" : "Information is not available at this time but it is expected that it will be available later.<p>Includes John or Jane Doe situations"},{"code" : "v2-concCommentAsPub","valueString" : "Information is not available at this time but it is expected that it will be available later.<p>Includes John or Jane Doe situations"},{"code" : "status","valueCode" : "active"}]},{"id" : "1939","code" : "NB","display" : "Newborn Name","definition" : "Newborn Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name zeitweise nicht verfügbar"}],"property" : [{"code" : "v2-concComment","valueString" : "A name assigned on a temporary basis at birth. i.e. \"Baby of Smith\""},{"code" : "v2-concCommentAsPub","valueString" : "A name assigned on a temporary basis at birth. i.e. \"Baby of Smith\""},{"code" : "status","valueCode" : "active"}]},{"id" : "1940","code" : "NOUSE","display" : "No Longer To Be Used","definition" : "No Longer To Be Used","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "nicht länger in Benutzung"}],"property" : [{"code" : "v2-concComment","valueString" : "Name not to be used anymore for personal reasons"},{"code" : "v2-concCommentAsPub","valueString" : "Name not to be used anymore for personal reasons"},{"code" : "status","valueCode" : "active"}]},{"id" : "1941","code" : "P","display" : "Name of Partner/Spouse","definition" : "Name of Partner/Spouse","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "nicht verwendet"}],"property" : [{"code" : "v2-concComment","valueString" : "Retained for backward compatibility only as of v2.7."},{"code" : "v2-concCommentAsPub","valueString" : "Retained for backward compatibility only as of v2.7."},{"code" : "status","valueCode" : "active"}]},{"id" : "1942","code" : "R","display" : "Registered Name","definition" : "Registered Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Zuchtname bei Tieren"}],"property" : [{"code" : "v2-concComment","valueString" : "(animals only)<p>Retained for backwards compatibility only as of v2.7. Use \"L\" instead - has same meaning"},{"code" : "v2-concCommentAsPub","valueString" : "(animals only)<p>Retained for backwards compatibility only as of v2.7. Use \"L\" instead - has same meaning"},{"code" : "status","valueCode" : "active"}]},{"id" : "1943","code" : "REL","display" : "Religious","definition" : "Religious","property" : [{"code" : "v2-concComment","valueString" : "e.g. Sister Mary Francis, Brother John"},{"code" : "v2-concCommentAsPub","valueString" : "e.g. Sister Mary Francis, Brother John"},{"code" : "status","valueCode" : "active"}]},{"id" : "1944","code" : "S","display" : "Pseudonym","definition" : "Pseudonym","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Pseudonym (z.B. für Studien)"}],"property" : [{"code" : "v2-concComment","valueString" : "Coded Pseudo-Name to ensure anonymity"},{"code" : "v2-concCommentAsPub","valueString" : "Coded Pseudo-Name to ensure anonymity"},{"code" : "status","valueCode" : "active"}]},{"id" : "1945","code" : "T","display" : "Indigenous/Tribal","definition" : "Indigenous/Tribal","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Stammesname"}],"property" : [{"code" : "v2-concComment","valueString" : "Indigenous/Tribal/Community Name  e.g. Chief Red Cloud"},{"code" : "v2-concCommentAsPub","valueString" : "Indigenous/Tribal/Community Name  e.g. Chief Red Cloud"},{"code" : "status","valueCode" : "active"}]},{"id" : "1946","code" : "TEMP","display" : "Temporary Name","definition" : "Temporary Name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "temporärer Name"}],"property" : [{"code" : "v2-concComment","valueString" : "A temporary name. Note that a name valid time can provide more detailed information."},{"code" : "v2-concCommentAsPub","valueString" : "A temporary name. Note that a name valid time can provide more detailed information."},{"code" : "status","valueCode" : "active"}]},{"id" : "1947","code" : "U","display" : "Unknown","definition" : "Unknown","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Name unbekannt"}],"property" : [{"code" : "v2-concComment","valueString" : "Unknown"},{"code" : "v2-concCommentAsPub","valueString" : "Unknown"},{"code" : "status","valueCode" : "active"}]},{"id" : "1948","code" : "...","display" : "No suggested values defined","definition" : "No suggested values defined","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "deprecated"}]}]}

#238

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#239

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#240

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Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "1982","code" : "BCFN","display" : "Birth Certificate File Number","definition" : "The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the birth certificate.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "1983","code" : "BCT","display" : "Birth Certificate","definition" : "A number associated with a document identifying the event of a person's birth","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying the event of a person's birth."},{"code" : "status","valueCode" : "active"}]},{"id" : "1984","code" : "BR","display" : "Birth registry number","definition" : "An identifier unique within the Assigning Authority that is the official legal record of a person's birth.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Geburtsregisternummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier unique within the Assigning Authority that is the official legal record of a person's birth."},{"code" : "status","valueCode" : "active"}]},{"id" : "1985","code" : "BRN","display" : "Breed Registry Number","definition" : "Breed Registry Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1986","code" : "BSNR","display" : "Primary physician office number","definition" : "Primary physician office number","property" : [{"code" : "v2-concComment","valueString" : "Betriebsstättennummer - for use in the German realm."},{"code" : "v2-concCommentAsPub","valueString" : "Betriebsstättennummer - for use in the German realm."},{"code" : "status","valueCode" : "active"}]},{"id" : "1987","code" : "CAAI","display" : "Consumer Application Account Identifier","definition" : "An identifier for the consumer (e.g., patient, caregiver) for an application such as a portal or App.","property" : [{"code" : "v2-concComment","valueString" : "This may be the same as a username, but frequently is different."},{"code" : "status","valueCode" : "N"}]},{"id" : "1988","code" : "CC","display" : "Cost Center number","definition" : "Cost Center number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code" : "status","valueCode" : "active"}]},{"id" : "1989","code" : "CONM","display" : "Change of Name Document","definition" : "A number associated with a document identifying a person's legal change of name.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person's legal change of name."},{"code" : "status","valueCode" : "active"}]},{"id" : "1990","code" : "CY","display" : "County number","definition" : "County number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1991","code" : "CZ","display" : "Citizenship Card","definition" : "A number assigned by a person's country of residence to identify a person's citizenship.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned by a person's country of residence to identify a person's citizenship."},{"code" : "status","valueCode" : "active"}]},{"id" : "1992","code" : "DC","display" : "Death Certificate ID","definition" : "The identifier assigned to a death certificate, and printed on the death certificate when issued by a jurisdictional vital records office","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1993","code" : "DCFN","display" : "Death Certificate File Number","definition" : "The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the death certificate.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1994","code" : "DDS","display" : "Dentist license number","definition" : "An identifier that is unique to a dentist within the jurisdiction of the licensing board","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a dentist within the jurisdiction of the licensing board"},{"code" : "status","valueCode" : "active"}]},{"id" : "1995","code" : "DEA","display" : "Drug Enforcement Administration registration number","definition" : "An identifier for an individual or organization relative to controlled substance regulation and transactions.","property" : [{"code" : "v2-concComment","valueString" : "Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier for an individual or organization relative to controlled substance regulation and transactions.\r\nUse case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code" : "status","valueCode" : "active"}]},{"id" : "1996","code" : "DFN","display" : "Drug Furnishing or prescriptive authority Number","definition" : "An identifier issued to a health care provider authorizing the person to write drug orders","property" : [{"code" : "v2-concComment","valueString" : "Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier issued to a health care provider authorizing the person to write drug orders<p>Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code" : "status","valueCode" : "active"}]},{"id" : "1997","code" : "DI","display" : "Diner's Club card","definition" : "Diner's Club card","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Diners Club"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "1998","code" : "DL","display" : "Driver's license number","definition" : "Driver's license number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Führerscheinnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1999","code" : "DN","display" : "Doctor number","definition" : "Doctor number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Arztnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2000","code" : "DO","display" : "Osteopathic License number","definition" : "An identifier that is unique to an osteopath within the jurisdiction of a licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to an osteopath within the jurisdiction of a licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2001","code" : "DP","display" : "Diplomatic Passport","definition" : "A number assigned to a diplomatic passport.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to a diplomatic passport."},{"code" : "status","valueCode" : "active"}]},{"id" : "2002","code" : "DPM","display" : "Podiatrist license number","definition" : "An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a podiatrist within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2003","code" : "DR","display" : "Donor Registration Number","definition" : "Donor Registration Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2004","code" : "DS","display" : "Discover Card","definition" : "Discover Card","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Discover Card"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "2005","code" : "DSG","display" : "Diagnostic Study Group","definition" : "Unique Identifier that groups several orders that are to be performed together.","property" : [{"code" : "v2-concComment","valueString" : "Example: Radiology studies"},{"code" : "status","valueCode" : "N"}]},{"id" : "2006","code" : "EI","display" : "Employee number","definition" : "A number that uniquely identifies an employee to an employer.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Arbeitnehmernummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that uniquely identifies an employee to an employer."},{"code" : "status","valueCode" : "active"}]},{"id" : "2007","code" : "EN","display" : "Employer number","definition" : "Employer number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Arbeitgebernummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2008","code" : "ESN","display" : "Staff Enterprise Number","definition" : "An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code" : "status","valueCode" : "active"}]},{"id" : "12008","code" : "ETIN","display" : "Electronic Transmitter Identification Number","definition" : "A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2009","code" : "FDR","display" : "Fetal Death Report ID","definition" : "The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "2010","code" : "FDRFN","display" : "Fetal Death Report File Number","definition" : "The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the fetal death report certificate.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "2011","code" : "FGN","display" : "Filler Group Number","definition" : "Unique identifier assigned to a group of orders by the filler application.","property" : [{"code" : "v2-concComment","valueString" : "This is analogous to the Placer Group Number ORC-4, except that it is assigned by the filler."},{"code" : "status","valueCode" : "N"}]},{"id" : "2012","code" : "FI","display" : "Facility ID","definition" : "Facility ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2013","code" : "FILL","display" : "Filler Identifier","definition" : "An identifier for a request where the identifier is issued by the person, or service, that produces the observations or fulfills the request.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2014","code" : "GI","display" : "Guarantor internal identifier","definition" : "Guarantor internal identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "interne ID des Zahlungspflichtigen"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "2015","code" : "GIN","display" : "Animal Group Identifier (US Official)","definition" : "Identifier that can be used to unambiguously describe a specific group of animals.","property" : [{"code" : "v2-concComment","valueString" : "GIN is the official acronym used by USDA"},{"code" : "status","valueCode" : "N"}]},{"id" : "2105","code" : "GKV","display" : "Insured's ID with Public Insurance","definition" : "Identifier that can be used to unambiguously describe the ID of a patient with a public insurance company.","property" : [{"code" : "v2-concComment","valueString" : "GKV is a patient ID with a public insurance company."},{"code" : "status","valueCode" : "N"}]},{"id" : "2016","code" : "GL","display" : "General ledger number","definition" : "General ledger number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "2017","code" : "GN","display" : "Guarantor external  identifier","definition" : "Guarantor external  identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "externe ID des Zahlungspflichtigen"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "2018","code" : "HC","display" : "Health Card Number","definition" : "Health Card Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2019","code" : "IND","display" : "Indigenous/Aboriginal","definition" : "A number assigned to a member of an indigenous or aboriginal group outside of Canada.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to a member of an indigenous or aboriginal group outside of Canada."},{"code" : "status","valueCode" : "active"}]},{"id" : "2104","code" : "IRISTEM","display" : "An IRI stem","definition" : "An IRI string that can be prepended to the code to obtain a concept IRI for RDF applications. This should be a valid, absolute IRI as defined in RFC 3987. See https://hl7.org/fhir/rdf.html#iri-stem for details on how this value may be used."},{"id" : "2020","code" : "JHN","display" : "Jurisdictional health number","definition" : "Jurisdictional health number","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code" : "status","valueCode" : "active"}]},{"id" : "2108","code" : "KZVA","display" : "Dentist Office Number","definition" : "Identifier that can be used to unambiguously identify the practice of a dentist.","property" : [{"code" : "v2-concComment","valueString" : "KZVA is an ID for the practice of a dentist."},{"code" : "status","valueCode" : "N"}]},{"id" : "2021","code" : "LACSN","display" : "Laboratory Accession ID","definition" : "A laboratory accession id is used in the laboratory domain.","property" : [{"code" : "v2-concComment","valueString" : "The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code" : "v2-concCommentAsPub","valueString" : "A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code" : "status","valueCode" : "active"}]},{"id" : "2022","code" : "LANR","display" : "Lifelong physician number","definition" : "Lifelong physician number","property" : [{"code" : "v2-concComment","valueString" : "Lebenslange Arztnummer - for use in German realm."},{"code" : "v2-concCommentAsPub","valueString" : "Lebenslange Arztnummer - for use in German realm."},{"code" : "status","valueCode" : "active"}]},{"id" : "2023","code" : "LI","display" : "Labor and industries number","definition" : "Labor and industries number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "8023","code" : "L&I","display" : "Labor and industries number","definition" : "Labor and industries number.  Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property" : [{"code" : "status","valueCode" : "deprecated"},{"code" : "HL7usageNotes","valueString" : "Deprecated as of v 2.5; Use LI instead."}]},{"id" : "2024","code" : "LN","display" : "License number","definition" : "License number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2025","code" : "LR","display" : "Local Registry ID","definition" : "Local Registry ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2026","code" : "MA","display" : "Patient Medicaid number","definition" : "Patient Medicaid number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Armennummer"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2027","code" : "MB","display" : "Member Number","definition" : "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code" : "status","valueCode" : "active"}]},{"id" : "2028","code" : "MC","display" : "Patient's Medicare number","definition" : "Patient's Medicare number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Rentnernummer"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2029","code" : "MCD","display" : "Practitioner Medicaid number","definition" : "Practitioner Medicaid number","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2030","code" : "MCN","display" : "Microchip Number","definition" : "Microchip Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2031","code" : "MCR","display" : "Practitioner Medicare number","definition" : "Practitioner Medicare number","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2032","code" : "MCT","display" : "Marriage Certificate","definition" : "A number associated with a document identifying the event of a person's marriage.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying the event of a person's marriage."},{"code" : "status","valueCode" : "active"}]},{"id" : "2033","code" : "MD","display" : "Medical License number","definition" : "An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2034","code" : "MI","display" : "Military ID number","definition" : "A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2035","code" : "MR","display" : "Medical record number","definition" : "An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Krankenaktennummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code" : "status","valueCode" : "active"}]},{"id" : "2036","code" : "MRT","display" : "Temporary Medical Record Number","definition" : "Temporary version of a Medical Record Number","property" : [{"code" : "v2-concComment","valueString" : "Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code" : "v2-concCommentAsPub","valueString" : "Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "2037","code" : "MS","display" : "MasterCard","definition" : "MasterCard","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "MasterCard"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "2038","code" : "NBSNR","display" : "Secondary physician office number","definition" : "Secondary physician office number","property" : [{"code" : "v2-concComment","valueString" : "Nebenbetriebsstättennummer - for use in the German realm."},{"code" : "v2-concCommentAsPub","valueString" : "Nebenbetriebsstättennummer - for use in the German realm."},{"code" : "status","valueCode" : "active"}]},{"id" : "2039","code" : "NCT","display" : "Naturalization Certificate","definition" : "A number associated with a document identifying a person's retention of citizenship in a particular country.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person's retention of citizenship in a particular country."},{"code" : "status","valueCode" : "active"}]},{"id" : "2040","code" : "NE","display" : "National employer identifier","definition" : "National employer identifier","property" : [{"code" : "v2-concComment","valueString" : "In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "v2-concCommentAsPub","valueString" : "In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2041","code" : "NH","display" : "National Health Plan Identifier","definition" : "National Health Plan Identifier","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nUsed for the UK NHS national identifier."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance<p>Used for the UK NHS national identifier.<p>In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2042","code" : "NI","display" : "National unique individual identifier","definition" : "National unique individual identifier","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2043","code" : "NII","display" : "National Insurance Organization Identifier","definition" : "National Insurance Organization Identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Institutskennzeichen der Krankenkasse"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code" : "status","valueCode" : "active"}]},{"id" : "2110","code" : "NIIH","display" : "National Insurance Headquarters Organization Identifier","definition" : "National Insurance Headquarters Organization Identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Institutskennzeichen des Krankenkassensitzes"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2044","code" : "NIIP","display" : "National Insurance Payor Identifier (Payor)","definition" : "National Insurance Payor Identifier (Payor)","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Vertragskassennummer (VKNR)"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code" : "status","valueCode" : "active"}]},{"id" : "2045","code" : "NNxxx","display" : "National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","definition" : "National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2046","code" : "NP","display" : "Nurse practitioner number","definition" : "An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2047","code" : "NPI","display" : "National provider identifier","definition" : "National provider identifier","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2048","code" : "OBI","display" : "Observation Instance Identifier","definition" : "Unique and persistent identifier for an observation instance","property" : [{"code" : "v2-concComment","valueString" : "For example in the IHE-LCC Profile this is used to identify the OBX-21 of the result for which a clarification is requested using an OML^O59_OML_O59 message structure"},{"code" : "status","valueCode" : "N"}]},{"id" : "2049","code" : "OD","display" : "Optometrist license number","definition" : "A number that is unique to an individual optometrist within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to an individual optometrist within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2050","code" : "PA","display" : "Physician Assistant number","definition" : "An identifier that is unique to a physician assistant within the jurisdiction of a licensing board","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Assistenzarztnummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a physician assistant within the jurisdiction of a licensing board"},{"code" : "status","valueCode" : "active"}]},{"id" : "12050","code" : "PAYERID","display" : "Payer Identifier","definition" : "A unique identifier, usually assigned by a health plan or clearinghouse, used in electronic healthcare transactions to designate the specific health insurance company or plan that is the recipient or sender of the transaction.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2051","code" : "PC","display" : "Parole Card","definition" : "A number identifying a person on parole.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number identifying a person on parole."},{"code" : "status","valueCode" : "active"}]},{"id" : "2052","code" : "PCN","display" : "Penitentiary/correctional institution Number","definition" : "A number assigned to individual who is incarcerated.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to individual who is incarcerated."},{"code" : "status","valueCode" : "active"}]},{"id" : "2053","code" : "PE","display" : "Living Subject Enterprise Number","definition" : "An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2054","code" : "PEN","display" : "Pension Number","definition" : "Pension Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2055","code" : "PGN","display" : "Placer Group Number","definition" : "Unique identifier assigned to a group of orders by the placer application.","property" : [{"code" : "v2-concComment","valueString" : "This is analogous to the Placer Group Number ORC-4."},{"code" : "status","valueCode" : "N"}]},{"id" : "2056","code" : "PHC","display" : "Public Health Case Identifier","definition" : "Identifier assigned to a person during a case investigation as part of a public health event","property" : [{"code" : "v2-concComment","valueString" : "For example every person affected by the Norovirus outbreak on a cruise ship will be assigned a case ID for investigation and follow up"},{"code" : "status","valueCode" : "N"}]},{"id" : "2057","code" : "PHE","display" : "Public Health Event Identifier","definition" : "Identifier assigned to an event of interest to public health","property" : [{"code" : "v2-concComment","valueString" : "For example an outbreak of Norovirus on a cruise ship – this is assigned by a public health jurisdiction at the local, state or federal level"},{"code" : "status","valueCode" : "N"}]},{"id" : "2058","code" : "PHO","display" : "Public Health Official ID","definition" : "An identifier for a person working at a public health agency (PHA),  assigned or issued by the agency","property" : [{"code" : "v2-concComment","valueString" : "May need to identify contact in a PHA that approved a test request or is in charge of an investigation."},{"code" : "status","valueCode" : "N"}]},{"id" : "2059","code" : "PI","display" : "Patient internal identifier","definition" : "A number that is unique to a patient within an Assigning Authority.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "interne Patienten-ID"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to a patient within an Assigning Authority."},{"code" : "status","valueCode" : "active"}]},{"id" : "2060","code" : "PIN","display" : "Premises Identifier Number (US Official)","definition" : "Identifier that uniquely identifies a geographic location in the US.","property" : [{"code" : "v2-concComment","valueString" : "The owner of the premises, or a person designated by the owner of the premises, can register his/her location. A premises identification number, or PIN, is then permanently assigned to that location associating it with the mailing address. If there is no mailing address at the property, geographic coordinates—latitude and longitude—can be used instead to describe the location.   A premises identification number (PIN) is a unique, 7-digit code that includes both letters and numbers. Example: A123R69"},{"code" : "status","valueCode" : "N"}]},{"id" : "2106","code" : "PKV","display" : "Insured's ID with Private Insurance","definition" : "Identifier that can be used to unambiguously describe the ID of a patient with a private insurance company.","property" : [{"code" : "v2-concComment","valueString" : "PKV is a patient ID with an private insurance company."},{"code" : "status","valueCode" : "N"}]},{"id" : "2061","code" : "PLAC","display" : "Placer Identifier","definition" : "An identifier for a request where the identifier is issued by the person or service making the request.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2062","code" : "PN","display" : "Person number","definition" : "A number that is unique to a living subject within an Assigning Authority.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Personen-ID"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to a living subject within an Assigning Authority."},{"code" : "status","valueCode" : "active"}]},{"id" : "2063","code" : "PNT","display" : "Temporary Living Subject Number","definition" : "Temporary version of a Living Subject Number.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Temporary version of a Lining Subject Number."},{"code" : "status","valueCode" : "active"}]},{"id" : "2064","code" : "PPIN","display" : "Medicare/CMS Performing Provider Identification Number","definition" : "Medicare/CMS Performing Provider Identification Number","property" : [{"code" : "v2-concComment","valueString" : "Class:  Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class:  Insurance"},{"code" : "HL7usageNotes","valueString" : "Class:  Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2065","code" : "PPN","display" : "Passport number","definition" : "A unique number assigned to the document affirming that a person is a citizen of the country.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Passnummer"}],"property" : [{"code" : "v2-concComment","valueString" : "In the US this number is issued only by the State Department."},{"code" : "v2-concCommentAsPub","valueString" : "A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department."},{"code" : "status","valueCode" : "active"}]},{"id" : "2066","code" : "PRC","display" : "Permanent Resident Card Number","definition" : "Permanent Resident Card Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2067","code" : "PRN","display" : "Provider number","definition" : "A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.","property" : [{"code" : "v2-concComment","valueString" : "Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.<p>Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2068","code" : "PT","display" : "Patient external identifier","definition" : "Patient external identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "externe Patienten-ID"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2069","code" : "QA","display" : "QA number","definition" : "QA number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2070","code" : "RI","display" : "Resource identifier","definition" : "A generalized resource identifier.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code" : "v2-concCommentAsPub","valueString" : "A generalized resource identifier.\r\nUse Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code" : "status","valueCode" : "active"}]},{"id" : "2071","code" : "RN","display" : "Registered Nurse Number","definition" : "An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a registered nurse within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2072","code" : "RPH","display" : "Pharmacist license number","definition" : "An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a pharmacist within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2073","code" : "RR","display" : "Railroad Retirement number","definition" : "An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Seniorenkartennummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number"},{"code" : "status","valueCode" : "active"}]},{"id" : "2074","code" : "RRI","display" : "Regional registry ID","definition" : "Regional registry ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2075","code" : "RRP","display" : "Railroad Retirement Provider","definition" : "Railroad Retirement Provider","property" : [{"code" : "v2-concComment","valueString" : "Class:  Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class:  Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2076","code" : "SAMN","display" : "SAMN# accession Number","definition" : "The accession number for the BioSample data repository at the National Center for Biotechnology Information (NCBI)","property" : [{"code" : "v2-concComment","valueString" : "This accession is a permanent record locator for the BioSample record which contains metadata about the biological sample."},{"code" : "status","valueCode" : "N"}]},{"id" : "2077","code" : "SB","display" : "Social Beneficiary Identifier","definition" : "An identifier issued by a governmental organization to a person to identify the person should they apply for or receive social services and/or benefits","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2078","code" : "SID","display" : "Specimen ID","definition" : "Identifier for a specimen.","property" : [{"code" : "v2-concComment","valueString" : "Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code" : "v2-concCommentAsPub","valueString" : "Identifier for a specimen. Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2079","code" : "SL","display" : "State license","definition" : "State license","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2080","code" : "SN","display" : "Subscriber Number","definition" : "An identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nAn identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code" : "status","valueCode" : "active"}]},{"id" : "2081","code" : "SNBSN","display" : "State assigned NDBS card Identifier","definition" : "The identifier on a Newborn Screening Dried Bloodspot (NDBS) card that is assigned by the state which provided the sample collection cards and to whom this information must be reported","property" : [{"code" : "v2-concComment","valueString" : "For use either with OBX-5 as CX datatype, where OBX-3 uses LOINC 57716-3^State printed on filter paper card [Identifier] in NBS card^LN, or in SPM-31"},{"code" : "status","valueCode" : "N"}]},{"id" : "2082","code" : "SNO","display" : "Serial Number","definition" : "An identifier affixed to an item by the manufacturer when it is first made, where each item has a different identifier.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2083","code" : "SP","display" : "Study Permit","definition" : "A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education."},{"code" : "status","valueCode" : "active"}]},{"id" : "2084","code" : "SR","display" : "State registry ID","definition" : "State registry ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2085","code" : "SRX","display" : "SRA Accession number","definition" : "The accession number generated by the Sequence Read Archive (SRA) at the National Center for Biotechnology Information (NCBI) when sequence data are uploaded to NCBI.","property" : [{"code" : "v2-concComment","valueString" : "This provides both the sequence data and metadata on how the sample was sequenced. – This accession is a permanent record locator for the submitted un-assembled sequence data."},{"code" : "status","valueCode" : "N"}]},{"id" : "2086","code" : "SS","display" : "Social Security number","definition" : "Social Security number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Sozialversicherungsnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2087","code" : "STN","display" : "Shipment Tracking Number","definition" : "Identifier assigned to a package being shipped","property" : [{"code" : "v2-concComment","valueString" : "For example the Fed Ex / UPS / DHS / USPS tracking number"},{"code" : "status","valueCode" : "N"}]},{"id" : "2088","code" : "TAX","display" : "Tax ID number","definition" : "Tax ID number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Steueridentifikationsnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2089","code" : "TN","display" : "Treaty Number/ (Canada)","definition" : "A number assigned to a member of an indigenous group in Canada.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: First Nation."},{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to a member of an indigenous group in Canada.<p>Use Case: First Nation."},{"code" : "status","valueCode" : "active"}]},{"id" : "2090","code" : "TPR","display" : "Temporary Permanent Resident (Canada)","definition" : "A number associated with a document identifying a person's temporary permanent resident status.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person's temporary permanent resident status."},{"code" : "status","valueCode" : "active"}]},{"id" : "2091","code" : "TRL","display" : "Training License Number","definition" : "The license number used during training.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "2092","code" : "U","display" : "Unspecified identifier","definition" : "Unspecified identifier","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2093","code" : "UDI","display" : "Universal Device Identifier","definition" : "An identifier assigned to a device using the Unique Device Identification framework as defined by IMDRF (http://imdrf.org).","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "12093","code" : "UCID","display" : "Unique Claim Identifier","definition" : "A unique identifier assigned by a payer for a claim received from a provider or subscriber.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "12094","code" : "UMB","display" : "Unique Product-independent Payer Person Identifier","definition" : "A unique identifier assigned to an individual by a payer that remains consistent regardless of the individual's role (e.g., subscriber, dependent) or the specific product(s) they are enrolled in with that payer.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: Introduced by Da Vinci to support cross-coverage member/patient identifiers assigned by payers."},{"code" : "status","valueCode" : "active"}]},{"id" : "2094","code" : "UPIN","display" : "Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers","definition" : "An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program.","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance<p>An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program."},{"code" : "status","valueCode" : "active"}]},{"id" : "2095","code" : "USID","display" : "Unique Specimen ID","definition" : "A unique identifier for a specimen.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A unique identifier for a specimen."},{"code" : "status","valueCode" : "active"}]},{"id" : "2096","code" : "VN","display" : "Visit number","definition" : "Visit number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Fallnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2097","code" : "VP","display" : "Visitor Permit","definition" : "A number associated with a document identifying a person as a visitor of a jurisdiction or country.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Besucherkennung"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person as a visitor of a jurisdiction or country."},{"code" : "status","valueCode" : "active"}]},{"id" : "2098","code" : "VS","display" : "VISA","definition" : "VISA","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "VISA"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "2099","code" : "WC","display" : "WIC identifier","definition" : "WIC identifier","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2100","code" : "WCN","display" : "Workers' Comp Number","definition" : "Workers' Comp Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2101","code" : "WP","display" : "Work Permit","definition" : "A number associated with a permit for a person who is granted permission to work in a country for a specified time period.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a permit for a person who is granted permission to work in a country for a specified time period."},{"code" : "status","valueCode" : "active"}]},{"id" : "2102","code" : "XV","display" : "Health Plan Identifier","definition" : "National unique health plan identifier required by the US Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) in the US Realm.","property" : [{"code" : "v2-concComment","valueString" : "Also referred to as HPID (Health Plan Identifier)."},{"code" : "HL7usageNotes","valueString" : "The code value ‘XV’ is used in CMS mandated Health Insurance Portability and Accountability Act (HIPAA) transactions."},{"code" : "status","valueCode" : "N"}]},{"id" : "2103","code" : "XX","display" : "Organization identifier","definition" : "Organization identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Organisations-ID"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2107","code" : "ZANR","display" : "Dentist Identifier","definition" : "Identifier that can be used to unambiguously describe the ID of a dentist.","property" : [{"code" : "v2-concComment","valueString" : "ZANR is a dentist ID."},{"code" : "status","valueCode" : "N"}]}]}}]}

#241

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{"resourceType" : "CodeSystem","id" : "v2-0203","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0203","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.108"}],"version" : "5.0.0","name" : "IdentifierType","title" : "identifierType","status" : "active","experimental" : false,"date" : "2022-12-07","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying type of identifier. Used in HL7 Version 2.x messaging data types CX, PLN, PPN, XCN and XON.","purpose" : "Underlying Master Code System for V2 table 0203 (Identifier Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0203","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"id" : "1968","code" : "AC","display" : "Accreditation/Certification Identifier","definition" : "Identifier that has been assigned by an accreditation or certification organization in specific fields, indicating a recognized skill","property" : [{"code" : "v2-concComment","valueString" : "In Ask at Order Entry (AOE) questions this can be used to identify the ID with the assigning authority.  For instance, a credentialed sonographer whose identifier assigned by the credentialing body has been entered can be properly labeled."},{"code" : "status","valueCode" : "N"}]},{"id" : "1969","code" : "ACSN","display" : "Accession ID","definition" : "Accession Identifier","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Accession Identifier"},{"code" : "status","valueCode" : "active"}]},{"id" : "1970","code" : "AIN","display" : "Animal Identification Number (US Official)","definition" : "A numbering system for the official identification of individual animals in the United States that provides a nationally unique identification number for each animal. The first two numbers on a tag are the numbers assigned to a specific State.","property" : [{"code" : "v2-concComment","valueString" : "AIN is the official acronym used by USDA"},{"code" : "status","valueCode" : "N"}]},{"id" : "1971","code" : "AM","display" : "American Express","definition" : "American Express","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "American Express"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "1972","code" : "AMA","display" : "American Medical Association Number","definition" : "A physician identifier assigned by the AMA.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A physician identifier assigned by the AMA."},{"code" : "status","valueCode" : "active"}]},{"id" : "1973","code" : "AN","display" : "Account number","definition" : "Account An identifier that is unique to an account.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Kontonummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to an account."},{"code" : "status","valueCode" : "active"}]},{"id" : "1974","code" : "ANC","display" : "Account number Creditor","definition" : "A more precise definition of an account number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code" : "status","valueCode" : "active"}]},{"id" : "1975","code" : "AND","display" : "Account number debitor","definition" : "A more precise definition of an account number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code" : "status","valueCode" : "active"}]},{"id" : "1976","code" : "ANON","display" : "Anonymous identifier","definition" : "An identifier for a living subject whose real identity is protected or suppressed","property" : [{"code" : "v2-concComment","valueString" : "Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier for a living subject whose real identity is protected or suppressed\r\nJustification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code" : "status","valueCode" : "active"}]},{"id" : "1977","code" : "ANT","display" : "Temporary Account Number","definition" : "Temporary version of an Account Number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial\r\nTemporary version of an Account Number.\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. 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All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code" : "status","valueCode" : "active"}]},{"id" : "1980","code" : "BA","display" : "Bank Account Number","definition" : "Bank Account Number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "1981","code" : "BC","display" : "Bank Card Number","definition" : "An identifier that is unique to a person's bank card","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial<p>Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial<p>An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "1982","code" : "BCFN","display" : "Birth Certificate File Number","definition" : "The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the birth certificate.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "1983","code" : "BCT","display" : "Birth Certificate","definition" : "A number associated with a document identifying the event of a person's birth","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying the event of a person's birth."},{"code" : "status","valueCode" : "active"}]},{"id" : "1984","code" : "BR","display" : "Birth registry number","definition" : "An identifier unique within the Assigning Authority that is the official legal record of a person's birth.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Geburtsregisternummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier unique within the Assigning Authority that is the official legal record of a person's birth."},{"code" : "status","valueCode" : "active"}]},{"id" : "1985","code" : "BRN","display" : "Breed Registry Number","definition" : "Breed Registry Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1986","code" : "BSNR","display" : "Primary physician office number","definition" : "Primary physician office number","property" : [{"code" : "v2-concComment","valueString" : "Betriebsstättennummer - for use in the German realm."},{"code" : "v2-concCommentAsPub","valueString" : "Betriebsstättennummer - for use in the German realm."},{"code" : "status","valueCode" : "active"}]},{"id" : "1987","code" : "CAAI","display" : "Consumer Application Account Identifier","definition" : "An identifier for the consumer (e.g., patient, caregiver) for an application such as a portal or App.","property" : [{"code" : "v2-concComment","valueString" : "This may be the same as a username, but frequently is different."},{"code" : "status","valueCode" : "N"}]},{"id" : "1988","code" : "CC","display" : "Cost Center number","definition" : "Cost Center number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code" : "status","valueCode" : "active"}]},{"id" : "1989","code" : "CONM","display" : "Change of Name Document","definition" : "A number associated with a document identifying a person's legal change of name.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person's legal change of name."},{"code" : "status","valueCode" : "active"}]},{"id" : "1990","code" : "CY","display" : "County number","definition" : "County number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1991","code" : "CZ","display" : "Citizenship Card","definition" : "A number assigned by a person's country of residence to identify a person's citizenship.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned by a person's country of residence to identify a person's citizenship."},{"code" : "status","valueCode" : "active"}]},{"id" : "1992","code" : "DC","display" : "Death Certificate ID","definition" : "The identifier assigned to a death certificate, and printed on the death certificate when issued by a jurisdictional vital records office","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1993","code" : "DCFN","display" : "Death Certificate File Number","definition" : "The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the death certificate.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1994","code" : "DDS","display" : "Dentist license number","definition" : "An identifier that is unique to a dentist within the jurisdiction of the licensing board","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a dentist within the jurisdiction of the licensing board"},{"code" : "status","valueCode" : "active"}]},{"id" : "1995","code" : "DEA","display" : "Drug Enforcement Administration registration number","definition" : "An identifier for an individual or organization relative to controlled substance regulation and transactions.","property" : [{"code" : "v2-concComment","valueString" : "Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier for an individual or organization relative to controlled substance regulation and transactions.\r\nUse case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code" : "status","valueCode" : "active"}]},{"id" : "1996","code" : "DFN","display" : "Drug Furnishing or prescriptive authority Number","definition" : "An identifier issued to a health care provider authorizing the person to write drug orders","property" : [{"code" : "v2-concComment","valueString" : "Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier issued to a health care provider authorizing the person to write drug orders<p>Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code" : "status","valueCode" : "active"}]},{"id" : "1997","code" : "DI","display" : "Diner's Club card","definition" : "Diner's Club card","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Diners Club"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "1998","code" : "DL","display" : "Driver's license number","definition" : "Driver's license number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Führerscheinnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "1999","code" : "DN","display" : "Doctor number","definition" : "Doctor number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Arztnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2000","code" : "DO","display" : "Osteopathic License number","definition" : "An identifier that is unique to an osteopath within the jurisdiction of a licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to an osteopath within the jurisdiction of a licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2001","code" : "DP","display" : "Diplomatic Passport","definition" : "A number assigned to a diplomatic passport.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to a diplomatic passport."},{"code" : "status","valueCode" : "active"}]},{"id" : "2002","code" : "DPM","display" : "Podiatrist license number","definition" : "An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a podiatrist within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2003","code" : "DR","display" : "Donor Registration Number","definition" : "Donor Registration Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2004","code" : "DS","display" : "Discover Card","definition" : "Discover Card","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Discover Card"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "2005","code" : "DSG","display" : "Diagnostic Study Group","definition" : "Unique Identifier that groups several orders that are to be performed together.","property" : [{"code" : "v2-concComment","valueString" : "Example: Radiology studies"},{"code" : "status","valueCode" : "N"}]},{"id" : "2006","code" : "EI","display" : "Employee number","definition" : "A number that uniquely identifies an employee to an employer.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Arbeitnehmernummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that uniquely identifies an employee to an employer."},{"code" : "status","valueCode" : "active"}]},{"id" : "2007","code" : "EN","display" : "Employer number","definition" : "Employer number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Arbeitgebernummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2008","code" : "ESN","display" : "Staff Enterprise Number","definition" : "An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code" : "status","valueCode" : "active"}]},{"id" : "12008","code" : "ETIN","display" : "Electronic Transmitter Identification Number","definition" : "A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2009","code" : "FDR","display" : "Fetal Death Report ID","definition" : "The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "2010","code" : "FDRFN","display" : "Fetal Death Report File Number","definition" : "The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the fetal death report certificate.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "2011","code" : "FGN","display" : "Filler Group Number","definition" : "Unique identifier assigned to a group of orders by the filler application.","property" : [{"code" : "v2-concComment","valueString" : "This is analogous to the Placer Group Number ORC-4, except that it is assigned by the filler."},{"code" : "status","valueCode" : "N"}]},{"id" : "2012","code" : "FI","display" : "Facility ID","definition" : "Facility ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2013","code" : "FILL","display" : "Filler Identifier","definition" : "An identifier for a request where the identifier is issued by the person, or service, that produces the observations or fulfills the request.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2014","code" : "GI","display" : "Guarantor internal identifier","definition" : "Guarantor internal identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "interne ID des Zahlungspflichtigen"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "2015","code" : "GIN","display" : "Animal Group Identifier (US Official)","definition" : "Identifier that can be used to unambiguously describe a specific group of animals.","property" : [{"code" : "v2-concComment","valueString" : "GIN is the official acronym used by USDA"},{"code" : "status","valueCode" : "N"}]},{"id" : "2105","code" : "GKV","display" : "Insured's ID with Public Insurance","definition" : "Identifier that can be used to unambiguously describe the ID of a patient with a public insurance company.","property" : [{"code" : "v2-concComment","valueString" : "GKV is a patient ID with a public insurance company."},{"code" : "status","valueCode" : "N"}]},{"id" : "2016","code" : "GL","display" : "General ledger number","definition" : "General ledger number","property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "2017","code" : "GN","display" : "Guarantor external  identifier","definition" : "Guarantor external  identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "externe ID des Zahlungspflichtigen"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Financial"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Financial"},{"code" : "status","valueCode" : "active"}]},{"id" : "2018","code" : "HC","display" : "Health Card Number","definition" : "Health Card Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2019","code" : "IND","display" : "Indigenous/Aboriginal","definition" : "A number assigned to a member of an indigenous or aboriginal group outside of Canada.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to a member of an indigenous or aboriginal group outside of Canada."},{"code" : "status","valueCode" : "active"}]},{"id" : "2104","code" : "IRISTEM","display" : "An IRI stem","definition" : "An IRI string that can be prepended to the code to obtain a concept IRI for RDF applications. This should be a valid, absolute IRI as defined in RFC 3987. See https://hl7.org/fhir/rdf.html#iri-stem for details on how this value may be used."},{"id" : "2020","code" : "JHN","display" : "Jurisdictional health number","definition" : "Jurisdictional health number","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code" : "status","valueCode" : "active"}]},{"id" : "2108","code" : "KZVA","display" : "Dentist Office Number","definition" : "Identifier that can be used to unambiguously identify the practice of a dentist.","property" : [{"code" : "v2-concComment","valueString" : "KZVA is an ID for the practice of a dentist."},{"code" : "status","valueCode" : "N"}]},{"id" : "2021","code" : "LACSN","display" : "Laboratory Accession ID","definition" : "A laboratory accession id is used in the laboratory domain.","property" : [{"code" : "v2-concComment","valueString" : "The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code" : "v2-concCommentAsPub","valueString" : "A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code" : "status","valueCode" : "active"}]},{"id" : "2022","code" : "LANR","display" : "Lifelong physician number","definition" : "Lifelong physician number","property" : [{"code" : "v2-concComment","valueString" : "Lebenslange Arztnummer - for use in German realm."},{"code" : "v2-concCommentAsPub","valueString" : "Lebenslange Arztnummer - for use in German realm."},{"code" : "status","valueCode" : "active"}]},{"id" : "2023","code" : "LI","display" : "Labor and industries number","definition" : "Labor and industries number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "8023","code" : "L&I","display" : "Labor and industries number","definition" : "Labor and industries number.  Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property" : [{"code" : "status","valueCode" : "deprecated"},{"code" : "HL7usageNotes","valueString" : "Deprecated as of v 2.5; Use LI instead."}]},{"id" : "2024","code" : "LN","display" : "License number","definition" : "License number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2025","code" : "LR","display" : "Local Registry ID","definition" : "Local Registry ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2026","code" : "MA","display" : "Patient Medicaid number","definition" : "Patient Medicaid number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Armennummer"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2027","code" : "MB","display" : "Member Number","definition" : "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code" : "status","valueCode" : "active"}]},{"id" : "2028","code" : "MC","display" : "Patient's Medicare number","definition" : "Patient's Medicare number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Rentnernummer"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2029","code" : "MCD","display" : "Practitioner Medicaid number","definition" : "Practitioner Medicaid number","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2030","code" : "MCN","display" : "Microchip Number","definition" : "Microchip Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2031","code" : "MCR","display" : "Practitioner Medicare number","definition" : "Practitioner Medicare number","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2032","code" : "MCT","display" : "Marriage Certificate","definition" : "A number associated with a document identifying the event of a person's marriage.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying the event of a person's marriage."},{"code" : "status","valueCode" : "active"}]},{"id" : "2033","code" : "MD","display" : "Medical License number","definition" : "An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2034","code" : "MI","display" : "Military ID number","definition" : "A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2035","code" : "MR","display" : "Medical record number","definition" : "An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Krankenaktennummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code" : "status","valueCode" : "active"}]},{"id" : "2036","code" : "MRT","display" : "Temporary Medical Record Number","definition" : "Temporary version of a Medical Record Number","property" : [{"code" : "v2-concComment","valueString" : "Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code" : "v2-concCommentAsPub","valueString" : "Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code" : "status","valueCode" : "active"}]},{"id" : "2037","code" : "MS","display" : "MasterCard","definition" : "MasterCard","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "MasterCard"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "2038","code" : "NBSNR","display" : "Secondary physician office number","definition" : "Secondary physician office number","property" : [{"code" : "v2-concComment","valueString" : "Nebenbetriebsstättennummer - for use in the German realm."},{"code" : "v2-concCommentAsPub","valueString" : "Nebenbetriebsstättennummer - for use in the German realm."},{"code" : "status","valueCode" : "active"}]},{"id" : "2039","code" : "NCT","display" : "Naturalization Certificate","definition" : "A number associated with a document identifying a person's retention of citizenship in a particular country.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person's retention of citizenship in a particular country."},{"code" : "status","valueCode" : "active"}]},{"id" : "2040","code" : "NE","display" : "National employer identifier","definition" : "National employer identifier","property" : [{"code" : "v2-concComment","valueString" : "In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "v2-concCommentAsPub","valueString" : "In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2041","code" : "NH","display" : "National Health Plan Identifier","definition" : "National Health Plan Identifier","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nUsed for the UK NHS national identifier."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance<p>Used for the UK NHS national identifier.<p>In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2042","code" : "NI","display" : "National unique individual identifier","definition" : "National unique individual identifier","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2043","code" : "NII","display" : "National Insurance Organization Identifier","definition" : "National Insurance Organization Identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Institutskennzeichen der Krankenkasse"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code" : "status","valueCode" : "active"}]},{"id" : "2110","code" : "NIIH","display" : "National Insurance Headquarters Organization Identifier","definition" : "National Insurance Headquarters Organization Identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Institutskennzeichen des Krankenkassensitzes"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2044","code" : "NIIP","display" : "National Insurance Payor Identifier (Payor)","definition" : "National Insurance Payor Identifier (Payor)","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Vertragskassennummer (VKNR)"}],"property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code" : "status","valueCode" : "active"}]},{"id" : "2045","code" : "NNxxx","display" : "National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","definition" : "National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2046","code" : "NP","display" : "Nurse practitioner number","definition" : "An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2047","code" : "NPI","display" : "National provider identifier","definition" : "National provider identifier","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code" : "status","valueCode" : "active"}]},{"id" : "2048","code" : "OBI","display" : "Observation Instance Identifier","definition" : "Unique and persistent identifier for an observation instance","property" : [{"code" : "v2-concComment","valueString" : "For example in the IHE-LCC Profile this is used to identify the OBX-21 of the result for which a clarification is requested using an OML^O59_OML_O59 message structure"},{"code" : "status","valueCode" : "N"}]},{"id" : "2049","code" : "OD","display" : "Optometrist license number","definition" : "A number that is unique to an individual optometrist within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to an individual optometrist within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2050","code" : "PA","display" : "Physician Assistant number","definition" : "An identifier that is unique to a physician assistant within the jurisdiction of a licensing board","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Assistenzarztnummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a physician assistant within the jurisdiction of a licensing board"},{"code" : "status","valueCode" : "active"}]},{"id" : "12050","code" : "PAYERID","display" : "Payer Identifier","definition" : "A unique identifier, usually assigned by a health plan or clearinghouse, used in electronic healthcare transactions to designate the specific health insurance company or plan that is the recipient or sender of the transaction.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2051","code" : "PC","display" : "Parole Card","definition" : "A number identifying a person on parole.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number identifying a person on parole."},{"code" : "status","valueCode" : "active"}]},{"id" : "2052","code" : "PCN","display" : "Penitentiary/correctional institution Number","definition" : "A number assigned to individual who is incarcerated.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to individual who is incarcerated."},{"code" : "status","valueCode" : "active"}]},{"id" : "2053","code" : "PE","display" : "Living Subject Enterprise Number","definition" : "An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2054","code" : "PEN","display" : "Pension Number","definition" : "Pension Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2055","code" : "PGN","display" : "Placer Group Number","definition" : "Unique identifier assigned to a group of orders by the placer application.","property" : [{"code" : "v2-concComment","valueString" : "This is analogous to the Placer Group Number ORC-4."},{"code" : "status","valueCode" : "N"}]},{"id" : "2056","code" : "PHC","display" : "Public Health Case Identifier","definition" : "Identifier assigned to a person during a case investigation as part of a public health event","property" : [{"code" : "v2-concComment","valueString" : "For example every person affected by the Norovirus outbreak on a cruise ship will be assigned a case ID for investigation and follow up"},{"code" : "status","valueCode" : "N"}]},{"id" : "2057","code" : "PHE","display" : "Public Health Event Identifier","definition" : "Identifier assigned to an event of interest to public health","property" : [{"code" : "v2-concComment","valueString" : "For example an outbreak of Norovirus on a cruise ship – this is assigned by a public health jurisdiction at the local, state or federal level"},{"code" : "status","valueCode" : "N"}]},{"id" : "2058","code" : "PHO","display" : "Public Health Official ID","definition" : "An identifier for a person working at a public health agency (PHA),  assigned or issued by the agency","property" : [{"code" : "v2-concComment","valueString" : "May need to identify contact in a PHA that approved a test request or is in charge of an investigation."},{"code" : "status","valueCode" : "N"}]},{"id" : "2059","code" : "PI","display" : "Patient internal identifier","definition" : "A number that is unique to a patient within an Assigning Authority.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "interne Patienten-ID"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to a patient within an Assigning Authority."},{"code" : "status","valueCode" : "active"}]},{"id" : "2060","code" : "PIN","display" : "Premises Identifier Number (US Official)","definition" : "Identifier that uniquely identifies a geographic location in the US.","property" : [{"code" : "v2-concComment","valueString" : "The owner of the premises, or a person designated by the owner of the premises, can register his/her location. A premises identification number, or PIN, is then permanently assigned to that location associating it with the mailing address. If there is no mailing address at the property, geographic coordinates—latitude and longitude—can be used instead to describe the location.   A premises identification number (PIN) is a unique, 7-digit code that includes both letters and numbers. Example: A123R69"},{"code" : "status","valueCode" : "N"}]},{"id" : "2106","code" : "PKV","display" : "Insured's ID with Private Insurance","definition" : "Identifier that can be used to unambiguously describe the ID of a patient with a private insurance company.","property" : [{"code" : "v2-concComment","valueString" : "PKV is a patient ID with an private insurance company."},{"code" : "status","valueCode" : "N"}]},{"id" : "2061","code" : "PLAC","display" : "Placer Identifier","definition" : "An identifier for a request where the identifier is issued by the person or service making the request.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2062","code" : "PN","display" : "Person number","definition" : "A number that is unique to a living subject within an Assigning Authority.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Personen-ID"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to a living subject within an Assigning Authority."},{"code" : "status","valueCode" : "active"}]},{"id" : "2063","code" : "PNT","display" : "Temporary Living Subject Number","definition" : "Temporary version of a Living Subject Number.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Temporary version of a Lining Subject Number."},{"code" : "status","valueCode" : "active"}]},{"id" : "2064","code" : "PPIN","display" : "Medicare/CMS Performing Provider Identification Number","definition" : "Medicare/CMS Performing Provider Identification Number","property" : [{"code" : "v2-concComment","valueString" : "Class:  Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class:  Insurance"},{"code" : "HL7usageNotes","valueString" : "Class:  Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2065","code" : "PPN","display" : "Passport number","definition" : "A unique number assigned to the document affirming that a person is a citizen of the country.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Passnummer"}],"property" : [{"code" : "v2-concComment","valueString" : "In the US this number is issued only by the State Department."},{"code" : "v2-concCommentAsPub","valueString" : "A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department."},{"code" : "status","valueCode" : "active"}]},{"id" : "2066","code" : "PRC","display" : "Permanent Resident Card Number","definition" : "Permanent Resident Card Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2067","code" : "PRN","display" : "Provider number","definition" : "A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.","property" : [{"code" : "v2-concComment","valueString" : "Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code" : "v2-concCommentAsPub","valueString" : "A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.<p>Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2068","code" : "PT","display" : "Patient external identifier","definition" : "Patient external identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "externe Patienten-ID"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2069","code" : "QA","display" : "QA number","definition" : "QA number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2070","code" : "RI","display" : "Resource identifier","definition" : "A generalized resource identifier.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code" : "v2-concCommentAsPub","valueString" : "A generalized resource identifier.\r\nUse Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code" : "status","valueCode" : "active"}]},{"id" : "2071","code" : "RN","display" : "Registered Nurse Number","definition" : "An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a registered nurse within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2072","code" : "RPH","display" : "Pharmacist license number","definition" : "An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier that is unique to a pharmacist within the jurisdiction of the licensing board."},{"code" : "status","valueCode" : "active"}]},{"id" : "2073","code" : "RR","display" : "Railroad Retirement number","definition" : "An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Seniorenkartennummer"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number"},{"code" : "status","valueCode" : "active"}]},{"id" : "2074","code" : "RRI","display" : "Regional registry ID","definition" : "Regional registry ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2075","code" : "RRP","display" : "Railroad Retirement Provider","definition" : "Railroad Retirement Provider","property" : [{"code" : "v2-concComment","valueString" : "Class:  Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class:  Insurance"},{"code" : "status","valueCode" : "active"}]},{"id" : "2076","code" : "SAMN","display" : "SAMN# accession Number","definition" : "The accession number for the BioSample data repository at the National Center for Biotechnology Information (NCBI)","property" : [{"code" : "v2-concComment","valueString" : "This accession is a permanent record locator for the BioSample record which contains metadata about the biological sample."},{"code" : "status","valueCode" : "N"}]},{"id" : "2077","code" : "SB","display" : "Social Beneficiary Identifier","definition" : "An identifier issued by a governmental organization to a person to identify the person should they apply for or receive social services and/or benefits","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2078","code" : "SID","display" : "Specimen ID","definition" : "Identifier for a specimen.","property" : [{"code" : "v2-concComment","valueString" : "Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code" : "v2-concCommentAsPub","valueString" : "Identifier for a specimen. Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2079","code" : "SL","display" : "State license","definition" : "State license","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2080","code" : "SN","display" : "Subscriber Number","definition" : "An identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance\r\nAn identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code" : "status","valueCode" : "active"}]},{"id" : "2081","code" : "SNBSN","display" : "State assigned NDBS card Identifier","definition" : "The identifier on a Newborn Screening Dried Bloodspot (NDBS) card that is assigned by the state which provided the sample collection cards and to whom this information must be reported","property" : [{"code" : "v2-concComment","valueString" : "For use either with OBX-5 as CX datatype, where OBX-3 uses LOINC 57716-3^State printed on filter paper card [Identifier] in NBS card^LN, or in SPM-31"},{"code" : "status","valueCode" : "N"}]},{"id" : "2082","code" : "SNO","display" : "Serial Number","definition" : "An identifier affixed to an item by the manufacturer when it is first made, where each item has a different identifier.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2083","code" : "SP","display" : "Study Permit","definition" : "A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education."},{"code" : "status","valueCode" : "active"}]},{"id" : "2084","code" : "SR","display" : "State registry ID","definition" : "State registry ID","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2085","code" : "SRX","display" : "SRA Accession number","definition" : "The accession number generated by the Sequence Read Archive (SRA) at the National Center for Biotechnology Information (NCBI) when sequence data are uploaded to NCBI.","property" : [{"code" : "v2-concComment","valueString" : "This provides both the sequence data and metadata on how the sample was sequenced. – This accession is a permanent record locator for the submitted un-assembled sequence data."},{"code" : "status","valueCode" : "N"}]},{"id" : "2086","code" : "SS","display" : "Social Security number","definition" : "Social Security number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Sozialversicherungsnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2087","code" : "STN","display" : "Shipment Tracking Number","definition" : "Identifier assigned to a package being shipped","property" : [{"code" : "v2-concComment","valueString" : "For example the Fed Ex / UPS / DHS / USPS tracking number"},{"code" : "status","valueCode" : "N"}]},{"id" : "2088","code" : "TAX","display" : "Tax ID number","definition" : "Tax ID number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Steueridentifikationsnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2089","code" : "TN","display" : "Treaty Number/ (Canada)","definition" : "A number assigned to a member of an indigenous group in Canada.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: First Nation."},{"code" : "v2-concCommentAsPub","valueString" : "A number assigned to a member of an indigenous group in Canada.<p>Use Case: First Nation."},{"code" : "status","valueCode" : "active"}]},{"id" : "2090","code" : "TPR","display" : "Temporary Permanent Resident (Canada)","definition" : "A number associated with a document identifying a person's temporary permanent resident status.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person's temporary permanent resident status."},{"code" : "status","valueCode" : "active"}]},{"id" : "2091","code" : "TRL","display" : "Training License Number","definition" : "The license number used during training.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "2092","code" : "U","display" : "Unspecified identifier","definition" : "Unspecified identifier","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2093","code" : "UDI","display" : "Universal Device Identifier","definition" : "An identifier assigned to a device using the Unique Device Identification framework as defined by IMDRF (http://imdrf.org).","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "12093","code" : "UCID","display" : "Unique Claim Identifier","definition" : "A unique identifier assigned by a payer for a claim received from a provider or subscriber.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "12094","code" : "UMB","display" : "Unique Product-independent Payer Person Identifier","definition" : "A unique identifier assigned to an individual by a payer that remains consistent regardless of the individual's role (e.g., subscriber, dependent) or the specific product(s) they are enrolled in with that payer.","property" : [{"code" : "v2-concComment","valueString" : "Use Case: Introduced by Da Vinci to support cross-coverage member/patient identifiers assigned by payers."},{"code" : "status","valueCode" : "active"}]},{"id" : "2094","code" : "UPIN","display" : "Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers","definition" : "An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program.","property" : [{"code" : "v2-concComment","valueString" : "Class: Insurance"},{"code" : "v2-concCommentAsPub","valueString" : "Class: Insurance<p>An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program."},{"code" : "status","valueCode" : "active"}]},{"id" : "2095","code" : "USID","display" : "Unique Specimen ID","definition" : "A unique identifier for a specimen.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A unique identifier for a specimen."},{"code" : "status","valueCode" : "active"}]},{"id" : "2096","code" : "VN","display" : "Visit number","definition" : "Visit number","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Fallnummer"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2097","code" : "VP","display" : "Visitor Permit","definition" : "A number associated with a document identifying a person as a visitor of a jurisdiction or country.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Besucherkennung"}],"property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a document identifying a person as a visitor of a jurisdiction or country."},{"code" : "status","valueCode" : "active"}]},{"id" : "2098","code" : "VS","display" : "VISA","definition" : "VISA","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "VISA"}],"property" : [{"code" : "v2-concComment","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated and replaced by BC in v 2.5."},{"code" : "status","valueCode" : "active"}]},{"id" : "2099","code" : "WC","display" : "WIC identifier","definition" : "WIC identifier","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2100","code" : "WCN","display" : "Workers' Comp Number","definition" : "Workers' Comp Number","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2101","code" : "WP","display" : "Work Permit","definition" : "A number associated with a permit for a person who is granted permission to work in a country for a specified time period.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "A number associated with a permit for a person who is granted permission to work in a country for a specified time period."},{"code" : "status","valueCode" : "active"}]},{"id" : "2102","code" : "XV","display" : "Health Plan Identifier","definition" : "National unique health plan identifier required by the US Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) in the US Realm.","property" : [{"code" : "v2-concComment","valueString" : "Also referred to as HPID (Health Plan Identifier)."},{"code" : "HL7usageNotes","valueString" : "The code value ‘XV’ is used in CMS mandated Health Insurance Portability and Accountability Act (HIPAA) transactions."},{"code" : "status","valueCode" : "N"}]},{"id" : "2103","code" : "XX","display" : "Organization identifier","definition" : "Organization identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Organisations-ID"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2107","code" : "ZANR","display" : "Dentist Identifier","definition" : "Identifier that can be used to unambiguously describe the ID of a dentist.","property" : [{"code" : "v2-concComment","valueString" : "ZANR is a dentist ID."},{"code" : "status","valueCode" : "N"}]}]}

#242

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#243

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#244

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#245

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#246

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0206 HTTP/1.0
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#247

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#248

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0207 HTTP/1.0
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#249

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#250

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#251

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#252

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#253

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#254

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0210 HTTP/1.0
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#255

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#256

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0211 HTTP/1.0
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"The printable characters from the ISO 8859/4 Character set","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2149","code" : "8859/5","display" : "The printable characters from the ISO 8859/5 Character set","definition" : "The printable characters from the ISO 8859/5 Character set","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2150","code" : "8859/6","display" : "The printable characters from the ISO 8859/6 Character set","definition" : "The printable characters from the ISO 8859/6 Character set","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2151","code" : "8859/7","display" : "The printable characters from the ISO 8859/7 Character set","definition" : "The printable characters from the ISO 8859/7 Character set","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2152","code" : "8859/8","display" : "The printable characters from the ISO 8859/8 Character set","definition" : "The printable characters from the 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"2156","code" : "ISO IR14","display" : "Code for Information Exchange (one byte)(JIS X 0201-1976).","definition" : "Code for Information Exchange (one byte)(JIS X 0201-1976).","property" : [{"code" : "v2-concComment","valueString" : "Note that the code contains a space, i.e., \"ISO IR14\"."},{"code" : "v2-concCommentAsPub","valueString" : "Note that the code contains a space, i.e., \"ISO IR14\"."},{"code" : "status","valueCode" : "active"}]},{"id" : "2157","code" : "ISO IR87","display" : "Code for the Japanese Graphic Character set for information interchange (JIS X 0208-1990),","definition" : "Code for the Japanese Graphic Character set for information interchange (JIS X 0208-1990),","property" : [{"code" : "v2-concComment","valueString" : "Note that the code contains a space, i.e., “ISO IR87”.\r\n\r\nThe JIS X 0208 needs an escape sequence. In Japan, the escape technique is ISO 2022. From basic ASCII, escape sequence “escape” $ B (in HEX, 1B 24 42) lets the parser know that following bytes should be handled 2-byte wise. Back to ASCII is 1B 28 42."},{"code" : "v2-concCommentAsPub","valueString" : "Note that the code contains a space, i.e., “ISO IR87”.\r\n\r\nThe JIS X 0208 needs an escape sequence. In Japan, the escape technique is ISO 2022. From basic ASCII, escape sequence “escape” $ B (in HEX, 1B 24 42) lets the parser know that following bytes should be handled 2-byte wise. Back to ASCII is 1B 28 42."},{"code" : "status","valueCode" : "active"}]},{"id" : "2158","code" : "ISO IR159","display" : "Code of the supplementary Japanese Graphic Character set for information interchange (JIS X 0212-1990).","definition" : "Code of the supplementary Japanese Graphic Character set for information interchange (JIS X 0212-1990).","property" : [{"code" : "v2-concComment","valueString" : "Note that the code contains a space, i.e., \"ISO IR159\"."},{"code" : "v2-concCommentAsPub","valueString" : "Note that the code contains a space, i.e., \"ISO IR159\"."},{"code" : "status","valueCode" : "active"}]},{"id" : "2159","code" : "GB 18030-2000","display" : "Code for Chinese Character Set (GB 18030-2000)","definition" : "Code for Chinese Character Set (GB 18030-2000)","property" : [{"code" : "v2-concComment","valueString" : "Does not need an escape sequence."},{"code" : "v2-concCommentAsPub","valueString" : "Does not need an escape sequence."},{"code" : "status","valueCode" : "active"}]},{"id" : "2160","code" : "KS X 1001","display" : "Code for Korean Character Set (KS X 1001)","definition" : "Code for Korean Character Set (KS X 1001)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2161","code" : "CNS 11643-1992","display" : "Code for Taiwanese Character Set (CNS 11643-1992)","definition" : "Code for Taiwanese Character Set (CNS 11643-1992)","property" : [{"code" : "v2-concComment","valueString" : "Does not need an escape sequence."},{"code" : "v2-concCommentAsPub","valueString" : "Does not need an escape sequence."},{"code" : "status","valueCode" : "active"}]},{"id" : "2162","code" : "BIG-5","display" : "Code for Taiwanese Character Set (BIG-5)","definition" : "Code for Taiwanese Character Set (BIG-5)","property" : [{"code" : "v2-concComment","valueString" : "Does not need an escape sequence.\r\n\r\nBIG-5 does not need an escape sequence. ASCII is a 7 bit character set, which means that the top bit of the byte is “0”. The parser knows that when the top bit of the byte is “0”, the character set is ASCII. When it is “1”, the following bytes should be handled as 2 bytes (or more). No escape technique is needed. However, since some servers do not correctly interpret when they receive a top bit “1”, it is advised, in internet RFC, to not use these kind of non-safe non-escape extension."},{"code" : "v2-concCommentAsPub","valueString" : "Does not need an escape sequence.\r\n\r\nBIG-5 does not need an escape sequence. ASCII is a 7 bit character set, which means that the top bit of the byte is “0”. The parser knows that when the top bit of the byte is “0”, the character set is ASCII. When it is “1”, the following bytes should be handled as 2 bytes (or more). No escape technique is needed. However, since some servers do not correctly interpret when they receive a top bit “1”, it is advised, in internet RFC, to not use these kind of non-safe non-escape extension."},{"code" : "status","valueCode" : "active"}]},{"id" : "2163","code" : "UNICODE","display" : "The world wide character standard from ISO/IEC 10646-1-1993","definition" : "The world wide character standard from ISO/IEC 10646-1-1993","property" : [{"code" : "v2-concComment","valueString" : "Deprecated. Retained for backward compatibility only as v 2.5. Replaced by specific Unicode encoding codes."},{"code" : "v2-concCommentAsPub","valueString" : "Deprecated. Retained for backward compatibility only as v 2.5. Replaced by specific Unicode encoding codes."},{"code" : "HL7usageNotes","valueString" : "Available from The Unicode Consortium, P.O. Box 700519, San Jose, CA  95170-0519.  See http://www.unicode.org/unicode/consortium/consort.html"},{"code" : "status","valueCode" : "active"}]},{"id" : "2164","code" : "UNICODE UTF-8","display" : "UCS Transformation Format, 8-bit form","definition" : "UCS Transformation Format, 8-bit form","property" : [{"code" : "v2-concComment","valueString" : "UTF-8 is a variable-length encoding, each code value is represented by 1,2 or 3 bytes, depending on the code value. 7 bit ASCII is a proper subset of UTF-8. Note that the code contains a space before UTF but not before and after the hyphen. Since UTF-8 represents the full UNICODE character set, the following restriction apply to its use: \r\n1. UTF-8 must be the default encoding of the message, UTF-8 cannot be specified as an additional character set in MSH-18\r\n2. There are no other character sets allowed in a message where UTF-8 is the default encoding in the message.\r\nIn other words, UNICODE UTF-8 can only be specified as a single value in MSH-18\r\n3. A message encoded in UTF-8 must not use a Byte Order Mark (BOM)."},{"code" : "v2-concCommentAsPub","valueString" : "UTF-8 is a variable-length encoding, each code value is represented by 1,2 or 3 bytes, depending on the code value. 7 bit ASCII is a proper subset of UTF-8. Note that the code contains a space before UTF but not before and after the hyphen. Since UTF-8 represents the full UNICODE character set, the following restriction apply to its use: \r\n1. UTF-8 must be the default encoding of the message, UTF-8 cannot be specified as an additional character set in MSH-18\r\n2. There are no other character sets allowed in a message where UTF-8 is the default encoding in the message.\r\nIn other words, UNICODE UTF-8 can only be specified as a single value in MSH-18\r\n3. A message encoded in UTF-8 must not use a Byte Order Mark (BOM)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2165","code" : "UNICODE UTF-16","display" : "UCS Transformation Format, 16-bit form","definition" : "UCS Transformation Format, 16-bit form","property" : [{"code" : "v2-concCommentAsPub","valueString" : "UTF-16 is identical to ISO/IEC 10646 UCS-2. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "HL7usageNotes","valueString" : "UTF-16 is identical to ISO/IEC 10646 UCS-2. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2166","code" : "UNICODE UTF-32","display" : "UCS Transformation Format, 32-bit form","definition" : "UCS Transformation Format, 32-bit form","property" : [{"code" : "v2-concCommentAsPub","valueString" : "UTF-32 is defined by Unicode Technical Report #19, and is an officially recognized encoding as of Unicode Version 3.1. UTF-32 is a proper subset of ISO/IEC 10646 UCS-4. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "HL7usageNotes","valueString" : "UTF-32 is defined by Unicode Technical Report #19, and is an officially recognized encoding as of Unicode Version 3.1. UTF-32 is a proper subset of ISO/IEC 10646 UCS-4. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]}]}}]}

#257

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{"resourceType" : "CodeSystem","id" : "v2-0211","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0211","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.116"}],"version" : "2.0.0","name" : "AlternateCharacterSets","title" : "alternateCharacterSets","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts used to specify the character set(s) in use.  Includes both single-byte and double-byte characters sets, and used in Version 2.x messaging in the MSH segment.","purpose" : "Underlying Master Code System for V2 table 0211 (Alternate Character Sets)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0211","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"id" : "2142","code" : "JAS2020","display" : "A subset of ISO2020 used for most Kanjii transmissions","definition" : "A subset of ISO2020 used for most Kanjii transmissions","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2143","code" : "JIS X 0202","display" : "ISO 2022 with escape sequences for Kanjii","definition" : "ISO 2022 with escape sequences for Kanjii","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2144","code" : "ASCII","display" : "The printable 7-bit ASCII character set.","definition" : "The printable 7-bit ASCII character set.","property" : [{"code" : "v2-concComment","valueString" : "(This is the default if this field is 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ISO 8859/8 Character set","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2153","code" : "8859/9","display" : "The printable characters from the ISO 8859/9 Character set","definition" : "The printable characters from the ISO 8859/9 Character set","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2154","code" : "8859/15","display" : "The printable characters from the ISO 8859/15 (Latin-15)","definition" : "The printable characters from the ISO 8859/15 (Latin-15)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2155","code" : "ISO IR6","display" : "ASCII graphic character set consisting of 94 characters.","definition" : "ASCII graphic character set consisting of 94 characters.","property" : [{"code" : "v2-concComment","valueString" : "http://www.itscj.ipsj.or.jp/ISO-IR/006.pdf"},{"code" : "v2-concCommentAsPub","valueString" : "http://www.itscj.ipsj.or.jp/ISO-IR/006.pdf"},{"code" : "status","valueCode" : "active"}]},{"id" : 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See http://www.unicode.org/unicode/consortium/consort.html"},{"code" : "status","valueCode" : "active"}]},{"id" : "2164","code" : "UNICODE UTF-8","display" : "UCS Transformation Format, 8-bit form","definition" : "UCS Transformation Format, 8-bit form","property" : [{"code" : "v2-concComment","valueString" : "UTF-8 is a variable-length encoding, each code value is represented by 1,2 or 3 bytes, depending on the code value. 7 bit ASCII is a proper subset of UTF-8. Note that the code contains a space before UTF but not before and after the hyphen. Since UTF-8 represents the full UNICODE character set, the following restriction apply to its use: \r\n1. UTF-8 must be the default encoding of the message, UTF-8 cannot be specified as an additional character set in MSH-18\r\n2. There are no other character sets allowed in a message where UTF-8 is the default encoding in the message.\r\nIn other words, UNICODE UTF-8 can only be specified as a single value in MSH-18\r\n3. A message encoded in UTF-8 must not use a Byte Order Mark (BOM)."},{"code" : "v2-concCommentAsPub","valueString" : "UTF-8 is a variable-length encoding, each code value is represented by 1,2 or 3 bytes, depending on the code value. 7 bit ASCII is a proper subset of UTF-8. Note that the code contains a space before UTF but not before and after the hyphen. Since UTF-8 represents the full UNICODE character set, the following restriction apply to its use: \r\n1. UTF-8 must be the default encoding of the message, UTF-8 cannot be specified as an additional character set in MSH-18\r\n2. There are no other character sets allowed in a message where UTF-8 is the default encoding in the message.\r\nIn other words, UNICODE UTF-8 can only be specified as a single value in MSH-18\r\n3. A message encoded in UTF-8 must not use a Byte Order Mark (BOM)."},{"code" : "status","valueCode" : "active"}]},{"id" : "2165","code" : "UNICODE UTF-16","display" : "UCS Transformation Format, 16-bit form","definition" : "UCS Transformation Format, 16-bit form","property" : [{"code" : "v2-concCommentAsPub","valueString" : "UTF-16 is identical to ISO/IEC 10646 UCS-2. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "HL7usageNotes","valueString" : "UTF-16 is identical to ISO/IEC 10646 UCS-2. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2166","code" : "UNICODE UTF-32","display" : "UCS Transformation Format, 32-bit form","definition" : "UCS Transformation Format, 32-bit form","property" : [{"code" : "v2-concCommentAsPub","valueString" : "UTF-32 is defined by Unicode Technical Report #19, and is an officially recognized encoding as of Unicode Version 3.1. UTF-32 is a proper subset of ISO/IEC 10646 UCS-4. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "HL7usageNotes","valueString" : "UTF-32 is defined by Unicode Technical Report #19, and is an officially recognized encoding as of Unicode Version 3.1. UTF-32 is a proper subset of ISO/IEC 10646 UCS-4. Note that the code contains a space before UTF but not before and after the hyphen."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]}]}

#258

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0213 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2868
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:14 GMT
pragma:no-cache
server:nginx
x-request-id:252-199366

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#259

GET https://tx.fhir.org/r5/CodeSystem/v2-0213 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2522
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:14 GMT
pragma:no-cache
server:nginx
x-request-id:252-199367

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#260

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0214 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:14 GMT
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server:nginx
x-request-id:252-199368

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#261

GET https://tx.fhir.org/r5/CodeSystem/v2-0214 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2498
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:14 GMT
pragma:no-cache
server:nginx
x-request-id:252-199369

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#262

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0215 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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access-control-allow-origin:*
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:14 GMT
pragma:no-cache
server:nginx
x-request-id:252-199370

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#263

GET https://tx.fhir.org/r5/CodeSystem/v2-0215 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:14 GMT
pragma:no-cache
server:nginx
x-request-id:252-199371

{"resourceType" : "CodeSystem","id" : "v2-0215","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "pa"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0215","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.119"}],"version" : "2.0.0","name" : "Publicity","title" : "publicity","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying a level of publicity of information about a patient for a specific visit.  Used in HL7 Version 2.x messaging in the PV2 and PD1 segments.","purpose" : "Underlying Master Code System for V2 table 0215 (Publicity Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0215","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "2175","code" : "F","display" : "Family only","definition" : "Family only","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2176","code" : "N","display" : "No Publicity","definition" : "No Publicity","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2177","code" : "O","display" : "Other","definition" : "Other","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2178","code" : "U","display" : "Unknown","definition" : "Unknown","property" : [{"code" : "status","valueCode" : "active"}]}]}

#264

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0216 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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#265

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#266

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#267

GET https://tx.fhir.org/r5/CodeSystem/v2-0217 HTTP/1.0
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200
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#268

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0220 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:15 GMT
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#269

GET https://tx.fhir.org/r5/CodeSystem/v2-0220 HTTP/1.0
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User-Agent: fhir/publisher
200
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date:Mon, 15 Dec 2025 20:12:15 GMT
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#270

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0223 HTTP/1.0
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#271

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200
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#272

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#273

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#274

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#275

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#276

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#279

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#280

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#281

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#282

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#283

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#284

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#285

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#286

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#287

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#288

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#289

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#290

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0236 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:17 GMT
pragma:no-cache
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#291

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date:Mon, 15 Dec 2025 20:12:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-199399

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#292

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0237 HTTP/1.0
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#293

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200
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date:Mon, 15 Dec 2025 20:12:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-199401

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#294

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0238 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-199402

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#295

GET https://tx.fhir.org/r5/CodeSystem/v2-0238 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-199403

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#296

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0239 HTTP/1.0
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server:nginx
x-request-id:252-199404

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#297

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date:Mon, 15 Dec 2025 20:12:17 GMT
pragma:no-cache
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#298

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#299

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#300

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0241 HTTP/1.0
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#301

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#302

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#303

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#304

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#305

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#306

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#307

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#308

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#309

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#310

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#311

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date:Mon, 15 Dec 2025 20:12:18 GMT
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x-request-id:252-199420

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#312

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0251 HTTP/1.0
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#313

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#314

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0252 HTTP/1.0
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#315

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#317

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#318

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#320

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#321

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#322

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#323

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month (30 days) post challenge","definition" : "1 month (30 days) post challenge","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2555","code" : "2L","display" : "2 months (60 days) post challenge","definition" : "2 months (60 days) post challenge","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2556","code" : "3L","display" : "3 months (90 days) post challenge","definition" : "3 months (90 days) post challenge","property" : [{"code" : "status","valueCode" : "active"}]}]}

#324

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0257 HTTP/1.0
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#325

GET https://tx.fhir.org/r5/CodeSystem/v2-0257 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:19 GMT
pragma:no-cache
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#326

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0258 HTTP/1.0
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#327

GET https://tx.fhir.org/r5/CodeSystem/v2-0258 HTTP/1.0
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#328

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0260 HTTP/1.0
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#329

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#330

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#331

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#332

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#333

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#334

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#335

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#336

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#337

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200
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pragma:no-cache
server:nginx
x-request-id:252-199446

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#338

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0267 HTTP/1.0
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#339

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date:Mon, 15 Dec 2025 20:12:21 GMT
pragma:no-cache
server:nginx
x-request-id:252-199448

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#340

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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:21 GMT
pragma:no-cache
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#341

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#342

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#343

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#344

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0270 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:21 GMT
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#345

GET https://tx.fhir.org/r5/CodeSystem/v2-0270 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:21 GMT
pragma:no-cache
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#346

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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:21 GMT
pragma:no-cache
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#347

GET https://tx.fhir.org/r5/CodeSystem/v2-0271 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:21 GMT
pragma:no-cache
server:nginx
x-request-id:252-199456

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#348

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0272 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:21 GMT
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server:nginx
x-request-id:252-199457

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#349

GET https://tx.fhir.org/r5/CodeSystem/v2-0272 HTTP/1.0
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x-request-id:252-199458

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#350

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0273 HTTP/1.0
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#351

GET https://tx.fhir.org/r5/CodeSystem/v2-0273 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:22 GMT
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#352

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0275 HTTP/1.0
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#353

GET https://tx.fhir.org/r5/CodeSystem/v2-0275 HTTP/1.0
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200
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x-request-id:252-199462

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#354

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0276 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:22 GMT
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x-request-id:252-199464

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#355

GET https://tx.fhir.org/r5/CodeSystem/v2-0276 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:22 GMT
pragma:no-cache
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#356

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0277 HTTP/1.0
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#357

GET https://tx.fhir.org/r5/CodeSystem/v2-0277 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:22 GMT
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#358

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#359

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#360

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#361

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#362

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#363

GET https://tx.fhir.org/r5/CodeSystem/v2-0280 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:23 GMT
pragma:no-cache
server:nginx
x-request-id:252-199474

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#364

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0281 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:23 GMT
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x-request-id:252-199475

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#365

GET https://tx.fhir.org/r5/CodeSystem/v2-0281 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3771
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:23 GMT
pragma:no-cache
server:nginx
x-request-id:252-199476

{"resourceType" : "CodeSystem","id" : "v2-0281","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0281","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.174"}],"version" : "2.0.0","name" : "ReferralType","title" : "referralType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to identify the general category of healthcare professional desired to satisfy a referral.  Used in HL7 Version 2.x messaging in the RF1 segment.","purpose" : "Underlying Master Code System for V2 table 0281 (Referral Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0281","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "2712","code" : "HOM","display" : "Home Care","definition" : "Home Care","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2713","code" : "LAB","display" : "Laboratory","definition" : "Laboratory","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2714","code" : "MED","display" : "Medical","definition" : "Medical","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2715","code" : "PSY","display" : "Psychiatric","definition" : "Psychiatric","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2716","code" : "RAD","display" : "Radiology","definition" : "Radiology","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2717","code" : "SKN","display" : "Skilled Nursing","definition" : "Skilled Nursing","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2718","code" : "Lab","display" : "Laboratory","definition" : "Laboratory","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2719","code" : "Rad","display" : "Radiology","definition" : "Radiology","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2720","code" : "Med","display" : "Medical","definition" : "Medical","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2721","code" : "Skn","display" : "Skilled Nursing","definition" : "Skilled Nursing","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2722","code" : "Psy","display" : "Psychiatric","definition" : "Psychiatric","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2723","code" : "Hom","display" : "Home Care","definition" : "Home Care","property" : [{"code" : "status","valueCode" : "active"}]}]}

#366

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0282 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:23 GMT
pragma:no-cache
server:nginx
x-request-id:252-199477

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#367

GET https://tx.fhir.org/r5/CodeSystem/v2-0282 HTTP/1.0
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User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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date:Mon, 15 Dec 2025 20:12:23 GMT
pragma:no-cache
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#368

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#369

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#370

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#371

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#372

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0286 HTTP/1.0
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#373

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#374

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#375

GET https://tx.fhir.org/r5/CodeSystem/v2-0287 HTTP/1.0
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server:nginx
x-request-id:252-199488

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#376

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0290 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:24 GMT
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server:nginx
x-request-id:252-199489

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#377

GET https://tx.fhir.org/r5/CodeSystem/v2-0290 HTTP/1.0
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:24 GMT
pragma:no-cache
server:nginx
x-request-id:252-199490

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#378

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It included both preservative free and non-preservative free."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "16","display" : "influenza, whole","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "influenza virus vaccine, whole virus"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "17","display" : "Hib, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, conjugate unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "18","display" : "rabies, intramuscular injection","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rabies vaccine, for intramuscular injection RETIRED CODE"}],"property" : [{"code" : "notes","valueString" : "This CVX code has been retired. It is replace by CVX 175,  or CVX 176. It will continue to be found in historic records."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-10-18"}]},{"code" : "19","display" : "BCG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Bacillus Calmette-Guerin vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "20","display" : "DTaP","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "diphtheria, tetanus toxoids and acellular pertussis vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "21","display" : "varicella","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "varicella virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "22","display" : "DTP-Hib","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "DTP-Haemophilus influenzae type b conjugate vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-03-23"}]},{"code" : "23","display" : "plague","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "plague vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2018-05-17"}]},{"code" : "24","display" : "Anthrax, pre-exposure prophylaxis, post-exposure prophylaxis","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Anthrax vaccine, adsorbed, pre-exposure and post-exposure prophylaxis"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-01-25"}]},{"code" : "25","display" : "typhoid, oral","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "typhoid vaccine, live, oral"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "26","display" : "cholera, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "cholera vaccine, unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-06-17"}]},{"code" : "27","display" : "botulinum antitoxin","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "botulinum antitoxin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "28","display" : "DT (pediatric)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "diphtheria and tetanus toxoids, adsorbed for pediatric use"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-06"},{"code" : "notes","valueString" : "Retired effective 04/30/2023.  All vaccine NDCs retired.  No further vaccines expected for this formulation."}]},{"code" : "29","display" : "CMVIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "cytomegalovirus immune globulin, intravenous"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "30","display" : "HBIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "31","display" : "Hep A, pediatric, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis A vaccine, pediatric dosage, unspecified formulation"}],"property" : [{"code" : "notes","valueString" : "Do NOT use this code.  If formulation is unknown, use CVX 85.  There is only one formulation of Hep A, peds."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "32","display" : "meningococcal MPSV4","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal polysaccharide vaccine (MPSV4)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-10-27"}]},{"code" : "33","display" : "pneumococcal polysaccharide PPV23","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "pneumococcal polysaccharide vaccine, 23 valent"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "34","display" : "RIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rabies immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "35","display" : "tetanus toxoid, adsorbed","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "tetanus toxoid, adsorbed"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-08-14"}]},{"code" : "36","display" : "VZIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "varicella zoster immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "37","display" : "yellow fever live","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "yellow fever vaccine live"}],"property" : [{"code" : "notes","valueString" : "This is the YF vaccine that has been available in the US for years. It is stabilized with sorbitol and gelatin."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-03-07"}]},{"code" : "38","display" : "rubella/mumps","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rubella and mumps virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "39","display" : "Japanese encephalitis SC","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Japanese Encephalitis Vaccine SC"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-09-24"}]},{"code" : "40","display" : "rabies, intradermal injection","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rabies vaccine, for intradermal injection"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-06-18"}]},{"code" : "41","display" : "typhoid, parenteral","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "typhoid vaccine, parenteral, other than acetone-killed, dried"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-08-13"}]},{"code" : "42","display" : "Hep B, adolescent/high risk infant","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, adolescent/high risk infant dosage"}],"property" : [{"code" : "notes","valueString" : "As of August 27, 1998, Merck ceased distribution of their adolescent/high risk infant hepatitis B vaccine dosage. Code 42 should only be used to record historical records. For current administration of hepatitis B vaccine, pediatric/adolescent dosage, use code 08."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "43","display" : "Hep B, adult","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, adult dosage"}],"property" : [{"code" : "notes","valueString" : "This code applies to any standard adult dose and schedule. Also use CVX 43 for the FDA approved Recombivax HB 2-dose hepatitis B schedule for adolescents (11-15 year olds) using the adult formulation."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-12"}]},{"code" : "44","display" : "Hep B, high-dosage, dialysis or IC","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Hepatitis B vaccine (Hep B), high-dosage, dialysis or immunocompromised patient"}],"property" : [{"code" : "notes","valueString" : "This code is used record patient high dosage vaccine administration for dialysis or immunocompromised patients. For NDCs that are used for both regular vaccine and dialysis/IC high-dosage schedules (e.g. Engerix-B), are mapped to both CVX 43 and CVX 44. CVX code 44 should be utilized to record dialysis/IC dosing."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-13"}]},{"code" : "45","display" : "Hep B, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, unspecified formulation"}],"property" : [{"code" : "notes","valueString" : "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a HepB vaccination when noted on a vaccination card)"},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "46","display" : "Hib (PRP-D)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, PRP-D conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "47","display" : "Hib (HbOC)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, HbOC conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "48","display" : "Hib (PRP-T)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, PRP-T conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "49","display" : "Hib (PRP-OMP)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, PRP-OMP conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "50","display" : "DTaP-Hib","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "DTaP-Haemophilus influenzae type b conjugate vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-03-20"}]},{"code" : "51","display" : "Hib-Hep B","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b conjugate and Hepatitis B vaccine"}],"property" : [{"code" : "notes","valueString" : "This vaccine may still be in use until the existing lots expire on 8/19/16."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-03-11"}]},{"code" : "52","display" : "Hep A, adult","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis A vaccine, adult dosage"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "53","display" : "typhoid, parenteral, AKD (U.S. military)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-06-18"}]},{"code" : "54","display" : "adenovirus, type 4","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "adenovirus vaccine, type 4, live, oral"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "55","display" : "adenovirus, type 7","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "adenovirus vaccine, type 7, live, oral"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "56","display" : "dengue fever tetravalent","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "dengue fever vaccine, tetravalent"}],"property" : [{"code" : "notes","valueString" : "Applies to tetravalent product (e.g. DENGVAXIA)"},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-11"}]},{"code" : "57","display" : "hantavirus","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hantavirus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "58","display" : "Hep C","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis C vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "59","display" : "Hep E","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis E vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "60","display" : "herpes simplex 2","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "herpes simplex virus, type 2 vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "61","display" : "HIV","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "human immunodeficiency virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "62","display" : "HPV, quadrivalent","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "human papilloma virus vaccine, quadrivalent"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-06-02"}]},{"code" : "63","display" : "Junin virus","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Junin virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "64","display" : "leishmaniasis","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "leishmaniasis vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "65","display" : "leprosy","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "leprosy vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "66","display" : "Lyme disease","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Lyme disease vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "67","display" : "malaria","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "malaria vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : 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IM"}],"property" : [{"code" : "notes","valueString" : "This immune globulin may be administered IM only."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "158","display" : "Influenza, split virus, quadrivalent, preservative","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza, split virus, quadrivalent, injectable, contains preservative"}],"property" : [{"code" : "notes","valueString" : "Quadrivalent code starting 2013/2014 season"},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-05-15"}]},{"code" : "159","display" : "Rho(D) - Unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Rho(D) Unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2023-03-09"}]},{"code" : "160","display" : "Influenza A monovalent (H5N1), ADJUVANTED-2013","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"}],"property" : [{"code" : "notes","valueString" : "Approved by FDA 2013, adjuvant is mixed at point of administration."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-05-27"}]},{"code" : "161","display" : "Influenza, injectable,quadrivalent, preservative free, pediatric","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza, injectable,quadrivalent, preservative free, pediatric"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-07-29"}]},{"code" : "162","display" : "meningococcal B, recombinant","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal B vaccine, fully recombinant"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-11-03"}]},{"code" : "163","display" : "meningococcal B, OMV","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal B vaccine, recombinant, OMV, adjuvanted"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-02-02"}]},{"code" : "164","display" : "meningococcal B, unspecified","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal B, unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-11-03"}]},{"code" : "165","display" : "HPV9","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Human Papillomavirus 9-valent vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-12-11"}]},{"code" : "166","display" : "influenza, intradermal, quadrivalent, preservative free","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "influenza, intradermal, quadrivalent, preservative free, injectable"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2022-12-15"},{"code" : "notes","valueString" : "No US product available since 2017/2018 flu season"}]},{"code" : "167","display" : "meningococcal, unknown serogroups","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal vaccine of unknown formulation and unknown serogroups"}],"property" : [{"code" : "notes","valueString" : "This CVX is intended for use when any one of the meningococcal vaccines is recorded and there is no information about which serogroups are protected against. This code should not be used when a newly administered immunization is recorded."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-12-01"}]},{"code" : "168","display" : "Influenza, adjuvanted, trivalent, PF","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza, adjuvanted, inactivated, trivalent, injectable, preservative free"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-05-06"},{"code" : "notes","valueString" : "Trivalent code reactivated for 2024/2025 season"}]},{"code" : "169","display" : "Hep A, live attenuated","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Hep A, live attenuated-IM"}],"property" : [{"code" : "notes","valueString" : "This vaccine is not available in the US."},{"code" : "vaccine-status","valueCode" : "Non-US"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-05-10"}]},{"code" : "170","display" : "DTAP/IPV/HIB - 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"Hepatitis B vaccine (recombinant), CpG adjuvanted"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2018-05-10"}]},{"code" : "190","display" : "Typhoid conjugate vaccine (TCV)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Typhoid conjugate vaccine (non-US)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Non-US"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2023-01-17"}]},{"code" : "191","display" : "meningococcal A polysaccharide (non-US)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal A polysaccharide vaccine (non-US)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Non-US"},{"code" : 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#379

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{"resourceType" : "CodeSystem","id" : "cvx","url" : "http://hl7.org/fhir/sid/cvx","version" : "20250715","name" : "CVX","title" : "CVX - US Vaccine Codes","status" : "active","experimental" : false,"date" : "2025-07-15","publisher" : "Health Level 7","description" : "CVX Codes for vaccines","caseSensitive" : false,"content" : "complete","filter" : [{"code" : "vaccine-status","description" : "Indicates the availability of the vaccine in the United States.","operator" : ["="],"value" : "One of: 'active', 'inactive', 'pending', 'never-active', 'non-US'"},{"code" : "non-vaccine","description" : "If 'true', this is not a product that is not a vaccine.","operator" : ["="],"value" : "'false' (default) or 'true'"}],"property" : [{"code" : "notes","description" : "Instructions on usage or other relevant notes.","type" : "string"},{"code" : "vaccine-status","description" : "Indicates the availability of the vaccine in the United States.","type" : "code"},{"code" : "non-vaccine","description" : "If 'true', this is not a product that is not a vaccine.","type" : "boolean"},{"code" : "last-updated","description" : "Indicates the last time this particular vaccine code was updated.","type" : "dateTime"}],"concept" : [{"code" : "01","display" : "DTP","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "diphtheria, tetanus toxoids and pertussis vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "02","display" : "OPV, trivalent","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "trivalent poliovirus vaccine, live, oral"}],"property" : [{"code" : "notes","valueString" : "This is the OPV used in the US from June 1963 through Dec 1999 and globally through April 2016"},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2025-06-26"}]},{"code" : "03","display" : "MMR","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "measles, mumps and rubella virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "04","display" : "M/R","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "measles and rubella virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "05","display" : "measles","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "measles virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-08-31"}]},{"code" : "06","display" : "rubella","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rubella virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-06-18"}]},{"code" : "07","display" : "mumps","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "mumps virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-06-18"}]},{"code" : "08","display" : "Hep B, adolescent or pediatric","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, pediatric or pediatric/adolescent dosage"}],"property" : [{"code" : "notes","valueString" : "This code applies to any standard pediatric formulation of Hepatitis B vaccine. It should not be used for the 2-dose hepatitis B schedule for adolescents (11-15 year olds). Use code 43 for that vaccine."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-16"}]},{"code" : "09","display" : "Td (adult), 2 Lf tetanus toxoid, preservative free, adsorbed","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-10-27"}]},{"code" : "10","display" : "IPV","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "poliovirus vaccine, inactivated"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "11","display" : "pertussis","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "pertussis vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "12","display" : "diphtheria antitoxin","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "diphtheria antitoxin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "13","display" : "TIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "tetanus immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "14","display" : "IG, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "immune globulin, unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2023-03-09"}]},{"code" : "15","display" : "influenza, split (incl. purified surface antigen)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE"}],"property" : [{"code" : "notes","valueString" : "This code is being retired. It will still be found in older immunization records. It included both preservative free and non-preservative free."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "16","display" : "influenza, whole","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "influenza virus vaccine, whole virus"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "17","display" : "Hib, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, conjugate unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "18","display" : "rabies, intramuscular injection","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rabies vaccine, for intramuscular injection RETIRED CODE"}],"property" : [{"code" : "notes","valueString" : "This CVX code has been retired. It is replace by CVX 175,  or CVX 176. It will continue to be found in historic records."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-10-18"}]},{"code" : "19","display" : "BCG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Bacillus Calmette-Guerin vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "20","display" : "DTaP","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "diphtheria, tetanus toxoids and acellular pertussis vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "21","display" : "varicella","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "varicella virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "22","display" : "DTP-Hib","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "DTP-Haemophilus influenzae type b conjugate vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-03-23"}]},{"code" : "23","display" : "plague","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "plague vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2018-05-17"}]},{"code" : "24","display" : "Anthrax, pre-exposure prophylaxis, post-exposure prophylaxis","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Anthrax vaccine, adsorbed, pre-exposure and post-exposure prophylaxis"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-01-25"}]},{"code" : "25","display" : "typhoid, oral","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "typhoid vaccine, live, oral"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "26","display" : "cholera, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "cholera vaccine, unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-06-17"}]},{"code" : "27","display" : "botulinum antitoxin","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "botulinum antitoxin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "28","display" : "DT (pediatric)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "diphtheria and tetanus toxoids, adsorbed for pediatric use"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-06"},{"code" : "notes","valueString" : "Retired effective 04/30/2023.  All vaccine NDCs retired.  No further vaccines expected for this formulation."}]},{"code" : "29","display" : "CMVIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "cytomegalovirus immune globulin, intravenous"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "30","display" : "HBIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "31","display" : "Hep A, pediatric, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis A vaccine, pediatric dosage, unspecified formulation"}],"property" : [{"code" : "notes","valueString" : "Do NOT use this code.  If formulation is unknown, use CVX 85.  There is only one formulation of Hep A, peds."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "32","display" : "meningococcal MPSV4","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal polysaccharide vaccine (MPSV4)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-10-27"}]},{"code" : "33","display" : "pneumococcal polysaccharide PPV23","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "pneumococcal polysaccharide vaccine, 23 valent"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "34","display" : "RIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rabies immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "35","display" : "tetanus toxoid, adsorbed","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "tetanus toxoid, adsorbed"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-08-14"}]},{"code" : "36","display" : "VZIG","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "varicella zoster immune globulin"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "37","display" : "yellow fever live","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "yellow fever vaccine live"}],"property" : [{"code" : "notes","valueString" : "This is the YF vaccine that has been available in the US for years. It is stabilized with sorbitol and gelatin."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-03-07"}]},{"code" : "38","display" : "rubella/mumps","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rubella and mumps virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "39","display" : "Japanese encephalitis SC","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Japanese Encephalitis Vaccine SC"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-09-24"}]},{"code" : "40","display" : "rabies, intradermal injection","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "rabies vaccine, for intradermal injection"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-06-18"}]},{"code" : "41","display" : "typhoid, parenteral","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "typhoid vaccine, parenteral, other than acetone-killed, dried"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-08-13"}]},{"code" : "42","display" : "Hep B, adolescent/high risk infant","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, adolescent/high risk infant dosage"}],"property" : [{"code" : "notes","valueString" : "As of August 27, 1998, Merck ceased distribution of their adolescent/high risk infant hepatitis B vaccine dosage. Code 42 should only be used to record historical records. For current administration of hepatitis B vaccine, pediatric/adolescent dosage, use code 08."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "43","display" : "Hep B, adult","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, adult dosage"}],"property" : [{"code" : "notes","valueString" : "This code applies to any standard adult dose and schedule. Also use CVX 43 for the FDA approved Recombivax HB 2-dose hepatitis B schedule for adolescents (11-15 year olds) using the adult formulation."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-12"}]},{"code" : "44","display" : "Hep B, high-dosage, dialysis or IC","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Hepatitis B vaccine (Hep B), high-dosage, dialysis or immunocompromised patient"}],"property" : [{"code" : "notes","valueString" : "This code is used record patient high dosage vaccine administration for dialysis or immunocompromised patients. For NDCs that are used for both regular vaccine and dialysis/IC high-dosage schedules (e.g. Engerix-B), are mapped to both CVX 43 and CVX 44. CVX code 44 should be utilized to record dialysis/IC dosing."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-13"}]},{"code" : "45","display" : "Hep B, unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis B vaccine, unspecified formulation"}],"property" : [{"code" : "notes","valueString" : "This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a HepB vaccination when noted on a vaccination card)"},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-09-30"}]},{"code" : "46","display" : "Hib (PRP-D)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, PRP-D conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "47","display" : "Hib (HbOC)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, HbOC conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "48","display" : "Hib (PRP-T)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, PRP-T conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "49","display" : "Hib (PRP-OMP)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b vaccine, PRP-OMP conjugate"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "50","display" : "DTaP-Hib","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "DTaP-Haemophilus influenzae type b conjugate vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2017-03-20"}]},{"code" : "51","display" : "Hib-Hep B","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Haemophilus influenzae type b conjugate and Hepatitis B vaccine"}],"property" : [{"code" : "notes","valueString" : "This vaccine may still be in use until the existing lots expire on 8/19/16."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-03-11"}]},{"code" : "52","display" : "Hep A, adult","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis A vaccine, adult dosage"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "53","display" : "typhoid, parenteral, AKD (U.S. military)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-06-18"}]},{"code" : "54","display" : "adenovirus, type 4","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "adenovirus vaccine, type 4, live, oral"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "55","display" : "adenovirus, type 7","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "adenovirus vaccine, type 7, live, oral"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "56","display" : "dengue fever tetravalent","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "dengue fever vaccine, tetravalent"}],"property" : [{"code" : "notes","valueString" : "Applies to tetravalent product (e.g. DENGVAXIA)"},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-12-11"}]},{"code" : "57","display" : "hantavirus","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hantavirus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "58","display" : "Hep C","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis C vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "59","display" : "Hep E","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "hepatitis E vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "60","display" : "herpes simplex 2","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "herpes simplex virus, type 2 vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "61","display" : "HIV","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "human immunodeficiency virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "62","display" : "HPV, quadrivalent","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "human papilloma virus vaccine, quadrivalent"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-06-02"}]},{"code" : "63","display" : "Junin virus","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Junin virus vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "64","display" : "leishmaniasis","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "leishmaniasis vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "65","display" : "leprosy","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "leprosy vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : "66","display" : "Lyme disease","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Lyme disease vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2010-05-28"}]},{"code" : "67","display" : "malaria","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "malaria vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Never Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2020-09-09"}]},{"code" : 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IM"}],"property" : [{"code" : "notes","valueString" : "This immune globulin may be administered IM only."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2020-09-04"}]},{"code" : "158","display" : "Influenza, split virus, quadrivalent, preservative","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza, split virus, quadrivalent, injectable, contains preservative"}],"property" : [{"code" : "notes","valueString" : "Quadrivalent code starting 2013/2014 season"},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-05-15"}]},{"code" : "159","display" : "Rho(D) - Unspecified formulation","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Rho(D) Unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : true},{"code" : "last-updated","valueDateTime" : "2023-03-09"}]},{"code" : "160","display" : "Influenza A monovalent (H5N1), ADJUVANTED-2013","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"}],"property" : [{"code" : "notes","valueString" : "Approved by FDA 2013, adjuvant is mixed at point of administration."},{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-05-27"}]},{"code" : "161","display" : "Influenza, injectable,quadrivalent, preservative free, pediatric","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza, injectable,quadrivalent, preservative free, pediatric"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-07-29"}]},{"code" : "162","display" : "meningococcal B, recombinant","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal B vaccine, fully recombinant"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-11-03"}]},{"code" : "163","display" : "meningococcal B, OMV","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal B vaccine, recombinant, OMV, adjuvanted"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-02-02"}]},{"code" : "164","display" : "meningococcal B, unspecified","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal B, unspecified formulation"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-11-03"}]},{"code" : "165","display" : "HPV9","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Human Papillomavirus 9-valent vaccine"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2014-12-11"}]},{"code" : "166","display" : "influenza, intradermal, quadrivalent, preservative free","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "influenza, intradermal, quadrivalent, preservative free, injectable"}],"property" : [{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2022-12-15"},{"code" : "notes","valueString" : "No US product available since 2017/2018 flu season"}]},{"code" : "167","display" : "meningococcal, unknown serogroups","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal vaccine of unknown formulation and unknown serogroups"}],"property" : [{"code" : "notes","valueString" : "This CVX is intended for use when any one of the meningococcal vaccines is recorded and there is no information about which serogroups are protected against. This code should not be used when a newly administered immunization is recorded."},{"code" : "vaccine-status","valueCode" : "Inactive"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2015-12-01"}]},{"code" : "168","display" : "Influenza, adjuvanted, trivalent, PF","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Influenza, adjuvanted, inactivated, trivalent, injectable, preservative free"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2024-05-06"},{"code" : "notes","valueString" : "Trivalent code reactivated for 2024/2025 season"}]},{"code" : "169","display" : "Hep A, live attenuated","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Hep A, live attenuated-IM"}],"property" : [{"code" : "notes","valueString" : "This vaccine is not available in the US."},{"code" : "vaccine-status","valueCode" : "Non-US"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2016-05-10"}]},{"code" : "170","display" : "DTAP/IPV/HIB - 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"Hepatitis B vaccine (recombinant), CpG adjuvanted"}],"property" : [{"code" : "vaccine-status","valueCode" : "Active"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2018-05-10"}]},{"code" : "190","display" : "Typhoid conjugate vaccine (TCV)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "Typhoid conjugate vaccine (non-US)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Non-US"},{"code" : "non-vaccine","valueBoolean" : false},{"code" : "last-updated","valueDateTime" : "2023-01-17"}]},{"code" : "191","display" : "meningococcal A polysaccharide (non-US)","designation" : [{"language" : "en","use" : {"system" : "http://snomed.info/sct","code" : "900000000000013009","display" : "Synonym"},"value" : "meningococcal A polysaccharide vaccine (non-US)"}],"property" : [{"code" : "vaccine-status","valueCode" : "Non-US"},{"code" : 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#380

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{"resourceType" : "Bundle","id" : "490ce745-edc0-4e51-bcc4-cdfb4232c9","meta" : {"lastUpdated" : "2025-12-15T20:12:24.723Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0294"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0294","resource" : {"resourceType" : "CodeSystem","id" : "v2-0294","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"},{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "pa"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0294","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.183"}],"version" : "2.0.0","name" : "TimeSelectionCriteriaParameterClass","title" : "timeSelectionCriteriaParameterClass","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to describe acceptable start and end times, as well as days of the week, for appointment or resource scheduling.  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#381

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{"resourceType" : "CodeSystem","id" : "v2-0294","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"},{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "pa"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0294","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.183"}],"version" : "2.0.0","name" : "TimeSelectionCriteriaParameterClass","title" : "timeSelectionCriteriaParameterClass","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to describe acceptable start and end times, as well as days of the week, for appointment or resource scheduling.  Used in HL7 Version 2.x messaging in the SCV and APR segments.","purpose" : "Underlying Master Code System for V2 table 0294 (Time Selection Criteria Parameter Class Codes)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0294","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "2954","code" : "PREFSTART","display" : "The preferred start time for the appointment request, service or resource.   Any legal time specification in the format HHMM, using 24-hour clock notation","definition" : "The preferred start time for the appointment request, service or resource.   Any legal time specification in the format HHMM, using 24-hour clock notation","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2955","code" : "Prefstart","display" : "An indicator that there is a preferred start time for the appointment request, service or resource.","definition" : "An indicator that there is a preferred start time for the appointment request, service or resource.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes"},{"code" : "status","valueCode" : "active"}]},{"id" : "2956","code" : "PREFEND","display" : "The preferred end time for the appointment request, service or resource.  Any legal time specification in the format HHMM, using 24-hour clock notation","definition" : "The preferred end time for the appointment request, service or resource.  Any legal time specification in the format HHMM, using 24-hour clock notation","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2957","code" : "Prefend","display" : "An indicator that there is a preferred end time for the appointment request, service or resource.","definition" : "An indicator that there is a preferred end time for the appointment request, service or resource.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes"},{"code" : "status","valueCode" : "active"}]},{"id" : "2958","code" : "MON","display" : "An indicator that Monday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Monday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2959","code" : "Mon","display" : "An indicator that Monday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Monday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]},{"id" : "2960","code" : "TUE","display" : "An indicator that Tuesday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Tuesday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2961","code" : "Tue","display" : "An indicator that Tuesday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Tuesday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]},{"id" : "2962","code" : "WED","display" : "An indicator that Wednesday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Wednesday is or is not preferred for the day on which the appointment will occur. OK = Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2963","code" : "Wed","display" : "An indicator that Wednesday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Wednesday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]},{"id" : "2964","code" : "THU","display" : "An indicator that Thursday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Thursday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2965","code" : "Thu","display" : "An indicator that Thursday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Thursday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]},{"id" : "2966","code" : "FRI","display" : "An indicator that Friday is or is not preferred for the day on which the appointment will occur.  OK =  Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Friday is or is not preferred for the day on which the appointment will occur.  OK =  Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2967","code" : "Fri","display" : "An indicator that Friday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Friday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]},{"id" : "2968","code" : "SAT","display" : "An indicator that Saturday is or is not preferred for the day on which the appointment will occur.  OK =  Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Saturday is or is not preferred for the day on which the appointment will occur.  OK =  Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2969","code" : "Sat","display" : "An indicator that Saturday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Saturday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]},{"id" : "2970","code" : "SUN","display" : "An indicator that Sunday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","definition" : "An indicator that Sunday is or is not preferred for the day on which the appointment will occur.  OK = Preferred appointment day NO = Day is not preferred","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "2971","code" : "Sun","display" : "An indicator that Sunday is or is not preferred for the day on which the appointment will occur.","definition" : "An indicator that Sunday is or is not preferred for the day on which the appointment will occur.","property" : [{"code" : "v2-concComment","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "v2-concCommentAsPub","valueString" : "In component 2, specify OK or NO.<p>OK = Preferred appointment day NO = Day is not preferred"},{"code" : "status","valueCode" : "active"}]}]}

#382

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#383

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#384

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#385

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#386

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#387

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Retained for backward compatibility only as of v2.7; does not identify Assigning Authorities"},{"code" : "v2-concCommentAsPub","valueString" : "Retained for backward compatibility only as of v2.7; does not identify Assigning Authorities"},{"code" : "status","valueCode" : "active"}]},{"id" : "2984","code" : "HL7","display" : "HL7 registration schemes","definition" : "HL7 registration schemes","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "für HL7 reserviert"}],"property" : [{"code" : "v2-concComment","valueString" : "Retained for backward compatibility only as of v2.7; HL7 assigns ISO OIDs for Assigning Authorities"},{"code" : "v2-concCommentAsPub","valueString" : "Retained for backward compatibility only as of v2.7; HL7 assigns ISO OIDs for Assigning Authorities"},{"code" : "status","valueCode" : "active"}]},{"id" : "2985","code" : "ISO","display" : "ISO Object Identifier","definition" : "An International Standards Organization Object Identifier (OID), in accordance with ISO/IEC 8824.  Formatted as decimal digits separated by periods; recommended limit of 64 characters","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "ISO-ID"}],"property" : [{"code" : "v2-concComment","valueString" : "An International Standards Organization Object Identifier (OID), in accordance with ISO/IEC 8824.  Formatted as decimal digits separated by periods; recommended limit of 64 characters"},{"code" : "status","valueCode" : "active"}]},{"id" : "2986","code" : "L","display" : "Local","definition" : "These are reserved for locally defined coding schemes.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "reserviert für lokale Tabellen"}],"property" : [{"code" : "v2-concComment","valueString" : "Locally defined coding entity identifier.Retained for backward compatibility only as of v 2.8"},{"code" : "status","valueCode" : "active"}]},{"id" : "2987","code" : "L,M,N","display" : "Local","definition" : "These are reserved for locally defined coding schemes.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "reserviert für lokale Tabellen"}],"property" : [{"code" : "v2-concComment","valueString" : "Locally defined coding entity identifier.Retained for backward compatibility only as of v 2.8"},{"code" : "v2-concCommentAsPub","valueString" : "Retained for backward compatibility only as of v 2.8"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "2988","code" : "M","display" : "Local","definition" : "These are reserved for locally defined coding schemes.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "reserviert für lokale Tabellen"}],"property" : [{"code" : "v2-concComment","valueString" : "Locally defined coding entity identifier.Retained for backward compatibility only as of v 2.8"},{"code" : "status","valueCode" : "active"}]},{"id" : "2989","code" : "N","display" : "Local","definition" : "These are reserved for locally defined coding schemes.","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "reserviert für lokale Tabellen"}],"property" : [{"code" : "v2-concComment","valueString" : "Locally defined coding entity identifier.Retained for backward compatibility only as of v 2.8"},{"code" : "status","valueCode" : "active"}]},{"id" : "2990","code" : "NPI","display" : "US National Provider Identifier","definition" : "Allows for the ability to designate organization identifier as a \"NPI\" assigned number (lab, any medical provider, can be a person or an organization)","property" : [{"code" : "v2-concComment","valueString" : "Use to identify assigning authority IDs, when an OID is not available.  Especially important in the CNN datatype. Namespace maintained and published in the US."},{"code" : "status","valueCode" : "N"}]},{"id" : "2991","code" : "Random","display" : "Random","definition" : "Usually a base64 encoded string of random bits.<p>Note: Random IDs are typically used for instance identifiers, rather than an identifier of an Assigning Authority that issues instance identifiers","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "beliebig"}],"property" : [{"code" : "v2-concComment","valueString" : "Usually a base64 encoded string of random bits.Retained for backward compatibility only as of v2.7; equivalent to a locally defined entity identifier scheme; use L. M, or N instead. Note: Random IDs are typically used for instance identifiers, rather than an identifier of an Assigning Authority that issues instance identifiers"},{"code" : "v2-concCommentAsPub","valueString" : "Retained for backward compatibility only as of v2.7; equivalent to a locally defined entity identifier scheme; use L. M, or N instead."},{"code" : "HL7usageNotes","valueString" : "Retained for backward compatibility only as of v2.7; equivalent to a locally defined entity identifier scheme; use L. M, or N instead."},{"code" : "status","valueCode" : "active"}]},{"id" : "2992","code" : "URI","display" : "Uniform Resource Identifier","definition" : "Uniform Resource Identifier","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "URI"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "2993","code" : "UUID","display" : "Universal Unique Identifier","definition" : "The DCE Universal Unique Identifier, in accordance with RFC 4122. Recommended format is 32 hexadecimal digits separated by hyphens, in the digit grouping 8-4-4-4-12","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "UUID"}],"property" : [{"code" : "v2-concComment","valueString" : "The DCE Universal Unique Identifier, in accordance with RFC 4122. Recommended format is 32 hexadecimal digits separated by hyphens, in the digit grouping 8-4-4-4-12"},{"code" : "status","valueCode" : "active"}]},{"id" : "2994","code" : "x400","display" : "X.400 MHS identifier","definition" : "An X.400 MHS identifier. Recommended format is in accordance with RFC 1649","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "X.400"}],"property" : [{"code" : "v2-concComment","valueString" : "Recommended format is in accordance with RFC 1649"},{"code" : "status","valueCode" : "active"}]},{"id" : "2995","code" : "x500","display" : "X500 directory Name","definition" : "An X.500 directory name","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "X.500 Verzeichnis­name"}],"property" : [{"code" : "status","valueCode" : "active"}]}]}

#388

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0305 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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connection:keep-alive
content-length:4277
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:25 GMT
pragma:no-cache
server:nginx
x-request-id:252-199502

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#389

GET https://tx.fhir.org/r5/CodeSystem/v2-0305 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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connection:keep-alive
content-length:3931
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:25 GMT
pragma:no-cache
server:nginx
x-request-id:252-199504

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#390

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0309 HTTP/1.0
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200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:25 GMT
pragma:no-cache
server:nginx
x-request-id:252-199505

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#391

GET https://tx.fhir.org/r5/CodeSystem/v2-0309 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2560
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:25 GMT
pragma:no-cache
server:nginx
x-request-id:252-199506

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#392

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0311 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:25 GMT
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#393

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#394

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#395

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#396

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#397

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#398

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#399

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#400

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#401

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#402

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#403

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#404

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#405

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#406

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0324 HTTP/1.0
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#407

GET https://tx.fhir.org/r5/CodeSystem/v2-0324 HTTP/1.0
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#408

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#409

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200
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#410

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0326 HTTP/1.0
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server:nginx
x-request-id:252-199525

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#411

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#412

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#413

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#414

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#415

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#416

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#417

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#418

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#419

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#420

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0334 HTTP/1.0
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#421

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date:Mon, 15 Dec 2025 20:12:28 GMT
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x-request-id:252-199536

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#422

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#423

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date:Mon, 15 Dec 2025 20:12:28 GMT
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#424

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0336 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:28 GMT
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x-request-id:252-199539

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#425

GET https://tx.fhir.org/r5/CodeSystem/v2-0336 HTTP/1.0
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#426

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0337 HTTP/1.0
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#427

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date:Mon, 15 Dec 2025 20:12:28 GMT
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x-request-id:252-199542

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#428

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v2-0203","text":{"status":"generated"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"inm"}],"url":"http://terminology.hl7.org/CodeSystem/v2-0203","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.18.108"}],"version":"5.0.0","name":"IdentifierType","title":"identifierType","status":"active","experimental":false,"date":"2022-12-07","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"HL7-defined code system of concepts specifying type of identifier. 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For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"valueSet":"http://terminology.hl7.org/ValueSet/v2-0203","hierarchyMeaning":"is-a","compositional":false,"versionNeeded":false,"content":"complete","property":[{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A code that indicates the status of the concept","type":"code"},{"code":"v2-table-deprecated","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description":"Version of HL7 in which the code was deprecated","type":"code"},{"code":"v2-concComment","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description":"V2 Concept Comment","type":"string"},{"code":"v2-concCommentAsPub","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description":"V2 Concept Comment As Published","type":"string"},{"code":"HL7usageNotes","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description":"HL7 Concept Usage Notes","type":"string"}],"concept":[{"id":"1968","code":"AC","display":"Accreditation/Certification Identifier","definition":"Identifier that has been assigned by an accreditation or certification organization in specific fields, indicating a recognized skill","property":[{"code":"v2-concComment","valueString":"In Ask at Order Entry (AOE) questions this can be used to identify the ID with the assigning authority.  For instance, a credentialed sonographer whose identifier assigned by the credentialing body has been entered can be properly labeled."},{"code":"status","valueCode":"N"}]},{"id":"1969","code":"ACSN","display":"Accession ID","definition":"Accession Identifier","property":[{"code":"v2-concCommentAsPub","valueString":"Accession Identifier"},{"code":"status","valueCode":"active"}]},{"id":"1970","code":"AIN","display":"Animal Identification Number (US Official)","definition":"A numbering system for the official identification of individual animals in the United States that provides a nationally unique identification number for each animal. The first two numbers on a tag are the numbers assigned to a specific State.","property":[{"code":"v2-concComment","valueString":"AIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"1971","code":"AM","display":"American Express","definition":"American Express","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"American Express"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1972","code":"AMA","display":"American Medical Association Number","definition":"A physician identifier assigned by the AMA.","property":[{"code":"v2-concCommentAsPub","valueString":"A physician identifier assigned by the AMA."},{"code":"status","valueCode":"active"}]},{"id":"1973","code":"AN","display":"Account number","definition":"Account An identifier that is unique to an account.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Kontonummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an account."},{"code":"status","valueCode":"active"}]},{"id":"1974","code":"ANC","display":"Account number Creditor","definition":"A more precise definition of an account number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code":"status","valueCode":"active"}]},{"id":"1975","code":"AND","display":"Account number debitor","definition":"A more precise definition of an account number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code":"status","valueCode":"active"}]},{"id":"1976","code":"ANON","display":"Anonymous identifier","definition":"An identifier for a living subject whose real identity is protected or suppressed","property":[{"code":"v2-concComment","valueString":"Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"v2-concCommentAsPub","valueString":"An identifier for a living subject whose real identity is protected or suppressed\r\nJustification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"status","valueCode":"active"}]},{"id":"1977","code":"ANT","display":"Temporary Account Number","definition":"Temporary version of an Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial\r\nTemporary version of an Account Number.\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"1978","code":"APRN","display":"Advanced Practice Registered Nurse number","definition":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board"},{"code":"status","valueCode":"active"}]},{"id":"1979","code":"ASID","display":"Ancestor Specimen ID","definition":"A unique identifier for the ancestor specimen.","property":[{"code":"v2-concComment","valueString":"All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"v2-concCommentAsPub","valueString":"A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"status","valueCode":"active"}]},{"id":"1980","code":"BA","display":"Bank Account Number","definition":"Bank Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"1981","code":"BC","display":"Bank Card Number","definition":"An identifier that is unique to a person's bank card","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1982","code":"BCFN","display":"Birth Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the birth certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"1983","code":"BCT","display":"Birth Certificate","definition":"A number associated with a document identifying the event of a person's birth","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1984","code":"BR","display":"Birth registry number","definition":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Geburtsregisternummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1985","code":"BRN","display":"Breed Registry Number","definition":"Breed Registry Number","property":[{"code":"status","valueCode":"active"}]},{"id":"1986","code":"BSNR","display":"Primary physician office number","definition":"Primary physician office number","property":[{"code":"v2-concComment","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"1987","code":"CAAI","display":"Consumer Application Account Identifier","definition":"An identifier for the consumer (e.g., patient, caregiver) for an application such as a portal or App.","property":[{"code":"v2-concComment","valueString":"This may be the same as a username, but frequently is different."},{"code":"status","valueCode":"N"}]},{"id":"1988","code":"CC","display":"Cost Center number","definition":"Cost Center number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"status","valueCode":"active"}]},{"id":"1989","code":"CONM","display":"Change of Name Document","definition":"A number associated with a document identifying a person's legal change of name.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's legal change of name."},{"code":"status","valueCode":"active"}]},{"id":"1990","code":"CY","display":"County number","definition":"County number","property":[{"code":"status","valueCode":"active"}]},{"id":"1991","code":"CZ","display":"Citizenship Card","definition":"A number assigned by a person's country of residence to identify a person's citizenship.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned by a person's country of residence to identify a person's citizenship."},{"code":"status","valueCode":"active"}]},{"id":"1992","code":"DC","display":"Death Certificate ID","definition":"The identifier assigned to a death certificate, and printed on the death certificate when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"active"}]},{"id":"1993","code":"DCFN","display":"Death Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the death certificate.","property":[{"code":"status","valueCode":"active"}]},{"id":"1994","code":"DDS","display":"Dentist license number","definition":"An identifier that is unique to a dentist within the jurisdiction of the licensing board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a dentist within the jurisdiction of the licensing board"},{"code":"status","valueCode":"active"}]},{"id":"1995","code":"DEA","display":"Drug Enforcement Administration registration number","definition":"An identifier for an individual or organization relative to controlled substance regulation and transactions.","property":[{"code":"v2-concComment","valueString":"Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual or organization relative to controlled substance regulation and transactions.\r\nUse case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"1996","code":"DFN","display":"Drug Furnishing or prescriptive authority Number","definition":"An identifier issued to a health care provider authorizing the person to write drug orders","property":[{"code":"v2-concComment","valueString":"Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"v2-concCommentAsPub","valueString":"An identifier issued to a health care provider authorizing the person to write drug orders<p>Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"status","valueCode":"active"}]},{"id":"1997","code":"DI","display":"Diner's Club card","definition":"Diner's Club card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Diners Club"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1998","code":"DL","display":"Driver's license number","definition":"Driver's license number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Führerscheinnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"1999","code":"DN","display":"Doctor number","definition":"Doctor number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arztnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2000","code":"DO","display":"Osteopathic License number","definition":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2001","code":"DP","display":"Diplomatic Passport","definition":"A number assigned to a diplomatic passport.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a diplomatic passport."},{"code":"status","valueCode":"active"}]},{"id":"2002","code":"DPM","display":"Podiatrist license number","definition":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2003","code":"DR","display":"Donor Registration Number","definition":"Donor Registration Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2004","code":"DS","display":"Discover Card","definition":"Discover Card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Discover Card"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2005","code":"DSG","display":"Diagnostic Study Group","definition":"Unique Identifier that groups several orders that are to be performed together.","property":[{"code":"v2-concComment","valueString":"Example: Radiology studies"},{"code":"status","valueCode":"N"}]},{"id":"2006","code":"EI","display":"Employee number","definition":"A number that uniquely identifies an employee to an employer.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitnehmernummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that uniquely identifies an employee to an employer."},{"code":"status","valueCode":"active"}]},{"id":"2007","code":"EN","display":"Employer number","definition":"Employer number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitgebernummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2008","code":"ESN","display":"Staff Enterprise Number","definition":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"12008","code":"ETIN","display":"Electronic Transmitter Identification Number","definition":"A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property":[{"code":"status","valueCode":"active"}]},{"id":"2009","code":"FDR","display":"Fetal Death Report ID","definition":"The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"N"}]},{"id":"2010","code":"FDRFN","display":"Fetal Death Report File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the fetal death report certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"2011","code":"FGN","display":"Filler Group Number","definition":"Unique identifier assigned to a group of orders by the filler application.","property":[{"code":"v2-concComment","valueString":"This is analogous to the Placer Group Number ORC-4, except that it is assigned by the filler."},{"code":"status","valueCode":"N"}]},{"id":"2012","code":"FI","display":"Facility ID","definition":"Facility ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2013","code":"FILL","display":"Filler Identifier","definition":"An identifier for a request where the identifier is issued by the person, or service, that produces the observations or fulfills the request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2014","code":"GI","display":"Guarantor internal identifier","definition":"Guarantor internal identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2015","code":"GIN","display":"Animal Group Identifier (US Official)","definition":"Identifier that can be used to unambiguously describe a specific group of animals.","property":[{"code":"v2-concComment","valueString":"GIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"2105","code":"GKV","display":"Insured's ID with Public Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient with a public insurance company.","property":[{"code":"v2-concComment","valueString":"GKV is a patient ID with a public insurance company."},{"code":"status","valueCode":"N"}]},{"id":"2016","code":"GL","display":"General ledger number","definition":"General ledger number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2017","code":"GN","display":"Guarantor external  identifier","definition":"Guarantor external  identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"externe ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2018","code":"HC","display":"Health Card Number","definition":"Health Card Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2019","code":"IND","display":"Indigenous/Aboriginal","definition":"A number assigned to a member of an indigenous or aboriginal group outside of Canada.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a member of an indigenous or aboriginal group outside of Canada."},{"code":"status","valueCode":"active"}]},{"id":"2104","code":"IRISTEM","display":"An IRI stem","definition":"An IRI string that can be prepended to the code to obtain a concept IRI for RDF applications. This should be a valid, absolute IRI as defined in RFC 3987. See https://hl7.org/fhir/rdf.html#iri-stem for details on how this value may be used."},{"id":"2020","code":"JHN","display":"Jurisdictional health number","definition":"Jurisdictional health number","property":[{"code":"v2-concComment","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"status","valueCode":"active"}]},{"id":"2108","code":"KZVA","display":"Dentist Office Number","definition":"Identifier that can be used to unambiguously identify the practice of a dentist.","property":[{"code":"v2-concComment","valueString":"KZVA is an ID for the practice of a dentist."},{"code":"status","valueCode":"N"}]},{"id":"2021","code":"LACSN","display":"Laboratory Accession ID","definition":"A laboratory accession id is used in the laboratory domain.","property":[{"code":"v2-concComment","valueString":"The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"v2-concCommentAsPub","valueString":"A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"status","valueCode":"active"}]},{"id":"2022","code":"LANR","display":"Lifelong physician number","definition":"Lifelong physician number","property":[{"code":"v2-concComment","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"v2-concCommentAsPub","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"status","valueCode":"active"}]},{"id":"2023","code":"LI","display":"Labor and industries number","definition":"Labor and industries number","property":[{"code":"status","valueCode":"active"}]},{"id":"8023","code":"L&I","display":"Labor and industries number","definition":"Labor and industries number.  Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property":[{"code":"status","valueCode":"deprecated"},{"code":"HL7usageNotes","valueString":"Deprecated as of v 2.5; Use LI instead."}]},{"id":"2024","code":"LN","display":"License number","definition":"License number","property":[{"code":"status","valueCode":"active"}]},{"id":"2025","code":"LR","display":"Local Registry ID","definition":"Local Registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2026","code":"MA","display":"Patient Medicaid number","definition":"Patient Medicaid number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Armennummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2027","code":"MB","display":"Member Number","definition":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"v2-concCommentAsPub","valueString":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"status","valueCode":"active"}]},{"id":"2028","code":"MC","display":"Patient's Medicare number","definition":"Patient's Medicare number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Rentnernummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2029","code":"MCD","display":"Practitioner Medicaid number","definition":"Practitioner Medicaid number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2030","code":"MCN","display":"Microchip Number","definition":"Microchip Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2031","code":"MCR","display":"Practitioner Medicare number","definition":"Practitioner Medicare number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2032","code":"MCT","display":"Marriage Certificate","definition":"A number associated with a document identifying the event of a person's marriage.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's marriage."},{"code":"status","valueCode":"active"}]},{"id":"2033","code":"MD","display":"Medical License number","definition":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property":[{"code":"v2-concComment","valueString":"Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"status","valueCode":"active"}]},{"id":"2034","code":"MI","display":"Military ID number","definition":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to an individual who has had military duty, but is not currently on active duty. 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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0203' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 5.0.0,5.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0203' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 5.0.0,5.0.0"}}]}

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together.","property":[{"code":"v2-concComment","valueString":"Example: Radiology studies"},{"code":"status","valueCode":"N"}]},{"id":"2006","code":"EI","display":"Employee number","definition":"A number that uniquely identifies an employee to an employer.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitnehmernummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that uniquely identifies an employee to an employer."},{"code":"status","valueCode":"active"}]},{"id":"2007","code":"EN","display":"Employer number","definition":"Employer number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitgebernummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2008","code":"ESN","display":"Staff Enterprise Number","definition":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"12008","code":"ETIN","display":"Electronic Transmitter Identification Number","definition":"A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property":[{"code":"status","valueCode":"active"}]},{"id":"2009","code":"FDR","display":"Fetal Death Report ID","definition":"The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"N"}]},{"id":"2010","code":"FDRFN","display":"Fetal Death Report File 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request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2014","code":"GI","display":"Guarantor internal identifier","definition":"Guarantor internal identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2015","code":"GIN","display":"Animal Group Identifier (US Official)","definition":"Identifier that can be used to unambiguously describe a specific group of animals.","property":[{"code":"v2-concComment","valueString":"GIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"2105","code":"GKV","display":"Insured's ID with Public Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient 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Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property":[{"code":"status","valueCode":"deprecated"},{"code":"HL7usageNotes","valueString":"Deprecated as of v 2.5; Use LI instead."}]},{"id":"2024","code":"LN","display":"License number","definition":"License number","property":[{"code":"status","valueCode":"active"}]},{"id":"2025","code":"LR","display":"Local Registry ID","definition":"Local Registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2026","code":"MA","display":"Patient Medicaid number","definition":"Patient Medicaid number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Armennummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2027","code":"MB","display":"Member Number","definition":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"v2-concCommentAsPub","valueString":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"status","valueCode":"active"}]},{"id":"2028","code":"MC","display":"Patient's Medicare number","definition":"Patient's Medicare number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Rentnernummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2029","code":"MCD","display":"Practitioner Medicaid number","definition":"Practitioner Medicaid number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2030","code":"MCN","display":"Microchip Number","definition":"Microchip Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2031","code":"MCR","display":"Practitioner Medicare number","definition":"Practitioner Medicare number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2032","code":"MCT","display":"Marriage Certificate","definition":"A number associated with a document identifying the event of a person's marriage.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's marriage."},{"code":"status","valueCode":"active"}]},{"id":"2033","code":"MD","display":"Medical License number","definition":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property":[{"code":"v2-concComment","valueString":"Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"status","valueCode":"active"}]},{"id":"2034","code":"MI","display":"Military ID number","definition":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code":"status","valueCode":"active"}]},{"id":"2035","code":"MR","display":"Medical record number","definition":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Krankenaktennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code":"status","valueCode":"active"}]},{"id":"2036","code":"MRT","display":"Temporary Medical Record Number","definition":"Temporary version of a Medical Record Number","property":[{"code":"v2-concComment","valueString":"Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"2037","code":"MS","display":"MasterCard","definition":"MasterCard","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"MasterCard"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2038","code":"NBSNR","display":"Secondary physician office number","definition":"Secondary physician office number","property":[{"code":"v2-concComment","valueString":"Nebenbetriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Nebenbetriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"2039","code":"NCT","display":"Naturalization Certificate","definition":"A number associated with a document identifying a person's retention of citizenship in a particular country.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's retention of citizenship in a particular country."},{"code":"status","valueCode":"active"}]},{"id":"2040","code":"NE","display":"National employer identifier","definition":"National employer identifier","property":[{"code":"v2-concComment","valueString":"In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2041","code":"NH","display":"National Health Plan Identifier","definition":"National Health Plan Identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nUsed for the UK NHS national identifier."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>Used for the UK NHS national identifier.<p>In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2042","code":"NI","display":"National unique individual identifier","definition":"National unique individual identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2043","code":"NII","display":"National Insurance Organization Identifier","definition":"National Insurance Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen der Krankenkasse"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"status","valueCode":"active"}]},{"id":"2110","code":"NIIH","display":"National Insurance Headquarters Organization Identifier","definition":"National Insurance Headquarters Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen des Krankenkassensitzes"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2044","code":"NIIP","display":"National Insurance Payor Identifier (Payor)","definition":"National Insurance Payor Identifier (Payor)","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Vertragskassennummer (VKNR)"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code":"status","valueCode":"active"}]},{"id":"2045","code":"NNxxx","display":"National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","definition":"National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","property":[{"code":"status","valueCode":"active"}]},{"id":"2046","code":"NP","display":"Nurse practitioner number","definition":"An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board."},{"code":"status","valueCode":"active"}]},{"id":"2047","code":"NPI","display":"National provider identifier","definition":"National provider identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2048","code":"OBI","display":"Observation Instance Identifier","definition":"Unique and persistent identifier for an observation instance","property":[{"code":"v2-concComment","valueString":"For example in the IHE-LCC Profile this is used to identify the OBX-21 of the result for which a clarification is requested using an OML^O59_OML_O59 message structure"},{"code":"status","valueCode":"N"}]},{"id":"2049","code":"OD","display":"Optometrist license number","definition":"A number that is unique to an individual optometrist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"A number that is unique to an individual optometrist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2050","code":"PA","display":"Physician Assistant number","definition":"An identifier that is unique to a physician assistant within the jurisdiction of a licensing board","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Assistenzarztnummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a physician assistant within the jurisdiction of a licensing board"},{"code":"status","valueCode":"active"}]},{"id":"12050","code":"PAYERID","display":"Payer Identifier","definition":"A unique identifier, usually assigned by a health plan or clearinghouse, used in electronic healthcare transactions to designate the specific health insurance company or plan that is the recipient or sender of the transaction.","property":[{"code":"status","valueCode":"active"}]},{"id":"2051","code":"PC","display":"Parole Card","definition":"A number identifying a person on parole.","property":[{"code":"v2-concCommentAsPub","valueString":"A number identifying a person on parole."},{"code":"status","valueCode":"active"}]},{"id":"2052","code":"PCN","display":"Penitentiary/correctional institution Number","definition":"A number assigned to individual who is incarcerated.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to individual who is incarcerated."},{"code":"status","valueCode":"active"}]},{"id":"2053","code":"PE","display":"Living Subject Enterprise Number","definition":"An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"2054","code":"PEN","display":"Pension Number","definition":"Pension Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2055","code":"PGN","display":"Placer Group Number","definition":"Unique identifier assigned to a group of orders by the placer application.","property":[{"code":"v2-concComment","valueString":"This is analogous to the Placer Group Number ORC-4."},{"code":"status","valueCode":"N"}]},{"id":"2056","code":"PHC","display":"Public Health Case Identifier","definition":"Identifier assigned to a person during a case investigation as part of a public health event","property":[{"code":"v2-concComment","valueString":"For example every person affected by the Norovirus outbreak on a cruise ship will be assigned a case ID for investigation and follow up"},{"code":"status","valueCode":"N"}]},{"id":"2057","code":"PHE","display":"Public Health Event Identifier","definition":"Identifier assigned to an event of interest to public health","property":[{"code":"v2-concComment","valueString":"For example an outbreak of Norovirus on a cruise ship – this is assigned by a public health jurisdiction at the local, state or federal level"},{"code":"status","valueCode":"N"}]},{"id":"2058","code":"PHO","display":"Public Health Official ID","definition":"An identifier for a person working at a public health agency (PHA),  assigned or issued by the agency","property":[{"code":"v2-concComment","valueString":"May need to identify contact in a PHA that approved a test request or is in charge of an investigation."},{"code":"status","valueCode":"N"}]},{"id":"2059","code":"PI","display":"Patient internal identifier","definition":"A number that is unique to a patient within an Assigning Authority.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne Patienten-ID"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that is unique to a patient within an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"2060","code":"PIN","display":"Premises Identifier Number (US Official)","definition":"Identifier that uniquely identifies a geographic location in the US.","property":[{"code":"v2-concComment","valueString":"The owner of the premises, or a person designated by the owner of the premises, can register his/her location. A premises identification number, or PIN, is then permanently assigned to that location associating it with the mailing address. If there is no mailing address at the property, geographic coordinates—latitude and longitude—can be used instead to describe the location.   A premises identification number (PIN) is a unique, 7-digit code that includes both letters and numbers. Example: A123R69"},{"code":"status","valueCode":"N"}]},{"id":"2106","code":"PKV","display":"Insured's ID with Private Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient with a private insurance company.","property":[{"code":"v2-concComment","valueString":"PKV is a patient ID with an private insurance company."},{"code":"status","valueCode":"N"}]},{"id":"2061","code":"PLAC","display":"Placer Identifier","definition":"An identifier for a request where the identifier is issued by the person or service making the request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2062","code":"PN","display":"Person number","definition":"A number that is unique to a living subject within an Assigning Authority.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Personen-ID"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that is unique to a living subject within an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"2063","code":"PNT","display":"Temporary Living Subject Number","definition":"Temporary version of a Living Subject Number.","property":[{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Lining Subject Number."},{"code":"status","valueCode":"active"}]},{"id":"2064","code":"PPIN","display":"Medicare/CMS Performing Provider Identification Number","definition":"Medicare/CMS Performing Provider Identification Number","property":[{"code":"v2-concComment","valueString":"Class:  Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class:  Insurance"},{"code":"HL7usageNotes","valueString":"Class:  Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2065","code":"PPN","display":"Passport number","definition":"A unique number assigned to the document affirming that a person is a citizen of the country.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Passnummer"}],"property":[{"code":"v2-concComment","valueString":"In the US this number is issued only by the State Department."},{"code":"v2-concCommentAsPub","valueString":"A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department."},{"code":"status","valueCode":"active"}]},{"id":"2066","code":"PRC","display":"Permanent Resident Card Number","definition":"Permanent Resident Card Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2067","code":"PRN","display":"Provider number","definition":"A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.","property":[{"code":"v2-concComment","valueString":"Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code":"v2-concCommentAsPub","valueString":"A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.<p>Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code":"status","valueCode":"active"}]},{"id":"2068","code":"PT","display":"Patient external identifier","definition":"Patient external identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"externe Patienten-ID"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2069","code":"QA","display":"QA number","definition":"QA number","property":[{"code":"status","valueCode":"active"}]},{"id":"2070","code":"RI","display":"Resource identifier","definition":"A generalized resource identifier.","property":[{"code":"v2-concComment","valueString":"Use Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"v2-concCommentAsPub","valueString":"A generalized resource identifier.\r\nUse Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"status","valueCode":"active"}]},{"id":"2071","code":"RN","display":"Registered Nurse Number","definition":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2072","code":"RPH","display":"Pharmacist license number","definition":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2073","code":"RR","display":"Railroad Retirement number","definition":"An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Seniorenkartennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number"},{"code":"status","valueCode":"active"}]},{"id":"2074","code":"RRI","display":"Regional registry ID","definition":"Regional registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2075","code":"RRP","display":"Railroad Retirement Provider","definition":"Railroad Retirement Provider","property":[{"code":"v2-concComment","valueString":"Class:  Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class:  Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2076","code":"SAMN","display":"SAMN# accession Number","definition":"The accession number for the BioSample data repository at the National Center for Biotechnology Information (NCBI)","property":[{"code":"v2-concComment","valueString":"This accession is a permanent record locator for the BioSample record which contains metadata about the biological sample."},{"code":"status","valueCode":"N"}]},{"id":"2077","code":"SB","display":"Social Beneficiary Identifier","definition":"An identifier issued by a governmental organization to a person to identify the person should they apply for or receive social services and/or benefits","property":[{"code":"status","valueCode":"active"}]},{"id":"2078","code":"SID","display":"Specimen ID","definition":"Identifier for a specimen.","property":[{"code":"v2-concComment","valueString":"Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code":"v2-concCommentAsPub","valueString":"Identifier for a specimen. Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code":"status","valueCode":"active"}]},{"id":"2079","code":"SL","display":"State license","definition":"State license","property":[{"code":"status","valueCode":"active"}]},{"id":"2080","code":"SN","display":"Subscriber Number","definition":"An identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nAn identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code":"status","valueCode":"active"}]},{"id":"2081","code":"SNBSN","display":"State assigned NDBS card Identifier","definition":"The identifier on a Newborn Screening Dried Bloodspot (NDBS) card that is assigned by the state which provided the sample collection cards and to whom this information must be reported","property":[{"code":"v2-concComment","valueString":"For use either with OBX-5 as CX datatype, where OBX-3 uses LOINC 57716-3^State printed on filter paper card [Identifier] in NBS card^LN, or in SPM-31"},{"code":"status","valueCode":"N"}]},{"id":"2082","code":"SNO","display":"Serial Number","definition":"An identifier affixed to an item by the manufacturer when it is first made, where each item has a different identifier.","property":[{"code":"status","valueCode":"active"}]},{"id":"2083","code":"SP","display":"Study Permit","definition":"A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education."},{"code":"status","valueCode":"active"}]},{"id":"2084","code":"SR","display":"State registry ID","definition":"State registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2085","code":"SRX","display":"SRA Accession number","definition":"The accession number generated by the Sequence Read Archive (SRA) at the National Center for Biotechnology Information (NCBI) when sequence data are uploaded to NCBI.","property":[{"code":"v2-concComment","valueString":"This provides both the sequence data and metadata on how the sample was sequenced. – This accession is a permanent record locator for the submitted un-assembled sequence data."},{"code":"status","valueCode":"N"}]},{"id":"2086","code":"SS","display":"Social Security number","definition":"Social Security number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Sozialversicherungsnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2087","code":"STN","display":"Shipment Tracking Number","definition":"Identifier assigned to a package being shipped","property":[{"code":"v2-concComment","valueString":"For example the Fed Ex / UPS / DHS / USPS tracking number"},{"code":"status","valueCode":"N"}]},{"id":"2088","code":"TAX","display":"Tax ID number","definition":"Tax ID number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Steueridentifikationsnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2089","code":"TN","display":"Treaty Number/ (Canada)","definition":"A number assigned to a member of an indigenous group in Canada.","property":[{"code":"v2-concComment","valueString":"Use Case: First Nation."},{"code":"v2-concCommentAsPub","valueString":"A number assigned to a member of an indigenous group in Canada.<p>Use Case: First Nation."},{"code":"status","valueCode":"active"}]},{"id":"2090","code":"TPR","display":"Temporary Permanent Resident (Canada)","definition":"A number associated with a document identifying a person's temporary permanent resident status.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's temporary permanent resident status."},{"code":"status","valueCode":"active"}]},{"id":"2091","code":"TRL","display":"Training License Number","definition":"The license number used during training.","property":[{"code":"status","valueCode":"N"}]},{"id":"2092","code":"U","display":"Unspecified identifier","definition":"Unspecified identifier","property":[{"code":"status","valueCode":"active"}]},{"id":"2093","code":"UDI","display":"Universal Device Identifier","definition":"An identifier assigned to a device using the Unique Device Identification framework as defined by IMDRF (http://imdrf.org).","property":[{"code":"status","valueCode":"active"}]},{"id":"12093","code":"UCID","display":"Unique Claim Identifier","definition":"A unique identifier assigned by a payer for a claim received from a provider or subscriber.","property":[{"code":"status","valueCode":"active"}]},{"id":"12094","code":"UMB","display":"Unique Product-independent Payer Person Identifier","definition":"A unique identifier assigned to an individual by a payer that remains consistent regardless of the individual's role (e.g., subscriber, dependent) or the specific product(s) they are enrolled in with that payer.","property":[{"code":"v2-concComment","valueString":"Use Case: Introduced by Da Vinci to support cross-coverage member/patient identifiers assigned by payers."},{"code":"status","valueCode":"active"}]},{"id":"2094","code":"UPIN","display":"Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers","definition":"An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program.","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>An identifier for a provider within the CMS/Medicare program.  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422
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#430

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#431

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#432

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0344 HTTP/1.0
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#433

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#434

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#435

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#436

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0353 HTTP/1.0
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#437

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date:Mon, 15 Dec 2025 20:12:29 GMT
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#438

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0354 HTTP/1.0
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#439

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#440

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#441

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200
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date:Mon, 15 Dec 2025 20:12:30 GMT
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server:nginx
x-request-id:252-199558

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#442

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0356 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:30 GMT
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x-request-id:252-199559

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#443

GET https://tx.fhir.org/r5/CodeSystem/v2-0356 HTTP/1.0
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200
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x-request-id:252-199560

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#444

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0357 HTTP/1.0
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:30 GMT
pragma:no-cache
server:nginx
x-request-id:252-199561

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Optional, as the AA conveys success. Used for systems that must always return a status code."},{"code" : "v2-concCommentAsPub","valueString" : "Success. Optional, as the AA conveys success. 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#445

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#446

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#450

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#451

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#452

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0365 HTTP/1.0
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#453

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#454

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#455

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#456

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server:nginx
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#457

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#458

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#459

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date:Mon, 15 Dec 2025 20:12:32 GMT
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#460

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0369 HTTP/1.0
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#461

GET https://tx.fhir.org/r5/CodeSystem/v2-0369 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:32 GMT
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server:nginx
x-request-id:252-199579

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#462

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#463

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#464

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#466

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#467

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#468

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#469

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#470

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#471

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date:Mon, 15 Dec 2025 20:12:33 GMT
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#472

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#473

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#474

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(ultra cold freezer is typically at temperature of dry ice)."},{"code" : "v2-concCommentAsPub","valueString" : "Ultra cold frozen: ~ -75 to -85( C. (ultra cold freezer is typically at temperature of dry ice)."},{"code" : "status","valueCode" : "active"}]},{"id" : "3820","code" : "NTR","display" : "Liquid nitrogen","definition" : "Liquid nitrogen","property" : [{"code" : "v2-concComment","valueString" : "Keep in liquid nitrogen."},{"code" : "v2-concCommentAsPub","valueString" : "Keep in liquid nitrogen."},{"code" : "status","valueCode" : "active"}]},{"id" : "3821","code" : "PRTL","display" : "Protect from light","definition" : "Protect from light","property" : [{"code" : "v2-concComment","valueString" : "Protect from light (e.g., wrap in aluminum foil)."},{"code" : "v2-concCommentAsPub","valueString" : "Protect from light (e.g., wrap in aluminum foil)."},{"code" : "status","valueCode" : "active"}]},{"id" : "3822","code" : "CATM","display" : "Protect from air","definition" : "Protect from air","property" : [{"code" : "v2-concComment","valueString" : "Critical. Do not expose to atmosphere. Do not uncap."},{"code" : "v2-concCommentAsPub","valueString" : "Critical. Do not expose to atmosphere. Do not uncap."},{"code" : "status","valueCode" : "active"}]},{"id" : "3823","code" : "DRY","display" : "Dry","definition" : "Dry","property" : [{"code" : "v2-concComment","valueString" : "Keep in a dry environment."},{"code" : "v2-concCommentAsPub","valueString" : "Keep in a dry environment."},{"code" : "status","valueCode" : "active"}]},{"id" : "3824","code" : "PSO","display" : "No shock","definition" : "No shock","property" : [{"code" : "v2-concComment","valueString" : "Protect from shock."},{"code" : "v2-concCommentAsPub","valueString" : "Protect from shock."},{"code" : "status","valueCode" : "active"}]},{"id" : "3825","code" : "PSA","display" : "Do not shake","definition" : "Do not shake","property" : [{"code" : "v2-concComment","valueString" : "Do not shake."},{"code" : "v2-concCommentAsPub","valueString" : "Do not shake."},{"code" : "status","valueCode" : "active"}]},{"id" : "3826","code" : "UPR","display" : "Upright","definition" : "Upright","property" : [{"code" : "v2-concComment","valueString" : "Keep upright. 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#475

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date:Mon, 15 Dec 2025 20:12:33 GMT
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x-request-id:252-199593

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Accidental thawing is of little consequence"},{"code" : "v2-concCommentAsPub","valueString" : "Keep at frozen temperature: -4( C. Accidental thawing is of little consequence"},{"code" : "status","valueCode" : "active"}]},{"id" : "3817","code" : "CFRZ","display" : "Critical frozen temperature","definition" : "Critical frozen temperature","property" : [{"code" : "v2-concComment","valueString" : "Critical frozen - must not be allowed to thaw until immediately prior to testing"},{"code" : "v2-concCommentAsPub","valueString" : "Critical frozen - must not be allowed to thaw until immediately prior to testing"},{"code" : "status","valueCode" : "active"}]},{"id" : "3818","code" : "DFRZ","display" : "Deep frozen","definition" : "Deep frozen","property" : [{"code" : "v2-concComment","valueString" : "Deep frozen: -16 to -20( C."},{"code" : "v2-concCommentAsPub","valueString" : "Deep frozen: -16 to -20( C."},{"code" : "status","valueCode" : "active"}]},{"id" : "3819","code" : "UFRZ","display" : "Ultra frozen","definition" : "Ultra frozen","property" : [{"code" : "v2-concComment","valueString" : "Ultra cold frozen: ~ -75 to -85( C. 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Do not uncap."},{"code" : "v2-concCommentAsPub","valueString" : "Critical. Do not expose to atmosphere. Do not uncap."},{"code" : "status","valueCode" : "active"}]},{"id" : "3823","code" : "DRY","display" : "Dry","definition" : "Dry","property" : [{"code" : "v2-concComment","valueString" : "Keep in a dry environment."},{"code" : "v2-concCommentAsPub","valueString" : "Keep in a dry environment."},{"code" : "status","valueCode" : "active"}]},{"id" : "3824","code" : "PSO","display" : "No shock","definition" : "No shock","property" : [{"code" : "v2-concComment","valueString" : "Protect from shock."},{"code" : "v2-concCommentAsPub","valueString" : "Protect from shock."},{"code" : "status","valueCode" : "active"}]},{"id" : "3825","code" : "PSA","display" : "Do not shake","definition" : "Do not shake","property" : [{"code" : "v2-concComment","valueString" : "Do not shake."},{"code" : "v2-concCommentAsPub","valueString" : "Do not shake."},{"code" : "status","valueCode" : "active"}]},{"id" : "3826","code" : "UPR","display" : "Upright","definition" : "Upright","property" : [{"code" : "v2-concComment","valueString" : "Keep upright. 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#476

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#477

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#478

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#479

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#480

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#481

GET https://tx.fhir.org/r5/CodeSystem/v2-0384 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-199599

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#482

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0387 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:34 GMT
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x-request-id:252-199600

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#483

GET https://tx.fhir.org/r5/CodeSystem/v2-0387 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:34 GMT
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server:nginx
x-request-id:252-199601

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#484

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0388 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:34 GMT
pragma:no-cache
server:nginx
x-request-id:252-199602

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#485

GET https://tx.fhir.org/r5/CodeSystem/v2-0388 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:34 GMT
pragma:no-cache
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x-request-id:252-199603

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#486

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0389 HTTP/1.0
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:34 GMT
pragma:no-cache
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#490

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#491

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#492

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#493

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#494

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#495

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#496

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#497

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#498

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See the entry for the MDC coding system.)"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4071","code" : "CDCOBS","display" : "CDC BioSense RT observations (Census) - CDC","definition" : "CDC BioSense RT observations (Census) - CDC","property" : [{"code" : "v2-concComment","valueString" : "List of BioSense RT observations (Clinical) used in OBX-3 like Temperature, Bloodpressure and Census related observations."},{"code" : "status","valueCode" : "active"}]},{"id" : "4072","code" : "CDCOCCUPATION2010","display" : "Occupation CDC Census 2010","definition" : "Occupation CDC Census 2010","property" : [{"code" : "v2-concComment","valueString" : "For more information and instructions on using this coding system, see the instruction manual for CDC-Census I&O coding at: http://www.cdc.gov/niosh/topics/coding/"},{"code" : "status","valueCode" : "N"}]},{"id" : "4073","code" : "CDCODH","display" : "Occupational Data for Health (ODH)","definition" : "Occupational Data for Health (ODH)","property" : [{"code" : "v2-concComment","valueString" : "Code System Source URL: https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.327\r\nCode System OID: 2.16.840.1.114222.4.5.327"},{"code" : "status","valueCode" : "N"}]},{"id" : "4074","code" : "CDCPHINVS","display" : "CDC PHIN Vocabulary Coding System","definition" : "CDC PHIN Vocabulary Coding System","property" : [{"code" : "v2-concComment","valueString" : "CDC Public Health Information Network Vocabulary Service (PHIN VS) coding system concepts are used when the public health concepts are not available in the Standard Development Organization(SDO) Vocabulary like SNOMED CT, LOINC, ICD-9, etc.. The concepts in this coding system will be mapped to SDO Vocabulary when it is available."},{"code" : "status","valueCode" : "active"}]},{"id" : "4075","code" : "CDCREC","display" : "Race & Ethnicity - CDC","definition" : "Race & Ethnicity - CDC","property" : [{"code" : "v2-concComment","valueString" : "The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in coding race and ethnicity data. This code set is based on current federal standards for classifying data on race and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office of Management and Budget (OMB) and a more detailed set of race and ethnicity categories maintained by the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federal standards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved, or analyzed in electronic form. At the same time, the code set can be applied to paper-based record systems to the extent that these systems are used to collect, maintain, and report data on race and ethnicity in accordance with current federal standards."},{"code" : "status","valueCode" : "active"}]},{"id" : "4076","code" : "CDS","display" : "CDC Surveillance","definition" : "CDC Surveillance","property" : [{"code" : "v2-concComment","valueString" : "CDC Surveillance Codes. For data unique to specific public health surveillance requirements. Epidemiology Program Office, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333. (404) 639-3661."},{"code" : "status","valueCode" : "active"}]},{"id" : "4077","code" : "CE","display" : "CEN ECG diagnostic codes","definition" : "CEN ECG diagnostic codes","property" : [{"code" : "v2-concComment","valueString" : "CEN ECG diagnostic codes – (Obsolete, retained for backwards compatibility only.  See the entry for the MDC coding system.)"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4078","code" : "Chrom-Loc","display" : "Cytogenetic (chromosome) location","definition" : "Cytogenetic (chromosome) location","property" : [{"code" : "v2-concComment","valueString" : "Chromosome location (AKA chromosome locus or cytogenetic location), is the standardized syntax for recording the position of genes and large mutations. It consists of three parts: the Chromosome number (e 1-22, X, Y), an indicator of which arm – either “p” for the  short or “q” for the long, and then a series of numbers separated by dots that indicate the band, sub band and sub-sub band of the locus - e.g. 2p16.3 . There are other conventions for reporting ranges and locations at the end of the chromosomes. The table of these chromosome locations was loaded initially with the all of the locations found in NCBI’s ClinVar variation tables. It will expand as additional sources become available."},{"code" : "status","valueCode" : "active"}]},{"id" : "4079","code" : "CLINVAR-V","display" : "ClinVar Variant ID","definition" : "ClinVar Variant ID","property" : [{"code" : "v2-concComment","valueString" : "ClinVar processes submissions reporting variants found in patient samples, assertions made regarding their clinical significance, information about the submitter, and other supporting data. The alleles described in submissions are mapped to reference sequences, and reported according to the HGVS standard."},{"code" : "status","valueCode" : "active"}]},{"id" : "4080","code" : "CLP","display" : "CLIP","definition" : "CLIP","property" : [{"code" : "v2-concComment","valueString" : "Codes for radiology reports.  Simon Leeming, Beth Israel Hospital, Boston MA."},{"code" : "status","valueCode" : "active"}]},{"id" : "14080","code" : "CMSHCC","display" : "CMS Hierarchical Condition Categories","definition" : "The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories that predict costs well. The condition categories are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the condition categories to capture the most costly diagnoses. Hierarchy logic is imposed on certain condition categories to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4081","code" : "CMSOEC","display" : "OCE Edit Code","definition" : "OCE Edit Code","property" : [{"code" : "v2-concComment","valueString" : "U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the billing code. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code" : "status","valueCode" : "N"}]},{"id" : "4082","code" : "CMSOMC","display" : "OCE Modifier Code","definition" : "OCE Modifier Code","property" : [{"code" : "v2-concComment","valueString" : "U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the code modifier. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code" : "status","valueCode" : "N"}]},{"id" : "4083","code" : "FDAUDI","display" : "FDA Unique Device Identifier","definition" : "FDA Unique Device Identifier","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Represents the approved agencies by the FDA that assign UDI Device Identifiers."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4084","code" : "COSMIC-Smpl","display" : "COSMIC – Simple variants","definition" : "COSMIC – Simple variants","property" : [{"code" : "v2-concComment","valueString" : "This table includes only simple somatic (cancer) mutations, one per unique mutation ID. The codes is the COSMIC mutation ID, and the name uses Ensembl RefSeqs and the single letter code for p.HGVS.   It carries fields analogous to most of the key fields in ClinVar, but its reference sequences are Ensembl transcript reference sequences with prefixes of ENST; it specifies amino acid changes with the older, HGVS, single letter codes and it carries examples of primary cancers and primary tissues, fields that are not in ClinVar. COSMIC's source table includes multiple records per mutation - one per submission.  The COSMIC-Simple Variants table carries only includes one record per unique mutation- more than 3 million of them. These contents are copyright COSMIC (http://cancer.sanger.ac.uk/cosmic/license) LHC has produced a look up table for these records, and for users to look up particular mutation IDs with permission from COSMIC. However, interested parties must contact COSMIC for permission to download these records."},{"code" : "status","valueCode" : "active"}]},{"id" : "4085","code" : "COSMIC-Strc","display" : "COSMIC-Structural variants","definition" : "COSMIC-Structural variants","property" : [{"code" : "v2-concComment","valueString" : "COSMIC has divided structural variants into two tables one called structural variants and one called copy number variants, both kinds of which are carried in NCBIs dbVar table."},{"code" : "status","valueCode" : "active"}]},{"id" : "4086","code" : "CPTM","display" : "CPT Modifier Code","definition" : "CPT Modifier Code","property" : [{"code" : "v2-concComment","valueString" : "Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4087","code" : "CST","display" : "COSTART","definition" : "COSTART","property" : [{"code" : "v2-concComment","valueString" : "International coding system for adverse drug reactions. In the USA, maintained by the FDA, Rockville, MD."},{"code" : "status","valueCode" : "active"}]},{"id" : "4088","code" : "CVX","display" : "CDC Vaccine Codes","definition" : "CDC Vaccine Codes","property" : [{"code" : "v2-concComment","valueString" : "National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333"},{"code" : "status","valueCode" : "active"}]},{"id" : "4089","code" : "dbVar-GL","display" : "dbVar-Germline","definition" : "dbVar-Germline","property" : [{"code" : "v2-concComment","valueString" : "dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code" : "status","valueCode" : "active"}]},{"id" : "4090","code" : "dbVar-som","display" : "dbVar-Somatic","definition" : "dbVar-Somatic","property" : [{"code" : "v2-concComment","valueString" : "dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code" : "status","valueCode" : "active"}]},{"id" : "4091","code" : "DCM","display" : "DICOM Controlled Terminology","definition" : "DICOM Controlled Terminology","property" : [{"code" : "v2-concComment","valueString" : "Codes defined in DICOM Content Mapping Resource. Digital Imaging and Communications in Medicine (DICOM). NEMA Publication PS-3.16 National Electrical Manufacturers Association (NEMA). Rosslyn, VA, 22209. Available at:"},{"code" : "status","valueCode" : "active"}]},{"id" : "4092","code" : "E","display" : "EUCLIDES","definition" : "EUCLIDES","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code" : "status","valueCode" : "active"}]},{"id" : "4093","code" : "E5","display" : "Euclides  quantity codes","definition" : "Euclides  quantity codes","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv (see above)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4094","code" : "E6","display" : "Euclides Lab method codes","definition" : "Euclides Lab method codes","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code" : "status","valueCode" : "active"}]},{"id" : "4095","code" : "E7","display" : "Euclides Lab equipment codes","definition" : "Euclides Lab equipment codes","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv (see above)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4096","code" : "EDLEVEL","display" : "Education Level","definition" : "Education Level","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1077 EducationLevel in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4097","code" : "ensembl-G","display" : "Ensembl genomic reference sequence","definition" : "Ensembl genomic reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Set of Ensembl genomic reference sequences whose identifiers have a prefix of \"ENSG.\" It only includes genomic sequences associated with genes and uses the whole build plus the chromosome number to identify chromosome reference sequences, rather than a separate set of reference sequence identifier as NCBI does."},{"code" : "status","valueCode" : "active"}]},{"id" : "4098","code" : "Ensembl-P","display" : "Ensembl protein reference sequence","definition" : "Ensembl protein reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Set of Ensembl protein reference sequences. Their identifiers are distinguished by the prefix of \"ENSP,\" and correspond to NCBI's \"NP_\" identifiers."},{"code" : "status","valueCode" : "active"}]},{"id" : "4099","code" : "ensembl-T","display" : "Ensembl transcript reference sequence","definition" : "Ensembl transcript reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Set of reference sequences for transcripts of coding regions. Their identifiers all have a prefix of \"ENST.\" There are parallels for most (if not all) of what is in Ensembl within NCBI. \"ENST\" parallels NCBI's \"NM_\" identifiers. In general, Ensembl takes its reference sequences directly from the build. NCBI adjusts its reference sequences by replacing known \"mutations\" with sequences that better reflect the population \"normal\"."},{"code" : "status","valueCode" : "active"}]},{"id" : "4100","code" : "ENTITYCODE","display" : "Entity Code","definition" : "Entity Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1060 EntityCode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4101","code" : "ENTITYHDLG","display" : "Entity Handling Code","definition" : "Entity Handling Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.42 EntityHandling in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4102","code" : "ENZC","display" : "Enzyme Codes","definition" : "Enzyme Codes","property" : [{"code" : "v2-concComment","valueString" : "Enzyme Committee of the International Union of Biochemistry and Molecular Biology. Enzyme Nomenclature: Recommendations on the Nomenclature and Classification of Enzyme-Catalysed Reactions. London: Academic Press, 1992."},{"code" : "status","valueCode" : "active"}]},{"id" : "4103","code" : "GMDC2009","display" : "German Major Diagnostic Codes v2009","definition" : "German Major Diagnostic Codes v2009","property" : [{"code" : "v2-concCommentAsPub","valueString" : "German Major Diagnostic Codes version 2009."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4104","code" : "EPASRS","display" : "EPA SRS","definition" : "EPA SRS","property" : [{"code" : "v2-concComment","valueString" : "Subset of EPA SRS listing chemicals that are present in ECOTOX, STORET and TRI."},{"code" : "status","valueCode" : "active"}]},{"id" : "4105","code" : "GS1UDI","display" : "GS1 Unique Device Identifier","definition" : "GS1 Unique Device Identifier","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4106","code" : "FDAUNII","display" : "Unique Ingredient Identifier (UNII)","definition" : "Unique Ingredient Identifier (UNII)","property" : [{"code" : "v2-concComment","valueString" : "The Unique Ingredient Identifier (UNII) generated from the FDA Substance Registration System (SRS)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4107","code" : "FDDC","display" : "First DataBank Drug Codes","definition" : "First DataBank Drug Codes","property" : [{"code" : "v2-concComment","valueString" : "National Drug Data File. Proprietary product of First DataBank, Inc. (800) 633-3453, or http://www.firstdatabank.com."},{"code" : "status","valueCode" : "active"}]},{"id" : "4108","code" : "FDDX","display" : "First DataBank Diagnostic Codes","definition" : "First DataBank Diagnostic Codes","property" : [{"code" : "v2-concComment","valueString" : "Used for drug-diagnosis interaction checking. Proprietary product of First DataBank, Inc. As above for FDDC."},{"code" : "status","valueCode" : "active"}]},{"id" : "4109","code" : "FDK","display" : "FDA K10","definition" : "FDA K10","property" : [{"code" : "v2-concComment","valueString" : "Dept. of Health & Human Services, Food & Drug Administration, Rockville, MD 20857. (device & analyte process codes)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4110","code" : "FIPS5_2","display" : "FIPS 5-2 (State)","definition" : "FIPS 5-2 (State)","property" : [{"code" : "v2-concComment","valueString" : "Codes for the Identification of the States, the District of Columbia and the Outlying Areas of the United States, and Associated Areas."},{"code" : "status","valueCode" : "active"}]},{"id" : "4111","code" : "HIBUDI","display" : "HIBCC Unique Device Identifier","definition" : "HIBCC Unique Device Identifier","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4112","code" : "FIPS55_3","display" : "Populated Places (FIPS 55-3)","definition" : "Populated Places (FIPS 55-3)","property" : [{"code" : "v2-concComment","valueString" : "Codes for Named Populated Places, Primary County Divisions, and Other Locational Entities of the United States, Puerto Rico, and the Outlying Areas (without codes)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4113","code" : "FIPS6_4","display" : "FIPS 6-4 (County)","definition" : "FIPS 6-4 (County)","property" : [{"code" : "v2-concComment","valueString" : "Federal Information Processing Standard (FIPS) 6-4 provides the names and codes that represent the counties and other entities treated as equivalent legal and/or statistical subdivisions of the 50 States, the District of Columbia, and the possessions and freely associated areas of the United States."},{"code" : "status","valueCode" : "active"}]},{"id" : "4114","code" : "GDRG2004","display" : "G-DRG German DRG Codes v 2004","definition" : "G-DRG German DRG Codes v 2004","property" : [{"code" : "v2-concComment","valueString" : "German Handbook for DRGs. 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The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code" : "status","valueCode" : "active"}]},{"id" : "4117","code" : "GDRG2007","display" : "G-DRG German DRG Codes v2007","definition" : "G-DRG German DRG Codes v2007","property" : [{"code" : "v2-concComment","valueString" : "German Handbook for DRGs 2007."},{"code" : "status","valueCode" : "active"}]},{"id" : "4118","code" : "GDRG2008","display" : "G-DRG German DRG Codes v2008","definition" : "G-DRG German DRG Codes v2008","property" : [{"code" : "v2-concComment","valueString" : "German Handbook for DRGs 2008."},{"code" : "status","valueCode" : "active"}]},{"id" : "4119","code" : "GDRG2009","display" : "G-DRG German DRG Codes v2008","definition" : "G-DRG German DRG Codes v2008","property" : [{"code" : "v2-concComment","valueString" : "German Handbook for DRGs 2009."},{"code" : "status","valueCode" : "active"}]},{"id" : "4120","code" : "GMDC2004","display" : "German Major Diagnostic Codes v 1004","definition" : "German Major Diagnostic Codes v 1004","property" : [{"code" : "v2-concComment","valueString" : "German Major Diagnostic Codes version \"2004\""},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4121","code" : "GMDC2005","display" : "German Major Diagnostic Codes v2005","definition" : "German Major Diagnostic Codes v2005","property" : [{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4122","code" : "GMDC2006","display" : "German Major v2006 Diagnostic Codes","definition" : "German Major v2006 Diagnostic Codes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4123","code" : "GMDC2007","display" : "German Major Diagnostic Codes v2007","definition" : "German Major Diagnostic Codes v2007","property" : [{"code" : "v2-concComment","valueString" : "German Major Diagnostic Codes 2007."},{"code" : "status","valueCode" : "active"}]},{"id" : "4124","code" : "GMDC2008","display" : "German Major Diagnostic Codes v2008","definition" : "German Major Diagnostic Codes v2008","property" : [{"code" : "v2-concComment","valueString" : "German Major Diagnostic Codes v2008."},{"code" : "status","valueCode" : "active"}]},{"id" : "4125","code" : "HB","display" : "HIBCC","definition" : "HIBCC","property" : [{"code" : "v2-concComment","valueString" : "Health Industry Business Communications Council, 5110 N. 40th St., Ste 120, Phoenix, AZ 85018."},{"code" : "status","valueCode" : "active"}]},{"id" : "4126","code" : "HCPCS","display" : "CMS (formerly HCFA)  Common Procedure Coding System","definition" : "CMS (formerly HCFA)  Common Procedure Coding System","property" : [{"code" : "v2-concComment","valueString" : "HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.\nhttp://www.cms.hhs.gov/MedHCPCSGenInfo/"},{"code" : "status","valueCode" : "active"}]},{"id" : "4127","code" : "IBTnnnn","display" : "ISBT 128 codes where nnnn  specifies a specific table within ISBT 128.","definition" : "ISBT 128 codes where nnnn  specifies a specific table within ISBT 128.","property" : [{"code" : "v2-concCommentAsPub","valueString" : "International Society of Blood Transfusion. (specific contact information will be supplied to editor.)<p>The variable suffix (nnnn) identifies a specific table within ISBT 128."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4128","code" : "HCPT","display" : "Health Care Provider Taxonomy","definition" : "Health Care Provider Taxonomy","property" : [{"code" : "v2-concComment","valueString" : "Formerly the responsibility of Workgroup 15 (Provider Information) within ANSI ASC X12N, all maintenance is now done by NUCC (turned over in 2001).   Primary distribution is the responsibility of Washington Publishing Company, through its World Wide Web Site http://www.wpc-edi.com.  Requests for new codes or changes may be  done through the same website.  For further information, NUCC may be contacted at: \r\nStephanie Moncada, NUCC Secretary\r\nAmerican Medical Association\r\n515 N. State St.\r\nChicago, IL 60610\r\nEmail: stephanie.moncada@ama-assn.org"},{"code" : "status","valueCode" : "active"}]},{"id" : "4129","code" : "ICCUDI","display" : "ICCBBA Unique Device Identifier","definition" : "ICCBBA Unique Device Identifier","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4130","code" : "HGNC-Symb","display" : "HGNC-symb","definition" : "HGNC-symb","property" : [{"code" : "v2-concComment","valueString" : "The HGNC gene table carries the GENE ID, gene symbol and full gene name. The GENE ID is specific to the species. The gene symbol and name will be shared by all species with the same gene. \nThe HGNC-Symb table carries only human genes. The code for this coding system is the HGNC gene code, the \"name\" or print string is the HGNC gene symbol. \nMore than 28,000 human gene symbols and names have been assigned so far, but some human genes lack an HGNC code and symbol. These are mostly non protein coding genes."},{"code" : "status","valueCode" : "active"}]},{"id" : "4131","code" : "HGVS.c","display" : "HGVS- Transcript syntax","definition" : "HGVS- Transcript syntax","property" : [{"code" : "v2-concComment","valueString" : "Syntax that describes variations (mutations) at the transcript (messenger RNA) level. The transcript syntax statements, which can describe simple and complex variants, are distinguished by a leading \"c.\""},{"code" : "status","valueCode" : "active"}]},{"id" : "4132","code" : "HGVS.g","display" : "HGVS- Genomic syntax","definition" : "HGVS- Genomic syntax","property" : [{"code" : "v2-concComment","valueString" : "Syntax that describes the variations (mutations) at the genome level (the DNA before it is spliced to remove introns). The genomic syntax statements are distinguished by a leading \"g.\""},{"code" : "status","valueCode" : "active"}]},{"id" : "4133","code" : "HGVS.p","display" : "HGVS-Protein syntax","definition" : "HGVS-Protein syntax","property" : [{"code" : "v2-concComment","valueString" : "Syntax that specifies the variations (mutations) at the amino acid level, which is induced by underlying DNA variants. The protein change statements are distinguished by a leading \"p.\""},{"code" : "status","valueCode" : "active"}]},{"id" : "4134","code" : "HHC","display" : "Home Health Care","definition" : "Home Health Care","property" : [{"code" : "v2-concComment","valueString" : "Home Health Care Classification System; Virginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC.\nSuperceded by 'CCC' (see above); this entry is retained for backward-compatibility."},{"code" : "status","valueCode" : "active"}]},{"id" : "4135","code" : "ICD10GM2010","display" : "ICD 10 Germany v2010","definition" : "ICD 10 Germany v2010","property" : [{"code" : "v2-concCommentAsPub","valueString" : "ICD German modification for 2010"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4136","code" : "HI","display" : "Health Outcomes","definition" : "Health Outcomes","property" : [{"code" : "v2-concComment","valueString" : "Health Outcomes Institute codes for outcome variables available (with responses) from Stratis Health (formerly Foundation for Health Care Evaluation and Health Outcomes Institute), 2901 Metro Drive, Suite 400, Bloomington, MN, 55425-1525; (612) 854-3306 (voice); (612) 853-8503 (fax); dziegen@winternet.com. See examples in the Implementation Guide."},{"code" : "status","valueCode" : "active"}]},{"id" : "4137","code" : "ICD10GM2011","display" : "ICD 10 Germany v2011","definition" : "ICD 10 Germany v2011","property" : [{"code" : "v2-concCommentAsPub","valueString" : "ICD German modification for 2011"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4138","code" : "HL7nnnn","display" : "Health Level Seven defined table of codes, where nnnn is the HL7 table number.  The number is four numeric digits as published in HL7 Version 2 chapter 2C.  For example, HL70001.","definition" : "Health Level Seven defined table of codes, where nnnn is the HL7 table number.  The number is four numeric digits as published in HL7 Version 2 chapter 2C.  For example, HL70001.","property" : [{"code" : "v2-concComment","valueString" : "The table value HL7nnnn is meant to restrict the value to the characters 'HL7' and four numeric digits e.g. HL70001 is valid, examples of invalid values include HL71, HL701, HL7001."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4139","code" : "HOT","display" : "Japanese Nationwide Medicine Code","definition" : "Japanese Nationwide Medicine Code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4140","code" : "HPC","display" : "CMS (formerly HCFA )Procedure Codes (HCPCS)","definition" : "CMS (formerly HCFA )Procedure Codes (HCPCS)","property" : [{"code" : "v2-concComment","valueString" : "Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.[1]"},{"code" : "status","valueCode" : "active"}]},{"id" : "4141","code" : "HSLOC","display" : "Healthcare Service Location","definition" : "Healthcare Service Location","property" : [{"code" : "v2-concComment","valueString" : "A comprehensive classification of locations and settings where healthcare services are provided. This code system is based on the NHSN location code system that has been developed over a number of years through CDC's interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required."},{"code" : "status","valueCode" : "active"}]},{"id" : "4142","code" : "I10","display" : "ICD-10","definition" : "ICD-10","property" : [{"code" : "v2-concComment","valueString" : "World Health Publications, Albany, NY."},{"code" : "status","valueCode" : "active"}]},{"id" : "4143","code" : "I10C","display" : "International Classification of Diseases, 10th  Revision, Clinical Modification (ICD-10-CM)","definition" : "International Classification of Diseases, 10th  Revision, Clinical Modification (ICD-10-CM)","property" : [{"code" : "v2-concComment","valueString" : "ICD-10-CM is a clinical modification of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) published by the United States for reporting diagnosis in morbidity settings. Additional information is available at: http://www.cdc.gov/nchs/icd/icd10cm.htm."},{"code" : "status","valueCode" : "active"}]},{"id" : "4144","code" : "I10G2004","display" : "ICD 10 Germany 2004","definition" : "ICD 10 Germany 2004","property" : [{"code" : "v2-concComment","valueString" : "Three code sets exist I10G2004, I10G2005, I10G2006"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4145","code" : "I10G2005","display" : "ICD 10 Germany 2005","definition" : "ICD 10 Germany 2005","property" : [{"code" : "v2-concComment","valueString" : "Three code sets exist I10G2004"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4146","code" : "ISOnnnn (deprecated)","display" : "ISO Defined Codes where nnnn is the ISO table number","definition" : "ISO Defined Codes where nnnn is the ISO table number","property" : [{"code" : "v2-concCommentAsPub","valueString" : "International Standards Organization where nnnn is the ISO table number"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4147","code" : "I10G2006","display" : "ICD 10 Germany 2006","definition" : "ICD 10 Germany 2006","property" : [{"code" : "v2-concComment","valueString" : "Three code sets exist I10G2004"},{"code" : "status","valueCode" : "active"}]},{"id" : "4148","code" : "ISO","display" : "ISO 2955.83 (units of measure) with HL7 extensions","definition" : "ISO 2955.83 (units of measure) with HL7 extensions","property" : [{"code" : "v2-concCommentAsPub","valueString" : "See chapter 7, section 7.4.2.6"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4149","code" : "I10P","display" : "International Classification of Diseases, 10th  Revision, Procedure Coding System (ICD-10-PCS)","definition" : "International Classification of Diseases, 10th  Revision, Procedure Coding System (ICD-10-PCS)","property" : [{"code" : "v2-concComment","valueString" : "ICD-10-PCS is a procedure classification published by the United States for classifying procedures performed in hospital inpatient health care settings. Additional information is available at: http://www.cms.gov/Medicare/Coding/ICD10/2013-ICD-10-PCS-GEMs.html."},{"code" : "status","valueCode" : "active"}]},{"id" : "4150","code" : "I10P0","display" : "ICD-10 Place of Occurrence","definition" : "ICD-10 Place of Occurrence","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "4151","code" : "I9","display" : "ICD9","definition" : "ICD9","property" : [{"code" : "v2-concComment","valueString" : "World Health Publications, Albany, NY."},{"code" : "status","valueCode" : "active"}]},{"id" : "4152","code" : "I9C","display" : "International Classification of Diseases, 9th  Revision, Clinical Modification (ICD-9-CM)","definition" : "International Classification of Diseases, 9th  Revision, Clinical Modification (ICD-9-CM)","property" : [{"code" : "v2-concComment","valueString" : "ICD-9-CM is a clinical modification of the World Health Organization's 9th Revision, International Classification of Diseases (ICD-9). ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with healthcare utilization in the United States. Additional information is available at: http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp."},{"code" : "status","valueCode" : "active"}]},{"id" : "4153","code" : "I9CDX","display" : "ICD-9CM Diagnosis codes","definition" : "ICD-9CM Diagnosis codes","property" : [{"code" : "v2-concComment","valueString" : "Indicates codes from ICD-9-CM drawn from Volumes 1 and 2, which cover diagnosis codes only."},{"code" : "status","valueCode" : "active"}]},{"id" : "4154","code" : "I9CP","display" : "ICD-9CM Procedure codes","definition" : "ICD-9CM Procedure codes","property" : [{"code" : "v2-concComment","valueString" : "Indicates codes from ICD-9-CM drawn from Volume 3, which covers procedure codes only."},{"code" : "status","valueCode" : "active"}]},{"id" : "4155","code" : "IBT","display" : "ISBT","definition" : "ISBT","property" : [{"code" : "v2-concComment","valueString" : "Retained for backward compatibility only as of v 2.5. This code value has been superceded by the individual codes IBTnnnn (where nnnn identifies a specific table in ISBT 128).  Tables commencing with IBT are used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4156","code" : "IBT0001","display" : "ISBT 128 Standard transfusion/transplantation data items","definition" : "ISBT 128 Standard transfusion/transplantation data items","property" : [{"code" : "v2-concComment","valueString" : "ISBT 128 Standard data items used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code" : "status","valueCode" : "active"}]},{"id" : "4157","code" : "IC2","display" : "ICHPPC-2","definition" : "ICHPPC-2","property" : [{"code" : "v2-concComment","valueString" : "International Classification of Health Problems in Primary Care, Classification Committee of World Organization of National Colleges, Academies and Academic Associations of General Practitioners (WONCA), 3rd edition. An adaptation of ICD9 intended for use in General Medicine, Oxford University Press."},{"code" : "status","valueCode" : "active"}]},{"id" : "4158","code" : "ICD10AM","display" : "ICD-10 Australian modification","definition" : "ICD-10 Australian modification","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4159","code" : "ICD10CA","display" : "ICD-10 Canada","definition" : "ICD-10 Canada","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4160","code" : "ICD10GM2007","display" : "ICD 10 Germany v2007","definition" : "ICD 10 Germany v2007","property" : [{"code" : "v2-concComment","valueString" : "ICD German modification for 2007."},{"code" : "status","valueCode" : "active"}]},{"id" : "4161","code" : "ICD10GM2008","display" : "ICD 10 Germany v2008","definition" : "ICD 10 Germany v2008","property" : [{"code" : "v2-concComment","valueString" : "ICD German modification for 2008."},{"code" : "status","valueCode" : "active"}]},{"id" : "4162","code" : "ICD10GM2009","display" : "ICD 10 Germany v2009","definition" : "ICD 10 Germany v2009","property" : [{"code" : "v2-concComment","valueString" : "ICD German modification for 2009."},{"code" : "status","valueCode" : "active"}]},{"id" : "4163","code" : "ICDO","display" : "International Classification of Diseases for Oncology","definition" : "International Classification of Diseases for Oncology","property" : [{"code" : "v2-concComment","valueString" : "International Classification of Diseases for Oncology, 2nd Edition. World Health Organization: Geneva, Switzerland, 1990. Order from: College of American Pathologists, 325 Waukegan Road, Northfield, IL, 60093-2750. (847) 446-8800."},{"code" : "status","valueCode" : "active"}]},{"id" : "4164","code" : "ICDO2","display" : "International Classification of Disease for Oncology Second Edition","definition" : "International Classification of Disease for Oncology Second Edition","property" : [{"code" : "v2-concComment","valueString" : "Percy C, VanHolten V, and Muir C, editors. International Classification of Diseases for Oncology. Second Edition. Geneva: World Health Organization; 1990.\r\n\r\nThe ICD-9 neoplasm structure did not include morphology and there was a growing interest by physicians to establish a coding system for morphology.  ICD-O is used in cancer registries (and other related areas) for coding the topography (site) and morphology of a neoplasm. The topography code uses similar categories as ICD-10 for malignant neoplasms allowing greater specificity for the site of non-malignant neoplasms than in ICD-10.  The topography code consists of an alphabetic character (the letter C) followed by two numeric digits, a decimal point, and a numeric digit. The morphology code consists of a 6-digit numeric code which consists of three parts: histologic type (4-digit), behavior code (1-digit), and grading or differentiation (1-digit). ICD-O-2 is used for tumors diagnosed prior to 2001."},{"code" : "status","valueCode" : "active"}]},{"id" : "4165","code" : "ICDO3","display" : "International Classification of Disease for Oncology Third Edition","definition" : "International Classification of Disease for Oncology Third Edition","property" : [{"code" : "v2-concComment","valueString" : "Fritz A, Percy C, Jack A, Shanmugaratnam K, Sobin L, Parkin D, et al, editors. International Classification of Diseases for Oncology. Third Edition. Geneva: World Health Organization; 2000.\r\n\r\nThe ICD-9 neoplasm structure did not include morphology and there was a growing interest by physicians to establish a coding system for morphology.  ICD-O is used in cancer registries (and other related areas) for coding the topography (site) and morphology of a neoplasm. The topography code uses similar categories as ICD-10 for malignant neoplasms allowing greater specificity for the site of non-malignant neoplasms than in ICD-10.  The topography code consists of an alphabetic character (the letter C) followed by two numeric digits, a decimal point, and a numeric digit. The morphology code consists of a 6-digit numeric code which consists of three parts: histologic type, behavior code, and grading or differentiation. In the third edition the morphology codes were revised, especially for leukemias and lymphomas. ICD-O-3 is used for tumors diagnosed in 2001 and later."},{"code" : "status","valueCode" : "active"}]},{"id" : "4166","code" : "ICF","display" : "International Classification of Functioning, Disability and Health (ICF)","definition" : "International Classification of Functioning, Disability and Health (ICF)","property" : [{"code" : "v2-concComment","valueString" : "ICF is a classification of those characteristics of health involving functional impairments, activity limitations, or participation restrictions that are often associated with disability. The ICF classification complements the World Health Organization's (WHO) International Classification of Diseases-10th Revision (ICD), which contains information on diagnosis and health condition, but not on functional status. The ICD and ICF constitute the core classifications in the WHO Family of International Classifications (WHO-FIC). Additional information is available at: http://www.cdc.gov/nchs/icd/icf.htm."},{"code" : "status","valueCode" : "active"}]},{"id" : "4167","code" : "ICS","display" : "ICCS","definition" : "ICCS","property" : [{"code" : "v2-concComment","valueString" : "Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105."},{"code" : "status","valueCode" : "active"}]},{"id" : "4168","code" : "ICSD","display" : "International Classification of Sleep Disorders","definition" : "International Classification of Sleep Disorders","property" : [{"code" : "v2-concComment","valueString" : "International Classification of Sleep Disorders Diagnostic and Coding Manual, 1990, available from American Sleep Disorders Association, 604 Second Street SW, Rochester, MN  55902"},{"code" : "status","valueCode" : "active"}]},{"id" : "4169","code" : "IHELAW","display" : "IHE Laboratory Analytical Workflow (LAW) Profile Codes.","definition" : "IHE Laboratory Analytical Workflow (LAW) Profile Codes.","property" : [{"code" : "v2-concComment","valueString" : "The codes are part of the IHE LAW Profile, and it will be published as part of the IHE Laboratory Technical Framework. The technical framework documents can be found with the following link: http://www.ihe.net/Technical_Frameworks/#laboratory"},{"code" : "status","valueCode" : "active"}]},{"id" : "4170","code" : "ISCN","display" : "International System for Human Cytogenetic Nomenclature (ISCN)","definition" : "International System for Human Cytogenetic Nomenclature (ISCN)","property" : [{"code" : "v2-concComment","valueString" : "The International System for Human Cytogenetic Nomenclature (ISCN) has served as the central reference for describing the human chromosome complement."},{"code" : "status","valueCode" : "active"}]},{"id" : "4171","code" : "ISO+","display" : "ISO 2955.83 (units of measure) with HL7 extensions","definition" : "ISO 2955.83 (units of measure) with HL7 extensions","property" : [{"code" : "v2-concComment","valueString" : "See chapter 7, section 7.4.2.6"},{"code" : "status","valueCode" : "active"}]},{"id" : "4172","code" : "ISO3166_1","display" : "ISO 3166-1 Country Codes","definition" : "ISO 3166-1 Country Codes","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization standard 3166 contains 3 parts.  Part 1 contains three tables for codes for countries of the world.  These are 2-character alphabetic, 3-character alphabetic, and numeric codes."},{"code" : "status","valueCode" : "active"}]},{"id" : "4173","code" : "ISO3166_2","display" : "ISO 3166-2 Country subdivisions","definition" : "ISO 3166-2 Country subdivisions","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization standard 3166 contains 3 parts.  Part 2 contains a complete breakdown into a relevant level of administrative subdivisions of all countries listed in ISO 3166-1. The code elements used consist of the alpha-2 code element from ISO 3166-1 followed by a separator and a further string of up to three alphanumeric characters e. g. DK-025 for the Danish county Roskilde."},{"code" : "status","valueCode" : "active"}]},{"id" : "4174","code" : "ISO4217","display" : "ISO4217 Currency Codes","definition" : "ISO4217 Currency Codes","property" : [{"code" : "v2-concComment","valueString" : "ISO's currency codes, which are based on the ISO country codes are published in the standard ISO 4217:2008 Codes for the representation of currencies and funds.  This International Standard specifies the structure for a three-letter alphabetic code and an equivalent three-digit numeric code for the representation of currencies and funds. For those currencies having minor units, it also shows the decimal relationship between such units and the currency itself."},{"code" : "status","valueCode" : "active"}]},{"id" : "4175","code" : "ISO639","display" : "ISO 639 Language","definition" : "ISO 639 Language","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization codes for the representation of names of languages.  ISO 639 provides two sets of language codes, one as a two-character code set (639-1) and another as a three-character code set (639-2) for the representation of names of languages.  ISO 639-3, Codes for the representation of names of languages - Part 3: Alpha-3 code for comprehensive coverage of languages, is a code list that aims to define three-letter identifiers for all known human languages."},{"code" : "status","valueCode" : "active"}]},{"id" : "4176","code" : "ISOnnnn","display" : "ISO Defined Codes where nnnn is the ISO table number. (deprecated)","definition" : "ISO Defined Codes where nnnn is the ISO table number. (deprecated)","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization tables.  This has been deprecated since the ISO numbered standards are not the same as tables, and there are no \"ISO table numbers\".  Some standards contains tables of values, and some contain more than one table.  In the future, specific tables of values drawn from ISO standards will have explicit entries here in table 0396.  Use the specific entries for identified tables instead of this one."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4177","code" : "ITIS","display" : "Integrated Taxonomic Information System","definition" : "Integrated Taxonomic Information System","property" : [{"code" : "v2-concComment","valueString" : "This is a taxonomic hierarchy for living organisms."},{"code" : "status","valueCode" : "active"}]},{"id" : "4178","code" : "IUPC","display" : "IUPAC/IFCC Component Codes","definition" : "IUPAC/IFCC Component Codes","property" : [{"code" : "v2-concComment","valueString" : "Codes used by IUPAC/IFF to identify the component (analyte) measured. Contact Henrik Olesen, as above for IUPP."},{"code" : "status","valueCode" : "active"}]},{"id" : "4179","code" : "IUPP","display" : "IUPAC/IFCC Property Codes","definition" : "IUPAC/IFCC Property Codes","property" : [{"code" : "v2-concComment","valueString" : "International Union of Pure and Applied Chemistry/International Federation of Clinical Chemistry. The Silver Book: Compendium of terminology and nomenclature of properties in clinical laboratory sciences. Oxford: Blackwell Scientific Publishers, 1995. Henrik Olesen, M.D., D.M.Sc., Chairperson, Department of Clinical Chemistry, KK76.4.2, Rigshospitalet, University Hospital of Copenhagen, DK-2200, Copenhagen. http://inet.uni-c.dk/~qukb7642/"},{"code" : "status","valueCode" : "active"}]},{"id" : "4180","code" : "JC10","display" : "JLAC/JSLM, nationwide laboratory code","definition" : "JLAC/JSLM, nationwide laboratory code","property" : [{"code" : "v2-concComment","valueString" : "Source: Classification &Coding for Clinical Laboratory. Japanese Society of Laboratory Medicine(JSLM, Old:Japan Society of Clinical Pathology). Version 10, 1997. A multiaxial code  including a analyte code (e.g., Rubella = 5f395), identification code (e.g., virus ab IGG=1431), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4181","code" : "JC8","display" : "Japanese Chemistry","definition" : "Japanese Chemistry","property" : [{"code" : "v2-concComment","valueString" : "Clinical examination classification code. Japan Association of Clinical Pathology. Version 8, 1990. A multiaxial code  including a subject code (e.g., Rubella = 5f395, identification code (e.g., virus ab IGG), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4182","code" : "JJ1017","display" : "Japanese Image Examination Cache","definition" : "Japanese Image Examination Cache","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4183","code" : "L","display" : "Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","definition" : "Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","property" : [{"code" : "v2-concComment","valueString" : "The 'zzz' may be any printable ASCII string of variable length, but the recommendation is to generally use only numbers and uppercase letters, as that is how all of the currently existent table 396 entries have been created for many years.  In addition, there is no explicit length restriction, but it is recommended that the string be kept below a 20 character maximum."},{"code" : "status","valueCode" : "active"}]},{"id" : "4184","code" : "LANGUAL","display" : "LanguaL","definition" : "LanguaL","property" : [{"code" : "v2-concComment","valueString" : "LanguaL stands for \"Langua aLimentaria\" or \"language of food\"  LanguaL is a multilingual thesaural system using facetted classification about food.  Terms reprented in PHIN VADS will be limited to the English language version."},{"code" : "status","valueCode" : "active"}]},{"id" : "4185","code" : "LB","display" : "Local billing code","definition" : "Local billing code","property" : [{"code" : "v2-concComment","valueString" : "Local billing codes/names (with extensions if needed)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4186","code" : "LN","display" : "Logical Observation Identifier Names and Codes (LOINC®)","definition" : "Logical Observation Identifier Names and Codes (LOINC®)","property" : [{"code" : "v2-concComment","valueString" : "Logical Observation Identifiers Names and Codes (LOINC®) provides a set of universal codes and names for identifying laboratory and other clinical observations. One of the main goals of LOINC is to facilitate the exchange and pooling of results for clinical care, outcomes management, and research. LOINC was initiated by Regenstrief Institute research scientists who continue to develop it with the collaboration of the LOINC Committee. The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2011, Regenstrief Institute, Inc. and the LOINC Committee and available at no cost (http://loinc.org) under the license at http://loinc.org/terms-of-use.\r\n\r\nThe laboratory portion of the LOINC database contains the usual clinical laboratory categories of chemistry, hematology, serology, microbiology (including parasitology and virology), toxicology; as well as categories for drugs and the cell counts, antibiotic susceptibilities, and more. The clinical portion of the LOINC database includes entries for vital signs, hemodynamics, intake/output, EKG, obstetric ultrasound, cardiac echo, radiology report titles, pulmonary ventilator management, document and section titles, patient assessment instruments (e.g. Glascow Coma Score, PHQ-9 depression scale, CMS-required patient assessment instruments), and other clinical observations."},{"code" : "status","valueCode" : "active"}]},{"id" : "4187","code" : "LRG-RefSeq","display" : "Locus Reference Genomic (LRG)","definition" : "Locus Reference Genomic (LRG)","property" : [{"code" : "v2-concComment","valueString" : "LRG is a manually curated record that contains stable and thus, un-versioned reference sequences designed specifically for reporting sequence variants with clinical implications. \nIt provides a genomic DNA sequence representation of a single gene that is idealized, has a permanent ID (with no versioning), and core content that never changes. Their database includes maps to NCBI, Ensembl and USCS reference sequences."},{"code" : "status","valueCode" : "active"}]},{"id" : "4188","code" : "MCD","display" : "Medicaid","definition" : "Medicaid","property" : [{"code" : "v2-concComment","valueString" : "Medicaid billing codes/names."},{"code" : "status","valueCode" : "active"}]},{"id" : "4189","code" : "MCR","display" : "Medicare","definition" : "Medicare","property" : [{"code" : "v2-concComment","valueString" : "Medicare billing codes/names."},{"code" : "status","valueCode" : "active"}]},{"id" : "4190","code" : "MDC","display" : "Medical Device Communication","definition" : "Medical Device Communication","property" : [{"code" : "v2-concComment","valueString" : "EN ISO/IEEE 11073-10101 Health informatics – Point-of-care medical device communication - Nomenclature"},{"code" : "status","valueCode" : "active"}]},{"id" : "4191","code" : "MDDX","display" : "Medispan Diagnostic Codes","definition" : "Medispan Diagnostic Codes","property" : [{"code" : "v2-concComment","valueString" : "Codes Used for drug-diagnosis interaction checking. Proprietary product. Hierarchical drug codes for identifying drugs down to manufacturer and pill size. MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495. URL: http://www.medispan.com/Products/index.aspx?cat=1. As above for MGPI."},{"code" : "status","valueCode" : "active"}]},{"id" : "4192","code" : "MEDC","display" : "Medical Economics Drug Codes","definition" : "Medical Economics Drug Codes","property" : [{"code" : "v2-concComment","valueString" : "Proprietary Codes for identifying drugs. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code" : "status","valueCode" : "active"}]},{"id" : "4193","code" : "Medgen-Dis","display" : "NCBI MedGen disease subset","definition" : "NCBI MedGen disease subset","property" : [{"code" : "v2-concComment","valueString" : "MedGen-disease is a subset disease concepts (about 20,000 as of January 2016) taken from the MedGEN table. It includes most known genetic and clinical diseases."},{"code" : "status","valueCode" : "active"}]},{"id" : "4194","code" : "MEDIATYPE","display" : "MIME Media Type IANA","definition" : "MIME Media Type IANA","property" : [{"code" : "v2-concComment","valueString" : "Encoding as defined by MIME (Multipurpose Internet Mail Extensions)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4195","code" : "MEDR","display" : "Medical Dictionary for Drug Regulatory Affairs (MEDDRA)","definition" : "Medical Dictionary for Drug Regulatory Affairs (MEDDRA)","property" : [{"code" : "v2-concComment","valueString" : "Patrick Revelle, Director MSSO\n12011 Sunset Hills Road, VAR1/7B52\nReston, VA 20190\nPatrick.Revelle@ngc.com\nhttp://www.meddramsso.com/MSSOWeb/index.htm"},{"code" : "status","valueCode" : "active"}]},{"id" : "4196","code" : "OPS2010","display" : "OPS Germany v2010","definition" : "OPS Germany v2010","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Source: OPS Operationen- und Prozedurenschluessel 2010."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4197","code" : "MEDX","display" : "Medical Economics Diagnostic Codes","definition" : "Medical Economics Diagnostic Codes","property" : [{"code" : "v2-concComment","valueString" : "Used for drug-diagnosis interaction checking. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code" : "status","valueCode" : "active"}]},{"id" : "4198","code" : "OPS2011","display" : "OPS Germany v2011","definition" : "OPS Germany v2011","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Source: OPS Operationen- und Prozedurenschluessel 2011."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4199","code" : "MGPI","display" : "Medispan GPI","definition" : "Medispan GPI","property" : [{"code" : "v2-concComment","valueString" : "Medispan hierarchical drug codes for identifying drugs down to manufacturer and pill size. Proprietary product of MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495."},{"code" : "status","valueCode" : "active"}]},{"id" : "4200","code" : "MVX","display" : "CDC Vaccine Manufacturer Codes","definition" : "CDC Vaccine Manufacturer Codes","property" : [{"code" : "v2-concComment","valueString" : "As above, for CVX"},{"code" : "status","valueCode" : "active"}]},{"id" : "4201","code" : "NAICS","display" : "Industry (NAICS)","definition" : "Industry (NAICS)","property" : [{"code" : "v2-concComment","valueString" : "The North American Industry Classification System (NAICS) consists of a set of six digit codes that classify and categorize industries.  It also organizes the categories on a production/process-oriented basis.  This new, uniform, industry-wide classification system has been designed as the index for statistical reporting of all economic activities of the U.S., Canada, and Mexico. Mapping is available between SIC 1987 and NAICS 2002 codes at U.S. Census Bureau website. Mapping is also available between NAICS 2002 and NAICS 2007 at U.S. Census Bureau website"},{"code" : "status","valueCode" : "active"}]},{"id" : "4202","code" : "NCPDPnnnnsss","display" : "NCPDP code list for data element nnnn [as used in segment sss]","definition" : "NCPDP code list for data element nnnn [as used in segment sss]","property" : [{"code" : "v2-concComment","valueString" : "NCPDP maintain code list associated with the specified Data Element (nnnn) and Segment (sss).  The Segment portion is optional if there is no specialization of the Data Element codes between segments.  Examples:\n   NCPDP1131RES = code set defined for NCPDP data element 1131 as used in the RES segment (Code List Qualifier – Response Code)\n   NCPDP1131STS = code set defined for NCPDP data element 1131 as used in the STS segment (Code List Qualifier – Reject Code)\n   NCPDP9701 = code set defined for NCPDP data element 9701 (Individual Relationship, Coded).  No specialization to a segment exists for this data element.\n\nNational Council for Prescription Drug Programs, 924Ø East Raintree Drive, Scottsdale, AZ  8526Ø.\nPhone: (48Ø) 477-1ØØØ\nFax: (48Ø) 767-1Ø42\ne-mail: ncpdp@ncpdp.org\nwww.ncpdp.org"},{"code" : "status","valueCode" : "active"}]},{"id" : "4203","code" : "NDA","display" : "NANDA","definition" : "NANDA","property" : [{"code" : "v2-concComment","valueString" : "North American Nursing Diagnosis Association, Philadelphia, PA."},{"code" : "status","valueCode" : "active"}]},{"id" : "4204","code" : "NDC","display" : "National drug codes","definition" : "National drug codes","property" : [{"code" : "v2-concComment","valueString" : "These provide unique codes for each distinct drug, dosing form, manufacturer, and packaging. (Available from the National Drug Code Directory, FDA, Rockville, MD, and other sources.)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4205","code" : "NDFRT","display" : "NDF-RT (Drug Classification)","definition" : "NDF-RT (Drug Classification)","property" : [{"code" : "v2-concComment","valueString" : "The National Drug File RT (NDF-RT) is published by the US Veterans' Administration (VA). NDF-RT covers clinical drugs used at the VA. The NCI version of NDF-RT is used by NCI to provide automated terminology access to the Food and Drug Administration (FDA) Structured Product Label (SPL) initiative."},{"code" : "status","valueCode" : "active"}]},{"id" : "4206","code" : "NIC","display" : "Nursing Interventions Classification","definition" : "Nursing Interventions Classification","property" : [{"code" : "v2-concComment","valueString" : "Iowa Intervention Project, College of Nursing, University of Iowa, Iowa City, Iowa"},{"code" : "status","valueCode" : "active"}]},{"id" : "4207","code" : "NIP001","display" : "Source of Information (Immunization)","definition" : "Source of Information (Immunization)","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table to be used in HL7 2.x message RXA-9 for documenting the source of information regarding immunization. E.g. From school, provider,public health agency."},{"code" : "status","valueCode" : "active"}]},{"id" : "4208","code" : "NIP002","display" : "Substance refusal reason","definition" : "Substance refusal reason","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table to be used in HL7 2.x message RXA-18 for substance refusal reason (reasons for not having vaccination). E.g. Religious exemption, parental decision"},{"code" : "status","valueCode" : "active"}]},{"id" : "4209","code" : "NIP004","display" : "Vaccination - Contraindications, Precautions, and Immunities","definition" : "Vaccination - Contraindications, Precautions, and Immunities","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table for vaccine contraindications and precautions. E.g. Allergy to egg ingestion, thimerosol"},{"code" : "status","valueCode" : "active"}]},{"id" : "4210","code" : "NIP007","display" : "Vaccinated at location (facility)","definition" : "Vaccinated at location (facility)","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table for vaccinated at location (facility). E.g.  Private doctor's office, Public Health Clinic"},{"code" : "status","valueCode" : "active"}]},{"id" : "4211","code" : "NIP008","display" : "Vaccine purchased with (Type of funding)","definition" : "Vaccine purchased with (Type of funding)","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table enumerates the type of funds used for purchasing vaccine. E.g. Public funds, Military funds"},{"code" : "status","valueCode" : "active"}]},{"id" : "4212","code" : "NIP009","display" : "Reported adverse event previously","definition" : "Reported adverse event previously","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table enumerates the authorities to whom the vaccination related adverse events were previously reported. E.g. To health department, To manufacturer"},{"code" : "status","valueCode" : "active"}]},{"id" : "4213","code" : "NIP010","display" : "VAERS Report type","definition" : "VAERS Report type","property" : [{"code" : "v2-concComment","valueString" : "CDC National Immunization Program's (NIP) defined table enumerates the type of report used in VAERS (Vaccination Adverse Event Reporting System). E.g. Initial, Follow-up"},{"code" : "status","valueCode" : "active"}]},{"id" : "4214","code" : "NND","display" : "Notifiable Event (Disease/Condition) Code List","definition" : "Notifiable Event (Disease/Condition) Code List","property" : [{"code" : "v2-concComment","valueString" : "List of notifiable events, which includes infectious and non-infectious disease or conditions. This list includes events that are notifiable at the state and national level."},{"code" : "status","valueCode" : "active"}]},{"id" : "4215","code" : "NPI","display" : "National Provider Identifier","definition" : "National Provider Identifier","property" : [{"code" : "v2-concComment","valueString" : "Health Care Finance Administration, US Dept. of Health and Human Services, 7500 Security Blvd., Baltimore, MD 21244."},{"code" : "status","valueCode" : "active"}]},{"id" : "4216","code" : "NUBC","display" : "National Uniform Billing Committee Code","definition" : "National Uniform Billing Committee Code","property" : [{"code" : "v2-concComment","valueString" : "http://www.nubc.org/"},{"code" : "status","valueCode" : "active"}]},{"id" : "4217","code" : "NULLFL","display" : "Flavors of NULL","definition" : "Flavors of NULL","property" : [{"code" : "v2-concComment","valueString" : "System of coded values for Flavors of Null, as used in HL7 Version 3 standards.  Identical to the HL7 version 3 \r\ncoding system 2.16.840.1.113883.5.1008 NullFlavor"},{"code" : "status","valueCode" : "active"}]},{"id" : "4218","code" : "O301","display" : "German Procedure Codes","definition" : "German Procedure Codes","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel. Three versions are active."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4219","code" : "O3012004","display" : "OPS Germany 2004","definition" : "OPS Germany 2004","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4220","code" : "O3012005","display" : "OPS Germany 2005","definition" : "OPS Germany 2005","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4221","code" : "O3012006","display" : "Ops Germany 2006","definition" : "Ops Germany 2006","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code" : "status","valueCode" : "active"}]},{"id" : "4222","code" : "OBSMETHOD","display" : "Observation Method Code","definition" : "Observation Method Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.84 ObservationMethod in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4223","code" : "OHA","display" : "Omaha System","definition" : "Omaha System","property" : [{"code" : "v2-concComment","valueString" : "Omaha Visiting Nurse Association, Omaha, NB."},{"code" : "status","valueCode" : "active"}]},{"id" : "4224","code" : "OPS2007","display" : "OPS Germany v2007","definition" : "OPS Germany v2007","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel 2007."},{"code" : "status","valueCode" : "active"}]},{"id" : "4225","code" : "OPS2008","display" : "OPS Germany v2008","definition" : "OPS Germany v2008","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel 2008."},{"code" : "status","valueCode" : "active"}]},{"id" : "4226","code" : "OPS2009","display" : "OPS Germany v2008","definition" : "OPS Germany v2008","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel 2009."},{"code" : "status","valueCode" : "active"}]},{"id" : "4227","code" : "PHDSCSOPT","display" : "Source of Payment Typology","definition" : "Source of Payment Typology","property" : [{"code" : "v2-concComment","valueString" : "The Source of Payment Typology (SOPT) is maintained by the Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS). The code system is used to allow consistent reporting of payer data to public health agencies for health care services and research, and to exchange health insurance payer and program information."},{"code" : "status","valueCode" : "active"}]},{"id" : "4228","code" : "PHINQUESTION","display" : "CDC Public Health Information Network (PHIN) Question","definition" : "CDC Public Health Information Network (PHIN) Question","property" : [{"code" : "v2-concComment","valueString" : "CDC Public Health Questions used in HL7 Message as observation identifiers. These question or observation identifiers are used in CDC's message implementation guides and will be passed in HL7 OBX-3 or Observation.Code"},{"code" : "status","valueCode" : "active"}]},{"id" : "4229","code" : "PLR","display" : "CDC PHLIP Lab result codes that are not covered in SNOMED at the time of this implementation","definition" : "CDC PHLIP Lab result codes that are not covered in SNOMED at the time of this implementation","property" : [{"code" : "v2-concComment","valueString" : "APHL CDC co-sponsored PHLIP"},{"code" : "status","valueCode" : "active"}]},{"id" : "4230","code" : "PLT","display" : "CDC PHLIP Lab test codes, where LOINC concept is too broad or not yet available, especially as needed for ordering and or lab to lab reporting )","definition" : "CDC PHLIP Lab test codes, where LOINC concept is too broad or not yet available, especially as needed for ordering and or lab to lab reporting )","property" : [{"code" : "v2-concComment","valueString" : "APHL CDC co-sponsored PHLIP"},{"code" : "status","valueCode" : "active"}]},{"id" : "4231","code" : "X12Dennnn","display" : "ASC X12 Code List nnnn","definition" : "ASC X12 Code List nnnn","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Code list associated with X12 Data Element nnnn.  Example::<p>X12DE738 - code set defined for X12 data element 738 (Measurement Qualifier)<p>The Accredited Standards Committee (ASC) X12<p>http://www.x12.org"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4232","code" : "POS","display" : "POS Codes","definition" : "POS Codes","property" : [{"code" : "v2-concComment","valueString" : "HCFA Place of Service Codes for Professional Claims (see http://www.cms.hhs.gov/PlaceofServiceCodes/)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4233","code" : "PRTCPTNMODE","display" : "Paticipation Mode Code","definition" : "Paticipation Mode Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1064 ParticipationMode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4234","code" : "RC","display" : "Read Classification","definition" : "Read Classification","property" : [{"code" : "v2-concComment","valueString" : "The Read Clinical Classification of Medicine, Park View Surgery, 26 Leicester Rd., Loughborough LE11 2AG (includes drug procedure and other codes, as well as diagnostic codes)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4235","code" : "refSeq-G","display" : "NCBI - genomic and chromosome reference sequences","definition" : "NCBI - genomic and chromosome reference sequences","property" : [{"code" : "v2-concComment","valueString" : "Subset of NLM Human RefSeqs with prefix of “NG_ or NC_\".\nThose prefixed with \"NC_\" represent the whole genomic RefSeq for individual chromosomes. Those prefixed with \"NG_\" represent genes with all of their introns and flanking regions and other larger or smaller genomic sequences."},{"code" : "status","valueCode" : "active"}]},{"id" : "4236","code" : "RefSeq-P","display" : "NCBI - protein reference sequence","definition" : "NCBI - protein reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Reference sequences for proteins. Not commonly reported because Amino acid changes can be computed directly from DNA changes based on transcript reference sequence. However some fields are interested only in the protein sequence change, and proteins can be sequenced independently of DNA sequencing."},{"code" : "status","valueCode" : "active"}]},{"id" : "4237","code" : "refSeq-T","display" : "NCBI-transcript reference sequences (RefSeq)","definition" : "NCBI-transcript reference sequences (RefSeq)","property" : [{"code" : "v2-concComment","valueString" : "Subset of NLM RefSeq records with prefix of \"NM_\" are reference sequences that represent messenger RNA."},{"code" : "status","valueCode" : "active"}]},{"id" : "4238","code" : "ROLECLASS","display" : "Used initially for contact roles.","definition" : "Used initially for contact roles.","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.111 RoleCode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4239","code" : "ROLECODE","display" : "Participation Mode","definition" : "Participation Mode","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.111 RoleCode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4240","code" : "RSPMODE","display" : "Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.","definition" : "Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.","property" : [{"code" : "v2-concComment","valueString" : "V3 coding system, available in RIM download materials."},{"code" : "status","valueCode" : "active"}]},{"id" : "4241","code" : "RXNORM","display" : "RxNorm","definition" : "RxNorm","property" : [{"code" : "v2-concComment","valueString" : "RxNorm provides standard names for clinical drugs (active ingredient + strength + dose form) and for dose forms as administered to a patient. It provides links from clinical drugs, both branded and generic, to their active ingredients, drug components (active ingredient + strength), and related brand names. NDCs (National Drug Codes) for specific drug products (where there are often many NDC codes for a single product) are linked to that product in RxNorm. RxNorm links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, MediSpan, and Multum. By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary.RxNorm is one of a suite of designated standards for use in U.S. Federal Government systems for the electronic exchange of clinical health information."},{"code" : "status","valueCode" : "active"}]},{"id" : "4242","code" : "RxT-Ingrd","display" : "RxTerms-Ingredients Subset","definition" : "RxTerms-Ingredients Subset","property" : [{"code" : "v2-concComment","valueString" : "RxT-Ingrd is a specialization of the RxNorm database that includes the ingredients in RxTerms except allergens (used for allergy testing), combination ingredients, and inactive ingredients. 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#499

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{"resourceType" : "CodeSystem","id" : "v2-0396","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "vocab"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0396","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.247"}],"version" : "4.2.0","name" : "CodingSystem","title" : "codingSystem","status" : "active","experimental" : false,"date" : "2025-07-15","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the coding system.  This table is maintained outside of the published Version 2 standards, and may be found at http://www.hl7.org/Special/committees/vocab/table_0396/index.cfm.  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See ASTM Specification E1467, Appendix 2."},{"code" : "status","valueCode" : "active"}]},{"id" : "4055","code" : "ATC","display" : "American Type Culture Collection","definition" : "American Type Culture Collection","property" : [{"code" : "v2-concComment","valueString" : "Reference cultures (microorganisms, tissue cultures, etc.), related biological materials and associated data. American Type Culture Collection, 12301 Parklawn Dr, Rockville MD, 20852. (301) 881-2600."},{"code" : "status","valueCode" : "active"}]},{"id" : "4056","code" : "C4","display" : "CPT-4","definition" : "CPT-4","property" : [{"code" : "v2-concComment","valueString" : "American Medical Association, P.O. Box 10946, Chicago IL  60610."},{"code" : "status","valueCode" : "active"}]},{"id" : "4057","code" : "C5","display" : "CPT-5","definition" : "CPT-5","property" : [{"code" : "v2-concComment","valueString" : "Not currently being worked on, no proposed release date at this time.  American Medical Association, P.O. Box 10946, Chicago IL  60610."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4058","code" : "CAPECC","display" : "College of American Pathologists Electronic Cancer Checklist","definition" : "College of American Pathologists Electronic Cancer Checklist","property" : [{"code" : "v2-concComment","valueString" : "Each code in this system represents a single line in a database template for the College of American Pathologists Electronic Cancer Checklist (CAP eCC).  Each line and its code corresponds to either a question or an answer selection.  The code is in a decimal format of #########.#########, where each \"#\" is an optional number.  The nine digits to the right of the Ckey decimal point make up a namespace identifier, which is specific to the center that created the database entries for the checklist line items with their unique Ckey values.   The namespace identifier for SNOMED Terminology Solutions at the College of American Pathologists is 1000043.  All Ckey values in the 2008 release use namespace 1000043.  The digits to the left of the decimal point are a locally assigned sequential key for the ChecklistTemplateItems table in the local CAP eCC database.  These codes are used to specify questions and answers selected in a CAP eCC template for transmission in an HL7 message, as defined by the NAACCR Pathology Workgroup and the CDC/NPCR Reporting Pathology Protocols II (RPP II) project. SNOMED Terminology Solutions, College of American Pathologists, 325 Waukegan Road, Northfield, Illinois, 60093, snomedsolutions@cap.org"},{"code" : "status","valueCode" : "active"}]},{"id" : "4059","code" : "CAS","display" : "Chemical abstract codes","definition" : "Chemical abstract codes","property" : [{"code" : "v2-concComment","valueString" : "These include unique codes for each unique chemical, including all generic drugs. The codes do not distinguish among different dosing forms. When multiple equivalent CAS numbers exist, use the first one listed in USAN. USAN 1990 and the USP dictionary of drug names, William M. Heller, Ph.D., Executive Editor, United States Pharmacopeial Convention, Inc., 12601 Twinbrook Parkway, Rockville, MD 20852."},{"code" : "status","valueCode" : "active"}]},{"id" : "14060","code" : "DAR","display" : "DataAbsentReason","definition" : "Used to specify why the normally expected content of the data element is missing.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4060","code" : "DCL","display" : "DICOM Class Label","definition" : "DICOM Class Label","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4061","code" : "CCC","display" : "Clinical Care Classification system","definition" : "Clinical Care Classification system","property" : [{"code" : "v2-concComment","valueString" : "Clinical Care Classification System (formerly Home Health Care Classification system) codes.\nThe Clinical Care Classification (CCC) consists of two terminologies: CCC of Nursing Diagnoses \nand CCC of Nursing Interventions both of which are classified by 21 Care Components.\nVirginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC."},{"code" : "status","valueCode" : "active"}]},{"id" : "4062","code" : "CD2","display" : "CDT-2 Codes","definition" : "CDT-2 Codes","property" : [{"code" : "v2-concComment","valueString" : "American Dental Association’s Current Dental Terminology (CDT-2) code. American Dental Association, 211 E. Chicago Avenue,. Chicago, Illinois 60611."},{"code" : "status","valueCode" : "active"}]},{"id" : "4063","code" : "CDCA","display" : "CDC Analyte Codes","definition" : "CDC Analyte Codes","property" : [{"code" : "v2-concComment","valueString" : "Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30421. Also available via FTP: ftp.cdc.gov/pub/laboratory _info/CLIA and Gopher: gopher.cdc.gov:70/11/laboratory_info/CLIA"},{"code" : "status","valueCode" : "active"}]},{"id" : "4064","code" : "DQL","display" : "DICOM Query Label","definition" : "DICOM Query Label","property" : [{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4065","code" : "CDCEDACUITY","display" : "CDC Emergency Department Acuity","definition" : "CDC Emergency Department Acuity","property" : [{"code" : "v2-concComment","valueString" : "Patient Acuity indicates level of care required (Acute, Chronic, Critical)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4066","code" : "cdcgs1vis","display" : "VIS Bar Codes (IIS)","definition" : "VIS Bar Codes (IIS)","property" : [{"code" : "v2-concComment","valueString" : "The purpose of the barcode on the bottom of the Vaccine Information Statement (VIS) is to provide an opportunity to electronically capture the VIS document type (e.g. influenza, MMR) and the edition date of the VIS, as required by the National Childhood Vaccine Injury Act (NCVIA). For more information, please visit - http://www.cdc.gov/vaccines/pubs/vis/vis-barcodes.htm"},{"code" : "status","valueCode" : "active"}]},{"id" : "4067","code" : "CDCINDUSTRY2010","display" : "Industry CDC Census 2010","definition" : "Industry CDC Census 2010","property" : [{"code" : "v2-concComment","valueString" : "For more information and instructions on using this coding system, see the instruction manual for CDC-Census I&O coding at: http://www.cdc.gov/niosh/topics/coding/"},{"code" : "status","valueCode" : "N"}]},{"id" : "4068","code" : "CDCM","display" : "CDC Methods/Instruments Codes","definition" : "CDC Methods/Instruments Codes","property" : [{"code" : "v2-concComment","valueString" : "Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30421. Also available via FTP"},{"code" : "status","valueCode" : "active"}]},{"id" : "4069","code" : "CDCNHSN","display" : "CDC National Healthcare Safety Network Codes","definition" : "CDC National Healthcare Safety Network Codes","property" : [{"code" : "v2-concComment","valueString" : "A set of patient safety and healthcare personnel safety vocabulary concepts and associated identifiers maintained as a code system by the CDC's National Healthcare Safety Network."},{"code" : "status","valueCode" : "active"}]},{"id" : "4070","code" : "CE (obsolete)","display" : "CEN ECG diagnostic codes","definition" : "CEN ECG diagnostic codes","property" : [{"code" : "v2-concCommentAsPub","valueString" : "CEN ECG diagnostic codes - (Obsolete, retained for backwards compatibility only.  See the entry for the MDC coding system.)"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4071","code" : "CDCOBS","display" : "CDC BioSense RT observations (Census) - CDC","definition" : "CDC BioSense RT observations (Census) - CDC","property" : [{"code" : "v2-concComment","valueString" : "List of BioSense RT observations (Clinical) used in OBX-3 like Temperature, Bloodpressure and Census related observations."},{"code" : "status","valueCode" : "active"}]},{"id" : "4072","code" : "CDCOCCUPATION2010","display" : "Occupation CDC Census 2010","definition" : "Occupation CDC Census 2010","property" : [{"code" : "v2-concComment","valueString" : "For more information and instructions on using this coding system, see the instruction manual for CDC-Census I&O coding at: http://www.cdc.gov/niosh/topics/coding/"},{"code" : "status","valueCode" : "N"}]},{"id" : "4073","code" : "CDCODH","display" : "Occupational Data for Health (ODH)","definition" : "Occupational Data for Health (ODH)","property" : [{"code" : "v2-concComment","valueString" : "Code System Source URL: https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.327\r\nCode System OID: 2.16.840.1.114222.4.5.327"},{"code" : "status","valueCode" : "N"}]},{"id" : "4074","code" : "CDCPHINVS","display" : "CDC PHIN Vocabulary Coding System","definition" : "CDC PHIN Vocabulary Coding System","property" : [{"code" : "v2-concComment","valueString" : "CDC Public Health Information Network Vocabulary Service (PHIN VS) coding system concepts are used when the public health concepts are not available in the Standard Development Organization(SDO) Vocabulary like SNOMED CT, LOINC, ICD-9, etc.. The concepts in this coding system will be mapped to SDO Vocabulary when it is available."},{"code" : "status","valueCode" : "active"}]},{"id" : "4075","code" : "CDCREC","display" : "Race & Ethnicity - CDC","definition" : "Race & Ethnicity - CDC","property" : [{"code" : "v2-concComment","valueString" : "The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in coding race and ethnicity data. This code set is based on current federal standards for classifying data on race and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office of Management and Budget (OMB) and a more detailed set of race and ethnicity categories maintained by the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federal standards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved, or analyzed in electronic form. At the same time, the code set can be applied to paper-based record systems to the extent that these systems are used to collect, maintain, and report data on race and ethnicity in accordance with current federal standards."},{"code" : "status","valueCode" : "active"}]},{"id" : "4076","code" : "CDS","display" : "CDC Surveillance","definition" : "CDC Surveillance","property" : [{"code" : "v2-concComment","valueString" : "CDC Surveillance Codes. For data unique to specific public health surveillance requirements. Epidemiology Program Office, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333. (404) 639-3661."},{"code" : "status","valueCode" : "active"}]},{"id" : "4077","code" : "CE","display" : "CEN ECG diagnostic codes","definition" : "CEN ECG diagnostic codes","property" : [{"code" : "v2-concComment","valueString" : "CEN ECG diagnostic codes – (Obsolete, retained for backwards compatibility only.  See the entry for the MDC coding system.)"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4078","code" : "Chrom-Loc","display" : "Cytogenetic (chromosome) location","definition" : "Cytogenetic (chromosome) location","property" : [{"code" : "v2-concComment","valueString" : "Chromosome location (AKA chromosome locus or cytogenetic location), is the standardized syntax for recording the position of genes and large mutations. It consists of three parts: the Chromosome number (e 1-22, X, Y), an indicator of which arm – either “p” for the  short or “q” for the long, and then a series of numbers separated by dots that indicate the band, sub band and sub-sub band of the locus - e.g. 2p16.3 . There are other conventions for reporting ranges and locations at the end of the chromosomes. The table of these chromosome locations was loaded initially with the all of the locations found in NCBI’s ClinVar variation tables. It will expand as additional sources become available."},{"code" : "status","valueCode" : "active"}]},{"id" : "4079","code" : "CLINVAR-V","display" : "ClinVar Variant ID","definition" : "ClinVar Variant ID","property" : [{"code" : "v2-concComment","valueString" : "ClinVar processes submissions reporting variants found in patient samples, assertions made regarding their clinical significance, information about the submitter, and other supporting data. The alleles described in submissions are mapped to reference sequences, and reported according to the HGVS standard."},{"code" : "status","valueCode" : "active"}]},{"id" : "4080","code" : "CLP","display" : "CLIP","definition" : "CLIP","property" : [{"code" : "v2-concComment","valueString" : "Codes for radiology reports.  Simon Leeming, Beth Israel Hospital, Boston MA."},{"code" : "status","valueCode" : "active"}]},{"id" : "14080","code" : "CMSHCC","display" : "CMS Hierarchical Condition Categories","definition" : "The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories that predict costs well. The condition categories are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the condition categories to capture the most costly diagnoses. Hierarchy logic is imposed on certain condition categories to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4081","code" : "CMSOEC","display" : "OCE Edit Code","definition" : "OCE Edit Code","property" : [{"code" : "v2-concComment","valueString" : "U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the billing code. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code" : "status","valueCode" : "N"}]},{"id" : "4082","code" : "CMSOMC","display" : "OCE Modifier Code","definition" : "OCE Modifier Code","property" : [{"code" : "v2-concComment","valueString" : "U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the code modifier. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code" : "status","valueCode" : "N"}]},{"id" : "4083","code" : "FDAUDI","display" : "FDA Unique Device Identifier","definition" : "FDA Unique Device Identifier","property" : [{"code" : "v2-concCommentAsPub","valueString" : "Represents the approved agencies by the FDA that assign UDI Device Identifiers."},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4084","code" : "COSMIC-Smpl","display" : "COSMIC – Simple variants","definition" : "COSMIC – Simple variants","property" : [{"code" : "v2-concComment","valueString" : "This table includes only simple somatic (cancer) mutations, one per unique mutation ID. The codes is the COSMIC mutation ID, and the name uses Ensembl RefSeqs and the single letter code for p.HGVS.   It carries fields analogous to most of the key fields in ClinVar, but its reference sequences are Ensembl transcript reference sequences with prefixes of ENST; it specifies amino acid changes with the older, HGVS, single letter codes and it carries examples of primary cancers and primary tissues, fields that are not in ClinVar. COSMIC's source table includes multiple records per mutation - one per submission.  The COSMIC-Simple Variants table carries only includes one record per unique mutation- more than 3 million of them. These contents are copyright COSMIC (http://cancer.sanger.ac.uk/cosmic/license) LHC has produced a look up table for these records, and for users to look up particular mutation IDs with permission from COSMIC. However, interested parties must contact COSMIC for permission to download these records."},{"code" : "status","valueCode" : "active"}]},{"id" : "4085","code" : "COSMIC-Strc","display" : "COSMIC-Structural variants","definition" : "COSMIC-Structural variants","property" : [{"code" : "v2-concComment","valueString" : "COSMIC has divided structural variants into two tables one called structural variants and one called copy number variants, both kinds of which are carried in NCBIs dbVar table."},{"code" : "status","valueCode" : "active"}]},{"id" : "4086","code" : "CPTM","display" : "CPT Modifier Code","definition" : "CPT Modifier Code","property" : [{"code" : "v2-concComment","valueString" : "Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4087","code" : "CST","display" : "COSTART","definition" : "COSTART","property" : [{"code" : "v2-concComment","valueString" : "International coding system for adverse drug reactions. In the USA, maintained by the FDA, Rockville, MD."},{"code" : "status","valueCode" : "active"}]},{"id" : "4088","code" : "CVX","display" : "CDC Vaccine Codes","definition" : "CDC Vaccine Codes","property" : [{"code" : "v2-concComment","valueString" : "National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333"},{"code" : "status","valueCode" : "active"}]},{"id" : "4089","code" : "dbVar-GL","display" : "dbVar-Germline","definition" : "dbVar-Germline","property" : [{"code" : "v2-concComment","valueString" : "dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code" : "status","valueCode" : "active"}]},{"id" : "4090","code" : "dbVar-som","display" : "dbVar-Somatic","definition" : "dbVar-Somatic","property" : [{"code" : "v2-concComment","valueString" : "dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code" : "status","valueCode" : "active"}]},{"id" : "4091","code" : "DCM","display" : "DICOM Controlled Terminology","definition" : "DICOM Controlled Terminology","property" : [{"code" : "v2-concComment","valueString" : "Codes defined in DICOM Content Mapping Resource. Digital Imaging and Communications in Medicine (DICOM). NEMA Publication PS-3.16 National Electrical Manufacturers Association (NEMA). Rosslyn, VA, 22209. Available at:"},{"code" : "status","valueCode" : "active"}]},{"id" : "4092","code" : "E","display" : "EUCLIDES","definition" : "EUCLIDES","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code" : "status","valueCode" : "active"}]},{"id" : "4093","code" : "E5","display" : "Euclides  quantity codes","definition" : "Euclides  quantity codes","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv (see above)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4094","code" : "E6","display" : "Euclides Lab method codes","definition" : "Euclides Lab method codes","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code" : "status","valueCode" : "active"}]},{"id" : "4095","code" : "E7","display" : "Euclides Lab equipment codes","definition" : "Euclides Lab equipment codes","property" : [{"code" : "v2-concComment","valueString" : "Available from Euclides Foundation International nv (see above)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4096","code" : "EDLEVEL","display" : "Education Level","definition" : "Education Level","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1077 EducationLevel in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4097","code" : "ensembl-G","display" : "Ensembl genomic reference sequence","definition" : "Ensembl genomic reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Set of Ensembl genomic reference sequences whose identifiers have a prefix of \"ENSG.\" It only includes genomic sequences associated with genes and uses the whole build plus the chromosome number to identify chromosome reference sequences, rather than a separate set of reference sequence identifier as NCBI does."},{"code" : "status","valueCode" : "active"}]},{"id" : "4098","code" : "Ensembl-P","display" : "Ensembl protein reference sequence","definition" : "Ensembl protein reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Set of Ensembl protein reference sequences. Their identifiers are distinguished by the prefix of \"ENSP,\" and correspond to NCBI's \"NP_\" identifiers."},{"code" : "status","valueCode" : "active"}]},{"id" : "4099","code" : "ensembl-T","display" : "Ensembl transcript reference sequence","definition" : "Ensembl transcript reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Set of reference sequences for transcripts of coding regions. Their identifiers all have a prefix of \"ENST.\" There are parallels for most (if not all) of what is in Ensembl within NCBI. \"ENST\" parallels NCBI's \"NM_\" identifiers. In general, Ensembl takes its reference sequences directly from the build. NCBI adjusts its reference sequences by replacing known \"mutations\" with sequences that better reflect the population \"normal\"."},{"code" : "status","valueCode" : "active"}]},{"id" : "4100","code" : "ENTITYCODE","display" : "Entity Code","definition" : "Entity Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1060 EntityCode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4101","code" : "ENTITYHDLG","display" : "Entity Handling Code","definition" : "Entity Handling Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.42 EntityHandling in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4102","code" : "ENZC","display" : "Enzyme Codes","definition" : "Enzyme Codes","property" : [{"code" : "v2-concComment","valueString" : "Enzyme Committee of the International Union of Biochemistry and Molecular Biology. Enzyme Nomenclature: Recommendations on the Nomenclature and Classification of Enzyme-Catalysed Reactions. 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This code value has been superceded by the individual codes IBTnnnn (where nnnn identifies a specific table in ISBT 128).  Tables commencing with IBT are used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4156","code" : "IBT0001","display" : "ISBT 128 Standard transfusion/transplantation data items","definition" : "ISBT 128 Standard transfusion/transplantation data items","property" : [{"code" : "v2-concComment","valueString" : "ISBT 128 Standard data items used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code" : "status","valueCode" : "active"}]},{"id" : "4157","code" : "IC2","display" : "ICHPPC-2","definition" : "ICHPPC-2","property" : [{"code" : "v2-concComment","valueString" : "International Classification of Health Problems in Primary Care, Classification Committee of World Organization of National Colleges, Academies and Academic Associations of General Practitioners (WONCA), 3rd edition. An adaptation of ICD9 intended for use in General Medicine, Oxford University Press."},{"code" : "status","valueCode" : "active"}]},{"id" : "4158","code" : "ICD10AM","display" : "ICD-10 Australian modification","definition" : "ICD-10 Australian modification","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4159","code" : "ICD10CA","display" : "ICD-10 Canada","definition" : "ICD-10 Canada","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4160","code" : "ICD10GM2007","display" : "ICD 10 Germany v2007","definition" : "ICD 10 Germany v2007","property" : [{"code" : "v2-concComment","valueString" : "ICD German modification for 2007."},{"code" : "status","valueCode" : "active"}]},{"id" : "4161","code" : "ICD10GM2008","display" : "ICD 10 Germany v2008","definition" : "ICD 10 Germany v2008","property" : [{"code" : "v2-concComment","valueString" : "ICD German modification for 2008."},{"code" : "status","valueCode" : "active"}]},{"id" : "4162","code" : "ICD10GM2009","display" : "ICD 10 Germany v2009","definition" : "ICD 10 Germany v2009","property" : [{"code" : "v2-concComment","valueString" : "ICD German modification for 2009."},{"code" : "status","valueCode" : "active"}]},{"id" : "4163","code" : "ICDO","display" : "International Classification of Diseases for Oncology","definition" : "International Classification of Diseases for Oncology","property" : [{"code" : "v2-concComment","valueString" : "International Classification of Diseases for Oncology, 2nd Edition. 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Additional information is available at: http://www.cdc.gov/nchs/icd/icf.htm."},{"code" : "status","valueCode" : "active"}]},{"id" : "4167","code" : "ICS","display" : "ICCS","definition" : "ICCS","property" : [{"code" : "v2-concComment","valueString" : "Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105."},{"code" : "status","valueCode" : "active"}]},{"id" : "4168","code" : "ICSD","display" : "International Classification of Sleep Disorders","definition" : "International Classification of Sleep Disorders","property" : [{"code" : "v2-concComment","valueString" : "International Classification of Sleep Disorders Diagnostic and Coding Manual, 1990, available from American Sleep Disorders Association, 604 Second Street SW, Rochester, MN  55902"},{"code" : "status","valueCode" : "active"}]},{"id" : "4169","code" : "IHELAW","display" : "IHE Laboratory Analytical Workflow (LAW) Profile Codes.","definition" : "IHE Laboratory Analytical Workflow (LAW) Profile Codes.","property" : [{"code" : "v2-concComment","valueString" : "The codes are part of the IHE LAW Profile, and it will be published as part of the IHE Laboratory Technical Framework. 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Part 1 contains three tables for codes for countries of the world.  These are 2-character alphabetic, 3-character alphabetic, and numeric codes."},{"code" : "status","valueCode" : "active"}]},{"id" : "4173","code" : "ISO3166_2","display" : "ISO 3166-2 Country subdivisions","definition" : "ISO 3166-2 Country subdivisions","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization standard 3166 contains 3 parts.  Part 2 contains a complete breakdown into a relevant level of administrative subdivisions of all countries listed in ISO 3166-1. The code elements used consist of the alpha-2 code element from ISO 3166-1 followed by a separator and a further string of up to three alphanumeric characters e. g. DK-025 for the Danish county Roskilde."},{"code" : "status","valueCode" : "active"}]},{"id" : "4174","code" : "ISO4217","display" : "ISO4217 Currency Codes","definition" : "ISO4217 Currency Codes","property" : [{"code" : "v2-concComment","valueString" : "ISO's currency codes, which are based on the ISO country codes are published in the standard ISO 4217:2008 Codes for the representation of currencies and funds.  This International Standard specifies the structure for a three-letter alphabetic code and an equivalent three-digit numeric code for the representation of currencies and funds. For those currencies having minor units, it also shows the decimal relationship between such units and the currency itself."},{"code" : "status","valueCode" : "active"}]},{"id" : "4175","code" : "ISO639","display" : "ISO 639 Language","definition" : "ISO 639 Language","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization codes for the representation of names of languages.  ISO 639 provides two sets of language codes, one as a two-character code set (639-1) and another as a three-character code set (639-2) for the representation of names of languages.  ISO 639-3, Codes for the representation of names of languages - Part 3: Alpha-3 code for comprehensive coverage of languages, is a code list that aims to define three-letter identifiers for all known human languages."},{"code" : "status","valueCode" : "active"}]},{"id" : "4176","code" : "ISOnnnn","display" : "ISO Defined Codes where nnnn is the ISO table number. (deprecated)","definition" : "ISO Defined Codes where nnnn is the ISO table number. (deprecated)","property" : [{"code" : "v2-concComment","valueString" : "International Standards Organization tables.  This has been deprecated since the ISO numbered standards are not the same as tables, and there are no \"ISO table numbers\".  Some standards contains tables of values, and some contain more than one table.  In the future, specific tables of values drawn from ISO standards will have explicit entries here in table 0396.  Use the specific entries for identified tables instead of this one."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "4177","code" : "ITIS","display" : "Integrated Taxonomic Information System","definition" : "Integrated Taxonomic Information System","property" : [{"code" : "v2-concComment","valueString" : "This is a taxonomic hierarchy for living organisms."},{"code" : "status","valueCode" : "active"}]},{"id" : "4178","code" : "IUPC","display" : "IUPAC/IFCC Component Codes","definition" : "IUPAC/IFCC Component Codes","property" : [{"code" : "v2-concComment","valueString" : "Codes used by IUPAC/IFF to identify the component (analyte) measured. Contact Henrik Olesen, as above for IUPP."},{"code" : "status","valueCode" : "active"}]},{"id" : "4179","code" : "IUPP","display" : "IUPAC/IFCC Property Codes","definition" : "IUPAC/IFCC Property Codes","property" : [{"code" : "v2-concComment","valueString" : "International Union of Pure and Applied Chemistry/International Federation of Clinical Chemistry. The Silver Book: Compendium of terminology and nomenclature of properties in clinical laboratory sciences. Oxford: Blackwell Scientific Publishers, 1995. Henrik Olesen, M.D., D.M.Sc., Chairperson, Department of Clinical Chemistry, KK76.4.2, Rigshospitalet, University Hospital of Copenhagen, DK-2200, Copenhagen. http://inet.uni-c.dk/~qukb7642/"},{"code" : "status","valueCode" : "active"}]},{"id" : "4180","code" : "JC10","display" : "JLAC/JSLM, nationwide laboratory code","definition" : "JLAC/JSLM, nationwide laboratory code","property" : [{"code" : "v2-concComment","valueString" : "Source: Classification &Coding for Clinical Laboratory. Japanese Society of Laboratory Medicine(JSLM, Old:Japan Society of Clinical Pathology). Version 10, 1997. A multiaxial code  including a analyte code (e.g., Rubella = 5f395), identification code (e.g., virus ab IGG=1431), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4181","code" : "JC8","display" : "Japanese Chemistry","definition" : "Japanese Chemistry","property" : [{"code" : "v2-concComment","valueString" : "Clinical examination classification code. Japan Association of Clinical Pathology. Version 8, 1990. A multiaxial code  including a subject code (e.g., Rubella = 5f395, identification code (e.g., virus ab IGG), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4182","code" : "JJ1017","display" : "Japanese Image Examination Cache","definition" : "Japanese Image Examination Cache","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4183","code" : "L","display" : "Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","definition" : "Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","property" : [{"code" : "v2-concComment","valueString" : "The 'zzz' may be any printable ASCII string of variable length, but the recommendation is to generally use only numbers and uppercase letters, as that is how all of the currently existent table 396 entries have been created for many years.  In addition, there is no explicit length restriction, but it is recommended that the string be kept below a 20 character maximum."},{"code" : "status","valueCode" : "active"}]},{"id" : "4184","code" : "LANGUAL","display" : "LanguaL","definition" : "LanguaL","property" : [{"code" : "v2-concComment","valueString" : "LanguaL stands for \"Langua aLimentaria\" or \"language of food\"  LanguaL is a multilingual thesaural system using facetted classification about food.  Terms reprented in PHIN VADS will be limited to the English language version."},{"code" : "status","valueCode" : "active"}]},{"id" : "4185","code" : "LB","display" : "Local billing code","definition" : "Local billing code","property" : [{"code" : "v2-concComment","valueString" : "Local billing codes/names (with extensions if needed)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4186","code" : "LN","display" : "Logical Observation Identifier Names and Codes (LOINC®)","definition" : "Logical Observation Identifier Names and Codes (LOINC®)","property" : [{"code" : "v2-concComment","valueString" : "Logical Observation Identifiers Names and Codes (LOINC®) provides a set of universal codes and names for identifying laboratory and other clinical observations. One of the main goals of LOINC is to facilitate the exchange and pooling of results for clinical care, outcomes management, and research. 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The clinical portion of the LOINC database includes entries for vital signs, hemodynamics, intake/output, EKG, obstetric ultrasound, cardiac echo, radiology report titles, pulmonary ventilator management, document and section titles, patient assessment instruments (e.g. Glascow Coma Score, PHQ-9 depression scale, CMS-required patient assessment instruments), and other clinical observations."},{"code" : "status","valueCode" : "active"}]},{"id" : "4187","code" : "LRG-RefSeq","display" : "Locus Reference Genomic (LRG)","definition" : "Locus Reference Genomic (LRG)","property" : [{"code" : "v2-concComment","valueString" : "LRG is a manually curated record that contains stable and thus, un-versioned reference sequences designed specifically for reporting sequence variants with clinical implications. \nIt provides a genomic DNA sequence representation of a single gene that is idealized, has a permanent ID (with no versioning), and core content that never changes. Their database includes maps to NCBI, Ensembl and USCS reference sequences."},{"code" : "status","valueCode" : "active"}]},{"id" : "4188","code" : "MCD","display" : "Medicaid","definition" : "Medicaid","property" : [{"code" : "v2-concComment","valueString" : "Medicaid billing codes/names."},{"code" : "status","valueCode" : "active"}]},{"id" : "4189","code" : "MCR","display" : "Medicare","definition" : "Medicare","property" : [{"code" : "v2-concComment","valueString" : "Medicare billing codes/names."},{"code" : "status","valueCode" : "active"}]},{"id" : "4190","code" : "MDC","display" : "Medical Device Communication","definition" : "Medical Device Communication","property" : [{"code" : "v2-concComment","valueString" : "EN ISO/IEEE 11073-10101 Health informatics – Point-of-care medical device communication - Nomenclature"},{"code" : "status","valueCode" : "active"}]},{"id" : "4191","code" : "MDDX","display" : "Medispan Diagnostic Codes","definition" : "Medispan Diagnostic Codes","property" : [{"code" : "v2-concComment","valueString" : "Codes Used for drug-diagnosis interaction checking. Proprietary product. Hierarchical drug codes for identifying drugs down to manufacturer and pill size. MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495. URL: http://www.medispan.com/Products/index.aspx?cat=1. As above for MGPI."},{"code" : "status","valueCode" : "active"}]},{"id" : "4192","code" : "MEDC","display" : "Medical Economics Drug Codes","definition" : "Medical Economics Drug Codes","property" : [{"code" : "v2-concComment","valueString" : "Proprietary Codes for identifying drugs. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code" : "status","valueCode" : "active"}]},{"id" : "4193","code" : "Medgen-Dis","display" : "NCBI MedGen disease subset","definition" : "NCBI MedGen disease subset","property" : [{"code" : "v2-concComment","valueString" : "MedGen-disease is a subset disease concepts (about 20,000 as of January 2016) taken from the MedGEN table. 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Tel: (800) 428-4495."},{"code" : "status","valueCode" : "active"}]},{"id" : "4200","code" : "MVX","display" : "CDC Vaccine Manufacturer Codes","definition" : "CDC Vaccine Manufacturer Codes","property" : [{"code" : "v2-concComment","valueString" : "As above, for CVX"},{"code" : "status","valueCode" : "active"}]},{"id" : "4201","code" : "NAICS","display" : "Industry (NAICS)","definition" : "Industry (NAICS)","property" : [{"code" : "v2-concComment","valueString" : "The North American Industry Classification System (NAICS) consists of a set of six digit codes that classify and categorize industries.  It also organizes the categories on a production/process-oriented basis.  This new, uniform, industry-wide classification system has been designed as the index for statistical reporting of all economic activities of the U.S., Canada, and Mexico. Mapping is available between SIC 1987 and NAICS 2002 codes at U.S. Census Bureau website. 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Identical to the code system 2.16.840.1.113883.5.84 ObservationMethod in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4223","code" : "OHA","display" : "Omaha System","definition" : "Omaha System","property" : [{"code" : "v2-concComment","valueString" : "Omaha Visiting Nurse Association, Omaha, NB."},{"code" : "status","valueCode" : "active"}]},{"id" : "4224","code" : "OPS2007","display" : "OPS Germany v2007","definition" : "OPS Germany v2007","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel 2007."},{"code" : "status","valueCode" : "active"}]},{"id" : "4225","code" : "OPS2008","display" : "OPS Germany v2008","definition" : "OPS Germany v2008","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel 2008."},{"code" : "status","valueCode" : "active"}]},{"id" : "4226","code" : "OPS2009","display" : "OPS Germany v2008","definition" : "OPS Germany v2008","property" : [{"code" : "v2-concComment","valueString" : "Source: OPS Operationen- und Prozedurenschlussel 2009."},{"code" : "status","valueCode" : "active"}]},{"id" : "4227","code" : "PHDSCSOPT","display" : "Source of Payment Typology","definition" : "Source of Payment Typology","property" : [{"code" : "v2-concComment","valueString" : "The Source of Payment Typology (SOPT) is maintained by the Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS). 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Example::<p>X12DE738 - code set defined for X12 data element 738 (Measurement Qualifier)<p>The Accredited Standards Committee (ASC) X12<p>http://www.x12.org"},{"code" : "v2-table-deprecated","valueCode" : "2.9"},{"code" : "status","valueCode" : "active"}]},{"id" : "4232","code" : "POS","display" : "POS Codes","definition" : "POS Codes","property" : [{"code" : "v2-concComment","valueString" : "HCFA Place of Service Codes for Professional Claims (see http://www.cms.hhs.gov/PlaceofServiceCodes/)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4233","code" : "PRTCPTNMODE","display" : "Paticipation Mode Code","definition" : "Paticipation Mode Code","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1064 ParticipationMode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4234","code" : "RC","display" : "Read Classification","definition" : "Read Classification","property" : [{"code" : "v2-concComment","valueString" : "The Read Clinical Classification of Medicine, Park View Surgery, 26 Leicester Rd., Loughborough LE11 2AG (includes drug procedure and other codes, as well as diagnostic codes)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4235","code" : "refSeq-G","display" : "NCBI - genomic and chromosome reference sequences","definition" : "NCBI - genomic and chromosome reference sequences","property" : [{"code" : "v2-concComment","valueString" : "Subset of NLM Human RefSeqs with prefix of “NG_ or NC_\".\nThose prefixed with \"NC_\" represent the whole genomic RefSeq for individual chromosomes. Those prefixed with \"NG_\" represent genes with all of their introns and flanking regions and other larger or smaller genomic sequences."},{"code" : "status","valueCode" : "active"}]},{"id" : "4236","code" : "RefSeq-P","display" : "NCBI - protein reference sequence","definition" : "NCBI - protein reference sequence","property" : [{"code" : "v2-concComment","valueString" : "Reference sequences for proteins. Not commonly reported because Amino acid changes can be computed directly from DNA changes based on transcript reference sequence. However some fields are interested only in the protein sequence change, and proteins can be sequenced independently of DNA sequencing."},{"code" : "status","valueCode" : "active"}]},{"id" : "4237","code" : "refSeq-T","display" : "NCBI-transcript reference sequences (RefSeq)","definition" : "NCBI-transcript reference sequences (RefSeq)","property" : [{"code" : "v2-concComment","valueString" : "Subset of NLM RefSeq records with prefix of \"NM_\" are reference sequences that represent messenger RNA."},{"code" : "status","valueCode" : "active"}]},{"id" : "4238","code" : "ROLECLASS","display" : "Used initially for contact roles.","definition" : "Used initially for contact roles.","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.111 RoleCode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4239","code" : "ROLECODE","display" : "Participation Mode","definition" : "Participation Mode","property" : [{"code" : "v2-concComment","valueString" : "For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.111 RoleCode in the Version 3 vocabulary."},{"code" : "status","valueCode" : "active"}]},{"id" : "4240","code" : "RSPMODE","display" : "Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.","definition" : "Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.","property" : [{"code" : "v2-concComment","valueString" : "V3 coding system, available in RIM download materials."},{"code" : "status","valueCode" : "active"}]},{"id" : "4241","code" : "RXNORM","display" : "RxNorm","definition" : "RxNorm","property" : [{"code" : "v2-concComment","valueString" : "RxNorm provides standard names for clinical drugs (active ingredient + strength + dose form) and for dose forms as administered to a patient. It provides links from clinical drugs, both branded and generic, to their active ingredients, drug components (active ingredient + strength), and related brand names. NDCs (National Drug Codes) for specific drug products (where there are often many NDC codes for a single product) are linked to that product in RxNorm. RxNorm links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, MediSpan, and Multum. By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary.RxNorm is one of a suite of designated standards for use in U.S. Federal Government systems for the electronic exchange of clinical health information."},{"code" : "status","valueCode" : "active"}]},{"id" : "4242","code" : "RxT-Ingrd","display" : "RxTerms-Ingredients Subset","definition" : "RxTerms-Ingredients Subset","property" : [{"code" : "v2-concComment","valueString" : "RxT-Ingrd is a specialization of the RxNorm database that includes the ingredients in RxTerms except allergens (used for allergy testing), combination ingredients, and inactive ingredients. The subset is designed for identifying drugs that might be the focus of pharmacogenetic testing."},{"code" : "status","valueCode" : "active"}]},{"id" : "4243","code" : "SCT","display" : "SNOMED Clinical Terms","definition" : "SNOMED Clinical Terms","property" : [{"code" : "v2-concComment","valueString" : "SNOMED-CT concept identifier codes.\nSNOMED International, I325 Waukegan Rd, Northfield, IL, 60093, +1 800-323-4040, mailto:snomed@cap.org  http://www.snomed.org"},{"code" : "status","valueCode" : "active"}]},{"id" : "4244","code" : "SCT2","display" : "SNOMED Clinical Terms alphanumeric codes","definition" : "SNOMED Clinical Terms alphanumeric codes","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate that the code value is the legacy-style SNOMED alphanumeric codes, rather than the concept identifier codes. \nSNOMED International, I325 Waukegan Rd, Northfield, IL, 60093, +1 800-323-4040, mailto:snomed@cap.org  http://www.snomed.org"},{"code" : "status","valueCode" : "active"}]},{"id" : "4245","code" : "SDM","display" : "SNOMED- DICOM Microglossary","definition" : "SNOMED- DICOM Microglossary","property" : [{"code" : "v2-concComment","valueString" : "College of American Pathologists, Skokie, IL, 60077-1034. (formerly designated as 99SDM)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4246","code" : "SIC","display" : "Industry (SIC)","definition" : "Industry (SIC)","property" : [{"code" : "v2-concComment","valueString" : "Standard Industry Classification - 1987. Use NAICS 2002. This is mainly for mapping and backward compatibility purposes."},{"code" : "status","valueCode" : "active"}]},{"id" : "4247","code" : "SNM","display" : "Systemized Nomenclature of Medicine (SNOMED)","definition" : "Systemized Nomenclature of Medicine (SNOMED)","property" : [{"code" : "v2-concComment","valueString" : "Systemized Nomenclature of Medicine, 2nd Edition 1984 Vols 1, 2, College of American Pathologists, Skokie, IL."},{"code" : "status","valueCode" : "active"}]},{"id" : "4248","code" : "SNM3","display" : "SNOMED International","definition" : "SNOMED International","property" : [{"code" : "v2-concComment","valueString" : "SNOMED International, 1993 Vols 1-4, College of American Pathologists, Skokie, IL, 60077-1034."},{"code" : "status","valueCode" : "active"}]},{"id" : "4249","code" : "SNT","display" : "SNOMED topology codes (anatomic sites)","definition" : "SNOMED topology codes (anatomic sites)","property" : [{"code" : "v2-concComment","valueString" : "College of American Pathologists, 5202 Old Orchard Road, Skokie, IL 60077-1034."},{"code" : "status","valueCode" : "active"}]},{"id" : "4250","code" : "SOC","display" : "Occupation (SOC 2000)","definition" : "Occupation (SOC 2000)","property" : [{"code" : "v2-concComment","valueString" : "The 2000 Standard Occupational Classification (SOC) system is used by Federal statistical agencies to classify workers into occupational categories for the purpose of collecting, calculating, or disseminating data."},{"code" : "status","valueCode" : "active"}]},{"id" : "14250","code" : "SPCU","display" : "Sex Parameter for Clinical Use","definition" : "A summary parameter that provides guidance on how a receiver should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "4251","code" : "UB04FL14","display" : "Priority (Type) of Visit","definition" : "Priority (Type) of Visit","property" : [{"code" : "v2-concComment","valueString" : "Official UB-04 Data Specification Manual, published July 2007, by the U.S. National Uniform Billing Committee (NUBC), and can be found at http://www.nubc.org. This coding system supersedes UB92 and is effective immediately (July, 2007)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4252","code" : "UB04FL15","display" : "Point of Origin","definition" : "Point of Origin","property" : [{"code" : "v2-concComment","valueString" : "Official UB-04 Data Specification Manual, published July 2007, by the U.S. National Uniform Billing Committee (NUBC), and can be found at http://www.nubc.org. This coding system supersedes UB92 and is effective immediately (July, 2007)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4253","code" : "UB04FL17","display" : "Patient Discharge Status","definition" : "Patient Discharge Status","property" : [{"code" : "v2-concComment","valueString" : "Official UB-04 Data Specification Manual, published July 2007, by the U.S. National Uniform Billing Committee (NUBC), and can be found at http://www.nubc.org. 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This coding system supersedes UB92 and is effective immediately (July, 2007)."},{"code" : "status","valueCode" : "N"}]},{"id" : "4258","code" : "UB04FL67","display" : "Present on Admission","definition" : "Present on Admission","property" : [{"code" : "v2-concComment","valueString" : "Official UB-04 Data Specification Manual, most current published edition, by the U.S. National Uniform Billing Committee (NUBC), and can be found at http://www.nubc.org. This coding system supersedes UB92 and is effective immediately (July, 2007)."},{"code" : "status","valueCode" : "N"}]},{"id" : "4259","code" : "UC","display" : "UCDS","definition" : "UCDS","property" : [{"code" : "v2-concComment","valueString" : "Uniform Clinical Data Systems. Ms. Michael McMullan, Office of Peer Review Health Care Finance Administration, The Meadows East Bldg., 6325 Security Blvd., Baltimore, MD 21207; (301) 966 6851."},{"code" : "status","valueCode" : "active"}]},{"id" : "4260","code" : "UCUM","display" : "UCUM code set for units of measure(from Regenstrief)","definition" : "UCUM code set for units of measure(from Regenstrief)","property" : [{"code" : "v2-concComment","valueString" : "Added by motion of VOCABULARY T.C. 20060308 14-0-3"},{"code" : "status","valueCode" : "active"}]},{"id" : "4261","code" : "UMD","display" : "MDNS","definition" : "MDNS","property" : [{"code" : "v2-concComment","valueString" : "Universal Medical Device Nomenclature System. ECRI, 5200 Butler Pike, Plymouth Meeting, PA  19462 USA. Phone: 215-825-6000, Fax: 215-834-1275."},{"code" : "status","valueCode" : "active"}]},{"id" : "4262","code" : "UML","display" : "Unified Medical Language","definition" : "Unified Medical Language","property" : [{"code" : "v2-concComment","valueString" : "National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894."},{"code" : "status","valueCode" : "active"}]},{"id" : "4263","code" : "UPC","display" : "Universal Product Code","definition" : "Universal Product Code","property" : [{"code" : "v2-concComment","valueString" : "The Uniform Code Council. 8163 Old Yankee Road, Suite J, Dayton, OH  45458; (513) 435 3070"},{"code" : "status","valueCode" : "active"}]},{"id" : "4264","code" : "UPIN","display" : "UPIN","definition" : "UPIN","property" : [{"code" : "v2-concComment","valueString" : "Medicare/CMS 's (formerly HCFA)  universal physician identification numbers, available from Health Care Financing Administration, U.S. Dept. of Health and Human Services, Bureau of Program Operations, 6325 Security Blvd., Meadows East Bldg., Room 300, Baltimore, MD 21207"},{"code" : "status","valueCode" : "active"}]},{"id" : "4265","code" : "USGSGNIS","display" : "U.S. Board on Geographic Names (USGS - GNIS)","definition" : "U.S. Board on Geographic Names (USGS - GNIS)","property" : [{"code" : "v2-concComment","valueString" : "List of populated places(City) from U.S. Geological Survey Geographic Name Information System (USGS GNIS)"},{"code" : "status","valueCode" : "active"}]},{"id" : "4266","code" : "USPS","display" : "United States Postal Service","definition" : "United States Postal Service","property" : [{"code" : "v2-concComment","valueString" : "Two Letter State and Possession Abbreviations are listed in  Publication 28, Postal Addressing Standards which can be obtained from Address Information Products, National Address Information Center, 6060 Primacy Parkway, Suite 101, Memphis, Tennessee  38188-0001\n\nQuestions of comments regarding the publication should be addressed to the Office of Address and Customer Information Systems, Customer and Automation Service Department, US Postal Service, 475 Lenfant Plaza SW Rm 7801, Washington, DC  20260-5902"},{"code" : "status","valueCode" : "active"}]},{"id" : "4267","code" : "VIS","display" : "Clinicians are required to track the Vaccine Information Sheet (VIS) that was shared with the recipient of a vaccination.  This code system contains codes that  identify the document type and the owner of the document.","definition" : "Clinicians are required to track the Vaccine Information Sheet (VIS) that was shared with the recipient of a vaccination.  This code system contains codes that  identify the document type and the owner of the document.","property" : [{"code" : "v2-concComment","valueString" : "More information can be found at the CDC Immunization Standards page at http://www.cdc.gov/vaccines/programs/iis/default.htm.  Content may be downloaded from PHINVADS at https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.304 and at http://www.cdc.gov/phin/activities/vocabulary.html."},{"code" : "status","valueCode" : "active"}]},{"id" : "4268","code" : "W1","display" : "WHO record # drug codes (6 digit)","definition" : "WHO record # drug codes (6 digit)","property" : [{"code" : "v2-concComment","valueString" : "World Health organization record number code. A unique sequential number is assigned to each unique single component drug and to each multi-component drug. Eight digits are allotted to each such code, six to identify the active agent, and 2 to identify the salt, of single content drugs. Six digits are assigned to each unique combination of drugs in a dispensing unit. The six digit code is identified by W1, the 8 digit code by W2."},{"code" : "status","valueCode" : "active"}]},{"id" : "4269","code" : "W2","display" : "WHO record # drug codes (8 digit)","definition" : "WHO record # drug codes (8 digit)","property" : [{"code" : "v2-concComment","valueString" : "World Health organization record number code. A unique sequential number is assigned to each unique single component drug and to each multi-component drug. Eight digits are allotted to each such code, six to identify the active agent, and 2 to identify the salt, of single content drugs. Six digits are assigned to each unique combination of drugs in a dispensing unit. The six digit code is identified by W1, the 8 digit code by W2."},{"code" : "status","valueCode" : "active"}]},{"id" : "4270","code" : "W4","display" : "WHO record # code with ASTM extension","definition" : "WHO record # code with ASTM extension","property" : [{"code" : "v2-concComment","valueString" : "With ASTM extensions (see Implementation Guide), the WHO codes can be used to report serum (and other) levels, patient compliance with drug usage instructions, average daily doses and more (see Appendix X1 the Implementation Guide)."},{"code" : "status","valueCode" : "active"}]},{"id" : "4271","code" : "WC","display" : "WHO ATC","definition" : "WHO ATC","property" : [{"code" : "v2-concComment","valueString" : "WHO’s ATC codes provide a hierarchical classification of drugs by therapeutic class. They are linked to the record number codes listed above."},{"code" : "status","valueCode" : "active"}]},{"id" : "4272","code" : "X12DEnnnn","display" : "ASC X12 Code List nnnn","definition" : "ASC X12 Code List nnnn","property" : [{"code" : "v2-concComment","valueString" : "Code list associated with X12 Data Element nnnn.  Example:: \n   X12DE738 – code set defined for X12 data element 738 (Measurement Qualifier)\n\nThe Accredited Standards Committee (ASC) X12\n\nwww.x12.org"},{"code" : "status","valueCode" : "active"}]},{"id" : "4273","code" : "NCIT","display" : "NCI Thesaurus","definition" : "NCI Thesaurus","property" : [{"code" : "v2-concComment","valueString" : "More information can be found at https://ncithesaurus.nci.nih.gov/ncitbrowser/"},{"code" : "status","valueCode" : "active"}]}]}

#500

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#501

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#502

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#503

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#504

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#505

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200
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#506

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0402 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:36 GMT
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server:nginx
x-request-id:252-199624

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#507

GET https://tx.fhir.org/r5/CodeSystem/v2-0402 HTTP/1.0
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200
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server:nginx
x-request-id:252-199625

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#508

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#509

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#510

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#511

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date:Mon, 15 Dec 2025 20:12:36 GMT
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#512

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#513

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200
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date:Mon, 15 Dec 2025 20:12:36 GMT
pragma:no-cache
server:nginx
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#514

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#515

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#516

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#517

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#518

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#519

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#520

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#521

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#522

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#523

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#524

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#525

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#526

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#527

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#528

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#529

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#530

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#531

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#532

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0425 HTTP/1.0
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#533

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#534

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0426 HTTP/1.0
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#535

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#536

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date:Mon, 15 Dec 2025 20:12:38 GMT
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server:nginx
x-request-id:252-199654

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#537

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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
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content-length:3975
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:38 GMT
pragma:no-cache
server:nginx
x-request-id:252-199655

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#538

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0428 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:38 GMT
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server:nginx
x-request-id:252-199656

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#539

GET https://tx.fhir.org/r5/CodeSystem/v2-0428 HTTP/1.0
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User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:38 GMT
pragma:no-cache
server:nginx
x-request-id:252-199657

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#540

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0429 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3818
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:39 GMT
pragma:no-cache
server:nginx
x-request-id:252-199658

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#541

GET https://tx.fhir.org/r5/CodeSystem/v2-0429 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3472
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:39 GMT
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#542

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#543

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date:Mon, 15 Dec 2025 20:12:39 GMT
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#544

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#545

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date:Mon, 15 Dec 2025 20:12:39 GMT
pragma:no-cache
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#546

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date:Mon, 15 Dec 2025 20:12:39 GMT
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#547

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#548

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#549

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#550

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#551

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#552

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#553

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#554

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#555

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#556

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#557

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date:Mon, 15 Dec 2025 20:12:40 GMT
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#558

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#559

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server:nginx
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#560

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0441 HTTP/1.0
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#561

GET https://tx.fhir.org/r5/CodeSystem/v2-0441 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:40 GMT
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server:nginx
x-request-id:252-199682

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#562

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0442 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:40 GMT
pragma:no-cache
server:nginx
x-request-id:252-199683

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#563

GET https://tx.fhir.org/r5/CodeSystem/v2-0442 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:40 GMT
pragma:no-cache
server:nginx
x-request-id:252-199684

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#564

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0443 HTTP/1.0
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"active"}]}]}}]}

#565

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date:Mon, 15 Dec 2025 20:12:41 GMT
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"active"}]}]}

#566

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0444 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:41 GMT
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server:nginx
x-request-id:252-199688

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#567

GET https://tx.fhir.org/r5/CodeSystem/v2-0444 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199689

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#568

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0445 HTTP/1.0
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server:nginx
x-request-id:252-199690

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#569

GET https://tx.fhir.org/r5/CodeSystem/v2-0445 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199691

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#570

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0450 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:41 GMT
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x-request-id:252-199692

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#571

GET https://tx.fhir.org/r5/CodeSystem/v2-0450 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199694

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#572

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0456 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:263
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199695

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#573

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0457 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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access-control-expose-headers:Content-Location, Location
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content-length:3298
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199696

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#574

GET https://tx.fhir.org/r5/CodeSystem/v2-0457 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2952
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199697

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#575

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0465 HTTP/1.0
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#576

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date:Mon, 15 Dec 2025 20:12:41 GMT
pragma:no-cache
server:nginx
x-request-id:252-199699

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#577

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date:Mon, 15 Dec 2025 20:12:42 GMT
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#578

GET https://tx.fhir.org/r5/CodeSystem/v2-0466 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:42 GMT
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x-request-id:252-199701

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#579

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0468 HTTP/1.0
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#580

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date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
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#581

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0469 HTTP/1.0
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server:nginx
x-request-id:252-199705

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#582

GET https://tx.fhir.org/r5/CodeSystem/v2-0469 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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content-length:2441
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
x-request-id:252-199706

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#583

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0470 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3728
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
x-request-id:252-199707

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#584

GET https://tx.fhir.org/r5/CodeSystem/v2-0470 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3382
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
x-request-id:252-199708

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#585

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0472 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5240
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
x-request-id:252-199709

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For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0472","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "4869","code" : "S","display" : "Synchronous","definition" : "Synchronous","property" : [{"code" : "v2-concComment","valueString" : "Do the next specification after this one (unless otherwise constrained by the following fields: TQ1-7-start date/time and TQ1-8-end date/time). 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#586

GET https://tx.fhir.org/r5/CodeSystem/v2-0472 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4894
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
x-request-id:252-199710

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#587

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0473 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
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#588

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200
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date:Mon, 15 Dec 2025 20:12:42 GMT
pragma:no-cache
server:nginx
x-request-id:252-199712

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#589

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0474 HTTP/1.0
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#590

GET https://tx.fhir.org/r5/CodeSystem/v2-0474 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:43 GMT
pragma:no-cache
server:nginx
x-request-id:252-199714

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#591

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0475 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:43 GMT
pragma:no-cache
server:nginx
x-request-id:252-199715

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#592

GET https://tx.fhir.org/r5/CodeSystem/v2-0475 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:43 GMT
pragma:no-cache
server:nginx
x-request-id:252-199716

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#593

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0477 HTTP/1.0
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server:nginx
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#594

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#595

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0478 HTTP/1.0
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#596

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#597

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#598

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#599

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#600

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#601

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#602

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#603

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#604

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#605

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#606

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#607

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#609

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#610

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date:Mon, 15 Dec 2025 20:12:44 GMT
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#611

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#612

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date:Mon, 15 Dec 2025 20:12:45 GMT
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server:nginx
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#613

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0490 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:45 GMT
pragma:no-cache
server:nginx
x-request-id:252-199737

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#614

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connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:45 GMT
pragma:no-cache
server:nginx
x-request-id:252-199738

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#615

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0491 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:45 GMT
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#616

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#617

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#618

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#619

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0493 HTTP/1.0
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#620

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#621

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0494 HTTP/1.0
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#622

GET https://tx.fhir.org/r5/CodeSystem/v2-0494 HTTP/1.0
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200
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#623

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#624

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#625

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date:Mon, 15 Dec 2025 20:12:46 GMT
pragma:no-cache
server:nginx
x-request-id:252-199749

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#627

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#628

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#629

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0498 HTTP/1.0
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#630

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#631

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0499 HTTP/1.0
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#632

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#633

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0500 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:47 GMT
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x-request-id:252-199757

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#634

GET https://tx.fhir.org/r5/CodeSystem/v2-0500 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:47 GMT
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#635

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0501 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:47 GMT
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#636

GET https://tx.fhir.org/r5/CodeSystem/v2-0501 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:47 GMT
pragma:no-cache
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x-request-id:252-199760

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#637

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0502 HTTP/1.0
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#638

GET https://tx.fhir.org/r5/CodeSystem/v2-0502 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:47 GMT
pragma:no-cache
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{"resourceType" : "CodeSystem","id" : "v2-0502","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "sd"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0502","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.326"}],"version" : "2.0.0","name" : "NonSubjectConsenterReason","title" : "non-subjectConsenterReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined  code system of concepts used to specify a reason consent was granted by a person other than the subject of the consent.  Used in the Consent (CON) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0502 (Non-Subject Consenter Reason)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0502","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "5508","code" : "MIN","display" : "Subject is a minor","definition" : "Subject is a minor","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "5509","code" : "NC","display" : "Subject is not competent to consent","definition" : "Subject is not competent to consent","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "5510","code" : "LM","display" : "Legally mandated","definition" : "Legally mandated","property" : [{"code" : "status","valueCode" : "active"}]}]}

#639

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0503 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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#640

GET https://tx.fhir.org/r5/CodeSystem/v2-0503 HTTP/1.0
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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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date:Mon, 15 Dec 2025 20:12:47 GMT
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server:nginx
x-request-id:252-199764

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#641

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0504 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
server:nginx
x-request-id:252-199765

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#642

GET https://tx.fhir.org/r5/CodeSystem/v2-0504 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2831
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
server:nginx
x-request-id:252-199766

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#643

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0505 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
server:nginx
x-request-id:252-199767

{"resourceType" : "Bundle","id" : "e9c9f40a-a0d5-42f9-bd60-242f37b62a","meta" : {"lastUpdated" : "2025-12-15T20:12:48.192Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0505"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0505","resource" : {"resourceType" : "CodeSystem","id" : "v2-0505","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0505","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.329"}],"version" : "2.0.0","name" : "CyclicEntryExitIndicator","title" : "cyclicEntryExitIndicator","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts used to specify if this service request is the first or last service request in a cyclic series of service requests.  Used in the Timing/Quantity Relationship (TQ2) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0505 (Cyclic Entry/Exit Indicator)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0505","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"id" : "5518","code" : "F","display" : "First service","definition" : "The first service request in a cyclic group","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "5519","code" : "L","display" : "Last service","definition" : "The last service request in a cyclic group","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "5520","code" : "*","display" : "The first service request in a cyclic group","definition" : "The first service request in a cyclic group","property" : [{"code" : "HL7usageNotes","valueString" : "Retired March 2016. Use code F instead"},{"code" : "status","valueCode" : "retired"}]},{"id" : "5521","code" : "#","display" : "The last service request in a cyclic group.","definition" : "The last service request in a cyclic group.","property" : [{"code" : "HL7usageNotes","valueString" : "Retired March 2016. Use code L instead"},{"code" : "status","valueCode" : "retired"}]}]}}]}

#644

GET https://tx.fhir.org/r5/CodeSystem/v2-0505 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2951
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
server:nginx
x-request-id:252-199768

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#645

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0506 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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#646

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#647

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0507 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:48 GMT
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#648

GET https://tx.fhir.org/r5/CodeSystem/v2-0507 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
server:nginx
x-request-id:252-199773

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#649

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0508 HTTP/1.0
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
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#650

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#651

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0510 HTTP/1.0
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#652

GET https://tx.fhir.org/r5/CodeSystem/v2-0510 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:6631
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date:Mon, 15 Dec 2025 20:12:48 GMT
pragma:no-cache
server:nginx
x-request-id:252-199777

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#653

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0511 HTTP/1.0
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:49 GMT
pragma:no-cache
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#654

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#655

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0513 HTTP/1.0
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#656

GET https://tx.fhir.org/r5/CodeSystem/v2-0513 HTTP/1.0
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200
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#657

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0514 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:49 GMT
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#658

GET https://tx.fhir.org/r5/CodeSystem/v2-0514 HTTP/1.0
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:49 GMT
pragma:no-cache
server:nginx
x-request-id:252-199783

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#659

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0516 HTTP/1.0
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200
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#660

GET https://tx.fhir.org/r5/CodeSystem/v2-0516 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:49 GMT
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#661

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0517 HTTP/1.0
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#662

GET https://tx.fhir.org/r5/CodeSystem/v2-0517 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:50 GMT
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#663

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0518 HTTP/1.0
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#664

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server:nginx
x-request-id:252-199789

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#665

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0520 HTTP/1.0
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server:nginx
x-request-id:252-199790

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#666

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date:Mon, 15 Dec 2025 20:12:50 GMT
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x-request-id:252-199791

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#667

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0523 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:50 GMT
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#668

GET https://tx.fhir.org/r5/CodeSystem/v2-0523 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:50 GMT
pragma:no-cache
server:nginx
x-request-id:252-199793

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#669

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0524 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:50 GMT
pragma:no-cache
server:nginx
x-request-id:252-199794

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#670

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#671

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#672

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#673

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#674

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#675

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0529 HTTP/1.0
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#676

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#677

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0530 HTTP/1.0
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#678

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#679

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#680

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#681

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#682

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#683

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#684

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#685

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#686

GET https://tx.fhir.org/r5/CodeSystem/v2-0538 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:51 GMT
pragma:no-cache
server:nginx
x-request-id:252-199811

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#687

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0540 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:52 GMT
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server:nginx
x-request-id:252-199812

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#688

GET https://tx.fhir.org/r5/CodeSystem/v2-0540 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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date:Mon, 15 Dec 2025 20:12:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-199813

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#689

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0544 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:52 GMT
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server:nginx
x-request-id:252-199814

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Accidental refrigeration or freezing is of little consequence"},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep at ambient (room) temperature, approximately 22 +/- 2 degrees C. Accidental refrigeration or freezing is of little consequence"},{"code" : "status","valueCode" : "active"}]},{"id" : "5671","code" : "XCAMB","display" : "Not Critical ambient temperature","definition" : "Not Critical ambient temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep critical ambient."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep critical ambient."},{"code" : "status","valueCode" : "active"}]},{"id" : "5672","code" : "XREF","display" : "Not Refrigerated temperature","definition" : "Not Refrigerated temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep at refrigerated temperature: 4-8 degrees C."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep at refrigerated temperature: 4-8 degrees C."},{"code" : "status","valueCode" : "active"}]},{"id" : "5673","code" : "XCREF","display" : "Not Critical refrigerated temperature","definition" : "Not Critical refrigerated temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep critical refrigerated."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep critical refrigerated."},{"code" : "status","valueCode" : "active"}]},{"id" : "5674","code" : "XFRZ","display" : "Not Frozen temperature","definition" : "Not Frozen temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep at frozen temperature: -4 degrees C."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep at frozen temperature: -4 degrees C."},{"code" : "status","valueCode" : "active"}]},{"id" : "5675","code" : "XCFRZ","display" : "Not Critical frozen temperature","definition" : "Not Critical frozen temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep critical frozen"},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep critical frozen"},{"code" : "status","valueCode" : "active"}]},{"id" : "5676","code" : "XDFRZ","display" : "Not Deep frozen","definition" : "Not Deep frozen","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep deep frozen: -16 to -20 degree C."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep deep frozen: -16 to -20 degree C."},{"code" : "status","valueCode" : "active"}]},{"id" : "5677","code" : "XUFRZ","display" : "Not Ultra frozen","definition" : "Not Ultra frozen","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep ultra cold frozen: ~ -75 to -85 degree C. (ultra cold freezer is typically at temperature of dry ice)."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep ultra cold frozen: ~ -75 to -85 degree C. (ultra cold freezer is typically at temperature of dry ice)."},{"code" : "status","valueCode" : "active"}]},{"id" : "5678","code" : "XNTR","display" : "Not Liquid nitrogen","definition" : "Not Liquid nitrogen","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep in liquid nitrogen."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep in liquid nitrogen."},{"code" : "status","valueCode" : "active"}]},{"id" : "5679","code" : "XPRTL","display" : "Not Protected from light","definition" : "Not Protected from light","property" : [{"code" : "v2-concComment","valueString" : "Failed to protect from light."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to protect from light."},{"code" : "status","valueCode" : "active"}]},{"id" : "5680","code" : "XCATM","display" : "Exposed to Air","definition" : "Exposed to Air","property" : [{"code" : "v2-concComment","valueString" : "Exposed to atmosphere."},{"code" : "v2-concCommentAsPub","valueString" : "Exposed to atmosphere."},{"code" : "status","valueCode" : "active"}]},{"id" : "5681","code" : "XDRY","display" : "Not Dry","definition" : "Not Dry","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep in a dry environment."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep in a dry environment."},{"code" : "status","valueCode" : "active"}]},{"id" : "5682","code" : "XPSO","display" : "Exposed to shock","definition" : "Exposed to shock","property" : [{"code" : "v2-concComment","valueString" : "Failed to protect from shock."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to protect from shock."},{"code" : "status","valueCode" : "active"}]},{"id" : "5683","code" : "XPSA","display" : "Shaken","definition" : "Shaken","property" : [{"code" : "v2-concComment","valueString" : "Shaken."},{"code" : "v2-concCommentAsPub","valueString" : "Shaken."},{"code" : "status","valueCode" : "active"}]},{"id" : "5684","code" : "XUPR","display" : "Not Upright","definition" : "Not Upright","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep upright."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep upright."},{"code" : "status","valueCode" : "active"}]},{"id" : "5685","code" : "XMTLF","display" : "Metal Exposed","definition" : "Metal Exposed","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep container is free of heavy metals."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep container is free of heavy metals."},{"code" : "status","valueCode" : "active"}]},{"id" : "5686","code" : "SB","display" : "Seal Broken","definition" : "Seal Broken","property" : [{"code" : "v2-concComment","valueString" : "Container seal is broken."},{"code" : "v2-concCommentAsPub","valueString" : "Container seal is broken."},{"code" : "status","valueCode" : "active"}]},{"id" : "5687","code" : "CC","display" : "Container Cracked","definition" : "Container Cracked","property" : [{"code" : "v2-concComment","valueString" : "Container is cracked."},{"code" : "v2-concCommentAsPub","valueString" : "Container is cracked."},{"code" : "status","valueCode" : "active"}]},{"id" : "5688","code" : "CT","display" : "Container Torn","definition" : "Container Torn","property" : [{"code" : "v2-concComment","valueString" : "Container is torn"},{"code" : "v2-concCommentAsPub","valueString" : "Container is torn"},{"code" : "status","valueCode" : "active"}]},{"id" : "5689","code" : "CL","display" : "Container Leaking","definition" : "Container Leaking","property" : [{"code" : "v2-concComment","valueString" : "Container is leaking"},{"code" : "v2-concCommentAsPub","valueString" : "Container is leaking"},{"code" : "status","valueCode" : "active"}]}]}}]}

#690

GET https://tx.fhir.org/r5/CodeSystem/v2-0544 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:10022
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-199815

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Accidental refrigeration or freezing is of little consequence"},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep at ambient (room) temperature, approximately 22 +/- 2 degrees C. Accidental refrigeration or freezing is of little consequence"},{"code" : "status","valueCode" : "active"}]},{"id" : "5671","code" : "XCAMB","display" : "Not Critical ambient temperature","definition" : "Not Critical ambient temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep critical ambient."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep critical ambient."},{"code" : "status","valueCode" : "active"}]},{"id" : "5672","code" : "XREF","display" : "Not Refrigerated temperature","definition" : "Not Refrigerated temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep at refrigerated temperature: 4-8 degrees C."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep at refrigerated temperature: 4-8 degrees C."},{"code" : "status","valueCode" : "active"}]},{"id" : "5673","code" : "XCREF","display" : "Not Critical refrigerated temperature","definition" : "Not Critical refrigerated temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep critical refrigerated."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep critical refrigerated."},{"code" : "status","valueCode" : "active"}]},{"id" : "5674","code" : "XFRZ","display" : "Not Frozen temperature","definition" : "Not Frozen temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep at frozen temperature: -4 degrees C."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep at frozen temperature: -4 degrees C."},{"code" : "status","valueCode" : "active"}]},{"id" : "5675","code" : "XCFRZ","display" : "Not Critical frozen temperature","definition" : "Not Critical frozen temperature","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep critical frozen"},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep critical frozen"},{"code" : "status","valueCode" : "active"}]},{"id" : "5676","code" : "XDFRZ","display" : "Not Deep frozen","definition" : "Not Deep frozen","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep deep frozen: -16 to -20 degree C."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep deep frozen: -16 to -20 degree C."},{"code" : "status","valueCode" : "active"}]},{"id" : "5677","code" : "XUFRZ","display" : "Not Ultra frozen","definition" : "Not Ultra frozen","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep ultra cold frozen: ~ -75 to -85 degree C. (ultra cold freezer is typically at temperature of dry ice)."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep ultra cold frozen: ~ -75 to -85 degree C. (ultra cold freezer is typically at temperature of dry ice)."},{"code" : "status","valueCode" : "active"}]},{"id" : "5678","code" : "XNTR","display" : "Not Liquid nitrogen","definition" : "Not Liquid nitrogen","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep in liquid nitrogen."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep in liquid nitrogen."},{"code" : "status","valueCode" : "active"}]},{"id" : "5679","code" : "XPRTL","display" : "Not Protected from light","definition" : "Not Protected from light","property" : [{"code" : "v2-concComment","valueString" : "Failed to protect from light."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to protect from light."},{"code" : "status","valueCode" : "active"}]},{"id" : "5680","code" : "XCATM","display" : "Exposed to Air","definition" : "Exposed to Air","property" : [{"code" : "v2-concComment","valueString" : "Exposed to atmosphere."},{"code" : "v2-concCommentAsPub","valueString" : "Exposed to atmosphere."},{"code" : "status","valueCode" : "active"}]},{"id" : "5681","code" : "XDRY","display" : "Not Dry","definition" : "Not Dry","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep in a dry environment."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep in a dry environment."},{"code" : "status","valueCode" : "active"}]},{"id" : "5682","code" : "XPSO","display" : "Exposed to shock","definition" : "Exposed to shock","property" : [{"code" : "v2-concComment","valueString" : "Failed to protect from shock."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to protect from shock."},{"code" : "status","valueCode" : "active"}]},{"id" : "5683","code" : "XPSA","display" : "Shaken","definition" : "Shaken","property" : [{"code" : "v2-concComment","valueString" : "Shaken."},{"code" : "v2-concCommentAsPub","valueString" : "Shaken."},{"code" : "status","valueCode" : "active"}]},{"id" : "5684","code" : "XUPR","display" : "Not Upright","definition" : "Not Upright","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep upright."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep upright."},{"code" : "status","valueCode" : "active"}]},{"id" : "5685","code" : "XMTLF","display" : "Metal Exposed","definition" : "Metal Exposed","property" : [{"code" : "v2-concComment","valueString" : "Failed to keep container is free of heavy metals."},{"code" : "v2-concCommentAsPub","valueString" : "Failed to keep container is free of heavy metals."},{"code" : "status","valueCode" : "active"}]},{"id" : "5686","code" : "SB","display" : "Seal Broken","definition" : "Seal Broken","property" : [{"code" : "v2-concComment","valueString" : "Container seal is broken."},{"code" : "v2-concCommentAsPub","valueString" : "Container seal is broken."},{"code" : "status","valueCode" : "active"}]},{"id" : "5687","code" : "CC","display" : "Container Cracked","definition" : "Container Cracked","property" : [{"code" : "v2-concComment","valueString" : "Container is cracked."},{"code" : "v2-concCommentAsPub","valueString" : "Container is cracked."},{"code" : "status","valueCode" : "active"}]},{"id" : "5688","code" : "CT","display" : "Container Torn","definition" : "Container Torn","property" : [{"code" : "v2-concComment","valueString" : "Container is torn"},{"code" : "v2-concCommentAsPub","valueString" : "Container is torn"},{"code" : "status","valueCode" : "active"}]},{"id" : "5689","code" : "CL","display" : "Container Leaking","definition" : "Container Leaking","property" : [{"code" : "v2-concComment","valueString" : "Container is leaking"},{"code" : "v2-concCommentAsPub","valueString" : "Container is leaking"},{"code" : "status","valueCode" : "active"}]}]}

#691

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0547 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:52 GMT
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server:nginx
x-request-id:252-199816

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#692

GET https://tx.fhir.org/r5/CodeSystem/v2-0547 HTTP/1.0
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:52 GMT
pragma:no-cache
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x-request-id:252-199817

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#693

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0548 HTTP/1.0
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date:Mon, 15 Dec 2025 20:12:52 GMT
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x-request-id:252-199818

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#694

GET https://tx.fhir.org/r5/CodeSystem/v2-0548 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:52 GMT
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#695

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0550 HTTP/1.0
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[{"code" : "status","valueCode" : "active"}]},{"id" : "6087","code" : "SWT","display" : "Sweat","definition" : "Sweat","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6088","code" : "SWTG","display" : "Sweat Gland","definition" : "Sweat Gland","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6089","code" : "SYNOL","display" : "Synovial","definition" : "Synovial","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6090","code" : "SYN","display" : "Synovial Fluid","definition" : "Synovial Fluid","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6091","code" : "SYNOV","display" : "Synovium","definition" : "Synovium","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6092","code" : "TARS","display" : "Tarsal","definition" : "Tarsal","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6093","code" : "TDUCT","display" : "Tear Duct","definition" : "Tear Duct","property" : [{"code" : 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#697

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date:Mon, 15 Dec 2025 20:12:52 GMT
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#698

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date:Mon, 15 Dec 2025 20:12:52 GMT
pragma:no-cache
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x-request-id:252-199823

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Receiver may only mark Invoice as cancelled, not purge records"},{"code" : "status","valueCode" : "active"}]},{"id" : "6148","code" : "CG","display" : "Cancel Invoice Product/Service Group","definition" : "Cancel Invoice Product/Service Group","property" : [{"code" : "v2-concComment","valueString" : "Cancel a specific Product/Service Group in an Invoice"},{"code" : "v2-concCommentAsPub","valueString" : "Cancel a specific Product/Service Group in an Invoice"},{"code" : "status","valueCode" : "active"}]},{"id" : "6149","code" : "CL","display" : "Cancel Invoice Product/Service Line Item","definition" : "Cancel Invoice Product/Service Line Item","property" : [{"code" : "v2-concComment","valueString" : "Cancel a specific Product/Service Line Item in an Invoice"},{"code" : "v2-concCommentAsPub","valueString" : "Cancel a specific Product/Service Line Item in an Invoice"},{"code" : "status","valueCode" : "active"}]},{"id" : "6150","code" : "PD","display" : "Pre-Determination Invoice","definition" : "Pre-Determination Invoice","property" : [{"code" : "v2-concComment","valueString" : "Can be used to submit an invoice through a Payer's edit and adjudication engine to determine if the invoice will be paid - does not result in payment by Payer"},{"code" : "v2-concCommentAsPub","valueString" : "Can be used to submit an invoice through a Payer's edit and adjudication engine to determine if the invoice will be paid - does not result in payment by Payer"},{"code" : "status","valueCode" : "active"}]},{"id" : "6151","code" : "RA","display" : "Re-Assessment","definition" : "Re-Assessment","property" : [{"code" : "v2-concComment","valueString" : "Used on EHC^E04 only"},{"code" : "v2-concCommentAsPub","valueString" : "Used on EHC^E04 only"},{"code" : "status","valueCode" : "active"}]},{"id" : "6152","code" : "OA","display" : "Original Authorization","definition" : "Original Authorization","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6153","code" : "SA","display" : "Special Authorization","definition" : "Special Authorization","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6154","code" : "AI","display" : "Combined Authorization and Adjudication request","definition" : "Combined Authorization and Adjudication request","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6155","code" : "PA","display" : "Pre-Authorization","definition" : "Pre-Authorization","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6156","code" : "AA","display" : "Authorization request for inpatient admission","definition" : "Authorization request for inpatient admission","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6157","code" : "EA","display" : "Authorization request for inpatient stay extension","definition" : "Authorization request for inpatient stay extension","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6158","code" : "RC","display" : "Referral Pre-Authorization","definition" : "Referral Pre-Authorization","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6159","code" : "CA","display" : "Cancel Authorization request","definition" : "Cancel Authorization request","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6160","code" : "CP","display" : "Copy of Invoice","definition" : "Copy of Invoice","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6161","code" : "CQ","display" : "Coverage Register Query","definition" : "Coverage Register Query","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6162","code" : "RU","display" : "Referral authorization","definition" : "Referral authorization","property" : [{"code" : "status","valueCode" : "active"}]}]}

#699

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0554 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3107
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199824

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#700

GET https://tx.fhir.org/r5/CodeSystem/v2-0554 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2761
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199825

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#701

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0555 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4651
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199826

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#702

GET https://tx.fhir.org/r5/CodeSystem/v2-0555 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4305
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199827

{"resourceType" : "CodeSystem","id" : "v2-0555","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0555","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.359"}],"version" : "2.0.0","name" : "InvoiceType","title" : "invoiceType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the type of invoice.  Used in the Invoice (IVC) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0555 (Invoice Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0555","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6166","code" : "FS","display" : "Fee for Service","definition" : "Fee for Service","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6167","code" : "SS","display" : "By Session","definition" : "By Session","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6168","code" : "GP","display" : "Group","definition" : "Group","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6169","code" : "BK","display" : "Block","definition" : "Block","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6170","code" : "SL","display" : "Salary","definition" : "Salary","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6171","code" : "IN","display" : "Information Only","definition" : "Information Only","property" : [{"code" : "v2-concComment","valueString" : "Payee information not required for this Invoice Type"},{"code" : "v2-concCommentAsPub","valueString" : "Payee information not required for this Invoice Type"},{"code" : "status","valueCode" : "active"}]},{"id" : "6172","code" : "NP","display" : "Non Patient","definition" : "Non Patient","property" : [{"code" : "v2-concComment","valueString" : "Invoice without a patient.  E.g. bulk invoicing for Pharmacy for a care facility."},{"code" : "v2-concCommentAsPub","valueString" : "Invoice without a patient.  E.g. bulk invoicing for Pharmacy for a care facility."},{"code" : "status","valueCode" : "active"}]},{"id" : "6173","code" : "FN","display" : "Final","definition" : "Final","property" : [{"code" : "v2-concComment","valueString" : "Final Invoice"},{"code" : "v2-concCommentAsPub","valueString" : "Final Invoice"},{"code" : "status","valueCode" : "active"}]},{"id" : "6174","code" : "PA","display" : "Partial","definition" : "Partial","property" : [{"code" : "v2-concComment","valueString" : "Partial Invoice"},{"code" : "v2-concCommentAsPub","valueString" : "Partial Invoice"},{"code" : "status","valueCode" : "active"}]},{"id" : "6175","code" : "SU","display" : "Supplemental","definition" : "Supplemental","property" : [{"code" : "v2-concComment","valueString" : "Supplemental Invoice"},{"code" : "v2-concCommentAsPub","valueString" : "Supplemental Invoice"},{"code" : "status","valueCode" : "active"}]}]}

#703

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0556 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2327
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199828

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#704

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200
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date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199829

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#705

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0557 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199830

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#706

GET https://tx.fhir.org/r5/CodeSystem/v2-0557 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4212
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199831

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#707

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0558 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2693
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199832

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#708

GET https://tx.fhir.org/r5/CodeSystem/v2-0558 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2347
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199833

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#709

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0559 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199834

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#710

GET https://tx.fhir.org/r5/CodeSystem/v2-0559 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-199835

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#711

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0561 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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date:Mon, 15 Dec 2025 20:12:54 GMT
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x-request-id:252-199836

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#712

GET https://tx.fhir.org/r5/CodeSystem/v2-0561 HTTP/1.0
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200
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connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199837

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#713

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0562 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199838

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#714

GET https://tx.fhir.org/r5/CodeSystem/v2-0562 HTTP/1.0
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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3967
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199839

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#715

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0564 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199840

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#716

GET https://tx.fhir.org/r5/CodeSystem/v2-0564 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3329
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199841

{"resourceType" : "CodeSystem","id" : "v2-0564","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0564","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.366"}],"version" : "2.0.0","name" : "AdjustmentCategory","title" : "adjustmentCategory","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the category of adjustment and is used to assist in determining which table is used for Adjustment Reason.  Used in the Adjustment (ADJ) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0564 (Adjustment Category Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0564","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6207","code" : "EA","display" : "Edit/Adjudication Response","definition" : "Edit/Adjudication Response","property" : [{"code" : "v2-concComment","valueString" : "Payer adjustment"},{"code" : "v2-concCommentAsPub","valueString" : "Payer adjustment"},{"code" : "status","valueCode" : "active"}]},{"id" : "6208","code" : "IN","display" : "Information","definition" : "Information","property" : [{"code" : "v2-concComment","valueString" : "Payer adjustment"},{"code" : "v2-concCommentAsPub","valueString" : "Payer adjustment"},{"code" : "status","valueCode" : "active"}]},{"id" : "6209","code" : "PA","display" : "Provider Adjustment","definition" : "Provider Adjustment","property" : [{"code" : "v2-concComment","valueString" : "Provider adjustment"},{"code" : "v2-concCommentAsPub","valueString" : "Provider adjustment"},{"code" : "status","valueCode" : "active"}]},{"id" : "6210","code" : "PR","display" : "Processing Result","definition" : "Processing Result","property" : [{"code" : "v2-concComment","valueString" : "Payer adjustment"},{"code" : "v2-concCommentAsPub","valueString" : "Payer adjustment"},{"code" : "status","valueCode" : "active"}]}]}

#717

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0565 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2884
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199842

{"resourceType" : "Bundle","id" : "06c7c52c-0af9-4af4-88c9-b65e4fd88d","meta" : {"lastUpdated" : "2025-12-15T20:12:54.489Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0565"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0565","resource" : {"resourceType" : "CodeSystem","id" : "v2-0565","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0565","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.367"}],"version" : "2.0.0","name" : "ProviderAdjustmentReason","title" : "providerAdjustmentReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the reason for this adjustment.  Used in the Adjustment (ADJ) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0565 (Provider Adjustment Reason Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0565","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6211","code" : "PST","display" : "Provincial Sales Tax","definition" : "Provincial Sales Tax","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6212","code" : "GST","display" : "Goods and Services Tax","definition" : "Goods and Services Tax","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6213","code" : "HST","display" : "Harmonized Sales Tax","definition" : "Harmonized Sales Tax","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6214","code" : "DISP","display" : "Dispensing Fee","definition" : "Dispensing Fee","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6215","code" : "MKUP","display" : "Mark up Fee","definition" : "Mark up Fee","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#718

GET https://tx.fhir.org/r5/CodeSystem/v2-0565 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2538
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199843

{"resourceType" : "CodeSystem","id" : "v2-0565","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0565","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.367"}],"version" : "2.0.0","name" : "ProviderAdjustmentReason","title" : "providerAdjustmentReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the reason for this adjustment.  Used in the Adjustment (ADJ) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0565 (Provider Adjustment Reason Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0565","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6211","code" : "PST","display" : "Provincial Sales Tax","definition" : "Provincial Sales Tax","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6212","code" : "GST","display" : "Goods and Services Tax","definition" : "Goods and Services Tax","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6213","code" : "HST","display" : "Harmonized Sales Tax","definition" : "Harmonized Sales Tax","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6214","code" : "DISP","display" : "Dispensing Fee","definition" : "Dispensing Fee","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6215","code" : "MKUP","display" : "Mark up Fee","definition" : "Mark up Fee","property" : [{"code" : "status","valueCode" : "active"}]}]}

#719

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0566 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3100
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199844

{"resourceType" : "Bundle","id" : "97676281-11e6-4bf1-8904-b1bf564878","meta" : {"lastUpdated" : "2025-12-15T20:12:54.645Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0566"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0566","resource" : {"resourceType" : "CodeSystem","id" : "v2-0566","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0566","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.368"}],"version" : "2.0.0","name" : "BloodUnitType","title" : "bloodUnitType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts used to specify the type of blood unit.  Used in the Blood Unit Information (BUI) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0566 (Blood Unit Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0566","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6216","code" : "WBL","display" : "Whole Blood","definition" : "Whole Blood","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6217","code" : "RBC","display" : "Red Blood Cells","definition" : "Red Blood Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6218","code" : "PLS","display" : "Plasma","definition" : "Plasma","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6219","code" : "PLT","display" : "Platelets","definition" : "Platelets","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6220","code" : "GRN","display" : "Granulocytes","definition" : "Granulocytes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6221","code" : "PSC","display" : "Peripheral Stem Cells","definition" : "Peripheral Stem Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6222","code" : "LYM","display" : "Lymphocytes","definition" : "Lymphocytes","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#720

GET https://tx.fhir.org/r5/CodeSystem/v2-0566 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2754
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-199845

{"resourceType" : "CodeSystem","id" : "v2-0566","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0566","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.368"}],"version" : "2.0.0","name" : "BloodUnitType","title" : "bloodUnitType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts used to specify the type of blood unit.  Used in the Blood Unit Information (BUI) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0566 (Blood Unit Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0566","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6216","code" : "WBL","display" : "Whole Blood","definition" : "Whole Blood","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6217","code" : "RBC","display" : "Red Blood Cells","definition" : "Red Blood Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6218","code" : "PLS","display" : "Plasma","definition" : "Plasma","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6219","code" : "PLT","display" : "Platelets","definition" : "Platelets","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6220","code" : "GRN","display" : "Granulocytes","definition" : "Granulocytes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6221","code" : "PSC","display" : "Peripheral Stem Cells","definition" : "Peripheral Stem Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6222","code" : "LYM","display" : "Lymphocytes","definition" : "Lymphocytes","property" : [{"code" : "status","valueCode" : "active"}]}]}

#721

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://unitsofmeasure.org","version":"2.0.0","concept":[{"code":"[lb_av]"},{"code":"[oz_av]"},{"code":"kg"},{"code":"g"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:762
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
server:nginx
x-request-id:252-199847

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://unitsofmeasure.org' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2.2</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://unitsofmeasure.org' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2.2"}}]}

#722

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"http://terminology.hl7.org/ValueSet/v2-0567-inc-0","status":"active","compose":{"inactive":false,"include":[{"system":"http://unitsofmeasure.org","version":"2.0.0","concept":[{"code":"[lb_av]"},{"code":"[oz_av]"},{"code":"kg"},{"code":"g"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:762
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:54 GMT
server:nginx
x-request-id:252-199849

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://unitsofmeasure.org' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2.2</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://unitsofmeasure.org' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2.2"}}]}

#723

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://unitsofmeasure.org","version":"2.0.0","concept":[{"code":"l"},{"code":"[pt_us]"},{"code":"ml"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:762
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:55 GMT
server:nginx
x-request-id:252-199851

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://unitsofmeasure.org' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2.2</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://unitsofmeasure.org' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2.2"}}]}

#724

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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server:nginx
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#725

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0569 HTTP/1.0
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#726

GET https://tx.fhir.org/r5/CodeSystem/v2-0569 HTTP/1.0
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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
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x-request-id:252-199855

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#727

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0570 HTTP/1.0
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200
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199856

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#728

GET https://tx.fhir.org/r5/CodeSystem/v2-0570 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3859
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199857

{"resourceType" : "CodeSystem","id" : "v2-0570","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0570","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.370"}],"version" : "2.0.0","name" : "PaymentMethod","title" : "paymentMethod","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the method for the movement of payment.  Used in the Payment Information (PMT) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0570 (Payment Method Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0570","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6233","code" : "CASH","display" : "Cash","definition" : "Cash","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6234","code" : "CCCA","display" : "Credit Card","definition" : "Credit Card","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6235","code" : "CCHK","display" : "Cashier's Check","definition" : "Cashier's Check","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6236","code" : "CDAC","display" : "Credit/Debit Account","definition" : "Credit/Debit Account","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6237","code" : "CHCK","display" : "Check","definition" : "Check","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6238","code" : "DDPO","display" : "Direct Deposit","definition" : "Direct Deposit","property" : [{"code" : "v2-concComment","valueString" : "EFT"},{"code" : "v2-concCommentAsPub","valueString" : "EFT"},{"code" : "status","valueCode" : "active"}]},{"id" : "6239","code" : "DEBC","display" : "Debit Card","definition" : "Debit Card","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6240","code" : "SWFT","display" : "Society for Worldwide Interbank Financial Telecommunications (S.W.I.F.T.)","definition" : "Society for Worldwide Interbank Financial Telecommunications (S.W.I.F.T.)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6241","code" : "TRAC","display" : "Traveler's Check","definition" : "Traveler's Check","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6242","code" : "VISN","display" : "VISA Special Electronic Funds Transfer Network","definition" : "VISA Special Electronic Funds Transfer Network","property" : [{"code" : "status","valueCode" : "active"}]}]}

#729

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0571 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199858

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#730

GET https://tx.fhir.org/r5/CodeSystem/v2-0571 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3865
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199859

{"resourceType" : "CodeSystem","id" : "v2-0571","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0571","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.371"}],"version" : "2.0.0","name" : "InvoiceProcessingResultsStatus","title" : "invoiceProcessingResultsStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the processing status for an Invoice Processing Result.  Used in the Invoice Processing Result (IPR) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0571 (Invoice Processing Results Status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0571","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6243","code" : "ACK","display" : "Acknowledge","definition" : "Acknowledge","designation" : [{"language" : "de","use" : {"system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code" : "preferredForLanguage"},"value" : "Empfangsbestätigung"}],"property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6244","code" : "REJECT","display" : "Reject","definition" : "Reject","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6245","code" : "PEND","display" : "Pending","definition" : "Pending","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6246","code" : "ADJZER","display" : "Adjudicated to Zero","definition" : "Adjudicated to Zero","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6247","code" : "ADJSUB","display" : "Adjudicated as Submitted","definition" : "Adjudicated as Submitted","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6248","code" : "ADJ","display" : "Adjudicated with Adjustments","definition" : "Adjudicated with Adjustments","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6249","code" : "PAID","display" : "Paid","definition" : "Paid","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6250","code" : "PRED","display" : "Pre-Determination","definition" : "Pre-Determination","property" : [{"code" : "v2-concComment","valueString" : "Indicates that the IPR has been adjudicated but will not be paid.  Equivalent to ADJUD (Adjudicate)"},{"code" : "v2-concCommentAsPub","valueString" : "Indicates that the IPR has been adjudicated but will not be paid.  Equivalent to ADJUD (Adjudicate)"},{"code" : "status","valueCode" : "active"}]}]}

#731

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0572 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2398
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199860

{"resourceType" : "Bundle","id" : "3d4056a6-38c7-4e62-b9d4-16046f60b8","meta" : {"lastUpdated" : "2025-12-15T20:12:55.864Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0572"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0572","resource" : {"resourceType" : "CodeSystem","id" : "v2-0572","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0572","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.372"}],"version" : "2.0.0","name" : "TaxStatus","title" : "taxStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the tax status of the provider.  Used in the Invoice (IVC) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0572 (Tax status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0572","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6251","code" : "RVAT","display" : "Registered in VAT register","definition" : "Registered in VAT register","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6252","code" : "UVAT","display" : "Unregistered in VAT register","definition" : "Unregistered in VAT register","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#732

GET https://tx.fhir.org/r5/CodeSystem/v2-0572 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2052
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-199861

{"resourceType" : "CodeSystem","id" : "v2-0572","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0572","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.372"}],"version" : "2.0.0","name" : "TaxStatus","title" : "taxStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts used to specify the tax status of the provider.  Used in the Invoice (IVC) segment in HL7 Version 2.x messaging.","purpose" : "Underlying Master Code System for V2 table 0572 (Tax status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0572","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6251","code" : "RVAT","display" : "Registered in VAT register","definition" : "Registered in VAT register","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6252","code" : "UVAT","display" : "Unregistered in VAT register","definition" : "Unregistered in VAT register","property" : [{"code" : "status","valueCode" : "active"}]}]}

#733

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0615 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3291
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199862

{"resourceType" : "Bundle","id" : "2bcd5495-23a5-42d7-bc3b-e963e59eca","meta" : {"lastUpdated" : "2025-12-15T20:12:56.020Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0615"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0615","resource" : {"resourceType" : "CodeSystem","id" : "v2-0615","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0615","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.373"}],"version" : "2.0.0","name" : "UserAuthenticationCredentialType","title" : "userAuthenticationCredentialType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying a type of user authentication credential.  Used in HL7 Version 2.x messaging in the UAC segment.","purpose" : "Underlying Master Code System for V2 table 0615 (User Authentication Credential Type Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0615","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6253","code" : "KERB","display" : "Kerberos Service Ticket","definition" : "Kerberos Service Ticket","property" : [{"code" : "v2-concComment","valueString" : "Structure defined by RFC 1510"},{"code" : "v2-concCommentAsPub","valueString" : "Structure defined by RFC 1510"},{"code" : "status","valueCode" : "active"}]},{"id" : "6254","code" : "SAML","display" : "Authenticated User Identity Assertion","definition" : "Authenticated User Identity Assertion","property" : [{"code" : "v2-concComment","valueString" : "XML structure defined by the OASIS Security Assertion Markup Language (SAML) specification"},{"code" : "v2-concCommentAsPub","valueString" : "XML structure defined by the OASIS Security Assertion Markup Language (SAML) specification"},{"code" : "status","valueCode" : "active"}]}]}}]}

#734

GET https://tx.fhir.org/r5/CodeSystem/v2-0615 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2945
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199863

{"resourceType" : "CodeSystem","id" : "v2-0615","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0615","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.373"}],"version" : "2.0.0","name" : "UserAuthenticationCredentialType","title" : "userAuthenticationCredentialType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying a type of user authentication credential.  Used in HL7 Version 2.x messaging in the UAC segment.","purpose" : "Underlying Master Code System for V2 table 0615 (User Authentication Credential Type Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0615","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6253","code" : "KERB","display" : "Kerberos Service Ticket","definition" : "Kerberos Service Ticket","property" : [{"code" : "v2-concComment","valueString" : "Structure defined by RFC 1510"},{"code" : "v2-concCommentAsPub","valueString" : "Structure defined by RFC 1510"},{"code" : "status","valueCode" : "active"}]},{"id" : "6254","code" : "SAML","display" : "Authenticated User Identity Assertion","definition" : "Authenticated User Identity Assertion","property" : [{"code" : "v2-concComment","valueString" : "XML structure defined by the OASIS Security Assertion Markup Language (SAML) specification"},{"code" : "v2-concCommentAsPub","valueString" : "XML structure defined by the OASIS Security Assertion Markup Language (SAML) specification"},{"code" : "status","valueCode" : "active"}]}]}

#735

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0616 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4027
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199864

{"resourceType" : "Bundle","id" : "61713cfe-6242-4d0f-900e-b3f08f5054","meta" : {"lastUpdated" : "2025-12-15T20:12:56.192Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0616"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0616","resource" : {"resourceType" : "CodeSystem","id" : "v2-0616","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0616","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.374"}],"version" : "2.0.0","name" : "AddressExpirationReason","title" : "addressExpirationReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the reason this address was marked as \"ended\".  Used in HL7 Version 2.x messaging in the XAD segment.","purpose" : "Underlying Master Code System for V2 table 0616 (Address Expiration Reason)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0616","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6255","code" : "M","display" : "Moved","definition" : "Moved","property" : [{"code" : "v2-concComment","valueString" : "The individual associated with the address has moved and is no longer reachable at the address"},{"code" : "v2-concCommentAsPub","valueString" : "The individual associated with the address has moved and is no longer reachable at the address"},{"code" : "status","valueCode" : "active"}]},{"id" : "6256","code" : "E","display" : "Added in error","definition" : "Added in error","property" : [{"code" : "v2-concComment","valueString" : "The address was incorrect and should never have been associated with the individual"},{"code" : "v2-concCommentAsPub","valueString" : "The address was incorrect and should never have been associated with the individual"},{"code" : "status","valueCode" : "active"}]},{"id" : "6257","code" : "R","display" : "On request","definition" : "On request","property" : [{"code" : "v2-concComment","valueString" : "The associated individual requested that the address be removed from their record"},{"code" : "v2-concCommentAsPub","valueString" : "The associated individual requested that the address be removed from their record"},{"code" : "status","valueCode" : "active"}]},{"id" : "6258","code" : "C","display" : "Corrected","definition" : "Corrected","property" : [{"code" : "v2-concComment","valueString" : "The address has been replaced with a corrected version"},{"code" : "v2-concCommentAsPub","valueString" : "The address has been replaced with a corrected version"},{"code" : "status","valueCode" : "active"}]}]}}]}

#736

GET https://tx.fhir.org/r5/CodeSystem/v2-0616 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3681
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199865

{"resourceType" : "CodeSystem","id" : "v2-0616","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0616","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.374"}],"version" : "2.0.0","name" : "AddressExpirationReason","title" : "addressExpirationReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the reason this address was marked as \"ended\".  Used in HL7 Version 2.x messaging in the XAD segment.","purpose" : "Underlying Master Code System for V2 table 0616 (Address Expiration Reason)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0616","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6255","code" : "M","display" : "Moved","definition" : "Moved","property" : [{"code" : "v2-concComment","valueString" : "The individual associated with the address has moved and is no longer reachable at the address"},{"code" : "v2-concCommentAsPub","valueString" : "The individual associated with the address has moved and is no longer reachable at the address"},{"code" : "status","valueCode" : "active"}]},{"id" : "6256","code" : "E","display" : "Added in error","definition" : "Added in error","property" : [{"code" : "v2-concComment","valueString" : "The address was incorrect and should never have been associated with the individual"},{"code" : "v2-concCommentAsPub","valueString" : "The address was incorrect and should never have been associated with the individual"},{"code" : "status","valueCode" : "active"}]},{"id" : "6257","code" : "R","display" : "On request","definition" : "On request","property" : [{"code" : "v2-concComment","valueString" : "The associated individual requested that the address be removed from their record"},{"code" : "v2-concCommentAsPub","valueString" : "The associated individual requested that the address be removed from their record"},{"code" : "status","valueCode" : "active"}]},{"id" : "6258","code" : "C","display" : "Corrected","definition" : "Corrected","property" : [{"code" : "v2-concComment","valueString" : "The address has been replaced with a corrected version"},{"code" : "v2-concCommentAsPub","valueString" : "The address has been replaced with a corrected version"},{"code" : "status","valueCode" : "active"}]}]}

#737

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0617 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5762
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199866

{"resourceType" : "Bundle","id" : "6b5145b7-ea45-41a4-9e2b-80d7106c3e","meta" : {"lastUpdated" : "2025-12-15T20:12:56.364Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0617"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0617","resource" : {"resourceType" : "CodeSystem","id" : "v2-0617","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0617","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.375"}],"version" : "2.0.0","name" : "AddressUsage","title" : "addressUsage","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying how an address is intended to be used.  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Such addresses frequently contain insufficient information to be used as mailing or visit addresses.  For example, they may only indicate country and postal code, without providing a street address."},{"code" : "v2-concCommentAsPub","valueString" : "Identifies an address used for the purpose of demographic classification or searching.  Such addresses frequently contain insufficient information to be used as mailing or visit addresses.  For example, they may only indicate country and postal code, without providing a street address."},{"code" : "status","valueCode" : "active"}]}]}}]}

#738

GET https://tx.fhir.org/r5/CodeSystem/v2-0617 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5416
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199867

{"resourceType" : "CodeSystem","id" : "v2-0617","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0617","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.375"}],"version" : "2.0.0","name" : "AddressUsage","title" : "addressUsage","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying how an address is intended to be used.  Used in HL7 Version 2.x messaging in the XAD segment.","purpose" : "Underlying Master Code System for V2 table 0617 (Address Usage)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. 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#739

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0618 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2566
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199868

{"resourceType" : "Bundle","id" : "347907d2-b829-4ea3-8d21-aaa675a572","meta" : {"lastUpdated" : "2025-12-15T20:12:56.520Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0618"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0618","resource" : {"resourceType" : "CodeSystem","id" : "v2-0618","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0618","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.376"}],"version" : "2.0.0","name" : "Protection","title" : "protection","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying that an address needs to be treated with special care or sensitivity. Used in HL7 Version 2.x messaging in the XAD and XTN segments.","purpose" : "Underlying Master Code System for V2 table 0618 (Protection Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0618","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6262","code" : "LI","display" : "Listed","definition" : "Listed","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6263","code" : "UL","display" : "Unlisted (Should not appear in directories)","definition" : "Unlisted (Should not appear in directories)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6264","code" : "UP","display" : "Unpublished","definition" : "Unpublished","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#740

GET https://tx.fhir.org/r5/CodeSystem/v2-0618 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2220
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199869

{"resourceType" : "CodeSystem","id" : "v2-0618","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0618","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.376"}],"version" : "2.0.0","name" : "Protection","title" : "protection","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying that an address needs to be treated with special care or sensitivity. Used in HL7 Version 2.x messaging in the XAD and XTN segments.","purpose" : "Underlying Master Code System for V2 table 0618 (Protection Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0618","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6262","code" : "LI","display" : "Listed","definition" : "Listed","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6263","code" : "UL","display" : "Unlisted (Should not appear in directories)","definition" : "Unlisted (Should not appear in directories)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6264","code" : "UP","display" : "Unpublished","definition" : "Unpublished","property" : [{"code" : "status","valueCode" : "active"}]}]}

#741

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0625 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3484
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199870

{"resourceType" : "Bundle","id" : "923ce022-cecc-4a78-9013-20efa1e486","meta" : {"lastUpdated" : "2025-12-15T20:12:56.676Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0625"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0625","resource" : {"resourceType" : "CodeSystem","id" : "v2-0625","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0625","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.377"}],"version" : "2.0.0","name" : "ItemStatus","title" : "itemStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts that identify the state of an inventory item within the context of an inventory location. Used in HL7 Version 2.x messaging in the IVT segment.","purpose" : "Underlying Master Code System for V2 table 0625 (Item Status Codes)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0625","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6265","code" : "1","display" : "Active","definition" : "Active","property" : [{"code" : "v2-concComment","valueString" : "Item is available to be purchased or issued."},{"code" : "v2-concCommentAsPub","valueString" : "Item is available to be purchased or issued."},{"code" : "status","valueCode" : "active"}]},{"id" : "6266","code" : "2","display" : "Pending Inactive","definition" : "Pending Inactive","property" : [{"code" : "v2-concComment","valueString" : "Item is not available to be purchased, but is available to be issued."},{"code" : "v2-concCommentAsPub","valueString" : "Item is not available to be purchased, but is available to be issued."},{"code" : "status","valueCode" : "active"}]},{"id" : "6267","code" : "3","display" : "Inactive","definition" : "Inactive","property" : [{"code" : "v2-concComment","valueString" : "Item is not available to be purchased or issued."},{"code" : "v2-concCommentAsPub","valueString" : "Item is not available to be purchased or issued."},{"code" : "status","valueCode" : "active"}]}]}}]}

#742

GET https://tx.fhir.org/r5/CodeSystem/v2-0625 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3138
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199871

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#743

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0634 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2244
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199872

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#744

GET https://tx.fhir.org/r5/CodeSystem/v2-0634 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1898
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-199873

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#745

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0642 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4309
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199874

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#746

GET https://tx.fhir.org/r5/CodeSystem/v2-0642 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3963
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199875

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#747

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0651 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2372
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199876

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#748

GET https://tx.fhir.org/r5/CodeSystem/v2-0651 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2026
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199877

{"resourceType" : "CodeSystem","id" : "v2-0651","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0651","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.380"}],"version" : "2.0.0","name" : "LaborCalculationType","title" : "laborCalculationType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts that identify the method used to calculate employee labor and measure employee productivity. Used in HL7 Version 2.x messaging in the SCP segment.","purpose" : "Underlying Master Code System for V2 table 0651 (Labor Calculation Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0651","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6272","code" : "TME","display" : "Time","definition" : "Time","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6273","code" : "CST","display" : "Cost","definition" : "Cost","property" : [{"code" : "status","valueCode" : "active"}]}]}

#749

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0653 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4011
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199878

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#750

GET https://tx.fhir.org/r5/CodeSystem/v2-0653 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:57 GMT
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x-request-id:252-199879

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#751

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0657 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:12:57 GMT
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x-request-id:252-199880

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#752

GET https://tx.fhir.org/r5/CodeSystem/v2-0657 HTTP/1.0
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User-Agent: fhir/publisher
200
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date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199881

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#753

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0659 HTTP/1.0
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
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date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199882

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#754

GET https://tx.fhir.org/r5/CodeSystem/v2-0659 HTTP/1.0
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199883

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#755

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0667 HTTP/1.0
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199884

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#756

GET https://tx.fhir.org/r5/CodeSystem/v2-0667 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2624
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199885

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#757

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0669 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:12:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-199886

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#758

GET https://tx.fhir.org/r5/CodeSystem/v2-0669 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199887

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#759

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0682 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2909
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199888

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#760

GET https://tx.fhir.org/r5/CodeSystem/v2-0682 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2563
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199889

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#761

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0702 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:10810
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-199890

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#762

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date:Mon, 15 Dec 2025 20:12:58 GMT
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#763

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Used in HL7 Version 2.x messaging in the ARV segment.  Note that these new codes as of November 2018 have been temporarily loaded into this V2 code system pending availability of the currently unavailable new tooling, at which time this code systrem will be retired and a value set of codes from the HL7 V3 ActCode code system will be used instead for this table.","purpose" : "Underlying Master Code System for V2 table 0717 (Access Restriction Value)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0717","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"}],"concept" : [{"id" : "6328","code" : "PersDEID","display" : "personal de-identified information policy","definition" : "Personal policy on collection, access, use, or disclosure of de-identified information as defined by the information subject or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6329","code" : "ALL","display" : "All","definition" : "All","property" : [{"code" : "v2-concComment","valueString" : "This code is for backwards compatibility only as of v2.9. \r\nIf any of 1..* ARV-4 sensitivity codes (Table 0179) apply to the entire message, then ERL is not populated. This emulates the current Table 0717 code “ALL”."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6330","code" : "DEM","display" : "All demographic data","definition" : "All demographic data","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “DEMO” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6331","code" : "LOC","display" : "Patient Location","definition" : "Patient Location","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “PATLOC” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6332","code" : "PID-7","display" : "Date of Birth","definition" : "Date of Birth","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “DOB” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6333","code" : "PID-17","display" : "Religion","definition" : "Religion","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “REL” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6334","code" : "HIV","display" : "HIV status and results","definition" : "HIV status and results","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “HIV” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6335","code" : "STD","display" : "Sexually transmitted diseases","definition" : "Sexually transmitted diseases","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “STD” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6336","code" : "PSY","display" : "Psychiatric Mental health","definition" : "Psychiatric Mental health","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “SPI” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6337","code" : "DRG","display" : "Drug","definition" : "Drug","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “DRGIS” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6338","code" : "SMD","display" : "Sensitive medical data","definition" : "Sensitive medical data","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the several concepts that are more granular v3 ActCode_ActPrivacyPolicy_InformationSensitivityPolicy code, e.g., DIA (diagnosis information sensitivity) and PRS (patient requested information sensitivity) as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6339","code" : "NO","display" : "None","definition" : "None","property" : [{"code" : "v2-concComment","valueString" : "This code is for backwards compatibility only as of v2.9. \r\nIf no restrictions, don’t send an ARV segment altogether.  If sent, ARV-3 is a required element however. To emulate 0717 “NONE”, populate ARV-3 with code from new ActCode_ActPolicyType__ActInformationPolicy such as OrgNSI (organizational non-sensitive information policy) or PersNSI (personal non-sensitive information policy).   \r\nDon’t populate ARV-7.  E.g., Device record that is not sensitive. If you have a situation where an ARV-4 is valued, as required by, e.g., an organizational policy related to disclosure of  a VIP’s health status or location at a facility, and the VIP has authorized disclosure as public information, one may use OrgPI (organizational public information policy - Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or governing jurisdiction) to value ARV-3 indicating that the policy permits the disclosure of VIP sensitive information as coded in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6340","code" : "OO","display" : "Opt out all registries (HIPAA)","definition" : "Opt out all registries (HIPAA)","property" : [{"code" : "v2-concComment","valueString" : "Map to similar code in new ActCode_ActPolicyType_ActConsent_ActPrivacyConsentDirective_RegistryConsentDirective, which are any of these: OPTOUT, OPTOUTE, OOC, OOS"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6341","code" : "OI","display" : "Opt in all registries (HIPAA)","definition" : "Opt in all registries (HIPAA)","property" : [{"code" : "v2-concComment","valueString" : "Map to similar code in new ActCode_ActPolicyType_ActConsent_ActPrivacyConsentDirective_RegistryConsentDirective, which are any of these: OPTIN, OPTINR, OIC, OIS"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6342","code" : "JurisIP","display" : "jurisdictional information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6343","code" : "JurisCUI","display" : "jurisdictional controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, .use, or disclosure of controlled unclassified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6344","code" : "JurisDEID","display" : "jurisdictional de-identified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6345","code" : "JurisLDS","display" : "jurisdictional limited data set","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6346","code" : "JurisNSI","display" : "jurisdictional non-sensitive information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6347","code" : "JurisPI","display" : "jurisdictional public information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed public by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6348","code" : "JurisSP-CUI","display" : "jurisdictional specified controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6349","code" : "JurisUUI","display" : "jurisdictional uncontrolled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6350","code" : "OrgIP","display" : "organizational information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information, which does not conflict with jurisdictional law","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6351","code" : "OrgCUI","display" : "organizational basic controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of basic controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6352","code" : "OrgDEID","display" : "organizational de-identified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of de-identified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6353","code" : "OrgLDS","display" : "organizational limited data set information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information in a limited data set as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6354","code" : "OrgNSI","display" : "organizational non-sensitive information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive by the organization by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6355","code" : "OrgPI","display" : "organizational public information policy","definition" : "Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6356","code" : "OrgSP-CUI","display" : "organizational specified controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6357","code" : "OrgUUI","display" : "organizational uncontrolled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6358","code" : "PersIP","display" : "personal information policy","definition" : "Personal policy on collection, access, use, or disclosure of information.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6359","code" : "PersNSI","display" : "personal non-sensitive information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the information subject.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6360","code" : "PersLDS","display" : "personal limited data set information policy","definition" : "Personal policy personal policy on collection, access, use, or disclosure of information in a limited data set by the information subject.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6361","code" : "PersPI","display" : "personal public information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed public by the information subject.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6362","code" : "GRANTORCHOICE","display" : "grantor choice","definition" : "A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\nComment: A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.","property" : [{"code" : "v2-concComment","valueString" : "If the grantor's term of agreement must be accepted in full, then this is considered \"\"basic consent\"\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"\"granular consent\"\".\r\nExamples: (1) Healthcare: A PHR account holder [grantor] may require any PHR user [grantee] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. (2) Non-healthcare: The owner of a resource server [grantor] may require any authorization server [grantee] to meet authorization requirements stipulated in the grantor's terms of agreement."},{"code" : "status","valueCode" : "N"}]},{"id" : "6363","code" : "IMPLIED","display" : "implied consent","definition" : "A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\nComment: Implied or \"\"implicit\"\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.","property" : [{"code" : "v2-concComment","valueString" : "Implied consent with no opportunity to assent or dissent to certain terms is considered \"\"basic consent\"\".\r\nExamples: (1) Healthcare: (a) A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent  directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient [grantor] agrees to the rights granted to the provider [grantee] in an implicit consent directive. (b) An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. (2) Non-healthcare: (a) Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. (b) A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws."},{"code" : "status","valueCode" : "N"}]},{"id" : "6364","code" : "IMPLIEDD","display" : "implied consent with opportunity to dissent","definition" : "A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\nComment: A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.","property" : [{"code" : "v2-concComment","valueString" : "Implied or \"\"implicit\"\" consent with an \"\"opportunity to dissent\"\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"\"granular consent\"\".\r\n Examples: (1) Healthcare: (a) A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.(b) A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. (2) Non-healthcare: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes."},{"code" : "status","valueCode" : "N"}]},{"id" : "6365","code" : "NOCONSENT","display" : "no consent","definition" : "No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\nComment: A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles [FIPP] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.","property" : [{"code" : "v2-concComment","valueString" : "The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\nExamples: (1) Healthcare: (a) Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. (b) Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. (2) Non-healthcare: (a) Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. (b) Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items"},{"code" : "status","valueCode" : "N"}]},{"id" : "6366","code" : "OPTIN","display" : "opt-in","definition" : "A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\nComment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.","property" : [{"code" : "v2-concComment","valueString" : "Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"\"basic consent\"\".\r\nExamples: (1)  Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. (2) Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement."},{"code" : "status","valueCode" : "N"}]},{"id" : "6367","code" : "OPTINR","display" : "opt-in with restrictions","definition" : "A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\nComment: A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.","property" : [{"code" : "v2-concComment","valueString" : "Opt-in with restrictions is considered \"\"granular consent\"\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\nExamples: (1) Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. (2) Non-healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability."},{"code" : "status","valueCode" : "N"}]},{"id" : "6368","code" : "OPTOUT","display" : "opt-out","definition" : "A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\nComment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.","property" : [{"code" : "v2-concComment","valueString" : "Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"\"basic consent\"\".\r\nExamples: (1) Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. (2) Non-healthcare: (a)  A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. (b) A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption."},{"code" : "status","valueCode" : "N"}]},{"id" : "6369","code" : "OPTOUTE","display" : "opt-out with exceptions","definition" : "A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\nComment: A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.","property" : [{"code" : "v2-concComment","valueString" : "Opt-out with exceptions is considered a \"\"granular consent\"\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms. \r\nExamples: (1) Healthcare: A patient [grantor] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"\"time to live\"\" shared secret [e.g., a token or password], which the patient can give to a provider when seeking care. (2) Non-healthcare: A social media user [grantor] dissents from public access to their account, but assents to access to a circle of friends."},{"code" : "status","valueCode" : "N"}]},{"id" : "6370","code" : "EMRGONLY","display" : "opt-in emergency only","definition" : "Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.","property" : [{"code" : "v2-concComment","valueString" : "To specify the scope of an “EMRGONLY” consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\nETREAT (Emergency Treatment)\r\nDescription:\r\nTo perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\nBTG (break the glass)\r\nDescription:\r\nTo perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\nERTREAT (emergency room treatment)\r\nDescription:\r\nTo perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"\"Break the Glass\"\" purpose of use.\r\nTHREAT (threat)\r\nDescription:\r\nTo perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\nDISASTER (disaster) \r\nDescription:\r\nTo perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\nMap: An “emergency only” consent directive maps to ISO/TS 17975:2015(E)\r\n5.13 Exceptional access.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6371","code" : "NOPP","display" : "notice of privacy practices","definition" : "An implied privacy consent directive or notification, which the data subject may or may not acknowledge.  The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information.   The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.","property" : [{"code" : "v2-concComment","valueString" : "Map - An “implied” consent directive maps to ISO/TS 17975:2015(E) definition for “Implied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied”"},{"code" : "status","valueCode" : "N"}]},{"id" : "6372","code" : "OOC","display" : "opt-out of personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting collection of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” opt-out to collection consent directive maps to ISO/TS 17975:2015(E) definitions for  “Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care” and “Express or Expressed (and Informed) Denial”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6373","code" : "OOS","display" : "opt-out of personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” opt-out to sharing consent directive maps to ISO/TS 17975:2015(E) definitions for “Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care” and “Express or Expressed (and Informed) Denial”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6374","code" : "OIC","display" : "opt-in to personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive permitting the collection of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to collection of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” consent directive maps to ISO/TS 17975:2015(E) definitions for “Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care” and “Opt-in”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6375","code" : "OIS","display" : "opt-in to personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive permitting access, use, or disclosure of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to access, use, or disclosure of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” consent directive maps to ISO/TS 17975:2015(E) Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care and “Opt-in”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6376","code" : "42CFRPart2CD","display" : "42 CFR Part 2 consent directive","definition" : "A code representing consent directive that complies with Section 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements content of a written consent to a disclosure under the regulations in Part 2. \r\n42 CFR Part 2.31 (a)Required elements for written consent. A written consent to a disclosure under the regulations in this part may be paper or electronic and must include: \r\n(1) The name of the patient. \r\n(2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. \r\n(3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. \r\n(4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or \r\n(ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or \r\n(iii)Entities without a treating provider relationship with the patient. \r\n(A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or \r\n(B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and \r\n(1) The name(s) of an individual participant(s); or \r\n(2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or \r\n(3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. \r\n(i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). \r\n(ii) [Reserved] \r\n(5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. \r\n(6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer \r\n(7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. \r\n(8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. \r\n(9) The date on which the consent is signed.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s 42 CFR Part 2.31 consent directive, “42CFRPart2CD” as the security label policy code.\r\n\r\nSince information governed by an individual’s 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6377","code" : "HIPAAAuthCD","display" : "HIPAA Authorization Consent Directive","definition" : "A code representing an individual’s consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section.\r\n\r\nAn “authorization” is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html\r\nA HIPAA Authorization must comply with 45 CFR Section164.508(c) Implementation specifications: Core elements and requirements – \r\n(1) Core elements. A valid authorization under this Section must contain at least the following elements: (i) A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. \r\n(ii) The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure. \r\n(iii) The name or other specific identification of the person(s), or class of persons, to whom the covered entity may make the requested use or disclosure. \r\n(iv) A description of each purpose of the requested use or disclosure. The statement “at the request of the individual” is a sufficient description of the purpose when an individual initiates the authorization and does not, or elects not to, provide a statement of the purpose. \r\n(v) An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure. The statement “end of the research study,” “none,” or similar language is sufficient if the authorization is for a use or disclosure of protected health information for research, including for the creation and maintenance of a research database or research repository. \r\n(vi) Signature of the individual and date. If the authorization is signed by a personal representative of the individual, a description of such representative's authority to act for the individual must also be provided. \r\n(2)Required statements. In addition to the core elements, the authorization must contain statements adequate to place the individual on notice of all of the following: \r\n(i) The individual's right to revoke the authorization in writing, and either: \r\n(A) The exceptions to the right to revoke and a description of how the individual may revoke the authorization; or (B) To the extent that the information in paragraph (c)(2)(i)(A) of this section is included in the notice required by Section 164.520, a reference to the covered entity's notice.\r\nhttps://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a an individual’s HIPAA Authorization for Disclosure, use “HIPAAAuthCD” as the security label policy code.\r\n\r\n Information governed under a HIPAA Authorization for Disclosure has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, which is considered the “norm”, assign the HL7 Confidentiality code “N” (normal)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6378","code" : "HIPAAConsentCD","display" : "HIPAA Consent Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf, which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by  an individual’s consent directive under 45 CFR Section 164.522 use “HIPAAConsentCD” as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6379","code" : "HIPAAROACD","display" : "HIPAA Right of Access Consent Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf, stipulating the policy elements of an individual’s written and signed right of access directive requesting that a covered entity send the individual’s protected health information (PHI) to a third party. \r\n\r\nSee 45 CFR 164.524(c)(3)(ii) If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.  https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf \r\n\r\nThis right applies to PHI in a designated record set, which is defined as “Designated record set means: \r\n(1) A group of records maintained by or for a covered entity that is: \r\n(i) The medical records and billing records about individuals maintained by or for a covered health care provider; \r\n(ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or \r\n(iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. [https://www.law.cornell.edu/cfr/text/45/164.501].\r\nAlso see HHS Individuals’ Right under HIPAA to Access their Health Information 45 CFR Section 164.524 [https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html#maximumflatfee].","property" : [{"code" : "v2-concComment","valueString" : "\"Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s right of access directive under 45 CFR Section 164.524 use “HIPAAROAD” as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the “norm”, assign the HL7 Confidentiality code “M” (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations."},{"code" : "status","valueCode" : "N"}]},{"id" : "6380","code" : "HIPAAResearchAuthCD","display" : "HIPAA Authorization for Disclosure for Research Consent Directive","definition" : "A code representing an individual’s consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s HIPAA Authorization for Disclosure for Research under 45 CFR Section 164.508 use “HIPAAResearchAuthCD” as the security label policy code.\r\n\r\nInformation disclosed under an individual’s HIPAA Authorization for Disclosure for Research are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code “M” (moderate). \r\n\r\nSee ActCode._ActPolicyType._ActPrivacyPolicy._ActPrivacyLaw._ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See:  HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp"},{"code" : "status","valueCode" : "N"}]},{"id" : "6381","code" : "CompoundResearchCD","display" : "Compound HIPAA Research Authorization and Informed Consent for Research","definition" : "A code representing an individual’s consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization.","property" : [{"code" : "v2-concComment","valueString" : "The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf.\r\n\r\nUsed to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s right of access directive under 45 CFR Section 164.508 use “CompoundResearchCD” as the security label policy code.\r\n\r\nInformation or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code “M” (moderate). \r\n\r\nSee ActCode._ActPolicyType._ActPrivacyPolicy._ActPrivacyLaw._ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See:  HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp"},{"code" : "status","valueCode" : "N"}]},{"id" : "6382","code" : "MDHHS-5515","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes","definition" : "Michigan’s standard consent form for the sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it.","property" : [{"code" : "v2-concComment","valueString" : "For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_58005-343686--,00.html"},{"code" : "status","valueCode" : "N"}]},{"id" : "6383","code" : "GDPRCD","display" : "GDPR Consent Directive","definition" : "A consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject’s wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nWhere processing is based on consent, the controller shall be able to demonstrate that the data subject has consented to processing of his or her personal data.\r\n\r\nIf the data subject’s consent is given in the context of a written declaration which also concerns other matters, the request for consent shall be presented in a manner which is clearly distinguishable from the other matters, in an intelligible and easily accessible form, using clear and plain language.  Any part of such a declaration which constitutes an infringement of this Regulation shall not be binding.\r\n\r\nThe data subject shall have the right to withdraw his or her consent at any time. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal.  Prior to giving consent, the data subject shall be informed thereof. It shall be as easy to withdraw as to give consent.\r\n\r\nWhen assessing whether consent is freely given, utmost account shall be taken of whether, inter alia, the performance of a contract, including the provision of a service, is conditional on consent to the processing of personal data that is not necessary for the performance of that contract.\r\n\r\nConsent should be given by a clear affirmative act establishing a freely given, specific, informed and unambiguous indication of the data subject’s agreement to the processing of personal data relating to him or her, such as by a written statement, including by electronic means, or an oral statement. \r\n\r\nThis could include ticking a box when visiting an internet website, choosing technical settings for information society services or another statement or conduct which clearly indicates in this context the data subject’s acceptance of the proposed processing of his or her personal data. \r\n\r\nSilence, pre-ticked boxes or inactivity should not therefore constitute consent. \r\n\r\nConsent should cover all processing activities carried out for the same purpose or purposes. \r\n\r\nWhen the processing has multiple purposes, consent should be given for all of them. \r\n\r\nIf the data subject’s consent is to be given following a request by electronic means, the request must be clear, concise and not unnecessarily disruptive to the use of the service for which it is provided.","property" : [{"code" : "v2-concComment","valueString" : "Article 4.11 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/\r\n 11) ‘consent’ of the data subject means any freely given, specific, informed and unambiguous indication of the data subject’s wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\nArticle 7 GDPR Conditions for consent https://gdpr-info.eu/art-7-gdpr\r\nRecital 32 Conditions for consent* https://gdpr-info.eu/recitals/no-32\r\nRecital 42 Burden of proof and requirements for consent* https://gdpr-info.eu/recitals/no-42/> \r\nRecital 43 Freely given consent* https://gdpr-info.eu/recitals/no-43\r\nGDPR Consent Brief https://gdpr-info.eu/issues/consent/ \r\nArt. 4 GDPR Definitions Art. 6 GDPR Lawfulness of processing Art. 7 GDPR Conditions for consent Art. 8 GDPR Conditions applicable to child's consent in relation to information society services Art. 9 GDPR Processing of special categories of personal data Art. 22 GDPR Automated individual decision-making, including profiling Art. 49 GDPR Derogations for specific situations \r\nRelevant GDPR Recitals:\r\n(32) Conditions for consent (33) Consent to certain areas of scientific research (38) Special protection of children's personal data (40) Lawfulness of data processing (42) Burden of proof and requirements for consent (43) Freely given consent (50) Further processing of personal data (51) Protecting sensitive personal data (54) Processing of sensitive data in public health sector (71) Profiling (111) Exceptions for certain cases of international transfers (155) Processing in the employment context (161) Consenting to the participation in clinical trials (171) Repeal of Directive 95/46/EC and transitional provisions"},{"code" : "status","valueCode" : "N"}]},{"id" : "6384","code" : "GDPRResearchCD","display" : "GDPR Research Consent Directive","definition" : "A consent directive that complies with regulatory requirements for a consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject’s wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nGDPR research consent directive has the additional caveat that it is often not possible to fully identify the purpose of personal data processing for scientific research purposes at the time of data collection. Therefore, data subjects should be allowed to give their consent to certain areas of scientific research when in keeping with recognized ethical standards for scientific research. Data subjects should have the opportunity to give their consent only to certain areas of research or parts of research projects to the extent allowed by the intended purpose.","property" : [{"code" : "v2-concComment","valueString" : "HL7 Purpose of Use codes include specialize research purposes of use, which could be used to convey a data subject’s purpose of use restrictions related to areas of research or parts of research projects.\r\nSee citations for GDPRResearchCD and below:\r\nRecital 33 Consent to certain areas of scientific research https://gdpr-info.eu/recitals/no-33/>\r\nRecital 157 Information from registries and scientific research https://gdpr-info.eu/recitals/no-157\r\nRecital 159 Processing for scientific research purposes* https://gdpr-info.eu/recitals/no-159/"},{"code" : "status","valueCode" : "N"}]},{"id" : "6385","code" : "42CFRPart2","display" : "42 CFR Part 2)","definition" : "A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent.  https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection,  access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records\r\nhttps://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use “42CFRPart2” as the security label policy code. \r\n\r\nSince information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6386","code" : "COMMONRULE","display" : "Common Rule","definition" : "A code representing U.S. Federal laws governing research-related privacy policies known as the “Common Rule”. The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use “COMMONRULE” as the security label policy code.  Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code “M” (moderate). \r\nSee ActReason_ActInformationManagementReason_ActHealthInformationManagementReason.PurposeOfUse. HRESCH for applicable security label purpose of use codes.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6387","code" : "HIPAANOPP","display" : "HIPAA notice of privacy practices","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.520), which stipulates an individual’s right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Relevant HIPAA Privacy  Rule provisions are at  Section 164.520 (a) Standard: Notice of privacy practices. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-520.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a covered entity’s HIPAA Notice of Privacy Practices, use “HIPAANOPP” as the security label policy code.\r\n\r\n Information governed under a HIPAA Notice of Privacy Practices has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , which is considered the “norm”, assign the HL7 Confidentiality code “N” (normal)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6388","code" : "HIPAAPsyNotes","display" : "HIPAA psychotherapy notes","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508), which stipulates the privacy rights of an individual who is the subject of psychotherapy notes, and requires authorization for certain uses and disclosure of that information.\r\n\r\nDefinition of Psychotherapy notes 45 CFR  Section 164.501 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-501.pdf: Psychotherapy notes means notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date. \r\n\r\nSee Section 164.508 Uses and disclosures for which an authorization is required. (2)Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf: Notwithstanding any provision of this subpart, other than the transition provisions in  Section 164.532, a covered entity must obtain an authorization for any use or disclosure of psychotherapy notes, except: \r\n(i) To carry out the following treatment, payment, or health care operations: \r\n(A) Use by the originator of the psychotherapy notes for treatment; \r\n(B) Use or disclosure by the covered entity for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or \r\n(C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual; and \r\n(ii) A use or disclosure that is required by Section 164.502(a)(2)(ii) or permitted by Section 164.512(a); Section 164.512(d) with respect to the oversight of the originator of the psychotherapy notes;  Section 164.512(g)(1);  Section 164.512(j)(1)(i).","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.508 (2) Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , use “HIPAAPsyNotes” as the security label policy code.\r\n\r\nSince information governed by a HIPAA 45 CFR 164.508 (2) has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6389","code" : "HIPAASelfPay","display" : "HIPAA self-pay","definition" : "A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer.\r\n\r\nSee 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: \r\n(A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and \r\n(B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this where collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use “HIPAASelfPay” as the security label policy code. \r\n\r\nSince information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6390","code" : "Title38Section7332","display" : "Title 38 Section 7332","definition" : "A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights of veterans diagnosed and treated for substance use disorders, infection with the human immunodeficiency virus, or sickle cell anemia.\r\nTitle 38 Section 7332 - Confidentiality of certain medical records\r\nhttps://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html  \r\n(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b).\r\n(2) Paragraph (1) prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed.\r\n(b) (1) The content of any record referred to in subsection (a) may be disclosed by the Secretary in accordance with the prior written consent of the patient or subject with respect to whom such record is maintained, but only to such extent, under such circumstances, and for such purposes as may be allowed in regulations prescribed by the Secretary.\r\n(2) Whether or not any patient or subject, with respect to whom any given record referred to in subsection (a) is maintained, gives written consent, the content of such record may be disclosed by the Secretary as follows: \r\n(A) To medical personnel to the extent necessary to meet a bona fide medical emergency.\r\n(B) To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient or subject in any report of such research, audit, or evaluation, or otherwise disclose patient or subject identities in any manner.\r\n(C) (i) In the case of any record which is maintained in connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law.\r\n(ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made.\r\n(D) If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient or subject, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure.\r\n(E) To an entity described in paragraph (1)(B) of section 5701(k) of this title, but only to the extent authorized by such section.\r\n(F) (i) To a representative of a patient who lacks decision-making capacity, when a practitioner deems the content of the given record necessary for that representative to make an informed decision regarding the patient’s treatment.\r\n(ii) In this subparagraph, the term “representative” means an individual, organization, or other body authorized under section 7331 of this title and its implementing regulations to give informed consent on behalf of a patient who lacks decision-making capacity.\r\n(G) To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g–3), to the extent necessary to prevent misuse and diversion of prescription medicines.\r\n(H) (i) To a non-Department entity (including private entities and other Federal agencies) for purposes of providing health care, including hospital care, medical services, and extended care services, to Veterans or performing other health care-related activities or functions. \r\n(ii) An entity to which a record is disclosed under this subparagraph may not disclose or use such record for a purpose other than that for which the disclosure was made or as permitted by law.\r\n(I) To a third party in order to recover or collect reasonable charges for care furnished to, or paid on behalf of, a Veteran in connection with a non-service connected disability as permitted by section 1729 of this title or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under the Act entitled ‘An Act to provide for the recovery from tortiously liable third persons of the cost of hospital and medical care and treatment furnished by the United States’ (Public Law 87–693; 42 U.S.C. 2651 et seq.; commonly known as the ‘Federal Medical Care Recovery Act’).","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 38 U.S. Code Section 7332 - Confidentiality of certain medical records\r\nhttps://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html use “Title38Section7332” as the security label policy code. \r\n\r\nSince information governed by a Title 38 Section 7332 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6391","code" : "HIPAAConsent","display" : "HIPAA Consent","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.\"  The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in  Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where  collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use “HIPAAConsent” as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6392","code" : "HIPAAAuth","display" : "HIPAA Authorization for Disclosure","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed \"\"authorizations\"\".\r\n\r\nAn “authorization” is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html","property" : [{"code" : "v2-concComment","valueString" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed \"\"authorizations\"\".\r\n\r\nAn “authorization” is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html"},{"code" : "status","valueCode" : "N"}]},{"id" : "6393","code" : "HIPAAROA","display" : "HIPAA Right of Access","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.govinfo.gov/app/details/CFR-2017-title45-vol1/CFR-2017-title45-vol1-sec164-524, which stipulates that an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected health information is maintained in the designated record set with exceptions stipulated in HIPAA Privacy Rule Section 164.524. Exceptions include psychotherapy notes and information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.\r\n\r\nIf an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.\r\n\r\nFor discussion on extent of right, grounds for denial, and documentation requirements see: HHS Individuals’ Right under HIPAA to Access their Health Information 45 CFR Section 164.524 https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html and HHS FAQ on Right of Access vs. HIPAA Authorization https://www.hhs.gov/hipaa/for-professionals/faq/2041/why-depend-on-the-individuals-right/index.html","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed under 45 CFR Section 164.5224 use “HIPAAROA” as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the “norm”, assign the HL7 Confidentiality code “M” (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations."},{"code" : "status","valueCode" : "N"}]},{"id" : "6394","code" : "GDPRCONSENT","display" : "GDPR Consent","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful only if the data subject has given explicit consent to the processing of his or her personal data, inclusive of the special categories of data, for one or more specific purposes, except where Union or Member State law provide that the prohibition to use the data may not be lifted by the data subject; and for personal data which are manifestly made public by the data subject.","property" : [{"code" : "v2-concComment","valueString" : "Article 6.1.a https://gdpr-info.eu/art-6-gdpr/\r\n1 Processing shall be lawful only if and to the extent that at least one of the following applies: (a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes.\r\nArticle 9.1, 9.2a., 9.2.e https://gdpr-info.eu/art-9-gdpr/ \r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (a) the data subject has given explicit consent to the processing of those personal data for one or more specified purposes, except where Union or Member State law provide that the prohibition referred to in paragraph 1 may not be lifted by the data subject; and (e) processing relates to personal data which are manifestly made public by the data subject.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6395","code" : "GDPRCONTRACT","display" : "GDPR contract","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful only if necessary for the performance of a contract to which the data subject is party or in order to take steps at the request of the data subject prior to entering into a contract.","property" : [{"code" : "v2-concComment","valueString" : "Article 6.1.b https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (b) processing is necessary for the performance of a contract to which the data subject is party or in order to take steps at the request of the data subject prior to entering into a contract.\r\n\r\nRecital 44 https://gdpr-info.eu/recitals/no-44/\r\nProcessing should be lawful where it is necessary in the context of a contract or the intention to enter into a contract. * This title is an unofficial description.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6396","code" : "GDPRHLTHSOCSY","display" : "GDPR health or social system management","definition" : "Processing of special categories of data is lawful if necessary for archiving purposes the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional.","property" : [{"code" : "v2-concComment","valueString" : "This processing policy code offers an escape-hatch to countries like Denmark and Austria: they simply declare their national healthcare data exchanges to be necessary for the management of their healthcare system. This allows them to establish an opt-out mechanism under the GDPR, whereas normally GDPR would be opt-in when it comes to such national exchanges.\r\n\r\nThe description is based on the following GDPR provisions:\r\nArticle 9.1, and 9.2.c and 9.2.h, 9.3 https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (c) processing is necessary to protect the vital interests of the data subject or of another natural person where the data subject is physically or legally incapable of giving consent; (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3;\r\n3. Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies."},{"code" : "status","valueCode" : "N"}]},{"id" : "6397","code" : "GDPRLEGALCLAIM","display" : "GDPR legal claim","definition" : "Processing of special categories of data is lawful if necessary for the establishment, exercise or defense of legal claims or whenever courts are acting in their judicial capacity.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\n\r\nArticle 9.1 and 9.2.f https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (f) processing is necessary for the establishment, exercise or defense of legal claims or whenever courts are acting in their judicial capacity."},{"code" : "status","valueCode" : "N"}]},{"id" : "6398","code" : "GDPRLEGALOBL","display" : "GDPR legal obligation","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary for compliance with a legal obligation to which the controller is subject. \r\n\r\nThis includes the processing of the special categories of data that are necessary for the purposes of carrying out the obligations and exercising specific rights of the controller or of the data subject in the field of employment and social security and social protection law in so far as it is authorised by Union or Member State law or a collective agreement pursuant to Member State law providing for appropriate safeguards for the fundamental rights and the interests of the data subject.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.c https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (c) processing is necessary for compliance with a legal obligation to which the controller is subject.\r\nArticle 9.1, 9.2.b https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies:\r\n(b) processing is necessary for the purposes of carrying out the obligations and exercising specific rights of the controller or of the data subject in the field of employment and social security and social protection law in so far as it is authorised by Union or Member State law or a collective agreement pursuant to Member State law providing for appropriate safeguards for the fundamental rights and the interests of the data subject."},{"code" : "status","valueCode" : "N"}]},{"id" : "6399","code" : "GDPRLEGITINTEREST","display" : "GDPR legitimate interest","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary for the purposes of the legitimate interests pursued by the controller or by a third party, except where such interests are overridden by the interests or fundamental rights and freedoms of the data subject which require protection of personal data, in particular where the data subject is a child. \r\n\r\nThis includes the processing of the special categories of data that are carried out in the course of its legitimate activities with appropriate safeguards by a foundation, association or any other not-for-profit body with a political, philosophical, religious or trade union aim and on condition that the processing relates solely to the members or to former members of the body or to persons who have regular contact with it in connection with its purposes and that the personal data are not disclosed outside that body without the consent of the data subjects.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.f https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (f) processing is necessary for the purposes of the legitimate interests pursued by the controller or by a third party, except where such interests are overridden by the interests or fundamental rights and freedoms of the data subject which require protection of personal data, in particular where the data subject is a child.\r\n\r\nArticle 9.1, 9.2.d https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (d) processing is carried out in the course of its legitimate activities with appropriate safeguards by a foundation, association or any other not-for-profit body with a political, philosophical, religious or trade union aim and on condition that the processing relates solely to the members or to former members of the body or to persons who have regular contact with it in connection with its purposes and that the personal data are not disclosed outside that body without the consent of the data subjects."},{"code" : "status","valueCode" : "N"}]},{"id" : "6400","code" : "GDPRPUBLICHEALTH","display" : "GDPR public health","definition" : "Processing of special categories of data is lawful if necessary for reasons of public interest in the area of public health, such as protecting against serious cross-border threats to health or ensuring high standards of quality and safety of health care and of medicinal products or medical devices, on the basis of Union or Member State law which provides for suitable and specific measures to safeguard the rights and freedoms of the data subject, in particular professional secrecy.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 9.1 and 9.2.i https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (i) processing is necessary for reasons of public interest in the area of public health, such as protecting against serious cross-border threats to health or ensuring high standards of quality and safety of health care and of medicinal products or medical devices, on the basis of Union or Member State law which provides for suitable and specific measures to safeguard the rights and freedoms of the data subject, in particular professional secrecy.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6401","code" : "GDPRPUBLICINTEREST","display" : "GDPR public interest","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller. This includes the processing of the special categories of data that are necessary for reasons of substantial public interest, on the basis of Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.e https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (e) processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller\r\nArticle 9.1 and 9.2.g https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (g) processing is necessary for reasons of substantial public interest, on the basis of Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject."},{"code" : "status","valueCode" : "N"}]},{"id" : "6402","code" : "GDPRRESEARCH","display" : "GDPR research","definition" : "Processing of special categories of data is lawful if necessary for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes in accordance with Article 89(1) based on Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 9.1, and 9.2.j  https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (j) processing is necessary for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes in accordance with Article 89(1) based on Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6403","code" : "GDPRVITALINTEREST","display" : "GDPR vital interest","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary to protect the vital interests of the data subject or of another natural person where the data subject is physically or legally incapable of giving consent. This includes the processing of the special categories of data that are necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.d https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (d) processing is necessary in order to protect the vital interests of the data subject or of another natural person.\r\nArticle 9.1, and 9.2.c and 9.2.h, 9.3 https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (c) processing is necessary to protect the vital interests of the data subject or of another natural person where the data subject is physically or legally incapable of giving consent; (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3;\r\n3. Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies."},{"code" : "status","valueCode" : "N"}]}]}}]}

#764

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date:Mon, 15 Dec 2025 20:12:58 GMT
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{"resourceType" : "CodeSystem","id" : "v2-0717","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "pa"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0717","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.388"}],"version" : "2.0.0","name" : "AccessRestrictionValue","title" : "accessRestrictionValue","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the information to which access is restricted.  Used in HL7 Version 2.x messaging in the ARV segment.  Note that these new codes as of November 2018 have been temporarily loaded into this V2 code system pending availability of the currently unavailable new tooling, at which time this code systrem will be retired and a value set of codes from the HL7 V3 ActCode code system will be used instead for this table.","purpose" : "Underlying Master Code System for V2 table 0717 (Access Restriction Value)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0717","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"}],"concept" : [{"id" : "6328","code" : "PersDEID","display" : "personal de-identified information policy","definition" : "Personal policy on collection, access, use, or disclosure of de-identified information as defined by the information subject or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6329","code" : "ALL","display" : "All","definition" : "All","property" : [{"code" : "v2-concComment","valueString" : "This code is for backwards compatibility only as of v2.9. \r\nIf any of 1..* ARV-4 sensitivity codes (Table 0179) apply to the entire message, then ERL is not populated. This emulates the current Table 0717 code “ALL”."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6330","code" : "DEM","display" : "All demographic data","definition" : "All demographic data","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “DEMO” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6331","code" : "LOC","display" : "Patient Location","definition" : "Patient Location","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “PATLOC” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6332","code" : "PID-7","display" : "Date of Birth","definition" : "Date of Birth","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “DOB” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6333","code" : "PID-17","display" : "Religion","definition" : "Religion","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “REL” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6334","code" : "HIV","display" : "HIV status and results","definition" : "HIV status and results","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “HIV” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6335","code" : "STD","display" : "Sexually transmitted diseases","definition" : "Sexually transmitted diseases","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “STD” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6336","code" : "PSY","display" : "Psychiatric Mental health","definition" : "Psychiatric Mental health","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “SPI” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6337","code" : "DRG","display" : "Drug","definition" : "Drug","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the v3 concept “DRGIS” as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6338","code" : "SMD","display" : "Sensitive medical data","definition" : "Sensitive medical data","property" : [{"code" : "v2-concComment","valueString" : "This code has been replaced by the several concepts that are more granular v3 ActCode_ActPrivacyPolicy_InformationSensitivityPolicy code, e.g., DIA (diagnosis information sensitivity) and PRS (patient requested information sensitivity) as of v2.9. \r\nSince this is describing a sensitivity, it will be sent in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6339","code" : "NO","display" : "None","definition" : "None","property" : [{"code" : "v2-concComment","valueString" : "This code is for backwards compatibility only as of v2.9. \r\nIf no restrictions, don’t send an ARV segment altogether.  If sent, ARV-3 is a required element however. To emulate 0717 “NONE”, populate ARV-3 with code from new ActCode_ActPolicyType__ActInformationPolicy such as OrgNSI (organizational non-sensitive information policy) or PersNSI (personal non-sensitive information policy).   \r\nDon’t populate ARV-7.  E.g., Device record that is not sensitive. If you have a situation where an ARV-4 is valued, as required by, e.g., an organizational policy related to disclosure of  a VIP’s health status or location at a facility, and the VIP has authorized disclosure as public information, one may use OrgPI (organizational public information policy - Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or governing jurisdiction) to value ARV-3 indicating that the policy permits the disclosure of VIP sensitive information as coded in ARV-4."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6340","code" : "OO","display" : "Opt out all registries (HIPAA)","definition" : "Opt out all registries (HIPAA)","property" : [{"code" : "v2-concComment","valueString" : "Map to similar code in new ActCode_ActPolicyType_ActConsent_ActPrivacyConsentDirective_RegistryConsentDirective, which are any of these: OPTOUT, OPTOUTE, OOC, OOS"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6341","code" : "OI","display" : "Opt in all registries (HIPAA)","definition" : "Opt in all registries (HIPAA)","property" : [{"code" : "v2-concComment","valueString" : "Map to similar code in new ActCode_ActPolicyType_ActConsent_ActPrivacyConsentDirective_RegistryConsentDirective, which are any of these: OPTIN, OPTINR, OIC, OIS"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6342","code" : "JurisIP","display" : "jurisdictional information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6343","code" : "JurisCUI","display" : "jurisdictional controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, .use, or disclosure of controlled unclassified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6344","code" : "JurisDEID","display" : "jurisdictional de-identified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6345","code" : "JurisLDS","display" : "jurisdictional limited data set","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set as defined by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6346","code" : "JurisNSI","display" : "jurisdictional non-sensitive information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6347","code" : "JurisPI","display" : "jurisdictional public information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of information deemed public by applicable jurisdiction law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6348","code" : "JurisSP-CUI","display" : "jurisdictional specified controlled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6349","code" : "JurisUUI","display" : "jurisdictional uncontrolled unclassified information policy","definition" : "Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by applicable jurisdictional policy.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6350","code" : "OrgIP","display" : "organizational information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information, which does not conflict with jurisdictional law","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6351","code" : "OrgCUI","display" : "organizational basic controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of basic controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6352","code" : "OrgDEID","display" : "organizational de-identified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of de-identified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6353","code" : "OrgLDS","display" : "organizational limited data set information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information in a limited data set as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6354","code" : "OrgNSI","display" : "organizational non-sensitive information policy","definition" : "Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive by the organization by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6355","code" : "OrgPI","display" : "organizational public information policy","definition" : "Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6356","code" : "OrgSP-CUI","display" : "organizational specified controlled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6357","code" : "OrgUUI","display" : "organizational uncontrolled unclassified information policy","definition" : "Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by the organization or by applicable jurisdictional law.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6358","code" : "PersIP","display" : "personal information policy","definition" : "Personal policy on collection, access, use, or disclosure of information.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6359","code" : "PersNSI","display" : "personal non-sensitive information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the information subject.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6360","code" : "PersLDS","display" : "personal limited data set information policy","definition" : "Personal policy personal policy on collection, access, use, or disclosure of information in a limited data set by the information subject.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6361","code" : "PersPI","display" : "personal public information policy","definition" : "Personal policy on collection, access, use, or disclosure of information deemed public by the information subject.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6362","code" : "GRANTORCHOICE","display" : "grantor choice","definition" : "A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\nComment: A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.","property" : [{"code" : "v2-concComment","valueString" : "If the grantor's term of agreement must be accepted in full, then this is considered \"\"basic consent\"\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"\"granular consent\"\".\r\nExamples: (1) Healthcare: A PHR account holder [grantor] may require any PHR user [grantee] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. (2) Non-healthcare: The owner of a resource server [grantor] may require any authorization server [grantee] to meet authorization requirements stipulated in the grantor's terms of agreement."},{"code" : "status","valueCode" : "N"}]},{"id" : "6363","code" : "IMPLIED","display" : "implied consent","definition" : "A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\nComment: Implied or \"\"implicit\"\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.","property" : [{"code" : "v2-concComment","valueString" : "Implied consent with no opportunity to assent or dissent to certain terms is considered \"\"basic consent\"\".\r\nExamples: (1) Healthcare: (a) A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent  directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient [grantor] agrees to the rights granted to the provider [grantee] in an implicit consent directive. (b) An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. (2) Non-healthcare: (a) Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. (b) A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws."},{"code" : "status","valueCode" : "N"}]},{"id" : "6364","code" : "IMPLIEDD","display" : "implied consent with opportunity to dissent","definition" : "A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\nComment: A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.","property" : [{"code" : "v2-concComment","valueString" : "Implied or \"\"implicit\"\" consent with an \"\"opportunity to dissent\"\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"\"granular consent\"\".\r\n Examples: (1) Healthcare: (a) A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.(b) A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. (2) Non-healthcare: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes."},{"code" : "status","valueCode" : "N"}]},{"id" : "6365","code" : "NOCONSENT","display" : "no consent","definition" : "No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\nComment: A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles [FIPP] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.","property" : [{"code" : "v2-concComment","valueString" : "The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\nExamples: (1) Healthcare: (a) Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. (b) Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. (2) Non-healthcare: (a) Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. (b) Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items"},{"code" : "status","valueCode" : "N"}]},{"id" : "6366","code" : "OPTIN","display" : "opt-in","definition" : "A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\nComment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.","property" : [{"code" : "v2-concComment","valueString" : "Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"\"basic consent\"\".\r\nExamples: (1)  Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. (2) Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement."},{"code" : "status","valueCode" : "N"}]},{"id" : "6367","code" : "OPTINR","display" : "opt-in with restrictions","definition" : "A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\nComment: A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.","property" : [{"code" : "v2-concComment","valueString" : "Opt-in with restrictions is considered \"\"granular consent\"\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\nExamples: (1) Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. (2) Non-healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability."},{"code" : "status","valueCode" : "N"}]},{"id" : "6368","code" : "OPTOUT","display" : "opt-out","definition" : "A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\nComment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.","property" : [{"code" : "v2-concComment","valueString" : "Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"\"basic consent\"\".\r\nExamples: (1) Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. (2) Non-healthcare: (a)  A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. (b) A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption."},{"code" : "status","valueCode" : "N"}]},{"id" : "6369","code" : "OPTOUTE","display" : "opt-out with exceptions","definition" : "A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\nComment: A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.","property" : [{"code" : "v2-concComment","valueString" : "Opt-out with exceptions is considered a \"\"granular consent\"\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms. \r\nExamples: (1) Healthcare: A patient [grantor] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"\"time to live\"\" shared secret [e.g., a token or password], which the patient can give to a provider when seeking care. (2) Non-healthcare: A social media user [grantor] dissents from public access to their account, but assents to access to a circle of friends."},{"code" : "status","valueCode" : "N"}]},{"id" : "6370","code" : "EMRGONLY","display" : "opt-in emergency only","definition" : "Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.","property" : [{"code" : "v2-concComment","valueString" : "To specify the scope of an “EMRGONLY” consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\nETREAT (Emergency Treatment)\r\nDescription:\r\nTo perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\nBTG (break the glass)\r\nDescription:\r\nTo perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\nERTREAT (emergency room treatment)\r\nDescription:\r\nTo perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"\"Break the Glass\"\" purpose of use.\r\nTHREAT (threat)\r\nDescription:\r\nTo perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\nDISASTER (disaster) \r\nDescription:\r\nTo perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\nMap: An “emergency only” consent directive maps to ISO/TS 17975:2015(E)\r\n5.13 Exceptional access.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6371","code" : "NOPP","display" : "notice of privacy practices","definition" : "An implied privacy consent directive or notification, which the data subject may or may not acknowledge.  The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information.   The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.","property" : [{"code" : "v2-concComment","valueString" : "Map - An “implied” consent directive maps to ISO/TS 17975:2015(E) definition for “Implied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied”"},{"code" : "status","valueCode" : "N"}]},{"id" : "6372","code" : "OOC","display" : "opt-out of personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting collection of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” opt-out to collection consent directive maps to ISO/TS 17975:2015(E) definitions for  “Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care” and “Express or Expressed (and Informed) Denial”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6373","code" : "OOS","display" : "opt-out of personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” opt-out to sharing consent directive maps to ISO/TS 17975:2015(E) definitions for “Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care” and “Express or Expressed (and Informed) Denial”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6374","code" : "OIC","display" : "opt-in to personal information or effect collection in a registry or repository","definition" : "An expressed privacy consent directive permitting the collection of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to collection of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” consent directive maps to ISO/TS 17975:2015(E) definitions for “Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care” and “Opt-in”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6375","code" : "OIS","display" : "opt-in to personal information or effect sharing via a registry or repository","definition" : "An expressed privacy consent directive permitting access, use, or disclosure of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling","property" : [{"code" : "v2-concComment","valueString" : "Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to access, use, or disclosure of some or all of the individual’s information by multiple registries and repositories.\r\nMap: An “expressed” consent directive maps to ISO/TS 17975:2015(E) Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care and “Opt-in”."},{"code" : "status","valueCode" : "N"}]},{"id" : "6376","code" : "42CFRPart2CD","display" : "42 CFR Part 2 consent directive","definition" : "A code representing consent directive that complies with Section 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements content of a written consent to a disclosure under the regulations in Part 2. \r\n42 CFR Part 2.31 (a)Required elements for written consent. A written consent to a disclosure under the regulations in this part may be paper or electronic and must include: \r\n(1) The name of the patient. \r\n(2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. \r\n(3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. \r\n(4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or \r\n(ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or \r\n(iii)Entities without a treating provider relationship with the patient. \r\n(A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or \r\n(B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and \r\n(1) The name(s) of an individual participant(s); or \r\n(2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or \r\n(3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. \r\n(i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). \r\n(ii) [Reserved] \r\n(5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. \r\n(6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer \r\n(7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. \r\n(8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. \r\n(9) The date on which the consent is signed.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s 42 CFR Part 2.31 consent directive, “42CFRPart2CD” as the security label policy code.\r\n\r\nSince information governed by an individual’s 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6377","code" : "HIPAAAuthCD","display" : "HIPAA Authorization Consent Directive","definition" : "A code representing an individual’s consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section.\r\n\r\nAn “authorization” is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html\r\nA HIPAA Authorization must comply with 45 CFR Section164.508(c) Implementation specifications: Core elements and requirements – \r\n(1) Core elements. A valid authorization under this Section must contain at least the following elements: (i) A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. \r\n(ii) The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure. \r\n(iii) The name or other specific identification of the person(s), or class of persons, to whom the covered entity may make the requested use or disclosure. \r\n(iv) A description of each purpose of the requested use or disclosure. The statement “at the request of the individual” is a sufficient description of the purpose when an individual initiates the authorization and does not, or elects not to, provide a statement of the purpose. \r\n(v) An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure. The statement “end of the research study,” “none,” or similar language is sufficient if the authorization is for a use or disclosure of protected health information for research, including for the creation and maintenance of a research database or research repository. \r\n(vi) Signature of the individual and date. If the authorization is signed by a personal representative of the individual, a description of such representative's authority to act for the individual must also be provided. \r\n(2)Required statements. In addition to the core elements, the authorization must contain statements adequate to place the individual on notice of all of the following: \r\n(i) The individual's right to revoke the authorization in writing, and either: \r\n(A) The exceptions to the right to revoke and a description of how the individual may revoke the authorization; or (B) To the extent that the information in paragraph (c)(2)(i)(A) of this section is included in the notice required by Section 164.520, a reference to the covered entity's notice.\r\nhttps://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a an individual’s HIPAA Authorization for Disclosure, use “HIPAAAuthCD” as the security label policy code.\r\n\r\n Information governed under a HIPAA Authorization for Disclosure has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, which is considered the “norm”, assign the HL7 Confidentiality code “N” (normal)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6378","code" : "HIPAAConsentCD","display" : "HIPAA Consent Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf, which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by  an individual’s consent directive under 45 CFR Section 164.522 use “HIPAAConsentCD” as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6379","code" : "HIPAAROACD","display" : "HIPAA Right of Access Consent Directive","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf, stipulating the policy elements of an individual’s written and signed right of access directive requesting that a covered entity send the individual’s protected health information (PHI) to a third party. \r\n\r\nSee 45 CFR 164.524(c)(3)(ii) If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.  https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf \r\n\r\nThis right applies to PHI in a designated record set, which is defined as “Designated record set means: \r\n(1) A group of records maintained by or for a covered entity that is: \r\n(i) The medical records and billing records about individuals maintained by or for a covered health care provider; \r\n(ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or \r\n(iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. [https://www.law.cornell.edu/cfr/text/45/164.501].\r\nAlso see HHS Individuals’ Right under HIPAA to Access their Health Information 45 CFR Section 164.524 [https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html#maximumflatfee].","property" : [{"code" : "v2-concComment","valueString" : "\"Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s right of access directive under 45 CFR Section 164.524 use “HIPAAROAD” as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the “norm”, assign the HL7 Confidentiality code “M” (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations."},{"code" : "status","valueCode" : "N"}]},{"id" : "6380","code" : "HIPAAResearchAuthCD","display" : "HIPAA Authorization for Disclosure for Research Consent Directive","definition" : "A code representing an individual’s consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s HIPAA Authorization for Disclosure for Research under 45 CFR Section 164.508 use “HIPAAResearchAuthCD” as the security label policy code.\r\n\r\nInformation disclosed under an individual’s HIPAA Authorization for Disclosure for Research are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code “M” (moderate). \r\n\r\nSee ActCode._ActPolicyType._ActPrivacyPolicy._ActPrivacyLaw._ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See:  HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp"},{"code" : "status","valueCode" : "N"}]},{"id" : "6381","code" : "CompoundResearchCD","display" : "Compound HIPAA Research Authorization and Informed Consent for Research","definition" : "A code representing an individual’s consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization.","property" : [{"code" : "v2-concComment","valueString" : "The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf.\r\n\r\nUsed to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual’s right of access directive under 45 CFR Section 164.508 use “CompoundResearchCD” as the security label policy code.\r\n\r\nInformation or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code “M” (moderate). \r\n\r\nSee ActCode._ActPolicyType._ActPrivacyPolicy._ActPrivacyLaw._ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See:  HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp"},{"code" : "status","valueCode" : "N"}]},{"id" : "6382","code" : "MDHHS-5515","display" : "Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes","definition" : "Michigan’s standard consent form for the sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it.","property" : [{"code" : "v2-concComment","valueString" : "For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_58005-343686--,00.html"},{"code" : "status","valueCode" : "N"}]},{"id" : "6383","code" : "GDPRCD","display" : "GDPR Consent Directive","definition" : "A consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject’s wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nWhere processing is based on consent, the controller shall be able to demonstrate that the data subject has consented to processing of his or her personal data.\r\n\r\nIf the data subject’s consent is given in the context of a written declaration which also concerns other matters, the request for consent shall be presented in a manner which is clearly distinguishable from the other matters, in an intelligible and easily accessible form, using clear and plain language.  Any part of such a declaration which constitutes an infringement of this Regulation shall not be binding.\r\n\r\nThe data subject shall have the right to withdraw his or her consent at any time. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal.  Prior to giving consent, the data subject shall be informed thereof. It shall be as easy to withdraw as to give consent.\r\n\r\nWhen assessing whether consent is freely given, utmost account shall be taken of whether, inter alia, the performance of a contract, including the provision of a service, is conditional on consent to the processing of personal data that is not necessary for the performance of that contract.\r\n\r\nConsent should be given by a clear affirmative act establishing a freely given, specific, informed and unambiguous indication of the data subject’s agreement to the processing of personal data relating to him or her, such as by a written statement, including by electronic means, or an oral statement. \r\n\r\nThis could include ticking a box when visiting an internet website, choosing technical settings for information society services or another statement or conduct which clearly indicates in this context the data subject’s acceptance of the proposed processing of his or her personal data. \r\n\r\nSilence, pre-ticked boxes or inactivity should not therefore constitute consent. \r\n\r\nConsent should cover all processing activities carried out for the same purpose or purposes. \r\n\r\nWhen the processing has multiple purposes, consent should be given for all of them. \r\n\r\nIf the data subject’s consent is to be given following a request by electronic means, the request must be clear, concise and not unnecessarily disruptive to the use of the service for which it is provided.","property" : [{"code" : "v2-concComment","valueString" : "Article 4.11 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/\r\n 11) ‘consent’ of the data subject means any freely given, specific, informed and unambiguous indication of the data subject’s wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\nArticle 7 GDPR Conditions for consent https://gdpr-info.eu/art-7-gdpr\r\nRecital 32 Conditions for consent* https://gdpr-info.eu/recitals/no-32\r\nRecital 42 Burden of proof and requirements for consent* https://gdpr-info.eu/recitals/no-42/> \r\nRecital 43 Freely given consent* https://gdpr-info.eu/recitals/no-43\r\nGDPR Consent Brief https://gdpr-info.eu/issues/consent/ \r\nArt. 4 GDPR Definitions Art. 6 GDPR Lawfulness of processing Art. 7 GDPR Conditions for consent Art. 8 GDPR Conditions applicable to child's consent in relation to information society services Art. 9 GDPR Processing of special categories of personal data Art. 22 GDPR Automated individual decision-making, including profiling Art. 49 GDPR Derogations for specific situations \r\nRelevant GDPR Recitals:\r\n(32) Conditions for consent (33) Consent to certain areas of scientific research (38) Special protection of children's personal data (40) Lawfulness of data processing (42) Burden of proof and requirements for consent (43) Freely given consent (50) Further processing of personal data (51) Protecting sensitive personal data (54) Processing of sensitive data in public health sector (71) Profiling (111) Exceptions for certain cases of international transfers (155) Processing in the employment context (161) Consenting to the participation in clinical trials (171) Repeal of Directive 95/46/EC and transitional provisions"},{"code" : "status","valueCode" : "N"}]},{"id" : "6384","code" : "GDPRResearchCD","display" : "GDPR Research Consent Directive","definition" : "A consent directive that complies with regulatory requirements for a consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject’s wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.\r\n\r\nGDPR research consent directive has the additional caveat that it is often not possible to fully identify the purpose of personal data processing for scientific research purposes at the time of data collection. Therefore, data subjects should be allowed to give their consent to certain areas of scientific research when in keeping with recognized ethical standards for scientific research. Data subjects should have the opportunity to give their consent only to certain areas of research or parts of research projects to the extent allowed by the intended purpose.","property" : [{"code" : "v2-concComment","valueString" : "HL7 Purpose of Use codes include specialize research purposes of use, which could be used to convey a data subject’s purpose of use restrictions related to areas of research or parts of research projects.\r\nSee citations for GDPRResearchCD and below:\r\nRecital 33 Consent to certain areas of scientific research https://gdpr-info.eu/recitals/no-33/>\r\nRecital 157 Information from registries and scientific research https://gdpr-info.eu/recitals/no-157\r\nRecital 159 Processing for scientific research purposes* https://gdpr-info.eu/recitals/no-159/"},{"code" : "status","valueCode" : "N"}]},{"id" : "6385","code" : "42CFRPart2","display" : "42 CFR Part 2)","definition" : "A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent.  https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection,  access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records\r\nhttps://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use “42CFRPart2” as the security label policy code. \r\n\r\nSince information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6386","code" : "COMMONRULE","display" : "Common Rule","definition" : "A code representing U.S. Federal laws governing research-related privacy policies known as the “Common Rule”. The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use “COMMONRULE” as the security label policy code.  Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code “M” (moderate). \r\nSee ActReason_ActInformationManagementReason_ActHealthInformationManagementReason.PurposeOfUse. HRESCH for applicable security label purpose of use codes.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6387","code" : "HIPAANOPP","display" : "HIPAA notice of privacy practices","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.520), which stipulates an individual’s right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Relevant HIPAA Privacy  Rule provisions are at  Section 164.520 (a) Standard: Notice of privacy practices. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-520.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a covered entity’s HIPAA Notice of Privacy Practices, use “HIPAANOPP” as the security label policy code.\r\n\r\n Information governed under a HIPAA Notice of Privacy Practices has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , which is considered the “norm”, assign the HL7 Confidentiality code “N” (normal)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6388","code" : "HIPAAPsyNotes","display" : "HIPAA psychotherapy notes","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508), which stipulates the privacy rights of an individual who is the subject of psychotherapy notes, and requires authorization for certain uses and disclosure of that information.\r\n\r\nDefinition of Psychotherapy notes 45 CFR  Section 164.501 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-501.pdf: Psychotherapy notes means notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date. \r\n\r\nSee Section 164.508 Uses and disclosures for which an authorization is required. (2)Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf: Notwithstanding any provision of this subpart, other than the transition provisions in  Section 164.532, a covered entity must obtain an authorization for any use or disclosure of psychotherapy notes, except: \r\n(i) To carry out the following treatment, payment, or health care operations: \r\n(A) Use by the originator of the psychotherapy notes for treatment; \r\n(B) Use or disclosure by the covered entity for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or \r\n(C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual; and \r\n(ii) A use or disclosure that is required by Section 164.502(a)(2)(ii) or permitted by Section 164.512(a); Section 164.512(d) with respect to the oversight of the originator of the psychotherapy notes;  Section 164.512(g)(1);  Section 164.512(j)(1)(i).","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.508 (2) Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , use “HIPAAPsyNotes” as the security label policy code.\r\n\r\nSince information governed by a HIPAA 45 CFR 164.508 (2) has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6389","code" : "HIPAASelfPay","display" : "HIPAA self-pay","definition" : "A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer.\r\n\r\nSee 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: \r\n(A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and \r\n(B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full.","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this where collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use “HIPAASelfPay” as the security label policy code. \r\n\r\nSince information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6390","code" : "Title38Section7332","display" : "Title 38 Section 7332","definition" : "A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights of veterans diagnosed and treated for substance use disorders, infection with the human immunodeficiency virus, or sickle cell anemia.\r\nTitle 38 Section 7332 - Confidentiality of certain medical records\r\nhttps://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html  \r\n(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b).\r\n(2) Paragraph (1) prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed.\r\n(b) (1) The content of any record referred to in subsection (a) may be disclosed by the Secretary in accordance with the prior written consent of the patient or subject with respect to whom such record is maintained, but only to such extent, under such circumstances, and for such purposes as may be allowed in regulations prescribed by the Secretary.\r\n(2) Whether or not any patient or subject, with respect to whom any given record referred to in subsection (a) is maintained, gives written consent, the content of such record may be disclosed by the Secretary as follows: \r\n(A) To medical personnel to the extent necessary to meet a bona fide medical emergency.\r\n(B) To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient or subject in any report of such research, audit, or evaluation, or otherwise disclose patient or subject identities in any manner.\r\n(C) (i) In the case of any record which is maintained in connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law.\r\n(ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made.\r\n(D) If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient or subject, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure.\r\n(E) To an entity described in paragraph (1)(B) of section 5701(k) of this title, but only to the extent authorized by such section.\r\n(F) (i) To a representative of a patient who lacks decision-making capacity, when a practitioner deems the content of the given record necessary for that representative to make an informed decision regarding the patient’s treatment.\r\n(ii) In this subparagraph, the term “representative” means an individual, organization, or other body authorized under section 7331 of this title and its implementing regulations to give informed consent on behalf of a patient who lacks decision-making capacity.\r\n(G) To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g–3), to the extent necessary to prevent misuse and diversion of prescription medicines.\r\n(H) (i) To a non-Department entity (including private entities and other Federal agencies) for purposes of providing health care, including hospital care, medical services, and extended care services, to Veterans or performing other health care-related activities or functions. \r\n(ii) An entity to which a record is disclosed under this subparagraph may not disclose or use such record for a purpose other than that for which the disclosure was made or as permitted by law.\r\n(I) To a third party in order to recover or collect reasonable charges for care furnished to, or paid on behalf of, a Veteran in connection with a non-service connected disability as permitted by section 1729 of this title or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under the Act entitled ‘An Act to provide for the recovery from tortiously liable third persons of the cost of hospital and medical care and treatment furnished by the United States’ (Public Law 87–693; 42 U.S.C. 2651 et seq.; commonly known as the ‘Federal Medical Care Recovery Act’).","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 38 U.S. Code Section 7332 - Confidentiality of certain medical records\r\nhttps://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html use “Title38Section7332” as the security label policy code. \r\n\r\nSince information governed by a Title 38 Section 7332 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6391","code" : "HIPAAConsent","display" : "HIPAA Consent","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a \"consent.\"  The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in  Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where  collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use “HIPAAConsent” as the security label policy code.\r\n\r\nSince information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code “R” (restricted)."},{"code" : "status","valueCode" : "N"}]},{"id" : "6392","code" : "HIPAAAuth","display" : "HIPAA Authorization for Disclosure","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed \"\"authorizations\"\".\r\n\r\nAn “authorization” is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html","property" : [{"code" : "v2-concComment","valueString" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed \"\"authorizations\"\".\r\n\r\nAn “authorization” is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.\r\n\r\nAn authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html"},{"code" : "status","valueCode" : "N"}]},{"id" : "6393","code" : "HIPAAROA","display" : "HIPAA Right of Access","definition" : "A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.govinfo.gov/app/details/CFR-2017-title45-vol1/CFR-2017-title45-vol1-sec164-524, which stipulates that an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected health information is maintained in the designated record set with exceptions stipulated in HIPAA Privacy Rule Section 164.524. Exceptions include psychotherapy notes and information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.\r\n\r\nIf an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.\r\n\r\nFor discussion on extent of right, grounds for denial, and documentation requirements see: HHS Individuals’ Right under HIPAA to Access their Health Information 45 CFR Section 164.524 https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html and HHS FAQ on Right of Access vs. HIPAA Authorization https://www.hhs.gov/hipaa/for-professionals/faq/2041/why-depend-on-the-individuals-right/index.html","property" : [{"code" : "v2-concComment","valueString" : "Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed under 45 CFR Section 164.5224 use “HIPAAROA” as the security label policy code.\r\n\r\nInformation disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the “norm”, assign the HL7 Confidentiality code “M” (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations."},{"code" : "status","valueCode" : "N"}]},{"id" : "6394","code" : "GDPRCONSENT","display" : "GDPR Consent","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful only if the data subject has given explicit consent to the processing of his or her personal data, inclusive of the special categories of data, for one or more specific purposes, except where Union or Member State law provide that the prohibition to use the data may not be lifted by the data subject; and for personal data which are manifestly made public by the data subject.","property" : [{"code" : "v2-concComment","valueString" : "Article 6.1.a https://gdpr-info.eu/art-6-gdpr/\r\n1 Processing shall be lawful only if and to the extent that at least one of the following applies: (a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes.\r\nArticle 9.1, 9.2a., 9.2.e https://gdpr-info.eu/art-9-gdpr/ \r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (a) the data subject has given explicit consent to the processing of those personal data for one or more specified purposes, except where Union or Member State law provide that the prohibition referred to in paragraph 1 may not be lifted by the data subject; and (e) processing relates to personal data which are manifestly made public by the data subject.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6395","code" : "GDPRCONTRACT","display" : "GDPR contract","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful only if necessary for the performance of a contract to which the data subject is party or in order to take steps at the request of the data subject prior to entering into a contract.","property" : [{"code" : "v2-concComment","valueString" : "Article 6.1.b https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (b) processing is necessary for the performance of a contract to which the data subject is party or in order to take steps at the request of the data subject prior to entering into a contract.\r\n\r\nRecital 44 https://gdpr-info.eu/recitals/no-44/\r\nProcessing should be lawful where it is necessary in the context of a contract or the intention to enter into a contract. * This title is an unofficial description.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6396","code" : "GDPRHLTHSOCSY","display" : "GDPR health or social system management","definition" : "Processing of special categories of data is lawful if necessary for archiving purposes the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional.","property" : [{"code" : "v2-concComment","valueString" : "This processing policy code offers an escape-hatch to countries like Denmark and Austria: they simply declare their national healthcare data exchanges to be necessary for the management of their healthcare system. This allows them to establish an opt-out mechanism under the GDPR, whereas normally GDPR would be opt-in when it comes to such national exchanges.\r\n\r\nThe description is based on the following GDPR provisions:\r\nArticle 9.1, and 9.2.c and 9.2.h, 9.3 https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (c) processing is necessary to protect the vital interests of the data subject or of another natural person where the data subject is physically or legally incapable of giving consent; (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3;\r\n3. Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies."},{"code" : "status","valueCode" : "N"}]},{"id" : "6397","code" : "GDPRLEGALCLAIM","display" : "GDPR legal claim","definition" : "Processing of special categories of data is lawful if necessary for the establishment, exercise or defense of legal claims or whenever courts are acting in their judicial capacity.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\n\r\nArticle 9.1 and 9.2.f https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (f) processing is necessary for the establishment, exercise or defense of legal claims or whenever courts are acting in their judicial capacity."},{"code" : "status","valueCode" : "N"}]},{"id" : "6398","code" : "GDPRLEGALOBL","display" : "GDPR legal obligation","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary for compliance with a legal obligation to which the controller is subject. \r\n\r\nThis includes the processing of the special categories of data that are necessary for the purposes of carrying out the obligations and exercising specific rights of the controller or of the data subject in the field of employment and social security and social protection law in so far as it is authorised by Union or Member State law or a collective agreement pursuant to Member State law providing for appropriate safeguards for the fundamental rights and the interests of the data subject.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.c https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (c) processing is necessary for compliance with a legal obligation to which the controller is subject.\r\nArticle 9.1, 9.2.b https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies:\r\n(b) processing is necessary for the purposes of carrying out the obligations and exercising specific rights of the controller or of the data subject in the field of employment and social security and social protection law in so far as it is authorised by Union or Member State law or a collective agreement pursuant to Member State law providing for appropriate safeguards for the fundamental rights and the interests of the data subject."},{"code" : "status","valueCode" : "N"}]},{"id" : "6399","code" : "GDPRLEGITINTEREST","display" : "GDPR legitimate interest","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary for the purposes of the legitimate interests pursued by the controller or by a third party, except where such interests are overridden by the interests or fundamental rights and freedoms of the data subject which require protection of personal data, in particular where the data subject is a child. \r\n\r\nThis includes the processing of the special categories of data that are carried out in the course of its legitimate activities with appropriate safeguards by a foundation, association or any other not-for-profit body with a political, philosophical, religious or trade union aim and on condition that the processing relates solely to the members or to former members of the body or to persons who have regular contact with it in connection with its purposes and that the personal data are not disclosed outside that body without the consent of the data subjects.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.f https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (f) processing is necessary for the purposes of the legitimate interests pursued by the controller or by a third party, except where such interests are overridden by the interests or fundamental rights and freedoms of the data subject which require protection of personal data, in particular where the data subject is a child.\r\n\r\nArticle 9.1, 9.2.d https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (d) processing is carried out in the course of its legitimate activities with appropriate safeguards by a foundation, association or any other not-for-profit body with a political, philosophical, religious or trade union aim and on condition that the processing relates solely to the members or to former members of the body or to persons who have regular contact with it in connection with its purposes and that the personal data are not disclosed outside that body without the consent of the data subjects."},{"code" : "status","valueCode" : "N"}]},{"id" : "6400","code" : "GDPRPUBLICHEALTH","display" : "GDPR public health","definition" : "Processing of special categories of data is lawful if necessary for reasons of public interest in the area of public health, such as protecting against serious cross-border threats to health or ensuring high standards of quality and safety of health care and of medicinal products or medical devices, on the basis of Union or Member State law which provides for suitable and specific measures to safeguard the rights and freedoms of the data subject, in particular professional secrecy.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 9.1 and 9.2.i https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (i) processing is necessary for reasons of public interest in the area of public health, such as protecting against serious cross-border threats to health or ensuring high standards of quality and safety of health care and of medicinal products or medical devices, on the basis of Union or Member State law which provides for suitable and specific measures to safeguard the rights and freedoms of the data subject, in particular professional secrecy.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6401","code" : "GDPRPUBLICINTEREST","display" : "GDPR public interest","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller. This includes the processing of the special categories of data that are necessary for reasons of substantial public interest, on the basis of Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.e https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (e) processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller\r\nArticle 9.1 and 9.2.g https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (g) processing is necessary for reasons of substantial public interest, on the basis of Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject."},{"code" : "status","valueCode" : "N"}]},{"id" : "6402","code" : "GDPRRESEARCH","display" : "GDPR research","definition" : "Processing of special categories of data is lawful if necessary for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes in accordance with Article 89(1) based on Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 9.1, and 9.2.j  https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (j) processing is necessary for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes in accordance with Article 89(1) based on Union or Member State law which shall be proportionate to the aim pursued, respect the essence of the right to data protection and provide for suitable and specific measures to safeguard the fundamental rights and the interests of the data subject.\""},{"code" : "status","valueCode" : "N"}]},{"id" : "6403","code" : "GDPRVITALINTEREST","display" : "GDPR vital interest","definition" : "Processing of personal data, inclusive of the special categories of data, is lawful if necessary to protect the vital interests of the data subject or of another natural person where the data subject is physically or legally incapable of giving consent. This includes the processing of the special categories of data that are necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies.","property" : [{"code" : "v2-concComment","valueString" : "The description is based on the following GDPR provisions:\r\nArticle 6.1.d https://gdpr-info.eu/art-6-gdpr/\r\n1Processing shall be lawful only if and to the extent that at least one of the following applies: (d) processing is necessary in order to protect the vital interests of the data subject or of another natural person.\r\nArticle 9.1, and 9.2.c and 9.2.h, 9.3 https://gdpr-info.eu/art-9-gdpr/\r\n1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person’s sex life or sexual orientation shall be prohibited.\r\n2. Paragraph 1 shall not apply if one of the following applies: (c) processing is necessary to protect the vital interests of the data subject or of another natural person where the data subject is physically or legally incapable of giving consent; (h) processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3;\r\n3. Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies."},{"code" : "status","valueCode" : "N"}]}]}

#765

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{"resourceType" : "Bundle","id" : "902342bd-242a-4552-8c20-2c6aedc481","meta" : {"lastUpdated" : "2025-12-15T20:12:58.895Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v3-ActMood"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v3-ActMood","resource" : {"resourceType" : "CodeSystem","id" : "v3-ActMood","language" : "en","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v3-ActMood","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.1001"}],"version" : "3.0.0","name" : "ActMood","title" : "ActMood","status" : "active","experimental" : false,"date" : "2023-05-30","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found \"Persuasive With Mod\", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.","copyright" : "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"hierarchyMeaning" : "is-a","content" : "complete","property" : [{"code" : "internalId","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description" : "The internal identifier for the concept in the HL7 Access database repository.","type" : "code"},{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type" : "code"},{"code" : "deprecationDate","uri" : "http://hl7.org/fhir/concept-properties#deprecationDate","description" : "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type" : "dateTime"},{"code" : "Name:Class","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class","description" : "The formal name for the class clone under this code","type" : "code"},{"code" : "notSelectable","uri" : "http://hl7.org/fhir/concept-properties#notSelectable","description" : "Indicates that the code is abstract - only intended to be used as a selector for other concepts","type" : "boolean"},{"code" : "synonymCode","uri" : "http://hl7.org/fhir/concept-properties#synonym","description" : "An additional concept code that was also attributed to a concept","type" : "code"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"code" : "_ActMoodCompletionTrack","display" : "ActMoodCompletionTrack","definition" : "These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20935"},{"code" : "Name:Class","valueCode" : "Process"}],"concept" : [{"code" : "_ActMoodPotential","display" : "potential","definition" : "**Definition:** A possible act.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23087"},{"code" : "Name:Class","valueCode" : "Potential"}],"concept" : [{"code" : "DEF","display" : "definition","definition" : "**Definition:** A definition of a kind of act that can occur .\r\n\r\n**OpenIssue:** The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be \"retired\" in the future in favor of the more general ActMood.CRT.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10198"},{"code" : "Name:Class","valueCode" : "Definition"}]},{"code" : "PERM","display" : "permission","definition" : "**Definition:** A kind of act that defines a permission that has been granted.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21381"},{"code" : "Name:Class","valueCode" : "Permission"}]},{"code" : "SLOT","display" : "resource slot","definition" : "**Definition:** A kind of act that may occur during the specified time period.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19168"},{"code" : "Name:Class","valueCode" : "ResourceSlot"}]}]},{"code" : "EVN","display" : "event (occurrence)","definition" : "**Definition:** An act that actually happens (may be an ongoing act or a documentation of a past act).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10201"},{"code" : "Name:Class","valueCode" : "Event"}]},{"code" : "INT","display" : "intent","definition" : "**Definition:** An intention or plan for an act.\r\n\r\n**>UsageNotes:** The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10199"},{"code" : "Name:Class","valueCode" : "Intent"}],"concept" : [{"code" : "_ActMoodDesire","display" : "desire","definition" : "**Definition:** A desire to have an act occur.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23088"},{"code" : "Name:Class","valueCode" : "Desire"}],"concept" : [{"code" : "_ActMoodActRequest","display" : "act request","definition" : "**Definition:** A request (or order) for an act that is part of a defined request/fulfillment cycle.\r\n\r\n**UsageNotes:** Use of an HL7 defined request/fulfillment framework is not required to use this mood code.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Use of an HL7 defined request/fulfillment framework is not required to use this mood code."},{"code" : "internalId","valueCode" : "23089"},{"code" : "Name:Class","valueCode" : "ActRequest"}],"concept" : [{"code" : "ARQ","display" : "appointment request","definition" : "**Definition:** A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "11625"},{"code" : "Name:Class","valueCode" : "AppointmentRequest"}]},{"code" : "PERMRQ","display" : "permission request","definition" : "**Definition:** A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21382"},{"code" : "Name:Class","valueCode" : "PermissionRequest"}]},{"code" : "RQO","display" : "request","definition" : "**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ORD"},{"code" : "HL7usageNotes","valueString" : "The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code" : "internalId","valueCode" : "19973"},{"code" : "Name:Class","valueCode" : "Request"}]},{"code" : "ORD","display" : "request","definition" : "**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "RQO"},{"code" : "HL7usageNotes","valueString" : "The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code" : "internalId","valueCode" : "19973"},{"code" : "Name:Class","valueCode" : "Request"}]}]},{"code" : "PRP","display" : "proposal","definition" : "**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16726"},{"code" : "Name:Class","valueCode" : "Proposal"}],"concept" : [{"code" : "RMD","display" : "recommendation","definition" : "**Definition:** A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .\r\n\r\n**UsageNotes:** Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. .","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. ."},{"code" : "internalId","valueCode" : "21571"},{"code" : "Name:Class","valueCode" : "Recommendation"}]}]}]},{"code" : "PRMS","display" : "promise","definition" : "**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.\r\n\r\n**UsageNotes:** Commitments may be retracted or cancelled.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Commitments may be retracted or cancelled."},{"code" : "internalId","valueCode" : "16728"},{"code" : "Name:Class","valueCode" : "Promise"}],"concept" : [{"code" : "APT","display" : "appointment","definition" : "**Definition:** An act that has been scheduled to be performed at a specific place and time.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "11626"},{"code" : "Name:Class","valueCode" : "Appointment"}]}]}]}]},{"code" : "_ActMoodPredicate","display" : "ActMoodPredicate","definition" : "**Definition:** An act that expresses condition statements for other acts.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20936"},{"code" : "Name:Class","valueCode" : "Predicate"}],"concept" : [{"code" : "CRT","display" : "criterion","definition" : "***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A condition that must be true for the source act to be considered.","property" : [{"code" : "status","valueCode" : "deprecated"},{"code" : "deprecationDate","valueDateTime" : "2010-07-12"},{"code" : "internalId","valueCode" : "22042"},{"code" : "Name:Class","valueCode" : "Criterion"}],"concept" : [{"code" : "EVN.CRT","display" : "event criterion","definition" : "***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A criterion (CRT) that has\\_match = an event (EVN).","property" : [{"code" : "status","valueCode" : "deprecated"},{"code" : "deprecationDate","valueDateTime" : "2010-07-12"},{"code" : "internalId","valueCode" : "10203"},{"code" : "Name:Class","valueCode" : "EventCriterion"}]},{"code" : "GOL.CRT","display" : "goal criterion","definition" : "A criterion expressed over goals (ActMood.GOL).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23057"}]},{"code" : "INT.CRT","display" : "intent criterion","definition" : "A criterion expressed over intents (ActMood.INT).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23054"}],"concept" : [{"code" : "PRMS.CRT","display" : "promise criterion","definition" : "A criterion expressed over promises (ActMood.PRMS).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23056"}]},{"code" : "RQO.CRT","display" : "request criterion","definition" : "A criterion expressed over requests or orders (ActMood.RQO).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23055"}]}]},{"code" : "RSK.CRT","display" : "risk criterion","definition" : "A criterion expressed over risks (ActMood.RSK).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23058"}]}]},{"code" : "EXPEC","display" : "expectation","definition" : "**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\\_match = event).\r\n\r\n**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.\r\n\r\n**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."},{"code" : "internalId","valueCode" : "21574"},{"code" : "Name:Class","valueCode" : "Expectation"}],"concept" : [{"code" : "GOL","display" : "Goal","definition" : "**Definition:** An expectation that is considered to be desirable to occur in the future\r\n\r\n**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.\r\n\r\n**UsageNotes:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. \"I will reduce the dose of drug x to 20mg\" is an intent. \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  \"I will reduce the dose of drug x to 20mg\" is an intent.  \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."},{"code" : "internalId","valueCode" : "18864"},{"code" : "Name:Class","valueCode" : "Goal"}]},{"code" : "RSK","display" : "risk","definition" : "**Definition:**An act that may occur in the future and which is regarded as undesirable\r\n\r\n**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.\r\n\r\n**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."},{"code" : "internalId","valueCode" : "21575"},{"code" : "Name:Class","valueCode" : "Risk"}]}]},{"code" : "OPT","display" : "option","definition" : "**Definition:** One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10204"},{"code" : "Name:Class","valueCode" : "Option"}]}]}]}}]}

#766

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{"resourceType" : "CodeSystem","id" : "v3-ActMood","language" : "en","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v3-ActMood","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.1001"}],"version" : "3.0.0","name" : "ActMood","title" : "ActMood","status" : "active","experimental" : false,"date" : "2023-05-30","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found \"Persuasive With Mod\", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.","copyright" : "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"hierarchyMeaning" : "is-a","content" : "complete","property" : [{"code" : "internalId","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description" : "The internal identifier for the concept in the HL7 Access database repository.","type" : "code"},{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type" : "code"},{"code" : "deprecationDate","uri" : "http://hl7.org/fhir/concept-properties#deprecationDate","description" : "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type" : "dateTime"},{"code" : "Name:Class","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class","description" : "The formal name for the class clone under this code","type" : "code"},{"code" : "notSelectable","uri" : "http://hl7.org/fhir/concept-properties#notSelectable","description" : "Indicates that the code is abstract - only intended to be used as a selector for other concepts","type" : "boolean"},{"code" : "synonymCode","uri" : "http://hl7.org/fhir/concept-properties#synonym","description" : "An additional concept code that was also attributed to a concept","type" : "code"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"code" : "_ActMoodCompletionTrack","display" : "ActMoodCompletionTrack","definition" : "These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20935"},{"code" : "Name:Class","valueCode" : "Process"}],"concept" : [{"code" : "_ActMoodPotential","display" : "potential","definition" : "**Definition:** A possible act.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23087"},{"code" : "Name:Class","valueCode" : "Potential"}],"concept" : [{"code" : "DEF","display" : "definition","definition" : "**Definition:** A definition of a kind of act that can occur .\r\n\r\n**OpenIssue:** The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be \"retired\" in the future in favor of the more general ActMood.CRT.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10198"},{"code" : "Name:Class","valueCode" : "Definition"}]},{"code" : "PERM","display" : "permission","definition" : "**Definition:** A kind of act that defines a permission that has been granted.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21381"},{"code" : "Name:Class","valueCode" : "Permission"}]},{"code" : "SLOT","display" : "resource slot","definition" : "**Definition:** A kind of act that may occur during the specified time period.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "19168"},{"code" : "Name:Class","valueCode" : "ResourceSlot"}]}]},{"code" : "EVN","display" : "event (occurrence)","definition" : "**Definition:** An act that actually happens (may be an ongoing act or a documentation of a past act).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10201"},{"code" : "Name:Class","valueCode" : "Event"}]},{"code" : "INT","display" : "intent","definition" : "**Definition:** An intention or plan for an act.\r\n\r\n**>UsageNotes:** The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10199"},{"code" : "Name:Class","valueCode" : "Intent"}],"concept" : [{"code" : "_ActMoodDesire","display" : "desire","definition" : "**Definition:** A desire to have an act occur.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23088"},{"code" : "Name:Class","valueCode" : "Desire"}],"concept" : [{"code" : "_ActMoodActRequest","display" : "act request","definition" : "**Definition:** A request (or order) for an act that is part of a defined request/fulfillment cycle.\r\n\r\n**UsageNotes:** Use of an HL7 defined request/fulfillment framework is not required to use this mood code.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Use of an HL7 defined request/fulfillment framework is not required to use this mood code."},{"code" : "internalId","valueCode" : "23089"},{"code" : "Name:Class","valueCode" : "ActRequest"}],"concept" : [{"code" : "ARQ","display" : "appointment request","definition" : "**Definition:** A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "11625"},{"code" : "Name:Class","valueCode" : "AppointmentRequest"}]},{"code" : "PERMRQ","display" : "permission request","definition" : "**Definition:** A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "21382"},{"code" : "Name:Class","valueCode" : "PermissionRequest"}]},{"code" : "RQO","display" : "request","definition" : "**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "synonymCode","valueCode" : "ORD"},{"code" : "HL7usageNotes","valueString" : "The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code" : "internalId","valueCode" : "19973"},{"code" : "Name:Class","valueCode" : "Request"}]},{"code" : "ORD","display" : "request","definition" : "**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "synonymCode","valueCode" : "RQO"},{"code" : "HL7usageNotes","valueString" : "The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code" : "internalId","valueCode" : "19973"},{"code" : "Name:Class","valueCode" : "Request"}]}]},{"code" : "PRP","display" : "proposal","definition" : "**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "16726"},{"code" : "Name:Class","valueCode" : "Proposal"}],"concept" : [{"code" : "RMD","display" : "recommendation","definition" : "**Definition:** A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .\r\n\r\n**UsageNotes:** Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. .","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. ."},{"code" : "internalId","valueCode" : "21571"},{"code" : "Name:Class","valueCode" : "Recommendation"}]}]}]},{"code" : "PRMS","display" : "promise","definition" : "**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.\r\n\r\n**UsageNotes:** Commitments may be retracted or cancelled.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Commitments may be retracted or cancelled."},{"code" : "internalId","valueCode" : "16728"},{"code" : "Name:Class","valueCode" : "Promise"}],"concept" : [{"code" : "APT","display" : "appointment","definition" : "**Definition:** An act that has been scheduled to be performed at a specific place and time.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "11626"},{"code" : "Name:Class","valueCode" : "Appointment"}]}]}]}]},{"code" : "_ActMoodPredicate","display" : "ActMoodPredicate","definition" : "**Definition:** An act that expresses condition statements for other acts.","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "20936"},{"code" : "Name:Class","valueCode" : "Predicate"}],"concept" : [{"code" : "CRT","display" : "criterion","definition" : "***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A condition that must be true for the source act to be considered.","property" : [{"code" : "status","valueCode" : "deprecated"},{"code" : "deprecationDate","valueDateTime" : "2010-07-12"},{"code" : "internalId","valueCode" : "22042"},{"code" : "Name:Class","valueCode" : "Criterion"}],"concept" : [{"code" : "EVN.CRT","display" : "event criterion","definition" : "***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A criterion (CRT) that has\\_match = an event (EVN).","property" : [{"code" : "status","valueCode" : "deprecated"},{"code" : "deprecationDate","valueDateTime" : "2010-07-12"},{"code" : "internalId","valueCode" : "10203"},{"code" : "Name:Class","valueCode" : "EventCriterion"}]},{"code" : "GOL.CRT","display" : "goal criterion","definition" : "A criterion expressed over goals (ActMood.GOL).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23057"}]},{"code" : "INT.CRT","display" : "intent criterion","definition" : "A criterion expressed over intents (ActMood.INT).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23054"}],"concept" : [{"code" : "PRMS.CRT","display" : "promise criterion","definition" : "A criterion expressed over promises (ActMood.PRMS).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23056"}]},{"code" : "RQO.CRT","display" : "request criterion","definition" : "A criterion expressed over requests or orders (ActMood.RQO).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23055"}]}]},{"code" : "RSK.CRT","display" : "risk criterion","definition" : "A criterion expressed over risks (ActMood.RSK).","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "23058"}]}]},{"code" : "EXPEC","display" : "expectation","definition" : "**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\\_match = event).\r\n\r\n**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.\r\n\r\n**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."},{"code" : "internalId","valueCode" : "21574"},{"code" : "Name:Class","valueCode" : "Expectation"}],"concept" : [{"code" : "GOL","display" : "Goal","definition" : "**Definition:** An expectation that is considered to be desirable to occur in the future\r\n\r\n**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.\r\n\r\n**UsageNotes:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. \"I will reduce the dose of drug x to 20mg\" is an intent. \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  \"I will reduce the dose of drug x to 20mg\" is an intent.  \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."},{"code" : "internalId","valueCode" : "18864"},{"code" : "Name:Class","valueCode" : "Goal"}]},{"code" : "RSK","display" : "risk","definition" : "**Definition:**An act that may occur in the future and which is regarded as undesirable\r\n\r\n**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.\r\n\r\n**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "HL7usageNotes","valueString" : "Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."},{"code" : "internalId","valueCode" : "21575"},{"code" : "Name:Class","valueCode" : "Risk"}]}]},{"code" : "OPT","display" : "option","definition" : "**Definition:** One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10204"},{"code" : "Name:Class","valueCode" : "Option"}]}]}]}

#767

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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ActMood","language":"en","text":{"status":"generated"},"url":"http://terminology.hl7.org/CodeSystem/v3-ActMood","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1001"}],"version":"3.0.0","name":"ActMood","title":"ActMood","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found \"Persuasive With Mod\", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"code":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"Name:Class","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class","description":"The formal name for the class clone under this code","type":"code"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"},{"code":"synonymCode","uri":"http://hl7.org/fhir/concept-properties#synonym","description":"An additional concept code that was also attributed to a concept","type":"code"},{"code":"HL7usageNotes","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description":"HL7 Concept Usage Notes","type":"string"}],"concept":[{"code":"_ActMoodCompletionTrack","display":"ActMoodCompletionTrack","definition":"These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20935"},{"code":"Name:Class","valueCode":"Process"}],"concept":[{"code":"_ActMoodPotential","display":"potential","definition":"**Definition:** A possible act.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23087"},{"code":"Name:Class","valueCode":"Potential"}],"concept":[{"code":"DEF","display":"definition","definition":"**Definition:** A definition of a kind of act that can occur .\r\n\r\n**OpenIssue:** The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be \"retired\" in the future in favor of the more general ActMood.CRT.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10198"},{"code":"Name:Class","valueCode":"Definition"}]},{"code":"PERM","display":"permission","definition":"**Definition:** A kind of act that defines a permission that has been granted.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21381"},{"code":"Name:Class","valueCode":"Permission"}]},{"code":"SLOT","display":"resource slot","definition":"**Definition:** A kind of act that may occur during the specified time period.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19168"},{"code":"Name:Class","valueCode":"ResourceSlot"}]}]},{"code":"EVN","display":"event (occurrence)","definition":"**Definition:** An act that actually happens (may be an ongoing act or a documentation of a past act).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10201"},{"code":"Name:Class","valueCode":"Event"}]},{"code":"INT","display":"intent","definition":"**Definition:** An intention or plan for an act.\r\n\r\n**>UsageNotes:** The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10199"},{"code":"Name:Class","valueCode":"Intent"}],"concept":[{"code":"_ActMoodDesire","display":"desire","definition":"**Definition:** A desire to have an act occur.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23088"},{"code":"Name:Class","valueCode":"Desire"}],"concept":[{"code":"_ActMoodActRequest","display":"act request","definition":"**Definition:** A request (or order) for an act that is part of a defined request/fulfillment cycle.\r\n\r\n**UsageNotes:** Use of an HL7 defined request/fulfillment framework is not required to use this mood code.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Use of an HL7 defined request/fulfillment framework is not required to use this mood code."},{"code":"internalId","valueCode":"23089"},{"code":"Name:Class","valueCode":"ActRequest"}],"concept":[{"code":"ARQ","display":"appointment request","definition":"**Definition:** A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11625"},{"code":"Name:Class","valueCode":"AppointmentRequest"}]},{"code":"PERMRQ","display":"permission request","definition":"**Definition:** A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21382"},{"code":"Name:Class","valueCode":"PermissionRequest"}]},{"code":"RQO","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"active"},{"code":"synonymCode","valueCode":"ORD"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]},{"code":"ORD","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"retired"},{"code":"synonymCode","valueCode":"RQO"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]}]},{"code":"PRP","display":"proposal","definition":"**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16726"},{"code":"Name:Class","valueCode":"Proposal"}],"concept":[{"code":"RMD","display":"recommendation","definition":"**Definition:** A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .\r\n\r\n**UsageNotes:** Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. .","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. ."},{"code":"internalId","valueCode":"21571"},{"code":"Name:Class","valueCode":"Recommendation"}]}]}]},{"code":"PRMS","display":"promise","definition":"**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.\r\n\r\n**UsageNotes:** Commitments may be retracted or cancelled.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Commitments may be retracted or cancelled."},{"code":"internalId","valueCode":"16728"},{"code":"Name:Class","valueCode":"Promise"}],"concept":[{"code":"APT","display":"appointment","definition":"**Definition:** An act that has been scheduled to be performed at a specific place and time.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11626"},{"code":"Name:Class","valueCode":"Appointment"}]}]}]}]},{"code":"_ActMoodPredicate","display":"ActMoodPredicate","definition":"**Definition:** An act that expresses condition statements for other acts.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20936"},{"code":"Name:Class","valueCode":"Predicate"}],"concept":[{"code":"CRT","display":"criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A condition that must be true for the source act to be considered.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"22042"},{"code":"Name:Class","valueCode":"Criterion"}],"concept":[{"code":"EVN.CRT","display":"event criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A criterion (CRT) that has\\_match = an event (EVN).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"10203"},{"code":"Name:Class","valueCode":"EventCriterion"}]},{"code":"GOL.CRT","display":"goal criterion","definition":"A criterion expressed over goals (ActMood.GOL).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23057"}]},{"code":"INT.CRT","display":"intent criterion","definition":"A criterion expressed over intents (ActMood.INT).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23054"}],"concept":[{"code":"PRMS.CRT","display":"promise criterion","definition":"A criterion expressed over promises (ActMood.PRMS).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23056"}]},{"code":"RQO.CRT","display":"request criterion","definition":"A criterion expressed over requests or orders (ActMood.RQO).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23055"}]}]},{"code":"RSK.CRT","display":"risk criterion","definition":"A criterion expressed over risks (ActMood.RSK).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23058"}]}]},{"code":"EXPEC","display":"expectation","definition":"**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\\_match = event).\r\n\r\n**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.\r\n\r\n**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."},{"code":"internalId","valueCode":"21574"},{"code":"Name:Class","valueCode":"Expectation"}],"concept":[{"code":"GOL","display":"Goal","definition":"**Definition:** An expectation that is considered to be desirable to occur in the future\r\n\r\n**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.\r\n\r\n**UsageNotes:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. \"I will reduce the dose of drug x to 20mg\" is an intent. \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  \"I will reduce the dose of drug x to 20mg\" is an intent.  \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."},{"code":"internalId","valueCode":"18864"},{"code":"Name:Class","valueCode":"Goal"}]},{"code":"RSK","display":"risk","definition":"**Definition:**An act that may occur in the future and which is regarded as undesirable\r\n\r\n**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.\r\n\r\n**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."},{"code":"internalId","valueCode":"21575"},{"code":"Name:Class","valueCode":"Risk"}]}]},{"code":"OPT","display":"option","definition":"**Definition:** One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10204"},{"code":"Name:Class","valueCode":"Option"}]}]}]}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActMood","version":"2.0.0","concept":[{"code":"INT"},{"code":"APT"},{"code":"ARQ"},{"code":"PRMS"},{"code":"PRP"},{"code":"RQO"},{"code":"EVN"},{"code":"EVN.CRT"},{"code":"EXPEC"}]}]}}}]}
422
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date:Mon, 15 Dec 2025 20:12:59 GMT
server:nginx
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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#768

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ActMood","language":"en","text":{"status":"generated"},"url":"http://terminology.hl7.org/CodeSystem/v3-ActMood","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1001"}],"version":"3.0.0","name":"ActMood","title":"ActMood","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found \"Persuasive With Mod\", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"code":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"Name:Class","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class","description":"The formal name for the class clone under this code","type":"code"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"},{"code":"synonymCode","uri":"http://hl7.org/fhir/concept-properties#synonym","description":"An additional concept code that was also attributed to a concept","type":"code"},{"code":"HL7usageNotes","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description":"HL7 Concept Usage Notes","type":"string"}],"concept":[{"code":"_ActMoodCompletionTrack","display":"ActMoodCompletionTrack","definition":"These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20935"},{"code":"Name:Class","valueCode":"Process"}],"concept":[{"code":"_ActMoodPotential","display":"potential","definition":"**Definition:** A possible act.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23087"},{"code":"Name:Class","valueCode":"Potential"}],"concept":[{"code":"DEF","display":"definition","definition":"**Definition:** A definition of a kind of act that can occur .\r\n\r\n**OpenIssue:** The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be \"retired\" in the future in favor of the more general ActMood.CRT.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10198"},{"code":"Name:Class","valueCode":"Definition"}]},{"code":"PERM","display":"permission","definition":"**Definition:** A kind of act that defines a permission that has been granted.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21381"},{"code":"Name:Class","valueCode":"Permission"}]},{"code":"SLOT","display":"resource slot","definition":"**Definition:** A kind of act that may occur during the specified time period.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19168"},{"code":"Name:Class","valueCode":"ResourceSlot"}]}]},{"code":"EVN","display":"event (occurrence)","definition":"**Definition:** An act that actually happens (may be an ongoing act or a documentation of a past act).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10201"},{"code":"Name:Class","valueCode":"Event"}]},{"code":"INT","display":"intent","definition":"**Definition:** An intention or plan for an act.\r\n\r\n**>UsageNotes:** The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10199"},{"code":"Name:Class","valueCode":"Intent"}],"concept":[{"code":"_ActMoodDesire","display":"desire","definition":"**Definition:** A desire to have an act occur.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23088"},{"code":"Name:Class","valueCode":"Desire"}],"concept":[{"code":"_ActMoodActRequest","display":"act request","definition":"**Definition:** A request (or order) for an act that is part of a defined request/fulfillment cycle.\r\n\r\n**UsageNotes:** Use of an HL7 defined request/fulfillment framework is not required to use this mood code.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Use of an HL7 defined request/fulfillment framework is not required to use this mood code."},{"code":"internalId","valueCode":"23089"},{"code":"Name:Class","valueCode":"ActRequest"}],"concept":[{"code":"ARQ","display":"appointment request","definition":"**Definition:** A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11625"},{"code":"Name:Class","valueCode":"AppointmentRequest"}]},{"code":"PERMRQ","display":"permission request","definition":"**Definition:** A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21382"},{"code":"Name:Class","valueCode":"PermissionRequest"}]},{"code":"RQO","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"active"},{"code":"synonymCode","valueCode":"ORD"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]},{"code":"ORD","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"retired"},{"code":"synonymCode","valueCode":"RQO"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]}]},{"code":"PRP","display":"proposal","definition":"**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16726"},{"code":"Name:Class","valueCode":"Proposal"}],"concept":[{"code":"RMD","display":"recommendation","definition":"**Definition:** A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .\r\n\r\n**UsageNotes:** Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. .","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. ."},{"code":"internalId","valueCode":"21571"},{"code":"Name:Class","valueCode":"Recommendation"}]}]}]},{"code":"PRMS","display":"promise","definition":"**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.\r\n\r\n**UsageNotes:** Commitments may be retracted or cancelled.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Commitments may be retracted or cancelled."},{"code":"internalId","valueCode":"16728"},{"code":"Name:Class","valueCode":"Promise"}],"concept":[{"code":"APT","display":"appointment","definition":"**Definition:** An act that has been scheduled to be performed at a specific place and time.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11626"},{"code":"Name:Class","valueCode":"Appointment"}]}]}]}]},{"code":"_ActMoodPredicate","display":"ActMoodPredicate","definition":"**Definition:** An act that expresses condition statements for other acts.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20936"},{"code":"Name:Class","valueCode":"Predicate"}],"concept":[{"code":"CRT","display":"criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A condition that must be true for the source act to be considered.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"22042"},{"code":"Name:Class","valueCode":"Criterion"}],"concept":[{"code":"EVN.CRT","display":"event criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A criterion (CRT) that has\\_match = an event (EVN).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"10203"},{"code":"Name:Class","valueCode":"EventCriterion"}]},{"code":"GOL.CRT","display":"goal criterion","definition":"A criterion expressed over goals (ActMood.GOL).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23057"}]},{"code":"INT.CRT","display":"intent criterion","definition":"A criterion expressed over intents (ActMood.INT).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23054"}],"concept":[{"code":"PRMS.CRT","display":"promise criterion","definition":"A criterion expressed over promises (ActMood.PRMS).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23056"}]},{"code":"RQO.CRT","display":"request criterion","definition":"A criterion expressed over requests or orders (ActMood.RQO).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23055"}]}]},{"code":"RSK.CRT","display":"risk criterion","definition":"A criterion expressed over risks (ActMood.RSK).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23058"}]}]},{"code":"EXPEC","display":"expectation","definition":"**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\\_match = event).\r\n\r\n**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.\r\n\r\n**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."},{"code":"internalId","valueCode":"21574"},{"code":"Name:Class","valueCode":"Expectation"}],"concept":[{"code":"GOL","display":"Goal","definition":"**Definition:** An expectation that is considered to be desirable to occur in the future\r\n\r\n**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.\r\n\r\n**UsageNotes:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. \"I will reduce the dose of drug x to 20mg\" is an intent. \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  \"I will reduce the dose of drug x to 20mg\" is an intent.  \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."},{"code":"internalId","valueCode":"18864"},{"code":"Name:Class","valueCode":"Goal"}]},{"code":"RSK","display":"risk","definition":"**Definition:**An act that may occur in the future and which is regarded as undesirable\r\n\r\n**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.\r\n\r\n**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."},{"code":"internalId","valueCode":"21575"},{"code":"Name:Class","valueCode":"Risk"}]}]},{"code":"OPT","display":"option","definition":"**Definition:** One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10204"},{"code":"Name:Class","valueCode":"Option"}]}]}]}},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"http://terminology.hl7.org/ValueSet/v2-0725-inc-0","status":"active","compose":{"inactive":false,"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActMood","version":"2.0.0","concept":[{"code":"INT"},{"code":"APT"},{"code":"ARQ"},{"code":"PRMS"},{"code":"PRP"},{"code":"RQO"},{"code":"EVN"},{"code":"EVN.CRT"},{"code":"EXPEC"}]}]}}}]}
422
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date:Mon, 15 Dec 2025 20:12:59 GMT
server:nginx
x-request-id:252-199899

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#769

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0728 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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x-request-id:252-199900

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#770

GET https://tx.fhir.org/r5/CodeSystem/v2-0728 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2448
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-199901

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#771

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0731 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2949
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-199902

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#772

GET https://tx.fhir.org/r5/CodeSystem/v2-0731 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2603
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:12:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-199903

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#773

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0734 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3847
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-199904

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#774

GET https://tx.fhir.org/r5/CodeSystem/v2-0734 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3501
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-199905

{"resourceType" : "CodeSystem","id" : "v2-0734","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0734","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.393"}],"version" : "2.0.0","name" : "GrouperStatus","title" : "grouperStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the status of a grouper in general.  US Realm. Used in HL7 Version 2.x messaging in the DRG segment.","purpose" : "Underlying Master Code System for V2 table 0734 (Grouper Status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0734","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6430","code" : "0","display" : "Normal grouping","definition" : "Normal grouping","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6431","code" : "1","display" : "Invalid or missing primary diagnosis","definition" : "Invalid or missing primary diagnosis","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6432","code" : "2","display" : "Diagnosis is not allowed to be primary","definition" : "Diagnosis is not allowed to be primary","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6433","code" : "3","display" : "Data does not fulfill DRG criteria","definition" : "Data does not fulfill DRG criteria","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6434","code" : "4","display" : "Invalid age, admission date, date of birth or discharge date","definition" : "Invalid age, admission date, date of birth or discharge date","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6435","code" : "5","display" : "Invalid gender","definition" : "Invalid gender","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6436","code" : "6","display" : "Invalid discharge status","definition" : "Invalid discharge status","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6437","code" : "7","display" : "Invalid weight ad admission","definition" : "Invalid weight ad admission","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6438","code" : "8","display" : "Invalid length of stay","definition" : "Invalid length of stay","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6439","code" : "9","display" : "Invalid field \"same day\"","definition" : "Invalid field \"same day\"","property" : [{"code" : "status","valueCode" : "active"}]}]}

#775

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0739 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2582
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-199906

{"resourceType" : "Bundle","id" : "661d4cda-c245-44b5-9312-d80974682a","meta" : {"lastUpdated" : "2025-12-15T20:13:00.176Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0739"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0739","resource" : {"resourceType" : "CodeSystem","id" : "v2-0739","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0739","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.394"}],"version" : "2.0.0","name" : "DrgStatusPatient","title" : "drgStatusPatient","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying whether the length of stay is normal or respectively shorter or longer than normal. Used in HL7 Version 2.x messaging in the DRG segment.","purpose" : "Underlying Master Code System for V2 table 0739 (DRG Status Patient)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0739","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6440","code" : "1","display" : "Normal length of stay","definition" : "Normal length of stay","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6441","code" : "2","display" : "Short length of stay","definition" : "Short length of stay","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6442","code" : "3","display" : "Long length of stay","definition" : "Long length of stay","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#776

GET https://tx.fhir.org/r5/CodeSystem/v2-0739 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
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#777

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0742 HTTP/1.0
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#778

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200
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date:Mon, 15 Dec 2025 20:13:00 GMT
pragma:no-cache
server:nginx
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#779

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0749 HTTP/1.0
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date:Mon, 15 Dec 2025 20:13:00 GMT
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x-request-id:252-199910

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#780

GET https://tx.fhir.org/r5/CodeSystem/v2-0749 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:13:00 GMT
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x-request-id:252-199911

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#781

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0755 HTTP/1.0
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#782

GET https://tx.fhir.org/r5/CodeSystem/v2-0755 HTTP/1.0
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#783

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0757 HTTP/1.0
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x-request-id:252-199914

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#784

GET https://tx.fhir.org/r5/CodeSystem/v2-0757 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2421
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-199915

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#785

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0759 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2988
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199916

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#786

GET https://tx.fhir.org/r5/CodeSystem/v2-0759 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2642
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199917

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#787

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0761 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2925
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199918

{"resourceType" : "Bundle","id" : "2c8a2fb6-4633-406f-bcae-5982da8be2","meta" : {"lastUpdated" : "2025-12-15T20:13:01.223Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0761"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0761","resource" : {"resourceType" : "CodeSystem","id" : "v2-0761","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0761","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.400"}],"version" : "2.0.0","name" : "DrgProcedureDeterminationStatus","title" : "drgProcedureDeterminationStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the status of the use of this particular procedure for the diagnosis related group (DRG) determination.  US Realm. Used in HL7 Version 2.x messaging in the PR1 segment.","purpose" : "Underlying Master Code System for V2 table 0761 (DRG Procedure Determination Status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0761","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6464","code" : "0","display" : "Valid code","definition" : "Valid code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6465","code" : "1","display" : "Invalid code","definition" : "Invalid code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6466","code" : "2","display" : "Not used","definition" : "Not used","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6467","code" : "3","display" : "Invalid for this gender","definition" : "Invalid for this gender","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6468","code" : "4","display" : "Invalid for this age","definition" : "Invalid for this age","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#788

GET https://tx.fhir.org/r5/CodeSystem/v2-0761 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2579
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199919

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#789

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0763 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2745
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199920

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#790

GET https://tx.fhir.org/r5/CodeSystem/v2-0763 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2399
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199921

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#791

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0776 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:13:01 GMT
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x-request-id:252-199922

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#792

GET https://tx.fhir.org/r5/CodeSystem/v2-0776 HTTP/1.0
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User-Agent: fhir/publisher
200
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date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199923

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#793

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0778 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199924

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#794

GET https://tx.fhir.org/r5/CodeSystem/v2-0778 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199925

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#795

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0790 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:13:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-199926

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#796

GET https://tx.fhir.org/r5/CodeSystem/v2-0790 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
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date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199927

{"resourceType" : "CodeSystem","id" : "v2-0790","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0790","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.404"}],"version" : "2.0.0","name" : "ApprovingRegulatoryAgency","title" : "approvingRegulatoryAgency","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the regulatory agency by which the item has been approved, such as the FDA or AMA. Used in HL7 Version 2.x messaging in the ITM segment.","purpose" : "Underlying Master Code System for V2 table 0790 (Approving Regulatory Agency)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0790","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6480","code" : "FDA","display" : "Food and Drug Administration","definition" : "Food and Drug Administration","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6481","code" : "AMA","display" : "American Medical Association","definition" : "American Medical Association","property" : [{"code" : "status","valueCode" : "active"}]}]}

#797

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0793 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-allow-origin:*
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date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199928

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#798

GET https://tx.fhir.org/r5/CodeSystem/v2-0793 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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connection:keep-alive
content-length:1923
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199929

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#799

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0806 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2555
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199930

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#800

GET https://tx.fhir.org/r5/CodeSystem/v2-0806 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2209
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199931

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#801

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0818 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2645
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199932

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#802

GET https://tx.fhir.org/r5/CodeSystem/v2-0818 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2299
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199933

{"resourceType" : "CodeSystem","id" : "v2-0818","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0818","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.407"}],"version" : "2.0.0","name" : "Package","title" : "package","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the packaging unit in which this inventory supply item can be ordered or issued when purchased from the vendor in the related vendor segment.  Used in HL7 Version 2.x messaging in the PKG segment.","purpose" : "Underlying Master Code System for V2 table 0818 (Package)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0818","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6486","code" : "CS","display" : "Case","definition" : "Case","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6487","code" : "BX","display" : "Box","definition" : "Box","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6488","code" : "EA","display" : "Each","definition" : "Each","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6489","code" : "SET","display" : "Set","definition" : "Set","property" : [{"code" : "status","valueCode" : "active"}]}]}

#803

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0834 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3559
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199934

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#804

GET https://tx.fhir.org/r5/CodeSystem/v2-0834 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3213
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:02 GMT
pragma:no-cache
server:nginx
x-request-id:252-199935

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#805

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0868 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4677
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199936

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#806

GET https://tx.fhir.org/r5/CodeSystem/v2-0868 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4331
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199937

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#807

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0871 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5516
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199938

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#808

GET https://tx.fhir.org/r5/CodeSystem/v2-0871 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5170
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199939

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#809

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0881 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2583
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199940

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#810

GET https://tx.fhir.org/r5/CodeSystem/v2-0881 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2237
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199941

{"resourceType" : "CodeSystem","id" : "v2-0881","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0881","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.411"}],"version" : "2.0.0","name" : "RoleExecutingPhysician","title" : "roleExecutingPhysician","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the account role of the physician, for example, only billing for the professional part, the technical part or both.  Used in HL7 Version 2.x messaging in the PSL segment.","purpose" : "Underlying Master Code System for V2 table 0881 (Role Executing Physician)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0881","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6509","code" : "T","display" : "Technical Part","definition" : "Technical Part","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6510","code" : "P","display" : "Professional Part","definition" : "Professional Part","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6511","code" : "B","display" : "Both","definition" : "Both","property" : [{"code" : "status","valueCode" : "active"}]}]}

#811

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0882 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2405
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199942

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#812

GET https://tx.fhir.org/r5/CodeSystem/v2-0882 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2059
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199943

{"resourceType" : "CodeSystem","id" : "v2-0882","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0882","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.412"}],"version" : "2.0.0","name" : "MedicalRoleExecutingPhysician","title" : "medicalRoleExecutingPhysician","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the role of the physician (\"self-employed\" or \"employed\").  Used in HL7 Version 2.x messaging in the PSL segment.","purpose" : "Underlying Master Code System for V2 table 0882 (Medical Role Executing Physician)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0882","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6512","code" : "E","display" : "Employed","definition" : "Employed","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6513","code" : "SE","display" : "Self-employed","definition" : "Self-employed","property" : [{"code" : "status","valueCode" : "active"}]}]}

#813

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0894 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2305
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199944

{"resourceType" : "Bundle","id" : "b7beb024-0271-45b5-a018-5c16e4d824","meta" : {"lastUpdated" : "2025-12-15T20:13:03.723Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0894"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0894","resource" : {"resourceType" : "CodeSystem","id" : "v2-0894","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0894","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.413"}],"version" : "2.0.0","name" : "SideOfBody","title" : "sideOfBody","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the side of the body (\"left\" or \"right\").  Used in HL7 Version 2.x messaging in the PSL segment.","purpose" : "Underlying Master Code System for V2 table 0894 (Side of body)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0894","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6514","code" : "L","display" : "Left","definition" : "Left","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6515","code" : "R","display" : "Right","definition" : "Right","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#814

GET https://tx.fhir.org/r5/CodeSystem/v2-0894 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1959
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199945

{"resourceType" : "CodeSystem","id" : "v2-0894","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0894","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.413"}],"version" : "2.0.0","name" : "SideOfBody","title" : "sideOfBody","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the side of the body (\"left\" or \"right\").  Used in HL7 Version 2.x messaging in the PSL segment.","purpose" : "Underlying Master Code System for V2 table 0894 (Side of body)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0894","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6514","code" : "L","display" : "Left","definition" : "Left","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6515","code" : "R","display" : "Right","definition" : "Right","property" : [{"code" : "status","valueCode" : "active"}]}]}

#815

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0895 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:263
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199946

{"resourceType" : "Bundle","id" : "d9c367b3-a559-4884-acc2-189894548d","meta" : {"lastUpdated" : "2025-12-15T20:13:03.879Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0895"}]}

#816

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0904 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3302
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:03 GMT
pragma:no-cache
server:nginx
x-request-id:252-199947

{"resourceType" : "Bundle","id" : "713b7c05-de8e-48aa-8390-1fa8b5e771","meta" : {"lastUpdated" : "2025-12-15T20:13:03.957Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0904"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0904","resource" : {"resourceType" : "CodeSystem","id" : "v2-0904","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0904","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.415"}],"version" : "2.0.0","name" : "SecurityCheckScheme","title" : "securityCheckScheme","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the scheme for the security check.  Used in HL7 Version 2.x messaging in the CX datatypes and PPN and XCN segments.","purpose" : "Underlying Master Code System for V2 table 0904 (Security Check Scheme)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0904","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6521","code" : "BCV","display" : "Bank Card Validation Number","definition" : "Bank Card Validation Number","property" : [{"code" : "v2-concComment","valueString" : "A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card"},{"code" : "v2-concCommentAsPub","valueString" : "A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card"},{"code" : "status","valueCode" : "active"}]},{"id" : "6522","code" : "CCS","display" : "Credit Card Security code","definition" : "Credit Card Security code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6523","code" : "VID","display" : "Version ID","definition" : "Version ID","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#817

GET https://tx.fhir.org/r5/CodeSystem/v2-0904 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2956
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199948

{"resourceType" : "CodeSystem","id" : "v2-0904","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "inm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0904","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.415"}],"version" : "2.0.0","name" : "SecurityCheckScheme","title" : "securityCheckScheme","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the scheme for the security check.  Used in HL7 Version 2.x messaging in the CX datatypes and PPN and XCN segments.","purpose" : "Underlying Master Code System for V2 table 0904 (Security Check Scheme)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0904","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6521","code" : "BCV","display" : "Bank Card Validation Number","definition" : "Bank Card Validation Number","property" : [{"code" : "v2-concComment","valueString" : "A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card"},{"code" : "v2-concCommentAsPub","valueString" : "A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card"},{"code" : "status","valueCode" : "active"}]},{"id" : "6522","code" : "CCS","display" : "Credit Card Security code","definition" : "Credit Card Security code","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6523","code" : "VID","display" : "Version ID","definition" : "Version ID","property" : [{"code" : "status","valueCode" : "active"}]}]}

#818

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0905 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2904
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199949

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#819

GET https://tx.fhir.org/r5/CodeSystem/v2-0905 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2558
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199950

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#820

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0906 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:6977
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199951

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#821

GET https://tx.fhir.org/r5/CodeSystem/v2-0906 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:6631
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199952

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#822

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0907 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:7745
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199953

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#823

GET https://tx.fhir.org/r5/CodeSystem/v2-0907 HTTP/1.0
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date:Mon, 15 Dec 2025 20:13:04 GMT
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server:nginx
x-request-id:252-199954

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#824

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0909 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:13:04 GMT
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#825

GET https://tx.fhir.org/r5/CodeSystem/v2-0909 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
content-length:5203
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199956

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#826

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0912 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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content-length:21018
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
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#827

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This code is used when the authorization is for a person."},{"code" : "status","valueCode" : "N"}]},{"id" : "6571","code" : "AI","display" : "Assistant/Alternate Interpreter","definition" : "Assistant/Alternate Interpreter","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6572","code" : "AP","display" : "Administering Provider","definition" : "Administering Provider","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the RXA segment, when more information about RXA-10 Administering Provider is desired."},{"code" : "v2-concCommentAsPub","valueString" : "RXA-10 Administering Provider"},{"code" : "status","valueCode" : "active"}]},{"id" : "6573","code" : "APO","display" : "Authorized Performing Provider Organization","definition" : "The Provider Organization that has been approved to perform the sanctioned procedures to which the patient was referred to.","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the AUT segment, which represents an authorization or a pre-authorization for a referred procedure or requested service by the payor covering the patient's health care.  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responsible for initiating the event","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the ORC segment, where ORC-19 Action By has been marked for backwards compatibility only."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces ORC-19 Action By"},{"code" : "status","valueCode" : "active"}]},{"id" : "6577","code" : "CLPO","display" : "Collecting Provider Organization","definition" : "The organization that is responsible for collecting the specimen.","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBR segment, where OBR-10 Collector Identifier, when intended to convey the organization information, has been marked for backwards compatibility only."},{"code" : "status","valueCode" : "N"}]},{"id" : "6578","code" : "CP","display" : "Consulting Provider","definition" : "Consulting Provider","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6579","code" : "DIE","display" : "De-Identification Entity","definition" : "Organization, person or device that has the authority to remove a specimen identifier.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6580","code" : "DP","display" : "Dispensing Provider","definition" : "Dispensing Provider","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the RXD segment, where RXD-10 Dispensing Provider has been marked for backwards compatibility only."},{"code" : "v2-concCommentAsPub","valueString" : "RXD-10 Dispensing Provider"},{"code" : "status","valueCode" : "active"}]},{"id" : "6581","code" : "EARI","display" : "Expected Assistant Result Interpreter","definition" : "The Assistant Result Interpreter who is expected to interpret the result (in the future).","property" : [{"code" : "v2-concComment","valueString" : "This will support filtering orders into the correct work queue of the Assistant Result Interpreter."},{"code" : "status","valueCode" : "N"}]},{"id" : "6582","code" : "ED","display" : "Entering Device","definition" : "Identifies the device that was used to enter the order into the system.","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the ORC segment, where ORC-18 Entering Device has been marked for backwards compatibility only."},{"code" : "status","valueCode" : "N"}]},{"id" : "6583","code" : "EO","display" : "Entering Organization","definition" : "Identifies the organization that entered the order into the system.","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the ORC segment, where ORC-17 Entering Organization has been marked for backwards compatibility only."},{"code" : "status","valueCode" : "N"}]},{"id" : "6584","code" : "EP","display" : "Entering Person","definition" : "Identifies the person that entered the order into the system","property" : [{"code" : "v2-concComment","valueString" : "Replaces ORC-10 Entered By"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces ORC-10 Entered By"},{"code" : "status","valueCode" : "active"}]},{"id" : "6585","code" : "EPRI","display" : "Expected Principal Result Interpreter","definition" : "The Principal Result Interpreter who is expected to interpret the result (in the future).","property" : [{"code" : "v2-concComment","valueString" : "This will support filtering orders into the correct work queue of the Principal Result Interpreter."},{"code" : "status","valueCode" : "N"}]},{"id" : "6586","code" : "EQUIP","display" : "Equipment","definition" : "Equipment","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBX segment, where OBX-18 Equipment Instance Identifier has been marked for backwards compatibility only."},{"code" : "status","valueCode" : "active"}]},{"id" : "6587","code" : "FHCP","display" : "Family Health Care Professional","definition" : "Family Health Care Professional","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6588","code" : "FL","display" : "From Location","definition" : "Describes the location (coordinates) of the specimen/container in the previous holder / storage equipment before the move or the geographical location from which the specimen/container was moved.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6589","code" : "MDIR","display" : "Medical Director","definition" : "Medical Director","property" : [{"code" : "v2-concCommentAsPub","valueString" : "OBX-25 Performing Organization Medical Director"},{"code" : "status","valueCode" : "active"}]},{"id" : "6590","code" : "OF","display" : "Ordering Facility","definition" : "The facility from where the order was placed","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the ORC segment, where ORC-21 Ordering Facility Name, ORC-22 Ordering Facility Address and ORC-23 Ordering Facility Phone Number have been marked for backwards compatibility only."},{"code" : "status","valueCode" : "N"}]},{"id" : "6591","code" : "OP","display" : "Ordering Provider","definition" : "Ordering Provider","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with either the ORC segment, where ORC-12 Ordering Provider, OBR-16 Ordering Provider, ORC-24 Ordering Provider Address have been marked for backwards compatibility only, or the OBR segment, where OBR-16 Ordering Provider has been marked for backwards compatibility only; the RXO segment, when more information about RXO-14 Ordering Provider's DEA Number is desired; the RXE segment, where RXE-13 Ordering Provider's DEA Number has been marked for backwards compatibility only."},{"code" : "v2-concCommentAsPub","valueString" : "ORC-12 Ordering Provider, OBR-16 Ordering Provider, RXO-14 Ordering Provider's DEA Number, RXE-13 Ordering Provider's DEA Number, ORC-24 Ordering Provider Address"},{"code" : "status","valueCode" : "active"}]},{"id" : "6592","code" : "OPO","display" : "Ordering Provider Organization","definition" : "The organization the ordering provider is associated with.","property" : [{"code" : "v2-concComment","valueString" : "This code is broader than Referring Provider Organization (RPO); it can be used for inter and intra-organizational orders."},{"code" : "status","valueCode" : "N"}]},{"id" : "6593","code" : "OS","display" : "Outside Site(s) Where Observation May Be Performed","definition" : "Outside Site(s) Where Observation May Be Performed","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OM1 segment, where OM1-27 Outside Site(s) Where Observation May Be Performed has been deprecated."},{"code" : "v2-concCommentAsPub","valueString" : "Replacing  OM1-27 Outside Site(s) Where Observation May Be Performed"},{"code" : "status","valueCode" : "active"}]},{"id" : "6594","code" : "PB","display" : "Packed by","definition" : "Packed by","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6595","code" : "PH","display" : "Pharmacist","definition" : "Identifies the person taking responsibility for the prescription dispense","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the RXE segment, where RXE-14 Pharmacist/Treatment Supplier's Verifier ID has been marked for backwards compatibility only."},{"code" : "v2-concCommentAsPub","valueString" : "Replaces RXE-14 Pharmacist/Treatment Supplier's Verifier ID"},{"code" : "status","valueCode" : "active"}]},{"id" : "6596","code" : "PI","display" : "Primary Interpreter","definition" : "Primary Interpreter","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6597","code" : "PO","display" : "Performing Organization","definition" : "Performing Organization","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6598","code" : "POMD","display" : "Performing Organization Medical Director","definition" : "Performing Organization Medical Director","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBX segment, where OBX-25 Performing Organization Medical Director has been marked for backwards compatibility only"},{"code" : "status","valueCode" : "active"}]},{"id" : "6599","code" : "PP","display" : "Primary Care Provider","definition" : "Primary Care Provider","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6600","code" : "PPH","display" : "Patient Preferred Pharmacy","definition" : "Pharmacy the patient would prefer to use for any future medication orders.","property" : [{"code" : "v2-concComment","valueString" : "When a patient registers, this allows a system to indicate the default pharmacy to which the provider should send prescribed medication orders."},{"code" : "HL7usageNotes","valueString" : "Most likely to be used in ADT messages for outpatient care."},{"code" : "status","valueCode" : "N"}]},{"id" : "6601","code" : "PRI","display" : "Principal Result Interpreter","definition" : "Identifies the person responsible for interpreting the results of the study/test","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBR segment, where OBR-32 Principal Result Interpreter has been marked for backwards compatibility only."},{"code" : "status","valueCode" : "active"}]},{"id" : "6602","code" : "RCT","display" : "Results Copies To","definition" : "Results Copies To","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6603","code" : "RHP","display" : "Referring Health Professional","definition" : "The Health Professional who refers the patient.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6604","code" : "RIE","display" : "Re-Identification Entity","definition" : "Organization, person or device that has the authority to assign a specimen identifier.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6605","code" : "RO","display" : "Responsible Observer","definition" : "Responsible Observer","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBX segment, where OBX-16 Responsible Observer has been marked for backwards compatibility only"},{"code" : "v2-concCommentAsPub","valueString" : "OBX-16 Responsible Observer"},{"code" : "status","valueCode" : "active"}]},{"id" : "6606","code" : "RP","display" : "Referring Provider","definition" : "Referring Provider","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the PV1 segment, when more information about PV1-8 Referring doctor is desired."},{"code" : "v2-concCommentAsPub","valueString" : "PV1-8 Referring doctor"},{"code" : "status","valueCode" : "active"}]},{"id" : "6607","code" : "RPO","display" : "Referring Provider Organization","definition" : "The Provider Organization that refers the patient.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6608","code" : "RT","display" : "Referred to Provider","definition" : "Referred to Provider","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6609","code" : "SB","display" : "Send by","definition" : "Send by","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6610","code" : "SC","display" : "Specimen Collector","definition" : "The person that collected the specimen.","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBR segment, where OBR-10 Collector Identifier, when intended to convey person information, has been marked for backwards compatibility only"},{"code" : "v2-concCommentAsPub","valueString" : "OBR-10 Collector Identifier"},{"code" : "status","valueCode" : "active"}]},{"id" : "6611","code" : "TL","display" : "To Location","definition" : "Describes the location (coordinates) of the specimen/container in the previous holder / storage equipment after the move or the geographical location to which the specimen/container was moved.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6612","code" : "TN","display" : "Technician","definition" : "Technician","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBR segment, where OBR-34 Technician has been marked for backwards compatibility only"},{"code" : "status","valueCode" : "active"}]},{"id" : "6613","code" : "TR","display" : "Transcriptionist","definition" : "Transcriptionist","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the OBR segment, where OBR-35 Transcriptionist has been marked for backwards compatibility only"},{"code" : "status","valueCode" : "active"}]},{"id" : "6614","code" : "VP","display" : "Verifier (Verifying Person)","definition" : "Identifies the person verifying the dispense / a step in the dispense process / verifying the treatment corresponds to the order","property" : [{"code" : "v2-concComment","valueString" : "This role is used in the PRT associated with the ORC segment, where Replaces ORC-11 Verified By has been marked for backwards compatibility only"},{"code" : "v2-concCommentAsPub","valueString" : "Replaces ORC-11 Verified By"},{"code" : "status","valueCode" : "active"}]},{"id" : "6615","code" : "VPS","display" : "Verifying Pharmaceutical Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)","definition" : "Verifying Pharmaceutical Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)","property" : [{"code" : "v2-concCommentAsPub","valueString" : "RXE-14 Pharmacist/Treatment Supplier's Verifier ID"},{"code" : "HL7usageNotes","valueString" : "Use of this code is deprecated; depending on the role of the person use either PH or VP."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6616","code" : "VTS","display" : "Verifying Treatment Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)","definition" : "Verifying Treatment Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)","property" : [{"code" : "v2-concCommentAsPub","valueString" : "RXE-14 Pharmacist/Treatment Supplier's Verifier ID"},{"code" : "HL7usageNotes","valueString" : "Use of this code is deprecated; depending on the role of the person use either PH or VP."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6617","code" : "WAY","display" : "Waypoint","definition" : "Waypoint","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6618","code" : "WAYR","display" : "Waypoint Recipient","definition" : "Waypoint Recipient","property" : [{"code" : "status","valueCode" : "active"}]}]}

#828

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0914 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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date:Mon, 15 Dec 2025 20:13:04 GMT
pragma:no-cache
server:nginx
x-request-id:252-199959

{"resourceType" : "Bundle","id" : "76bacf3c-e17c-4550-b78a-d51df9a11c","meta" : {"lastUpdated" : "2025-12-15T20:13:04.926Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0914"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0914","resource" : {"resourceType" : "CodeSystem","id" : "v2-0914","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0914","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.421"}],"version" : "2.0.0","name" : "RootCause","title" : "rootCause","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the root cause.  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For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0914","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"id" : "6619","code" : "AP","display" : "Analysis Process","definition" : "Analysis Process","property" : [{"code" : "v2-concComment","valueString" : "Enter (AP) when ANALYSIS PROCESS is the reason due to:\r\n• Product or supply failure (reagents, calibrators, QC material)\r\n• Equipment or instrumentation failure"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (AP) when ANALYSIS PROCESS is the reason due to:\r\n• Product or supply failure (reagents, calibrators, QC material)\r\n• Equipment or instrumentation failure"},{"code" : "HL7usageNotes","valueString" : "Enter (AP) when ANALYSIS PROCESS is the reason due to:\r\n• Product or supply failure (reagents, calibrators, QC material)\r\n• Equipment or instrumentation failure"},{"code" : "status","valueCode" : "active"}]},{"id" : "6620","code" : "IM","display" : "Information Management","definition" : "Information Management","property" : [{"code" : "v2-concComment","valueString" : "Enter (IM) when INFORMATION MANAGEMENT is the reason due to:\r\n• Database or Programming issues\r\n• Overriding of test results\r\n• Inaccurate calculations\r\n• Inaccurate flagging, reference ranges, units of measure\r\n• Incomplete/inaccurate transmission of test results\r\n• Other"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (IM) when INFORMATION MANAGEMENT is the reason due to:\r\n• Database or Programming issues\r\n• Overriding of test results\r\n• Inaccurate calculations\r\n• Inaccurate flagging, reference ranges, units of measure\r\n• Incomplete/inaccurate transmission of test results\r\n• Other"},{"code" : "HL7usageNotes","valueString" : "Enter (IM) when INFORMATION MANAGEMENT is the reason due to:\r\n• Database or Programming issues\r\n• Overriding of test results\r\n• Inaccurate calculations\r\n• Inaccurate flagging, reference ranges, units of measure\r\n• Incomplete/inaccurate transmission of test results\r\n• Other"},{"code" : "status","valueCode" : "active"}]},{"id" : "6621","code" : "L","display" : "Laboratory","definition" : "Laboratory","property" : [{"code" : "v2-concComment","valueString" : "Enter (L) when LABORATORY is the reason due to:<p>• Data Entry error<p>• Testing/Technical error<p>• Repeat testing causing change to test result"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (L) when LABORATORY is the reason due to:<p>• Data Entry error<p>• Testing/Technical error<p>• Repeat testing causing change to test result"},{"code" : "HL7usageNotes","valueString" : "Enter (L) when LABORATORY is the reason due to:\r\n• Data Entry error\r\n• Testing/Technical error\r\n• Repeat testing causing change to test result"},{"code" : "status","valueCode" : "active"}]},{"id" : "6622","code" : "NA","display" : "Not Applicable","definition" : "Not Applicable","property" : [{"code" : "v2-concComment","valueString" : "Enter (NA) when NOT-APPLICABLE is the reason due to:\r\n• If no revisions performed or \r\n• unable to determine reason for revision\r\nNote:  Do not use NA if result code status is not corrected (revised) or if a preliminary release of results with a correction (revision)"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (NA) when NOT-APPLICABLE is the reason due to:\r\n• If no revisions performed or \r\n• unable to determine reason for revision\r\nNote:  Do not use NA if result code status is not corrected (revised) or if a preliminary release of results with a correction (revision)"},{"code" : "HL7usageNotes","valueString" : "Enter (NA) when NOT-APPLICABLE is the reason due to:\r\n• If no revisions performed or\r\n• unable to determine reason for revision\r\nNote: Do not use NA if result code status is not corrected (revised) or if a preliminary release of results with a correction (revision)"},{"code" : "status","valueCode" : "active"}]},{"id" : "6623","code" : "PD","display" : "Placer Data","definition" : "Placer Data","property" : [{"code" : "v2-concComment","valueString" : "Enter (PD) when new or changed PLACER DATA information is the reason due to:\r\n• Changed patient demographics or\r\n• Result code data provided by the client on the requisition or specimen manifest that will be entered during order entry (i.e. Previous Biopsy Date, Clinical Information, Source, etc...)"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (PD) when new or changed PLACER DATA information is the reason due to:\r\n• Changed patient demographics or\r\n• Result code data provided by the client on the requisition or specimen manifest that will be entered during order entry (i.e. Previous Biopsy Date, Clinical Information, Source, etc...)"},{"code" : "HL7usageNotes","valueString" : "Enter (PD) when new or changed PLACER DATA information is the reason due to:\r\n• Changed patient demographics or\r\n• Result code data provided by the client on the requisition or specimen manifest that will be entered during order entry (i.e. Previous Biopsy Date, Clinical Information, Source, etc...)"},{"code" : "status","valueCode" : "active"}]}]}}]}

#829

GET https://tx.fhir.org/r5/CodeSystem/v2-0914 HTTP/1.0
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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
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server:nginx
x-request-id:252-199960

{"resourceType" : "CodeSystem","id" : "v2-0914","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0914","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.421"}],"version" : "2.0.0","name" : "RootCause","title" : "rootCause","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the root cause.  Used in HL7 Version 2.x messaging in the OBX segment.","purpose" : "Underlying Master Code System for V2 table 0914 (Root Cause)","copyright" : "This material derives from the HL7 Terminology (THO). 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"string"},{"code" : "HL7usageNotes","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description" : "HL7 Concept Usage Notes","type" : "string"}],"concept" : [{"id" : "6619","code" : "AP","display" : "Analysis Process","definition" : "Analysis Process","property" : [{"code" : "v2-concComment","valueString" : "Enter (AP) when ANALYSIS PROCESS is the reason due to:\r\n• Product or supply failure (reagents, calibrators, QC material)\r\n• Equipment or instrumentation failure"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (AP) when ANALYSIS PROCESS is the reason due to:\r\n• Product or supply failure (reagents, calibrators, QC material)\r\n• Equipment or instrumentation failure"},{"code" : "HL7usageNotes","valueString" : "Enter (AP) when ANALYSIS PROCESS is the reason due to:\r\n• Product or supply failure (reagents, calibrators, QC material)\r\n• Equipment or instrumentation failure"},{"code" : "status","valueCode" : "active"}]},{"id" : "6620","code" : "IM","display" : "Information Management","definition" : "Information Management","property" : [{"code" : "v2-concComment","valueString" : "Enter (IM) when INFORMATION MANAGEMENT is the reason due to:\r\n• Database or Programming issues\r\n• Overriding of test results\r\n• Inaccurate calculations\r\n• Inaccurate flagging, reference ranges, units of measure\r\n• Incomplete/inaccurate transmission of test results\r\n• Other"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (IM) when INFORMATION MANAGEMENT is the reason due to:\r\n• Database or Programming issues\r\n• Overriding of test results\r\n• Inaccurate calculations\r\n• Inaccurate flagging, reference ranges, units of measure\r\n• Incomplete/inaccurate transmission of test results\r\n• Other"},{"code" : "HL7usageNotes","valueString" : "Enter (IM) when INFORMATION MANAGEMENT is the reason due to:\r\n• Database or Programming issues\r\n• Overriding of test results\r\n• Inaccurate calculations\r\n• Inaccurate 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"v2-concComment","valueString" : "Enter (NA) when NOT-APPLICABLE is the reason due to:\r\n• If no revisions performed or \r\n• unable to determine reason for revision\r\nNote:  Do not use NA if result code status is not corrected (revised) or if a preliminary release of results with a correction (revision)"},{"code" : "v2-concCommentAsPub","valueString" : "Enter (NA) when NOT-APPLICABLE is the reason due to:\r\n• If no revisions performed or \r\n• unable to determine reason for revision\r\nNote:  Do not use NA if result code status is not corrected (revised) or if a preliminary release of results with a correction (revision)"},{"code" : "HL7usageNotes","valueString" : "Enter (NA) when NOT-APPLICABLE is the reason due to:\r\n• If no revisions performed or\r\n• unable to determine reason for revision\r\nNote: Do not use NA if result code status is not corrected (revised) or if a preliminary release of results with a correction (revision)"},{"code" : "status","valueCode" : 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provided by the client on the requisition or specimen manifest that will be entered during order entry (i.e. Previous Biopsy Date, Clinical Information, Source, etc...)"},{"code" : "status","valueCode" : "active"}]}]}

#830

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0916 HTTP/1.0
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200
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x-request-id:252-199961

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#831

GET https://tx.fhir.org/r5/CodeSystem/v2-0916 HTTP/1.0
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User-Agent: fhir/publisher
200
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date:Mon, 15 Dec 2025 20:13:05 GMT
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x-request-id:252-199962

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#832

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0917 HTTP/1.0
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200
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#833

GET https://tx.fhir.org/r5/CodeSystem/v2-0917 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
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x-request-id:252-199964

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#834

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0918 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2449
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199965

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#835

GET https://tx.fhir.org/r5/CodeSystem/v2-0918 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199966

{"resourceType" : "CodeSystem","id" : "v2-0918","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0918","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.424"}],"version" : "2.0.0","name" : "PcaType","title" : "pcaType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the type of PCA.  Used in HL7 Version 2.x messaging in the RXV segment.","purpose" : "Underlying Master Code System for V2 table 0918 (PCA Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0918","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6630","code" : "C","display" : "Continuous","definition" : "Continuous","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6631","code" : "P","display" : "PCA Only","definition" : "PCA Only","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6632","code" : "PC","display" : "PCA + Continuous","definition" : "PCA + Continuous","property" : [{"code" : "status","valueCode" : "active"}]}]}

#836

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0919 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4045
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199967

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#837

GET https://tx.fhir.org/r5/CodeSystem/v2-0919 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3699
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199968

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#838

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0920 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3674
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199969

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#839

GET https://tx.fhir.org/r5/CodeSystem/v2-0920 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3328
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199970

{"resourceType" : "CodeSystem","id" : "v2-0920","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0920","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.426"}],"version" : "2.0.0","name" : "PreferredSpecimenAttributeStatus","title" : "preferredSpecimen-AttributeStatus","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts that indicate whether a Specimen/Attribute is Preferred or Alternate for collection of a particular specimen.  Used in HL7 Version 2.x messaging in Master Files (OM4 segment) to characterize information about specimens that are associated with certain observations.","purpose" : "Underlying Master Code System for V2 table 0920 (Preferred Specimen/Attribute Status)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0920","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6636","code" : "P","display" : "Preferred","definition" : "Preferred","property" : [{"code" : "v2-concComment","valueString" : "This specimen is Preferred for all attributes (Container and Additive) identified in the OM4 segment."},{"code" : "v2-concCommentAsPub","valueString" : "This specimen is Preferred for all attributes (Container and Additive) identified in the OM4 segment."},{"code" : "status","valueCode" : "active"}]},{"id" : "6637","code" : "A","display" : "Alternate","definition" : "Alternate","property" : [{"code" : "v2-concComment","valueString" : "This is a specimen that is acceptable as a replacement for a preferred specimen.  In the following field (OM4-17), the sequence number of the preferred specimen must be messaged."},{"code" : "v2-concCommentAsPub","valueString" : "This is a specimen that is acceptable as a replacement for a preferred specimen.  In the following field (OM4-17), the sequence number of the preferred specimen must be messaged."},{"code" : "status","valueCode" : "active"}]}]}

#840

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0921 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2481
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:05 GMT
pragma:no-cache
server:nginx
x-request-id:252-199971

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#841

GET https://tx.fhir.org/r5/CodeSystem/v2-0921 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2135
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199972

{"resourceType" : "CodeSystem","id" : "v2-0921","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "fm"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0921","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.427"}],"version" : "2.0.0","name" : "CertificationType","title" : "certificationType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts specifying the code for the certification type.  Used in HL7 Version 2.x messaging in the IN3 segment.","purpose" : "Underlying Master Code System for V2 table 0921 (Certification Type Code)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0921","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6638","code" : "ADM","display" : "Admitting","definition" : "Admitting","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6639","code" : "SERV","display" : "Service","definition" : "Service","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6640","code" : "PROC","display" : "Procedure","definition" : "Procedure","property" : [{"code" : "status","valueCode" : "active"}]}]}

#842

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0922 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2550
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199973

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#843

GET https://tx.fhir.org/r5/CodeSystem/v2-0922 HTTP/1.0
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200
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#844

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0923 HTTP/1.0
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200
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date:Mon, 15 Dec 2025 20:13:06 GMT
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x-request-id:252-199975

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#845

GET https://tx.fhir.org/r5/CodeSystem/v2-0923 HTTP/1.0
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User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199976

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#846

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0924 HTTP/1.0
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x-request-id:252-199977

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#847

GET https://tx.fhir.org/r5/CodeSystem/v2-0924 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199979

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#848

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0925 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4360
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199981

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#849

GET https://tx.fhir.org/r5/CodeSystem/v2-0925 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4014
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199982

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#850

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0926 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3086
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199983

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#851

GET https://tx.fhir.org/r5/CodeSystem/v2-0926 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2740
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199984

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#852

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0927 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2450
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199985

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#853

GET https://tx.fhir.org/r5/CodeSystem/v2-0927 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2104
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:06 GMT
pragma:no-cache
server:nginx
x-request-id:252-199986

{"resourceType" : "CodeSystem","id" : "v2-0927","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0927","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.433"}],"version" : "2.0.0","name" : "ArmStick","title" : "armStick","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the arm(s) receiving the stick.  Used in HL7 Version 2.x messaging in the DON segment.","purpose" : "Underlying Master Code System for V2 table 0927 (Arm Stick)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0927","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6669","code" : "L","display" : "Left Arm","definition" : "Left Arm","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6670","code" : "R","display" : "Right Arm","definition" : "Right Arm","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6671","code" : "B","display" : "Both Arms","definition" : "Both Arms","property" : [{"code" : "status","valueCode" : "active"}]}]}

#854

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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200
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
last-modified:Mon, 15 Dec 2025 20:13:07 GMT
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server:nginx
x-request-id:252-199987

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#855

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://unitsofmeasure.org","concept":[{"code":"l"},{"code":"[pt_us]"},{"code":"ml"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:653
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
last-modified:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
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x-request-id:252-199988

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:6cd76207-740d-47d3-b2d0-21dcd6536c7c","timestamp" : "2025-12-15T20:13:07.192Z","total" : 3,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://unitsofmeasure.org|2.2"}],"contains" : [{"system" : "http://unitsofmeasure.org","code" : "l","display" : "l"},{"system" : "http://unitsofmeasure.org","code" : "[pt_us]","display" : "[pt_us]"},{"system" : "http://unitsofmeasure.org","code" : "ml","display" : "ml"}]}}

#856

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://unitsofmeasure.org","concept":[{"code":"[degF]","display":"Degrees Fahrenheit (note that V2 has erroneously published this for many years without the square brackets)"},{"code":"Cel","display":"Degrees Celsius"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:583
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
last-modified:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
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x-request-id:252-199989

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:929d2c08-8103-43ec-a060-bf4f44251c3e","timestamp" : "2025-12-15T20:13:07.317Z","total" : 2,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://unitsofmeasure.org|2.2"}],"contains" : [{"system" : "http://unitsofmeasure.org","code" : "[degF]","display" : "[degF]"},{"system" : "http://unitsofmeasure.org","code" : "Cel","display" : "Cel"}]}}

#857

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://unitsofmeasure.org","concept":[{"code":"min","display":"Minutes"},{"code":"s","display":"Seconds"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:573
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
last-modified:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
server:nginx
x-request-id:252-199990

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:5f4b69bd-b11f-4c65-9ea9-c7afadd84a11","timestamp" : "2025-12-15T20:13:07.442Z","total" : 2,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://unitsofmeasure.org|2.2"}],"contains" : [{"system" : "http://unitsofmeasure.org","code" : "min","display" : "min"},{"system" : "http://unitsofmeasure.org","code" : "s","display" : "s"}]}}

#858

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0933 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4690
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
server:nginx
x-request-id:252-199991

{"resourceType" : "Bundle","id" : "5519b592-5626-4c55-baf6-bfce681b2b","meta" : {"lastUpdated" : "2025-12-15T20:13:07.567Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0933"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0933","resource" : {"resourceType" : "CodeSystem","id" : "v2-0933","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0933","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.434"}],"version" : "2.0.0","name" : "IntendedProcedureType","title" : "intendedProcedureType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the type of intended procedure.  Used in HL7 Version 2.x messaging in the DON segment.","purpose" : "Underlying Master Code System for V2 table 0933 (Intended Procedure Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0933","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6683","code" : "WBL","display" : "Whole Blood","definition" : "Whole Blood","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6684","code" : "2RC","display" : "Double Red Cells","definition" : "Double Red Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6685","code" : "PLS","display" : "Plasma","definition" : "Plasma","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6686","code" : "PLT","display" : "Platelets","definition" : "Platelets","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6687","code" : "PNP","display" : "Platelets and Plasma","definition" : "Platelets and Plasma","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6688","code" : "PNR","display" : "Platelets and Red Cells","definition" : "Platelets and Red Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6689","code" : "PPR","display" : "Platelets, Plasma, and Red Cells","definition" : "Platelets, Plasma, and Red Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6690","code" : "GRN","display" : "Granulocytes","definition" : "Granulocytes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6691","code" : "HEM","display" : "Hemachromatosis","definition" : "Hemachromatosis","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6692","code" : "HPC","display" : "Hematopoietic Progenitor Cells","definition" : "Hematopoietic Progenitor Cells","property" : [{"code" : "v2-concComment","valueString" : "Stem Cells and other cells classified as Hematopoietic"},{"code" : "v2-concCommentAsPub","valueString" : "Stem Cells and other cells classified as Hematopoietic"},{"code" : "status","valueCode" : "active"}]},{"id" : "6693","code" : "LYM","display" : "Lymphocytes","definition" : "Lymphocytes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6694","code" : "THA","display" : "Therapeutic Apheresis","definition" : "Therapeutic Apheresis","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6695","code" : "THW","display" : "Therapeutic Whole Blood","definition" : "Therapeutic Whole Blood","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#859

GET https://tx.fhir.org/r5/CodeSystem/v2-0933 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4344
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
server:nginx
x-request-id:252-199992

{"resourceType" : "CodeSystem","id" : "v2-0933","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0933","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.434"}],"version" : "2.0.0","name" : "IntendedProcedureType","title" : "intendedProcedureType","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the type of intended procedure.  Used in HL7 Version 2.x messaging in the DON segment.","purpose" : "Underlying Master Code System for V2 table 0933 (Intended Procedure Type)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0933","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6683","code" : "WBL","display" : "Whole Blood","definition" : "Whole Blood","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6684","code" : "2RC","display" : "Double Red Cells","definition" : "Double Red Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6685","code" : "PLS","display" : "Plasma","definition" : "Plasma","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6686","code" : "PLT","display" : "Platelets","definition" : "Platelets","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6687","code" : "PNP","display" : "Platelets and Plasma","definition" : "Platelets and Plasma","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6688","code" : "PNR","display" : "Platelets and Red Cells","definition" : "Platelets and Red Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6689","code" : "PPR","display" : "Platelets, Plasma, and Red Cells","definition" : "Platelets, Plasma, and Red Cells","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6690","code" : "GRN","display" : "Granulocytes","definition" : "Granulocytes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6691","code" : "HEM","display" : "Hemachromatosis","definition" : "Hemachromatosis","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6692","code" : "HPC","display" : "Hematopoietic Progenitor Cells","definition" : "Hematopoietic Progenitor Cells","property" : [{"code" : "v2-concComment","valueString" : "Stem Cells and other cells classified as Hematopoietic"},{"code" : "v2-concCommentAsPub","valueString" : "Stem Cells and other cells classified as Hematopoietic"},{"code" : "status","valueCode" : "active"}]},{"id" : "6693","code" : "LYM","display" : "Lymphocytes","definition" : "Lymphocytes","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6694","code" : "THA","display" : "Therapeutic Apheresis","definition" : "Therapeutic Apheresis","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6695","code" : "THW","display" : "Therapeutic Whole Blood","definition" : "Therapeutic Whole Blood","property" : [{"code" : "status","valueCode" : "active"}]}]}

#860

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0935 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4329
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
server:nginx
x-request-id:252-199993

{"resourceType" : "Bundle","id" : "3366c580-79e0-444c-93f3-fdd3d04ad3","meta" : {"lastUpdated" : "2025-12-15T20:13:07.739Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0935"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0935","resource" : {"resourceType" : "CodeSystem","id" : "v2-0935","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0935","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.435"}],"version" : "2.0.0","name" : "ProcessInterruptionReason","title" : "processInterruptionReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the reason for the process interruption.  Used in HL7 Version 2.x messaging in the DON segment.","purpose" : "Underlying Master Code System for V2 table 0935 (Process Interruption Reason)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0935","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6696","code" : "NRG","display" : "No reason given, donor decided to stop without giving a reason","definition" : "No reason given, donor decided to stop without giving a reason","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6697","code" : "PCD","display" : "Phone Call-Donor","definition" : "Phone Call-Donor","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6698","code" : "DCW","display" : "Couldn't wait","definition" : "Couldn't wait","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6699","code" : "CFT","display" : "Couldn't follow through with donation (scared)","definition" : "Couldn't follow through with donation (scared)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6700","code" : "DBB","display" : "Bathroom","definition" : "Bathroom","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6701","code" : "DNI","display" : "Phlebotomy Issue","definition" : "Phlebotomy Issue","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6702","code" : "ASC","display" : "Apheresis Software Crash","definition" : "Apheresis Software Crash","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6703","code" : "BSC","display" : "Manufacturing Software Crash","definition" : "Manufacturing Software Crash","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6704","code" : "GFE","display" : "General Facility Emergency","definition" : "General Facility Emergency","property" : [{"code" : "v2-concComment","valueString" : "Power outage,  natural disaster (tornado, flood, hurricane, etc.), air conditioning failure, etc."},{"code" : "v2-concCommentAsPub","valueString" : "Power outage,  natural disaster (tornado, flood, hurricane, etc.), air conditioning failure, etc."},{"code" : "status","valueCode" : "active"}]}]}}]}

#861

GET https://tx.fhir.org/r5/CodeSystem/v2-0935 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3983
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:07 GMT
pragma:no-cache
server:nginx
x-request-id:252-199994

{"resourceType" : "CodeSystem","id" : "v2-0935","text" : {"status" : "generated"},"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode" : "oo"}],"url" : "http://terminology.hl7.org/CodeSystem/v2-0935","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.435"}],"version" : "2.0.0","name" : "ProcessInterruptionReason","title" : "processInterruptionReason","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the reason for the process interruption.  Used in HL7 Version 2.x messaging in the DON segment.","purpose" : "Underlying Master Code System for V2 table 0935 (Process Interruption Reason)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0935","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6696","code" : "NRG","display" : "No reason given, donor decided to stop without giving a reason","definition" : "No reason given, donor decided to stop without giving a reason","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6697","code" : "PCD","display" : "Phone Call-Donor","definition" : "Phone Call-Donor","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6698","code" : "DCW","display" : "Couldn't wait","definition" : "Couldn't wait","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6699","code" : "CFT","display" : "Couldn't follow through with donation (scared)","definition" : "Couldn't follow through with donation (scared)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6700","code" : "DBB","display" : "Bathroom","definition" : "Bathroom","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6701","code" : "DNI","display" : "Phlebotomy Issue","definition" : "Phlebotomy Issue","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6702","code" : "ASC","display" : "Apheresis Software Crash","definition" : "Apheresis Software Crash","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6703","code" : "BSC","display" : "Manufacturing Software Crash","definition" : "Manufacturing Software Crash","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6704","code" : "GFE","display" : "General Facility Emergency","definition" : "General Facility Emergency","property" : [{"code" : "v2-concComment","valueString" : "Power outage,  natural disaster (tornado, flood, hurricane, etc.), air conditioning failure, etc."},{"code" : "v2-concCommentAsPub","valueString" : "Power outage,  natural disaster (tornado, flood, hurricane, etc.), air conditioning failure, etc."},{"code" : "status","valueCode" : "active"}]}]}

#862

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0936 HTTP/1.0
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date:Mon, 15 Dec 2025 20:13:07 GMT
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server:nginx
x-request-id:252-199995

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#863

GET https://tx.fhir.org/r5/CodeSystem/v2-0936 HTTP/1.0
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User-Agent: fhir/publisher
200
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date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-199996

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#864

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0937 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
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date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-199997

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#865

GET https://tx.fhir.org/r5/CodeSystem/v2-0937 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:7785
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-199998

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qualifies the result as an isolate."},{"code" : "v2-concCommentAsPub","valueString" : "Sub-type of RSLT (Result) - qualifies the result as an isolate."},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6715","code" : "MIRM","display" : "Micro Isolate Related Modifier","definition" : "Micro Isolate Related Modifier","property" : [{"code" : "v2-concComment","valueString" : "Sub-type of RSLT (Result) - result is a modifier of the isolate (e.g., Few, Some, etc.)"},{"code" : "v2-concCommentAsPub","valueString" : "Sub-type of RSLT (Result) - result is a modifier of the isolate (e.g., Few, Some, etc.)"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6716","code" : "MNIR","display" : "Micro Non-Isolate Related","definition" : "Micro Non-Isolate Related","property" : [{"code" : "v2-concComment","valueString" : "Sub-type of RSLT (Result) - qualifies result as microbiology not related to any isolate (e.g., gram stain observations)"},{"code" : "v2-concCommentAsPub","valueString" : "Sub-type of RSLT (Result) - qualifies result as microbiology not related to any isolate (e.g., gram stain observations)"},{"code" : "status","valueCode" : "deprecated"}]},{"id" : "6717","code" : "MOD","display" : "Micro Other Descriptor","definition" : "Sub-type of RSLT (Result) This term identifies observations that do not fit the culture status, but is not at the isolate level.","property" : [{"code" : "status","valueCode" : "N"}]},{"id" : "6718","code" : "MSS","display" : "Micro Sample Stain","definition" : "Sub-type of RSLT (Result) This term identifies observations on gram stains (and other stains or smears) on the clinical sample.","property" : [{"code" : "v2-concComment","valueString" : "Examples are: many gram positive rods, acid fast bacteria seen, etc."},{"code" : "status","valueCode" : "active"}]},{"id" : "6719","code" : "SUP","display" : "Supplemental Result","definition" : "Supplemental Result","property" : [{"code" : "v2-concComment","valueString" : "Sub-type of RSLT (Result) - result coming over is additional material, for example points on a graph, an image, raw instrument data, links to related observations, etc."},{"code" : "v2-concCommentAsPub","valueString" : "Sub-type of RSLT (Result) - result coming over is additional material, for example points on a graph, an image, raw instrument data, links to related observations, etc."},{"code" : "status","valueCode" : "active"}]},{"id" : "6720","code" : "SUR","display" : "Susceptibility Related","definition" : "Susceptibility Related","property" : [{"code" : "v2-concComment","valueString" : "Sub-type of RSLT (Result) - result value is for micro susceptibility/sensitivity"},{"code" : "v2-concCommentAsPub","valueString" : "Sub-type of RSLT (Result) - result value is for micro susceptibility/sensitivity"},{"code" : "status","valueCode" : "active"}]},{"id" : "6721","code" : "UNSP","display" : "Unspecified","definition" : "Unspecified","property" : [{"code" : "v2-concComment","valueString" : "Sub-type of RSLT (Result) - result falls outside of the other sub-types."},{"code" : "v2-concCommentAsPub","valueString" : "Sub-type of RSLT (Result) - result falls outside of the other sub-types."},{"code" : "status","valueCode" : "active"}]}]}

#866

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0938 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3031
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-199999

{"resourceType" : "Bundle","id" : "133a171e-8ba1-467b-b90f-93f091eb31","meta" : {"lastUpdated" : "2025-12-15T20:13:08.239Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0938"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0938","resource" : {"resourceType" : "CodeSystem","id" : "v2-0938","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v2-0938","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.441"}],"version" : "2.0.0","name" : "CollectionEvent","title" : "collectionEvent","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the limit for the collection event or process step.  Used in HL7 Version 2.x messaging in the OMC segment.","purpose" : "Underlying Master Code System for V2 table 0938 (Collection Event/Process Step Limit)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0938","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6722","code" : "ORD","display" : "Placing the order","definition" : "Placing the order","property" : [{"code" : "v2-concComment","valueString" : "At time of placing the order"},{"code" : "v2-concCommentAsPub","valueString" : "At time of placing the order"},{"code" : "status","valueCode" : "active"}]},{"id" : "6723","code" : "DRW","display" : "Collecting the specimen","definition" : "Collecting the specimen","property" : [{"code" : "v2-concComment","valueString" : "When the specimen is collected (e.g. fasting status)"},{"code" : "v2-concCommentAsPub","valueString" : "When the specimen is collected (e.g. fasting status)"},{"code" : "status","valueCode" : "active"}]}]}}]}

#867

GET https://tx.fhir.org/r5/CodeSystem/v2-0938 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2685
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-200000

{"resourceType" : "CodeSystem","id" : "v2-0938","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v2-0938","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.441"}],"version" : "2.0.0","name" : "CollectionEvent","title" : "collectionEvent","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined code system of concepts specifying the limit for the collection event or process step.  Used in HL7 Version 2.x messaging in the OMC segment.","purpose" : "Underlying Master Code System for V2 table 0938 (Collection Event/Process Step Limit)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0938","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"},{"code" : "v2-concComment","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment","description" : "V2 Concept Comment","type" : "string"},{"code" : "v2-concCommentAsPub","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub","description" : "V2 Concept Comment As Published","type" : "string"}],"concept" : [{"id" : "6722","code" : "ORD","display" : "Placing the order","definition" : "Placing the order","property" : [{"code" : "v2-concComment","valueString" : "At time of placing the order"},{"code" : "v2-concCommentAsPub","valueString" : "At time of placing the order"},{"code" : "status","valueCode" : "active"}]},{"id" : "6723","code" : "DRW","display" : "Collecting the specimen","definition" : "Collecting the specimen","property" : [{"code" : "v2-concComment","valueString" : "When the specimen is collected (e.g. fasting status)"},{"code" : "v2-concCommentAsPub","valueString" : "When the specimen is collected (e.g. fasting status)"},{"code" : "status","valueCode" : "active"}]}]}

#868

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0939 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:8337
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-200001

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NK1","definition" : "Organization Name - NK1","property" : [{"code" : "v2-concComment","valueString" : "Next of kin's organization name"},{"code" : "v2-concCommentAsPub","valueString" : "Next of kin's organization name"},{"code" : "status","valueCode" : "active"}]},{"id" : "6729","code" : "NK1-28","display" : "Ethnic Group","definition" : "Ethnic Group","property" : [{"code" : "v2-concComment","valueString" : "Next of kin's ethnicity"},{"code" : "v2-concCommentAsPub","valueString" : "Next of kin's ethnicity"},{"code" : "status","valueCode" : "active"}]},{"id" : "6730","code" : "NK1-35","display" : "Race","definition" : "Race","property" : [{"code" : "v2-concComment","valueString" : "Next of kin's race"},{"code" : "v2-concCommentAsPub","valueString" : "Next of kin's race"},{"code" : "status","valueCode" : "active"}]},{"id" : "6731","code" : "OBR-16","display" : "Ordering Provider","definition" : "Ordering Provider","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6732","code" : "OBR-13","display" : "Relevant Clinical Information","definition" : "Relevant Clinical Information","property" : [{"code" : "v2-concComment","valueString" : "The purpose varies based on the AOE referencing this field."},{"code" : "v2-concCommentAsPub","valueString" : "The purpose varies based on the AOE referencing this field."},{"code" : "status","valueCode" : "active"}]},{"id" : "6733","code" : "OBR-49","display" : "Result Handling","definition" : "Result Handling","property" : [{"code" : "v2-concComment","valueString" : "This was used for call or fax results back"},{"code" : "v2-concCommentAsPub","valueString" : "This was used for call or fax results back"},{"code" : "status","valueCode" : "active"}]},{"id" : "6734","code" : "PID-11","display" : "Patient Address","definition" : "Patient Address","property" : [{"code" : "v2-concComment","valueString" : "Applies to patient"},{"code" : "v2-concCommentAsPub","valueString" : "Applies to patient"},{"code" : "status","valueCode" : "active"}]},{"id" : "6735","code" : "PID-3","display" : "Patient Identifier List","definition" : "Patient Identifier List","property" : [{"code" : "v2-concComment","valueString" : "Applies to patient"},{"code" : "v2-concCommentAsPub","valueString" : "Applies to patient"},{"code" : "status","valueCode" : "active"}]},{"id" : "6736","code" : "PID-5","display" : "Patient Name","definition" : "Patient Name","property" : [{"code" : "v2-concComment","valueString" : "Applies to patient"},{"code" : "v2-concCommentAsPub","valueString" : "Applies to patient"},{"code" : "status","valueCode" : "active"}]},{"id" : "6737","code" : "PID-6","display" : "Mother's Maiden Name","definition" : "Mother's Maiden Name","property" : [{"code" : "v2-concComment","valueString" : "Applies to patient"},{"code" : "v2-concCommentAsPub","valueString" : "Applies to patient"},{"code" : "status","valueCode" : "active"}]},{"id" : "6738","code" : "PID-7","display" : "Date/Time of Birth","definition" : "Date/Time of Birth","property" : [{"code" : "v2-concComment","valueString" : "Applies to patient"},{"code" : "v2-concCommentAsPub","valueString" : "Applies to patient"},{"code" : "status","valueCode" : "active"}]},{"id" : "6739","code" : "PID-13","display" : "Phone Number - Home","definition" : "Phone Number - Home","property" : [{"code" : "v2-concComment","valueString" : "deprecated field as of v2.7"},{"code" : "v2-concCommentAsPub","valueString" : "deprecated field as of v2.7"},{"code" : "status","valueCode" : "active"}]},{"id" : "6740","code" : "PID-14","display" : "Phone Number - Business","definition" : "Phone Number - Business","property" : [{"code" : "v2-concComment","valueString" : "deprecated field as of v2.7"},{"code" : "v2-concCommentAsPub","valueString" : "deprecated field as of v2.7"},{"code" : "status","valueCode" : "active"}]},{"id" : "6741","code" : "PID-40","display" : "Phone Number","definition" : "Phone Number","property" : [{"code" : "v2-concComment","valueString" : "New field in V2.7"},{"code" : "v2-concCommentAsPub","valueString" : "New field in V2.7"},{"code" : "status","valueCode" : "active"}]},{"id" : "6742","code" : "PRT-5","display" : "Participation Person","definition" : "Participation Person","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6743","code" : "SPM-4","display" : "Specimen Type","definition" : "Specimen Type","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6744","code" : "SPM-8","display" : "Specimen Source Site","definition" : "Specimen Source Site","property" : [{"code" : "status","valueCode" : "active"}]}]}}]}

#869

GET https://tx.fhir.org/r5/CodeSystem/v2-0939 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:7991
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:08 GMT
pragma:no-cache
server:nginx
x-request-id:252-200002

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#870

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#871

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#872

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#873

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#874

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#875

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#876

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0946 HTTP/1.0
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#877

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x-request-id:252-200010

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#878

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0948 HTTP/1.0
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#879

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date:Mon, 15 Dec 2025 20:13:09 GMT
pragma:no-cache
server:nginx
x-request-id:252-200012

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#880

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date:Mon, 15 Dec 2025 20:13:09 GMT
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#881

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#882

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0950 HTTP/1.0
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x-request-id:252-200015

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#883

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date:Mon, 15 Dec 2025 20:13:09 GMT
pragma:no-cache
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x-request-id:252-200016

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#884

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0951 HTTP/1.0
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date:Mon, 15 Dec 2025 20:13:09 GMT
pragma:no-cache
server:nginx
x-request-id:252-200017

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#885

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pragma:no-cache
server:nginx
x-request-id:252-200018

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"HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "N"}]},{"id" : "6782","code" : "PI","display" : "Patient identification problem","definition" : "For process improvement work this code can be used to identify when a patient identification issue has occurred on the target order","property" : [{"code" : "HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "N"}]},{"id" : "6783","code" : "SI","display" : "Suspected interference","definition" : "Requests verification of previously reported results due to suspected interference","property" : [{"code" : "HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "N"}]},{"id" : "6784","code" : "SP","display" : "Sampling problem","definition" : "For process improvement work this code can be used to identify orders, where problems occurred during sample collection","property" : [{"code" : "HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "retired"}]},{"id" : "6785","code" : "TP","display" : "Specimen transport problem","definition" : "For process improvement work this code can be used to identify orders, where problems occurred during sample transport","property" : [{"code" : "HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "N"}]},{"id" : "6786","code" : "TT","display" : "Turnaround time problem","definition" : "For process improvement work this code can be used to identify results with excessive reporting delay","property" : [{"code" : "HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "N"}]},{"id" : "6787","code" : "XR","display" : "Incorrect results","definition" : "For process improvement work this code can be used to identify when incorrect result were reported for the target order","property" : [{"code" : "HL7usageNotes","valueString" : "Used to indicate why review is requested"},{"code" : "status","valueCode" : "N"}]}]}

#886

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#887

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May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject.\r\n\r\nPrivacy policies mandating moderate levels of protection, which preempt less protective privacy policies. \"Moderate\" confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.\r\n\r\nConfidentiality code total order hierarchy: Moderate (M) is less protective than *V, R, and N*, and subsumes all other protection levels (i.e., *L* and *U*).\r\n\r\n**Examples:** Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account; to health oversight authorities; to a hospital patient directory; to worker compensation, disability, property and casualty or life insurers; and to personal health record systems, consumer-controlled devices, social media accounts and online Apps; or for marketing purposes","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23322"}]},{"code" : "N","display" : "normal","definition" : "Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.\r\n\r\nPrivacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Normal (N) is less protective than *V* and *R*, and subsumes all other protection levels (i.e., *M, L, and U*).\r\n\r\n**Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.\r\n\r\n**Examples:** \r\n\r\nn the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10230"}]},{"code" : "R","display" : "restricted","definition" : "Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual's request, intended to engender patient trust in providers of sensitive services.\r\n\r\nPrivacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Restricted (R) is less protective than *V*, and subsumes all other protection levels (i.e., *N, M, L, and U*).\r\n\r\n**Examples:** \r\n\r\nIncludes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer).","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10232"}]},{"code" : "U","display" : "unrestricted","definition" : "Privacy metadata indicating that no level of protection is required to safeguard personal and healthcare information that has been disclosed by an authorized individual without restrictions on its use.\r\n\r\n**Examples:** Includes publicly available information e.g., business name, phone, email and physical address.\r\n\r\n*Usage Note:* The authorization to collect, access, use, and disclose this information may be stipulated in a contract of adhesion by a data user (e.g., via terms of service or data user privacy policies) in exchange for the data subject's use of a service.\r\n\r\nThis metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.\r\n\r\nThis metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.\r\n\r\nConfidentiality code total order hierarchy: Unrestricted (U) is less protective than *V, R, N, M,* and *L*, and is the lowest protection levels.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23321"}]},{"code" : "V","display" : "very restricted","definition" : "Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.\r\n\r\n*Usage Note:* The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..\r\n\r\nPrivacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).\r\n\r\nConfidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., *R, N, M, L, and UI*).\r\n\r\n**Examples:** \r\n\r\nIncludes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under a legal hold or attorney-client privilege.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "14799"}]}]},{"code" : "_ConfidentialityByAccessKind","display" : "ConfidentialityByAccessKind","definition" : "**Description:** By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21049"}],"concept" : [{"code" : "B","display" : "business","definition" : "**Description:** Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. However, no patient related information may ever be of this confidentiality level.\r\n\r\n*Deprecation Comment:* Replced by ActCode.B","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10235"}]},{"code" : "D","display" : "clinician","definition" : "**Description:** Only clinicians may see this item, billing and administration persons can not access this item without special permission.\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10231"}]},{"code" : "I","display" : "individual","definition" : "**Description:** Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10233"}]}]},{"code" : "_ConfidentialityByInfoType","display" : "ConfidentialityByInfoType","definition" : "**Description:** By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data!\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21050"}],"concept" : [{"code" : "ETH","display" : "substance abuse related","definition" : "**Description:** Alcohol/drug-abuse related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.ETH","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10243"}]},{"code" : "HIV","display" : "HIV related","definition" : "**Description:** HIV and AIDS related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.HIV","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10241"}]},{"code" : "PSY","display" : "psychiatry relate","definition" : "**Description:** Psychiatry related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.PSY","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10242"}]},{"code" : "SDV","display" : "sexual and domestic violence related","definition" : "**Description:** Sexual assault / domestic violence related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.SDV","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10244"}]}]},{"code" : "_ConfidentialityModifiers","display" : "ConfidentialityModifiers","definition" : "**Description:** Modifiers of role based access rights (multiple allowed)\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "21051"}],"concept" : [{"code" : "C","display" : "celebrity","definition" : "**Description:** Celebrities are people of public interest (VIP) including employees, whose information require special protection.\r\n\r\n*Deprecation Comment:*Replced by ActCode.CEL","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10239"}]},{"code" : "S","display" : "sensitive","definition" : "**Description:** \r\n\r\nInformation for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members. Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request.\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10237"}]},{"code" : "T","display" : "taboo","definition" : "**Description:** Information not to be disclosed or discussed with patient except through physician assigned to patient in this case. This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV.\r\n\r\n*Deprecation Note:*Replced by ActCode.TBOO","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "internalId","valueCode" : "10238"}]}]}]}

#888

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-WorkClassificationODH HTTP/1.0
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date:Mon, 15 Dec 2025 20:13:10 GMT
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server:nginx
x-request-id:252-200021

{"resourceType" : "Bundle","id" : "0f9187e4-0bee-4d67-887d-178b9a85b3","meta" : {"lastUpdated" : "2025-12-15T20:13:10.020Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v3-WorkClassificationODH","resource" : {"resourceType" : "CodeSystem","id" : "v3-WorkClassificationODH","language" : "en","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.1139"}],"version" : "3.0.0","name" : "WorkClassificationODH","title" : "Work Classification (Occupational Data for Health)","status" : "active","experimental" : false,"date" : "2019-03-20","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).","copyright" : "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"hierarchyMeaning" : "is-a","content" : "complete","property" : [{"code" : "internalId","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description" : "The internal identifier for the concept in the HL7 Access database repository.","type" : "code"},{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "Designation of a concept's state. Normally is not populated unless the state is retired.","type" : "code"}],"concept" : [{"code" : "PWAF","display" : "Paid work, Armed Forces","definition" : "A situation in which an individual serves in a government-sponsored military force.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23905"}]},{"code" : "PWFG","display" : "Paid work, national government, not armed forces","definition" : "A situation in which an individual works for a national government organization, not including armed forces, and receives a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23904"}]},{"code" : "PWLG","display" : "Paid work, local government, not armed forces","definition" : "A situation in which an individual works for a government organization with jurisdiction below the level of state/provincial/territorial/tribal government (e.g., city, town, township), not armed forces, and receives a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23902"}]},{"code" : "PWNSE","display" : "Paid non-governmental work, not self-employed","definition" : "A situation in which an individual works for a business (not government) that they do not own and receives a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23899"}]},{"code" : "PWSE","display" : "Paid work, self-employed","definition" : "A situation in which an individual earns a salary or wage working for himself or herself instead of working for an employer.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23898"}]},{"code" : "PWSG","display" : "Paid work, state government, not armed forces","definition" : "A situation in which an individual works for a government organization with jurisdiction immediately below the level of national government (between national government and local government), not armed forces and receives a paid salary or wage. Often called a state, provincial, territorial, or tribal government.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23903"}]},{"code" : "UWNSE","display" : "Unpaid non-governmental work, not self-employed","definition" : "A situation in which an individual works for a business (not government) that they do not own without receiving a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23900"}]},{"code" : "UWSE","display" : "Unpaid work, self-employed","definition" : "A situation in which an individual works for himself or herself without receiving a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23901"}]},{"code" : "VW","display" : "Volunteer work (20 or more hours/week and not Disaster Response/ First Responder)","definition" : "A situation in which an individual chooses to do something, especially for other people or for an organization, willingly and without being forced or compensated to do it. This can include formal activity undertaken through public, private and voluntary organizations as well as informal community participation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23906"}]},{"code" : "VWDR","display" : "Voluntary Disaster Response/First Responder","definition" : "A situation in which an individual chooses to donate their time to perform activities (work) in disaster response or as a first responder, without being forced and with no expectation of compensation. This can include formal activity undertaken through a government agency or a public or private organization, as well as informal community participation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "239060"}]}]}}]}

#889

GET https://tx.fhir.org/r5/CodeSystem/v3-WorkClassificationODH HTTP/1.0
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User-Agent: fhir/publisher
200
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date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200022

{"resourceType" : "CodeSystem","id" : "v3-WorkClassificationODH","language" : "en","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.1139"}],"version" : "3.0.0","name" : "WorkClassificationODH","title" : "Work Classification (Occupational Data for Health)","status" : "active","experimental" : false,"date" : "2019-03-20","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).","copyright" : "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"hierarchyMeaning" : "is-a","content" : "complete","property" : [{"code" : "internalId","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description" : "The internal identifier for the concept in the HL7 Access database repository.","type" : "code"},{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "Designation of a concept's state. Normally is not populated unless the state is retired.","type" : "code"}],"concept" : [{"code" : "PWAF","display" : "Paid work, Armed Forces","definition" : "A situation in which an individual serves in a government-sponsored military force.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23905"}]},{"code" : "PWFG","display" : "Paid work, national government, not armed forces","definition" : "A situation in which an individual works for a national government organization, not including armed forces, and receives a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23904"}]},{"code" : "PWLG","display" : "Paid work, local government, not armed forces","definition" : "A situation in which an individual works for a government organization with jurisdiction below the level of state/provincial/territorial/tribal government (e.g., city, town, township), not armed forces, and receives a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23902"}]},{"code" : "PWNSE","display" : "Paid non-governmental work, not self-employed","definition" : "A situation in which an individual works for a business (not government) that they do not own and receives a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23899"}]},{"code" : "PWSE","display" : "Paid work, self-employed","definition" : "A situation in which an individual earns a salary or wage working for himself or herself instead of working for an employer.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23898"}]},{"code" : "PWSG","display" : "Paid work, state government, not armed forces","definition" : "A situation in which an individual works for a government organization with jurisdiction immediately below the level of national government (between national government and local government), not armed forces and receives a paid salary or wage. Often called a state, provincial, territorial, or tribal government.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23903"}]},{"code" : "UWNSE","display" : "Unpaid non-governmental work, not self-employed","definition" : "A situation in which an individual works for a business (not government) that they do not own without receiving a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23900"}]},{"code" : "UWSE","display" : "Unpaid work, self-employed","definition" : "A situation in which an individual works for himself or herself without receiving a paid salary or wage.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23901"}]},{"code" : "VW","display" : "Volunteer work (20 or more hours/week and not Disaster Response/ First Responder)","definition" : "A situation in which an individual chooses to do something, especially for other people or for an organization, willingly and without being forced or compensated to do it. This can include formal activity undertaken through public, private and voluntary organizations as well as informal community participation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "23906"}]},{"code" : "VWDR","display" : "Voluntary Disaster Response/First Responder","definition" : "A situation in which an individual chooses to donate their time to perform activities (work) in disaster response or as a first responder, without being forced and with no expectation of compensation. This can include formal activity undertaken through a government agency or a public or private organization, as well as informal community participation.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "239060"}]}]}

#890

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0970 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
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200
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
content-length:2815
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
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server:nginx
x-request-id:252-200023

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#891

GET https://tx.fhir.org/r5/CodeSystem/v2-0970 HTTP/1.0
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User-Agent: fhir/publisher
200
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access-control-expose-headers:Content-Location, Location
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connection:keep-alive
content-length:2469
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200024

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#892

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0971 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
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access-control-expose-headers:Content-Location, Location
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200025

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#893

GET https://tx.fhir.org/r5/CodeSystem/v2-0971 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3009
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200026

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#894

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-4000 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2779
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200027

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#895

GET https://tx.fhir.org/r5/CodeSystem/v2-4000 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2433
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200028

{"resourceType" : "CodeSystem","id" : "v2-4000","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v2-4000","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.436"}],"version" : "2.0.0","name" : "NameAddressRepresentation","title" : "name-addressRepresentation","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "HL7-defined cdoe system of concepts that provide an indication of the kind of representation provided by a name or address, but does not necessarily specify the character sets used for the data.  It is used to provides hints for a receiver, so it can make choices regarding what it has been sent and what it is capable of displaying.","purpose" : "Underlying Master Code System for V2 table 4000 (Name/address representation)","copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v2-4000","hierarchyMeaning" : "is-a","compositional" : false,"versionNeeded" : false,"content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A code that indicates the status of the concept","type" : "code"},{"code" : "v2-table-deprecated","uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated","description" : "Version of HL7 in which the code was deprecated","type" : "code"}],"concept" : [{"id" : "6795","code" : "I","display" : "Ideographic (i.e., Kanji)","definition" : "Ideographic (i.e., Kanji)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6796","code" : "A","display" : "Alphabetic (i.e., Default or some single-byte)","definition" : "Alphabetic (i.e., Default or some single-byte)","property" : [{"code" : "status","valueCode" : "active"}]},{"id" : "6797","code" : "P","display" : "Phonetic (i.e., ASCII, Katakana, Hiragana, etc.)","definition" : "Phonetic (i.e., ASCII, Katakana, Hiragana, etc.)","property" : [{"code" : "status","valueCode" : "active"}]}]}

#896

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0291 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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date:Mon, 15 Dec 2025 20:13:10 GMT
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server:nginx
x-request-id:252-200029

{"resourceType" : "Bundle","id" : "b78a8491-1b19-4e34-9565-e6b55416ca","meta" : {"lastUpdated" : "2025-12-15T20:13:10.676Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v2-0291"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/v2-0291","resource" : {"resourceType" : "CodeSystem","id" : "v2-0291","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v2-0291","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.181"}],"version" : "2.0.0","name" : "SubtypeOfReferencedData","title" : "subtypeOfReferencedData","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of a subset of the media subtypes of binary data that are encoded in an ascii structure or stream.  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Preferred value is text/xml."},{"code" : "v2-concCommentAsPub","valueString" : "Retained for backwards compatibility only as of v2.6 and CDA R 2. Preferred value is text/xml."},{"code" : "status","valueCode" : "active"}]}]}}]}

#897

GET https://tx.fhir.org/r5/CodeSystem/v2-0291 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:5851
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:10 GMT
pragma:no-cache
server:nginx
x-request-id:252-200030

{"resourceType" : "CodeSystem","id" : "v2-0291","text" : {"status" : "generated"},"url" : "http://terminology.hl7.org/CodeSystem/v2-0291","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.181"}],"version" : "2.0.0","name" : "SubtypeOfReferencedData","title" : "subtypeOfReferencedData","status" : "active","experimental" : false,"date" : "2019-12-01","publisher" : "Health Level Seven International","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"},{"system" : "email","value" : "hq@HL7.org"}]}],"description" : "Code system of a subset of the media subtypes of binary data that are encoded in an ascii structure or stream.  Used in Version 2 messaging  ED and RP datatypes, but only in standard 2.5.1 and earlier; after that, it was recommended that the IANA media types be used instead of this short list of HL7-defined codes.   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#898

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fcsaid HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:14 GMT
pragma:no-cache
server:nginx
x-request-id:252-200031

{"resourceType" : "Bundle","id" : "5e558b00-a4a6-4545-8d67-8ff1d3b90d","meta" : {"lastUpdated" : "2025-12-15T20:13:14.786Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/csaid"}]}

#899

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"https://www.nlm.nih.gov/mesh","concept":[{"code":"D009273"},{"code":"D000293"},{"code":"D000368"},{"code":"D000369"},{"code":"D008875"},{"code":"D055815"},{"code":"D002648"},{"code":"D002675"},{"code":"D000328"},{"code":"D007223"},{"code":"D007231"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:15 GMT
server:nginx
x-request-id:252-200033

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded"}}]}

#900

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"http://terminology.hl7.org/ValueSet/v3-AgeGroupObservationValue-inc-0","status":"active","compose":{"inactive":false,"include":[{"system":"https://www.nlm.nih.gov/mesh","concept":[{"code":"D009273"},{"code":"D000293"},{"code":"D000368"},{"code":"D000369"},{"code":"D008875"},{"code":"D055815"},{"code":"D002648"},{"code":"D002675"},{"code":"D000328"},{"code":"D007223"},{"code":"D007231"}]}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:15 GMT
server:nginx
x-request-id:252-200035

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded"}}]}

#901

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://snomed.info/sct","concept":[{"code":"413322009"},{"code":"55561003"},{"code":"73425007"}]}]}}}]}
200
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access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
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date:Mon, 15 Dec 2025 20:13:16 GMT
last-modified:Mon, 15 Dec 2025 20:13:16 GMT
pragma:no-cache
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x-request-id:252-200036

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:f18a813b-0455-4905-9cb0-2f2a00f0275d","timestamp" : "2025-12-15T20:13:16.036Z","total" : 3,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "413322009","display" : "Problem resolved (finding)"},{"system" : "http://snomed.info/sct","code" : "55561003","display" : "Active"},{"system" : "http://snomed.info/sct","code" : "73425007","display" : "Inactive"}]}}

#902

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fnucc.org%2Fprovider-taxonomy HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:529273
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:16 GMT
pragma:no-cache
server:nginx
x-request-id:252-200037

{"resourceType" : "Bundle","id" : "fadd12e9-01f6-4708-9d7b-182180d925","meta" : {"lastUpdated" : "2025-12-15T20:13:16.145Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://nucc.org/provider-taxonomy"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/CodeSystem/nucc-provider-taxonomy","resource" : {"resourceType" : "CodeSystem","id" : "nucc-provider-taxonomy","url" : "http://nucc.org/provider-taxonomy","version" : "22.1","name" : "NUCC_Provider_Taxonomy","title" : "NUCC Provider Taxonomy","status" : "active","experimental" : false,"date" : "2022-07-01","publisher" : "American Medical Association","contact" : [{"name" : "National Uniform Claim Committee (NUCC)","telecom" : [{"system" : "email","value" : "nuccinfo@nucc.org"}]}],"description" : "The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. 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For example: Allopathic & Osteopathic Physicians, Dental Providers, Hospitals, etc.","type" : "string"},{"code" : "classification","description" : "A more specific service or occupation related to the Provider Grouping","type" : "string"},{"code" : "specialization","description" : "A more specialized area of the Classification in which a provider chooses to practice or make services available.","type" : "string"}],"concept" : [{"code" : "101200000X","display" : "Drama Therapist","definition" : "Drama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherapy for individuals living with mental health and behavioral concerns that may result in psychological suffering, impaired relationships, or distress in daily activities. Drama therapy promotes wellness and healing within the context of a therapeutic relationship for individuals of varying ability levels across the lifespan. 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Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Counselor"}]},{"code" : "101YA0400X","display" : "Addiction (Substance Use Disorder) Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Counselor"},{"code" : "specialization","valueString" : "Addiction (Substance Use Disorder)"}]},{"code" : "101YM0800X","display" : "Mental Health Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Counselor"},{"code" : "specialization","valueString" : "Mental Health"}]},{"code" : "101YP1600X","display" : "Pastoral Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Counselor"},{"code" : "specialization","valueString" : "Pastoral"}]},{"code" : "101YP2500X","display" : "Professional Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Counselor"},{"code" : "specialization","valueString" : "Professional"}]},{"code" : "101YS0200X","display" : "School Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Counselor"},{"code" : "specialization","valueString" : "School"}]},{"code" : "102L00000X","display" : "Psychoanalyst","definition" : "Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychoanalyst"}]},{"code" : "102X00000X","display" : "Poetry Therapist","definition" : "A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group experience, and supervised practicum.<br/>An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process to achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication.<br/>Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory and practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting to developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal therapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written and spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative writing for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner can be credentialed as CPT or PTR.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Poetry Therapist"}]},{"code" : "103G00000X","display" : "Clinical Neuropsychologist","definition" : "A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Clinical Neuropsychologist"}]},{"code" : "103GC0700X","display" : "Deactivated - Clinical Neuropsychologist","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Clinical Neuropsychologist"},{"code" : "specialization","valueString" : "Clinical"}]},{"code" : "103K00000X","display" : "Behavioral Analyst","definition" : "A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Behavior Analyst"}]},{"code" : "103T00000X","display" : "Psychologist","definition" : "A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health.  The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation.  Psychological services may be rendered to individuals, families, groups and the public.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"}]},{"code" : "103TA0400X","display" : "Addiction (Substance Use Disorder) Psychologist","definition" : "A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Addiction (Substance Use Disorder)"}]},{"code" : "103TA0700X","display" : "Adult Development & Aging Psychologist","definition" : "A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Adult Development & Aging"}]},{"code" : "103TB0200X","display" : "Cognitive & Behavioral Psychologist","definition" : "A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Cognitive & Behavioral"}]},{"code" : "103TC0700X","display" : "Clinical Psychologist","definition" : "A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Clinical"}]},{"code" : "103TC1900X","display" : "Counseling Psychologist","definition" : "A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Counseling"}]},{"code" : "103TC2200X","display" : "Clinical Child & Adolescent Psychologist","definition" : "A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context.  Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Clinical Child & Adolescent"}]},{"code" : "103TE1000X","display" : "Deactivated - Psychologist","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Educational"}]},{"code" : "103TE1100X","display" : "Exercise & Sports Psychologist","definition" : "A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. \t Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Exercise & Sports"}]},{"code" : "103TF0000X","display" : "Family Psychologist","definition" : "A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Family"}]},{"code" : "103TF0200X","display" : "Forensic Psychologist","definition" : "A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Forensic"}]},{"code" : "103TH0004X","display" : "Health Psychologist","definition" : "A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability.  Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:<br/>* Research<br/>* Clinical service<br/>* Consulting with, educating, and supervising other health care providers and psychologists<br/>* Advising organizations, institutions, the public, and policymakers","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Health"}]},{"code" : "103TH0100X","display" : "Health Service Psychologist","definition" : "A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Health Service"}]},{"code" : "103TM1700X","display" : "Deactivated - Psychologist Men & Masculinity","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Men & Masculinity"}]},{"code" : "103TM1800X","display" : "Intellectual & Developmental Disabilities Psychologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Intellectual & Developmental Disabilities"}]},{"code" : "103TP0016X","display" : "Prescribing (Medical) Psychologist","definition" : "A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Prescribing (Medical)"}]},{"code" : "103TP0814X","display" : "Psychoanalysis Psychologist","definition" : "A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Psychoanalysis"}]},{"code" : "103TP2700X","display" : "Deactivated - Psychologist Psychotherapy","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Psychotherapy"}]},{"code" : "103TP2701X","display" : "Group Psychotherapy Psychologist","definition" : "A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group.  Emphasis is placed on the use of group dynamics to assist and treat individual group members.  The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Group Psychotherapy"}]},{"code" : "103TR0400X","display" : "Rehabilitation Psychologist","definition" : "A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Rehabilitation"}]},{"code" : "103TS0200X","display" : "School Psychologist","definition" : "A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems.  School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "School"}]},{"code" : "103TW0100X","display" : "Deactivated - Psychotherapy Women","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Women"}]},{"code" : "104100000X","display" : "Social Worker","definition" : "A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license.  A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Social Worker"}]},{"code" : "1041C0700X","display" : "Clinical Social Worker","definition" : "A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Social Worker"},{"code" : "specialization","valueString" : "Clinical"}]},{"code" : "1041S0200X","display" : "School Social Worker","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Social Worker"},{"code" : "specialization","valueString" : "School"}]},{"code" : "106E00000X","display" : "Assistant Behavior Analyst","definition" : "An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Assistant Behavior Analyst"}]},{"code" : "106H00000X","display" : "Marriage & Family Therapist","definition" : "A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist.  A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems.   A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Marriage & Family Therapist"}]},{"code" : "106S00000X","display" : "Behavior Technician","definition" : "The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Behavior Technician"}]},{"code" : "111N00000X","display" : "Chiropractor","definition" : "A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"}]},{"code" : "111NI0013X","display" : "Independent Medical Examiner Chiropractor","definition" : "A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Independent Medical Examiner"}]},{"code" : "111NI0900X","display" : "Internist Chiropractor","definition" : "The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Internist"}]},{"code" : "111NN0400X","display" : "Neurology Chiropractor","definition" : "Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Neurology"}]},{"code" : "111NN1001X","display" : "Nutrition Chiropractor","definition" : "Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Nutrition"}]},{"code" : "111NP0017X","display" : "Pediatric Chiropractor","definition" : "The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence.  This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Pediatric Chiropractor"}]},{"code" : "111NR0200X","display" : "Radiology Chiropractor","definition" : "Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) to meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists recommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic or clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation.<br/>Chiropractic radiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid that only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to patient imaging and treatment. It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, and magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Radiology"}]},{"code" : "111NR0400X","display" : "Rehabilitation Chiropractor","definition" : "Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Rehabilitation"}]},{"code" : "111NS0005X","display" : "Sports Physician Chiropractor","definition" : "A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities.  Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Sports Physician"}]},{"code" : "111NT0100X","display" : "Thermography Chiropractor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Thermography"}]},{"code" : "111NX0100X","display" : "Occupational Health Chiropractor","definition" : "Occupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It also considers and assists clients with State and Federal Compliance assistance. Occupational Health goes much farther than simply treating injured workers however. This may mean working with clients to promote optimum safety and ergonomic principles, interacting with the injured worker to promote safety and prevent future injuries, assisting a company with accident investigation to identify root cause, redesigning a workstation to eliminate hazards, working with safety teams, providing training programs etc. The list of potential services that the specialist can interact with a client company or patient is lengthy and varied involving both in office services as well as on site services.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Occupational Health"}]},{"code" : "111NX0800X","display" : "Orthopedic Chiropractor","definition" : "Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Orthopedic"}]},{"code" : "122300000X","display" : "Dentist","definition" : "A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license.  There is no difference between the two degrees: dentists who have a DMD or DDS have the same education.  Universities have the prerogative to determine what degree is awarded.  Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation.  Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist.  State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry.  Additional post-graduate training is required to become a dental specialist.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"}]},{"code" : "1223D0001X","display" : "Public Health Dentist","definition" : "The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts.  It is that form of dental practice that serves the community as a patient rather than the individual.  It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Dental Public Health"}]},{"code" : "1223D0004X","display" : "Dentist Anesthesiologist","definition" : "A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Dentist Anesthesiologist"}]},{"code" : "1223E0200X","display" : "Endodontist","definition" : "The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues.  Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Endodontics"}]},{"code" : "1223G0001X","display" : "General Practice Dentistry","definition" : "A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "General Practice"}]},{"code" : "1223P0106X","display" : "Oral and Maxillofacial Pathology Dentist","definition" : "The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions.  It is a science that investigates the causes, processes, and effects of these diseases.  The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Pathology"}]},{"code" : "1223P0221X","display" : "Pediatric Dentist","definition" : "An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Pediatric Dentistry"}]},{"code" : "1223P0300X","display" : "Periodontist","definition" : "That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Periodontics"}]},{"code" : "1223P0700X","display" : "Prosthodontist","definition" : "That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Prosthodontics"}]},{"code" : "1223S0112X","display" : "Oral and Maxillofacial Surgery (Dentist)","definition" : "The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Surgery"}]},{"code" : "1223X0008X","display" : "Oral and Maxillofacial Radiology Dentist","definition" : "The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Radiology"}]},{"code" : "1223X0400X","display" : "Orthodontics and Dentofacial Orthopedic Dentist","definition" : "That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.  Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Orthodontics and Dentofacial Orthopedics"}]},{"code" : "1223X2210X","display" : "Orofacial Pain Dentist","definition" : "A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain.  The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Orofacial Pain"}]},{"code" : "122400000X","display" : "Denturist","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Denturist"}]},{"code" : "124Q00000X","display" : "Dental Hygienist","definition" : "An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist.  Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth.  To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Hygienist"}]},{"code" : "125J00000X","display" : "Dental Therapist","definition" : "A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Therapist"}]},{"code" : "125K00000X","display" : "Advanced Practice Dental Therapist","definition" : "An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Advanced Practice Dental Therapist"}]},{"code" : "125Q00000X","display" : "Oral Medicinist","definition" : "A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Oral Medicinist"}]},{"code" : "126800000X","display" : "Dental Assistant","definition" : "An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility.  The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations.  Patient care services are provided under the supervision of a dentist.  To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Assistant"}]},{"code" : "126900000X","display" : "Dental Laboratory Technician","definition" : "An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization.  To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Laboratory Technician"}]},{"code" : "132700000X","display" : "Dietary Manager","definition" : "A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietary Manager"}]},{"code" : "133N00000X","display" : "Nutritionist","definition" : "A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Nutritionist"}]},{"code" : "133NN1002X","display" : "Nutrition Education Nutritionist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Nutritionist"},{"code" : "specialization","valueString" : "Nutrition, Education"}]},{"code" : "133V00000X","display" : "Registered Dietitian","definition" : "A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"}]},{"code" : "133VN1004X","display" : "Pediatric Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Pediatric"}]},{"code" : "133VN1005X","display" : "Renal Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Renal"}]},{"code" : "133VN1006X","display" : "Metabolic Nutrition Registered Dietitian","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Metabolic"}]},{"code" : "133VN1101X","display" : "Gerontological Nutrition Registered Dietitian","definition" : "An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Gerontological"}]},{"code" : "133VN1201X","display" : "Obesity and Weight Management Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Obesity and Weight Management"}]},{"code" : "133VN1301X","display" : "Oncology Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Oncology"}]},{"code" : "133VN1401X","display" : "Pediatric Critical Care Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents. Additional roles could include coordination, education, quality improvement, or research linked specifically to pediatric critical care nutrition.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Pediatric Critical Care"}]},{"code" : "133VN1501X","display" : "Sports Dietetics Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Sports Dietetics"}]},{"code" : "136A00000X","display" : "Registered Dietetic Technician","definition" : "A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietetic Technician, Registered"}]},{"code" : "146D00000X","display" : "Personal Emergency Response Attendant","definition" : "Individuals that are specially trained to assist patients living at home with urgent/emergent situations.  These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis.  Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Personal Emergency Response Attendant"}]},{"code" : "146L00000X","display" : "Paramedic","definition" : "An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Emergency Medical Technician, Paramedic"}]},{"code" : "146M00000X","display" : "Intermediate Emergency Medical Technician","definition" : "An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Emergency Medical Technician, Intermediate"}]},{"code" : "146N00000X","display" : "Basic Emergency Medical Technician","definition" : "A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Emergency Medical Technician, Basic"}]},{"code" : "152W00000X","display" : "Optometrist","definition" : "Doctors of optometry (ODs) are the primary health care professionals for the eye.  Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.  An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree.  Some optometrists complete an optional residency in a specific area of practice.  Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"}]},{"code" : "152WC0802X","display" : "Corneal and Contact Management Optometrist","definition" : "The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"},{"code" : "specialization","valueString" : "Corneal and Contact Management"}]},{"code" : "152WL0500X","display" : "Low Vision Rehabilitation Optometrist","definition" : "Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"},{"code" : "specialization","valueString" : "Low Vision Rehabilitation"}]},{"code" : "152WP0200X","display" : "Pediatric Optometrist","definition" : "Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "152WS0006X","display" : "Sports Vision Optometrist","definition" : "An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services:  corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"},{"code" : "specialization","valueString" : "Sports Vision"}]},{"code" : "152WV0400X","display" : "Vision Therapy Optometrist","definition" : "Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"},{"code" : "specialization","valueString" : "Vision Therapy"}]},{"code" : "152WX0102X","display" : "Occupational Vision Optometrist","definition" : "Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Optometrist"},{"code" : "specialization","valueString" : "Occupational Vision"}]},{"code" : "156F00000X","display" : "Technician/Technologist","definition" : "A broad category grouping different kinds of technologists and technicians. See individual definitions.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"}]},{"code" : "156FC0800X","display" : "Contact Lens Technician/Technologist","definition" : "An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Contact Lens"}]},{"code" : "156FC0801X","display" : "Contact Lens Fitter","definition" : "An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Contact Lens Fitter"}]},{"code" : "156FX1100X","display" : "Ophthalmic Technician/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Ophthalmic"}]},{"code" : "156FX1101X","display" : "Ophthalmic Assistant","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Ophthalmic Assistant"}]},{"code" : "156FX1201X","display" : "Optometric Assistant Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Optometric Assistant"}]},{"code" : "156FX1202X","display" : "Optometric Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Optometric Technician"}]},{"code" : "156FX1700X","display" : "Ocularist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Ocularist"}]},{"code" : "156FX1800X","display" : "Optician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Optician"}]},{"code" : "156FX1900X","display" : "Orthoptist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Eye and Vision Services Providers"},{"code" : "classification","valueString" : "Technician/Technologist"},{"code" : "specialization","valueString" : "Orthoptist"}]},{"code" : "163W00000X","display" : "Registered Nurse","definition" : "(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. 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Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Community Health Worker"}]},{"code" : "173000000X","display" : "Legal Medicine","definition" : "The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Legal Medicine"}]},{"code" : "173C00000X","display" : "Reflexologist","definition" : "Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears. Reflexologists apply pressure to specific areas (feet, hands, and ears) to promote a response from an area far removed from the tissue stimulated via the nervous system and acupuncture meridians. Reflexologists are recommended to complete a minimum of 200 hours of education, typically including anatomy & physiology, Reflexology theory, body systems, zones, meridians & relaxation response, ethics, business standards, and supervised practicum.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Reflexologist"}]},{"code" : "173F00000X","display" : "Sleep Specialist (PhD)","definition" : "Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Sleep Specialist, PhD"}]},{"code" : "174200000X","display" : "Meals Provider","definition" : "A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Meals"}]},{"code" : "174400000X","display" : "Specialist","definition" : "An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Specialist"}]},{"code" : "1744G0900X","display" : "Graphics Designer","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Specialist"},{"code" : "specialization","valueString" : "Graphics Designer"}]},{"code" : "1744P3200X","display" : "Prosthetics Case Management","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Specialist"},{"code" : "specialization","valueString" : "Prosthetics Case Management"}]},{"code" : "1744R1102X","display" : "Research Study Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Specialist"},{"code" : "specialization","valueString" : "Research Study"}]},{"code" : "1744R1103X","display" : "Research Study Abstracter/Coder","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Specialist"},{"code" : "specialization","valueString" : "Research Data Abstracter/Coder"}]},{"code" : "174H00000X","display" : "Health Educator","definition" : "Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems.  Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Health Educator"}]},{"code" : "174M00000X","display" : "Veterinarian","definition" : "A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Veterinarian"}]},{"code" : "174MM1900X","display" : "Medical Research Veterinarian","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Veterinarian"},{"code" : "specialization","valueString" : "Medical Research"}]},{"code" : "174N00000X","display" : "Lactation Consultant (Non-RN)","definition" : "An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Lactation Consultant, Non-RN"}]},{"code" : "174V00000X","display" : "Clinical Ethicist","definition" : "A clinical ethicist has been trained in bioethics and ethics case consultation.  The clinical ethicist addresses medical-ethical dilemmas arising in clinical practice, such as end-of-life care, refusal of treatment, and futility of care; assists patients and health care providers with medical decision-making; and provides ethics education for patients and families.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Clinical Ethicist"}]},{"code" : "175F00000X","display" : "Naturopath","definition" : "Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Naturopath"}]},{"code" : "175L00000X","display" : "Homeopath","definition" : "A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Homeopath"}]},{"code" : "175M00000X","display" : "Lay Midwife","definition" : "A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Midwife, Lay"}]},{"code" : "175T00000X","display" : "Peer Specialist","definition" : "Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Peer Specialist"}]},{"code" : "176B00000X","display" : "Midwife","definition" : "A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Midwife"}]},{"code" : "176P00000X","display" : "Funeral Director","definition" : "A person, usually an embalmer, whose business is to arrange for the burial or cremation of the dead and to assist at the funeral rites.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Funeral Director"}]},{"code" : "177F00000X","display" : "Lodging Provider","definition" : "A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Lodging"}]},{"code" : "183500000X","display" : "Pharmacist","definition" : "An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy.  The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"}]},{"code" : "1835C0205X","display" : "Critical Care Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Critical Care"}]},{"code" : "1835G0000X","display" : "Deactivated - Pharmacist","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "General Practice"}]},{"code" : "1835G0303X","display" : "Geriatric Pharmacist","definition" : "A pharmacist who is certified in geriatric pharmacy practice is designated as a \"Certified Geriatric Pharmacist\" (CGP).  To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Geriatric"}]},{"code" : "1835N0905X","display" : "Nuclear Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Nuclear"}]},{"code" : "1835N1003X","display" : "Nutrition Support Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Nutrition Support"}]},{"code" : "1835P0018X","display" : "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist","definition" : "Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist"}]},{"code" : "1835P0200X","display" : "Pediatric Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "1835P1200X","display" : "Pharmacotherapy Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Pharmacotherapy"}]},{"code" : "1835P1300X","display" : "Psychiatric Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Psychiatric"}]},{"code" : "1835P2201X","display" : "Ambulatory Care Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Ambulatory Care"}]},{"code" : "1835X0200X","display" : "Oncology Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Oncology"}]},{"code" : "183700000X","display" : "Pharmacy Technician","definition" : "A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service 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or other case issues.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Independent Medical Examiner"}]},{"code" : "202D00000X","display" : "Integrative Medicine Physician","definition" : "A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body's innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Integrative Medicine"}]},{"code" : "202K00000X","display" : "Phlebology Physician","definition" : "Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin.   A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism.  The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Phlebology"}]},{"code" : "204C00000X","display" : "Sports Medicine (Neuromusculoskeletal Medicine) Physician","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Neuromusculoskeletal Medicine, Sports Medicine"}]},{"code" : "204D00000X","display" : "Neuromusculoskeletal Medicine & OMM Physician","definition" : "The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Neuromusculoskeletal Medicine & OMM"}]},{"code" : "204E00000X","display" : "Oral & Maxillofacial Surgery (D.M.D.)","definition" : "Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Oral & Maxillofacial Surgery"}]},{"code" : "204F00000X","display" : "Transplant Surgery Physician","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Transplant Surgery"}]},{"code" : "204R00000X","display" : "Electrodiagnostic Medicine Physician","definition" : "Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems.  Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data.  They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Electrodiagnostic Medicine"}]},{"code" : "207K00000X","display" : "Allergy & Immunology Physician","definition" : "An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Allergy & Immunology"}]},{"code" : "207KA0200X","display" : "Allergy Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Allergy & Immunology"},{"code" : "specialization","valueString" : "Allergy"}]},{"code" : "207KI0005X","display" : "Clinical & Laboratory Immunology (Allergy & Immunology) Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Allergy & Immunology"},{"code" : "specialization","valueString" : "Clinical & Laboratory Immunology"}]},{"code" : "207L00000X","display" : "Anesthesiology Physician","definition" : "An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"}]},{"code" : "207LA0401X","display" : "Addiction Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist who specializes in the diagnosis and treatment of addictions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "207LC0200X","display" : "Critical Care Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "207LH0002X","display" : "Hospice and Palliative Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207LP2900X","display" : "Pain Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "207LP3000X","display" : "Pediatric Anesthesiology Physician","definition" : "An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children.  A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary,  planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Pediatric Anesthesiology"}]},{"code" : "207N00000X","display" : "Dermatology Physician","definition" : "A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"}]},{"code" : "207ND0101X","display" : "MOHS-Micrographic Surgery Physician","definition" : "The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery.  Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "MOHS-Micrographic Surgery"}]},{"code" : "207ND0900X","display" : "Dermatopathology Physician","definition" : "A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Dermatopathology"}]},{"code" : "207NI0002X","display" : "Clinical & Laboratory Dermatological Immunology Physician","definition" : "A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Clinical & Laboratory Dermatological Immunology"}]},{"code" : "207NP0225X","display" : "Pediatric Dermatology Physician","definition" : "A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Pediatric Dermatology"}]},{"code" : "207NS0135X","display" : "Procedural Dermatology Physician","definition" : "Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Procedural Dermatology"}]},{"code" : "207P00000X","display" : "Emergency Medicine Physician","definition" : "An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"}]},{"code" : "207PE0004X","display" : "Emergency Medical Services (Emergency Medicine) Physician","definition" : "An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Emergency Medical Services"}]},{"code" : "207PE0005X","display" : "Undersea and Hyperbaric Medicine (Emergency Medicine) Physician","definition" : "A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections.  This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Undersea and Hyperbaric Medicine"}]},{"code" : "207PH0002X","display" : "Hospice and Palliative Medicine (Emergency Medicine) Physician","definition" : "An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207PP0204X","display" : "Pediatric Emergency Medicine (Emergency Medicine) Physician","definition" : "Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Pediatric Emergency Medicine"}]},{"code" : "207PS0010X","display" : "Sports Medicine (Emergency Medicine) Physician","definition" : "An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207PT0002X","display" : "Medical Toxicology (Emergency Medicine) Physician","definition" : "Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Medical Toxicology"}]},{"code" : "207Q00000X","display" : "Family Medicine Physician","definition" : "Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"}]},{"code" : "207QA0000X","display" : "Adolescent Medicine (Family Medicine) Physician","definition" : "A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Adolescent Medicine"}]},{"code" : "207QA0401X","display" : "Addiction Medicine (Family Medicine) Physician","definition" : "A family medicine physician who specializes in the diagnosis and treatment of addictions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "207QA0505X","display" : "Adult Medicine Physician","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Adult Medicine"}]},{"code" : "207QB0002X","display" : "Obesity Medicine (Family Medicine) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "207QG0300X","display" : "Geriatric Medicine (Family Medicine) Physician","definition" : "A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Geriatric Medicine"}]},{"code" : "207QH0002X","display" : "Hospice and Palliative Medicine (Family Medicine) Physician","definition" : "A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207QS0010X","display" : "Sports Medicine (Family Medicine) Physician","definition" : "A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207QS1201X","display" : "Sleep Medicine (Family Medicine) Physician","definition" : "A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "207R00000X","display" : "Internal Medicine Physician","definition" : "A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"}]},{"code" : "207RA0000X","display" : "Adolescent Medicine (Internal Medicine) Physician","definition" : "An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Adolescent Medicine"}]},{"code" : "207RA0001X","display" : "Advanced Heart Failure and Transplant Cardiology Physician","definition" : "Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Advanced Heart Failure and Transplant Cardiology"}]},{"code" : "207RA0002X","display" : "Adult Congenital Heart Disease Physician","definition" : "A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Adult Congenital Heart Disease"}]},{"code" : "207RA0201X","display" : "Allergy & Immunology (Internal Medicine) Physician","definition" : "An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Allergy & Immunology"}]},{"code" : "207RA0401X","display" : "Addiction Medicine (Internal Medicine) Physician","definition" : "An internist doctor of osteopathy that specializes in the treatment of addiction disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "207RB0002X","display" : "Obesity Medicine (Internal Medicine) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "207RC0000X","display" : "Cardiovascular Disease Physician","definition" : "An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Cardiovascular Disease"}]},{"code" : "207RC0001X","display" : "Clinical Cardiac Electrophysiology Physician","definition" : "A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Clinical Cardiac Electrophysiology"}]},{"code" : "207RC0200X","display" : "Critical Care Medicine (Internal Medicine) Physician","definition" : "An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "207RE0101X","display" : "Endocrinology, Diabetes & Metabolism Physician","definition" : "An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Endocrinology, Diabetes & Metabolism"}]},{"code" : "207RG0100X","display" : "Gastroenterology Physician","definition" : "An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Gastroenterology"}]},{"code" : "207RG0300X","display" : "Geriatric Medicine (Internal Medicine) Physician","definition" : "An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Geriatric Medicine"}]},{"code" : "207RH0000X","display" : "Hematology (Internal Medicine) Physician","definition" : "An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hematology"}]},{"code" : "207RH0002X","display" : "Hospice and Palliative Medicine (Internal Medicine) Physician","definition" : "An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207RH0003X","display" : "Hematology & Oncology Physician","definition" : "An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology.  The Certificate is NO longer offered.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hematology & Oncology"}]},{"code" : "207RH0005X","display" : "Hypertension Specialist Physician","definition" : "A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hypertension Specialist"}]},{"code" : "207RI0001X","display" : "Clinical & Laboratory Immunology (Internal Medicine) Physician","definition" : "An internal medicine physician who specializes in clinical and laboratory immunology disease management.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Clinical & Laboratory Immunology"}]},{"code" : "207RI0008X","display" : "Hepatology Physician","definition" : "The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hepatology"}]},{"code" : "207RI0011X","display" : "Interventional Cardiology Physician","definition" : "An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Interventional Cardiology"}]},{"code" : "207RI0200X","display" : "Infectious Disease Physician","definition" : "An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Infectious Disease"}]},{"code" : "207RM1200X","display" : "Magnetic Resonance Imaging (MRI) Internal Medicine Physician","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Magnetic Resonance Imaging (MRI)"}]},{"code" : "207RN0300X","display" : "Nephrology Physician","definition" : "An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Nephrology"}]},{"code" : "207RP1001X","display" : "Pulmonary Disease Physician","definition" : "An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Pulmonary Disease"}]},{"code" : "207RR0500X","display" : "Rheumatology Physician","definition" : "An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and \"collagen\" diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Rheumatology"}]},{"code" : "207RS0010X","display" : "Sports Medicine (Internal Medicine) Physician","definition" : "An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207RS0012X","display" : "Sleep Medicine (Internal Medicine) Physician","definition" : "An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "207RT0003X","display" : "Transplant Hepatology Physician","definition" : "An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Transplant Hepatology"}]},{"code" : "207RX0202X","display" : "Medical Oncology Physician","definition" : "An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Medical Oncology"}]},{"code" : "207SC0300X","display" : "Clinical Cytogenetics Physician","definition" : "A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Cytogenetics"}]},{"code" : "207SG0201X","display" : "Clinical Genetics (M.D.) Physician","definition" : "A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Genetics (M.D.)"}]},{"code" : "207SG0202X","display" : "Clinical Biochemical Genetics Physician","definition" : "A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Biochemical Genetics"}]},{"code" : "207SG0203X","display" : "Clinical Molecular Genetics Physician","definition" : "A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Molecular Genetics"}]},{"code" : "207SG0205X","display" : "Ph.D. Medical Genetics Physician","definition" : "A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medical and dental specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Ph.D. Medical Genetics"}]},{"code" : "207SM0001X","display" : "Molecular Genetic Pathology (Medical Genetics) Physician","definition" : "A board certified subspecialty, the molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, of human development, infectious diseases and malignancies and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration, and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Molecular Genetic Pathology"}]},{"code" : "207T00000X","display" : "Neurological Surgery Physician","definition" : "A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Neurological Surgery"}]},{"code" : "207U00000X","display" : "Nuclear Medicine Physician","definition" : "A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"}]},{"code" : "207UN0901X","display" : "Nuclear Cardiology Physician","definition" : "A nuclear medicine physician who specializes in nuclear cardiology.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"},{"code" : "specialization","valueString" : "Nuclear Cardiology"}]},{"code" : "207UN0902X","display" : "Nuclear Imaging & Therapy Physician","definition" : "A nuclear medicine physician who specializes in nuclear imaging and therapy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"},{"code" : "specialization","valueString" : "Nuclear Imaging & Therapy"}]},{"code" : "207UN0903X","display" : "In Vivo & In Vitro Nuclear Medicine Physician","definition" : "A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"},{"code" : "specialization","valueString" : "In Vivo & In Vitro Nuclear Medicine"}]},{"code" : "207V00000X","display" : "Obstetrics & Gynecology Physician","definition" : "An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"}]},{"code" : "207VB0002X","display" : "Obesity Medicine (Obstetrics & Gynecology) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "207VC0200X","display" : "Critical Care Medicine (Obstetrics & Gynecology) Physician","definition" : "An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "207VC0300X","display" : "Complex Family Planning Physician","definition" : "A complex family planning physician specializes in the diagnosis and treatment of individuals with complex reproductive needs. These physicians are experts in abortion and contraception clinical care, research, education, and advocacy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Complex Family Planning"}]},{"code" : "207VE0102X","display" : "Reproductive Endocrinology Physician","definition" : "An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Reproductive Endocrinology"}]},{"code" : "207VF0040X","display" : "Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician","definition" : "A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Female Pelvic Medicine and Reconstructive Surgery"}]},{"code" : "207VG0400X","display" : "Gynecology Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Gynecology"}]},{"code" : "207VH0002X","display" : "Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician","definition" : "An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207VM0101X","display" : "Maternal & Fetal Medicine Physician","definition" : "An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Maternal & Fetal Medicine"}]},{"code" : "207VX0000X","display" : "Obstetrics Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Obstetrics"}]},{"code" : "207VX0201X","display" : "Gynecologic Oncology Physician","definition" : "An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Gynecologic Oncology"}]},{"code" : "207W00000X","display" : "Ophthalmology Physician","definition" : "An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"}]},{"code" : "207WX0009X","display" : "Glaucoma Specialist (Ophthalmology) Physician","definition" : "An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage.  This specialty involves the medical and surgical treatment of these conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Glaucoma Specialist"}]},{"code" : "207WX0107X","display" : "Retina Specialist (Ophthalmology) Physician","definition" : "An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Retina Specialist"}]},{"code" : "207WX0108X","display" : "Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician","definition" : "An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Uveitis and Ocular Inflammatory Disease"}]},{"code" : "207WX0109X","display" : "Neuro-ophthalmology Physician","definition" : "A neuro-ophthalmologist is a subspecialist of ophthalmology.  This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Neuro-ophthalmology"}]},{"code" : "207WX0110X","display" : "Pediatric Ophthalmology and Strabismus Specialist Physician Physician","definition" : "An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Pediatric Ophthalmology and Strabismus Specialist"}]},{"code" : "207WX0120X","display" : "Cornea and External Diseases Specialist Physician","definition" : "An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Cornea and External Diseases Specialist"}]},{"code" : "207WX0200X","display" : "Ophthalmic Plastic and Reconstructive Surgery Physician","definition" : "A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Ophthalmic Plastic and Reconstructive Surgery"}]},{"code" : "207X00000X","display" : "Orthopaedic Surgery Physician","definition" : "An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means.  An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"}]},{"code" : "207XP3100X","display" : "Pediatric Orthopaedic Surgery Physician","definition" : "An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents.  These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Pediatric Orthopaedic Surgery"}]},{"code" : "207XS0106X","display" : "Orthopaedic Hand Surgery Physician","definition" : "An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Hand Surgery"}]},{"code" : "207XS0114X","display" : "Adult Reconstructive Orthopaedic Surgery Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Adult Reconstructive Orthopaedic Surgery"}]},{"code" : "207XS0117X","display" : "Orthopaedic Surgery of the Spine Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Orthopaedic Surgery of the Spine"}]},{"code" : "207XX0004X","display" : "Orthopaedic Foot and Ankle Surgery Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Foot and Ankle Surgery"}]},{"code" : "207XX0005X","display" : "Sports Medicine (Orthopaedic Surgery) Physician","definition" : "An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207XX0801X","display" : "Orthopaedic Trauma Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Orthopaedic Trauma"}]},{"code" : "207Y00000X","display" : "Otolaryngology Physician","definition" : "An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"}]},{"code" : "207YP0228X","display" : "Pediatric Otolaryngology Physician","definition" : "A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Pediatric Otolaryngology"}]},{"code" : "207YS0012X","display" : "Sleep Medicine (Otolaryngology) Physician","definition" : "An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "207YS0123X","display" : "Facial Plastic Surgery Physician","definition" : "An otolaryngologist who specializes in facial plastic surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Facial Plastic Surgery"}]},{"code" : "207YX0007X","display" : "Plastic Surgery within the Head & Neck (Otolaryngology) Physician","definition" : "An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Plastic Surgery within the Head & Neck"}]},{"code" : "207YX0602X","display" : "Otolaryngic Allergy Physician","definition" : "An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Otolaryngic Allergy"}]},{"code" : "207YX0901X","display" : "Otology & Neurotology Physician","definition" : "An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Otology & Neurotology"}]},{"code" : "207YX0905X","display" : "Otolaryngology/Facial Plastic Surgery Physician","definition" : "An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Otolaryngology/Facial Plastic Surgery"}]},{"code" : "207ZB0001X","display" : "Blood Banking & Transfusion Medicine Physician","definition" : "A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Blood Banking & Transfusion Medicine"}]},{"code" : "207ZC0006X","display" : "Clinical Pathology Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Clinical Pathology"}]},{"code" : "207ZC0008X","display" : "Clinical Informatics (Pathology) Physician","definition" : "Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Clinical Informatics"}]},{"code" : "207ZC0500X","display" : "Cytopathology Physician","definition" : "A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle.  A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the \"Pap\" test.  However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body.  He/she is a consultant to all medical specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Cytopathology"}]},{"code" : "207ZD0900X","display" : "Dermatopathology (Pathology) Physician","definition" : "A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases.  This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Dermatopathology"}]},{"code" : "207ZF0201X","display" : "Forensic Pathology Physician","definition" : "A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Forensic Pathology"}]},{"code" : "207ZH0000X","display" : "Hematology (Pathology) Physician","definition" : "A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Hematology"}]},{"code" : "207ZI0100X","display" : "Immunopathology Physician","definition" : "A pathologist who specializes in the diagnosis of immunologic diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Immunopathology"}]},{"code" : "207ZM0300X","display" : "Medical Microbiology Physician","definition" : "A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Medical Microbiology"}]},{"code" : "207ZN0500X","display" : "Neuropathology Physician","definition" : "A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Neuropathology"}]},{"code" : "207ZP0007X","display" : "Molecular Genetic Pathology (Pathology) Physician","definition" : "A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Molecular Genetic Pathology"}]},{"code" : "207ZP0101X","display" : "Anatomic Pathology Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Anatomic Pathology"}]},{"code" : "207ZP0102X","display" : "Anatomic Pathology & Clinical Pathology Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Anatomic Pathology & Clinical Pathology"}]},{"code" : "207ZP0104X","display" : "Chemical Pathology Physician","definition" : "A chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. This physician functions as a clinical consultant in the diagnosis and treatment of human disease. Chemical pathology entails the application of biochemical data to the detection, confirmation or monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Chemical Pathology"}]},{"code" : "207ZP0105X","display" : "Clinical Pathology/Laboratory Medicine Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Clinical Pathology/Laboratory Medicine"}]},{"code" : "207ZP0213X","display" : "Pediatric Pathology Physician","definition" : "A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Pediatric Pathology"}]},{"code" : "208000000X","display" : "Pediatrics Physician","definition" : "A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"}]},{"code" : "2080A0000X","display" : "Pediatric Adolescent Medicine Physician","definition" : "A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Adolescent Medicine"}]},{"code" : "2080B0002X","display" : "Pediatric Obesity Medicine Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "2080C0008X","display" : "Child Abuse Pediatrics Physician","definition" : "A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Child Abuse Pediatrics"}]},{"code" : "2080H0002X","display" : "Pediatric Hospice and Palliative Medicine Physician","definition" : "A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2080I0007X","display" : "Pediatric Clinical & Laboratory Immunology Physician","definition" : "A pediatrician who specializes in clinical and laboratory immunology disease management.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Clinical & Laboratory Immunology"}]},{"code" : "2080N0001X","display" : "Neonatal-Perinatal Medicine Physician","definition" : "A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Neonatal-Perinatal Medicine"}]},{"code" : "2080P0006X","display" : "Developmental - Behavioral Pediatrics Physician","definition" : "A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Developmental - Behavioral Pediatrics"}]},{"code" : "2080P0008X","display" : "Pediatric Neurodevelopmental Disabilities Physician","definition" : "A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Neurodevelopmental Disabilities"}]},{"code" : "2080P0201X","display" : "Pediatric Allergy/Immunology Physician","definition" : "A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Allergy/Immunology"}]},{"code" : "2080P0202X","display" : "Pediatric Cardiology Physician","definition" : "A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Cardiology"}]},{"code" : "2080P0203X","display" : "Pediatric Critical Care Medicine Physician","definition" : "A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Critical Care Medicine"}]},{"code" : "2080P0204X","display" : "Pediatric Emergency Medicine (Pediatrics) Physician","definition" : "A pediatrician who has special qualifications to manage emergencies in infants and children.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Emergency Medicine"}]},{"code" : "2080P0205X","display" : "Pediatric Endocrinology Physician","definition" : "A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Endocrinology"}]},{"code" : "2080P0206X","display" : "Pediatric Gastroenterology Physician","definition" : "A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Gastroenterology"}]},{"code" : "2080P0207X","display" : "Pediatric Hematology & Oncology Physician","definition" : "A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Hematology-Oncology"}]},{"code" : "2080P0208X","display" : "Pediatric Infectious Diseases Physician","definition" : "A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Infectious Diseases"}]},{"code" : "2080P0210X","display" : "Pediatric Nephrology Physician","definition" : "A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Nephrology"}]},{"code" : "2080P0214X","display" : "Pediatric Pulmonology Physician","definition" : "A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Pulmonology"}]},{"code" : "2080P0216X","display" : "Pediatric Rheumatology Physician","definition" : "A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and \"collagen\" diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Rheumatology"}]},{"code" : "2080S0010X","display" : "Pediatric Sports Medicine Physician","definition" : "A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "2080S0012X","display" : "Pediatric Sleep Medicine Physician","definition" : "A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "2080T0002X","display" : "Pediatric Medical Toxicology Physician","definition" : "Medical toxicologists are physicians that specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Medical Toxicology"}]},{"code" : "2080T0004X","display" : "Pediatric Transplant Hepatology Physician","definition" : "A pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Transplant Hepatology"}]},{"code" : "208100000X","display" : "Physical Medicine & Rehabilitation Physician","definition" : "Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"}]},{"code" : "2081H0002X","display" : "Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2081N0008X","display" : "Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Neuromuscular Medicine"}]},{"code" : "2081P0004X","display" : "Spinal Cord Injury Medicine Physician","definition" : "A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Spinal Cord Injury Medicine"}]},{"code" : "2081P0010X","display" : "Pediatric Rehabilitation Medicine Physician","definition" : "A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Pediatric Rehabilitation Medicine"}]},{"code" : "2081P0301X","display" : "Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease.  These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Brain Injury Medicine"}]},{"code" : "2081P2900X","display" : "Pain Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "2081S0010X","display" : "Sports Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "208200000X","display" : "Plastic Surgery Physician","definition" : "A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Plastic Surgery"}]},{"code" : "2082S0099X","display" : "Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician","definition" : "A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Plastic Surgery"},{"code" : "specialization","valueString" : "Plastic Surgery Within the Head and Neck"}]},{"code" : "2082S0105X","display" : "Surgery of the Hand (Plastic Surgery) Physician","definition" : "A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Plastic Surgery"},{"code" : "specialization","valueString" : "Surgery of the Hand"}]},{"code" : "2083A0100X","display" : "Aerospace Medicine Physician","definition" : "Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Aerospace Medicine"}]},{"code" : "2083A0300X","display" : "Addiction Medicine (Preventive Medicine) Physician","definition" : "A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "2083B0002X","display" : "Obesity Medicine (Preventive Medicine) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "2083C0008X","display" : "Clinical Informatics Physician","definition" : "Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Clinical Informatics"}]},{"code" : "2083P0011X","display" : "Undersea and Hyperbaric Medicine (Preventive Medicine) Physician","definition" : "A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Undersea and Hyperbaric Medicine"}]},{"code" : "2083P0500X","display" : "Preventive Medicine/Occupational Environmental Medicine Physician","definition" : "A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Preventive Medicine/Occupational Environmental Medicine"}]},{"code" : "2083P0901X","display" : "Public Health & General Preventive Medicine Physician","definition" : "Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Public Health & General Preventive Medicine"}]},{"code" : "2083S0010X","display" : "Sports Medicine (Preventive Medicine) Physician","definition" : "A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "2083T0002X","display" : "Medical Toxicology (Preventive Medicine) Physician","definition" : "Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Medical Toxicology"}]},{"code" : "2083X0100X","display" : "Occupational Medicine Physician","definition" : "Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Occupational Medicine"}]},{"code" : "2084A0401X","display" : "Addiction Medicine (Psychiatry & Neurology) Physician","definition" : "A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "2084A2900X","display" : "Neurocritical Care Physician","definition" : "The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient.  They may also provide consultative services for these patients as requested within the health system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurocritical Care"}]},{"code" : "2084B0002X","display" : "Obesity Medicine (Psychiatry & Neurology) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "2084B0040X","display" : "Behavioral Neurology & Neuropsychiatry Physician","definition" : "Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Behavioral Neurology & Neuropsychiatry"}]},{"code" : "2084D0003X","display" : "Diagnostic Neuroimaging (Psychiatry & Neurology) Physician","definition" : "A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.  Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Diagnostic Neuroimaging"}]},{"code" : "2084E0001X","display" : "Epilepsy Physician","definition" : "Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Epilepsy"}]},{"code" : "2084F0202X","display" : "Forensic Psychiatry Physician","definition" : "Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Forensic Psychiatry"}]},{"code" : "2084H0002X","display" : "Hospice and Palliative Medicine (Psychiatry & Neurology) Physician","definition" : "A psychiatrist or neurologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2084N0008X","display" : "Neuromuscular Medicine (Psychiatry & Neurology) Physician","definition" : "A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neuromuscular Medicine"}]},{"code" : "2084N0400X","display" : "Neurology Physician","definition" : "A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurology"}]},{"code" : "2084N0402X","display" : "Neurology with Special Qualifications in Child Neurology Physician","definition" : "A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurology with Special Qualifications in Child Neurology"}]},{"code" : "2084N0600X","display" : "Clinical Neurophysiology Physician","definition" : "Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Clinical Neurophysiology"}]},{"code" : "2084P0005X","display" : "Neurodevelopmental Disabilities Physician","definition" : "A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurodevelopmental Disabilities"}]},{"code" : "2084P0015X","display" : "Psychosomatic Medicine Physician","definition" : "Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Psychosomatic Medicine"}]},{"code" : "2084P0301X","display" : "Brain Injury Medicine (Psychiatry & Neurology) Physician","definition" : "A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease.  These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Brain Injury Medicine"}]},{"code" : "2084P0800X","display" : "Psychiatry Physician","definition" : "A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Psychiatry"}]},{"code" : "2084P0802X","display" : "Addiction Psychiatry Physician","definition" : "Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Addiction Psychiatry"}]},{"code" : "2084P0804X","display" : "Child & Adolescent Psychiatry Physician","definition" : "Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Child & Adolescent Psychiatry"}]},{"code" : "2084P0805X","display" : "Geriatric Psychiatry Physician","definition" : "Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Geriatric Psychiatry"}]},{"code" : "2084P2900X","display" : "Pain Medicine (Psychiatry & Neurology) Physician","definition" : "A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "2084S0010X","display" : "Sports Medicine (Psychiatry & Neurology) Physician","definition" : "A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "2084S0012X","display" : "Sleep Medicine (Psychiatry & Neurology) Physician","definition" : "A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "2084V0102X","display" : "Vascular Neurology Physician","definition" : "Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Vascular Neurology"}]},{"code" : "2085B0100X","display" : "Body Imaging Physician","definition" : "A Radiology doctor of Osteopathy that specializes in Body Imaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Body Imaging"}]},{"code" : "2085D0003X","display" : "Diagnostic Neuroimaging (Radiology) Physician","definition" : "A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.  Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Diagnostic Neuroimaging"}]},{"code" : "2085H0002X","display" : "Hospice and Palliative Medicine (Radiology) Physician","definition" : "A radiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2085N0700X","display" : "Neuroradiology Physician","definition" : "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Neuroradiology"}]},{"code" : "2085N0904X","display" : "Nuclear Radiology Physician","definition" : "A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Nuclear Radiology"}]},{"code" : "2085P0229X","display" : "Pediatric Radiology Physician","definition" : "A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Pediatric Radiology"}]},{"code" : "2085R0001X","display" : "Radiation Oncology Physician","definition" : "A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Radiation Oncology"}]},{"code" : "2085R0202X","display" : "Diagnostic Radiology Physician","definition" : "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Diagnostic Radiology"}]},{"code" : "2085R0203X","display" : "Therapeutic Radiology Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Therapeutic Radiology"}]},{"code" : "2085R0204X","display" : "Vascular & Interventional Radiology Physician","definition" : "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Vascular & Interventional Radiology"}]},{"code" : "2085R0205X","display" : "Radiological Physics Physician","definition" : "A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Radiological Physics"}]},{"code" : "2085U0001X","display" : "Diagnostic Ultrasound Physician","definition" : "A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Diagnostic Ultrasound"}]},{"code" : "208600000X","display" : "Surgery Physician","definition" : "A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"}]},{"code" : "2086H0002X","display" : "Hospice and Palliative Medicine (Surgery) Physician","definition" : "A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2086S0102X","display" : "Surgical Critical Care Physician","definition" : "A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Surgical Critical Care"}]},{"code" : "2086S0105X","display" : "Surgery of the Hand (Surgery) Physician","definition" : "A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Surgery of the Hand"}]},{"code" : "2086S0120X","display" : "Pediatric Surgery Physician","definition" : "A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Pediatric Surgery"}]},{"code" : "2086S0122X","display" : "Plastic and Reconstructive Surgery Physician","definition" : "A surgeon who specializes in plastic and reconstructive surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Plastic and Reconstructive Surgery"}]},{"code" : "2086S0127X","display" : "Trauma Surgery Physician","definition" : "Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Trauma Surgery"}]},{"code" : "2086S0129X","display" : "Vascular Surgery Physician","definition" : "A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Vascular Surgery"}]},{"code" : "2086X0206X","display" : "Surgical Oncology Physician","definition" : "A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Surgical Oncology"}]},{"code" : "208800000X","display" : "Urology Physician","definition" : "A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Urology"}]},{"code" : "2088F0040X","display" : "Female Pelvic Medicine and Reconstructive Surgery (Urology) Physician","definition" : "A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Urology"},{"code" : "specialization","valueString" : "Female Pelvic Medicine and Reconstructive Surgery"}]},{"code" : "2088P0231X","display" : "Pediatric Urology Physician","definition" : "Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents.  Pediatric urologists generally provide the following services:  the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Urology"},{"code" : "specialization","valueString" : "Pediatric Urology"}]},{"code" : "208C00000X","display" : "Colon & Rectal Surgery Physician","definition" : "A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Colon & Rectal Surgery"}]},{"code" : "208D00000X","display" : "General Practice Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "General Practice"}]},{"code" : "208G00000X","display" : "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","definition" : "A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Thoracic Surgery (Cardiothoracic Vascular Surgery)"}]},{"code" : "208M00000X","display" : "Hospitalist Physician","definition" : "Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Hospitalist"}]},{"code" : "208U00000X","display" : "Clinical Pharmacology Physician","definition" : "Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Clinical Pharmacology"}]},{"code" : "208VP0000X","display" : "Pain Medicine Physician","definition" : "Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education.  It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain.  A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain.  The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner.  The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies.  The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pain Medicine"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "208VP0014X","display" : "Interventional Pain Medicine Physician","definition" : "Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pain Medicine"},{"code" : "specialization","valueString" : "Interventional Pain Medicine"}]},{"code" : "209800000X","display" : "Legal Medicine (M.D./D.O.) Physician","definition" : "Legal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities. Since World War II, the domain of legal medicine has broadened to include not only aspects of medical science to solve legal and criminal problems but aspects of law as it applies to medicine. Legal Medicine continues to grow as medicolegal issues like medical malpractice and liability, government regulation of health care, issues of tort reform, and moral and ethical complexities presented by technological advances become increasingly prominent. Many medical schools have implemented courses which supply medicolegal instruction for medical students, and many law schools now offer medicolegal courses. Also, dual degree programs in law and medicine have been created to assist physicians to bridge the gap between medicine and the law.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Legal Medicine"}]},{"code" : "211D00000X","display" : "Podiatric Assistant","definition" : "An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Assistant, Podiatric"}]},{"code" : "213E00000X","display" : "Podiatrist","definition" : "A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"}]},{"code" : "213EG0000X","display" : "Deactivated - Podiatrist","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "General Practice"}]},{"code" : "213EP0504X","display" : "Public Medicine Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Public Medicine"}]},{"code" : "213EP1101X","display" : "Primary Podiatric Medicine Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Primary Podiatric Medicine"}]},{"code" : "213ER0200X","display" : "Radiology Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Radiology"}]},{"code" : "213ES0000X","display" : "Sports Medicine Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "213ES0103X","display" : "Foot & Ankle Surgery Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Foot & Ankle Surgery"}]},{"code" : "213ES0131X","display" : "Foot Surgery Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Foot Surgery"}]},{"code" : "221700000X","display" : "Art Therapist","definition" : "(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Art Therapist"}]},{"code" : "222Q00000X","display" : "Developmental Therapist","definition" : "A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Developmental Therapist"}]},{"code" : "222Z00000X","display" : "Orthotist","definition" : "A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Orthotist"}]},{"code" : "224900000X","display" : "Mastectomy Fitter","definition" : "An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Mastectomy Fitter"}]},{"code" : "224L00000X","display" : "Pedorthist","definition" : "An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Pedorthist"}]},{"code" : "224P00000X","display" : "Prosthetist","definition" : "A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Prosthetist"}]},{"code" : "224Y00000X","display" : "Clinical Exercise Physiologist","definition" : "A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Clinical Exercise Physiologist"}]},{"code" : "224Z00000X","display" : "Occupational Therapy Assistant","definition" : "An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"}]},{"code" : "224ZE0001X","display" : "Environmental Modification Occupational Therapy Assistant","definition" : "Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist.  OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Environmental Modification"}]},{"code" : "224ZF0002X","display" : "Feeding, Eating & Swallowing Occupational Therapy Assistant","definition" : "Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist.  OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Feeding, Eating & Swallowing"}]},{"code" : "224ZL0004X","display" : "Low Vision Occupational Therapy Assistant","definition" : "Occupational therapy assistants contribute to the completion of an individualized occupational therapy low-vision evaluation under the direction and supervision of the occupational therapist to identify factors that may facilitate, compensate for, or inhibit use of vision in occupational performance.  Clients are engaged in the identification of strengths, limitations, and goals as they relate to low vision to optimize independence and participation in desired occupations.  Occupational therapy assistants also contribute to the development and implementation of an individualized occupational therapy low-vision intervention plan in collaboration with the occupational therapist, client, and relevant others that reflects the client's priorities for occupational performance.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Low Vision"}]},{"code" : "224ZR0403X","display" : "Driving and Community Mobility Occupational Therapy Assistant","definition" : "Occupational therapy assistants contribute to the completion of an individualized occupational therapy driving and community mobility evaluation by administering delegated assessments and identifying findings that impact the client's occupational performance. Clients engage in the assessment and occupational profile process to customize the evaluation to their individual driving and community mobility needs.  Occupational therapy assistants administer and continuously modify individualized in-vehicle and community mobility assessments within the naturalistic context of the community in response to the occupational performance and safety behaviors of the client.  They also implement an individualized intervention plan, within the parameters established in collaboration with the occupational therapist that reflects the contexts of the client and meets his or her occupational performance and safety needs.  Occupational therapy assistants address immediate and long-term implications of psychosocial issues related to compromised driving and community mobility throughout the occupational therapy process and makes recommendations to the occupational therapist for modification to service delivery.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Driving and Community Mobility"}]},{"code" : "225000000X","display" : "Orthotic Fitter","definition" : "An individual trained in the management of fitting prefabricated orthoses.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Orthotic Fitter"}]},{"code" : "225100000X","display" : "Physical Therapist","definition" : "Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"}]},{"code" : "2251C2600X","display" : "Cardiopulmonary Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Cardiopulmonary"}]},{"code" : "2251E1200X","display" : "Ergonomics Physical Therapist","definition" : "A licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Ergonomics"}]},{"code" : "2251E1300X","display" : "Clinical Electrophysiology Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Electrophysiology, Clinical"}]},{"code" : "2251G0304X","display" : "Geriatric Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Geriatrics"}]},{"code" : "2251H1200X","display" : "Hand Physical Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Hand"}]},{"code" : "2251H1300X","display" : "Human Factors Physical Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Human Factors"}]},{"code" : "2251N0400X","display" : "Neurology Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Neurology"}]},{"code" : "2251P0200X","display" : "Pediatric Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "2251S0007X","display" : "Sports Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Sports"}]},{"code" : "2251X0800X","display" : "Orthopedic Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Orthopedic"}]},{"code" : "225200000X","display" : "Physical Therapy Assistant","definition" : "(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapy Assistant"}]},{"code" : "225400000X","display" : "Rehabilitation Practitioner","definition" : "A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Practitioner"}]},{"code" : "225500000X","display" : "Respiratory/Developmental/Rehabilitative Specialist/Technologist","definition" : "General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"}]},{"code" : "2255A2300X","display" : "Athletic Trainer","definition" : "Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses.  Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees.  National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation.  Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Athletic Trainer"}]},{"code" : "2255R0406X","display" : "Blind Rehabilitation Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Rehabilitation, Blind"}]},{"code" : "225600000X","display" : "Dance Therapist","definition" : "The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR).","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Dance Therapist"}]},{"code" : "225700000X","display" : "Massage Therapist","definition" : "An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Massage Therapist"}]},{"code" : "225800000X","display" : "Recreation Therapist","definition" : "A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Recreation Therapist"}]},{"code" : "225A00000X","display" : "Music Therapist","definition" : "Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages.  Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Music Therapist"}]},{"code" : "225B00000X","display" : "Pulmonary Function Technologist","definition" : "An individual who is trained and qualified to perform pulmonary diagnostic tests.  In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment.  In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance.  Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability.  The technologist collects clinical history data and evaluates the clinical implications of the test results.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Pulmonary Function Technologist"}]},{"code" : "225C00000X","display" : "Rehabilitation Counselor","definition" : "An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"}]},{"code" : "225CA2400X","display" : "Assistive Technology Practitioner Rehabilitation Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"},{"code" : "specialization","valueString" : "Assistive Technology Practitioner"}]},{"code" : "225CA2500X","display" : "Assistive Technology Supplier Rehabilitation Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"},{"code" : "specialization","valueString" : "Assistive Technology Supplier"}]},{"code" : "225CX0006X","display" : "Orientation and Mobility Training Rehabilitation Counselor","definition" : "Orientation and Mobility (O&M) specialists teach children and adults who have visual impairments the specific orientation skills used to find one's way in the environment and the mobility skills needed to travel safely and efficiently at home, school, work, and in the community. Instruction is usually provided one-on-one and can include skills such as how to use a long cane, the operation of low vision devices and electronic travel aids when appropriate, how to orient oneself to new environments, navigate public transportation systems, how to cross streets safely, and traveling by using hearing, remaining vision, and other senses.  In addition, O&M Specialists help children to develop fundamental skills such as fine and gross motor skills, concept development and problem solving skills. Adult clients can also benefit from an O&M specialist evaluating their current use of travel-related skills, discussing their future goals, and helping them select a program of instruction that will allow them to reach their greatest travel potential.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"},{"code" : "specialization","valueString" : "Orientation and Mobility Training Provider"}]},{"code" : "225X00000X","display" : "Occupational Therapist","definition" : "An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"}]},{"code" : "225XE0001X","display" : "Environmental Modification Occupational Therapist","definition" : "Occupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living.  Occupational therapy practitioners evaluate the client, their environment, and their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity.  Occupational therapists can evaluate both the skills of the client and the environmental features that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being.  Based on this assessment, they recommend modification and intervention strategies that improve the fit between the person and his or her environment.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Environmental Modification"}]},{"code" : "225XE1200X","display" : "Ergonomics Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Ergonomics"}]},{"code" : "225XF0002X","display" : "Feeding, Eating & Swallowing Occupational Therapist","definition" : "Occupational therapists provide interventions to clients of all ages with feeding, eating and swallowing difficulties.  Occupational therapists provide comprehensive rehabilitative, habilitative, and palliative dysphagia care, which includes collaborating with clients to provide individualized compensatory swallowing strategies, modified diet textures, adapted mealtime environments, enhanced feeding skills, preparatory exercises and positioning to clients, reinforcement of mealtime strategies to enhance and improve swallowing skills, and training to caregivers to enhance eating and feeding performance.  Occupational therapists provide screening and in-depth clinical assessment which may include instrumental dysphagia assessments including videofluroscopy.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Feeding, Eating & Swallowing"}]},{"code" : "225XG0600X","display" : "Gerontology Occupational Therapist","definition" : "Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Gerontology"}]},{"code" : "225XH1200X","display" : "Hand Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Hand"}]},{"code" : "225XH1300X","display" : "Human Factors Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Human Factors"}]},{"code" : "225XL0004X","display" : "Low Vision Occupational Therapist","definition" : "Occupational therapists enable children and adults with visual impairment to engage in their chosen daily living activities safely and as independently as possible.  This is accomplished by 1) teaching the person to use their remaining vision as efficiently as possible to complete activities; (2) modifying activities so that they can be completed with less vision; (3) training the person in use of adaptive equipment to compensate for vision loss, including high and low technology assistive devices; and (4) modifying the person's environment.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Low Vision"}]},{"code" : "225XM0800X","display" : "Mental Health Occupational Therapist","definition" : "Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure).  Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Mental Health"}]},{"code" : "225XN1300X","display" : "Neurorehabilitation Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Neurorehabilitation"}]},{"code" : "225XP0019X","display" : "Physical Rehabilitation Occupational Therapist","definition" : "Occupational therapists are experts at helping people lead as independent a life as possible.  Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability to perform the tasks of daily living.  Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving.  They also may fabricate custom orthotics to improve function, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons' physical endurance and strength. Occupational therapists' knowledge of adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Physical Rehabilitation"}]},{"code" : "225XP0200X","display" : "Pediatric Occupational Therapist","definition" : "Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or \"occupations.\"  Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students.  Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "225XR0403X","display" : "Driving and Community Mobility Occupational Therapist","definition" : "Occupational therapists can optimize and prolong an older driver's ability to drive safely and ease the transition to other forms of transportation if driving cessation becomes necessary.  By identifying strengths as well as physical or cognitive challenges, occupational therapists can evaluate an individual's overall ability to operate a vehicle safely and recommend assistive devices or behavioral changes to limit risks.  Occupational therapy practitioners offer a continuum of services related to community mobility, from evaluation of driving performance, through counseling and support for lifestyle changes, to maintaining independence and quality of life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Driving and Community Mobility"}]},{"code" : "226000000X","display" : "Recreational Therapist Assistant","definition" : "Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses.  Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Recreational Therapist Assistant"}]},{"code" : "226300000X","display" : "Kinesiotherapist","definition" : "A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Kinesiotherapist"}]},{"code" : "227800000X","display" : "Certified Respiratory Therapist","definition" : "A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC).  CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system.  They provide these respiratory care services in all health care facilities and in the home.  A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"}]},{"code" : "2278C0205X","display" : "Critical Care Certified Respiratory Therapist","definition" : "Respiratory emergencies are commonplace in the treatment of critical care patients.  Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial monitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements.  This is coupled with the initiation and management of mechanical ventilation patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Critical Care"}]},{"code" : "2278E0002X","display" : "Emergency Care Certified Respiratory Therapist","definition" : "The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Emergency Care"}]},{"code" : "2278E1000X","display" : "Educational Certified Respiratory Therapist","definition" : "The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help.  Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Educational"}]},{"code" : "2278G0305X","display" : "Geriatric Care Certified Respiratory Therapist","definition" : "Care of older patients who have age and/or disease related decremental pulmonary changes.  Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them.  Furthermore, as this segment of the population increases, life expectancy is being extended.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Geriatric Care"}]},{"code" : "2278G1100X","display" : "General Care Certified Respiratory Therapist","definition" : "This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "General Care"}]},{"code" : "2278H0200X","display" : "Home Health Certified Respiratory Therapist","definition" : "Home care fosters individual responsibility for self-management of chronic respiratory conditions.  It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Home Health"}]},{"code" : "2278P1004X","display" : "Pulmonary Diagnostics Certified Respiratory Therapist","definition" : "Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Pulmonary Diagnostics"}]},{"code" : "2278P1005X","display" : "Pulmonary Rehabilitation Certified Respiratory Therapist","definition" : "The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program.  It includes bronchopulmonary drainage, exercise therapy, and patient education.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Pulmonary Rehabilitation"}]},{"code" : "2278P1006X","display" : "Pulmonary Function Technologist Certified Respiratory Therapist","definition" : "An individual who is trained and qualified to perform pulmonary diagnostic tests.  In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment.  In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance.  Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability.  The technologist collects clinical history data and evaluates the clinical implications of the test results.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Pulmonary Function Technologist"}]},{"code" : "2278P3800X","display" : "Palliative/Hospice Certified Respiratory Therapist","definition" : "A coordinated plan of care to help dying patients and their families handle the burden of terminal care.  Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Palliative/Hospice"}]},{"code" : "2278P3900X","display" : "Neonatal/Pediatric Certified Respiratory Therapist","definition" : "The care and treatment of premature infants, newborns and children.  This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Neonatal/Pediatrics"}]},{"code" : "2278P4000X","display" : "Patient Transport Certified Respiratory Therapist","definition" : "Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management.  The transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Patient Transport"}]},{"code" : "2278S1500X","display" : "SNF/Subacute Care Certified Respiratory Therapist","definition" : "Care of residents in a long-term care environment.  Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "SNF/Subacute Care"}]},{"code" : "227900000X","display" : "Registered Respiratory Therapist","definition" : "A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC).  In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources.  An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"}]},{"code" : "2279C0205X","display" : "Critical Care Registered Respiratory Therapist","definition" : "Respiratory emergencies are commonplace in the treatment of critical care patients.  Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial monitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements.  This is coupled with the initiation and management of mechanical ventilation patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Critical Care"}]},{"code" : "2279E0002X","display" : "Emergency Care Registered Respiratory Therapist","definition" : "The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Emergency Care"}]},{"code" : "2279E1000X","display" : "Educational Registered Respiratory Therapist","definition" : "The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help.  Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Educational"}]},{"code" : "2279G0305X","display" : "Geriatric Care Registered Respiratory Therapist","definition" : "Care of older patients who have age and/or disease related decremental pulmonary changes.  Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them.  Furthermore, as this segment of the population increases, life expectancy is being extended.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Geriatric Care"}]},{"code" : "2279G1100X","display" : "General Care Registered Respiratory Therapist","definition" : "This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "General Care"}]},{"code" : "2279H0200X","display" : "Home Health Registered Respiratory Therapist","definition" : "Home care fosters individual responsibility for self-management of chronic respiratory conditions.  It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Home Health"}]},{"code" : "2279P1004X","display" : "Pulmonary Diagnostics Registered Respiratory Therapist","definition" : "Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Pulmonary Diagnostics"}]},{"code" : "2279P1005X","display" : "Pulmonary Rehabilitation Registered Respiratory Therapist","definition" : "The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program.  It includes bronchopulmonary drainage, exercise therapy, and patient education.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Pulmonary Rehabilitation"}]},{"code" : "2279P1006X","display" : "Pulmonary Function Technologist Registered Respiratory Therapist","definition" : "An individual who is trained and qualified to perform pulmonary diagnostic tests.  In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment.  In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance.  Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability.  The technologist collects clinical history data and evaluates the clinical implications of the test results.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Pulmonary Function Technologist"}]},{"code" : "2279P3800X","display" : "Palliative/Hospice Registered Respiratory Therapist","definition" : "A coordinated plan of care to help dying patients and their families handle the burden of terminal care.  Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Palliative/Hospice"}]},{"code" : "2279P3900X","display" : "Neonatal/Pediatric Registered Respiratory Therapist","definition" : "The care and treatment of premature infants, newborns and children.  This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Neonatal/Pediatrics"}]},{"code" : "2279P4000X","display" : "Patient Transport Registered Respiratory Therapist","definition" : "Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management.  The transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Patient Transport"}]},{"code" : "2279S1500X","display" : "SNF/Subacute Care Registered Respiratory Therapist","definition" : "Care of residents in a long-term care environment.  Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "SNF/Subacute Care"}]},{"code" : "229N00000X","display" : "Anaplastologist","definition" : "An anaplastologist is a professional who creates prostheses for the face and body.  Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences.  Generally, there are no state licensing requirements for anaplastologists.  Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Anaplastologist"}]},{"code" : "231H00000X","display" : "Audiologist","definition" : "(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist"}]},{"code" : "231HA2400X","display" : "Assistive Technology Practitioner Audiologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist"},{"code" : "specialization","valueString" : "Assistive Technology Practitioner"}]},{"code" : "231HA2500X","display" : "Assistive Technology Supplier Audiologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist"},{"code" : "specialization","valueString" : "Assistive Technology Supplier"}]},{"code" : "235500000X","display" : "Speech/Language/Hearing Specialist/Technologist","definition" : "General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"}]},{"code" : "2355A2700X","display" : "Audiology Assistant","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Audiology Assistant"}]},{"code" : "2355S0801X","display" : "Speech-Language Assistant","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Speech-Language Assistant"}]},{"code" : "235Z00000X","display" : "Speech-Language Pathologist","definition" : "The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Speech-Language Pathologist"}]},{"code" : "237600000X","display" : "Audiologist-Hearing Aid Fitter","definition" : "An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as \"audiologist-hearing aid fitters\" as opposed to states that license individuals as \"audiologists\".","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist-Hearing Aid Fitter"}]},{"code" : "237700000X","display" : "Hearing Instrument Specialist","definition" : "Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Hearing Instrument Specialist"}]},{"code" : "242T00000X","display" : "Perfusionist","definition" : "A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Perfusionist"}]},{"code" : "243U00000X","display" : "Radiology Practitioner Assistant","definition" : "A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Radiology Practitioner Assistant"}]},{"code" : "246Q00000X","display" : "Pathology Specialist/Technologist","definition" : "(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"}]},{"code" : "246QB0000X","display" : "Blood Banking Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Blood Banking"}]},{"code" : "246QC1000X","display" : "Chemistry Pathology 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"246QM0706X","display" : "Medical Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Medical Technologist"}]},{"code" : "246QM0900X","display" : "Microbiology Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Microbiology"}]},{"code" : "246R00000X","display" : "Pathology Technician","definition" : "An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"}]},{"code" : "246RH0600X","display" : "Histology Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"},{"code" : "specialization","valueString" : "Histology"}]},{"code" : "246RM2200X","display" : "Medical Laboratory Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"},{"code" : "specialization","valueString" : "Medical Laboratory"}]},{"code" : "246RP1900X","display" : "Phlebotomy Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"},{"code" : "specialization","valueString" : "Phlebotomy"}]},{"code" : "246W00000X","display" : "Cardiology Technician","definition" : "An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Cardiology"}]},{"code" : "246X00000X","display" : "Cardiovascular Specialist/Technologist","definition" : "An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist Cardiovascular"}]},{"code" : "246XC2901X","display" : "Cardiovascular Invasive Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist Cardiovascular"},{"code" : "specialization","valueString" : "Cardiovascular Invasive Specialist"}]},{"code" : "246XC2903X","display" : "Vascular Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical 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"specialization","valueString" : "Corporate Health"}]},{"code" : "261QD0000X","display" : "Dental Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Dental"}]},{"code" : "261QD1600X","display" : "Developmental Disabilities Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : 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Laboratory studies may be outsourced.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Genetics"}]},{"code" : "261QH0100X","display" : "Health Service Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Health Service"}]},{"code" : "261QH0700X","display" : "Hearing and Speech Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Hearing and Speech"}]},{"code" : "261QI0500X","display" : "Infusion Therapy Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Infusion Therapy"}]},{"code" : "261QL0400X","display" : "Lithotripsy Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Lithotripsy"}]},{"code" : "261QM0801X","display" : "Mental Health Clinic/Center (Including Community Mental Health Center)","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Mental Health (Including Community Mental Health Center)"}]},{"code" : "261QM0850X","display" : "Adult Mental Health Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Adult Mental Health"}]},{"code" : "261QM0855X","display" : "Adolescent and Children Mental Health Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents.  Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Adolescent and Children Mental Health"}]},{"code" : "261QM1000X","display" : "Migrant Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Migrant Health"}]},{"code" : "261QM1100X","display" : "Military/U.S. Coast Guard Outpatient Clinic/Center","definition" : "The Defense Health Program or U.S. Coast Guard funded \"fixed\" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries.  A \"fixed\" facility is a non-temporary, non-deployed facility.  It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the \"fixed\" facility.  It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies.  Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military/U.S. Coast Guard Outpatient"}]},{"code" : "261QM1101X","display" : "Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center","definition" : "That part of a \"fixed\" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery.  Similar to a civilian ambulatory surgical center.  May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital.  Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.  Includes initial \"take home\" pharmaceuticals.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military and U.S. Coast Guard Ambulatory Procedure"}]},{"code" : "261QM1102X","display" : "Military Outpatient Operational (Transportable) Component Clinic/Center","definition" : "\"Non-fixed\" facilities or distinct parts of a \"non-fixed\" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. \"Non-fixed\" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. \"Non-fixed\" facilities include outpatient services furnished onboard ships. \"Non-fixed\" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military Outpatient Operational (Transportable) Component"}]},{"code" : "261QM1103X","display" : "Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center","definition" : "\"Non-fixed\" facilities or distinct parts of a \"non-fixed\" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial \"take home\" pharmaceuticals.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military Ambulatory Procedure Visits Operational (Transportable)"}]},{"code" : "261QM1200X","display" : "Magnetic Resonance Imaging (MRI) Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Magnetic Resonance Imaging (MRI)"}]},{"code" : "261QM1300X","display" : "Multi-Specialty Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Multi-Specialty"}]},{"code" : "261QM2500X","display" : "Medical Specialty Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization.  Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Medical Specialty"}]},{"code" : "261QM2800X","display" : "Methadone Clinic","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Methadone"}]},{"code" : "261QM3000X","display" : "Medically Fragile Infants and Children Day Care","definition" : "An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Medically Fragile Infants and Children Day Care"}]},{"code" : "261QP0904X","display" : "Federal Public Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Public Health, Federal"}]},{"code" : "261QP0905X","display" : "State or Local Public Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Public Health, State or Local"}]},{"code" : "261QP1100X","display" : "Podiatric Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Podiatric"}]},{"code" : "261QP2000X","display" : "Physical Therapy Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. 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Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Physical Therapy"}]},{"code" : "261QP2300X","display" : "Primary Care Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Primary Care"}]},{"code" : "261QP2400X","display" : "Prison Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Prison Health"}]},{"code" : "261QP3300X","display" : "Pain Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Pain"}]},{"code" : "261QR0200X","display" : "Radiology Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Radiology"}]},{"code" : "261QR0206X","display" : "Mammography Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory 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"grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Rural Health"}]},{"code" : "261QS0112X","display" : "Oral and Maxillofacial Surgery Clinic/Center","definition" : "The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Surgery"}]},{"code" : "261QS0132X","display" : "Ophthalmologic Surgery Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Ophthalmologic Surgery"}]},{"code" : "261QS1000X","display" : "Student Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Student Health"}]},{"code" : "261QS1200X","display" : "Sleep Disorder Diagnostic Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Sleep Disorder Diagnostic"}]},{"code" : "261QU0200X","display" : "Urgent Care Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Urgent Care"}]},{"code" : "261QV0200X","display" : "VA Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "VA"}]},{"code" : "261QX0100X","display" : "Occupational Medicine Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Occupational Medicine"}]},{"code" : "261QX0200X","display" : "Oncology Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions.  Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Oncology"}]},{"code" : "261QX0203X","display" : "Radiation Oncology Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Oncology, Radiation"}]},{"code" : "273100000X","display" : "Epilepsy Hospital Unit","definition" : "An Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and medication management for patients with seizure disorders.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Epilepsy Unit"}]},{"code" : "273R00000X","display" : "Psychiatric Hospital Unit","definition" : "In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Psychiatric Unit"}]},{"code" : "273Y00000X","display" : "Rehabilitation Hospital Unit","definition" : "In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Rehabilitation Unit"}]},{"code" : "275N00000X","display" : "Medicare Defined Swing Bed Hospital Unit","definition" : "A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Medicare Defined Swing Bed Unit"}]},{"code" : "276400000X","display" : "Substance Use Disorder Rehabilitation Hospital Unit","definition" : "A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Rehabilitation, Substance Use Disorder Unit"}]},{"code" : "281P00000X","display" : "Chronic Disease Hospital","definition" : "(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Chronic Disease Hospital"}]},{"code" : "281PC2000X","display" : "Children' s Chronic Disease Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Chronic Disease Hospital"},{"code" : "specialization","valueString" : "Children"}]},{"code" : "282E00000X","display" : "Long Term Care Hospital","definition" : "Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Long Term Care Hospital"}]},{"code" : "282J00000X","display" : "Religious Nonmedical Health Care Institution","definition" : "Furnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs.  Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients.  For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures.  Furnishes nonmedical items and services to inpatients on a 24-hour basis.  Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Religious Nonmedical Health Care Institution"}]},{"code" : "282N00000X","display" : "General Acute Care Hospital","definition" : "An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"}]},{"code" : "282NC0060X","display" : "Critical Access Hospital","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Critical Access"}]},{"code" : "282NC2000X","display" : "Children's Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Children"}]},{"code" : "282NR1301X","display" : "Rural Acute Care Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Rural"}]},{"code" : "282NW0100X","display" : "Women's Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Women"}]},{"code" : "283Q00000X","display" : "Psychiatric Hospital","definition" : "An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Psychiatric Hospital"}]},{"code" : "283X00000X","display" : "Rehabilitation Hospital","definition" : "A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Rehabilitation Hospital"}]},{"code" : "283XC2000X","display" : "Children's Rehabilitation Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Rehabilitation Hospital"},{"code" : "specialization","valueString" : "Children"}]},{"code" : "284300000X","display" : "Special Hospital","definition" : "A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Special Hospital"}]},{"code" : "286500000X","display" : "Military Hospital","definition" : "A health care facility operated by the Department of Defense.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"}]},{"code" : "2865C1500X","display" : "Deactivated - Military Hospital","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"},{"code" : "specialization","valueString" : "Community Health"}]},{"code" : "2865M2000X","display" : "Military General Acute Care Hospital","definition" : "A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in \"fixed\" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A \"fixed\" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the \"fixed\" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as \"pass-through\" items.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"},{"code" : "specialization","valueString" : "Military General Acute Care Hospital"}]},{"code" : "2865X1600X","display" : "Operational (Transportable) Military General Acute Care Hospital","definition" : "A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in \"non-fixed\" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. \"Non-fixed\" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. \"Non-fixed\" facilities include hospital ships.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"},{"code" : "specialization","valueString" : "Military General Acute Care Hospital. 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(2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.","property" : [{"code" : "grouping","valueString" : "Laboratories"},{"code" : "classification","valueString" : "Clinical Medical Laboratory"}]},{"code" : "292200000X","display" : "Dental Laboratory","definition" : "A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.","property" : [{"code" : "grouping","valueString" : "Laboratories"},{"code" : "classification","valueString" : "Dental Laboratory"}]},{"code" : "293D00000X","display" : "Physiological Laboratory","definition" : "A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.","property" : [{"code" : "grouping","valueString" : "Laboratories"},{"code" : "classification","valueString" : "Physiological Laboratory"}]},{"code" : "302F00000X","display" : "Exclusive Provider Organization","definition" : "(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Exclusive Provider Organization"}]},{"code" : "302R00000X","display" : "Health Maintenance Organization","definition" : "(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Health Maintenance Organization"}]},{"code" : "305R00000X","display" : "Preferred Provider Organization","definition" : "A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Preferred Provider Organization"}]},{"code" : "305S00000X","display" : "Point of Service","definition" : "This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Point of Service"}]},{"code" : "310400000X","display" : "Assisted Living Facility","definition" : "A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Assisted Living Facility"}]},{"code" : "3104A0625X","display" : "Assisted Living Facility (Mental Illness)","definition" : "A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem.  This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Assisted Living Facility"},{"code" : "specialization","valueString" : "Assisted Living, Mental Illness"}]},{"code" : "3104A0630X","display" : "Assisted Living Facility (Behavioral Disturbances)","definition" : "A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being.  This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Assisted Living Facility"},{"code" : "specialization","valueString" : "Assisted Living, Behavioral Disturbances"}]},{"code" : "310500000X","display" : "Mental Illness Intermediate Care Facility","definition" : "A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Intermediate Care Facility, Mental Illness"}]},{"code" : "311500000X","display" : "Alzheimer Center (Dementia Center)","definition" : "A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y):  Admission of residents with dementia (including those with Alzheimer's disease);  Staff who are specially selected, trained, and supervised;  Activities that are specifically designed for the cognitively impaired;  A marketing of a special care unit in brochures;  A high level of family involvement; and  A physical environment designed to keep residents safe and segregated from other populations.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Alzheimer Center (Dementia Center)"}]},{"code" : "311Z00000X","display" : "Custodial Care Facility","definition" : "A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Custodial Care Facility"}]},{"code" : "311ZA0620X","display" : "Adult Care Home Facility","definition" : "A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Custodial Care Facility"},{"code" : "specialization","valueString" : "Adult Care Home"}]},{"code" : "313M00000X","display" : "Nursing Facility/Intermediate Care Facility","definition" : "An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Nursing Facility/Intermediate Care Facility"}]},{"code" : "314000000X","display" : "Skilled Nursing Facility","definition" : "(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Skilled Nursing Facility"}]},{"code" : "3140N1450X","display" : "Pediatric Skilled Nursing Facility","definition" : "A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Skilled Nursing Facility"},{"code" : "specialization","valueString" : "Nursing Care, Pediatric"}]},{"code" : "315D00000X","display" : "Inpatient Hospice","definition" : "A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Hospice, Inpatient"}]},{"code" : "315P00000X","display" : "Intellectual Disabilities Intermediate Care Facility","definition" : "An intermediate care facility providing services for individuals with intellectual disabilities.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Intermediate Care Facility, Intellectual Disabilities"}]},{"code" : "317400000X","display" : "Deactivated - 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Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary","property" : [{"code" : "grouping","valueString" : "Residential Treatment Facilities"},{"code" : "classification","valueString" : "Psychiatric Residential Treatment Facility"}]},{"code" : "324500000X","display" : "Substance Abuse Rehabilitation Facility","definition" : "A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.","property" : [{"code" : "grouping","valueString" : "Residential Treatment Facilities"},{"code" : "classification","valueString" : "Substance Abuse Rehabilitation Facility"}]},{"code" : "3245S0500X","display" : "Children's Substance Abuse Rehabilitation Facility","definition" : "A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances.  Medical and supportive counseling services and education services are included.","property" : [{"code" : "grouping","valueString" : "Residential Treatment Facilities"},{"code" : "classification","valueString" : "Substance Abuse Rehabilitation Facility"},{"code" : "specialization","valueString" : "Substance Abuse Treatment, Children"}]},{"code" : "331L00000X","display" : "Blood Bank","definition" : "An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Blood Bank"}]},{"code" : "332000000X","display" : "Military/U.S. Coast Guard Pharmacy","definition" : "A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries.  These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding.  Usually associated with outpatient services.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Military/U.S. Coast Guard Pharmacy"}]},{"code" : "332100000X","display" : "Department of Veterans Affairs (VA) Pharmacy","definition" : "Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Department of Veterans Affairs (VA) Pharmacy"}]},{"code" : "332800000X","display" : "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","definition" : "An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy"}]},{"code" : "332900000X","display" : "Non-Pharmacy Dispensing Site","definition" : "A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. 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Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Nurse Anesthetist, Certified Registered"}]},{"code" : "367A00000X","display" : "Advanced Practice Midwife","definition" : "Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. 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These services are provided in accordance with a therapeutic goal in the plan of care.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Adult Companion"}]},{"code" : "373H00000X","display" : "Day Training/Habilitation Specialist","definition" : "Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Day Training/Habilitation Specialist"}]},{"code" : "374700000X","display" : "Technician","definition" : "(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. 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Personal care providers must meet state defined training and certification standards","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Technician"},{"code" : "specialization","valueString" : "Personal Care Attendant"}]},{"code" : "374J00000X","display" : "Doula","definition" : "Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Doula"}]},{"code" : "374K00000X","display" : "Religious Nonmedical Practitioner","definition" : "A religious nonmedical practitioner offers spiritually-based care.  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The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychoanalyst"}]},{"code" : "102X00000X","display" : "Poetry Therapist","definition" : "A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group experience, and supervised practicum.<br/>An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process to achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication.<br/>Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory and practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting to developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal therapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written and spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative writing for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner can be credentialed as CPT or PTR.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Poetry Therapist"}]},{"code" : "103G00000X","display" : "Clinical Neuropsychologist","definition" : "A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Clinical Neuropsychologist"}]},{"code" : "103GC0700X","display" : "Deactivated - Clinical Neuropsychologist","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Clinical Neuropsychologist"},{"code" : "specialization","valueString" : "Clinical"}]},{"code" : "103K00000X","display" : "Behavioral Analyst","definition" : "A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Behavior Analyst"}]},{"code" : "103T00000X","display" : "Psychologist","definition" : "A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health.  The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation.  Psychological services may be rendered to individuals, families, groups and the public.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"}]},{"code" : "103TA0400X","display" : "Addiction (Substance Use Disorder) Psychologist","definition" : "A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Addiction (Substance Use Disorder)"}]},{"code" : "103TA0700X","display" : "Adult Development & Aging Psychologist","definition" : "A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Adult Development & Aging"}]},{"code" : "103TB0200X","display" : "Cognitive & Behavioral Psychologist","definition" : "A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Cognitive & Behavioral"}]},{"code" : "103TC0700X","display" : "Clinical Psychologist","definition" : "A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Clinical"}]},{"code" : "103TC1900X","display" : "Counseling Psychologist","definition" : "A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Counseling"}]},{"code" : "103TC2200X","display" : "Clinical Child & Adolescent Psychologist","definition" : "A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context.  Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Clinical Child & Adolescent"}]},{"code" : "103TE1000X","display" : "Deactivated - Psychologist","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Educational"}]},{"code" : "103TE1100X","display" : "Exercise & Sports Psychologist","definition" : "A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. \t Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Exercise & Sports"}]},{"code" : "103TF0000X","display" : "Family Psychologist","definition" : "A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Family"}]},{"code" : "103TF0200X","display" : "Forensic Psychologist","definition" : "A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Forensic"}]},{"code" : "103TH0004X","display" : "Health Psychologist","definition" : "A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability.  Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:<br/>* Research<br/>* Clinical service<br/>* Consulting with, educating, and supervising other health care providers and psychologists<br/>* Advising organizations, institutions, the public, and policymakers","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Health"}]},{"code" : "103TH0100X","display" : "Health Service Psychologist","definition" : "A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Health Service"}]},{"code" : "103TM1700X","display" : "Deactivated - Psychologist Men & Masculinity","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Men & Masculinity"}]},{"code" : "103TM1800X","display" : "Intellectual & Developmental Disabilities Psychologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Intellectual & Developmental Disabilities"}]},{"code" : "103TP0016X","display" : "Prescribing (Medical) Psychologist","definition" : "A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Prescribing (Medical)"}]},{"code" : "103TP0814X","display" : "Psychoanalysis Psychologist","definition" : "A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Psychoanalysis"}]},{"code" : "103TP2700X","display" : "Deactivated - Psychologist Psychotherapy","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Psychotherapy"}]},{"code" : "103TP2701X","display" : "Group Psychotherapy Psychologist","definition" : "A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group.  Emphasis is placed on the use of group dynamics to assist and treat individual group members.  The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Group Psychotherapy"}]},{"code" : "103TR0400X","display" : "Rehabilitation Psychologist","definition" : "A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Rehabilitation"}]},{"code" : "103TS0200X","display" : "School Psychologist","definition" : "A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems.  School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "School"}]},{"code" : "103TW0100X","display" : "Deactivated - Psychotherapy Women","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Psychologist"},{"code" : "specialization","valueString" : "Women"}]},{"code" : "104100000X","display" : "Social Worker","definition" : "A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license.  A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Social Worker"}]},{"code" : "1041C0700X","display" : "Clinical Social Worker","definition" : "A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Social Worker"},{"code" : "specialization","valueString" : "Clinical"}]},{"code" : "1041S0200X","display" : "School Social Worker","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Social Worker"},{"code" : "specialization","valueString" : "School"}]},{"code" : "106E00000X","display" : "Assistant Behavior Analyst","definition" : "An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Assistant Behavior Analyst"}]},{"code" : "106H00000X","display" : "Marriage & Family Therapist","definition" : "A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist.  A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems.   A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Marriage & Family Therapist"}]},{"code" : "106S00000X","display" : "Behavior Technician","definition" : "The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.","property" : [{"code" : "grouping","valueString" : "Behavioral Health & Social Service Providers"},{"code" : "classification","valueString" : "Behavior Technician"}]},{"code" : "111N00000X","display" : "Chiropractor","definition" : "A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"}]},{"code" : "111NI0013X","display" : "Independent Medical Examiner Chiropractor","definition" : "A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Independent Medical Examiner"}]},{"code" : "111NI0900X","display" : "Internist Chiropractor","definition" : "The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Internist"}]},{"code" : "111NN0400X","display" : "Neurology Chiropractor","definition" : "Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Neurology"}]},{"code" : "111NN1001X","display" : "Nutrition Chiropractor","definition" : "Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Nutrition"}]},{"code" : "111NP0017X","display" : "Pediatric Chiropractor","definition" : "The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence.  This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Pediatric Chiropractor"}]},{"code" : "111NR0200X","display" : "Radiology Chiropractor","definition" : "Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) to meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists recommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic or clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation.<br/>Chiropractic radiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid that only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to patient imaging and treatment. It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, and magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Radiology"}]},{"code" : "111NR0400X","display" : "Rehabilitation Chiropractor","definition" : "Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Rehabilitation"}]},{"code" : "111NS0005X","display" : "Sports Physician Chiropractor","definition" : "A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities.  Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Sports Physician"}]},{"code" : "111NT0100X","display" : "Thermography Chiropractor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Thermography"}]},{"code" : "111NX0100X","display" : "Occupational Health Chiropractor","definition" : "Occupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It also considers and assists clients with State and Federal Compliance assistance. Occupational Health goes much farther than simply treating injured workers however. This may mean working with clients to promote optimum safety and ergonomic principles, interacting with the injured worker to promote safety and prevent future injuries, assisting a company with accident investigation to identify root cause, redesigning a workstation to eliminate hazards, working with safety teams, providing training programs etc. The list of potential services that the specialist can interact with a client company or patient is lengthy and varied involving both in office services as well as on site services.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Occupational Health"}]},{"code" : "111NX0800X","display" : "Orthopedic Chiropractor","definition" : "Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.","property" : [{"code" : "grouping","valueString" : "Chiropractic Providers"},{"code" : "classification","valueString" : "Chiropractor"},{"code" : "specialization","valueString" : "Orthopedic"}]},{"code" : "122300000X","display" : "Dentist","definition" : "A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license.  There is no difference between the two degrees: dentists who have a DMD or DDS have the same education.  Universities have the prerogative to determine what degree is awarded.  Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation.  Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist.  State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry.  Additional post-graduate training is required to become a dental specialist.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"}]},{"code" : "1223D0001X","display" : "Public Health Dentist","definition" : "The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts.  It is that form of dental practice that serves the community as a patient rather than the individual.  It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Dental Public Health"}]},{"code" : "1223D0004X","display" : "Dentist Anesthesiologist","definition" : "A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Dentist Anesthesiologist"}]},{"code" : "1223E0200X","display" : "Endodontist","definition" : "The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues.  Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Endodontics"}]},{"code" : "1223G0001X","display" : "General Practice Dentistry","definition" : "A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "General Practice"}]},{"code" : "1223P0106X","display" : "Oral and Maxillofacial Pathology Dentist","definition" : "The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions.  It is a science that investigates the causes, processes, and effects of these diseases.  The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Pathology"}]},{"code" : "1223P0221X","display" : "Pediatric Dentist","definition" : "An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Pediatric Dentistry"}]},{"code" : "1223P0300X","display" : "Periodontist","definition" : "That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Periodontics"}]},{"code" : "1223P0700X","display" : "Prosthodontist","definition" : "That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Prosthodontics"}]},{"code" : "1223S0112X","display" : "Oral and Maxillofacial Surgery (Dentist)","definition" : "The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Surgery"}]},{"code" : "1223X0008X","display" : "Oral and Maxillofacial Radiology Dentist","definition" : "The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Radiology"}]},{"code" : "1223X0400X","display" : "Orthodontics and Dentofacial Orthopedic Dentist","definition" : "That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.  Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Orthodontics and Dentofacial Orthopedics"}]},{"code" : "1223X2210X","display" : "Orofacial Pain Dentist","definition" : "A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain.  The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dentist"},{"code" : "specialization","valueString" : "Orofacial Pain"}]},{"code" : "122400000X","display" : "Denturist","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Denturist"}]},{"code" : "124Q00000X","display" : "Dental Hygienist","definition" : "An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist.  Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth.  To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Hygienist"}]},{"code" : "125J00000X","display" : "Dental Therapist","definition" : "A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Therapist"}]},{"code" : "125K00000X","display" : "Advanced Practice Dental Therapist","definition" : "An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Advanced Practice Dental Therapist"}]},{"code" : "125Q00000X","display" : "Oral Medicinist","definition" : "A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Oral Medicinist"}]},{"code" : "126800000X","display" : "Dental Assistant","definition" : "An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility.  The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations.  Patient care services are provided under the supervision of a dentist.  To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Assistant"}]},{"code" : "126900000X","display" : "Dental Laboratory Technician","definition" : "An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization.  To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.","property" : [{"code" : "grouping","valueString" : "Dental Providers"},{"code" : "classification","valueString" : "Dental Laboratory Technician"}]},{"code" : "132700000X","display" : "Dietary Manager","definition" : "A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietary Manager"}]},{"code" : "133N00000X","display" : "Nutritionist","definition" : "A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Nutritionist"}]},{"code" : "133NN1002X","display" : "Nutrition Education Nutritionist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Nutritionist"},{"code" : "specialization","valueString" : "Nutrition, Education"}]},{"code" : "133V00000X","display" : "Registered Dietitian","definition" : "A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"}]},{"code" : "133VN1004X","display" : "Pediatric Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Pediatric"}]},{"code" : "133VN1005X","display" : "Renal Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Renal"}]},{"code" : "133VN1006X","display" : "Metabolic Nutrition Registered Dietitian","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Metabolic"}]},{"code" : "133VN1101X","display" : "Gerontological Nutrition Registered Dietitian","definition" : "An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Gerontological"}]},{"code" : "133VN1201X","display" : "Obesity and Weight Management Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Obesity and Weight Management"}]},{"code" : "133VN1301X","display" : "Oncology Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Oncology"}]},{"code" : "133VN1401X","display" : "Pediatric Critical Care Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents. Additional roles could include coordination, education, quality improvement, or research linked specifically to pediatric critical care nutrition.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Pediatric Critical Care"}]},{"code" : "133VN1501X","display" : "Sports Dietetics Nutrition Registered Dietitian","definition" : "An individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietitian, Registered"},{"code" : "specialization","valueString" : "Nutrition, Sports Dietetics"}]},{"code" : "136A00000X","display" : "Registered Dietetic Technician","definition" : "A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.","property" : [{"code" : "grouping","valueString" : "Dietary & Nutritional Service Providers"},{"code" : "classification","valueString" : "Dietetic Technician, Registered"}]},{"code" : "146D00000X","display" : "Personal Emergency Response Attendant","definition" : "Individuals that are specially trained to assist patients living at home with urgent/emergent situations.  These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis.  Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Personal Emergency Response Attendant"}]},{"code" : "146L00000X","display" : "Paramedic","definition" : "An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Emergency Medical Technician, Paramedic"}]},{"code" : "146M00000X","display" : "Intermediate Emergency Medical Technician","definition" : "An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Emergency Medical Technician, Intermediate"}]},{"code" : "146N00000X","display" : "Basic Emergency Medical Technician","definition" : "A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.","property" : [{"code" : "grouping","valueString" : "Emergency Medical Service Providers"},{"code" : "classification","valueString" : "Emergency Medical Technician, Basic"}]},{"code" : "152W00000X","display" : "Optometrist","definition" : "Doctors of optometry (ODs) are the primary health care professionals for the eye.  Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.  An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree.  Some optometrists complete an optional residency in a specific area of practice.  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IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision.  IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Military Health Care Provider"},{"code" : "specialization","valueString" : "Independent Duty Corpsman"}]},{"code" : "1710I1003X","display" : "Independent Duty Medical Technicians","definition" : "An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision.  An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT.  An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility.  IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Military Health Care Provider"},{"code" : "specialization","valueString" : "Independent Duty Medical Technicians"}]},{"code" : "171100000X","display" : "Acupuncturist","definition" : "An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Acupuncturist"}]},{"code" : "171400000X","display" : "Health & Wellness Coach","definition" : "The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. 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This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care.  Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials.  Some states may require certification in case management.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Case Manager/Care Coordinator"}]},{"code" : "171R00000X","display" : "Interpreter","definition" : "An Interpreter is a person who translates oral communication between two or more people.  This includes translating from one language to another or interpreting sign language.  An interpreter is necessary for medical care when the patient does not speak the language of the health care provider or when the patient has a disability involving spoken language.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Interpreter"}]},{"code" : "171W00000X","display" : "Contractor","definition" : "A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. 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CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening.  Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Community Health Worker"}]},{"code" : "173000000X","display" : "Legal Medicine","definition" : "The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Legal Medicine"}]},{"code" : "173C00000X","display" : "Reflexologist","definition" : "Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears. Reflexologists apply pressure to specific areas (feet, hands, and ears) to promote a response from an area far removed from the tissue stimulated via the nervous system and acupuncture meridians. Reflexologists are recommended to complete a minimum of 200 hours of education, typically including anatomy & physiology, Reflexology theory, body systems, zones, meridians & relaxation response, ethics, business standards, and supervised practicum.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Reflexologist"}]},{"code" : "173F00000X","display" : "Sleep Specialist (PhD)","definition" : "Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. 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"grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Ambulatory Care"}]},{"code" : "1835X0200X","display" : "Oncology Pharmacist","definition" : "A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service Providers"},{"code" : "classification","valueString" : "Pharmacist"},{"code" : "specialization","valueString" : "Oncology"}]},{"code" : "183700000X","display" : "Pharmacy Technician","definition" : "A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.","property" : [{"code" : "grouping","valueString" : "Pharmacy Service 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A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism.  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Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data.  They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. 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Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Allergy & Immunology"}]},{"code" : "207KA0200X","display" : "Allergy Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Allergy & Immunology"},{"code" : "specialization","valueString" : "Allergy"}]},{"code" : "207KI0005X","display" : "Clinical & Laboratory Immunology (Allergy & Immunology) Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Allergy & Immunology"},{"code" : "specialization","valueString" : "Clinical & Laboratory Immunology"}]},{"code" : "207L00000X","display" : "Anesthesiology Physician","definition" : "An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"}]},{"code" : "207LA0401X","display" : "Addiction Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist who specializes in the diagnosis and treatment of addictions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "207LC0200X","display" : "Critical Care Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "207LH0002X","display" : "Hospice and Palliative Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207LP2900X","display" : "Pain Medicine (Anesthesiology) Physician","definition" : "An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "207LP3000X","display" : "Pediatric Anesthesiology Physician","definition" : "An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children.  A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary,  planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Anesthesiology"},{"code" : "specialization","valueString" : "Pediatric Anesthesiology"}]},{"code" : "207N00000X","display" : "Dermatology Physician","definition" : "A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"}]},{"code" : "207ND0101X","display" : "MOHS-Micrographic Surgery Physician","definition" : "The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery.  Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "MOHS-Micrographic Surgery"}]},{"code" : "207ND0900X","display" : "Dermatopathology Physician","definition" : "A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Dermatopathology"}]},{"code" : "207NI0002X","display" : "Clinical & Laboratory Dermatological Immunology Physician","definition" : "A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Clinical & Laboratory Dermatological Immunology"}]},{"code" : "207NP0225X","display" : "Pediatric Dermatology Physician","definition" : "A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Pediatric Dermatology"}]},{"code" : "207NS0135X","display" : "Procedural Dermatology Physician","definition" : "Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Dermatology"},{"code" : "specialization","valueString" : "Procedural Dermatology"}]},{"code" : "207P00000X","display" : "Emergency Medicine Physician","definition" : "An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"}]},{"code" : "207PE0004X","display" : "Emergency Medical Services (Emergency Medicine) Physician","definition" : "An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Emergency Medical Services"}]},{"code" : "207PE0005X","display" : "Undersea and Hyperbaric Medicine (Emergency Medicine) Physician","definition" : "A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections.  This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Undersea and Hyperbaric Medicine"}]},{"code" : "207PH0002X","display" : "Hospice and Palliative Medicine (Emergency Medicine) Physician","definition" : "An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207PP0204X","display" : "Pediatric Emergency Medicine (Emergency Medicine) Physician","definition" : "Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Pediatric Emergency Medicine"}]},{"code" : "207PS0010X","display" : "Sports Medicine (Emergency Medicine) Physician","definition" : "An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207PT0002X","display" : "Medical Toxicology (Emergency Medicine) Physician","definition" : "Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Emergency Medicine"},{"code" : "specialization","valueString" : "Medical Toxicology"}]},{"code" : "207Q00000X","display" : "Family Medicine Physician","definition" : "Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"}]},{"code" : "207QA0000X","display" : "Adolescent Medicine (Family Medicine) Physician","definition" : "A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Adolescent Medicine"}]},{"code" : "207QA0401X","display" : "Addiction Medicine (Family Medicine) Physician","definition" : "A family medicine physician who specializes in the diagnosis and treatment of addictions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "207QA0505X","display" : "Adult Medicine Physician","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Adult Medicine"}]},{"code" : "207QB0002X","display" : "Obesity Medicine (Family Medicine) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "207QG0300X","display" : "Geriatric Medicine (Family Medicine) Physician","definition" : "A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Geriatric Medicine"}]},{"code" : "207QH0002X","display" : "Hospice and Palliative Medicine (Family Medicine) Physician","definition" : "A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207QS0010X","display" : "Sports Medicine (Family Medicine) Physician","definition" : "A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207QS1201X","display" : "Sleep Medicine (Family Medicine) Physician","definition" : "A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Family Medicine"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "207R00000X","display" : "Internal Medicine Physician","definition" : "A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"}]},{"code" : "207RA0000X","display" : "Adolescent Medicine (Internal Medicine) Physician","definition" : "An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Adolescent Medicine"}]},{"code" : "207RA0001X","display" : "Advanced Heart Failure and Transplant Cardiology Physician","definition" : "Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Advanced Heart Failure and Transplant Cardiology"}]},{"code" : "207RA0002X","display" : "Adult Congenital Heart Disease Physician","definition" : "A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Adult Congenital Heart Disease"}]},{"code" : "207RA0201X","display" : "Allergy & Immunology (Internal Medicine) Physician","definition" : "An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Allergy & Immunology"}]},{"code" : "207RA0401X","display" : "Addiction Medicine (Internal Medicine) Physician","definition" : "An internist doctor of osteopathy that specializes in the treatment of addiction disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "207RB0002X","display" : "Obesity Medicine (Internal Medicine) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "207RC0000X","display" : "Cardiovascular Disease Physician","definition" : "An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Cardiovascular Disease"}]},{"code" : "207RC0001X","display" : "Clinical Cardiac Electrophysiology Physician","definition" : "A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Clinical Cardiac Electrophysiology"}]},{"code" : "207RC0200X","display" : "Critical Care Medicine (Internal Medicine) Physician","definition" : "An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "207RE0101X","display" : "Endocrinology, Diabetes & Metabolism Physician","definition" : "An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Endocrinology, Diabetes & Metabolism"}]},{"code" : "207RG0100X","display" : "Gastroenterology Physician","definition" : "An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Gastroenterology"}]},{"code" : "207RG0300X","display" : "Geriatric Medicine (Internal Medicine) Physician","definition" : "An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Geriatric Medicine"}]},{"code" : "207RH0000X","display" : "Hematology (Internal Medicine) Physician","definition" : "An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hematology"}]},{"code" : "207RH0002X","display" : "Hospice and Palliative Medicine (Internal Medicine) Physician","definition" : "An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207RH0003X","display" : "Hematology & Oncology Physician","definition" : "An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology.  The Certificate is NO longer offered.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hematology & Oncology"}]},{"code" : "207RH0005X","display" : "Hypertension Specialist Physician","definition" : "A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hypertension Specialist"}]},{"code" : "207RI0001X","display" : "Clinical & Laboratory Immunology (Internal Medicine) Physician","definition" : "An internal medicine physician who specializes in clinical and laboratory immunology disease management.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Clinical & Laboratory Immunology"}]},{"code" : "207RI0008X","display" : "Hepatology Physician","definition" : "The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Hepatology"}]},{"code" : "207RI0011X","display" : "Interventional Cardiology Physician","definition" : "An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Interventional Cardiology"}]},{"code" : "207RI0200X","display" : "Infectious Disease Physician","definition" : "An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Infectious Disease"}]},{"code" : "207RM1200X","display" : "Magnetic Resonance Imaging (MRI) Internal Medicine Physician","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Magnetic Resonance Imaging (MRI)"}]},{"code" : "207RN0300X","display" : "Nephrology Physician","definition" : "An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Nephrology"}]},{"code" : "207RP1001X","display" : "Pulmonary Disease Physician","definition" : "An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Pulmonary Disease"}]},{"code" : "207RR0500X","display" : "Rheumatology Physician","definition" : "An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and \"collagen\" diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Rheumatology"}]},{"code" : "207RS0010X","display" : "Sports Medicine (Internal Medicine) Physician","definition" : "An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207RS0012X","display" : "Sleep Medicine (Internal Medicine) Physician","definition" : "An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "207RT0003X","display" : "Transplant Hepatology Physician","definition" : "An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Transplant Hepatology"}]},{"code" : "207RX0202X","display" : "Medical Oncology Physician","definition" : "An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Internal Medicine"},{"code" : "specialization","valueString" : "Medical Oncology"}]},{"code" : "207SC0300X","display" : "Clinical Cytogenetics Physician","definition" : "A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Cytogenetics"}]},{"code" : "207SG0201X","display" : "Clinical Genetics (M.D.) Physician","definition" : "A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Genetics (M.D.)"}]},{"code" : "207SG0202X","display" : "Clinical Biochemical Genetics Physician","definition" : "A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Biochemical Genetics"}]},{"code" : "207SG0203X","display" : "Clinical Molecular Genetics Physician","definition" : "A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Clinical Molecular Genetics"}]},{"code" : "207SG0205X","display" : "Ph.D. Medical Genetics Physician","definition" : "A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medical and dental specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Ph.D. Medical Genetics"}]},{"code" : "207SM0001X","display" : "Molecular Genetic Pathology (Medical Genetics) Physician","definition" : "A board certified subspecialty, the molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, of human development, infectious diseases and malignancies and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration, and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Medical Genetics"},{"code" : "specialization","valueString" : "Molecular Genetic Pathology"}]},{"code" : "207T00000X","display" : "Neurological Surgery Physician","definition" : "A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Neurological Surgery"}]},{"code" : "207U00000X","display" : "Nuclear Medicine Physician","definition" : "A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"}]},{"code" : "207UN0901X","display" : "Nuclear Cardiology Physician","definition" : "A nuclear medicine physician who specializes in nuclear cardiology.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"},{"code" : "specialization","valueString" : "Nuclear Cardiology"}]},{"code" : "207UN0902X","display" : "Nuclear Imaging & Therapy Physician","definition" : "A nuclear medicine physician who specializes in nuclear imaging and therapy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"},{"code" : "specialization","valueString" : "Nuclear Imaging & Therapy"}]},{"code" : "207UN0903X","display" : "In Vivo & In Vitro Nuclear Medicine Physician","definition" : "A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Nuclear Medicine"},{"code" : "specialization","valueString" : "In Vivo & In Vitro Nuclear Medicine"}]},{"code" : "207V00000X","display" : "Obstetrics & Gynecology Physician","definition" : "An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"}]},{"code" : "207VB0002X","display" : "Obesity Medicine (Obstetrics & Gynecology) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "207VC0200X","display" : "Critical Care Medicine (Obstetrics & Gynecology) Physician","definition" : "An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "207VC0300X","display" : "Complex Family Planning Physician","definition" : "A complex family planning physician specializes in the diagnosis and treatment of individuals with complex reproductive needs. These physicians are experts in abortion and contraception clinical care, research, education, and advocacy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Complex Family Planning"}]},{"code" : "207VE0102X","display" : "Reproductive Endocrinology Physician","definition" : "An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Reproductive Endocrinology"}]},{"code" : "207VF0040X","display" : "Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician","definition" : "A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Female Pelvic Medicine and Reconstructive Surgery"}]},{"code" : "207VG0400X","display" : "Gynecology Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Gynecology"}]},{"code" : "207VH0002X","display" : "Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician","definition" : "An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "207VM0101X","display" : "Maternal & Fetal Medicine Physician","definition" : "An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Maternal & Fetal Medicine"}]},{"code" : "207VX0000X","display" : "Obstetrics Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Obstetrics"}]},{"code" : "207VX0201X","display" : "Gynecologic Oncology Physician","definition" : "An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Obstetrics & Gynecology"},{"code" : "specialization","valueString" : "Gynecologic Oncology"}]},{"code" : "207W00000X","display" : "Ophthalmology Physician","definition" : "An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"}]},{"code" : "207WX0009X","display" : "Glaucoma Specialist (Ophthalmology) Physician","definition" : "An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage.  This specialty involves the medical and surgical treatment of these conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Glaucoma Specialist"}]},{"code" : "207WX0107X","display" : "Retina Specialist (Ophthalmology) Physician","definition" : "An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Retina Specialist"}]},{"code" : "207WX0108X","display" : "Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician","definition" : "An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Uveitis and Ocular Inflammatory Disease"}]},{"code" : "207WX0109X","display" : "Neuro-ophthalmology Physician","definition" : "A neuro-ophthalmologist is a subspecialist of ophthalmology.  This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Neuro-ophthalmology"}]},{"code" : "207WX0110X","display" : "Pediatric Ophthalmology and Strabismus Specialist Physician Physician","definition" : "An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Pediatric Ophthalmology and Strabismus Specialist"}]},{"code" : "207WX0120X","display" : "Cornea and External Diseases Specialist Physician","definition" : "An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Cornea and External Diseases Specialist"}]},{"code" : "207WX0200X","display" : "Ophthalmic Plastic and Reconstructive Surgery Physician","definition" : "A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Ophthalmology"},{"code" : "specialization","valueString" : "Ophthalmic Plastic and Reconstructive Surgery"}]},{"code" : "207X00000X","display" : "Orthopaedic Surgery Physician","definition" : "An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means.  An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"}]},{"code" : "207XP3100X","display" : "Pediatric Orthopaedic Surgery Physician","definition" : "An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents.  These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Pediatric Orthopaedic Surgery"}]},{"code" : "207XS0106X","display" : "Orthopaedic Hand Surgery Physician","definition" : "An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Hand Surgery"}]},{"code" : "207XS0114X","display" : "Adult Reconstructive Orthopaedic Surgery Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Adult Reconstructive Orthopaedic Surgery"}]},{"code" : "207XS0117X","display" : "Orthopaedic Surgery of the Spine Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Orthopaedic Surgery of the Spine"}]},{"code" : "207XX0004X","display" : "Orthopaedic Foot and Ankle Surgery Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Foot and Ankle Surgery"}]},{"code" : "207XX0005X","display" : "Sports Medicine (Orthopaedic Surgery) Physician","definition" : "An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "207XX0801X","display" : "Orthopaedic Trauma Physician","definition" : "Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Orthopaedic Surgery"},{"code" : "specialization","valueString" : "Orthopaedic Trauma"}]},{"code" : "207Y00000X","display" : "Otolaryngology Physician","definition" : "An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"}]},{"code" : "207YP0228X","display" : "Pediatric Otolaryngology Physician","definition" : "A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Pediatric Otolaryngology"}]},{"code" : "207YS0012X","display" : "Sleep Medicine (Otolaryngology) Physician","definition" : "An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "207YS0123X","display" : "Facial Plastic Surgery Physician","definition" : "An otolaryngologist who specializes in facial plastic surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Facial Plastic Surgery"}]},{"code" : "207YX0007X","display" : "Plastic Surgery within the Head & Neck (Otolaryngology) Physician","definition" : "An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Plastic Surgery within the Head & Neck"}]},{"code" : "207YX0602X","display" : "Otolaryngic Allergy Physician","definition" : "An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Otolaryngic Allergy"}]},{"code" : "207YX0901X","display" : "Otology & Neurotology Physician","definition" : "An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Otology & Neurotology"}]},{"code" : "207YX0905X","display" : "Otolaryngology/Facial Plastic Surgery Physician","definition" : "An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Otolaryngology"},{"code" : "specialization","valueString" : "Otolaryngology/Facial Plastic Surgery"}]},{"code" : "207ZB0001X","display" : "Blood Banking & Transfusion Medicine Physician","definition" : "A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Blood Banking & Transfusion Medicine"}]},{"code" : "207ZC0006X","display" : "Clinical Pathology Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Clinical Pathology"}]},{"code" : "207ZC0008X","display" : "Clinical Informatics (Pathology) Physician","definition" : "Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Clinical Informatics"}]},{"code" : "207ZC0500X","display" : "Cytopathology Physician","definition" : "A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle.  A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the \"Pap\" test.  However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body.  He/she is a consultant to all medical specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Cytopathology"}]},{"code" : "207ZD0900X","display" : "Dermatopathology (Pathology) Physician","definition" : "A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases.  This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Dermatopathology"}]},{"code" : "207ZF0201X","display" : "Forensic Pathology Physician","definition" : "A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Forensic Pathology"}]},{"code" : "207ZH0000X","display" : "Hematology (Pathology) Physician","definition" : "A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Hematology"}]},{"code" : "207ZI0100X","display" : "Immunopathology Physician","definition" : "A pathologist who specializes in the diagnosis of immunologic diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Immunopathology"}]},{"code" : "207ZM0300X","display" : "Medical Microbiology Physician","definition" : "A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Medical Microbiology"}]},{"code" : "207ZN0500X","display" : "Neuropathology Physician","definition" : "A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Neuropathology"}]},{"code" : "207ZP0007X","display" : "Molecular Genetic Pathology (Pathology) Physician","definition" : "A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Molecular Genetic Pathology"}]},{"code" : "207ZP0101X","display" : "Anatomic Pathology Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Anatomic Pathology"}]},{"code" : "207ZP0102X","display" : "Anatomic Pathology & Clinical Pathology Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Anatomic Pathology & Clinical Pathology"}]},{"code" : "207ZP0104X","display" : "Chemical Pathology Physician","definition" : "A chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. This physician functions as a clinical consultant in the diagnosis and treatment of human disease. Chemical pathology entails the application of biochemical data to the detection, confirmation or monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Chemical Pathology"}]},{"code" : "207ZP0105X","display" : "Clinical Pathology/Laboratory Medicine Physician","definition" : "A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Clinical Pathology/Laboratory Medicine"}]},{"code" : "207ZP0213X","display" : "Pediatric Pathology Physician","definition" : "A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pathology"},{"code" : "specialization","valueString" : "Pediatric Pathology"}]},{"code" : "208000000X","display" : "Pediatrics Physician","definition" : "A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"}]},{"code" : "2080A0000X","display" : "Pediatric Adolescent Medicine Physician","definition" : "A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Adolescent Medicine"}]},{"code" : "2080B0002X","display" : "Pediatric Obesity Medicine Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "2080C0008X","display" : "Child Abuse Pediatrics Physician","definition" : "A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Child Abuse Pediatrics"}]},{"code" : "2080H0002X","display" : "Pediatric Hospice and Palliative Medicine Physician","definition" : "A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2080I0007X","display" : "Pediatric Clinical & Laboratory Immunology Physician","definition" : "A pediatrician who specializes in clinical and laboratory immunology disease management.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Clinical & Laboratory Immunology"}]},{"code" : "2080N0001X","display" : "Neonatal-Perinatal Medicine Physician","definition" : "A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Neonatal-Perinatal Medicine"}]},{"code" : "2080P0006X","display" : "Developmental - Behavioral Pediatrics Physician","definition" : "A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Developmental - Behavioral Pediatrics"}]},{"code" : "2080P0008X","display" : "Pediatric Neurodevelopmental Disabilities Physician","definition" : "A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Neurodevelopmental Disabilities"}]},{"code" : "2080P0201X","display" : "Pediatric Allergy/Immunology Physician","definition" : "A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Allergy/Immunology"}]},{"code" : "2080P0202X","display" : "Pediatric Cardiology Physician","definition" : "A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Cardiology"}]},{"code" : "2080P0203X","display" : "Pediatric Critical Care Medicine Physician","definition" : "A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Critical Care Medicine"}]},{"code" : "2080P0204X","display" : "Pediatric Emergency Medicine (Pediatrics) Physician","definition" : "A pediatrician who has special qualifications to manage emergencies in infants and children.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Emergency Medicine"}]},{"code" : "2080P0205X","display" : "Pediatric Endocrinology Physician","definition" : "A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Endocrinology"}]},{"code" : "2080P0206X","display" : "Pediatric Gastroenterology Physician","definition" : "A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Gastroenterology"}]},{"code" : "2080P0207X","display" : "Pediatric Hematology & Oncology Physician","definition" : "A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Hematology-Oncology"}]},{"code" : "2080P0208X","display" : "Pediatric Infectious Diseases Physician","definition" : "A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Infectious Diseases"}]},{"code" : "2080P0210X","display" : "Pediatric Nephrology Physician","definition" : "A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Nephrology"}]},{"code" : "2080P0214X","display" : "Pediatric Pulmonology Physician","definition" : "A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Pulmonology"}]},{"code" : "2080P0216X","display" : "Pediatric Rheumatology Physician","definition" : "A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and \"collagen\" diseases.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Rheumatology"}]},{"code" : "2080S0010X","display" : "Pediatric Sports Medicine Physician","definition" : "A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "2080S0012X","display" : "Pediatric Sleep Medicine Physician","definition" : "A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "2080T0002X","display" : "Pediatric Medical Toxicology Physician","definition" : "Medical toxicologists are physicians that specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Medical Toxicology"}]},{"code" : "2080T0004X","display" : "Pediatric Transplant Hepatology Physician","definition" : "A pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pediatrics"},{"code" : "specialization","valueString" : "Pediatric Transplant Hepatology"}]},{"code" : "208100000X","display" : "Physical Medicine & Rehabilitation Physician","definition" : "Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"}]},{"code" : "2081H0002X","display" : "Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2081N0008X","display" : "Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Neuromuscular Medicine"}]},{"code" : "2081P0004X","display" : "Spinal Cord Injury Medicine Physician","definition" : "A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Spinal Cord Injury Medicine"}]},{"code" : "2081P0010X","display" : "Pediatric Rehabilitation Medicine Physician","definition" : "A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Pediatric Rehabilitation Medicine"}]},{"code" : "2081P0301X","display" : "Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease.  These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Brain Injury Medicine"}]},{"code" : "2081P2900X","display" : "Pain Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "2081S0010X","display" : "Sports Medicine (Physical Medicine & Rehabilitation) Physician","definition" : "A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Physical Medicine & Rehabilitation"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "208200000X","display" : "Plastic Surgery Physician","definition" : "A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Plastic Surgery"}]},{"code" : "2082S0099X","display" : "Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician","definition" : "A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Plastic Surgery"},{"code" : "specialization","valueString" : "Plastic Surgery Within the Head and Neck"}]},{"code" : "2082S0105X","display" : "Surgery of the Hand (Plastic Surgery) Physician","definition" : "A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Plastic Surgery"},{"code" : "specialization","valueString" : "Surgery of the Hand"}]},{"code" : "2083A0100X","display" : "Aerospace Medicine Physician","definition" : "Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Aerospace Medicine"}]},{"code" : "2083A0300X","display" : "Addiction Medicine (Preventive Medicine) Physician","definition" : "A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "2083B0002X","display" : "Obesity Medicine (Preventive Medicine) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "2083C0008X","display" : "Clinical Informatics Physician","definition" : "Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Clinical Informatics"}]},{"code" : "2083P0011X","display" : "Undersea and Hyperbaric Medicine (Preventive Medicine) Physician","definition" : "A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Undersea and Hyperbaric Medicine"}]},{"code" : "2083P0500X","display" : "Preventive Medicine/Occupational Environmental Medicine Physician","definition" : "A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Preventive Medicine/Occupational Environmental Medicine"}]},{"code" : "2083P0901X","display" : "Public Health & General Preventive Medicine Physician","definition" : "Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Public Health & General Preventive Medicine"}]},{"code" : "2083S0010X","display" : "Sports Medicine (Preventive Medicine) Physician","definition" : "A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "2083T0002X","display" : "Medical Toxicology (Preventive Medicine) Physician","definition" : "Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Medical Toxicology"}]},{"code" : "2083X0100X","display" : "Occupational Medicine Physician","definition" : "Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Preventive Medicine"},{"code" : "specialization","valueString" : "Occupational Medicine"}]},{"code" : "2084A0401X","display" : "Addiction Medicine (Psychiatry & Neurology) Physician","definition" : "A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Addiction Medicine"}]},{"code" : "2084A2900X","display" : "Neurocritical Care Physician","definition" : "The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient.  They may also provide consultative services for these patients as requested within the health system.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurocritical Care"}]},{"code" : "2084B0002X","display" : "Obesity Medicine (Psychiatry & Neurology) Physician","definition" : "A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Obesity Medicine"}]},{"code" : "2084B0040X","display" : "Behavioral Neurology & Neuropsychiatry Physician","definition" : "Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Behavioral Neurology & Neuropsychiatry"}]},{"code" : "2084D0003X","display" : "Diagnostic Neuroimaging (Psychiatry & Neurology) Physician","definition" : "A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.  Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Diagnostic Neuroimaging"}]},{"code" : "2084E0001X","display" : "Epilepsy Physician","definition" : "Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Epilepsy"}]},{"code" : "2084F0202X","display" : "Forensic Psychiatry Physician","definition" : "Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Forensic Psychiatry"}]},{"code" : "2084H0002X","display" : "Hospice and Palliative Medicine (Psychiatry & Neurology) Physician","definition" : "A psychiatrist or neurologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2084N0008X","display" : "Neuromuscular Medicine (Psychiatry & Neurology) Physician","definition" : "A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neuromuscular Medicine"}]},{"code" : "2084N0400X","display" : "Neurology Physician","definition" : "A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurology"}]},{"code" : "2084N0402X","display" : "Neurology with Special Qualifications in Child Neurology Physician","definition" : "A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurology with Special Qualifications in Child Neurology"}]},{"code" : "2084N0600X","display" : "Clinical Neurophysiology Physician","definition" : "Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Clinical Neurophysiology"}]},{"code" : "2084P0005X","display" : "Neurodevelopmental Disabilities Physician","definition" : "A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Neurodevelopmental Disabilities"}]},{"code" : "2084P0015X","display" : "Psychosomatic Medicine Physician","definition" : "Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Psychosomatic Medicine"}]},{"code" : "2084P0301X","display" : "Brain Injury Medicine (Psychiatry & Neurology) Physician","definition" : "A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease.  These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Brain Injury Medicine"}]},{"code" : "2084P0800X","display" : "Psychiatry Physician","definition" : "A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Psychiatry"}]},{"code" : "2084P0802X","display" : "Addiction Psychiatry Physician","definition" : "Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Addiction Psychiatry"}]},{"code" : "2084P0804X","display" : "Child & Adolescent Psychiatry Physician","definition" : "Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Child & Adolescent Psychiatry"}]},{"code" : "2084P0805X","display" : "Geriatric Psychiatry Physician","definition" : "Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Geriatric Psychiatry"}]},{"code" : "2084P2900X","display" : "Pain Medicine (Psychiatry & Neurology) Physician","definition" : "A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "2084S0010X","display" : "Sports Medicine (Psychiatry & Neurology) Physician","definition" : "A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "2084S0012X","display" : "Sleep Medicine (Psychiatry & Neurology) Physician","definition" : "A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Sleep Medicine"}]},{"code" : "2084V0102X","display" : "Vascular Neurology Physician","definition" : "Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Psychiatry & Neurology"},{"code" : "specialization","valueString" : "Vascular Neurology"}]},{"code" : "2085B0100X","display" : "Body Imaging Physician","definition" : "A Radiology doctor of Osteopathy that specializes in Body Imaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Body Imaging"}]},{"code" : "2085D0003X","display" : "Diagnostic Neuroimaging (Radiology) Physician","definition" : "A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.  Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Diagnostic Neuroimaging"}]},{"code" : "2085H0002X","display" : "Hospice and Palliative Medicine (Radiology) Physician","definition" : "A radiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2085N0700X","display" : "Neuroradiology Physician","definition" : "A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Neuroradiology"}]},{"code" : "2085N0904X","display" : "Nuclear Radiology Physician","definition" : "A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Nuclear Radiology"}]},{"code" : "2085P0229X","display" : "Pediatric Radiology Physician","definition" : "A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Pediatric Radiology"}]},{"code" : "2085R0001X","display" : "Radiation Oncology Physician","definition" : "A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Radiation Oncology"}]},{"code" : "2085R0202X","display" : "Diagnostic Radiology Physician","definition" : "A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Diagnostic Radiology"}]},{"code" : "2085R0203X","display" : "Therapeutic Radiology Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Therapeutic Radiology"}]},{"code" : "2085R0204X","display" : "Vascular & Interventional Radiology Physician","definition" : "A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Vascular & Interventional Radiology"}]},{"code" : "2085R0205X","display" : "Radiological Physics Physician","definition" : "A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Radiological Physics"}]},{"code" : "2085U0001X","display" : "Diagnostic Ultrasound Physician","definition" : "A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Radiology"},{"code" : "specialization","valueString" : "Diagnostic Ultrasound"}]},{"code" : "208600000X","display" : "Surgery Physician","definition" : "A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"}]},{"code" : "2086H0002X","display" : "Hospice and Palliative Medicine (Surgery) Physician","definition" : "A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Hospice and Palliative Medicine"}]},{"code" : "2086S0102X","display" : "Surgical Critical Care Physician","definition" : "A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Surgical Critical Care"}]},{"code" : "2086S0105X","display" : "Surgery of the Hand (Surgery) Physician","definition" : "A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Surgery of the Hand"}]},{"code" : "2086S0120X","display" : "Pediatric Surgery Physician","definition" : "A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Pediatric Surgery"}]},{"code" : "2086S0122X","display" : "Plastic and Reconstructive Surgery Physician","definition" : "A surgeon who specializes in plastic and reconstructive surgery.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Plastic and Reconstructive Surgery"}]},{"code" : "2086S0127X","display" : "Trauma Surgery Physician","definition" : "Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Trauma Surgery"}]},{"code" : "2086S0129X","display" : "Vascular Surgery Physician","definition" : "A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Vascular Surgery"}]},{"code" : "2086X0206X","display" : "Surgical Oncology Physician","definition" : "A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Surgery"},{"code" : "specialization","valueString" : "Surgical Oncology"}]},{"code" : "208800000X","display" : "Urology Physician","definition" : "A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Urology"}]},{"code" : "2088F0040X","display" : "Female Pelvic Medicine and Reconstructive Surgery (Urology) Physician","definition" : "A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Urology"},{"code" : "specialization","valueString" : "Female Pelvic Medicine and Reconstructive Surgery"}]},{"code" : "2088P0231X","display" : "Pediatric Urology Physician","definition" : "Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents.  Pediatric urologists generally provide the following services:  the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Urology"},{"code" : "specialization","valueString" : "Pediatric Urology"}]},{"code" : "208C00000X","display" : "Colon & Rectal Surgery Physician","definition" : "A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Colon & Rectal Surgery"}]},{"code" : "208D00000X","display" : "General Practice Physician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "General Practice"}]},{"code" : "208G00000X","display" : "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","definition" : "A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Thoracic Surgery (Cardiothoracic Vascular Surgery)"}]},{"code" : "208M00000X","display" : "Hospitalist Physician","definition" : "Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Hospitalist"}]},{"code" : "208U00000X","display" : "Clinical Pharmacology Physician","definition" : "Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Clinical Pharmacology"}]},{"code" : "208VP0000X","display" : "Pain Medicine Physician","definition" : "Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education.  It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain.  A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain.  The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner.  The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies.  The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pain Medicine"},{"code" : "specialization","valueString" : "Pain Medicine"}]},{"code" : "208VP0014X","display" : "Interventional Pain Medicine Physician","definition" : "Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Pain Medicine"},{"code" : "specialization","valueString" : "Interventional Pain Medicine"}]},{"code" : "209800000X","display" : "Legal Medicine (M.D./D.O.) Physician","definition" : "Legal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities. Since World War II, the domain of legal medicine has broadened to include not only aspects of medical science to solve legal and criminal problems but aspects of law as it applies to medicine. Legal Medicine continues to grow as medicolegal issues like medical malpractice and liability, government regulation of health care, issues of tort reform, and moral and ethical complexities presented by technological advances become increasingly prominent. Many medical schools have implemented courses which supply medicolegal instruction for medical students, and many law schools now offer medicolegal courses. Also, dual degree programs in law and medicine have been created to assist physicians to bridge the gap between medicine and the law.","property" : [{"code" : "grouping","valueString" : "Allopathic & Osteopathic Physicians"},{"code" : "classification","valueString" : "Legal Medicine"}]},{"code" : "211D00000X","display" : "Podiatric Assistant","definition" : "An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Assistant, Podiatric"}]},{"code" : "213E00000X","display" : "Podiatrist","definition" : "A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"}]},{"code" : "213EG0000X","display" : "Deactivated - Podiatrist","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "General Practice"}]},{"code" : "213EP0504X","display" : "Public Medicine Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Public Medicine"}]},{"code" : "213EP1101X","display" : "Primary Podiatric Medicine Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Primary Podiatric Medicine"}]},{"code" : "213ER0200X","display" : "Radiology Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Radiology"}]},{"code" : "213ES0000X","display" : "Sports Medicine Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Sports Medicine"}]},{"code" : "213ES0103X","display" : "Foot & Ankle Surgery Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Foot & Ankle Surgery"}]},{"code" : "213ES0131X","display" : "Foot Surgery Podiatrist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Podiatric Medicine & Surgery Service Providers"},{"code" : "classification","valueString" : "Podiatrist"},{"code" : "specialization","valueString" : "Foot Surgery"}]},{"code" : "221700000X","display" : "Art Therapist","definition" : "(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Art Therapist"}]},{"code" : "222Q00000X","display" : "Developmental Therapist","definition" : "A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Developmental Therapist"}]},{"code" : "222Z00000X","display" : "Orthotist","definition" : "A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Orthotist"}]},{"code" : "224900000X","display" : "Mastectomy Fitter","definition" : "An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Mastectomy Fitter"}]},{"code" : "224L00000X","display" : "Pedorthist","definition" : "An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Pedorthist"}]},{"code" : "224P00000X","display" : "Prosthetist","definition" : "A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Prosthetist"}]},{"code" : "224Y00000X","display" : "Clinical Exercise Physiologist","definition" : "A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Clinical Exercise Physiologist"}]},{"code" : "224Z00000X","display" : "Occupational Therapy Assistant","definition" : "An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"}]},{"code" : "224ZE0001X","display" : "Environmental Modification Occupational Therapy Assistant","definition" : "Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist.  OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Environmental Modification"}]},{"code" : "224ZF0002X","display" : "Feeding, Eating & Swallowing Occupational Therapy Assistant","definition" : "Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist.  OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Feeding, Eating & Swallowing"}]},{"code" : "224ZL0004X","display" : "Low Vision Occupational Therapy Assistant","definition" : "Occupational therapy assistants contribute to the completion of an individualized occupational therapy low-vision evaluation under the direction and supervision of the occupational therapist to identify factors that may facilitate, compensate for, or inhibit use of vision in occupational performance.  Clients are engaged in the identification of strengths, limitations, and goals as they relate to low vision to optimize independence and participation in desired occupations.  Occupational therapy assistants also contribute to the development and implementation of an individualized occupational therapy low-vision intervention plan in collaboration with the occupational therapist, client, and relevant others that reflects the client's priorities for occupational performance.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Low Vision"}]},{"code" : "224ZR0403X","display" : "Driving and Community Mobility Occupational Therapy Assistant","definition" : "Occupational therapy assistants contribute to the completion of an individualized occupational therapy driving and community mobility evaluation by administering delegated assessments and identifying findings that impact the client's occupational performance. Clients engage in the assessment and occupational profile process to customize the evaluation to their individual driving and community mobility needs.  Occupational therapy assistants administer and continuously modify individualized in-vehicle and community mobility assessments within the naturalistic context of the community in response to the occupational performance and safety behaviors of the client.  They also implement an individualized intervention plan, within the parameters established in collaboration with the occupational therapist that reflects the contexts of the client and meets his or her occupational performance and safety needs.  Occupational therapy assistants address immediate and long-term implications of psychosocial issues related to compromised driving and community mobility throughout the occupational therapy process and makes recommendations to the occupational therapist for modification to service delivery.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapy Assistant"},{"code" : "specialization","valueString" : "Driving and Community Mobility"}]},{"code" : "225000000X","display" : "Orthotic Fitter","definition" : "An individual trained in the management of fitting prefabricated orthoses.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Orthotic Fitter"}]},{"code" : "225100000X","display" : "Physical Therapist","definition" : "Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"}]},{"code" : "2251C2600X","display" : "Cardiopulmonary Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Cardiopulmonary"}]},{"code" : "2251E1200X","display" : "Ergonomics Physical Therapist","definition" : "A licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Ergonomics"}]},{"code" : "2251E1300X","display" : "Clinical Electrophysiology Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Electrophysiology, Clinical"}]},{"code" : "2251G0304X","display" : "Geriatric Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Geriatrics"}]},{"code" : "2251H1200X","display" : "Hand Physical Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Hand"}]},{"code" : "2251H1300X","display" : "Human Factors Physical Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Human Factors"}]},{"code" : "2251N0400X","display" : "Neurology Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Neurology"}]},{"code" : "2251P0200X","display" : "Pediatric Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "2251S0007X","display" : "Sports Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Sports"}]},{"code" : "2251X0800X","display" : "Orthopedic Physical Therapist","definition" : "A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapist"},{"code" : "specialization","valueString" : "Orthopedic"}]},{"code" : "225200000X","display" : "Physical Therapy Assistant","definition" : "(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Physical Therapy Assistant"}]},{"code" : "225400000X","display" : "Rehabilitation Practitioner","definition" : "A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Practitioner"}]},{"code" : "225500000X","display" : "Respiratory/Developmental/Rehabilitative Specialist/Technologist","definition" : "General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"}]},{"code" : "2255A2300X","display" : "Athletic Trainer","definition" : "Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses.  Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees.  National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation.  Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Athletic Trainer"}]},{"code" : "2255R0406X","display" : "Blind Rehabilitation Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Rehabilitation, Blind"}]},{"code" : "225600000X","display" : "Dance Therapist","definition" : "The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR).","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Dance Therapist"}]},{"code" : "225700000X","display" : "Massage Therapist","definition" : "An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Massage Therapist"}]},{"code" : "225800000X","display" : "Recreation Therapist","definition" : "A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Recreation Therapist"}]},{"code" : "225A00000X","display" : "Music Therapist","definition" : "Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages.  Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Music Therapist"}]},{"code" : "225B00000X","display" : "Pulmonary Function Technologist","definition" : "An individual who is trained and qualified to perform pulmonary diagnostic tests.  In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment.  In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance.  Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability.  The technologist collects clinical history data and evaluates the clinical implications of the test results.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Pulmonary Function Technologist"}]},{"code" : "225C00000X","display" : "Rehabilitation Counselor","definition" : "An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"}]},{"code" : "225CA2400X","display" : "Assistive Technology Practitioner Rehabilitation Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"},{"code" : "specialization","valueString" : "Assistive Technology Practitioner"}]},{"code" : "225CA2500X","display" : "Assistive Technology Supplier Rehabilitation Counselor","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"},{"code" : "specialization","valueString" : "Assistive Technology Supplier"}]},{"code" : "225CX0006X","display" : "Orientation and Mobility Training Rehabilitation Counselor","definition" : "Orientation and Mobility (O&M) specialists teach children and adults who have visual impairments the specific orientation skills used to find one's way in the environment and the mobility skills needed to travel safely and efficiently at home, school, work, and in the community. Instruction is usually provided one-on-one and can include skills such as how to use a long cane, the operation of low vision devices and electronic travel aids when appropriate, how to orient oneself to new environments, navigate public transportation systems, how to cross streets safely, and traveling by using hearing, remaining vision, and other senses.  In addition, O&M Specialists help children to develop fundamental skills such as fine and gross motor skills, concept development and problem solving skills. Adult clients can also benefit from an O&M specialist evaluating their current use of travel-related skills, discussing their future goals, and helping them select a program of instruction that will allow them to reach their greatest travel potential.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Rehabilitation Counselor"},{"code" : "specialization","valueString" : "Orientation and Mobility Training Provider"}]},{"code" : "225X00000X","display" : "Occupational Therapist","definition" : "An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"}]},{"code" : "225XE0001X","display" : "Environmental Modification Occupational Therapist","definition" : "Occupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living.  Occupational therapy practitioners evaluate the client, their environment, and their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity.  Occupational therapists can evaluate both the skills of the client and the environmental features that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being.  Based on this assessment, they recommend modification and intervention strategies that improve the fit between the person and his or her environment.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Environmental Modification"}]},{"code" : "225XE1200X","display" : "Ergonomics Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Ergonomics"}]},{"code" : "225XF0002X","display" : "Feeding, Eating & Swallowing Occupational Therapist","definition" : "Occupational therapists provide interventions to clients of all ages with feeding, eating and swallowing difficulties.  Occupational therapists provide comprehensive rehabilitative, habilitative, and palliative dysphagia care, which includes collaborating with clients to provide individualized compensatory swallowing strategies, modified diet textures, adapted mealtime environments, enhanced feeding skills, preparatory exercises and positioning to clients, reinforcement of mealtime strategies to enhance and improve swallowing skills, and training to caregivers to enhance eating and feeding performance.  Occupational therapists provide screening and in-depth clinical assessment which may include instrumental dysphagia assessments including videofluroscopy.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Feeding, Eating & Swallowing"}]},{"code" : "225XG0600X","display" : "Gerontology Occupational Therapist","definition" : "Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Gerontology"}]},{"code" : "225XH1200X","display" : "Hand Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Hand"}]},{"code" : "225XH1300X","display" : "Human Factors Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Human Factors"}]},{"code" : "225XL0004X","display" : "Low Vision Occupational Therapist","definition" : "Occupational therapists enable children and adults with visual impairment to engage in their chosen daily living activities safely and as independently as possible.  This is accomplished by 1) teaching the person to use their remaining vision as efficiently as possible to complete activities; (2) modifying activities so that they can be completed with less vision; (3) training the person in use of adaptive equipment to compensate for vision loss, including high and low technology assistive devices; and (4) modifying the person's environment.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Low Vision"}]},{"code" : "225XM0800X","display" : "Mental Health Occupational Therapist","definition" : "Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure).  Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Mental Health"}]},{"code" : "225XN1300X","display" : "Neurorehabilitation Occupational Therapist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Neurorehabilitation"}]},{"code" : "225XP0019X","display" : "Physical Rehabilitation Occupational Therapist","definition" : "Occupational therapists are experts at helping people lead as independent a life as possible.  Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability to perform the tasks of daily living.  Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving.  They also may fabricate custom orthotics to improve function, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons' physical endurance and strength. Occupational therapists' knowledge of adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Physical Rehabilitation"}]},{"code" : "225XP0200X","display" : "Pediatric Occupational Therapist","definition" : "Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or \"occupations.\"  Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students.  Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "225XR0403X","display" : "Driving and Community Mobility Occupational Therapist","definition" : "Occupational therapists can optimize and prolong an older driver's ability to drive safely and ease the transition to other forms of transportation if driving cessation becomes necessary.  By identifying strengths as well as physical or cognitive challenges, occupational therapists can evaluate an individual's overall ability to operate a vehicle safely and recommend assistive devices or behavioral changes to limit risks.  Occupational therapy practitioners offer a continuum of services related to community mobility, from evaluation of driving performance, through counseling and support for lifestyle changes, to maintaining independence and quality of life.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Occupational Therapist"},{"code" : "specialization","valueString" : "Driving and Community Mobility"}]},{"code" : "226000000X","display" : "Recreational Therapist Assistant","definition" : "Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses.  Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Recreational Therapist Assistant"}]},{"code" : "226300000X","display" : "Kinesiotherapist","definition" : "A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Kinesiotherapist"}]},{"code" : "227800000X","display" : "Certified Respiratory Therapist","definition" : "A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC).  CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system.  They provide these respiratory care services in all health care facilities and in the home.  A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"}]},{"code" : "2278C0205X","display" : "Critical Care Certified Respiratory Therapist","definition" : "Respiratory emergencies are commonplace in the treatment of critical care patients.  Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial monitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements.  This is coupled with the initiation and management of mechanical ventilation patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Critical Care"}]},{"code" : "2278E0002X","display" : "Emergency Care Certified Respiratory Therapist","definition" : "The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Emergency Care"}]},{"code" : "2278E1000X","display" : "Educational Certified Respiratory Therapist","definition" : "The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help.  Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Educational"}]},{"code" : "2278G0305X","display" : "Geriatric Care Certified Respiratory Therapist","definition" : "Care of older patients who have age and/or disease related decremental pulmonary changes.  Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them.  Furthermore, as this segment of the population increases, life expectancy is being extended.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Geriatric Care"}]},{"code" : "2278G1100X","display" : "General Care Certified Respiratory Therapist","definition" : "This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "General Care"}]},{"code" : "2278H0200X","display" : "Home Health Certified Respiratory Therapist","definition" : "Home care fosters individual responsibility for self-management of chronic respiratory conditions.  It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Home Health"}]},{"code" : "2278P1004X","display" : "Pulmonary Diagnostics Certified Respiratory Therapist","definition" : "Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Pulmonary Diagnostics"}]},{"code" : "2278P1005X","display" : "Pulmonary Rehabilitation Certified Respiratory Therapist","definition" : "The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program.  It includes bronchopulmonary drainage, exercise therapy, and patient education.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Pulmonary Rehabilitation"}]},{"code" : "2278P1006X","display" : "Pulmonary Function Technologist Certified Respiratory Therapist","definition" : "An individual who is trained and qualified to perform pulmonary diagnostic tests.  In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment.  In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance.  Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability.  The technologist collects clinical history data and evaluates the clinical implications of the test results.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Pulmonary Function Technologist"}]},{"code" : "2278P3800X","display" : "Palliative/Hospice Certified Respiratory Therapist","definition" : "A coordinated plan of care to help dying patients and their families handle the burden of terminal care.  Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Palliative/Hospice"}]},{"code" : "2278P3900X","display" : "Neonatal/Pediatric Certified Respiratory Therapist","definition" : "The care and treatment of premature infants, newborns and children.  This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Neonatal/Pediatrics"}]},{"code" : "2278P4000X","display" : "Patient Transport Certified Respiratory Therapist","definition" : "Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management.  The transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "Patient Transport"}]},{"code" : "2278S1500X","display" : "SNF/Subacute Care Certified Respiratory Therapist","definition" : "Care of residents in a long-term care environment.  Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Certified"},{"code" : "specialization","valueString" : "SNF/Subacute Care"}]},{"code" : "227900000X","display" : "Registered Respiratory Therapist","definition" : "A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC).  In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources.  An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"}]},{"code" : "2279C0205X","display" : "Critical Care Registered Respiratory Therapist","definition" : "Respiratory emergencies are commonplace in the treatment of critical care patients.  Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial monitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements.  This is coupled with the initiation and management of mechanical ventilation patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Critical Care"}]},{"code" : "2279E0002X","display" : "Emergency Care Registered Respiratory Therapist","definition" : "The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Emergency Care"}]},{"code" : "2279E1000X","display" : "Educational Registered Respiratory Therapist","definition" : "The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help.  Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Educational"}]},{"code" : "2279G0305X","display" : "Geriatric Care Registered Respiratory Therapist","definition" : "Care of older patients who have age and/or disease related decremental pulmonary changes.  Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them.  Furthermore, as this segment of the population increases, life expectancy is being extended.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Geriatric Care"}]},{"code" : "2279G1100X","display" : "General Care Registered Respiratory Therapist","definition" : "This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "General Care"}]},{"code" : "2279H0200X","display" : "Home Health Registered Respiratory Therapist","definition" : "Home care fosters individual responsibility for self-management of chronic respiratory conditions.  It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Home Health"}]},{"code" : "2279P1004X","display" : "Pulmonary Diagnostics Registered Respiratory Therapist","definition" : "Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Pulmonary Diagnostics"}]},{"code" : "2279P1005X","display" : "Pulmonary Rehabilitation Registered Respiratory Therapist","definition" : "The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program.  It includes bronchopulmonary drainage, exercise therapy, and patient education.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Pulmonary Rehabilitation"}]},{"code" : "2279P1006X","display" : "Pulmonary Function Technologist Registered Respiratory Therapist","definition" : "An individual who is trained and qualified to perform pulmonary diagnostic tests.  In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment.  In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance.  Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability.  The technologist collects clinical history data and evaluates the clinical implications of the test results.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Pulmonary Function Technologist"}]},{"code" : "2279P3800X","display" : "Palliative/Hospice Registered Respiratory Therapist","definition" : "A coordinated plan of care to help dying patients and their families handle the burden of terminal care.  Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Palliative/Hospice"}]},{"code" : "2279P3900X","display" : "Neonatal/Pediatric Registered Respiratory Therapist","definition" : "The care and treatment of premature infants, newborns and children.  This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Neonatal/Pediatrics"}]},{"code" : "2279P4000X","display" : "Patient Transport Registered Respiratory Therapist","definition" : "Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management.  The transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "Patient Transport"}]},{"code" : "2279S1500X","display" : "SNF/Subacute Care Registered Respiratory Therapist","definition" : "Care of residents in a long-term care environment.  Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Respiratory Therapist, Registered"},{"code" : "specialization","valueString" : "SNF/Subacute Care"}]},{"code" : "229N00000X","display" : "Anaplastologist","definition" : "An anaplastologist is a professional who creates prostheses for the face and body.  Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences.  Generally, there are no state licensing requirements for anaplastologists.  Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).","property" : [{"code" : "grouping","valueString" : "Respiratory, Developmental, Rehabilitative and Restorative Service Providers"},{"code" : "classification","valueString" : "Anaplastologist"}]},{"code" : "231H00000X","display" : "Audiologist","definition" : "(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist"}]},{"code" : "231HA2400X","display" : "Assistive Technology Practitioner Audiologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist"},{"code" : "specialization","valueString" : "Assistive Technology Practitioner"}]},{"code" : "231HA2500X","display" : "Assistive Technology Supplier Audiologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist"},{"code" : "specialization","valueString" : "Assistive Technology Supplier"}]},{"code" : "235500000X","display" : "Speech/Language/Hearing Specialist/Technologist","definition" : "General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"}]},{"code" : "2355A2700X","display" : "Audiology Assistant","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Audiology Assistant"}]},{"code" : "2355S0801X","display" : "Speech-Language Assistant","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist"},{"code" : "specialization","valueString" : "Speech-Language Assistant"}]},{"code" : "235Z00000X","display" : "Speech-Language Pathologist","definition" : "The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Speech-Language Pathologist"}]},{"code" : "237600000X","display" : "Audiologist-Hearing Aid Fitter","definition" : "An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as \"audiologist-hearing aid fitters\" as opposed to states that license individuals as \"audiologists\".","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Audiologist-Hearing Aid Fitter"}]},{"code" : "237700000X","display" : "Hearing Instrument Specialist","definition" : "Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society","property" : [{"code" : "grouping","valueString" : "Speech, Language and Hearing Service Providers"},{"code" : "classification","valueString" : "Hearing Instrument Specialist"}]},{"code" : "242T00000X","display" : "Perfusionist","definition" : "A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Perfusionist"}]},{"code" : "243U00000X","display" : "Radiology Practitioner Assistant","definition" : "A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Radiology Practitioner Assistant"}]},{"code" : "246Q00000X","display" : "Pathology Specialist/Technologist","definition" : "(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"}]},{"code" : "246QB0000X","display" : "Blood Banking Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Blood Banking"}]},{"code" : "246QC1000X","display" : "Chemistry Pathology 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Pathology"},{"code" : "specialization","valueString" : "Hematology"}]},{"code" : "246QH0401X","display" : "Hemapheresis Practitioner","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Hemapheresis Practitioner"}]},{"code" : "246QH0600X","display" : "Histology Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Histology"}]},{"code" : "246QI0000X","display" : "Immunology Pathology Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, 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"246QM0706X","display" : "Medical Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Medical Technologist"}]},{"code" : "246QM0900X","display" : "Microbiology Specialist/Technologist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Specialist/Technologist, Pathology"},{"code" : "specialization","valueString" : "Microbiology"}]},{"code" : "246R00000X","display" : "Pathology Technician","definition" : "An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"}]},{"code" : "246RH0600X","display" : "Histology Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"},{"code" : "specialization","valueString" : "Histology"}]},{"code" : "246RM2200X","display" : "Medical Laboratory Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"},{"code" : "specialization","valueString" : "Medical Laboratory"}]},{"code" : "246RP1900X","display" : "Phlebotomy Technician","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Pathology"},{"code" : "specialization","valueString" : "Phlebotomy"}]},{"code" : "246W00000X","display" : "Cardiology Technician","definition" : "An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.","property" : [{"code" : "grouping","valueString" : "Technologists, Technicians & Other Technical Service Providers"},{"code" : "classification","valueString" : "Technician, Cardiology"}]},{"code" : "246X00000X","display" : "Cardiovascular Specialist/Technologist","definition" : "An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and 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The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Ambulatory Fertility Facility"}]},{"code" : "261QA0600X","display" : "Adult Day Care Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Adult Day Care"}]},{"code" : "261QA0900X","display" : "Amputee Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Amputee"}]},{"code" : "261QA1903X","display" : "Ambulatory Surgical Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Ambulatory Surgical"}]},{"code" : "261QA3000X","display" : "Augmentative Communication Clinic/Center","definition" : "An entity, facility, or distinct part of a facility staffed by audiology and/or speech professionals with special training in the evaluation of a patient's potential for use of an augmentative communication device, determination of the most appropriate device, adjustment and maintenance of the device, and training the patient to use the device.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Augmentative Communication"}]},{"code" : "261QB0400X","display" : "Birthing Clinic/Center","definition" : "A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Birthing"}]},{"code" : "261QC0050X","display" : "Critical Access Hospital Clinic/Center","definition" : "An outpatient entity, facility, or distinct part of a facility 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"specialization","valueString" : "Corporate Health"}]},{"code" : "261QD0000X","display" : "Dental Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Dental"}]},{"code" : "261QD1600X","display" : "Developmental Disabilities Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : 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Laboratory studies may be outsourced.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Genetics"}]},{"code" : "261QH0100X","display" : "Health Service Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Health Service"}]},{"code" : "261QH0700X","display" : "Hearing and Speech Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Hearing and Speech"}]},{"code" : "261QI0500X","display" : "Infusion Therapy Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Infusion Therapy"}]},{"code" : "261QL0400X","display" : "Lithotripsy Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Lithotripsy"}]},{"code" : "261QM0801X","display" : "Mental Health Clinic/Center (Including Community Mental Health Center)","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Mental Health (Including Community Mental Health Center)"}]},{"code" : "261QM0850X","display" : "Adult Mental Health Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Adult Mental Health"}]},{"code" : "261QM0855X","display" : "Adolescent and Children Mental Health Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents.  Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Adolescent and Children Mental Health"}]},{"code" : "261QM1000X","display" : "Migrant Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Migrant Health"}]},{"code" : "261QM1100X","display" : "Military/U.S. Coast Guard Outpatient Clinic/Center","definition" : "The Defense Health Program or U.S. Coast Guard funded \"fixed\" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries.  A \"fixed\" facility is a non-temporary, non-deployed facility.  It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the \"fixed\" facility.  It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies.  Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military/U.S. Coast Guard Outpatient"}]},{"code" : "261QM1101X","display" : "Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center","definition" : "That part of a \"fixed\" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery.  Similar to a civilian ambulatory surgical center.  May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital.  Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.  Includes initial \"take home\" pharmaceuticals.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military and U.S. Coast Guard Ambulatory Procedure"}]},{"code" : "261QM1102X","display" : "Military Outpatient Operational (Transportable) Component Clinic/Center","definition" : "\"Non-fixed\" facilities or distinct parts of a \"non-fixed\" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. \"Non-fixed\" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. \"Non-fixed\" facilities include outpatient services furnished onboard ships. \"Non-fixed\" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military Outpatient Operational (Transportable) Component"}]},{"code" : "261QM1103X","display" : "Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center","definition" : "\"Non-fixed\" facilities or distinct parts of a \"non-fixed\" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial \"take home\" pharmaceuticals.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Military Ambulatory Procedure Visits Operational (Transportable)"}]},{"code" : "261QM1200X","display" : "Magnetic Resonance Imaging (MRI) Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Magnetic Resonance Imaging (MRI)"}]},{"code" : "261QM1300X","display" : "Multi-Specialty Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Multi-Specialty"}]},{"code" : "261QM2500X","display" : "Medical Specialty Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization.  Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Medical Specialty"}]},{"code" : "261QM2800X","display" : "Methadone Clinic","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Methadone"}]},{"code" : "261QM3000X","display" : "Medically Fragile Infants and Children Day Care","definition" : "An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Medically Fragile Infants and Children Day Care"}]},{"code" : "261QP0904X","display" : "Federal Public Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Public Health, Federal"}]},{"code" : "261QP0905X","display" : "State or Local Public Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Public Health, State or Local"}]},{"code" : "261QP1100X","display" : "Podiatric Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Podiatric"}]},{"code" : "261QP2000X","display" : "Physical Therapy Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. 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Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Physical Therapy"}]},{"code" : "261QP2300X","display" : "Primary Care Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Primary Care"}]},{"code" : "261QP2400X","display" : "Prison Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Prison Health"}]},{"code" : "261QP3300X","display" : "Pain Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Pain"}]},{"code" : "261QR0200X","display" : "Radiology Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Radiology"}]},{"code" : "261QR0206X","display" : "Mammography Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory 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"grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Rural Health"}]},{"code" : "261QS0112X","display" : "Oral and Maxillofacial Surgery Clinic/Center","definition" : "The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Oral and Maxillofacial Surgery"}]},{"code" : "261QS0132X","display" : "Ophthalmologic Surgery Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Ophthalmologic Surgery"}]},{"code" : "261QS1000X","display" : "Student Health Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Student Health"}]},{"code" : "261QS1200X","display" : "Sleep Disorder Diagnostic Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Sleep Disorder Diagnostic"}]},{"code" : "261QU0200X","display" : "Urgent Care Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Urgent Care"}]},{"code" : "261QV0200X","display" : "VA Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "VA"}]},{"code" : "261QX0100X","display" : "Occupational Medicine Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Occupational Medicine"}]},{"code" : "261QX0200X","display" : "Oncology Clinic/Center","definition" : "An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions.  Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Oncology"}]},{"code" : "261QX0203X","display" : "Radiation Oncology Clinic/Center","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Ambulatory Health Care Facilities"},{"code" : "classification","valueString" : "Clinic/Center"},{"code" : "specialization","valueString" : "Oncology, Radiation"}]},{"code" : "273100000X","display" : "Epilepsy Hospital Unit","definition" : "An Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and medication management for patients with seizure disorders.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Epilepsy Unit"}]},{"code" : "273R00000X","display" : "Psychiatric Hospital Unit","definition" : "In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Psychiatric Unit"}]},{"code" : "273Y00000X","display" : "Rehabilitation Hospital Unit","definition" : "In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Rehabilitation Unit"}]},{"code" : "275N00000X","display" : "Medicare Defined Swing Bed Hospital Unit","definition" : "A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Medicare Defined Swing Bed Unit"}]},{"code" : "276400000X","display" : "Substance Use Disorder Rehabilitation Hospital Unit","definition" : "A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)","property" : [{"code" : "grouping","valueString" : "Hospital Units"},{"code" : "classification","valueString" : "Rehabilitation, Substance Use Disorder Unit"}]},{"code" : "281P00000X","display" : "Chronic Disease Hospital","definition" : "(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Chronic Disease Hospital"}]},{"code" : "281PC2000X","display" : "Children' s Chronic Disease Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Chronic Disease Hospital"},{"code" : "specialization","valueString" : "Children"}]},{"code" : "282E00000X","display" : "Long Term Care Hospital","definition" : "Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Long Term Care Hospital"}]},{"code" : "282J00000X","display" : "Religious Nonmedical Health Care Institution","definition" : "Furnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs.  Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients.  For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures.  Furnishes nonmedical items and services to inpatients on a 24-hour basis.  Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Religious Nonmedical Health Care Institution"}]},{"code" : "282N00000X","display" : "General Acute Care Hospital","definition" : "An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"}]},{"code" : "282NC0060X","display" : "Critical Access Hospital","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Critical Access"}]},{"code" : "282NC2000X","display" : "Children's Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Children"}]},{"code" : "282NR1301X","display" : "Rural Acute Care Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Rural"}]},{"code" : "282NW0100X","display" : "Women's Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "General Acute Care Hospital"},{"code" : "specialization","valueString" : "Women"}]},{"code" : "283Q00000X","display" : "Psychiatric Hospital","definition" : "An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Psychiatric Hospital"}]},{"code" : "283X00000X","display" : "Rehabilitation Hospital","definition" : "A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Rehabilitation Hospital"}]},{"code" : "283XC2000X","display" : "Children's Rehabilitation Hospital","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Rehabilitation Hospital"},{"code" : "specialization","valueString" : "Children"}]},{"code" : "284300000X","display" : "Special Hospital","definition" : "A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Special Hospital"}]},{"code" : "286500000X","display" : "Military Hospital","definition" : "A health care facility operated by the Department of Defense.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"}]},{"code" : "2865C1500X","display" : "Deactivated - Military Hospital","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"},{"code" : "specialization","valueString" : "Community Health"}]},{"code" : "2865M2000X","display" : "Military General Acute Care Hospital","definition" : "A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in \"fixed\" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A \"fixed\" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the \"fixed\" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as \"pass-through\" items.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"},{"code" : "specialization","valueString" : "Military General Acute Care Hospital"}]},{"code" : "2865X1600X","display" : "Operational (Transportable) Military General Acute Care Hospital","definition" : "A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in \"non-fixed\" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. \"Non-fixed\" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. \"Non-fixed\" facilities include hospital ships.","property" : [{"code" : "grouping","valueString" : "Hospitals"},{"code" : "classification","valueString" : "Military Hospital"},{"code" : "specialization","valueString" : "Military General Acute Care Hospital. 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(2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.","property" : [{"code" : "grouping","valueString" : "Laboratories"},{"code" : "classification","valueString" : "Clinical Medical Laboratory"}]},{"code" : "292200000X","display" : "Dental Laboratory","definition" : "A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.","property" : [{"code" : "grouping","valueString" : "Laboratories"},{"code" : "classification","valueString" : "Dental Laboratory"}]},{"code" : "293D00000X","display" : "Physiological Laboratory","definition" : "A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.","property" : [{"code" : "grouping","valueString" : "Laboratories"},{"code" : "classification","valueString" : "Physiological Laboratory"}]},{"code" : "302F00000X","display" : "Exclusive Provider Organization","definition" : "(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Exclusive Provider Organization"}]},{"code" : "302R00000X","display" : "Health Maintenance Organization","definition" : "(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Health Maintenance Organization"}]},{"code" : "305R00000X","display" : "Preferred Provider Organization","definition" : "A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Preferred Provider Organization"}]},{"code" : "305S00000X","display" : "Point of Service","definition" : "This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.","property" : [{"code" : "grouping","valueString" : "Managed Care Organizations"},{"code" : "classification","valueString" : "Point of Service"}]},{"code" : "310400000X","display" : "Assisted Living Facility","definition" : "A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Assisted Living Facility"}]},{"code" : "3104A0625X","display" : "Assisted Living Facility (Mental Illness)","definition" : "A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem.  This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Assisted Living Facility"},{"code" : "specialization","valueString" : "Assisted Living, Mental Illness"}]},{"code" : "3104A0630X","display" : "Assisted Living Facility (Behavioral Disturbances)","definition" : "A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being.  This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Assisted Living Facility"},{"code" : "specialization","valueString" : "Assisted Living, Behavioral Disturbances"}]},{"code" : "310500000X","display" : "Mental Illness Intermediate Care Facility","definition" : "A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Intermediate Care Facility, Mental Illness"}]},{"code" : "311500000X","display" : "Alzheimer Center (Dementia Center)","definition" : "A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y):  Admission of residents with dementia (including those with Alzheimer's disease);  Staff who are specially selected, trained, and supervised;  Activities that are specifically designed for the cognitively impaired;  A marketing of a special care unit in brochures;  A high level of family involvement; and  A physical environment designed to keep residents safe and segregated from other populations.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Alzheimer Center (Dementia Center)"}]},{"code" : "311Z00000X","display" : "Custodial Care Facility","definition" : "A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Custodial Care Facility"}]},{"code" : "311ZA0620X","display" : "Adult Care Home Facility","definition" : "A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Custodial Care Facility"},{"code" : "specialization","valueString" : "Adult Care Home"}]},{"code" : "313M00000X","display" : "Nursing Facility/Intermediate Care Facility","definition" : "An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Nursing Facility/Intermediate Care Facility"}]},{"code" : "314000000X","display" : "Skilled Nursing Facility","definition" : "(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Skilled Nursing Facility"}]},{"code" : "3140N1450X","display" : "Pediatric Skilled Nursing Facility","definition" : "A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Skilled Nursing Facility"},{"code" : "specialization","valueString" : "Nursing Care, Pediatric"}]},{"code" : "315D00000X","display" : "Inpatient Hospice","definition" : "A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Hospice, Inpatient"}]},{"code" : "315P00000X","display" : "Intellectual Disabilities Intermediate Care Facility","definition" : "An intermediate care facility providing services for individuals with intellectual disabilities.","property" : [{"code" : "grouping","valueString" : "Nursing & Custodial Care Facilities"},{"code" : "classification","valueString" : "Intermediate Care Facility, Intellectual Disabilities"}]},{"code" : "317400000X","display" : "Deactivated - 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Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary","property" : [{"code" : "grouping","valueString" : "Residential Treatment Facilities"},{"code" : "classification","valueString" : "Psychiatric Residential Treatment Facility"}]},{"code" : "324500000X","display" : "Substance Abuse Rehabilitation Facility","definition" : "A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.","property" : [{"code" : "grouping","valueString" : "Residential Treatment Facilities"},{"code" : "classification","valueString" : "Substance Abuse Rehabilitation Facility"}]},{"code" : "3245S0500X","display" : "Children's Substance Abuse Rehabilitation Facility","definition" : "A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances.  Medical and supportive counseling services and education services are included.","property" : [{"code" : "grouping","valueString" : "Residential Treatment Facilities"},{"code" : "classification","valueString" : "Substance Abuse Rehabilitation Facility"},{"code" : "specialization","valueString" : "Substance Abuse Treatment, Children"}]},{"code" : "331L00000X","display" : "Blood Bank","definition" : "An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Blood Bank"}]},{"code" : "332000000X","display" : "Military/U.S. Coast Guard Pharmacy","definition" : "A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries.  These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding.  Usually associated with outpatient services.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Military/U.S. Coast Guard Pharmacy"}]},{"code" : "332100000X","display" : "Department of Veterans Affairs (VA) Pharmacy","definition" : "Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Department of Veterans Affairs (VA) Pharmacy"}]},{"code" : "332800000X","display" : "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","definition" : "An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.","property" : [{"code" : "grouping","valueString" : "Suppliers"},{"code" : "classification","valueString" : "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy"}]},{"code" : "332900000X","display" : "Non-Pharmacy Dispensing Site","definition" : "A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. 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"Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Critical Care Medicine"}]},{"code" : "364SC1501X","display" : "Community Health/Public Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Community Health/Public Health"}]},{"code" : "364SC2300X","display" : "Chronic Care Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Chronic Care"}]},{"code" : "364SE0003X","display" : "Emergency Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Emergency"}]},{"code" : "364SE1400X","display" : "Ethics Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Ethics"}]},{"code" : "364SF0001X","display" : "Family Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Family Health"}]},{"code" : "364SG0600X","display" : "Gerontology Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Gerontology"}]},{"code" : "364SH0200X","display" : "Home Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Home Health"}]},{"code" : "364SH1100X","display" : "Holistic Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Holistic"}]},{"code" : "364SI0800X","display" : "Informatics Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Informatics"}]},{"code" : "364SL0600X","display" : "Long-Term Care Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Long-Term Care"}]},{"code" : "364SM0705X","display" : "Medical-Surgical Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Medical-Surgical"}]},{"code" : "364SN0000X","display" : "Neonatal Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Neonatal"}]},{"code" : "364SN0800X","display" : "Neuroscience Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Neuroscience"}]},{"code" : "364SP0200X","display" : "Pediatric Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Pediatrics"}]},{"code" : "364SP0807X","display" : "Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health, Child & Adolescent"}]},{"code" : "364SP0808X","display" : "Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health"}]},{"code" : "364SP0809X","display" : "Adult Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health, Adult"}]},{"code" : "364SP0810X","display" : "Child & Family Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health, Child & Family"}]},{"code" : "364SP0811X","display" : "Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health, Chronically Ill"}]},{"code" : "364SP0812X","display" : "Community Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health, Community"}]},{"code" : "364SP0813X","display" : "Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Psychiatric/Mental Health, Geropsychiatric"}]},{"code" : "364SP1700X","display" : "Perinatal Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Perinatal"}]},{"code" : "364SP2800X","display" : "Perioperative Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Perioperative"}]},{"code" : "364SR0400X","display" : "Rehabilitation Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Rehabilitation"}]},{"code" : "364SS0200X","display" : "School Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "School"}]},{"code" : "364ST0500X","display" : "Transplantation Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Transplantation"}]},{"code" : "364SW0102X","display" : "Women's Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Women's Health"}]},{"code" : "364SX0106X","display" : "Occupational Health Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Occupational Health"}]},{"code" : "364SX0200X","display" : "Oncology Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Oncology"}]},{"code" : "364SX0204X","display" : "Pediatric Oncology Clinical Nurse Specialist","definition" : "Definition to come...","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Clinical Nurse Specialist"},{"code" : "specialization","valueString" : "Oncology, Pediatrics"}]},{"code" : "367500000X","display" : "Certified Registered Nurse Anesthetist","definition" : "(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Nurse Anesthetist, Certified Registered"}]},{"code" : "367A00000X","display" : "Advanced Practice Midwife","definition" : "Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Advanced Practice Midwife"}]},{"code" : "367H00000X","display" : "Anesthesiologist Assistant","definition" : "An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist.  Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques.  An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.","property" : [{"code" : "grouping","valueString" : "Physician Assistants & Advanced Practice Nursing Providers"},{"code" : "classification","valueString" : "Anesthesiologist Assistant"}]},{"code" : "372500000X","display" : "Chore Provider","definition" : "An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities.  These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Chore Provider"}]},{"code" : "372600000X","display" : "Adult Companion","definition" : "An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult.  Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services.  These services are provided in accordance with a therapeutic goal in the plan of care.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Adult Companion"}]},{"code" : "373H00000X","display" : "Day Training/Habilitation Specialist","definition" : "Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Day Training/Habilitation Specialist"}]},{"code" : "374700000X","display" : "Technician","definition" : "(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Technician"}]},{"code" : "3747A0650X","display" : "Attendant Care Provider","definition" : "An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual.  Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function.  This service may include skilled or nursing care to the extent permitted by state law.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Technician"},{"code" : "specialization","valueString" : "Attendant Care Provider"}]},{"code" : "3747P1801X","display" : "Personal Care Attendant","definition" : "An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care.  Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided.  Personal care providers must meet state defined training and certification standards","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Technician"},{"code" : "specialization","valueString" : "Personal Care Attendant"}]},{"code" : "374J00000X","display" : "Doula","definition" : "Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Doula"}]},{"code" : "374K00000X","display" : "Religious Nonmedical Practitioner","definition" : "A religious nonmedical practitioner offers spiritually-based care.  Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Religious Nonmedical Practitioner"}]},{"code" : "374T00000X","display" : "Religious Nonmedical Nursing Personnel","definition" : "Religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients.  For example, caring for the physical needs such as assistance with activities of daily living; assistance with moving, positioning, and ambulation; nutritional needs; and comfort and support measures.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Religious Nonmedical Nursing Personnel"}]},{"code" : "374U00000X","display" : "Home Health Aide","definition" : "A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Home Health Aide"}]},{"code" : "376G00000X","display" : "Nursing Home Administrator","definition" : "An individual, often licensed by the state, who is responsible for the management of a nursing home.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Nursing Home Administrator"}]},{"code" : "376J00000X","display" : "Homemaker","definition" : "An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself.  Homemakers must meet the state defined training standards.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Homemaker"}]},{"code" : "376K00000X","display" : "Nurse's Aide","definition" : "(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.","property" : [{"code" : "grouping","valueString" : "Nursing Service Related Providers"},{"code" : "classification","valueString" : "Nurse's Aide"}]},{"code" : "385H00000X","display" : "Respite Care","definition" : "Definition to come.","property" : [{"code" : "grouping","valueString" : "Respite Care Facility"},{"code" : "classification","valueString" : "Respite Care"}]},{"code" : "385HR2050X","display" : "Respite Care Camp","definition" : "A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.","property" : [{"code" : "grouping","valueString" : "Respite Care Facility"},{"code" : "classification","valueString" : "Respite Care"},{"code" : "specialization","valueString" : "Respite Care Camp"}]},{"code" : "385HR2055X","display" : "Child Mental Illness Respite Care","definition" : "A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.","property" : [{"code" : "grouping","valueString" : "Respite Care Facility"},{"code" : "classification","valueString" : "Respite Care"},{"code" : "specialization","valueString" : "Respite Care, Mental Illness, Child"}]},{"code" : "385HR2060X","display" : "Child Intellectual and/or Developmental Disabilities Respite Care","definition" : "A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.","property" : [{"code" : "grouping","valueString" : "Respite Care Facility"},{"code" : "classification","valueString" : "Respite Care"},{"code" : "specialization","valueString" : "Respite Care, Intellectual and/or Developmental Disabilities, Child"}]},{"code" : "385HR2065X","display" : "Child Physical Disabilities Respite Care","definition" : "A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.","property" : [{"code" : "grouping","valueString" : "Respite Care Facility"},{"code" : "classification","valueString" : "Respite Care"},{"code" : "specialization","valueString" : "Respite Care, Physical Disabilities, Child"}]},{"code" : "390200000X","display" : "Student in an Organized Health Care Education/Training Program","definition" : "An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.","property" : [{"code" : "grouping","valueString" : "Student, Health Care"},{"code" : "classification","valueString" : "Student in an Organized Health Care Education/Training Program"}]},{"code" : "405300000X","display" : "Prevention Professional","definition" : "Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention.   The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient.  Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services.  Individuals complete prevention professionals training for the population of patients with whom they work.","property" : [{"code" : "grouping","valueString" : "Other Service Providers"},{"code" : "classification","valueString" : "Prevention Professional"}]}]}

#904

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Ficd9cm HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:262
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-200039

{"resourceType" : "Bundle","id" : "47d7f941-0f52-4180-930d-d410021637","meta" : {"lastUpdated" : "2025-12-15T20:13:17.395Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/icd9cm"}]}

#905

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2FEPSG-GeodeticParameterDataset HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:285
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-200040

{"resourceType" : "Bundle","id" : "64b05d86-e961-4ac3-a493-dd0297bcde","meta" : {"lastUpdated" : "2025-12-15T20:13:17.582Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset"}]}

#906

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fnubc-UB92 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:265
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:17 GMT
pragma:no-cache
server:nginx
x-request-id:252-200041

{"resourceType" : "Bundle","id" : "385f26d4-719f-467a-98c2-5522b87f45","meta" : {"lastUpdated" : "2025-12-15T20:13:17.707Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/nubc-UB92"}]}

#907

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fihe.net%2Ffhir%2Fihe.formatcode.fhir%2FCodeSystem%2Fformatcode HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:27304
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:18 GMT
pragma:no-cache
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x-request-id:252-200042

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#908

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date:Mon, 15 Dec 2025 20:13:18 GMT
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{"resourceType" : "CodeSystem","id" : "formatcode","text" : {"status" : "generated"},"url" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:1.3.6.1.4.1.19376.1.2.3"}],"version" : "1.4.0","name" : "IHE_FormatCode_codesystem","title" : "IHE Format Code set for use with Document Sharing","status" : "active","experimental" : false,"date" : "2024-03-27","publisher" : "Integrating the Healthcare Enterprise (IHE)","contact" : [{"name" : "IHE","telecom" : [{"system" : "url","value" : "http://ihe.net"}]},{"name" : "IHE Secretary","telecom" : [{"system" : "email","value" : "secretary@ihe.net"}]}],"description" : "The [IHE](http://www.ihe.net) FormatCode code system with canonical URI of http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode is defined to be the set of FormatCodes define by IHE, for use with [Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html). This code set additionally includes, as deprecated, format codes defined by [HL7 for some Implementation Guides](http://wiki.hl7.org/index.php?title=CDA_Format_Codes_for_IHE_XDS). The HL7 codes are now managed by HL7. The set of IHE FormatCode codes was listed in HITSP C80 Table 2-153 Format Code Value Set Definition, but since has been updated. The use of the FormatCode specifies the technical format of the document. The FormatCode tends to reference the IHE Content Profile (Implementation Guide) that defines the use-case and constraints. The FormatCode is a further specialization more detailed than the mime-type. The FormatCode provides sufficient metadata information to allow any potential document content consumer to know if it can process and/or display by identifying a document encoding, structure and template. The set of codes is intended to be preferred.","jurisdiction" : [{"coding" : [{"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm","code" : "001"}]}],"copyright" : "Some content from IHE® Copyright © 2015 [IHE International, Inc](http://www.ihe.net/Governance/#Intellectual_Property).","caseSensitive" : true,"hierarchyMeaning" : "grouped-by","content" : "complete","property" : [{"code" : "status","uri" : "http://hl7.org/fhir/concept-properties#status","description" : "A property that indicates the status of the concept. 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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html","concept":[{"code":"1206-2"},{"code":"1250-0"},{"code":"1251-8"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:766
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:18 GMT
server:nginx
x-request-id:252-200046

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html' could not be found, so the value set cannot be expanded"}}]}

#911

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"http://terminology.hl7.org/ValueSet/v3-HealthcareServiceLocation-inc-2","status":"active","compose":{"inactive":false,"include":[{"system":"https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html","concept":[{"code":"1206-2"},{"code":"1250-0"},{"code":"1251-8"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:766
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:18 GMT
server:nginx
x-request-id:252-200048

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html' could not be found, so the value set cannot be expanded"}}]}

#912

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fietf3066 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:264
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:19 GMT
pragma:no-cache
server:nginx
x-request-id:252-200049

{"resourceType" : "Bundle","id" : "7bf6694d-8a0d-4145-baa6-ef17daefdf","meta" : {"lastUpdated" : "2025-12-15T20:13:19.020Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/ietf3066"}]}

#913

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fnaics HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:19 GMT
pragma:no-cache
server:nginx
x-request-id:252-200050

{"resourceType" : "Bundle","id" : "4c00b6b7-b8a5-4f78-9f22-023157df6f","meta" : {"lastUpdated" : "2025-12-15T20:13:19.145Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/naics"}]}

#914

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Ficd10 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:19 GMT
pragma:no-cache
server:nginx
x-request-id:252-200051

{"resourceType" : "Bundle","id" : "3fd76f43-1d49-4e5f-bddb-f474ecf822","meta" : {"lastUpdated" : "2025-12-15T20:13:19.582Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/icd10"}]}

#915

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fwww.nlm.nih.gov%2Fresearch%2Fumls%2Frxnorm HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:19 GMT
pragma:no-cache
server:nginx
x-request-id:252-200052

{"resourceType" : "Bundle","id" : "7a627838-2bc3-409d-8093-a5e995922e","meta" : {"lastUpdated" : "2025-12-15T20:13:19.676Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://www.nlm.nih.gov/research/umls/rxnorm"}]}

#916

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fhl7.org%2Ffhir%2Fsid%2Fndc HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:245
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:19 GMT
pragma:no-cache
server:nginx
x-request-id:252-200053

{"resourceType" : "Bundle","id" : "754fdc4a-3064-48d1-90fc-f1f1cf76a5","meta" : {"lastUpdated" : "2025-12-15T20:13:19.786Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://hl7.org/fhir/sid/ndc"}]}

#917

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"https://www.nlm.nih.gov/mesh","concept":[{"code":"Q000008"},{"code":"Q000744"},{"code":"Q000009"},{"code":"D004347"},{"code":"Q000145"},{"code":"Q000209"},{"code":"Q000175"},{"code":"Q000628"},{"code":"D011379"},{"code":"Q000627"},{"code":"Q000493"},{"code":"Q000494"},{"code":"Q000633"},{"code":"Q000506"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:19 GMT
server:nginx
x-request-id:252-200055

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded"}}]}

#918

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"http://terminology.hl7.org/ValueSet/v3-KnowledgeSubtopicObservationValue-inc-0","status":"active","compose":{"inactive":false,"include":[{"system":"https://www.nlm.nih.gov/mesh","concept":[{"code":"Q000008"},{"code":"Q000744"},{"code":"Q000009"},{"code":"D004347"},{"code":"Q000145"},{"code":"Q000209"},{"code":"Q000175"},{"code":"Q000628"},{"code":"D011379"},{"code":"Q000627"},{"code":"Q000493"},{"code":"Q000494"},{"code":"Q000633"},{"code":"Q000506"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:20 GMT
server:nginx
x-request-id:252-200057

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded"}}]}

#919

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://snomed.info/sct","concept":[{"code":"79899007"},{"code":"47965005"},{"code":"404204005"},{"code":"95907004"},{"code":"95906008"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:966
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:20 GMT
last-modified:Mon, 15 Dec 2025 20:13:20 GMT
pragma:no-cache
server:nginx
x-request-id:252-200058

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:47d3a3d0-a5ba-4259-8f78-e70b8c7ea8ec","timestamp" : "2025-12-15T20:13:20.129Z","total" : 5,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "79899007","display" : "Drug interaction"},{"system" : "http://snomed.info/sct","code" : "47965005","display" : "Differential diagnosis"},{"system" : "http://snomed.info/sct","code" : "404204005","display" : "Drug interaction with drug"},{"system" : "http://snomed.info/sct","code" : "95907004","display" : "Drug interaction with food"},{"system" : "http://snomed.info/sct","code" : "95906008","display" : "Drug interaction with alcohol"}]}}

#920

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://loinc.org","concept":[{"code":"30525-0"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:490
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:20 GMT
last-modified:Mon, 15 Dec 2025 20:13:20 GMT
pragma:no-cache
server:nginx
x-request-id:252-200059

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:81e6e2d3-01fb-4825-8545-ad3fcb22f3a6","timestamp" : "2025-12-15T20:13:20.239Z","total" : 1,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://loinc.org|2.81"}],"contains" : [{"system" : "http://loinc.org","code" : "30525-0","display" : "Age"}]}}

#921

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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#923

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://loinc.org","concept":[{"code":"46251-5"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:496
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:21 GMT
last-modified:Mon, 15 Dec 2025 20:13:21 GMT
pragma:no-cache
server:nginx
x-request-id:252-200062

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#924

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fepsg-ca HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:263
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:21 GMT
pragma:no-cache
server:nginx
x-request-id:252-200063

{"resourceType" : "Bundle","id" : "f7834f4d-994a-49c4-b0f2-3bdca3271d","meta" : {"lastUpdated" : "2025-12-15T20:13:21.942Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/epsg-ca"}]}

#925

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fepsg-crs HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:264
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:22 GMT
pragma:no-cache
server:nginx
x-request-id:252-200064

{"resourceType" : "Bundle","id" : "67593c11-71ef-4a32-82d8-298c1311f8","meta" : {"lastUpdated" : "2025-12-15T20:13:22.036Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/epsg-crs"}]}

#926

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
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content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:22 GMT
last-modified:Mon, 15 Dec 2025 20:13:22 GMT
pragma:no-cache
server:nginx
x-request-id:252-200065

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:e398e2c7-4e08-4b13-9ff4-cb2467aa4f5d","timestamp" : "2025-12-15T20:13:22.207Z","total" : 6,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "71388002","display" : "Procedure"},{"system" : "http://snomed.info/sct","code" : "49062001","display" : "Device"},{"system" : "http://snomed.info/sct","code" : "125676002","display" : "Person"},{"system" : "http://snomed.info/sct","code" : "389109008","display" : "Group (social concept)"},{"system" : "http://snomed.info/sct","code" : "272379006","display" : "Events"},{"system" : "http://snomed.info/sct","code" : "258700003","display" : "Non-SI unit of time"}]}}

#927

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://loinc.org","concept":[{"code":"57025-9"},{"code":"57026-7"},{"code":"57027-5"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:701
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:22 GMT
last-modified:Mon, 15 Dec 2025 20:13:22 GMT
pragma:no-cache
server:nginx
x-request-id:252-200066

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:f53755fb-dd18-4232-b3ed-1c49375704d8","timestamp" : "2025-12-15T20:13:22.895Z","total" : 3,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://loinc.org|2.81"}],"contains" : [{"system" : "http://loinc.org","code" : "57025-9","display" : "Data criteria Narrative"},{"system" : "http://loinc.org","code" : "57026-7","display" : "Population criteria Narrative"},{"system" : "http://loinc.org","code" : "57027-5","display" : "Measure observations Narrative"}]}}

#928

GET https://tx.fhir.org/r5/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2FSCDHEC-GISSpatialAccuracyTiers HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:286
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:23 GMT
pragma:no-cache
server:nginx
x-request-id:252-200067

{"resourceType" : "Bundle","id" : "5d7b8cc3-38db-4983-a47c-c71f65b0c2","meta" : {"lastUpdated" : "2025-12-15T20:13:23.879Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers"}]}

#929

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://loinc.org","concept":[{"code":"30981-5"},{"code":"30980-7"},{"code":"59777-3"},{"code":"59778-1"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:788
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:24 GMT
last-modified:Mon, 15 Dec 2025 20:13:24 GMT
pragma:no-cache
server:nginx
x-request-id:252-200068

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:04c0426c-9586-46ab-a12a-504c58f508a4","timestamp" : "2025-12-15T20:13:24.707Z","total" : 4,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://loinc.org|2.81"}],"contains" : [{"system" : "http://loinc.org","code" : "30981-5","display" : "Earliest date to give"},{"system" : "http://loinc.org","code" : "30980-7","display" : "Date vaccine due"},{"system" : "http://loinc.org","code" : "59777-3","display" : "Latest date to give immunization"},{"system" : "http://loinc.org","code" : "59778-1","display" : "Date when overdue for immunization"}]}}

#930

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":false,"include":[{"system":"http://snomed.info/sct","concept":[{"code":"171258008"},{"code":"171279008"},{"code":"171259000"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:791
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:24 GMT
last-modified:Mon, 15 Dec 2025 20:13:24 GMT
pragma:no-cache
server:nginx
x-request-id:252-200069

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:42a85e50-d843-4733-afac-fb0a3054593f","timestamp" : "2025-12-15T20:13:24.848Z","total" : 3,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "171258008","display" : "Up-to-date with immunizations"},{"system" : "http://snomed.info/sct","code" : "171279008","display" : "Immunization due"},{"system" : "http://snomed.info/sct","code" : "171259000","display" : "Not up to date with immunizations (finding)"}]}}

#931

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"en"},{"name":"displayLanguage","valueString":"en"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:95b02b5d-d7bb-4c28-89f1-179b60a82648","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:913
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:29 GMT
last-modified:Mon, 15 Dec 2025 20:13:29 GMT
pragma:no-cache
server:nginx
x-request-id:252-200071

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "en"},{"name" : "display","valueString" : "English"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:95b02b5d-d7bb-4c28-89f1-179b60a82648 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#en (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#en\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"en\" found in urn:ietf:bcp:47|\r\n"}]}

#932

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"en"},{"name":"displayLanguage","valueString":"en"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:916
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:29 GMT
last-modified:Mon, 15 Dec 2025 20:13:29 GMT
pragma:no-cache
server:nginx
x-request-id:252-200072

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "en"},{"name" : "display","valueString" : "English"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#en (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#en\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n16 16   : 16ms : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n16 0    : 16ms : check code in (urn:ietf:bcp:47) at \r\n16 0    : 16ms : Code \"en\" found in urn:ietf:bcp:47|\r\n"}]}

#933

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"900000000000013009"}},{"name":"displayLanguage","valueString":"en"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"designation-use","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"vocab"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/designation-use","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.264"},{"use":"old","system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.259"},{"use":"old","system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.281"}],"version":"5.0.0","name":"DesignationUse","title":"Designation Use","status":"active","experimental":false,"publisher":"FHIR Project","description":"Details of how a designation would be used","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"copyright":"This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"900000000000003001"},{"code":"900000000000013009"}]}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1376
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:29 GMT
last-modified:Mon, 15 Dec 2025 20:13:29 GMT
pragma:no-cache
server:nginx
x-request-id:252-200073

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "900000000000013009"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Synonym (core metadata concept)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/designation-use|5.0.0 for validation purposes\r\n16 0    : 0ms  : Parameters: disp-lang=en, default-to-latest\r\n16 0    : 0ms  : Prepare include: \"(http://snomed.info/sct)(900000000000003001,900000000000013009)\"\r\n16 0    : 0ms  : CodeSystem found: \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\"\r\n16 0    : 0ms  : Validate \"[http://snomed.info/sct#900000000000013009 (\"\")]\"\r\n16 0    : 0ms  : Check \"http://snomed.info/sct#900000000000013009\"\r\n16 0    : 0ms  : CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct\r\n16 0    : 0ms  : check code in (http://snomed.info/sct)(900000000000003001,900000000000013009) at Coding\r\n16 0    : 0ms  : Code \"900000000000013009\" found in http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\r\n"}]}

#934

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:801
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:30 GMT
last-modified:Mon, 15 Dec 2025 20:13:30 GMT
pragma:no-cache
server:nginx
x-request-id:252-200074

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unstats.un.org/unsd/methods/m49/m49.htm"},{"name" : "code","valueCode" : "001"},{"name" : "display","valueString" : "World"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unstats.un.org/unsd/methods/m49/m49.htm#001 (\"World\")]\"\r\n0 0     : 0ms  : Check \"http://unstats.un.org/unsd/methods/m49/m49.htm#001\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unstats.un.org/unsd/methods/m49/m49.htm|\" (content = complete)\r\n"}]}

#935

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"http://hl7.org/fhir/ValueSet/jurisdiction--2","version":"5.0.0","status":"active","compose":{"include":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","filter":[{"property":"class","op":"=","value":"region"}]}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1212
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:30 GMT
last-modified:Mon, 15 Dec 2025 20:13:30 GMT
pragma:no-cache
server:nginx
x-request-id:252-200075

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unstats.un.org/unsd/methods/m49/m49.htm"},{"name" : "code","valueCode" : "001"},{"name" : "display","valueString" : "World"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/jurisdiction--2|5.0.0 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(http://unstats.un.org/unsd/methods/m49/m49.htm)(class=region)\"\r\n0 0     : 0ms  : CodeSystem found: \"http://unstats.un.org/unsd/methods/m49/m49.htm|\"\r\n0 0     : 0ms  : Validate \"[http://unstats.un.org/unsd/methods/m49/m49.htm#001 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://unstats.un.org/unsd/methods/m49/m49.htm#001\"\r\n0 0     : 0ms  : CodeSystem found: http://unstats.un.org/unsd/methods/m49/m49.htm| for http://unstats.un.org/unsd/methods/m49/m49.htm\r\n0 0     : 0ms  : check code in (http://unstats.un.org/unsd/methods/m49/m49.htm)(class=region) at Coding\r\n0 0     : 0ms  : Filter \"class=region\": Code \"001\" found in http://unstats.un.org/unsd/methods/m49/m49.htm|\r\n"}]}

#936

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"nl"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:f718287b-b814-4358-a59d-98a7358db9fd","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:914
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:32 GMT
last-modified:Mon, 15 Dec 2025 20:13:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-200076

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "nl"},{"name" : "display","valueString" : "Dutch"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:f718287b-b814-4358-a59d-98a7358db9fd for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#nl (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#nl\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"nl\" found in urn:ietf:bcp:47|\r\n"}]}

#937

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"nl"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:917
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:32 GMT
last-modified:Mon, 15 Dec 2025 20:13:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-200077

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "nl"},{"name" : "display","valueString" : "Dutch"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#nl (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#nl\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"nl\" found in urn:ietf:bcp:47|\r\n"}]}

#938

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"it"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:0a54c6c1-1efb-4f2a-bc3f-83f09827b191","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:916
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:32 GMT
last-modified:Mon, 15 Dec 2025 20:13:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-200078

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "it"},{"name" : "display","valueString" : "Italian"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:0a54c6c1-1efb-4f2a-bc3f-83f09827b191 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#it (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#it\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"it\" found in urn:ietf:bcp:47|\r\n"}]}

#939

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"it"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:919
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:32 GMT
last-modified:Mon, 15 Dec 2025 20:13:32 GMT
pragma:no-cache
server:nginx
x-request-id:252-200079

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "it"},{"name" : "display","valueString" : "Italian"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n15 15   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n15 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n15 0    : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n15 0    : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n15 0    : 0ms  : Validate \"[#it (\"\")]\" and infer system\r\n15 0    : 0ms  : Check \"#it\"\r\n15 0    : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n15 0    : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n15 0    : 0ms  : check code in (urn:ietf:bcp:47) at \r\n15 0    : 0ms  : Code \"it\" found in urn:ietf:bcp:47|\r\n"}]}

#940

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"pl"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:660495c1-c58d-4c84-95eb-5100156be4a9","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:915
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200080

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pl"},{"name" : "display","valueString" : "Polish"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:660495c1-c58d-4c84-95eb-5100156be4a9 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#pl (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#pl\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"pl\" found in urn:ietf:bcp:47|\r\n"}]}

#941

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"pl"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:918
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200081

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pl"},{"name" : "display","valueString" : "Polish"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#pl (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#pl\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"pl\" found in urn:ietf:bcp:47|\r\n"}]}

#942

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"fr"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:4b6e35c4-ae5c-4fb1-92b0-b77dc468bb2a","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:915
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200082

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "fr"},{"name" : "display","valueString" : "French"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:4b6e35c4-ae5c-4fb1-92b0-b77dc468bb2a for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#fr (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#fr\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"fr\" found in urn:ietf:bcp:47|\r\n"}]}

#943

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"fr"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:918
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200083

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "fr"},{"name" : "display","valueString" : "French"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n16 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n16 0    : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n16 0    : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n16 0    : 0ms  : Validate \"[#fr (\"\")]\" and infer system\r\n16 0    : 0ms  : Check \"#fr\"\r\n16 0    : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n16 0    : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n16 0    : 0ms  : check code in (urn:ietf:bcp:47) at \r\n16 0    : 0ms  : Code \"fr\" found in urn:ietf:bcp:47|\r\n"}]}

#944

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"zh"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:1e99a143-52b4-4dda-8c6a-1a2c24ead53a","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:916
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200084

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zh"},{"name" : "display","valueString" : "Chinese"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:1e99a143-52b4-4dda-8c6a-1a2c24ead53a for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#zh (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#zh\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"zh\" found in urn:ietf:bcp:47|\r\n"}]}

#945

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"zh"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:919
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200085

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zh"},{"name" : "display","valueString" : "Chinese"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n16 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n16 0    : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n16 0    : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n16 0    : 0ms  : Validate \"[#zh (\"\")]\" and infer system\r\n16 0    : 0ms  : Check \"#zh\"\r\n16 0    : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n16 0    : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n16 0    : 0ms  : check code in (urn:ietf:bcp:47) at \r\n16 0    : 0ms  : Code \"zh\" found in urn:ietf:bcp:47|\r\n"}]}

#946

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"es"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:0c91c8f1-af47-4577-b4b2-3cc3ea9ed3db","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:916
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200086

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "es"},{"name" : "display","valueString" : "Spanish"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:0c91c8f1-af47-4577-b4b2-3cc3ea9ed3db for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#es (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#es\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"es\" found in urn:ietf:bcp:47|\r\n"}]}

#947

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"es"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:919
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200087

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "es"},{"name" : "display","valueString" : "Spanish"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n15 15   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n15 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n15 0    : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n15 0    : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n15 0    : 0ms  : Validate \"[#es (\"\")]\" and infer system\r\n15 0    : 0ms  : Check \"#es\"\r\n15 0    : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n15 0    : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n15 0    : 0ms  : check code in (urn:ietf:bcp:47) at \r\n15 0    : 0ms  : Code \"es\" found in urn:ietf:bcp:47|\r\n"}]}

#948

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"ru"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:80dc9dda-cee1-4444-b11e-0b332c311829","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:916
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200088

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ru"},{"name" : "display","valueString" : "Russian"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:80dc9dda-cee1-4444-b11e-0b332c311829 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#ru (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#ru\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"ru\" found in urn:ietf:bcp:47|\r\n"}]}

#949

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"ru"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:919
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
last-modified:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200089

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ru"},{"name" : "display","valueString" : "Russian"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n15 15   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n15 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n15 0    : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n15 0    : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n15 0    : 0ms  : Validate \"[#ru (\"\")]\" and infer system\r\n15 0    : 0ms  : Check \"#ru\"\r\n15 0    : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n15 0    : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n15 0    : 0ms  : check code in (urn:ietf:bcp:47) at \r\n15 0    : 0ms  : Code \"ru\" found in urn:ietf:bcp:47|\r\n"}]}

#950

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FValueSet%2Forganization-affiliation-role-for-hie HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:802
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200090

{"resourceType" : "Bundle","id" : "ad823801-f0b6-4740-90ae-cf9b9d4605","meta" : {"lastUpdated" : "2025-12-15T20:13:33.832Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/ValueSet/organization-affiliation-role-for-hie"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/ValueSet/53017945-3530-4e3a-9ca9-56b272c3e556","resource" : {"resourceType" : "ValueSet","id" : "53017945-3530-4e3a-9ca9-56b272c3e556","url" : "http://terminology.hl7.org/ValueSet/organization-affiliation-role-for-hie","name" : "OrganizationAffiliationRoleForHie","status" : "active","experimental" : false,"date" : "2025-11-15T12:56:11-07:00","compose" : {"include" : [{"system" : "http://terminology.hl7.org/CodeSystem/organization-affiliation-role-for-hie"}]}}}]}

#951

GET https://tx.fhir.org/r5/ValueSet/53017945-3530-4e3a-9ca9-56b272c3e556 HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:403
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:33 GMT
pragma:no-cache
server:nginx
x-request-id:252-200091

{"resourceType" : "ValueSet","id" : "53017945-3530-4e3a-9ca9-56b272c3e556","url" : "http://terminology.hl7.org/ValueSet/organization-affiliation-role-for-hie","name" : "OrganizationAffiliationRoleForHie","status" : "active","experimental" : false,"date" : "2025-11-15T12:56:11-07:00","compose" : {"include" : [{"system" : "http://terminology.hl7.org/CodeSystem/organization-affiliation-role-for-hie"}]}}

#952

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:796
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:34 GMT
last-modified:Mon, 15 Dec 2025 20:13:34 GMT
pragma:no-cache
server:nginx
x-request-id:252-200092

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unstats.un.org/unsd/methods/m49/m49.htm"},{"name" : "code","valueCode" : "001"},{"name" : "display","valueString" : "World"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unstats.un.org/unsd/methods/m49/m49.htm#001 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://unstats.un.org/unsd/methods/m49/m49.htm#001\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unstats.un.org/unsd/methods/m49/m49.htm|\" (content = complete)\r\n"}]}

#953

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"de"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:e8f3dfec-5906-40c5-8ed7-15060bf3ac04","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:915
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:34 GMT
last-modified:Mon, 15 Dec 2025 20:13:34 GMT
pragma:no-cache
server:nginx
x-request-id:252-200093

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "de"},{"name" : "display","valueString" : "German"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing urn:uuid:e8f3dfec-5906-40c5-8ed7-15060bf3ac04 for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n0 0     : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n0 0     : 0ms  : Validate \"[#de (\"\")]\" and infer system\r\n0 0     : 0ms  : Check \"#de\"\r\n0 0     : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n0 0     : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n0 0     : 0ms  : check code in (urn:ietf:bcp:47) at \r\n0 0     : 0ms  : Code \"de\" found in urn:ietf:bcp:47|\r\n"}]}

#954

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"de"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"all-languages","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/all-languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.21"}],"version":"5.0.0","name":"AllLanguages","title":"All Languages","status":"active","experimental":false,"date":"2023-03-26T15:21:02+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-47 (see http://tools.ietf.org/html/bcp47)","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47"}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:918
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:34 GMT
last-modified:Mon, 15 Dec 2025 20:13:34 GMT
pragma:no-cache
server:nginx
x-request-id:252-200094

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "de"},{"name" : "display","valueString" : "German"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/all-languages|5.0.0 for validation purposes\r\n16 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n16 0    : 0ms  : Prepare include: \"(urn:ietf:bcp:47)\"\r\n16 0    : 0ms  : CodeSystem found: \"urn:ietf:bcp:47|\"\r\n16 0    : 0ms  : Validate \"[#de (\"\")]\" and infer system\r\n16 0    : 0ms  : Check \"#de\"\r\n16 0    : 0ms  : Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n16 0    : 0ms  : CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n16 0    : 0ms  : check code in (urn:ietf:bcp:47) at \r\n16 0    : 0ms  : Code \"de\" found in urn:ietf:bcp:47|\r\n"}]}

#955

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FValueSet%2Fv2-0291 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:782
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:40 GMT
pragma:no-cache
server:nginx
x-request-id:252-200112

{"resourceType" : "Bundle","id" : "f451a2fe-987b-4aba-8de8-6ca2adc377","meta" : {"lastUpdated" : "2025-12-15T20:13:40.176Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/ValueSet/v2-0291"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/ValueSet/8108de82-96fc-4f69-aef6-6f1261e070fe","resource" : {"resourceType" : "ValueSet","id" : "8108de82-96fc-4f69-aef6-6f1261e070fe","url" : "http://terminology.hl7.org/ValueSet/v2-0291","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.181"}],"name" : "SubtypeOfReferencedData","status" : "active","experimental" : false,"date" : "2019-12-01","compose" : {"include" : [{"system" : "http://terminology.hl7.org/CodeSystem/v2-0291"}]}}}]}

#956

GET https://tx.fhir.org/r5/ValueSet/8108de82-96fc-4f69-aef6-6f1261e070fe HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:413
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:40 GMT
pragma:no-cache
server:nginx
x-request-id:252-200114

{"resourceType" : "ValueSet","id" : "8108de82-96fc-4f69-aef6-6f1261e070fe","url" : "http://terminology.hl7.org/ValueSet/v2-0291","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.181"}],"name" : "SubtypeOfReferencedData","status" : "active","experimental" : false,"date" : "2019-12-01","compose" : {"include" : [{"system" : "http://terminology.hl7.org/CodeSystem/v2-0291"}]}}

#957

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FValueSet%2Fv2-0834 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:768
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:43 GMT
pragma:no-cache
server:nginx
x-request-id:252-200131

{"resourceType" : "Bundle","id" : "94184b83-d6d3-4d4c-9c76-6045dc0987","meta" : {"lastUpdated" : "2025-12-15T20:13:43.551Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/ValueSet/v2-0834"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r5/ValueSet/33c59f3f-31a8-4380-ba05-ea96e237e5ac","resource" : {"resourceType" : "ValueSet","id" : "33c59f3f-31a8-4380-ba05-ea96e237e5ac","url" : "http://terminology.hl7.org/ValueSet/v2-0834","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.408"}],"name" : "MimeTypes","status" : "active","experimental" : false,"date" : "2019-12-01","compose" : {"include" : [{"system" : "http://terminology.hl7.org/CodeSystem/v2-0834"}]}}}]}

#958

GET https://tx.fhir.org/r5/ValueSet/33c59f3f-31a8-4380-ba05-ea96e237e5ac HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
User-Agent: fhir/publisher
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:399
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:43 GMT
pragma:no-cache
server:nginx
x-request-id:252-200132

{"resourceType" : "ValueSet","id" : "33c59f3f-31a8-4380-ba05-ea96e237e5ac","url" : "http://terminology.hl7.org/ValueSet/v2-0834","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.18.408"}],"name" : "MimeTypes","status" : "active","experimental" : false,"date" : "2019-12-01","compose" : {"include" : [{"system" : "http://terminology.hl7.org/CodeSystem/v2-0834"}]}}

#959

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fwww.ama-assn.org%2Fgo%2Fcpt HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:246
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:51 GMT
pragma:no-cache
server:nginx
x-request-id:252-200135

{"resourceType" : "Bundle","id" : "cbf0bcbe-2f34-4542-825f-048c7d6eeb","meta" : {"lastUpdated" : "2025-12-15T20:13:51.926Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.ama-assn.org/go/cpt"}]}

#960

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fsnomed.info%2Fsct HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:238
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-200137

{"resourceType" : "Bundle","id" : "94cf6c81-42f7-4c6a-8e1b-9fa49ee835","meta" : {"lastUpdated" : "2025-12-15T20:13:52.083Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://snomed.info/sct"}]}

#961

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"49062001"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"en-US"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:872
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:52 GMT
last-modified:Mon, 15 Dec 2025 20:13:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-200138

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "49062001"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Device"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#49062001 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#49062001\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#962

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=urn%3Aiso%3Astd%3Aiso%3A11073%3A10101 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:243
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-200139

{"resourceType" : "Bundle","id" : "77ff26d5-8400-458b-8ba0-057749b1d5","meta" : {"lastUpdated" : "2025-12-15T20:13:52.301Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=urn:iso:std:iso:11073:10101"}]}

#963

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"446141000124107","display":"Female gender identity"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:967
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:52 GMT
last-modified:Mon, 15 Dec 2025 20:13:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-200140

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "446141000124107"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Identifies as female gender (finding)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#446141000124107 (\"Female gender identity\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#446141000124107\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#964

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"446151000124109","display":"Male gender identity"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"33791000087105","display":"Non-binary gender identity"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:857
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:52 GMT
last-modified:Mon, 15 Dec 2025 20:13:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-200142

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "446151000124109"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Identifies as male gender (finding)"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "33791000087105"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Identifies as gender nonbinary"}]}}]}

#965

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Funstats.un.org%2Funsd%2Fmethods%2Fm49%2Fm49.htm HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:262
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:52 GMT
pragma:no-cache
server:nginx
x-request-id:252-200143

{"resourceType" : "Bundle","id" : "5760817c-b59b-45d8-93f4-dad33f2929","meta" : {"lastUpdated" : "2025-12-15T20:13:52.895Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://unstats.un.org/unsd/methods/m49/m49.htm"}]}

#966

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Floinc.org HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:232
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-200144

{"resourceType" : "Bundle","id" : "9afdb7e4-9214-4489-a8a3-9fd68b6263","meta" : {"lastUpdated" : "2025-12-15T20:13:53.208Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://loinc.org"}]}

#967

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"LA29518-0","display":"he/him/his/his/himself"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:802
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:53 GMT
last-modified:Mon, 15 Dec 2025 20:13:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-200145

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "LA29518-0"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "he/him/his/his/himself"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#LA29518-0 (\"he/him/his/his/himself\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#LA29518-0\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#968

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"LA29519-8","display":"she/her/her/hers/herself"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"LA29520-6","display":"they/them/their/theirs/themselves"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:718
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:53 GMT
last-modified:Mon, 15 Dec 2025 20:13:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-200147

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "LA29519-8"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "she/her/her/hers/herself"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "LA29520-6"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "they/them/their/theirs/themselves"}]}}]}

#969

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"46098-0","display":"Sex"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:758
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:53 GMT
last-modified:Mon, 15 Dec 2025 20:13:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-200148

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "46098-0"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Sex"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#46098-0 (\"Sex\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#46098-0\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#970

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"74698-2","display":"Sex [AHRQ]"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:688
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:53 GMT
last-modified:Mon, 15 Dec 2025 20:13:53 GMT
pragma:no-cache
server:nginx
x-request-id:252-200149

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "76689-9"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Sex assigned at birth"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74698-2"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Sex [AHRQ]"}]}}]}

#971

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"900000000000550004","display":"Definition (core metadata concept)"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"designation-use","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"vocab"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/designation-use","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.264"},{"use":"old","system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.259"},{"use":"old","system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.281"}],"version":"5.0.0","name":"DesignationUse","title":"Designation Use","status":"active","experimental":false,"publisher":"FHIR Project","description":"Details of how a designation would be used","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"copyright":"This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"900000000000003001"},{"code":"900000000000013009"}]}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:2144
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:55 GMT
last-modified:Mon, 15 Dec 2025 20:13:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200152

{"resourceType" : "Parameters","parameter" : [{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "900000000000550004"},{"name" : "display","valueString" : "Definition"},{"name" : "message","valueString" : "The provided code 'http://snomed.info/sct#900000000000550004 ('Definition (core metadata concept)')' was not found in the value set 'http://hl7.org/fhir/ValueSet/designation-use|5.0.0'"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "None_of_the_provided_codes_are_in_the_value_set_one"}],"severity" : "error","code" : "code-invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-in-vs"}],"text" : "The provided code 'http://snomed.info/sct#900000000000550004 ('Definition (core metadata concept)')' was not found in the value set 'http://hl7.org/fhir/ValueSet/designation-use|5.0.0'"},"location" : ["Coding.code"],"expression" : ["Coding.code"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n15 15   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/designation-use|5.0.0 for validation purposes\r\n15 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n15 0    : 0ms  : Prepare include: \"(http://snomed.info/sct)(900000000000003001,900000000000013009)\"\r\n15 0    : 0ms  : CodeSystem found: \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\"\r\n15 0    : 0ms  : Validate \"[http://snomed.info/sct#900000000000550004 (\"Definition (core metadata concept)\")]\"\r\n15 0    : 0ms  : Check \"http://snomed.info/sct#900000000000550004\"\r\n15 0    : 0ms  : CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct\r\n15 0    : 0ms  : check code in (http://snomed.info/sct)(900000000000003001,900000000000013009) at Coding\r\n"}]}

#972

POST https://tx.fhir.org/r5/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym (core metadata concept)"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"designation-use","meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"vocab"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/designation-use","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.264"},{"use":"old","system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.259"},{"use":"old","system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.281"}],"version":"5.0.0","name":"DesignationUse","title":"Designation Use","status":"active","experimental":false,"publisher":"FHIR Project","description":"Details of how a designation would be used","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"copyright":"This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"900000000000003001"},{"code":"900000000000013009"}]}]}}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1410
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:55 GMT
last-modified:Mon, 15 Dec 2025 20:13:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200153

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "900000000000013009"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Synonym (core metadata concept)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n15 15   : 0ms  : Analysing http://hl7.org/fhir/ValueSet/designation-use|5.0.0 for validation purposes\r\n15 0    : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n15 0    : 0ms  : Prepare include: \"(http://snomed.info/sct)(900000000000003001,900000000000013009)\"\r\n15 0    : 0ms  : CodeSystem found: \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\"\r\n15 0    : 0ms  : Validate \"[http://snomed.info/sct#900000000000013009 (\"Synonym (core metadata concept)\")]\"\r\n15 0    : 0ms  : Check \"http://snomed.info/sct#900000000000013009\"\r\n15 0    : 0ms  : CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct\r\n15 0    : 0ms  : check code in (http://snomed.info/sct)(900000000000003001,900000000000013009) at Coding\r\n15 0    : 0ms  : Code \"900000000000013009\" found in http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\r\n"}]}

#973

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Funitsofmeasure.org HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:241
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200154

{"resourceType" : "Bundle","id" : "8265ff4c-bc70-4196-be40-56074749f4","meta" : {"lastUpdated" : "2025-12-15T20:13:55.801Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://unitsofmeasure.org"}]}

#974

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"%","display":"percent"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1534
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:13:55 GMT
last-modified:Mon, 15 Dec 2025 20:13:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200155

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "%"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "%"},{"name" : "message","valueString" : "Wrong Display Name 'percent' for http://unitsofmeasure.org#%. Valid display is '%' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'percent' for http://unitsofmeasure.org#%. Valid display is '%' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unitsofmeasure.org#% (\"percent\")]\"\r\n0 0     : 0ms  : Check \"http://unitsofmeasure.org#%\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unitsofmeasure.org|2.2\" (content = complete)\r\n"}]}

#975

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"%/100","display":"percent / 100"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"%[slope]","display":"percent of slope"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"/(12.h)","display":"per 12 * hour"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"/(2.h)","display":"per 2 hour"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, 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#976

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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#977

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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#978

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date:Mon, 15 Dec 2025 20:14:49 GMT
last-modified:Mon, 15 Dec 2025 20:14:49 GMT
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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "762766007"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Edible substance (substance)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en-US, default-to-latest\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#762766007 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#762766007\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#979

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fcihi.ca%2Ffhir%2FCodeSystem%2Fcihi-cci HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:255
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:49 GMT
pragma:no-cache
server:nginx
x-request-id:252-200209

{"resourceType" : "Bundle","id" : "ebdafe64-de5c-43ab-82df-d7bdd5cbc5","meta" : {"lastUpdated" : "2025-12-15T20:14:49.192Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://cihi.ca/fhir/CodeSystem/cihi-cci"}]}

#980

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=urn%3Aietf%3Abcp%3A47 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:231
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:49 GMT
pragma:no-cache
server:nginx
x-request-id:252-200210

{"resourceType" : "Bundle","id" : "e243aee6-c38c-4426-a130-b0f5ccc0b3","meta" : {"lastUpdated" : "2025-12-15T20:14:49.395Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=urn:ietf:bcp:47"}]}

#981

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:47","code":"aa","display":"Afar"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:693
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:49 GMT
last-modified:Mon, 15 Dec 2025 20:14:49 GMT
pragma:no-cache
server:nginx
x-request-id:252-200211

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "aa"},{"name" : "display","valueString" : "Afar"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[urn:ietf:bcp:47#aa (\"Afar\")]\"\r\n0 0     : 0ms  : Check \"urn:ietf:bcp:47#aa\"\r\n0 0     : 0ms  : Using CodeSystem \"urn:ietf:bcp:47|\" (content = complete)\r\n"}]}

#982

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:47","code":"ach","display":"Acoli"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:47","code":"ada","display":"Adangme"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, 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Valid display is one of 3 choices: 'Chipewyan', 'Chipewyan' or 'Dene Suline' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "chr"},{"name" : "display","valueString" : "Cherokee"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "chy"},{"name" : "display","valueString" : "Cheyenne"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cmc"},{"name" : "display","valueString" : "Chamic languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cnr"},{"name" : "display","valueString" : "Montenegrin"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "co"},{"name" : "display","valueString" : "Corsican"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cop"},{"name" : "display","valueString" : "Coptic"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cpe"},{"name" : "display","valueString" : "English-based creoles and pidgins"},{"name" : "message","valueString" : "Wrong Display Name 'Creoles and pidgins, English based' for urn:ietf:bcp:47#cpe. Valid display is one of 2 choices: 'English-based creoles and pidgins' or 'English-based creoles and pidgins' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Creoles and pidgins, English based' for urn:ietf:bcp:47#cpe. Valid display is one of 2 choices: 'English-based creoles and pidgins' or 'English-based creoles and pidgins' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cpf"},{"name" : "display","valueString" : "French-based creoles and pidgins"},{"name" : "message","valueString" : "Wrong Display Name 'Creoles and pidgins, French-based' for urn:ietf:bcp:47#cpf. Valid display is one of 2 choices: 'French-based creoles and pidgins' or 'French-based creoles and pidgins' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Creoles and pidgins, French-based' for urn:ietf:bcp:47#cpf. Valid display is one of 2 choices: 'French-based creoles and pidgins' or 'French-based creoles and pidgins' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cpp"},{"name" : "display","valueString" : "Portuguese-based creoles and pidgins"},{"name" : "message","valueString" : "Wrong Display Name 'Creoles and pidgins, Portuguese-based' for urn:ietf:bcp:47#cpp. Valid display is one of 2 choices: 'Portuguese-based creoles and pidgins' or 'Portuguese-based creoles and pidgins' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Creoles and pidgins, Portuguese-based' for urn:ietf:bcp:47#cpp. Valid display is one of 2 choices: 'Portuguese-based creoles and pidgins' or 'Portuguese-based creoles and pidgins' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cr"},{"name" : "display","valueString" : "Cree"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "crh"},{"name" : "display","valueString" : "Crimean Tatar"},{"name" : "message","valueString" : "Wrong Display Name 'Crimean Tatar; Crimean Turkish' for urn:ietf:bcp:47#crh. Valid display is one of 3 choices: 'Crimean Tatar', 'Crimean Tatar' or 'Crimean Turkish' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Crimean Tatar; Crimean Turkish' for urn:ietf:bcp:47#crh. Valid display is one of 3 choices: 'Crimean Tatar', 'Crimean Tatar' or 'Crimean Turkish' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "crp"},{"name" : "display","valueString" : "Creoles and pidgins"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cs"},{"name" : "display","valueString" : "Czech"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "csb"},{"name" : "display","valueString" : "Kashubian"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cu"},{"name" : "display","valueString" : "Church Slavic"},{"name" : "message","valueString" : "Wrong Display Name 'Church Slavic; Old Slavonic; Church Slavonic; Old Bulgarian; Old Church Slavonic' for urn:ietf:bcp:47#cu. Valid display is one of 6 choices: 'Church Slavic', 'Church Slavic', 'Church Slavonic', 'Old Bulgarian', 'Old Church Slavonic' or 'Old Slavonic' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Church Slavic; Old Slavonic; Church Slavonic; Old Bulgarian; Old Church Slavonic' for urn:ietf:bcp:47#cu. Valid display is one of 6 choices: 'Church Slavic', 'Church Slavic', 'Church Slavonic', 'Old Bulgarian', 'Old Church Slavonic' or 'Old Slavonic' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cus"},{"name" : "display","valueString" : "Cushitic languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cv"},{"name" : "display","valueString" : "Chuvash"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "cy"},{"name" : "display","valueString" : "Welsh"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "da"},{"name" : "display","valueString" : "Danish"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dak"},{"name" : "display","valueString" : "Dakota"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dar"},{"name" : "display","valueString" : "Dargwa"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "day"},{"name" : "display","valueString" : "Land Dayak languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "de"},{"name" : "display","valueString" : "German"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "del"},{"name" : "display","valueString" : "Delaware"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "den"},{"name" : "display","valueString" : "Slave (Athapascan)"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dgr"},{"name" : "display","valueString" : "Dogrib"},{"name" : "message","valueString" : "Wrong Display Name 'Tlicho; Dogrib' for urn:ietf:bcp:47#dgr. Valid display is one of 3 choices: 'Dogrib', 'Dogrib' or 'TE\u0002D1L(chG+' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Tlicho; Dogrib' for urn:ietf:bcp:47#dgr. Valid display is one of 3 choices: 'Dogrib', 'Dogrib' or 'TE\u0002D1L(chG+' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "din"},{"name" : "display","valueString" : "Dinka"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "doi"},{"name" : "display","valueString" : "Dogri (macrolanguage)"},{"name" : "message","valueString" : "Wrong Display Name 'Dogri' for urn:ietf:bcp:47#doi. Valid display is one of 2 choices: 'Dogri (macrolanguage)' or 'Dogri (macrolanguage)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Dogri' for urn:ietf:bcp:47#doi. Valid display is one of 2 choices: 'Dogri (macrolanguage)' or 'Dogri (macrolanguage)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dra"},{"name" : "display","valueString" : "Dravidian languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dsb"},{"name" : "display","valueString" : "Lower Sorbian"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dua"},{"name" : "display","valueString" : "Duala"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dum"},{"name" : "display","valueString" : "Middle Dutch (ca. 1050-1350)"},{"name" : "message","valueString" : "Wrong Display Name 'Dutch, Middle (ca.1050-1350)' for urn:ietf:bcp:47#dum. Valid display is one of 2 choices: 'Middle Dutch (ca. 1050-1350)' or 'Middle Dutch (ca. 1050-1350)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Dutch, Middle (ca.1050-1350)' for urn:ietf:bcp:47#dum. Valid display is one of 2 choices: 'Middle Dutch (ca. 1050-1350)' or 'Middle Dutch (ca. 1050-1350)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dv"},{"name" : "display","valueString" : "Dhivehi"},{"name" : "message","valueString" : "Wrong Display Name 'Divehi; Dhivehi; Maldivian' for urn:ietf:bcp:47#dv. Valid display is one of 4 choices: 'Dhivehi', 'Dhivehi', 'Divehi' or 'Maldivian' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Divehi; Dhivehi; Maldivian' for urn:ietf:bcp:47#dv. Valid display is one of 4 choices: 'Dhivehi', 'Dhivehi', 'Divehi' or 'Maldivian' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dyu"},{"name" : "display","valueString" : "Dyula"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "dz"},{"name" : "display","valueString" : "Dzongkha"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ee"},{"name" : "display","valueString" : "Ewe"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "efi"},{"name" : "display","valueString" : "Efik"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "egy"},{"name" : "display","valueString" : "Egyptian (Ancient)"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "eka"},{"name" : "display","valueString" : "Ekajuk"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "el"},{"name" : "display","valueString" : "Modern Greek (1453-)"},{"name" : "message","valueString" : "Wrong Display Name 'Greek, Modern (1453-)' for urn:ietf:bcp:47#el. Valid display is one of 2 choices: 'Modern Greek (1453-)' or 'Modern Greek (1453-)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Greek, Modern (1453-)' for urn:ietf:bcp:47#el. 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#983

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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Valid display is one of 4 choices: 'Classical Newari', 'Classical Newari', 'Classical Nepal Bhasa' or 'Old Newari' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Classical Newari; Old Newari; Classical Nepal Bhasa' for urn:ietf:bcp:47#nwc. Valid display is one of 4 choices: 'Classical Newari', 'Classical Newari', 'Classical Nepal Bhasa' or 'Old Newari' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ny"},{"name" : "display","valueString" : "Nyanja"},{"name" : "message","valueString" : "Wrong Display Name 'Chichewa; Chewa; Nyanja' for urn:ietf:bcp:47#ny. Valid display is one of 4 choices: 'Nyanja', 'Nyanja', 'Chewa' or 'Chichewa' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Chichewa; Chewa; Nyanja' for urn:ietf:bcp:47#ny. Valid display is one of 4 choices: 'Nyanja', 'Nyanja', 'Chewa' or 'Chichewa' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "nym"},{"name" : "display","valueString" : "Nyamwezi"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "nyn"},{"name" : "display","valueString" : "Nyankole"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "nyo"},{"name" : "display","valueString" : "Nyoro"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "nzi"},{"name" : "display","valueString" : "Nzima"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "oc"},{"name" : "display","valueString" : "Occitan (post 1500)"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "oj"},{"name" : "display","valueString" : "Ojibwa"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "om"},{"name" : "display","valueString" : "Oromo"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "or"},{"name" : "display","valueString" : "Oriya (macrolanguage)"},{"name" : "message","valueString" : "Wrong Display Name 'Oriya' for urn:ietf:bcp:47#or. Valid display is one of 3 choices: 'Oriya (macrolanguage)', 'Oriya (macrolanguage)' or 'Odia (macrolanguage)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Oriya' for urn:ietf:bcp:47#or. Valid display is one of 3 choices: 'Oriya (macrolanguage)', 'Oriya (macrolanguage)' or 'Odia (macrolanguage)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "os"},{"name" : "display","valueString" : "Ossetian"},{"name" : "message","valueString" : "Wrong Display Name 'Ossetian; Ossetic' for urn:ietf:bcp:47#os. Valid display is one of 3 choices: 'Ossetian', 'Ossetian' or 'Ossetic' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Ossetian; Ossetic' for urn:ietf:bcp:47#os. Valid display is one of 3 choices: 'Ossetian', 'Ossetian' or 'Ossetic' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "osa"},{"name" : "display","valueString" : "Osage"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ota"},{"name" : "display","valueString" : "Ottoman Turkish (1500-1928)"},{"name" : "message","valueString" : "Wrong Display Name 'Turkish, Ottoman (1500-1928)' for urn:ietf:bcp:47#ota. Valid display is one of 2 choices: 'Ottoman Turkish (1500-1928)' or 'Ottoman Turkish (1500-1928)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Turkish, Ottoman (1500-1928)' for urn:ietf:bcp:47#ota. Valid display is one of 2 choices: 'Ottoman Turkish (1500-1928)' or 'Ottoman Turkish (1500-1928)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "oto"},{"name" : "display","valueString" : "Otomian languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pa"},{"name" : "display","valueString" : "Panjabi"},{"name" : "message","valueString" : "Wrong Display Name 'Panjabi; Punjabi' for urn:ietf:bcp:47#pa. Valid display is one of 3 choices: 'Panjabi', 'Panjabi' or 'Punjabi' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Panjabi; Punjabi' for urn:ietf:bcp:47#pa. Valid display is one of 3 choices: 'Panjabi', 'Panjabi' or 'Punjabi' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "paa"},{"name" : "display","valueString" : "Papuan languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pag"},{"name" : "display","valueString" : "Pangasinan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pal"},{"name" : "display","valueString" : "Pahlavi"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pam"},{"name" : "display","valueString" : "Pampanga"},{"name" : "message","valueString" : "Wrong Display Name 'Pampanga; Kapampangan' for urn:ietf:bcp:47#pam. Valid display is one of 3 choices: 'Pampanga', 'Pampanga' or 'Kapampangan' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Pampanga; Kapampangan' for urn:ietf:bcp:47#pam. Valid display is one of 3 choices: 'Pampanga', 'Pampanga' or 'Kapampangan' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pap"},{"name" : "display","valueString" : "Papiamento"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pau"},{"name" : "display","valueString" : "Palauan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "peo"},{"name" : "display","valueString" : "Old Persian (ca. 600-400 B.C.)"},{"name" : "message","valueString" : "Wrong Display Name 'Persian, Old (ca.600-400 B.C.)' for urn:ietf:bcp:47#peo. Valid display is one of 2 choices: 'Old Persian (ca. 600-400 B.C.)' or 'Old Persian (ca. 600-400 B.C.)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Persian, Old (ca.600-400 B.C.)' for urn:ietf:bcp:47#peo. Valid display is one of 2 choices: 'Old Persian (ca. 600-400 B.C.)' or 'Old Persian (ca. 600-400 B.C.)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "phi"},{"name" : "display","valueString" : "Philippine languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "phn"},{"name" : "display","valueString" : "Phoenician"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pi"},{"name" : "display","valueString" : "Pali"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pl"},{"name" : "display","valueString" : "Polish"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pon"},{"name" : "display","valueString" : "Pohnpeian"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pra"},{"name" : "display","valueString" : "Prakrit languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pro"},{"name" : "display","valueString" : "Old ProvenC'al (to 1500)"},{"name" : "message","valueString" : "Wrong Display Name 'Provençal, Old (to 1500);Occitan, Old (to 1500)' for urn:ietf:bcp:47#pro. Valid display is one of 3 choices: 'Old ProvenC'al (to 1500)', 'Old ProvenC'al (to 1500)' or 'Old Occitan (to 1500)' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Provençal, Old (to 1500);Occitan, Old (to 1500)' for urn:ietf:bcp:47#pro. Valid display is one of 3 choices: 'Old ProvenC'al (to 1500)', 'Old ProvenC'al (to 1500)' or 'Old Occitan (to 1500)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ps"},{"name" : "display","valueString" : "Pushto"},{"name" : "message","valueString" : "Wrong Display Name 'Pushto; Pashto' for urn:ietf:bcp:47#ps. Valid display is one of 3 choices: 'Pushto', 'Pushto' or 'Pashto' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Pushto; Pashto' for urn:ietf:bcp:47#ps. Valid display is one of 3 choices: 'Pushto', 'Pushto' or 'Pashto' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "pt"},{"name" : "display","valueString" : "Portuguese"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "qu"},{"name" : "display","valueString" : "Quechua"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "raj"},{"name" : "display","valueString" : "Rajasthani"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "rap"},{"name" : "display","valueString" : "Rapanui"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "rar"},{"name" : "display","valueString" : "Rarotongan"},{"name" : "message","valueString" : "Wrong Display Name 'Rarotongan; Cook Islands Maori' for urn:ietf:bcp:47#rar. 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Valid display is one of 3 choices: 'Rarotongan', 'Rarotongan' or 'Cook Islands Maori' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "rm"},{"name" : "display","valueString" : "Romansh"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "rn"},{"name" : "display","valueString" : "Rundi"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ro"},{"name" : "display","valueString" : "Romanian"},{"name" : "message","valueString" : "Wrong Display Name 'Romanian; Moldavian; Moldovan' for urn:ietf:bcp:47#ro. 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Valid display is one of 2 choices: 'Waray (Philippines)' or 'Waray (Philippines)' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "was"},{"name" : "display","valueString" : "Washo"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "wen"},{"name" : "display","valueString" : "Sorbian languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "wo"},{"name" : "display","valueString" : "Wolof"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "xal"},{"name" : "display","valueString" : "Kalmyk"},{"name" : "message","valueString" : "Wrong Display Name 'Kalmyk; Oirat' for urn:ietf:bcp:47#xal. 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Valid display is one of 3 choices: 'Kalmyk', 'Kalmyk' or 'Oirat' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "xh"},{"name" : "display","valueString" : "Xhosa"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "yao"},{"name" : "display","valueString" : "Yao"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "yap"},{"name" : "display","valueString" : "Yapese"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "yi"},{"name" : "display","valueString" : "Yiddish"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "yo"},{"name" : "display","valueString" : "Yoruba"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "ypk"},{"name" : "display","valueString" : "Yupik languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "za"},{"name" : "display","valueString" : "Zhuang"},{"name" : "message","valueString" : "Wrong Display Name 'Zhuang; Chuang' for urn:ietf:bcp:47#za. Valid display is one of 3 choices: 'Zhuang', 'Zhuang' or 'Chuang' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Zhuang; Chuang' for urn:ietf:bcp:47#za. Valid display is one of 3 choices: 'Zhuang', 'Zhuang' or 'Chuang' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zap"},{"name" : "display","valueString" : "Zapotec"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zbl"},{"name" : "display","valueString" : "Blissymbols"},{"name" : "message","valueString" : "Wrong Display Name 'Blissymbols; Blissymbolics; Bliss' for urn:ietf:bcp:47#zbl. Valid display is one of 4 choices: 'Blissymbols', 'Blissymbols', 'Bliss' or 'Blissymbolics' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Blissymbols; Blissymbolics; Bliss' for urn:ietf:bcp:47#zbl. Valid display is one of 4 choices: 'Blissymbols', 'Blissymbols', 'Bliss' or 'Blissymbolics' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zen"},{"name" : "display","valueString" : "Zenaga"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zgh"},{"name" : "display","valueString" : "Standard Moroccan Tamazight"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zh"},{"name" : "display","valueString" : "Chinese"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "znd"},{"name" : "display","valueString" : "Zande languages"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zu"},{"name" : "display","valueString" : "Zulu"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zun"},{"name" : "display","valueString" : "Zuni"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zxx"},{"name" : "display","valueString" : "No linguistic content"},{"name" : "message","valueString" : "Wrong Display Name 'No linguistic content; Not applicable' for urn:ietf:bcp:47#zxx. Valid display is one of 3 choices: 'No linguistic content', 'No linguistic content' or 'Not applicable' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'No linguistic content; Not applicable' for urn:ietf:bcp:47#zxx. Valid display is one of 3 choices: 'No linguistic content', 'No linguistic content' or 'Not applicable' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "zza"},{"name" : "display","valueString" : "Zaza"},{"name" : "message","valueString" : "Wrong Display Name 'Zaza; Dimili; Dimli; Kirdki; Kirmanjki; Zazaki' for urn:ietf:bcp:47#zza. Valid display is one of 7 choices: 'Zaza', 'Zaza', 'Dimili', 'Dimli (macrolanguage)', 'Kirdki', 'Kirmanjki (macrolanguage)' or 'Zazaki' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Zaza; Dimili; Dimli; Kirdki; Kirmanjki; Zazaki' for urn:ietf:bcp:47#zza. Valid display is one of 7 choices: 'Zaza', 'Zaza', 'Dimili', 'Dimli (macrolanguage)', 'Kirdki', 'Kirmanjki (macrolanguage)' or 'Zazaki' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}}]}

#984

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=urn%3Aoid%3A2.16.840.1.113883.6.238 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:247
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-200214

{"resourceType" : "Bundle","id" : "5e05fa12-081a-4e39-bf3e-88bce2ffed","meta" : {"lastUpdated" : "2025-12-15T20:14:54.223Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=urn:oid:2.16.840.1.113883.6.238"}]}

#985

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0350 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-200215

{"resourceType" : "Bundle","id" : "6d3bcdbd-d8d3-4a31-a185-85c12cd338","meta" : {"lastUpdated" : "2025-12-15T20:14:54.708Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/v2-0350"}]}

#986

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0351 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:54 GMT
pragma:no-cache
server:nginx
x-request-id:252-200216

{"resourceType" : "Bundle","id" : "0a2a70bd-a9db-4c11-ba97-4d5722fbb9","meta" : {"lastUpdated" : "2025-12-15T20:14:54.817Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/v2-0351"}]}

#987

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0456 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200217

{"resourceType" : "Bundle","id" : "23e1719f-0588-493e-8240-03b2a11c4d","meta" : {"lastUpdated" : "2025-12-15T20:14:55.051Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/v2-0456"}]}

#988

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv2-0895 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200218

{"resourceType" : "Bundle","id" : "183d5202-1ab2-49eb-89ee-5d388739af","meta" : {"lastUpdated" : "2025-12-15T20:14:55.489Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/v2-0895"}]}

#989

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"[lb_av]"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:793
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:55 GMT
last-modified:Mon, 15 Dec 2025 20:14:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200219

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "[lb_av]"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "[lb_av]"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unitsofmeasure.org#[lb_av] (\"\")]\"\r\n0 0     : 0ms  : Check \"http://unitsofmeasure.org#[lb_av]\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unitsofmeasure.org|2.2\" (content = complete)\r\n"}]}

#990

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"[oz_av]"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"kg"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"g"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:985
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:55 GMT
last-modified:Mon, 15 Dec 2025 20:14:55 GMT
pragma:no-cache
server:nginx
x-request-id:252-200220

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "[oz_av]"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "[oz_av]"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "kg"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "kg"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "g"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "g"}]}}]}

#991

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"l"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:769
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:56 GMT
last-modified:Mon, 15 Dec 2025 20:14:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-200222

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "l"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "l"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unitsofmeasure.org#l (\"\")]\"\r\n0 0     : 0ms  : Check \"http://unitsofmeasure.org#l\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unitsofmeasure.org|2.2\" (content = complete)\r\n"}]}

#992

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"[pt_us]"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"ml"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:677
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:56 GMT
last-modified:Mon, 15 Dec 2025 20:14:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-200223

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "[pt_us]"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "[pt_us]"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "ml"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "ml"}]}}]}

#993

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"[degF]","display":"Degrees Fahrenheit (note that V2 has erroneously published this for many years without the square brackets)"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1874
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:56 GMT
last-modified:Mon, 15 Dec 2025 20:14:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-200224

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "[degF]"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "[degF]"},{"name" : "message","valueString" : "Wrong Display Name 'Degrees Fahrenheit (note that V2 has erroneously published this for many years without the square brackets)' for http://unitsofmeasure.org#[degF]. Valid display is '[degF]' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Degrees Fahrenheit (note that V2 has erroneously published this for many years without the square brackets)' for http://unitsofmeasure.org#[degF]. Valid display is '[degF]' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unitsofmeasure.org#[degF] (\"Degrees Fahrenheit (note that V2 has erroneously published this for many years without the square brackets)\")]\"\r\n0 0     : 0ms  : Check \"http://unitsofmeasure.org#[degF]\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unitsofmeasure.org|2.2\" (content = complete)\r\n"}]}

#994

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"Cel","display":"Degrees Celsius"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1141
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:56 GMT
last-modified:Mon, 15 Dec 2025 20:14:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-200225

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "Cel"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "Cel"},{"name" : "message","valueString" : "Wrong Display Name 'Degrees Celsius' for http://unitsofmeasure.org#Cel. Valid display is 'Cel' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Degrees Celsius' for http://unitsofmeasure.org#Cel. Valid display is 'Cel' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}}]}

#995

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"min","display":"Minutes"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1550
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:56 GMT
last-modified:Mon, 15 Dec 2025 20:14:56 GMT
pragma:no-cache
server:nginx
x-request-id:252-200226

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "min"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "min"},{"name" : "message","valueString" : "Wrong Display Name 'Minutes' for http://unitsofmeasure.org#min. Valid display is 'min' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Minutes' for http://unitsofmeasure.org#min. Valid display is 'min' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://unitsofmeasure.org#min (\"Minutes\")]\"\r\n0 0     : 0ms  : Check \"http://unitsofmeasure.org#min\"\r\n0 0     : 0ms  : Using CodeSystem \"http://unitsofmeasure.org|2.2\" (content = complete)\r\n"}]}

#996

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"s","display":"Seconds"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1113
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:57 GMT
last-modified:Mon, 15 Dec 2025 20:14:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-200227

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://unitsofmeasure.org"},{"name" : "code","valueCode" : "s"},{"name" : "version","valueString" : "2.2"},{"name" : "display","valueString" : "s"},{"name" : "message","valueString" : "Wrong Display Name 'Seconds' for http://unitsofmeasure.org#s. Valid display is 's' (for the language(s) 'en, en-US')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "Display_Name_for__should_be_one_of__instead_of"}],"severity" : "warning","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "invalid-display"}],"text" : "Wrong Display Name 'Seconds' for http://unitsofmeasure.org#s. Valid display is 's' (for the language(s) 'en, en-US')"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}}]}}]}

#997

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fcsaid HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:259
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:57 GMT
pragma:no-cache
server:nginx
x-request-id:252-200228

{"resourceType" : "Bundle","id" : "a3773c9a-dbd1-461b-95b3-84fa4bb3a3","meta" : {"lastUpdated" : "2025-12-15T20:14:57.661Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/csaid"}]}

#998

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=https%3A%2F%2Fwww.nlm.nih.gov%2Fmesh HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:244
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-200229

{"resourceType" : "Bundle","id" : "14b804e0-44b6-42b0-b77a-cbf3333ba3","meta" : {"lastUpdated" : "2025-12-15T20:14:58.676Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.nlm.nih.gov/mesh"}]}

#999

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"413322009"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:916
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:58 GMT
last-modified:Mon, 15 Dec 2025 20:14:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-200230

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "413322009"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Problem resolved (finding)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#413322009 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#413322009\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#1000

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"55561003"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"73425007"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:793
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:58 GMT
last-modified:Mon, 15 Dec 2025 20:14:58 GMT
pragma:no-cache
server:nginx
x-request-id:252-200231

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "55561003"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Active"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "73425007"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Inactive"}]}}]}

#1001

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Ficd9cm HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:260
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-200232

{"resourceType" : "Bundle","id" : "314b067f-cddf-4139-b01f-fa2a2c4605","meta" : {"lastUpdated" : "2025-12-15T20:14:59.426Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/icd9cm"}]}

#1002

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=https%3A%2F%2Fwww.nubc.org%2FCodeSystem%2FPatDischargeStatus HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:266
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-200233

{"resourceType" : "Bundle","id" : "336e5461-fef5-4150-849c-62d07b873c","meta" : {"lastUpdated" : "2025-12-15T20:14:59.536Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.nubc.org/CodeSystem/PatDischargeStatus"}]}

#1003

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2FEPSG-GeodeticParameterDataset HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:283
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-200234

{"resourceType" : "Bundle","id" : "37e0c711-71b0-41c3-a905-b41573a8e6","meta" : {"lastUpdated" : "2025-12-15T20:14:59.692Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset"}]}

#1004

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fnubc-UB92 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:263
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:14:59 GMT
pragma:no-cache
server:nginx
x-request-id:252-200235

{"resourceType" : "Bundle","id" : "f9b28565-895f-4907-ba20-f9c18ddc62","meta" : {"lastUpdated" : "2025-12-15T20:14:59.833Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/nubc-UB92"}]}

#1005

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fwww.cms.gov%2FMedicare%2FCoding%2FHCPCSReleaseCodeSets HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:271
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-200236

{"resourceType" : "Bundle","id" : "f0c75786-7b95-42c7-b612-818f864880","meta" : {"lastUpdated" : "2025-12-15T20:15:00.223Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"}]}

#1006

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"57024-2"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:783
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:00 GMT
last-modified:Mon, 15 Dec 2025 20:15:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-200237

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "57024-2"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Health Quality Measure document"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#57024-2 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#57024-2\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#1007

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=https%3A%2F%2Fwww.cdc.gov%2Fnhsn%2Fcdaportal%2Fterminology%2Fcodesystem%2Fhsloc.html HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:284
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-200238

{"resourceType" : "Bundle","id" : "9d5bdc19-2490-447e-8e04-083816ec7a","meta" : {"lastUpdated" : "2025-12-15T20:15:00.442Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html"}]}

#1008

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fietf3066 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:262
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-200239

{"resourceType" : "Bundle","id" : "63f510e8-c5b5-4f55-8913-caa6e3df20","meta" : {"lastUpdated" : "2025-12-15T20:15:00.551Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/ietf3066"}]}

#1009

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fnaics HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:259
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:00 GMT
pragma:no-cache
server:nginx
x-request-id:252-200240

{"resourceType" : "Bundle","id" : "a5baa4d9-54ec-4f30-ac81-d901030520","meta" : {"lastUpdated" : "2025-12-15T20:15:00.692Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/naics"}]}

#1010

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Ficd10 HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:259
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200241

{"resourceType" : "Bundle","id" : "4c3b69da-06d4-46d2-b7d7-ead89d610f","meta" : {"lastUpdated" : "2025-12-15T20:15:01.051Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/icd10"}]}

#1011

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fwww.nlm.nih.gov%2Fresearch%2Fumls%2Frxnorm HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:259
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200242

{"resourceType" : "Bundle","id" : "25354ab8-eec2-4c7d-a0d5-7490c67708","meta" : {"lastUpdated" : "2025-12-15T20:15:01.145Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.nlm.nih.gov/research/umls/rxnorm"}]}

#1012

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fhl7.org%2Ffhir%2Fsid%2Fndc HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:243
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200243

{"resourceType" : "Bundle","id" : "71afc996-af5a-40c1-a029-cd8e68e593","meta" : {"lastUpdated" : "2025-12-15T20:15:01.239Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://hl7.org/fhir/sid/ndc"}]}

#1013

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"79899007"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:903
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
last-modified:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200244

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "79899007"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Drug interaction"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#79899007 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#79899007\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#1014

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"47965005"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"404204005"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"95907004"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"95906008"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1615
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
last-modified:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200245

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "47965005"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Differential diagnosis"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "404204005"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Drug interaction with drug"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "95907004"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Drug interaction with food"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "95906008"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Drug interaction with alcohol"}]}}]}

#1015

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"30525-0"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:755
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
last-modified:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200246

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "30525-0"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Age"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#30525-0 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#30525-0\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#1016

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11488-4"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:764
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:01 GMT
last-modified:Mon, 15 Dec 2025 20:15:01 GMT
pragma:no-cache
server:nginx
x-request-id:252-200247

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "11488-4"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Consult note"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#11488-4 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#11488-4\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#1017

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11492-6"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11504-8"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11506-3"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11507-1"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11508-9"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11509-7"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11510-5"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"11512-1"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"15507-7"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"18733-6"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, 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#1018

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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#1019

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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[{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74149-6"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Inflammatory bowel disease action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74150-4"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Diabetes Type I action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74151-2"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Diabetes Type II action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74152-0"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Anaphylaxis action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74153-8"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Seizure Disorder action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74154-6"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Autism action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74155-3"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "ADHD action plan"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74213-0"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Discharge instructions"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "74282-5"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Individual counseling note"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "8653-8"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Hospital Discharge instructions"}]}}]}

#1020

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"46251-5"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:761
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:46 GMT
last-modified:Mon, 15 Dec 2025 20:15:46 GMT
pragma:no-cache
server:nginx
x-request-id:252-200263

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "46251-5"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Age group"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#46251-5 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#46251-5\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#1021

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fepsg-ca HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:261
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:46 GMT
pragma:no-cache
server:nginx
x-request-id:252-200264

{"resourceType" : "Bundle","id" : "149d6ae5-1450-44e7-96f3-8211587767","meta" : {"lastUpdated" : "2025-12-15T20:15:46.692Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/epsg-ca"}]}

#1022

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fepsg-crs HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:262
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:46 GMT
pragma:no-cache
server:nginx
x-request-id:252-200265

{"resourceType" : "Bundle","id" : "9be63773-499c-40da-81ad-d1a4fe92bb","meta" : {"lastUpdated" : "2025-12-15T20:15:46.817Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/epsg-crs"}]}

#1023

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"71388002"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:896
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:46 GMT
last-modified:Mon, 15 Dec 2025 20:15:46 GMT
pragma:no-cache
server:nginx
x-request-id:252-200266

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "71388002"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Procedure"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#71388002 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#71388002\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#1024

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"49062001"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"125676002"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"389109008"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"272379006"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"258700003"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1940
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:47 GMT
last-modified:Mon, 15 Dec 2025 20:15:47 GMT
pragma:no-cache
server:nginx
x-request-id:252-200267

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "49062001"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Device"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "125676002"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Person"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "389109008"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Group (social concept)"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "272379006"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Events"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "258700003"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Non-SI unit of time"}]}}]}

#1025

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"57025-9"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:775
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:47 GMT
last-modified:Mon, 15 Dec 2025 20:15:47 GMT
pragma:no-cache
server:nginx
x-request-id:252-200268

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "57025-9"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Data criteria Narrative"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#57025-9 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#57025-9\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#1026

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"57026-7"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"57027-5"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:716
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:47 GMT
last-modified:Mon, 15 Dec 2025 20:15:47 GMT
pragma:no-cache
server:nginx
x-request-id:252-200269

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "57026-7"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Population criteria Narrative"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "57027-5"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Measure observations Narrative"}]}}]}

#1027

GET https://tx.fhir.org/r5/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2FSCDHEC-GISSpatialAccuracyTiers HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:284
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:49 GMT
pragma:no-cache
server:nginx
x-request-id:252-200270

{"resourceType" : "Bundle","id" : "778a9093-38c6-4b6d-89e0-92e1de2499","meta" : {"lastUpdated" : "2025-12-15T20:15:49.098Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers"}]}

#1028

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"30981-5"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:773
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:49 GMT
last-modified:Mon, 15 Dec 2025 20:15:49 GMT
pragma:no-cache
server:nginx
x-request-id:252-200271

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "30981-5"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Earliest date to give"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://loinc.org#30981-5 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://loinc.org#30981-5\"\r\n0 0     : 0ms  : Using CodeSystem \"http://loinc.org|2.81\" (content = complete)\r\n"}]}

#1029

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"30980-7"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"59777-3"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://loinc.org","code":"59778-1"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1044
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:50 GMT
last-modified:Mon, 15 Dec 2025 20:15:50 GMT
pragma:no-cache
server:nginx
x-request-id:252-200272

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "30980-7"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Date vaccine due"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "59777-3"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Latest date to give immunization"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://loinc.org"},{"name" : "code","valueCode" : "59778-1"},{"name" : "version","valueString" : "2.81"},{"name" : "display","valueString" : "Date when overdue for immunization"}]}}]}

#1030

POST https://tx.fhir.org/r5/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"171258008"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:919
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:50 GMT
last-modified:Mon, 15 Dec 2025 20:15:50 GMT
pragma:no-cache
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x-request-id:252-200273

{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "171258008"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Up-to-date with immunizations"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0     : 0ms  : Analysing http://hl7.org/fhir/ValueSet/@all for validation purposes\r\n0 0     : 0ms  : Parameters: disp-lang=en, en-US, default-to-latest, display-warning\r\n0 0     : 0ms  : Prepare include: \"()\"\r\n0 0     : 0ms  : Validate \"[http://snomed.info/sct#171258008 (\"\")]\"\r\n0 0     : 0ms  : Check \"http://snomed.info/sct#171258008\"\r\n0 0     : 0ms  : Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}

#1031

POST https://tx.fhir.org/r5/ValueSet/$batch-validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"171279008"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}},{"name":"validation","resource":{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"171259000"}},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true}]}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:840
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:15:50 GMT
last-modified:Mon, 15 Dec 2025 20:15:50 GMT
pragma:no-cache
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x-request-id:252-200274

{"resourceType" : "Parameters","parameter" : [{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "171279008"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Immunization due"}]}},{"name" : "validation","resource" : {"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "171259000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Not up to date with immunizations (finding)"}]}}]}

#1032

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://www.ama-assn.org/go/cpt"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:539
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:28:46 GMT
server:nginx
x-request-id:252-201353

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The code System \"http://www.ama-assn.org/go/cpt\" has a grammar, and cannot be enumerated directly</p></div>"},"issue" : [{"severity" : "error","code" : "too-costly","details" : {"text" : "The code System \"http://www.ama-assn.org/go/cpt\" has a grammar, and cannot be enumerated directly"},"diagnostics" : "0 0 : start\r\n0 0     : not in cache\r\n0 0     : 0ms start working\r\n0 0     : 0ms compose #1\r\n"}]}

#1033

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"cpt-all","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"vocab"}],"url":"http://terminology.hl7.org/ValueSet/cpt-all","version":"1.0.0","name":"AmaCPTAllCodes","title":"AMA CPT All Codes","status":"active","experimental":false,"date":"2023-08-05T16:43:13+10:00","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"description":"All codes in CPT (including metadata, modifiers, etc).","immutable":true,"copyright":"CPT © Copyright 2023 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association.","compose":{"include":[{"system":"http://www.ama-assn.org/go/cpt"}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:758
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:28:46 GMT
last-modified:Mon, 15 Dec 2025 20:28:46 GMT
pragma:no-cache
server:nginx
x-request-id:252-201354

{"resourceType" : "ValueSet","url" : "http://terminology.hl7.org/ValueSet/cpt-all","version" : "1.0.0","name" : "AmaCPTAllCodes","title" : "AMA CPT All Codes","status" : "active","experimental" : false,"date" : "2023-08-05T16:43:13+10:00","immutable" : true,"expansion" : {"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/valueset-toocostly","valueBoolean" : true}],"identifier" : "urn:uuid:67f7a5e4-1c63-4300-8832-68fffc61bc17","timestamp" : "2025-12-15T20:28:46.397Z","total" : 0,"offset" : 0,"parameter" : [{"name" : "limitedExpansion","valueBoolean" : true},{"name" : "displayLanguage","valueCode" : "en"},{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000}]}}

#1034

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://www.ama-assn.org/go/cpt","filter":[{"property":"modified","op":"=","value":"false"},{"property":"modifier","op":"=","value":"false"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:221066
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:28:47 GMT
last-modified:Mon, 15 Dec 2025 20:28:47 GMT
pragma:no-cache
server:nginx
x-request-id:252-201355

{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:afebc1a2-2cc5-413b-ac7c-0d16e2fcc76a","timestamp" : "2025-12-15T20:28:46.507Z","total" : 1000,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://www.ama-assn.org/go/cpt|2023"}],"contains" : [{"system" : "http://www.ama-assn.org/go/cpt","code" : "99202","display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99203","display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99204","display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99205","display" : "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99211","display" : "Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99212","display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99213","display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99214","display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99215","display" : "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99221","display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99222","display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99223","display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99231","display" : "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99232","display" : "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99233","display" : "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99234","display" : "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99235","display" : "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99236","display" : "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99238","display" : "Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99239","display" : "Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99242","display" : "Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99243","display" : "Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99244","display" : "Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99245","display" : "Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99252","display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99253","display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99254","display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99255","display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 80 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99281","display" : "Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99282","display" : "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99283","display" : "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99284","display" : "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99285","display" : "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99288","display" : "Physician or other qualified health care professional direction of emergency medical systems (EMS) emergency care, advanced life support"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99291","display" : "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99292","display" : "Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99304","display" : "Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99305","display" : "Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99306","display" : "Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99307","display" : "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99308","display" : "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99309","display" : "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99310","display" : "Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99315","display" : "Nursing facility discharge management; 30 minutes or less total time on the date of the encounter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99316","display" : "Nursing facility discharge management; more than 30 minutes total time on the date of the encounter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99341","display" : "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99342","display" : "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99344","display" : "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99345","display" : "Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99347","display" : "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99348","display" : "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99349","display" : "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99350","display" : "Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99358","display" : "Prolonged evaluation and management service before and/or after direct patient care; first hour"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99359","display" : "Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99415","display" : "Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99416","display" : "Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes (List separately in addition to code for prolonged service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99417","display" : "Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99418","display" : "Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the inpatient and observation Evaluation and Management service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99360","display" : "Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99366","display" : "Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99367","display" : "Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99368","display" : "Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99374","display" : "Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99375","display" : "Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99377","display" : "Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99378","display" : "Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99379","display" : "Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99380","display" : "Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99381","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99382","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99383","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99384","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99385","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99386","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99387","display" : "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99391","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99392","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99393","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99394","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99395","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99396","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99397","display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99401","display" : "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99402","display" : "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99403","display" : "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99404","display" : "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99406","display" : "Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99407","display" : "Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99408","display" : "Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99409","display" : "Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99411","display" : "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99412","display" : "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99429","display" : "Unlisted preventive medicine service"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99441","display" : "Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99442","display" : "Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99443","display" : "Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99421","display" : "Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99422","display" : "Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99423","display" : "Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99446","display" : "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99447","display" : "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and review"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99448","display" : "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 21-30 minutes of medical consultative discussion and review"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99449","display" : "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99451","display" : "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99452","display" : "Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99453","display" : "Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99454","display" : "Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99091","display" : "Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99473","display" : "Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99474","display" : "Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99457","display" : "Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99458","display" : "Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99450","display" : "Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with \"chain of custody\" protocols; and Completion of necessary documentation/certificates."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99455","display" : "Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99456","display" : "Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99460","display" : "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99461","display" : "Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99462","display" : "Subsequent hospital care, per day, for evaluation and management of normal newborn"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99463","display" : "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99464","display" : "Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99465","display" : "Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99466","display" : "Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; first 30-74 minutes of hands-on care during transport"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99467","display" : "Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; each additional 30 minutes (List separately in addition to code for primary service)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99485","display" : "Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with transport team before transport, at the referring facility and during the transport, including data interpretation and report; first 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99486","display" : "Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with transport team before transport, at the referring facility and during the transport, including data interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99468","display" : "Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99469","display" : "Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99471","display" : "Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99472","display" : "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99475","display" : "Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99476","display" : "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99477","display" : "Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99478","display" : "Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99479","display" : "Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99480","display" : "Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99483","display" : "Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination, Medical decision making of moderate or high complexity, Functional assessment (eg, basic and instrumental activities of daily living), including decision-making capacity, Use of standardized instruments for staging of dementia (eg, functional assessment staging test [FAST], clinical dementia rating [CDR]), Medication reconciliation and review for high-risk medications, Evaluation for neuropsychiatric and behavioral symptoms, including depression, including use of standardized screening instrument(s), Evaluation of safety (eg, home), including motor vehicle operation, Identification of caregiver(s), caregiver knowledge, caregiver needs, social supports, and the willingness of caregiver to take on caregiving tasks, Development, updating or revision, or review of an Advance Care Plan, Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neuro-cognitive symptoms, functional limitations, and referral to community resources as needed (eg, rehabilitation services, adult day programs, support groups) shared with the patient and/or caregiver with initial education and support. Typically, 60 minutes of total time is spent on the date of the encounter."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99490","display" : "Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99439","display" : "Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99491","display" : "Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99437","display" : "Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; each additional 30 minutes by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99487","display" : "Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99489","display" : "Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99424","display" : "Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99425","display" : "Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99426","display" : "Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes of clinical staff time directed by physician or other qualified health care professional, per calendar month."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99427","display" : "Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99492","display" : "Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99493","display" : "Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99494","display" : "Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99495","display" : "Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99496","display" : "Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99497","display" : "Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99498","display" : "Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; each additional 30 minutes (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99484","display" : "Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99499","display" : "Unlisted evaluation and management service"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00100","display" : "Anesthesia for procedures on salivary glands, including biopsy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00102","display" : "Anesthesia for procedures involving plastic repair of cleft lip"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00103","display" : "Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00104","display" : "Anesthesia for electroconvulsive therapy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00120","display" : "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00124","display" : "Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00126","display" : "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00140","display" : "Anesthesia for procedures on eye; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00142","display" : "Anesthesia for procedures on eye; lens surgery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00144","display" : "Anesthesia for procedures on eye; corneal transplant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00145","display" : "Anesthesia for procedures on eye; vitreoretinal surgery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00147","display" : "Anesthesia for procedures on eye; iridectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00148","display" : "Anesthesia for procedures on eye; ophthalmoscopy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00160","display" : "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00162","display" : "Anesthesia for procedures on nose and accessory sinuses; radical surgery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00164","display" : "Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00170","display" : "Anesthesia for intraoral procedures, including biopsy; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00172","display" : "Anesthesia for intraoral procedures, including biopsy; repair of cleft palate"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00174","display" : "Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00176","display" : "Anesthesia for intraoral procedures, including biopsy; radical surgery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00190","display" : "Anesthesia for procedures on facial bones or skull; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00192","display" : "Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00210","display" : "Anesthesia for intracranial procedures; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00211","display" : "Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00212","display" : "Anesthesia for intracranial procedures; subdural taps"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00214","display" : "Anesthesia for intracranial procedures; burr holes, including ventriculography"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00215","display" : "Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00216","display" : "Anesthesia for intracranial procedures; vascular procedures"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00218","display" : "Anesthesia for intracranial procedures; procedures in sitting position"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00220","display" : "Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00222","display" : "Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00300","display" : "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00320","display" : "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00322","display" : "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00326","display" : "Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00350","display" : "Anesthesia for procedures on major vessels of neck; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00352","display" : "Anesthesia for procedures on major vessels of neck; simple ligation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00400","display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00402","display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00404","display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00406","display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00410","display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00450","display" : "Anesthesia for procedures on clavicle and scapula; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00454","display" : "Anesthesia for procedures on clavicle and scapula; biopsy of clavicle"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00470","display" : "Anesthesia for partial rib resection; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00472","display" : "Anesthesia for partial rib resection; thoracoplasty (any type)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00474","display" : "Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00500","display" : "Anesthesia for all procedures on esophagus"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00520","display" : "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00522","display" : "Anesthesia for closed chest procedures; needle biopsy of pleura"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00524","display" : "Anesthesia for closed chest procedures; pneumocentesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00528","display" : "Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00529","display" : "Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00530","display" : "Anesthesia for permanent transvenous pacemaker insertion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00532","display" : "Anesthesia for access to central venous circulation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00534","display" : "Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00537","display" : "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00539","display" : "Anesthesia for tracheobronchial reconstruction"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00540","display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00541","display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00542","display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00546","display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00548","display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00550","display" : "Anesthesia for sternal debridement"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00560","display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00561","display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00562","display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00563","display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00566","display" : "Anesthesia for direct coronary artery bypass grafting; without pump oxygenator"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00567","display" : "Anesthesia for direct coronary artery bypass grafting; with pump oxygenator"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00580","display" : "Anesthesia for heart transplant or heart/lung transplant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00600","display" : "Anesthesia for procedures on cervical spine and cord; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00604","display" : "Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00620","display" : "Anesthesia for procedures on thoracic spine and cord, not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00625","display" : "Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00626","display" : "Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00630","display" : "Anesthesia for procedures in lumbar region; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00632","display" : "Anesthesia for procedures in lumbar region; lumbar sympathectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00635","display" : "Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00640","display" : "Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00670","display" : "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00700","display" : "Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00702","display" : "Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00730","display" : "Anesthesia for procedures on upper posterior abdominal wall"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00731","display" : "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00732","display" : "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00750","display" : "Anesthesia for hernia repairs in upper abdomen; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00752","display" : "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00754","display" : "Anesthesia for hernia repairs in upper abdomen; omphalocele"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00756","display" : "Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00770","display" : "Anesthesia for all procedures on major abdominal blood vessels"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00790","display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00792","display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00794","display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00796","display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00797","display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00800","display" : "Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00802","display" : "Anesthesia for procedures on lower anterior abdominal wall; panniculectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00811","display" : "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00812","display" : "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00813","display" : "Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00820","display" : "Anesthesia for procedures on lower posterior abdominal wall"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00830","display" : "Anesthesia for hernia repairs in lower abdomen; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00832","display" : "Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00834","display" : "Anesthesia for hernia repairs in the lower abdomen not otherwise specified, younger than 1 year of age"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00836","display" : "Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00840","display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00842","display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; amniocentesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00844","display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00846","display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00848","display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00851","display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00860","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00862","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00864","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00865","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00866","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00868","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00870","display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00872","display" : "Anesthesia for lithotripsy, extracorporeal shock wave; with water bath"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00873","display" : "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00880","display" : "Anesthesia for procedures on major lower abdominal vessels; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00882","display" : "Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00902","display" : "Anesthesia for; anorectal procedure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00904","display" : "Anesthesia for; radical perineal procedure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00906","display" : "Anesthesia for; vulvectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00908","display" : "Anesthesia for; perineal prostatectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00910","display" : "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00912","display" : "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00914","display" : "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00916","display" : "Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00918","display" : "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00920","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00921","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00922","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00924","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00926","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00928","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00930","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00932","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00934","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00936","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00938","display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00940","display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00942","display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00944","display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00948","display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00950","display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); culdoscopy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "00952","display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01112","display" : "Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01120","display" : "Anesthesia for procedures on bony pelvis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01130","display" : "Anesthesia for body cast application or revision"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01140","display" : "Anesthesia for interpelviabdominal (hindquarter) amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01150","display" : "Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01160","display" : "Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01170","display" : "Anesthesia for open procedures involving symphysis pubis or sacroiliac joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01173","display" : "Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01200","display" : "Anesthesia for all closed procedures involving hip joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01202","display" : "Anesthesia for arthroscopic procedures of hip joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01210","display" : "Anesthesia for open procedures involving hip joint; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01212","display" : "Anesthesia for open procedures involving hip joint; hip disarticulation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01214","display" : "Anesthesia for open procedures involving hip joint; total hip arthroplasty"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01215","display" : "Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01220","display" : "Anesthesia for all closed procedures involving upper two-thirds of femur"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01230","display" : "Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01232","display" : "Anesthesia for open procedures involving upper two-thirds of femur; amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01234","display" : "Anesthesia for open procedures involving upper two-thirds of femur; radical resection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01250","display" : "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01260","display" : "Anesthesia for all procedures involving veins of upper leg, including exploration"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01270","display" : "Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01272","display" : "Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery ligation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01274","display" : "Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01320","display" : "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01340","display" : "Anesthesia for all closed procedures on lower one-third of femur"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01360","display" : "Anesthesia for all open procedures on lower one-third of femur"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01380","display" : "Anesthesia for all closed procedures on knee joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01382","display" : "Anesthesia for diagnostic arthroscopic procedures of knee joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01390","display" : "Anesthesia for all closed procedures on upper ends of tibia, fibula, and/or patella"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01392","display" : "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01400","display" : "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01402","display" : "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01404","display" : "Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01420","display" : "Anesthesia for all cast applications, removal, or repair involving knee joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01430","display" : "Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01432","display" : "Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01440","display" : "Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01442","display" : "Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy, with or without patch graft"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01444","display" : "Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01462","display" : "Anesthesia for all closed procedures on lower leg, ankle, and foot"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01464","display" : "Anesthesia for arthroscopic procedures of ankle and/or foot"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01470","display" : "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01472","display" : "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01474","display" : "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01480","display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01482","display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01484","display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01486","display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01490","display" : "Anesthesia for lower leg cast application, removal, or repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01500","display" : "Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01502","display" : "Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or with catheter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01520","display" : "Anesthesia for procedures on veins of lower leg; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01522","display" : "Anesthesia for procedures on veins of lower leg; venous thrombectomy, direct or with catheter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01610","display" : "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01620","display" : "Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01622","display" : "Anesthesia for diagnostic arthroscopic procedures of shoulder joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01630","display" : "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01634","display" : "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01636","display" : "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01638","display" : "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01650","display" : "Anesthesia for procedures on arteries of shoulder and axilla; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01652","display" : "Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01654","display" : "Anesthesia for procedures on arteries of shoulder and axilla; bypass graft"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01656","display" : "Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01670","display" : "Anesthesia for all procedures on veins of shoulder and axilla"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01680","display" : "Anesthesia for shoulder cast application, removal or repair, not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01710","display" : "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01712","display" : "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder, open"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01714","display" : "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01716","display" : "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01730","display" : "Anesthesia for all closed procedures on humerus and elbow"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01732","display" : "Anesthesia for diagnostic arthroscopic procedures of elbow joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01740","display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01742","display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01744","display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; repair of nonunion or malunion of humerus"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01756","display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01758","display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; excision of cyst or tumor of humerus"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01760","display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01770","display" : "Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01772","display" : "Anesthesia for procedures on arteries of upper arm and elbow; embolectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01780","display" : "Anesthesia for procedures on veins of upper arm and elbow; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01782","display" : "Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01810","display" : "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01820","display" : "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01829","display" : "Anesthesia for diagnostic arthroscopic procedures on the wrist"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01830","display" : "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01832","display" : "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; total wrist replacement"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01840","display" : "Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01842","display" : "Anesthesia for procedures on arteries of forearm, wrist, and hand; embolectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01844","display" : "Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01850","display" : "Anesthesia for procedures on veins of forearm, wrist, and hand; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01852","display" : "Anesthesia for procedures on veins of forearm, wrist, and hand; phleborrhaphy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01860","display" : "Anesthesia for forearm, wrist, or hand cast application, removal, or repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01916","display" : "Anesthesia for diagnostic arteriography/venography"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01920","display" : "Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to include Swan-Ganz catheter)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01922","display" : "Anesthesia for non-invasive imaging or radiation therapy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01924","display" : "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01925","display" : "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; carotid or coronary"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01926","display" : "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01930","display" : "Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01931","display" : "Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrahepatic or portal circulation (eg, transvenous intrahepatic portosystemic shunt[s] [TIPS])"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01932","display" : "Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrathoracic or jugular"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01933","display" : "Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01937","display" : "Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01938","display" : "Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01939","display" : "Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01940","display" : "Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01941","display" : "Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01942","display" : "Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01951","display" : "Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; less than 4% total body surface area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01952","display" : "Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; between 4% and 9% of total body surface area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01953","display" : "Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01958","display" : "Anesthesia for external cephalic version procedure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01960","display" : "Anesthesia for vaginal delivery only"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01961","display" : "Anesthesia for cesarean delivery only"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01962","display" : "Anesthesia for urgent hysterectomy following delivery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01963","display" : "Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01965","display" : "Anesthesia for incomplete or missed abortion procedures"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01966","display" : "Anesthesia for induced abortion procedures"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01967","display" : "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01968","display" : "Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01969","display" : "Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01990","display" : "Physiological support for harvesting of organ(s) from brain-dead patient"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01991","display" : "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01992","display" : "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01996","display" : "Daily hospital management of epidural or subarachnoid continuous drug administration"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "01999","display" : "Unlisted anesthesia procedure(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10021","display" : "Fine needle aspiration biopsy, without imaging guidance; first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10004","display" : "Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10005","display" : "Fine needle aspiration biopsy, including ultrasound guidance; first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10006","display" : "Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10007","display" : "Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10008","display" : "Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10009","display" : "Fine needle aspiration biopsy, including CT guidance; first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10010","display" : "Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10011","display" : "Fine needle aspiration biopsy, including MR guidance; first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10012","display" : "Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10030","display" : "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10035","display" : "Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10036","display" : "Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10040","display" : "Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10060","display" : "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10061","display" : "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10080","display" : "Incision and drainage of pilonidal cyst; simple"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10081","display" : "Incision and drainage of pilonidal cyst; complicated"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10120","display" : "Incision and removal of foreign body, subcutaneous tissues; simple"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10121","display" : "Incision and removal of foreign body, subcutaneous tissues; complicated"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10140","display" : "Incision and drainage of hematoma, seroma or fluid collection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10160","display" : "Puncture aspiration of abscess, hematoma, bulla, or cyst"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "10180","display" : "Incision and drainage, complex, postoperative wound infection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11000","display" : "Debridement of extensive eczematous or infected skin; up to 10% of body surface"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11001","display" : "Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11004","display" : "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11005","display" : "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11006","display" : "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11008","display" : "Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11010","display" : "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11011","display" : "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11012","display" : "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11042","display" : "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11045","display" : "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11043","display" : "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11046","display" : "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11044","display" : "Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11047","display" : "Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11055","display" : "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11056","display" : "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11057","display" : "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11102","display" : "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11103","display" : "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11104","display" : "Punch biopsy of skin (including simple closure, when performed); single lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11105","display" : "Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11106","display" : "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11107","display" : "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11200","display" : "Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11201","display" : "Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11300","display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11301","display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11302","display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11303","display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11305","display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11306","display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11307","display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11308","display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11310","display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11311","display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11312","display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11313","display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11400","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11401","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11402","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11403","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11404","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11406","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11420","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11421","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11422","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11423","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11424","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11426","display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11440","display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11441","display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11442","display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11443","display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11444","display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11446","display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11450","display" : "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11451","display" : "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11462","display" : "Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11463","display" : "Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11470","display" : "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11471","display" : "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11600","display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11601","display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11602","display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11603","display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11604","display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11606","display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11620","display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11621","display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11622","display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11623","display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11624","display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11626","display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11640","display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11641","display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11642","display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11643","display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11644","display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11646","display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11719","display" : "Trimming of nondystrophic nails, any number"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11720","display" : "Debridement of nail(s) by any method(s); 1 to 5"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11721","display" : "Debridement of nail(s) by any method(s); 6 or more"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11730","display" : "Avulsion of nail plate, partial or complete, simple; single"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11732","display" : "Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11740","display" : "Evacuation of subungual hematoma"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11750","display" : "Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11755","display" : "Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11760","display" : "Repair of nail bed"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11762","display" : "Reconstruction of nail bed with graft"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11765","display" : "Wedge excision of skin of nail fold (eg, for ingrown toenail)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11770","display" : "Excision of pilonidal cyst or sinus; simple"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11771","display" : "Excision of pilonidal cyst or sinus; extensive"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11772","display" : "Excision of pilonidal cyst or sinus; complicated"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11900","display" : "Injection, intralesional; up to and including 7 lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11901","display" : "Injection, intralesional; more than 7 lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11920","display" : "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11921","display" : "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11922","display" : "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11950","display" : "Subcutaneous injection of filling material (eg, collagen); 1 cc or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11951","display" : "Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11952","display" : "Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11954","display" : "Subcutaneous injection of filling material (eg, collagen); over 10.0 cc"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11960","display" : "Insertion of tissue expander(s) for other than breast, including subsequent expansion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11970","display" : "Replacement of tissue expander with permanent implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11971","display" : "Removal of tissue expander without insertion of implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11976","display" : "Removal, implantable contraceptive capsules"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11980","display" : "Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11981","display" : "Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11982","display" : "Removal, non-biodegradable drug delivery implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "11983","display" : "Removal with reinsertion, non-biodegradable drug delivery implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12001","display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12002","display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12004","display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12005","display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12006","display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12007","display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12011","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12013","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12014","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12015","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12016","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12017","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12018","display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12020","display" : "Treatment of superficial wound dehiscence; simple closure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12021","display" : "Treatment of superficial wound dehiscence; with packing"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12031","display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12032","display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12034","display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12035","display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12036","display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12037","display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12041","display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12042","display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12044","display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12045","display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12046","display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12047","display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12051","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12052","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12053","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12054","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12055","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12056","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "12057","display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13100","display" : "Repair, complex, trunk; 1.1 cm to 2.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13101","display" : "Repair, complex, trunk; 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13102","display" : "Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13120","display" : "Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13121","display" : "Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13122","display" : "Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13131","display" : "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13132","display" : "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13133","display" : "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13151","display" : "Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13152","display" : "Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13153","display" : "Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "13160","display" : "Secondary closure of surgical wound or dehiscence, extensive or complicated"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14000","display" : "Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14001","display" : "Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14020","display" : "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14021","display" : "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14040","display" : "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14041","display" : "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14060","display" : "Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14061","display" : "Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14301","display" : "Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14302","display" : "Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "14350","display" : "Filleted finger or toe flap, including preparation of recipient site"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15002","display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15003","display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15004","display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15005","display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15040","display" : "Harvest of skin for tissue cultured skin autograft, 100 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15050","display" : "Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15100","display" : "Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15101","display" : "Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15110","display" : "Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15111","display" : "Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15115","display" : "Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15116","display" : "Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15120","display" : "Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15121","display" : "Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15130","display" : "Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15131","display" : "Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15135","display" : "Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15136","display" : "Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15150","display" : "Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15151","display" : "Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15152","display" : "Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15155","display" : "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15156","display" : "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15157","display" : "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15200","display" : "Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15201","display" : "Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15220","display" : "Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15221","display" : "Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15240","display" : "Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15241","display" : "Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15260","display" : "Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15261","display" : "Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15271","display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15272","display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15273","display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15274","display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15275","display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15276","display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15277","display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15278","display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15570","display" : "Formation of direct or tubed pedicle, with or without transfer; trunk"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15572","display" : "Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15574","display" : "Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15576","display" : "Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15600","display" : "Delay of flap or sectioning of flap (division and inset); at trunk"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15610","display" : "Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15620","display" : "Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15630","display" : "Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15650","display" : "Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15730","display" : "Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15731","display" : "Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15733","display" : "Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15734","display" : "Muscle, myocutaneous, or fasciocutaneous flap; trunk"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15736","display" : "Muscle, myocutaneous, or fasciocutaneous flap; upper extremity"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15738","display" : "Muscle, myocutaneous, or fasciocutaneous flap; lower extremity"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15740","display" : "Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15750","display" : "Flap; neurovascular pedicle"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15756","display" : "Free muscle or myocutaneous flap with microvascular anastomosis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15757","display" : "Free skin flap with microvascular anastomosis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15758","display" : "Free fascial flap with microvascular anastomosis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15760","display" : "Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15770","display" : "Graft; derma-fat-fascia"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15769","display" : "Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15771","display" : "Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15772","display" : "Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15773","display" : "Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15774","display" : "Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15775","display" : "Punch graft for hair transplant; 1 to 15 punch grafts"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15776","display" : "Punch graft for hair transplant; more than 15 punch grafts"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15777","display" : "Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15778","display" : "Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15780","display" : "Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15781","display" : "Dermabrasion; segmental, face"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15782","display" : "Dermabrasion; regional, other than face"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15783","display" : "Dermabrasion; superficial, any site (eg, tattoo removal)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15786","display" : "Abrasion; single lesion (eg, keratosis, scar)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15787","display" : "Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15788","display" : "Chemical peel, facial; epidermal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15789","display" : "Chemical peel, facial; dermal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15792","display" : "Chemical peel, nonfacial; epidermal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15793","display" : "Chemical peel, nonfacial; dermal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15819","display" : "Cervicoplasty"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15820","display" : "Blepharoplasty, lower eyelid;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15821","display" : "Blepharoplasty, lower eyelid; with extensive herniated fat pad"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15822","display" : "Blepharoplasty, upper eyelid;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15823","display" : "Blepharoplasty, upper eyelid; with excessive skin weighting down lid"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15824","display" : "Rhytidectomy; forehead"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15825","display" : "Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15826","display" : "Rhytidectomy; glabellar frown lines"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15828","display" : "Rhytidectomy; cheek, chin, and neck"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15829","display" : "Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15830","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15832","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15833","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15834","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15835","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15836","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15837","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15838","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15839","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15840","display" : "Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15841","display" : "Graft for facial nerve paralysis; free muscle graft (including obtaining graft)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15842","display" : "Graft for facial nerve paralysis; free muscle flap by microsurgical technique"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15845","display" : "Graft for facial nerve paralysis; regional muscle transfer"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15847","display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15851","display" : "Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15853","display" : "Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15854","display" : "Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15852","display" : "Dressing change (for other than burns) under anesthesia (other than local)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15860","display" : "Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15876","display" : "Suction assisted lipectomy; head and neck"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15877","display" : "Suction assisted lipectomy; trunk"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15878","display" : "Suction assisted lipectomy; upper extremity"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15879","display" : "Suction assisted lipectomy; lower extremity"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15920","display" : "Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15922","display" : "Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15931","display" : "Excision, sacral pressure ulcer, with primary suture;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15933","display" : "Excision, sacral pressure ulcer, with primary suture; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15934","display" : "Excision, sacral pressure ulcer, with skin flap closure;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15935","display" : "Excision, sacral pressure ulcer, with skin flap closure; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15936","display" : "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15937","display" : "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15940","display" : "Excision, ischial pressure ulcer, with primary suture;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15941","display" : "Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15944","display" : "Excision, ischial pressure ulcer, with skin flap closure;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15945","display" : "Excision, ischial pressure ulcer, with skin flap closure; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15946","display" : "Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15950","display" : "Excision, trochanteric pressure ulcer, with primary suture;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15951","display" : "Excision, trochanteric pressure ulcer, with primary suture; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15952","display" : "Excision, trochanteric pressure ulcer, with skin flap closure;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15953","display" : "Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15956","display" : "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15958","display" : "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "15999","display" : "Unlisted procedure, excision pressure ulcer"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "16000","display" : "Initial treatment, first degree burn, when no more than local treatment is required"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "16020","display" : "Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "16025","display" : "Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "16030","display" : "Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "16035","display" : "Escharotomy; initial incision"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "16036","display" : "Escharotomy; each additional incision (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17000","display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17003","display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17004","display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17106","display" : "Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17107","display" : "Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17108","display" : "Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17110","display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17111","display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17250","display" : "Chemical cauterization of granulation tissue (ie, proud flesh)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17260","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17261","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17262","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17263","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17264","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17266","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17270","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17271","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17272","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17273","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17274","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17276","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17280","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17281","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17282","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17283","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17284","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17286","display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17311","display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17312","display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17313","display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17314","display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17315","display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17340","display" : "Cryotherapy (CO2 slush, liquid N2) for acne"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17360","display" : "Chemical exfoliation for acne (eg, acne paste, acid)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17380","display" : "Electrolysis epilation, each 30 minutes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "17999","display" : "Unlisted procedure, skin, mucous membrane and subcutaneous tissue"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19000","display" : "Puncture aspiration of cyst of breast;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19001","display" : "Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19020","display" : "Mastotomy with exploration or drainage of abscess, deep"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19030","display" : "Injection procedure only for mammary ductogram or galactogram"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19081","display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19082","display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19083","display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19084","display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19085","display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19086","display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19100","display" : "Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19101","display" : "Biopsy of breast; open, incisional"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19105","display" : "Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19110","display" : "Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19112","display" : "Excision of lactiferous duct fistula"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19120","display" : "Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19125","display" : "Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19126","display" : "Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19281","display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19282","display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19283","display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19284","display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19285","display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19286","display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19287","display" : "Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19288","display" : "Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19294","display" : "Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19296","display" : "Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19297","display" : "Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19298","display" : "Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19300","display" : "Mastectomy for gynecomastia"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19301","display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19302","display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19303","display" : "Mastectomy, simple, complete"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19305","display" : "Mastectomy, radical, including pectoral muscles, axillary lymph nodes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19306","display" : "Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19307","display" : "Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19316","display" : "Mastopexy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19318","display" : "Breast reduction"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19325","display" : "Breast augmentation with implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19328","display" : "Removal of intact breast implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19330","display" : "Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19340","display" : "Insertion of breast implant on same day of mastectomy (ie, immediate)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19342","display" : "Insertion or replacement of breast implant on separate day from mastectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19350","display" : "Nipple/areola reconstruction"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19355","display" : "Correction of inverted nipples"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19357","display" : "Tissue expander placement in breast reconstruction, including subsequent expansion(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19361","display" : "Breast reconstruction; with latissimus dorsi flap"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19364","display" : "Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19367","display" : "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19368","display" : "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19369","display" : "Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19370","display" : "Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19371","display" : "Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19380","display" : "Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19396","display" : "Preparation of moulage for custom breast implant"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "19499","display" : "Unlisted procedure, breast"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20100","display" : "Exploration of penetrating wound (separate procedure); neck"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20101","display" : "Exploration of penetrating wound (separate procedure); chest"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20102","display" : "Exploration of penetrating wound (separate procedure); abdomen/flank/back"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20103","display" : "Exploration of penetrating wound (separate procedure); extremity"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20150","display" : "Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20200","display" : "Biopsy, muscle; superficial"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20205","display" : "Biopsy, muscle; deep"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20206","display" : "Biopsy, muscle, percutaneous needle"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20220","display" : "Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20225","display" : "Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20240","display" : "Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20245","display" : "Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20250","display" : "Biopsy, vertebral body, open; thoracic"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20251","display" : "Biopsy, vertebral body, open; lumbar or cervical"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20500","display" : "Injection of sinus tract; therapeutic (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20501","display" : "Injection of sinus tract; diagnostic (sinogram)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20520","display" : "Removal of foreign body in muscle or tendon sheath; simple"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20525","display" : "Removal of foreign body in muscle or tendon sheath; deep or complicated"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20526","display" : "Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20527","display" : "Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20550","display" : "Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar \"fascia\")"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20551","display" : "Injection(s); single tendon origin/insertion"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20552","display" : "Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20553","display" : "Injection(s); single or multiple trigger point(s), 3 or more muscles"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20560","display" : "Needle insertion(s) without injection(s); 1 or 2 muscle(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20561","display" : "Needle insertion(s) without injection(s); 3 or more muscles"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20555","display" : "Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20600","display" : "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20604","display" : "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20605","display" : "Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20606","display" : "Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20610","display" : "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20611","display" : "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20612","display" : "Aspiration and/or injection of ganglion cyst(s) any location"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20615","display" : "Aspiration and injection for treatment of bone cyst"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20650","display" : "Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20660","display" : "Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20661","display" : "Application of halo, including removal; cranial"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20662","display" : "Application of halo, including removal; pelvic"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20663","display" : "Application of halo, including removal; femoral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20664","display" : "Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20665","display" : "Removal of tongs or halo applied by another individual"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20670","display" : "Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20680","display" : "Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20690","display" : "Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20692","display" : "Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20693","display" : "Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s])"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20694","display" : "Removal, under anesthesia, of external fixation system"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20696","display" : "Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20697","display" : "Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20700","display" : "Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20701","display" : "Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20702","display" : "Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20703","display" : "Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20704","display" : "Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20705","display" : "Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20802","display" : "Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20805","display" : "Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20808","display" : "Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20816","display" : "Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20822","display" : "Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20824","display" : "Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20827","display" : "Replantation, thumb (includes distal tip to MP joint), complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20838","display" : "Replantation, foot, complete amputation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20900","display" : "Bone graft, any donor area; minor or small (eg, dowel or button)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20902","display" : "Bone graft, any donor area; major or large"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20910","display" : "Cartilage graft; costochondral"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20912","display" : "Cartilage graft; nasal septum"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20920","display" : "Fascia lata graft; by stripper"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20922","display" : "Fascia lata graft; by incision and area exposure, complex or sheet"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20924","display" : "Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20930","display" : "Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20931","display" : "Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20932","display" : "Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20933","display" : "Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20934","display" : "Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20936","display" : "Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20937","display" : "Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20938","display" : "Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20939","display" : "Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20950","display" : "Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20955","display" : "Bone graft with microvascular anastomosis; fibula"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20956","display" : "Bone graft with microvascular anastomosis; iliac crest"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20957","display" : "Bone graft with microvascular anastomosis; metatarsal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20962","display" : "Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20969","display" : "Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20970","display" : "Free osteocutaneous flap with microvascular anastomosis; iliac crest"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20972","display" : "Free osteocutaneous flap with microvascular anastomosis; metatarsal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20973","display" : "Free osteocutaneous flap with microvascular anastomosis; great toe with web space"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20974","display" : "Electrical stimulation to aid bone healing; noninvasive (nonoperative)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20975","display" : "Electrical stimulation to aid bone healing; invasive (operative)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20979","display" : "Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20982","display" : "Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; radiofrequency"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20983","display" : "Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20985","display" : "Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "20999","display" : "Unlisted procedure, musculoskeletal system, general"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21010","display" : "Arthrotomy, temporomandibular joint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21011","display" : "Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21012","display" : "Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21013","display" : "Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21014","display" : "Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21015","display" : "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21016","display" : "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21025","display" : "Excision of bone (eg, for osteomyelitis or bone abscess); mandible"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21026","display" : "Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21029","display" : "Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21030","display" : "Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21031","display" : "Excision of torus mandibularis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21032","display" : "Excision of maxillary torus palatinus"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21034","display" : "Excision of malignant tumor of maxilla or zygoma"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21040","display" : "Excision of benign tumor or cyst of mandible, by enucleation and/or curettage"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21044","display" : "Excision of malignant tumor of mandible;"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21045","display" : "Excision of malignant tumor of mandible; radical resection"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21046","display" : "Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21047","display" : "Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21048","display" : "Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21049","display" : "Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21050","display" : "Condylectomy, temporomandibular joint (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21060","display" : "Meniscectomy, partial or complete, temporomandibular joint (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21070","display" : "Coronoidectomy (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21073","display" : "Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21076","display" : "Impression and custom preparation; surgical obturator prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21077","display" : "Impression and custom preparation; orbital prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21079","display" : "Impression and custom preparation; interim obturator prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21080","display" : "Impression and custom preparation; definitive obturator prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21081","display" : "Impression and custom preparation; mandibular resection prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21082","display" : "Impression and custom preparation; palatal augmentation prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21083","display" : "Impression and custom preparation; palatal lift prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21084","display" : "Impression and custom preparation; speech aid prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21085","display" : "Impression and custom preparation; oral surgical splint"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21086","display" : "Impression and custom preparation; auricular prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21087","display" : "Impression and custom preparation; nasal prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21088","display" : "Impression and custom preparation; facial prosthesis"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21089","display" : "Unlisted maxillofacial prosthetic procedure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21100","display" : "Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21110","display" : "Application of interdental fixation device for conditions other than fracture or dislocation, includes removal"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21116","display" : "Injection procedure for temporomandibular joint arthrography"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21120","display" : "Genioplasty; augmentation (autograft, allograft, prosthetic material)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21121","display" : "Genioplasty; sliding osteotomy, single piece"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21122","display" : "Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21123","display" : "Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21125","display" : "Augmentation, mandibular body or angle; prosthetic material"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "21127","display" : "Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)"}]}}

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{"resourceType" : "ValueSet","status" : "active","expansion" : {"identifier" : "urn:uuid:d5101274-da79-4cf7-9207-f53eb9dd9a8f","timestamp" : "2025-12-15T20:28:52.601Z","total" : 88,"offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://www.ama-assn.org/go/cpt|2023"}],"contains" : [{"system" : "http://www.ama-assn.org/go/cpt","code" : "22","display" : "Increased Procedural Services: When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient''s condition, physical and mental effort required). Note: This modifier should not be appended to an E/M service."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "23","display" : "Unusual Anesthesia: Occasionally, a procedure, which usually requires either no anesthesia or local anesthesia, because of unusual circumstances must be done under general anesthesia. This circumstance may be reported by adding modifier 23 to the procedure code of the basic service."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "24","display" : "Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period: The physician or other qualified health care professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. This circumstance may be reported by adding modifier 24 to the appropriate level of E/M service."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "25","display" : "Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service: It may be necessary to indicate that on the day a procedure or service identified by a CPT code was performed, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. A significant, separately identifiable E/M service is defined or substantiated by documentation that satisfies the relevant criteria for the respective E/M service to be reported (see Evaluation and Management Services Guidelines for instructions on determining level of E/M service). The E/M service may be prompted by the symptom or condition for which the procedure and/or service was provided. As such, different diagnoses are not required for reporting of the E/M services on the same date. This circumstance may be reported by adding modifier 25 to the appropriate level of E/M service. Note: This modifier is not used to report an E/M service that resulted in a decision to perform surgery. See modifier 57 For significant, separately identifiable non-E/M services, see modifier 59."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "26","display" : "Professional Component: Certain procedures are a combination of a physician or other qualified health care professional component and a technical component. When the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "32","display" : "Mandated Services: Services related to mandated consultation and/or related services (eg, third party payer, governmental, legislative or regulatory requirement) may be identified by adding modifier 32 to the basic procedure"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "33","display" : "Preventive Services: When the primary purpose of the service is the delivery of an evidence based service in accordance with a US Preventive Services Task Force A or B rating in effect and other preventive services identified in preventive services mandates (legislative or regulatory), the service may be identified by adding 33 to the procedure. For separately reported services specifically identified as preventive, the modifier should not be used"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "47","display" : "Anesthesia by Surgeon: Regional or general anesthesia provided by the surgeon may be reported by adding modifier 47 to the basic service. (This does not include local anesthesia.) Note: Modifier 47 would not be used as a modifier for the anesthesia procedures."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "50","display" : "Bilateral Procedure: Unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. Note: This modifier should not be appended to designated \"add-on\" codes (see Appendix D)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "51","display" : "Multiple Procedures: When multiple procedures, other than E/M services, Physical Medicine and Rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. The additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). Note: This modifier should not be appended to designated \"add-on\" codes (see Appendix D)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "52","display" : "Reduced Services: Under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. Under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. This provides a means of reporting reduced services without disturbing the identification of the basic service. Note: For hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for ASC hospital outpatient use)."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "53","display" : "Discontinued Procedure: Under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. Due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. This circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. Note: This modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. For outpatient hospital/ambulatory surgery center (ASC) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for ASC hospital outpatient use)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "54","display" : "Surgical Care Only: When 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "55","display" : "Postoperative Management Only: When 1 physician or other qualified health care professional performed the postoperative management and another performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the usual procedure number"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "56","display" : "Preoperative Management Only: When 1 physician or other qualified health care professional performed the preoperative care and evaluation and another performed the surgical procedure, the preoperative component may be identified by adding modifier 56 to the usual procedure number"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "57","display" : "Decision for Surgery: An evaluation and management service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "58","display" : "Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: It may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. This circumstance may be reported by adding modifier 58 to the staged or related procedure. Note: For treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "59","display" : "Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. Note: Modifier 59 should not be appended to an E/M service. To report a separate and distinct E/M service with a non-E/M service performed on the same date, see modifier 25"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "62","display" : "Two Surgeons: When 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. Each surgeon should report the co-surgery once using the same procedure code. If additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. Note: If a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "63","display" : "Procedure Performed on Infants less than 4 kg: Procedures performed on neonates and infants up to a present body weight of 4 kg may involve significantly increased complexity and physician or other qualified health care professional work commonly associated with these patients. This circumstance may be reported by adding modifier 63 to the procedure number. Note: Unless otherwise designated, this modifier may only be appended to procedures/services listed in the 20100-69990 code series and 92920, 92928, 92953, 92960, 92986, 92987, 92990, 92997, 92998, 93312, 93313, 93314, 93315, 93316, 93317, 93318, 93452, 93505, 93563, 93564, 93568, 93569, 93573, 93574, 93575, 93580, 93581, 93582, 93590, 93591, 93592, 93593, 93594, 93595, 93596, 93597, 93598, 93615, 93616 from the Medicine/Cardiovascular section. Modifier 63 should not be appended to any CPT codes listed in the Evaluation and Management Services, Anesthesia, Radiology, Pathologyand Laboratory, or Medicine sections (other than those identified above from the Medicine/Cardiovascular section)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "66","display" : "Surgical Team: Under some circumstances, highly complex procedures (requiring the concomitant services of several physicians or other qualified health care professionals, often of different specialties, plus other highly skilled, specially trained personnel, various types of complex equipment) are carried out under the \"surgical team\" concept. Such circumstances may be identified by each participating individual with the addition of modifier 66 to the basic procedure number used for reporting services"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "76","display" : "Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: It may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. This circumstance may be reported by adding modifier 76 to the repeated procedure or service. Note: This modifier should not be appended to an E/M service"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "77","display" : "Repeat Procedure by Another Physician or Other Qualified Health Care Professional: It may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. This circumstance may be reported by adding modifier 77 to the repeated procedure or service. Note: This modifier should not be appended to an E/M service."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "78","display" : "Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period: It may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). When this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (For repeat procedures, see modifier 76."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "79","display" : "Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: The individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. This circumstance may be reported by using modifier 79. (For repeat procedures on the same day, see modifier 76."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "80","display" : "Assistant Surgeon: Surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s)."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "81","display" : "Minimum Assistant Surgeon: Minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "82","display" : "Assistant Surgeon (when qualified resident surgeon not available): The unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s)."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "90","display" : "Reference (Outside) Laboratory: When laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "91","display" : "Repeat Clinical Diagnostic Laboratory Test: In the course of treatment of the patient, it may be necessary to repeat the same laboratory test on the same day to obtain subsequent (multiple) test results. Under these circumstances, the laboratory test performed can be identified by its usual procedure number and the addition of modifier 91. Note: This modifier may not be used when tests are rerun to confirm initial results; due to testing problems with specimens or equipment; or for any other reason when a normal, one-time, reportable result is all that is required. This modifier may not be used when other code(s) describe a series of test results (eg, glucose tolerance tests, evocative/suppression testing). This modifier may only be used for laboratory test(s) performed more than once on the same day on the same patient"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "92","display" : "Alternative Laboratory Platform Testing: When laboratory testing is being performed using a kit or transportable instrument that wholly or in part consists of a single use, disposable analytical chamber, the service may be identified by adding modifier 92 to the usual laboratory procedure code (HIV testing 86701-86703, and 87389). The test does not require permanent dedicated space, hence by its design may be hand carried or transported to the vicinity of the patient for immediate testing at that site, although location of the testing is not in itself determinative of the use of this modifier"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "93","display" : "Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System : Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located away at a distant site from the physician or other qualified health care professional. The totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that is sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "95","display" : "Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System: Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. The totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. Modifier 95 may only be appended to the services listed in Appendix P. Appendix P is the list of CPT codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "96","display" : "Habilitative Services: When a service or procedure that may be either habilitative or rehabilitative in nature is provided for habilitative purposes, the physician or other qualified health care professional may add modifier 96 to the service or procedure code to indicate that the service or procedure provided was a habilitative service. Habilitative services help an individual learn skills and functioning for daily living that the individual has not yet developed, and then keep and/or improve those learned skills. Habilitative services also help an individual keep, learn, or improve skills and functioning for daily living"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "97","display" : "Rehabilitative Services: When a service or procedure that may be either habilitative or rehabilitative in nature is provided for rehabilitative purposes, the physician or other qualified health care professional may add modifier 97 to the service or procedure code to indicate that the service or procedure provided was a rehabilitative service. Rehabilitative services help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because the individual was sick, hurt, or disabled"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "99","display" : "Multiple Modifiers: Under certain circumstances 2 or more modifiers may be necessary to completely delineate a service. In such situations modifier 99 should be added to the basic procedure, and other applicable modifiers may be listed as part of the description of the service."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "P1","display" : "A normal healthy patient"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "P2","display" : "A patient with mild systemic disease"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "P3","display" : "A patient with severe systemic disease"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "P4","display" : "A patient with severe systemic disease that is a constant threat to life"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "P5","display" : "A moribund patient who is not expected to survive without the operation"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "P6","display" : "A declared brain-dead patient whose organs are being removed for donor purposes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "27","display" : "Multiple Outpatient Hospital E/M Encounters on the Same Date: For hospital outpatient reporting purposes, utilization of hospital resources related to separate and distinct E/M encounters performed in multiple outpatient hospital settings on the same date may be reported by adding modifier 27 to each appropriate level outpatient and/or emergency department E/M code(s). This modifier provides a means of reporting circumstances involving evaluation and management services provided by physician(s) in more than one (multiple) outpatient hospital setting(s) (eg, hospital emergency department, clinic). Note: This modifier is not to be used for physician reporting of multiple E/M services performed by the same physician on the same date. For physician reporting of all outpatient evaluation and management services provided by the same physician on the same date and performed in multiple outpatient setting(s) (eg, hospital emergency department, clinic), see Evaluation and Management, Emergency Department, or Preventive Medicine Services codes"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "73","display" : "Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia: Due to extenuating circumstances or those that threaten the well being of the patient, the physician may cancel a surgical or diagnostic procedure subsequent to the patient's surgical preparation (including sedation when provided, and being taken to the room where the procedure is to be performed), but prior to the administration of anesthesia (local, regional block(s) or general). Under these circumstances, the intended service that is prepared for but cancelled can be reported by its usual procedure number and the addition of modifier 73. Note: The elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. For physician reporting of a discontinued procedure, see modifier 53."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "74","display" : "Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia: Due to extenuating circumstances or those that threaten the well being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (incision made, intubation started, scope inserted, etc). Under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of modifier 74. Note: The elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. For physician reporting of a discontinued procedure, see modifier 53."},{"system" : "http://www.ama-assn.org/go/cpt","code" : "1P","display" : "Performance Measure Exclusion Modifier due to Medical Reasons Reasons include: Not indicated (absence of organ/limb, already received/ performed, other) Contraindicated (patient allergic history, potential adverse drug interaction, other) Other medical reasons"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "2P","display" : "Performance Measure Exclusion Modifier due to Patient Reasons Reasons include: Patient declined Economic, social, or religious reasons Other patient reason"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "3P","display" : "Performance Measure Exclusion Modifier due to System Reasons Reasons include: Resources to perform the services not available Insurance coverage/payor-related limitations Other reasons attributable to health care delivery system"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "8P","display" : "Performance measure reporting modifier�action not performed, reason not otherwise specified Modifier 8P is intended to be used as a \"reporting modifier\" to allow the reporting of circumstances when an action described in a measure's numerator is not performed and the reason is not otherwise specified"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "E1","display" : "Upper left, eyelid"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "E2","display" : "Lower left, eyelid"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "E3","display" : "Upper right, eyelid"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "E4","display" : "Lower right, eyelid"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F1","display" : "Left hand, second digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F2","display" : "Left hand, third digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F3","display" : "Left hand, fourth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F4","display" : "Left hand, fifth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F5","display" : "Right hand, thumb"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F6","display" : "Right hand, second digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F7","display" : "Right hand, third digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F8","display" : "Right hand, fourth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "F9","display" : "Right hand, fifth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "FA","display" : "Left hand, thumb"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "GG","display" : "Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same da"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "GH","display" : "Diagnostic mammogram converted from screening mammogram on same da"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "LC","display" : "Left circumflex coronary arter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "LD","display" : "Left anterior descending coronary arter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "LM","display" : "Left main coronary arter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "LT","display" : "Left side (used to identify procedures performed on the left side of the body"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "QM","display" : "Ambulance service provided under arrangement by a provider of service"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "QN","display" : "Ambulance service furnished directly by a provider of service"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "RC","display" : "Right coronary arter"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "RI","display" : "Ramus intermedius coronary artery"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "RT","display" : "Right side (used to identify procedures performed on the right side of the body)"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T1","display" : "Left foot, second digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T2","display" : "Left foot, third digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T3","display" : "Left foot, fourth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T4","display" : "Left foot, fifth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T5","display" : "Right foot, great toe"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T6","display" : "Right foot, second digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T7","display" : "Right foot, third digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T8","display" : "Right foot, fourth digit"},{"system" : "http://www.ama-assn.org/go/cpt","code" : "T9","display" : "Right foot, fifth digit"},{"system" : 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#1036

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#1037

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#1041

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#1042

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#1043

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#1044

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method that performs single-photon emission computed tomography (SPECT)."},{"code":"STAIN","display":"Automated Slide Stainer","definition":"A device, process or method that applies, in an automated manner, a stain, or reagent, to microscopy slides in preparation for imaging."},{"code":"TEXTUREMAP","display":"Texture Map","definition":"A device, process or method that produces texture maps."},{"code":"TG","display":"Thermography","definition":"An acquisition device, process or method that performs thermography."},{"code":"U","display":"Unknown Sex","definition":"Unknown Sex."},{"code":"UNAVAILABLE","display":"Unavailable","definition":"Instances cannot be retrieved."},{"code":"US","display":"Ultrasound","definition":"An acquisition device, process or method that performs ultrasound."},{"code":"VA","display":"Visual Acuity","definition":"An acquisition device, process or method that measures visual acuity."},{"code":"VF","display":"Videofluorography","definition":"An acquisition device, process or method that measures videofluorography."},{"code":"VIDD","display":"Video Tape Digitizer Equipment","definition":"A device, process or method that digitizes video tape and imports it."},{"code":"WSD","display":"Workstation","definition":"A networked computer equipped with a display and software for performing specific types of work, generally intended to be operated by a single user."},{"code":"XA","display":"X-Ray Angiography","definition":"An acquisition device, process or method that performs X-Ray angiography."},{"code":"XC","display":"External-camera Photography","definition":"An acquisition device, process or method that performs photography with an external camera."},{"code":"109001","display":"Digital timecode (NOS)","definition":"A signal transmitted for the purpose of interchange of the current time, not specific to any source or methodology."},{"code":"109002","display":"ECG-based gating signal, processed","definition":"A signal that is generated for each detection of a heart beat."},{"code":"109003","display":"IRIG-B timecode","definition":"A signal transmitted by the Inter-Range Instrumentation Group for the purpose of synchronizing time clocks."},{"code":"109004","display":"X-Ray Fluoroscopy On Signal","definition":"A signal that indicates that X-Ray source has been activated for fluoroscopy use."},{"code":"109005","display":"X-Ray On Trigger","definition":"A signal that indicated that the X-Ray source has been activated for image recording."},{"code":"109006","display":"Differential signal","definition":"An electrical signal derived from two electrodes."},{"code":"109007","display":"His bundle electrogram","definition":"An electrophysiological recording from the HIS nerve bundle."},{"code":"109008","display":"Monopole signal","definition":"An electrical signal from one electrode relative to an indifferent potential."},{"code":"109009","display":"Pacing (electrical) stimulus, voltage","definition":"The voltage stimulus during cardiac pacing."},{"code":"109010","display":"Radio frequency ablation, power","definition":"The power injected during RF ablation procedure."},{"code":"109011","display":"Voltage measurement by basket catheter","definition":"Electrophysiological signals acquired using a multi-splined catheter each equipped with multiple electrodes."},{"code":"109012","display":"Voltage measurement by mapping catheter","definition":"Electrophysiological signals acquired using a steerable catheter."},{"code":"109013","display":"Voltage measurement","definition":"A voltage measurement not otherwise specified."},{"code":"109014","display":"35% of thermal/dye dilution CO","definition":"A signal point that is 35% of the peak thermal cardiac output signal."},{"code":"109015","display":"70% of thermal/dye dilution CO","definition":"A signal point that is 70% of the peak thermal cardiac output signal."},{"code":"109016","display":"A wave peak pressure","definition":"The peak pressure of each heart beat in the atrium caused by the atrial contraction."},{"code":"109017","display":"A wave pressure, average","definition":"The average of several A wave pressure measurements."},{"code":"109018","display":"Beat detected (accepted)","definition":"An identified cardiac beat used in the determination of a measurement."},{"code":"109019","display":"Beat detected (rejected)","definition":"An identified cardiac beat not used in the determination of a measurement."},{"code":"109020","display":"Diastolic pressure, average","definition":"The average of several diastolic pressure measurements"},{"code":"109021","display":"Diastolic pressure nadir","definition":"The lowest pressure value excluding any undershoot artifact."},{"code":"109022","display":"End diastole","definition":"The moment at the end of the diastolic phase of the cardiac cycle."},{"code":"109023","display":"End of expiration","definition":"The moment at the end of respiratory expiration."},{"code":"109024","display":"End of inspiration","definition":"The moment at the end of respiratory inspiration."},{"code":"109025","display":"Max dp/dt","definition":"The maximum positive rate of change of pressure."},{"code":"109026","display":"Max neg dp/dt","definition":"The maximum negative rate of change of pressure."},{"code":"109027","display":"Mean blood pressure","definition":"The average blood pressure value, generally over 2 or more seconds"},{"code":"109028","display":"Peak of thermal cardiac output bolus","definition":"The peak change in blood temperature during a thermal cardiac output measurement."},{"code":"109029","display":"Start of expiration","definition":"The moment respiratory expiration begins."},{"code":"109030","display":"Start of inspiration","definition":"The moment of respiratory inspiration begins."},{"code":"109031","display":"Start of thermal CO","definition":"The first discernible blood temperature change following the injectate during a thermal cardiac output measurement."},{"code":"109032","display":"Systolic pressure, average","definition":"The average of several systolic blood pressure measurements."},{"code":"109033","display":"Systolic peak pressure","definition":"The highest systolic blood pressure value excluding any overshoot artifact"},{"code":"109034","display":"V wave peak pressure","definition":"The peak pressure of each heart beat in the atrium caused by the filling of the atrium."},{"code":"109035","display":"V wave pressure, average","definition":"The average of several V wave pressure measurements."},{"code":"109036","display":"Valve close","definition":"The moment at which a heart valve closes."},{"code":"109037","display":"Valve open","definition":"The moment at which a heart valve opens."},{"code":"109038","display":"Ablation off","definition":"The moment when RF ablation current is turned off."},{"code":"109039","display":"Ablation on","definition":"The moment when RF ablation current is turned on."},{"code":"109040","display":"HIS bundle wave","definition":"The moment in the cardiac cycle when the HIS bundle nerves depolarize."},{"code":"109041","display":"P wave","definition":"The surface electrocardiogram of the atrial contraction."},{"code":"109042","display":"Q wave","definition":"The first negative deflection of the electrocardiogram cause by ventricular depolarization."},{"code":"109043","display":"R wave","definition":"The first positive deflection the electrocardiogram cause by ventricular depolarization."},{"code":"109044","display":"S wave","definition":"The first negative deflection after the R wave."},{"code":"109045","display":"Start of atrial contraction","definition":"The beginning of the atrial contraction."},{"code":"109046","display":"Start of atrial contraction (subsequent)","definition":"The beginning of the second atrial contraction of two consecutive beats."},{"code":"109047","display":"Stimulation at rate 1 interval","definition":"The stimulation interval during cardiac stimulation first used in a pacing train."},{"code":"109048","display":"Stimulation at rate 2 interval","definition":"The stimulation interval different from the first stimulation interval used in a pacing train."},{"code":"109049","display":"Stimulation at rate 3 interval","definition":"A stimulation interval different from and subsequent to the second interval in a pacing train."},{"code":"109050","display":"Stimulation at rate 4 interval","definition":"Describes a stimulation interval different from and subsequent to the third interval in a pacing train."},{"code":"109051","display":"T wave","definition":"The electrocardiogram deflection caused by ventricular repolarization."},{"code":"109052","display":"V wave","definition":"The peak pressure of each heart beat monitored in the atrium caused by the filling of the atrium."},{"code":"109053","display":"V wave of next beat","definition":"The second V wave measurement of two consecutive beats."},{"code":"109054","display":"Patient State","definition":"A description of the physiological condition of the patient."},{"code":"109055","display":"Protocol Stage","definition":"The exercise level during a progressive cardiac stress test."},{"code":"109056","display":"Stress Protocol","definition":"A series of physiological challenges designed to progressively increase the work of the heart."},{"code":"109057","display":"Catheterization Procedure Phase","definition":"A subpart of a cardiac catheterization procedure"},{"code":"109058","display":"Contrast Phase","definition":"The subpart of a cardiac catheterization procedure in which a radio-opaque contrast medium is injected into the patient."},{"code":"109059","display":"Physiological challenges","definition":"Physical changes administered to a patient in order to elicit an physiological response."},{"code":"109060","display":"Procedure Step Number","definition":"Enumeration of a subpart of a catheterization procedure."},{"code":"109061","display":"EP Procedure Phase","definition":"A subpart of en electrophysiological procedure."},{"code":"109063","display":"Pulse train definition","definition":"A means of defining a series of cardiac stimulation pulses."},{"code":"109070","display":"End of systole"},{"code":"109071","display":"Indicator mean transit time","definition":"Time for a median particle to travel from point of injection to point of detection."},{"code":"109072","display":"Tau","definition":"The time constant of isovolumic pressure fall."},{"code":"109073","display":"V max myocardial","definition":"Maximum velocity of myocardial contractility."},{"code":"109080","display":"Real time acquisition","definition":"Total time for the acquisition is shorter than cardiac cycle, no gating is applied."},{"code":"109081","display":"Prospective gating","definition":"Certain thresholds have been set for a gating window that defines the acceptance of measurement data during the acquisition."},{"code":"109082","display":"Retrospective gating","definition":"Certain thresholds have been set for a gating window that defines the acceptance of measurement data after the acquisition."},{"code":"109083","display":"Paced","definition":"There is a constant RR interval, which makes thresholding not required; see Cardiac Synchronization Technique (0018,9037)."},{"code":"109091","display":"Cardiac Stress State","definition":"Imaging after injection of tracer during increased cardiac workload or increased myocardial blood flow, achieved by either exercise or pharmacologic means."},{"code":"109092","display":"Reinjection State","definition":"Imaging after injection of additional tracer under resting conditions."},{"code":"109093","display":"Redistribution State","definition":"Imaging after allowing a moderate amount of time for tracer to move from its initial sites of uptake.Example: For Thallium imaging this would correspond to imaging 2-6 hours after injection."},{"code":"109094","display":"Delayed Redistribution State","definition":"Imaging after allowing an extended amount of time for tracer to move from its initial sites of uptake.Example: For Thallium imaging this would correspond to imaging more than 6 hours after injection."},{"code":"109095","display":"Peak stress state","definition":"Peak Cardiac stress state"},{"code":"109096","display":"Recovery state","definition":"Recovery from cardiac stress"},{"code":"109100","display":"Synthesizing Equipment","definition":"Equipment that created artificial data."},{"code":"109101","display":"Acquisition Equipment","definition":"Equipment that originally acquired the data stored within composite instances."},{"code":"109102","display":"Processing Equipment","definition":"Equipment that has processed composite instances to create new composite instances."},{"code":"109103","display":"Modifying Equipment","definition":"Equipment that has modified existing composite instances (without creating new composite instances)."},{"code":"109104","display":"De-identifying Equipment","definition":"Equipment that has modified an existing composite instance to remove patient identifying information."},{"code":"109105","display":"Frame Extracting Equipment","definition":"Equipment that has processed composite instances to create new composite instances by extracting selected frames from the original instance."},{"code":"109106","display":"Enhanced Multi-frame Conversion Equipment","definition":"Equipment that has processed composite instances to create new composite instances by converting classic single frame images to enhanced multi-frame image, or vice versa and updating other instances to maintain referential integrity."},{"code":"109110","display":"Voice","definition":"The sound of a human's speech, recorded during a procedure."},{"code":"109111","display":"Operator's narrative","definition":"The voice of a device operator, recorded during a procedure."},{"code":"109112","display":"Ambient room environment","definition":"The ambient sound recorded during a procedure, which may or may not include voice and other types of sound."},{"code":"109113","display":"Doppler audio","definition":"The Doppler waveform recorded as an audible signal."},{"code":"109114","display":"Phonocardiogram","definition":"The sound of the human heart beating."},{"code":"109115","display":"Physiological audio signal","definition":"Any sound made by the human body."},{"code":"109116","display":"Arterial Pulse Waveform","definition":"A digitized signal from the patient arterial system collected through pulse oximetry or other means."},{"code":"109117","display":"Respiration Waveform","definition":"A digitized signal from the patient respiratory system representing respiration."},{"code":"109120","display":"On admission to unit","definition":"The occasion on which a procedure was performed on admission to a specialist unit."},{"code":"109121","display":"On discharge","definition":"The occasion on which a procedure was performed on discharge from hospital as an in-patient."},{"code":"109122","display":"On discharge from unit","definition":"The occasion on which a procedure was performed on discharge from a specialist unit."},{"code":"109123","display":"Pre-intervention","definition":"The occasion on which a procedure was performed immediately prior to non-surgical intervention. E.g, percutaneous angioplasty, biopsy."},{"code":"109124","display":"Post-intervention","definition":"The occasion on which a procedure was performed immediately after to non-surgical intervention. E.g, percutaneous angioplasty, biopsy."},{"code":"109125","display":"At last appointment","definition":"The occasion on which a procedure was performed at the most recent outpatient visit."},{"code":"109132","display":"Joint position method","definition":"The active or passive joint positioning during acquisition."},{"code":"109133","display":"Physical force","definition":"A physical force applied during acquisition."},{"code":"109134","display":"Prior to voiding","definition":"Prior to voiding urine from the bladder."},{"code":"109135","display":"Post voiding","definition":"Post voiding urine from the bladder."},{"code":"109136","display":"Neutral musculoskeletal position","definition":"Neutral musculoskeletal position."},{"code":"109137","display":"During voiding","definition":"During voiding urine from the bladder."},{"code":"109200","display":"America Kennel Club","definition":"America Kennel Club."},{"code":"109201","display":"America's Pet Registry Inc.","definition":"America's Pet Registry Inc."},{"code":"109202","display":"American Canine Association","definition":"American Canine Association."},{"code":"109203","display":"American Purebred Registry","definition":"American Purebred Registry."},{"code":"109204","display":"American Rare Breed Association","definition":"American Rare Breed Association."},{"code":"109205","display":"Animal Registry Unlimited","definition":"Animal Registry Unlimited."},{"code":"109206","display":"Animal Research Foundation","definition":"Animal Research Foundation."},{"code":"109207","display":"Canadian Border Collie Association","definition":"Canadian Border Collie Association."},{"code":"109208","display":"Canadian Kennel Club","definition":"Canadian Kennel Club."},{"code":"109209","display":"Canadian Livestock Records Association","definition":"Canadian Livestock Records Association."},{"code":"109210","display":"Canine Federation of Canada","definition":"Canine Federation of Canada."},{"code":"109211","display":"Continental Kennel Club","definition":"Continental Kennel Club."},{"code":"109212","display":"Dog Registry of America","definition":"Dog Registry of America."},{"code":"109213","display":"Federation of International Canines","definition":"Federation of International Canines."},{"code":"109214","display":"International Progressive Dog Breeders' Alliance","definition":"International Progressive Dog Breeders' Alliance."},{"code":"109215","display":"National Kennel Club","definition":"National Kennel Club."},{"code":"109216","display":"North American Purebred Dog Registry","definition":"North American Purebred Dog Registry."},{"code":"109217","display":"United All Breed Registry","definition":"United All Breed Registry."},{"code":"109218","display":"United Kennel Club","definition":"United Kennel Club."},{"code":"109219","display":"Universal Kennel Club International","definition":"Universal Kennel Club International."},{"code":"109220","display":"Working Canine Association of Canada","definition":"Working Canine Association of Canada."},{"code":"109221","display":"World Kennel Club","definition":"World Kennel Club."},{"code":"109222","display":"World Wide Kennel Club","definition":"World Wide Kennel Club."},{"code":"109701","display":"Overall image quality evaluation","definition":"Evaluation of overall image quality as described in section 7.3.2 of ."},{"code":"109702","display":"Grayscale resolution evaluation","definition":"Visual verification of sufficient grayscale resolution based on 8 and 10-bit markers as described in section 7.3.3 of ."},{"code":"109703","display":"Luminance response evaluation","definition":"Visual evaluation of luminance response using the TG18-CT test pattern as described in section 7.3.4 of ."},{"code":"109704","display":"Luminance uniformity evaluation","definition":"Visual detection of luminance non-uniformities as described in section 7.3.5 of ."},{"code":"109705","display":"Chromaticity evaluation","definition":"Visual verification of color uniformity as described in section 7.3.6 of ."},{"code":"109706","display":"Pixel faults evaluation","definition":"Visual detection of defective pixels on dark (TG18-UN80) and bright (TG18-UN10) images as described in section 7.3.7 of ."},{"code":"109707","display":"Veiling glare evaluation","definition":"Visual evaluation of veiling glare by looking at low contrast objects on 2 test patterns as described in section 7.3.8 of ."},{"code":"109708","display":"Geometrical image evaluation","definition":"Visual evaluation of geometry, phase/clock correction and clipping as described in section 7.3.9 of ."},{"code":"109709","display":"Angular viewing evaluation","definition":"Visual evaluation of viewing angle as described in section 7.3.10 of ."},{"code":"109710","display":"Clinical evaluation","definition":"Visual evaluation of the appearance of clinical images as described in section 7.3.11 of ."},{"code":"109801","display":"TG18-QC Pattern","definition":"AAPM TG18-QC Pattern used for evaluation of resolution, luminance, distortion, artifacts.See ."},{"code":"109802","display":"TG18-BR Pattern","definition":"AAPM TG18-BR Pattern used for the evaluation of the display of low-contrast, fine-detail image structuresSee ."},{"code":"109803","display":"TG18-PQC Pattern","definition":"AAPM TG18-PQC Pattern used for evaluation of resolution, luminance, contrast transfer for prints.See ."},{"code":"109804","display":"TG18-CT Pattern","definition":"AAPM TG18-CT Pattern used for evaluation of luminance response.See ."},{"code":"109805","display":"TG18-LN8-01 Pattern","definition":"The 1st image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109806","display":"TG18-LN8-02 Pattern","definition":"The 2nd image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109807","display":"TG18-LN8-03 Pattern","definition":"The 3rd image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109808","display":"TG18-LN8-04 Pattern","definition":"The 4th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109809","display":"TG18-LN8-05 Pattern","definition":"The 5th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109810","display":"TG18-LN8-06 Pattern","definition":"The 6th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109811","display":"TG18-LN8-07 Pattern","definition":"The 7th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109812","display":"TG18-LN8-08 Pattern","definition":"The 8th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109813","display":"TG18-LN8-09 Pattern","definition":"The 9th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109814","display":"TG18-LN8-10 Pattern","definition":"The 10th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration series.See ."},{"code":"109815","display":"TG18-LN8-11 Pattern","definition":"The 11th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109816","display":"TG18-LN8-12 Pattern","definition":"The 12th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109817","display":"TG18-LN8-13 Pattern","definition":"The 13th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109818","display":"TG18-LN8-14 Pattern","definition":"The 14th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109819","display":"TG18-LN8-15 Pattern","definition":"The 15th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109820","display":"TG18-LN8-16 Pattern","definition":"The 16th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109821","display":"TG18-LN8-17 Pattern","definition":"The 17th image in the AAPM TG18-LN8 set used for DICOM grayscale calibration.See ."},{"code":"109822","display":"TG18-LN8-18 Pattern","definition":"The 18th image in the AAPM TG18-LN8- set used for DICOM grayscale calibration.See ."},{"code":"109823","display":"TG18-LN12-01 Pattern","definition":"The 1st image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109824","display":"TG18-LN12-02 Pattern","definition":"The 2 nd image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109825","display":"TG18-LN12-03 Pattern","definition":"The 3rd image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109826","display":"TG18-LN12-04 Pattern","definition":"The 4th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109827","display":"TG18-LN12-05 Pattern","definition":"The 5th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109828","display":"TG18-LN12-06 Pattern","definition":"The 6th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109829","display":"TG18-LN12-07 Pattern","definition":"The 7th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109830","display":"TG18-LN12-08 Pattern","definition":"The 8th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109831","display":"TG18-LN12-09 Pattern","definition":"The 9th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109832","display":"TG18-LN12-10 Pattern","definition":"The 10th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109833","display":"TG18-LN12-11 Pattern","definition":"The 11th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109834","display":"TG18-LN12-12 Pattern","definition":"The 12th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109835","display":"TG18-LN12-13 Pattern","definition":"The 13th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109836","display":"TG18-LN12-14 Pattern","definition":"The 14th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109837","display":"TG18-LN12-15 Pattern","definition":"The 15th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109838","display":"TG18-LN12-16 Pattern","definition":"The 16th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109839","display":"TG18-LN12-17 Pattern","definition":"The 17th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109840","display":"TG18-LN12-18 Pattern","definition":"The 18th image in the AAPM TG18-LN12 set used for DICOM grayscale calibration.See ."},{"code":"109841","display":"TG18-UN10 Pattern","definition":"The AAPM TG18-UN10 Pattern used for evaluation of luminance and color uniformity, and angular response.See ."},{"code":"109842","display":"TG18-UN80 Pattern","definition":"The AAPM TG18-UN80 Pattern used for evaluation of luminance and color uniformity, and angular response.See ."},{"code":"109843","display":"TG18-UNL10 Pattern","definition":"The AAPM TG18-UNL10 Pattern is the AAPM TG-18 UN10 Pattern with added defining lines.See ."},{"code":"109844","display":"TG18-UNL80 Pattern","definition":"The AAPM TG18-UNL80 Pattern is the AAPM TG-18 UN80 Pattern with added defining lines.See ."},{"code":"109845","display":"TG18-AD Pattern","definition":"The AAPM TG18-AD Pattern used for visual evaluation of the reflection of ambient light from the display.See ."},{"code":"109846","display":"TG18-MP Pattern","definition":"The AAPM TG18-MP Pattern used for evaluation of Luminance response (bit-depth resolution).See ."},{"code":"109847","display":"TG18-RH10 Pattern","definition":"The AAPM TG18-RH10 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 10% luminance level.See ."},{"code":"109848","display":"TG18-RH50 Pattern","definition":"The AAPM TG18-RH50 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 50% luminance level.See ."},{"code":"109849","display":"TG18-RH89 Pattern","definition":"The AAPM TG18-RH89 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 horizontal lines at 89% luminance level.See ."},{"code":"109850","display":"TG18-RV10 Pattern","definition":"The AAPM TG18-RV10 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 10% luminance level.See ."},{"code":"109851","display":"TG18-RV50 Pattern","definition":"The AAPM TG18-RV50 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 50% luminance level.See ."},{"code":"109852","display":"TG18-RV89 Pattern","definition":"The AAPM TG18-RV89 Pattern used for LSF-line spectra function-(1k and 2k) evaluation by 5 vertical lines at 89% luminance level.See ."},{"code":"109853","display":"TG18-PX Pattern","definition":"The AAPM TG18-PX Pattern used for the assessment of display resolution.See ."},{"code":"109854","display":"TG18-CX Pattern","definition":"The AAPM TG18-CX Pattern used to assess display resolution and resolution uniformity.See ."},{"code":"109855","display":"TG18-LPH10 Pattern","definition":"The AAPM TG18-LPH10 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 10% background level of the maximum pixel value.See ."},{"code":"109856","display":"TG18-LPH50 Pattern","definition":"The AAPM TG18-LPH50 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 50% positive contrast against 10% background level of the maximum pixel value.See ."},{"code":"109857","display":"TG18-LPH89 Pattern","definition":"The AAPM TG18-LPH89 Pattern used to assess display resolution. This pattern has horizontal bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 89% background level of the maximum pixel value.See ."},{"code":"109858","display":"TG18-LPV10 Pattern","definition":"The AAPM TG18-LPV10 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 10% background level of the maximum pixel value.See ."},{"code":"109859","display":"TG18-LPV50 Pattern","definition":"The AAPM TG18-LPV50 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 50% background level of the maximum pixel value.See ."},{"code":"109860","display":"TG18-LPV89 Pattern","definition":"The AAPM TG18-LPV89 Pattern used to assess display resolution. This pattern has vertical bars consisting of alternating single-pixel-wide lines across the faceplate of display. The lines have a 12% positive contrast against 89% background level of the maximum pixel value.See ."},{"code":"109861","display":"TG18-AFC Pattern","definition":"The AAPM TG18-AFC Pattern used to assess display noise.See"},{"code":"109862","display":"TG18-NS10 Pattern","definition":"The AAPM TG18-NS10 Pattern is AAPM TG18-RV10/RH10 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code":"109863","display":"TG18-NS50 Pattern","definition":"The AAPM TG18-NS50 Pattern is AAPM TG18-RV50/RH50 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code":"109864","display":"TG18-NS89 Pattern","definition":"The AAPM TG18-NS89 Pattern is AAPM TG18-RV89/RH89 with only difference being the absence of the single line at the center of the measurement area.See ."},{"code":"109865","display":"TG18-GV Pattern","definition":"The TG18-GV Pattern used to assess display veiling.See ."},{"code":"109866","display":"TG18-GVN Pattern","definition":"The TG18-GVN Pattern used to assess display veiling. This pattern is identical to AAPM TG18-GV Pattern except that the large-diameter white circle is replaced with a black circle, creating a completely black pattern except for the presence of low-contrast targets.See ."},{"code":"109867","display":"TG18-GQ Pattern","definition":"The TG18-GQ Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GV except that is lacks the central low-contrast objects.See ."},{"code":"109868","display":"TG18-GQN Pattern","definition":"TG18-GQN Pattern used for the quantitative assessment of veiling glare. This pattern is identical to AAPM TG18-GQ Pattern except that the large-diameter white circle is replaced with a black circle, creating a completely black pattern except for the presence of low-contrast targets.See ."},{"code":"109869","display":"TG18-GQB Pattern","definition":"The TG18-GQB Pattern used for the quantitative assessment of veiling glare. This pattern is identical to AAPM TG18-GQ Pattern except eliminating the central black circle.See ."},{"code":"109870","display":"TG18-GA03 Pattern","definition":"The TG18-GA03 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 3.See ."},{"code":"109871","display":"TG18-GA05 Pattern","definition":"The TG18-GA05 Pattern This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 5.See ."},{"code":"109872","display":"TG18-GA08 Pattern","definition":"The TG18-GA08 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 8.See ."},{"code":"109873","display":"TG18-GA10 Pattern","definition":"The TG18-GA10 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 10.See ."},{"code":"109874","display":"TG18-GA15 Pattern","definition":"The TG18-GA15 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 15."},{"code":"109875","display":"TG18-GA20 Pattern","definition":"The TG18-GA20 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 20.See ."},{"code":"109876","display":"TG18-GA25 Pattern","definition":"The TG18-GA25 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 25.See ."},{"code":"109877","display":"TG18-GA30 Pattern","definition":"The TG18-GA30 Pattern used for quantitative assessment of veiling glare. This pattern is identical to TG18-GQ except that the radius of the central black circle is varied as r = 30.See ."},{"code":"109878","display":"TG18-CH Image","definition":"The AAPM TG18-CH Image is a reference anatomical PA chest image.See ."},{"code":"109879","display":"TG18-KN Image","definition":"The AAPM TG18-KN Image is a reference anatomical knee image.See ."},{"code":"109880","display":"TG18-MM1 Image","definition":"The AAPM TG18-MM1 Image is a reference anatomical mammogram image.See ."},{"code":"109881","display":"TG18-MM2 Image","definition":"The AAPM TG18-MM2 Image is a reference anatomical mammogram image.See ."},{"code":"109901","display":"OIQ Pattern","definition":"The IEC OIQ Pattern is used as an alternative to the TG18-QC Pattern.See ."},{"code":"109902","display":"ANG Pattern","definition":"The IEC ANG Pattern used for angular viewing evaluation.See ."},{"code":"109903","display":"GD Pattern","definition":"The IEC GD Pattern used for geometrical image evaluation.See ."},{"code":"109904","display":"BN01 Pattern","definition":"The IEC BN01 Pattern is used as an alternative to the TG18-LN-01 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109905","display":"BN02 Pattern","definition":"The IEC BN02 Pattern is used as an alternative to the TG18-LN-02 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109906","display":"BN03 Pattern","definition":"The IEC BN03 Pattern is used as an alternative to the TG18-LN-03 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109907","display":"BN04 Pattern","definition":"The IEC BN04 Pattern is used as an alternative to the TG18-LN-04 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109908","display":"BN05 Pattern","definition":"The IEC BN05 Pattern is used as an alternative to the TG18-LN-05 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109909","display":"BN06 Pattern","definition":"The IEC BN06 Pattern is used as an alternative to the TG18-LN-06 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109910","display":"BN07 Pattern","definition":"The IEC BN07 Pattern is used as an alternative to the TG18-LN-07 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109911","display":"BN08 Pattern","definition":"The IEC BN08 Pattern is used as an alternative to the TG18-LN-08 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109912","display":"BN09 Pattern","definition":"The IEC BN09 Pattern is used as an alternative to the TG18-LN-09 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109913","display":"BN10 Pattern","definition":"The IEC BN10 Pattern is used as an alternative to the TG18-LN-10 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109914","display":"BN11 Pattern","definition":"The IEC BN11 Pattern is used as an alternative to the TG18-LN-11 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109915","display":"BN12 Pattern","definition":"The IEC BN12 Pattern is used as an alternative to the TG18-LN-12 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109916","display":"BN13 Pattern","definition":"The IEC BN13 Pattern is used as an alternative to the TG18-LN-13 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109917","display":"BN14 Pattern","definition":"The IEC BN14 Pattern is used as an alternative to the TG18-LN-14 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109918","display":"BN15 Pattern","definition":"The IEC BN15 Pattern is used as an alternative to the TG18-LN-15 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109919","display":"BN16 Pattern","definition":"The IEC BN16 Pattern is used as an alternative to the TG18-LN-16 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109920","display":"BN17 Pattern","definition":"The IEC BN17 Pattern is used as an alternative to the TG18-LN-17 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109921","display":"BN18 Pattern","definition":"The IEC BN18 Pattern is used as an alternative to the TG18-LN-18 Pattern, to avoid the use of a cone or baffle with LCDs.See ."},{"code":"109931","display":"DIN Grayscale Pattern","definition":"Test image \"Bild 2\" for the gray-scale reproduction of imaging devices.See ."},{"code":"109932","display":"DIN Geometry Pattern","definition":"Test image \"Bild 3\" for the geometrical imaging properties of imaging devices.See ."},{"code":"109933","display":"DIN Resolution Pattern","definition":"Test image \"Bild 5\" for displaying the spatial and contrast resolution as well as the line structure of imaging devices.See ."},{"code":"109941","display":"White Pattern","definition":"An alternative to AAPM TG18-UN80, specified at 100% of maximum pixel value."},{"code":"109943","display":"SMPTE Pattern","definition":"A standard display test pattern.See .A pattern is available at ."},{"code":"109991","display":"CRT Display","definition":"A Display Device that displays images on a Cathode Ray Tube."},{"code":"109992","display":"Liquid Crystal Display","definition":"A Display Device that displays images on a Liquid Crystal Display."},{"code":"109993","display":"Plasma Display","definition":"A Display Device that displays images on a Plasma Display."},{"code":"109994","display":"OLED","definition":"A Display Device that displays images on an Organic Light Emitting Diode based display."},{"code":"109995","display":"DLP Rear Projection System","definition":"A Display Device that projects images on a surface from behind using a Digital Light Processing Projector."},{"code":"109996","display":"DLP Front Projection System","definition":"A Display Device that projects images on a surface from in front using a Digital Light Processing Projector."},{"code":"109997","display":"CRT Rear Projection System","definition":"A Display Device that projects images on a surface from behind using a Cathode Ray Tube."},{"code":"109998","display":"CRT Front Projection System","definition":"A Display Device that projects images on a surface from in front using a Cathode Ray Tube."},{"code":"109999","display":"Other Projection System","definition":"A Display Device that projects images on a surface from an unspecified direction using an unspecified means."},{"code":"110001","display":"Image Processing","definition":"Image processing work item."},{"code":"110002","display":"Quality Control","definition":"Quality control work item."},{"code":"110003","display":"Computer Aided Diagnosis","definition":"Computer aided diagnosis work item."},{"code":"110004","display":"Computer Aided Detection","definition":"Computer aided detection work item."},{"code":"110005","display":"Interpretation","definition":"The work item task is to prepare a report that contains the interpretation of an imaging study."},{"code":"110006","display":"Transcription","definition":"Transcription work item."},{"code":"110007","display":"Report Verification","definition":"Report verification work item."},{"code":"110008","display":"Print","definition":"Print work item."},{"code":"110009","display":"No subsequent Workitems","definition":"There will be no more work items scheduled."},{"code":"110010","display":"Film","definition":"Film type of output."},{"code":"110011","display":"Dictation","definition":"Dictation type of output."},{"code":"110012","display":"Transcription","definition":"Transcription type of output."},{"code":"110013","display":"Media Import","definition":"The procedure to read DICOM instances from DICOM interchange media, coerce identifying Attributes into the local namespace if necessary, and make the instances available."},{"code":"110020","display":"Sheet Film Digitized","definition":"Digitization of Sheet Film."},{"code":"110021","display":"Cine Film Digitized","definition":"Digitization of Cine Film."},{"code":"110022","display":"Video Tape Digitized","definition":"Digitization of Video Tape."},{"code":"110023","display":"Paper Digitized","definition":"Digitization of pages of a paper document (Units may be specified as Pages, Documents)."},{"code":"110024","display":"CD Imported","definition":"Importation of CD."},{"code":"110025","display":"DVD Imported","definition":"Importation of DVD."},{"code":"110026","display":"MOD Imported","definition":"Importation of MOD."},{"code":"110027","display":"Studies Imported","definition":"Importation of DICOM Studies."},{"code":"110028","display":"Instances Imported","definition":"Importation of DICOM Composite Instances."},{"code":"110030","display":"USB Disk Emulation","definition":"A device that connects using the USB hard drive interface. These may be USB-Sticks, portable hard drives, and other technologies."},{"code":"110031","display":"Email","definition":"Email and email attachments used as a media for data transport."},{"code":"110032","display":"CD","definition":"CD-R, CD-ROM, and CD-RW media used for data transport."},{"code":"110033","display":"DVD","definition":"DVD, DVD-RAM, and other DVD formatted media used for data transport."},{"code":"110034","display":"Compact Flash","definition":"Media that comply with the Compact Flash standard."},{"code":"110035","display":"Multi-media Card","definition":"Media that comply with the Multi-media Card standard."},{"code":"110036","display":"Secure Digital Card","definition":"Media that comply with the Secure Digital Card standard."},{"code":"110037","display":"URI","definition":"URI Identifier for network or other resource, see RFC3968."},{"code":"110038","display":"Paper Document","definition":"Any paper or similar document."},{"code":"110100","display":"Application Activity","definition":"Audit event: Application Activity has taken place."},{"code":"110101","display":"Audit Log Used","definition":"Audit event: Audit Log has been used."},{"code":"110102","display":"Begin Transferring DICOM Instances","definition":"Audit event: Storage of DICOM Instances has begun."},{"code":"110103","display":"DICOM Instances Accessed","definition":"Audit event: DICOM Instances have been created, read, updated, or deleted -audit event."},{"code":"110104","display":"DICOM Instances Transferred","definition":"Audit event: Storage of DICOM Instances has been completed."},{"code":"110105","display":"DICOM Study Deleted","definition":"Audit event: Entire Study has been deleted."},{"code":"110106","display":"Export","definition":"Audit event: Data has been exported out of the system."},{"code":"110107","display":"Import","definition":"Audit event: Data has been imported into the system."},{"code":"110108","display":"Network Entry","definition":"Audit event: System has joined or left network."},{"code":"110109","display":"Order Record","definition":"Audit event: Order has been created, read, updated or deleted."},{"code":"110110","display":"Patient Record","definition":"Audit event: Patient Record has been created, read, updated, or deleted."},{"code":"110111","display":"Procedure Record","definition":"Audit event: Procedure Record has been created, read, updated, or deleted."},{"code":"110112","display":"Query","definition":"Audit event: Query has been made."},{"code":"110113","display":"Security Alert","definition":"Audit event: Security Alert has been raised."},{"code":"110114","display":"User Authentication","definition":"Audit event: User Authentication has been attempted."},{"code":"110119","display":"Station AE Title","definition":"Application Entity Title of a device."},{"code":"110120","display":"Application Start","definition":"Audit event: Application Entity has started."},{"code":"110121","display":"Application Stop","definition":"Audit event: Application Entity has stopped."},{"code":"110122","display":"Login","definition":"Audit event: User login has been attempted."},{"code":"110123","display":"Logout","definition":"Audit event: User logout has been attempted."},{"code":"110124","display":"Attach","definition":"Audit event: Node has been attached."},{"code":"110125","display":"Detach","definition":"Audit event: Node has been detached."},{"code":"110126","display":"Node Authentication","definition":"Audit event: Node Authentication has been attempted."},{"code":"110127","display":"Emergency Override Started","definition":"Audit event: Emergency Override has started."},{"code":"110128","display":"Network Configuration","definition":"Audit event: Network configuration has been changed."},{"code":"110129","display":"Security Configuration","definition":"Audit event: Security configuration has been changed."},{"code":"110130","display":"Hardware Configuration","definition":"Audit event: Hardware configuration has been changed."},{"code":"110131","display":"Software Configuration","definition":"Audit event: Software configuration has been changed."},{"code":"110132","display":"Use of Restricted Function","definition":"Audit event: A use of a restricted function has been attempted."},{"code":"110133","display":"Audit Recording Stopped","definition":"Audit event: Audit recording has been stopped."},{"code":"110134","display":"Audit Recording Started","definition":"Audit event: Audit recording has been started."},{"code":"110135","display":"Object Security Attributes Changed","definition":"Audit event: Security attributes of an object have been changed."},{"code":"110136","display":"Security Roles Changed","definition":"Audit event: Security roles have been changed."},{"code":"110137","display":"User security Attributes Changed","definition":"Audit event: Security attributes of a user have been changed."},{"code":"110138","display":"Emergency Override Stopped","definition":"Audit event: Emergency Override has Stopped."},{"code":"110139","display":"Remote Service Operation Started","definition":"Audit event: Remote Service Operation has Begun."},{"code":"110140","display":"Remote Service Operation Stopped","definition":"Audit event: Remote Service Operation has Stopped."},{"code":"110141","display":"Local Service Operation Started","definition":"Audit event: Local Service Operation has Begun."},{"code":"110142","display":"Local Service Operation Stopped","definition":"Audit event: Local Service Operation Stopped."},{"code":"110143","display":"Authentication Decision","definition":"Audit event: An authentication decision has been made."},{"code":"110144","display":"Authorization Decision","definition":"Audit event: An authorization decision has been made."},{"code":"110145","display":"Session start","definition":"Audit event: A persistent session has started."},{"code":"110146","display":"Session stop","definition":"Audit event: A persistent session has stopped."},{"code":"110147","display":"Access Control Decision","definition":"Audit event: An access control decision has been made."},{"code":"110150","display":"Application","definition":"Audit participant role ID of software application."},{"code":"110151","display":"Application Launcher","definition":"Audit participant role ID of software application launcher, i.e., the entity that started or stopped an application."},{"code":"110152","display":"Destination Role ID","definition":"Audit participant role ID of the receiver of data."},{"code":"110153","display":"Source Role ID","definition":"Audit participant role ID of the sender of data."},{"code":"110154","display":"Destination Media","definition":"Audit participant role ID of media receiving data during an export."},{"code":"110155","display":"Source Media","definition":"Audit participant role ID of media providing data during an import."},{"code":"110180","display":"Study Instance UID","definition":"ParticipantObjectID type: Study Instance UID."},{"code":"110181","display":"SOP Class UID","definition":"ParticipantObjectID type: SOP Class UID."},{"code":"110182","display":"Node ID","definition":"ID of a node that is a participant object of an audit message."},{"code":"110190","display":"Issuer of Identifier","definition":"System, organization, agency, or department that has assigned an instance identifier (such as placer or filler number, patient or provider identifier, etc.)."},{"code":"110500","display":"Doctor canceled procedure","definition":"Procedure order canceled by requesting physician or other authorized physician."},{"code":"110501","display":"Equipment failure","definition":"Equipment failure prevented completion of procedure."},{"code":"110502","display":"Incorrect procedure ordered","definition":"Procedure discontinued due to incorrect procedure being ordered."},{"code":"110503","display":"Patient allergic to media/contrast","definition":"Procedure discontinued due to patient allergy to media/contrast (reported or reaction)."},{"code":"110504","display":"Patient died","definition":"Procedure discontinued due to death of Patient."},{"code":"110505","display":"Patient refused to continue procedure","definition":"Procedure discontinued due to patient refusal to continue procedure."},{"code":"110506","display":"Patient taken for treatment or surgery","definition":"Procedure discontinued due to patient being taken for treatment or surgery."},{"code":"110507","display":"Patient did not arrive","definition":"Patient did not arrive for procedure."},{"code":"110508","display":"Patient pregnant","definition":"Procedure discontinued due to patient pregnancy (reported or determined)."},{"code":"110509","display":"Change of procedure for correct charging","definition":"Procedure discontinued to restart with new procedure code for correct charging."},{"code":"110510","display":"Duplicate order","definition":"Procedure discontinued due to duplicate orders received for same procedure."},{"code":"110511","display":"Nursing unit cancel","definition":"Procedure order canceled by nursing unit."},{"code":"110512","display":"Incorrect side ordered","definition":"Procedure discontinued due to incorrect side (laterality) being ordered."},{"code":"110513","display":"Discontinued for unspecified reason","definition":"Procedure discontinued for unspecified reason."},{"code":"110514","display":"Incorrect worklist entry selected","definition":"Procedure discontinued due to incorrect patient or procedure step selected from modality worklist."},{"code":"110515","display":"Patient condition prevented continuing","definition":"Patient condition prevented continuation of procedure."},{"code":"110516","display":"Equipment change","definition":"Procedure step is discontinued to change to other equipment or modality."},{"code":"110518","display":"Patient Movement","definition":"A movement of the patient preventing continuation of procedure or affecting result quality."},{"code":"110519","display":"Operator Error","definition":"An error of the operator preventing continuation of procedure or affecting result quality."},{"code":"110520","display":"Channel Obstruction","definition":"The brachytherapy channel is obstructed and the treatment in this channel cannot proceed."},{"code":"110521","display":"Objects incorrectly formatted","definition":"One or more of the objects is malformed."},{"code":"110522","display":"Object Types not supported","definition":"Receiving System is unable to accept the object type."},{"code":"110523","display":"Object Set incomplete","definition":"One or more objects associated with the object set is missing."},{"code":"110524","display":"Media Failure","definition":"The contents of the Media could not be accessed properly."},{"code":"110526","display":"Resource pre-empted","definition":"Procedure discontinued due to necessary equipment, staff or other resource becoming (temporarily) unavailable to the procedure."},{"code":"110527","display":"Resource inadequate","definition":"Procedure discontinued due to necessary equipment, staff or other resource being inadequate to complete the procedure."},{"code":"110528","display":"Discontinued Procedure Step rescheduled","definition":"A new Procedure Step has been scheduled to replace the Discontinued Procedure Step."},{"code":"110529","display":"Discontinued Procedure Step rescheduling recommended","definition":"It is recommended that a new Procedure Step be scheduled to replace the Discontinued Procedure Step."},{"code":"110530","display":"Workitem assignment rejected by assigned resource","definition":"The resource to which a workitem has been assigned has rejected the assignment."},{"code":"110531","display":"Insufficient quality for interpretation","definition":"Reporting not possible due to lack of quality of the images provided."},{"code":"110532","display":"Interpretation requires specialist expertise","definition":"The nature of the clinical problem means that reporting of the study requires a subject matter expert."},{"code":"110533","display":"Workitem expired","definition":"The expiration date/time of the workitem has been exceeded."},{"code":"110700","display":"Ventral Diencephalon","definition":"Ventral structures of the diencephalon that cannot readily be distinguished on MR imaging, including the hypothalamus, mammillary body, subthalamic nuclei, substantia nigra, red nucleus, lateral geniculate nucleus, medial geniculate nucleus, zona incerta, cerebral peduncle, lenticular fasciculus, medial lemniscus, and optic tract.See and ."},{"code":"110701","display":"White Matter T1 Hypointensity","definition":"Area(s) of reduced intensity on T1 weighted images relative to the surrounding white matter.These may be indicative of age-related or neurodegenerative white matter lesions, and may be co-located with areas of white matter T2 hyperintensity, but the concept is specifically confined to the MR appearance on T1 weighted images."},{"code":"110702","display":"White Matter T2 Hyperintensity","definition":"Area(s) of increased intensity on T2 weighted images relative to the surrounding white matter.These may be indicative of age-related or neurodegenerative white matter lesions, and may be co-located with areas of white matter T1 hypointensity, but the concept is specifically confined to the MR appearance on T2 weighted images."},{"code":"110703","display":"superior longitudinal fasciculus I","definition":"The dorsal component of the SLF originating from the medial and dorsal parietal cortex and ending in the dorsal and medial part of the frontal lobe.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code":"110704","display":"superior longitudinal fasciculus II","definition":"The major component of the SLF, derived from the caudal-inferior parietal region corresponding to the angular gyrus in the human and terminating within the dorsolateral frontal region.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code":"110705","display":"superior longitudinal fasciculus III","definition":"The ventral component of the SLF, originating from the supramarginal gyrus and terminating predominantly in the ventral premotor and prefrontal areas.See Makris N, et al. \"Segmentation of Subcomponents within the Superior Longitudinal Fascicle in Humans: A Quantitative, In Vivo, DT-MRI Study.\" Cerebral Cortex 15, no. 6 (June 1, 2005): 854-69. doi:10.1093/cercor/bhh186."},{"code":"110706","display":"Perilesional White Matter","definition":"White matter that surrounds a lesion of interest."},{"code":"110800","display":"Spin Tagging Perfusion MR Signal Intensity","definition":"Signal intensity of a Spin tagging Perfusion MR image. Spin tagging is a technique for the measurement of blood perfusion, based on magnetically labeled arterial blood water as an endogenous tracer."},{"code":"110801","display":"Contrast Agent Angio MR Signal Intensity","definition":"Signal intensity of a Contrast Agent Angio MR image."},{"code":"110802","display":"Time Of Flight Angio MR Signal Intensity","definition":"Signal intensity of a Time-of-flight (TOF) MR image. Time-of-flight (TOF) is based on the phenomenon of flow-related enhancement of spins entering into an imaging slice. As a result of being unsaturated, these spins give more signal that surrounding stationary spins."},{"code":"110803","display":"Proton Density Weighted MR Signal Intensity","definition":"Signal intensity of a Proton Density Weighted MR image. All MR images have intensity proportional to proton density. Images with very little T1 or T2 weighting are called 'PD-weighted'."},{"code":"110804","display":"T1 Weighted MR Signal Intensity","definition":"Signal intensity of T1 Weighted MR image. A T1 Weighted MR image is created typically by using short TE and TR times."},{"code":"110805","display":"T2 Weighted MR Signal Intensity","definition":"Signal intensity of a T2 Weighted MR image. T2 Weighted image contrast state is approached by imaging with a TR long compared to tissue T1 (to reduce T1 contribution to image contrast) and a TE between the longest and shortest tissue T2s of interest."},{"code":"110806","display":"T2* Weighted MR Signal Intensity","definition":"Signal intensity of a T2* Weighted MR image. The T2* phenomenon results from molecular interactions (spin spin relaxation) and local magnetic field non-uniformities, which cause the protons to precess at slightly different frequencies."},{"code":"110807","display":"Field Map MR Signal Intensity","definition":"Signal intensity of a Field Map MR image. A Field Map MR image provides a direct measure of the B0 inhomogeneity at each point in the image."},{"code":"110808","display":"Fractional Anisotropy","definition":"Coefficient reflecting the fractional anisotropy of the tissues, derived from a diffusion weighted MR image. Fractional anisotropy is proportional to the square root of the variance of the Eigen values divided by the square root of the sum of the squares of the Eigen values."},{"code":"110809","display":"Relative Anisotropy","definition":"Coefficient reflecting the relative anisotropy of the tissues, derived from a diffusion weighted MR image."},{"code":"110810","display":"Volumetric Diffusion Dxx Component","definition":"Dxx Component of the diffusion tensor, quantifying the molecular mobility along the X axis."},{"code":"110811","display":"Volumetric Diffusion Dxy Component","definition":"Dxy Component of the diffusion tensor, quantifying the correlation of molecular displacements in the X and Y directions."},{"code":"110812","display":"Volumetric Diffusion Dxz Component","definition":"Dxz Component of the diffusion tensor, quantifying the correlation of molecular displacements in the X and Z directions."},{"code":"110813","display":"Volumetric Diffusion Dyy Component","definition":"Dyy Component of the diffusion tensor, quantifying the molecular mobility along the Y axis."},{"code":"110814","display":"Volumetric Diffusion Dyz Component","definition":"Dyz Component of the diffusion tensor, quantifying the correlation of molecular displacements in the Y and Z directions."},{"code":"110815","display":"Volumetric Diffusion Dzz Component","definition":"Dzz Component of the diffusion tensor, quantifying the molecular mobility along the Z axis."},{"code":"110816","display":"T1 Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition":"Signal intensity of a T1 Weighted Dynamic Contrast Enhanced MR image. A T1 Weighted Dynamic Contrast Enhanced MR image reflects the dynamics of diffusion of the exogenous contrast media from the blood pool into the extra vascular extracellular space (EES) of the brain at a rate determined by the blood flow to the tissue, the permeability of the Brain Blood Barrier (BBB), and the surface area of the perfusing vessels."},{"code":"110817","display":"T2 Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition":"Signal intensity of a T2 Weighted Dynamic Contrast Enhanced MR image. A T2 Weighted Dynamic Contrast Enhanced MR image reflects the T2 of tissue decrease as the Gd contrast agent bolus passes through the brain."},{"code":"110818","display":"T2* Weighted Dynamic Contrast Enhanced MR Signal Intensity","definition":"Signal intensity of a T2* Weighted Dynamic Contrast Enhanced MR image. A T2* Weighted Dynamic Contrast Enhanced MR image reflects the T2* of tissue decrease as the Gd contrast agent bolus passes through the brain."},{"code":"110819","display":"Blood Oxygenation Level","definition":"Signal intensity of a Blood Oxygenation Level image. Used in Photoacoustic Imaging and functional MR. In functional MR BOLD imaging it is used for detecting brain activation and is sensitive to blood oxygenation (but also to cerebral blood flow and volume)."},{"code":"110820","display":"Nuclear Medicine Projection Activity","definition":"Accumulated decay event counts in a nuclear medicine projection image."},{"code":"110821","display":"Nuclear Medicine Tomographic Activity","definition":"Accumulated decay event counts in a Nuclear Medicine Tomographic image (including PET)."},{"code":"110822","display":"Spatial Displacement X Component","definition":"Spatial Displacement along axis X of a non linear deformable spatial registration image. The X axis is defined in reference to the patient's orientation, and is increasing to the left hand side of the patient."},{"code":"110823","display":"Spatial Displacement Y Component","definition":"Spatial Displacement along axis Y of a non linear deformable spatial registration image. The Y axis is defined in reference to the patient's orientation, and is increasing to the posterior side of the patient."},{"code":"110824","display":"Spatial Displacement Z Component","definition":"Spatial Displacement along axis Z of a Non linear deformable spatial registration image. 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#1046

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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#1047

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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#1048

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"v2-concCommentAsPub","valueString":"An identifier for a living subject whose real identity is protected or suppressed\r\nJustification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. 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This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"1978","code":"APRN","display":"Advanced Practice Registered Nurse number","definition":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board"},{"code":"status","valueCode":"active"}]},{"id":"1979","code":"ASID","display":"Ancestor Specimen ID","definition":"A unique identifier for the ancestor specimen.","property":[{"code":"v2-concComment","valueString":"All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"v2-concCommentAsPub","valueString":"A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"status","valueCode":"active"}]},{"id":"1980","code":"BA","display":"Bank Account Number","definition":"Bank Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"1981","code":"BC","display":"Bank Card Number","definition":"An identifier that is unique to a person's bank card","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1982","code":"BCFN","display":"Birth Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the birth certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"1983","code":"BCT","display":"Birth Certificate","definition":"A number associated with a document identifying the event of a person's birth","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1984","code":"BR","display":"Birth registry number","definition":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Geburtsregisternummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1985","code":"BRN","display":"Breed Registry Number","definition":"Breed Registry Number","property":[{"code":"status","valueCode":"active"}]},{"id":"1986","code":"BSNR","display":"Primary physician office number","definition":"Primary physician office number","property":[{"code":"v2-concComment","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"1987","code":"CAAI","display":"Consumer Application Account Identifier","definition":"An identifier for the consumer (e.g., patient, caregiver) for an application such as a portal or App.","property":[{"code":"v2-concComment","valueString":"This may be the same as a username, but frequently is different."},{"code":"status","valueCode":"N"}]},{"id":"1988","code":"CC","display":"Cost Center number","definition":"Cost Center number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"status","valueCode":"active"}]},{"id":"1989","code":"CONM","display":"Change of Name Document","definition":"A number associated with a document identifying a person's legal change of name.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's legal change of name."},{"code":"status","valueCode":"active"}]},{"id":"1990","code":"CY","display":"County number","definition":"County number","property":[{"code":"status","valueCode":"active"}]},{"id":"1991","code":"CZ","display":"Citizenship Card","definition":"A number assigned by a person's country of residence to identify a person's citizenship.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned by a person's country of residence to identify a person's citizenship."},{"code":"status","valueCode":"active"}]},{"id":"1992","code":"DC","display":"Death Certificate ID","definition":"The identifier assigned to a death certificate, and printed on the death certificate when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"active"}]},{"id":"1993","code":"DCFN","display":"Death Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the death certificate.","property":[{"code":"status","valueCode":"active"}]},{"id":"1994","code":"DDS","display":"Dentist license number","definition":"An identifier that is unique to a dentist within the jurisdiction of the licensing board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a dentist within the jurisdiction of the licensing board"},{"code":"status","valueCode":"active"}]},{"id":"1995","code":"DEA","display":"Drug Enforcement Administration registration number","definition":"An identifier for an individual or organization relative to controlled substance regulation and transactions.","property":[{"code":"v2-concComment","valueString":"Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual or organization relative to controlled substance regulation and transactions.\r\nUse case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"1996","code":"DFN","display":"Drug Furnishing or prescriptive authority Number","definition":"An identifier issued to a health care provider authorizing the person to write drug orders","property":[{"code":"v2-concComment","valueString":"Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"v2-concCommentAsPub","valueString":"An identifier issued to a health care provider authorizing the person to write drug orders<p>Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"status","valueCode":"active"}]},{"id":"1997","code":"DI","display":"Diner's Club card","definition":"Diner's Club card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Diners Club"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1998","code":"DL","display":"Driver's license number","definition":"Driver's license number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Führerscheinnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"1999","code":"DN","display":"Doctor number","definition":"Doctor number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arztnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2000","code":"DO","display":"Osteopathic License number","definition":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2001","code":"DP","display":"Diplomatic Passport","definition":"A number assigned to a diplomatic passport.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a diplomatic passport."},{"code":"status","valueCode":"active"}]},{"id":"2002","code":"DPM","display":"Podiatrist license number","definition":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2003","code":"DR","display":"Donor Registration Number","definition":"Donor Registration Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2004","code":"DS","display":"Discover Card","definition":"Discover Card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Discover Card"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2005","code":"DSG","display":"Diagnostic Study Group","definition":"Unique Identifier that groups several orders that are to be performed together.","property":[{"code":"v2-concComment","valueString":"Example: Radiology studies"},{"code":"status","valueCode":"N"}]},{"id":"2006","code":"EI","display":"Employee number","definition":"A number that uniquely identifies an employee to an employer.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitnehmernummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that uniquely identifies an employee to an employer."},{"code":"status","valueCode":"active"}]},{"id":"2007","code":"EN","display":"Employer number","definition":"Employer number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitgebernummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2008","code":"ESN","display":"Staff Enterprise Number","definition":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"12008","code":"ETIN","display":"Electronic Transmitter Identification Number","definition":"A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property":[{"code":"status","valueCode":"active"}]},{"id":"2009","code":"FDR","display":"Fetal Death Report ID","definition":"The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"N"}]},{"id":"2010","code":"FDRFN","display":"Fetal Death Report File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the fetal death report certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"2011","code":"FGN","display":"Filler Group Number","definition":"Unique identifier assigned to a group of orders by the filler application.","property":[{"code":"v2-concComment","valueString":"This is analogous to the Placer Group Number ORC-4, except that it is assigned by the filler."},{"code":"status","valueCode":"N"}]},{"id":"2012","code":"FI","display":"Facility ID","definition":"Facility ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2013","code":"FILL","display":"Filler Identifier","definition":"An identifier for a request where the identifier is issued by the person, or service, that produces the observations or fulfills the request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2014","code":"GI","display":"Guarantor internal identifier","definition":"Guarantor internal identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2015","code":"GIN","display":"Animal Group Identifier (US Official)","definition":"Identifier that can be used to unambiguously describe a specific group of animals.","property":[{"code":"v2-concComment","valueString":"GIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"2105","code":"GKV","display":"Insured's ID with Public Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient with a public insurance company.","property":[{"code":"v2-concComment","valueString":"GKV is a patient ID with a public insurance company."},{"code":"status","valueCode":"N"}]},{"id":"2016","code":"GL","display":"General ledger number","definition":"General ledger number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2017","code":"GN","display":"Guarantor external  identifier","definition":"Guarantor external  identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"externe ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2018","code":"HC","display":"Health Card Number","definition":"Health Card Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2019","code":"IND","display":"Indigenous/Aboriginal","definition":"A number assigned to a member of an indigenous or aboriginal group outside of Canada.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a member of an indigenous or aboriginal group outside of Canada."},{"code":"status","valueCode":"active"}]},{"id":"2104","code":"IRISTEM","display":"An IRI stem","definition":"An IRI string that can be prepended to the code to obtain a concept IRI for RDF applications. This should be a valid, absolute IRI as defined in RFC 3987. See https://hl7.org/fhir/rdf.html#iri-stem for details on how this value may be used."},{"id":"2020","code":"JHN","display":"Jurisdictional health number","definition":"Jurisdictional health number","property":[{"code":"v2-concComment","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"status","valueCode":"active"}]},{"id":"2108","code":"KZVA","display":"Dentist Office Number","definition":"Identifier that can be used to unambiguously identify the practice of a dentist.","property":[{"code":"v2-concComment","valueString":"KZVA is an ID for the practice of a dentist."},{"code":"status","valueCode":"N"}]},{"id":"2021","code":"LACSN","display":"Laboratory Accession ID","definition":"A laboratory accession id is used in the laboratory domain.","property":[{"code":"v2-concComment","valueString":"The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"v2-concCommentAsPub","valueString":"A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"status","valueCode":"active"}]},{"id":"2022","code":"LANR","display":"Lifelong physician number","definition":"Lifelong physician number","property":[{"code":"v2-concComment","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"v2-concCommentAsPub","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"status","valueCode":"active"}]},{"id":"2023","code":"LI","display":"Labor and industries number","definition":"Labor and industries number","property":[{"code":"status","valueCode":"active"}]},{"id":"8023","code":"L&I","display":"Labor and industries number","definition":"Labor and industries number.  Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property":[{"code":"status","valueCode":"deprecated"},{"code":"HL7usageNotes","valueString":"Deprecated as of v 2.5; Use LI instead."}]},{"id":"2024","code":"LN","display":"License number","definition":"License number","property":[{"code":"status","valueCode":"active"}]},{"id":"2025","code":"LR","display":"Local Registry ID","definition":"Local Registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2026","code":"MA","display":"Patient Medicaid number","definition":"Patient Medicaid number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Armennummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2027","code":"MB","display":"Member Number","definition":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"v2-concCommentAsPub","valueString":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"status","valueCode":"active"}]},{"id":"2028","code":"MC","display":"Patient's Medicare number","definition":"Patient's Medicare number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Rentnernummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2029","code":"MCD","display":"Practitioner Medicaid number","definition":"Practitioner Medicaid number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2030","code":"MCN","display":"Microchip Number","definition":"Microchip Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2031","code":"MCR","display":"Practitioner Medicare number","definition":"Practitioner Medicare number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2032","code":"MCT","display":"Marriage Certificate","definition":"A number associated with a document identifying the event of a person's marriage.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's marriage."},{"code":"status","valueCode":"active"}]},{"id":"2033","code":"MD","display":"Medical License number","definition":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property":[{"code":"v2-concComment","valueString":"Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"status","valueCode":"active"}]},{"id":"2034","code":"MI","display":"Military ID number","definition":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code":"status","valueCode":"active"}]},{"id":"2035","code":"MR","display":"Medical record number","definition":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Krankenaktennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code":"status","valueCode":"active"}]},{"id":"2036","code":"MRT","display":"Temporary Medical Record Number","definition":"Temporary version of a Medical Record Number","property":[{"code":"v2-concComment","valueString":"Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"2037","code":"MS","display":"MasterCard","definition":"MasterCard","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"MasterCard"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2038","code":"NBSNR","display":"Secondary physician office number","definition":"Secondary physician office number","property":[{"code":"v2-concComment","valueString":"Nebenbetriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Nebenbetriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"2039","code":"NCT","display":"Naturalization Certificate","definition":"A number associated with a document identifying a person's retention of citizenship in a particular country.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's retention of citizenship in a particular country."},{"code":"status","valueCode":"active"}]},{"id":"2040","code":"NE","display":"National employer identifier","definition":"National employer identifier","property":[{"code":"v2-concComment","valueString":"In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2041","code":"NH","display":"National Health Plan Identifier","definition":"National Health Plan Identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nUsed for the UK NHS national identifier."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>Used for the UK NHS national identifier.<p>In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2042","code":"NI","display":"National unique individual identifier","definition":"National unique individual identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2043","code":"NII","display":"National Insurance Organization Identifier","definition":"National Insurance Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen der Krankenkasse"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"status","valueCode":"active"}]},{"id":"2110","code":"NIIH","display":"National Insurance Headquarters Organization Identifier","definition":"National Insurance Headquarters Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen des Krankenkassensitzes"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2044","code":"NIIP","display":"National Insurance Payor Identifier (Payor)","definition":"National Insurance Payor Identifier (Payor)","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Vertragskassennummer 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The first two numbers on a tag are the numbers assigned to a specific State.","property":[{"code":"v2-concComment","valueString":"AIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"1971","code":"AM","display":"American Express","definition":"American Express","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"American Express"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1972","code":"AMA","display":"American Medical Association Number","definition":"A physician identifier assigned by the AMA.","property":[{"code":"v2-concCommentAsPub","valueString":"A physician identifier assigned by the AMA."},{"code":"status","valueCode":"active"}]},{"id":"1973","code":"AN","display":"Account number","definition":"Account An identifier that is unique to an account.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Kontonummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an account."},{"code":"status","valueCode":"active"}]},{"id":"1974","code":"ANC","display":"Account number Creditor","definition":"A more precise definition of an account number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code":"status","valueCode":"active"}]},{"id":"1975","code":"AND","display":"Account number debitor","definition":"A more precise definition of an account number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code":"status","valueCode":"active"}]},{"id":"1976","code":"ANON","display":"Anonymous identifier","definition":"An identifier for a living subject whose real identity is protected or suppressed","property":[{"code":"v2-concComment","valueString":"Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"v2-concCommentAsPub","valueString":"An identifier for a living subject whose real identity is protected or suppressed\r\nJustification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"status","valueCode":"active"}]},{"id":"1977","code":"ANT","display":"Temporary Account Number","definition":"Temporary version of an Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial\r\nTemporary version of an Account Number.\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"1978","code":"APRN","display":"Advanced Practice Registered Nurse number","definition":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board"},{"code":"status","valueCode":"active"}]},{"id":"1979","code":"ASID","display":"Ancestor Specimen ID","definition":"A unique identifier for the ancestor specimen.","property":[{"code":"v2-concComment","valueString":"All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"v2-concCommentAsPub","valueString":"A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"status","valueCode":"active"}]},{"id":"1980","code":"BA","display":"Bank Account Number","definition":"Bank Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"1981","code":"BC","display":"Bank Card Number","definition":"An identifier that is unique to a person's bank card","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1982","code":"BCFN","display":"Birth Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the birth certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"1983","code":"BCT","display":"Birth Certificate","definition":"A number associated with a document identifying the event of a person's birth","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1984","code":"BR","display":"Birth registry number","definition":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Geburtsregisternummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1985","code":"BRN","display":"Breed Registry Number","definition":"Breed Registry Number","property":[{"code":"status","valueCode":"active"}]},{"id":"1986","code":"BSNR","display":"Primary physician office number","definition":"Primary physician office number","property":[{"code":"v2-concComment","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"1987","code":"CAAI","display":"Consumer Application Account Identifier","definition":"An identifier for the consumer (e.g., patient, caregiver) for an application such as a portal or App.","property":[{"code":"v2-concComment","valueString":"This may be the same as a username, but frequently is different."},{"code":"status","valueCode":"N"}]},{"id":"1988","code":"CC","display":"Cost Center number","definition":"Cost Center number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"status","valueCode":"active"}]},{"id":"1989","code":"CONM","display":"Change of Name Document","definition":"A number associated with a document identifying a person's legal change of name.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's legal change of name."},{"code":"status","valueCode":"active"}]},{"id":"1990","code":"CY","display":"County number","definition":"County number","property":[{"code":"status","valueCode":"active"}]},{"id":"1991","code":"CZ","display":"Citizenship Card","definition":"A number assigned by a person's country of residence to identify a person's citizenship.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned by a person's country of residence to identify a person's citizenship."},{"code":"status","valueCode":"active"}]},{"id":"1992","code":"DC","display":"Death Certificate ID","definition":"The identifier assigned to a death certificate, and printed on the death certificate when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"active"}]},{"id":"1993","code":"DCFN","display":"Death Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the death certificate.","property":[{"code":"status","valueCode":"active"}]},{"id":"1994","code":"DDS","display":"Dentist license number","definition":"An identifier that is unique to a dentist within the jurisdiction of the licensing board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a dentist within the jurisdiction of the licensing board"},{"code":"status","valueCode":"active"}]},{"id":"1995","code":"DEA","display":"Drug Enforcement Administration registration number","definition":"An identifier for an individual or organization relative to controlled substance regulation and transactions.","property":[{"code":"v2-concComment","valueString":"Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual or organization relative to controlled substance regulation and transactions.\r\nUse case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"1996","code":"DFN","display":"Drug Furnishing or prescriptive authority Number","definition":"An identifier issued to a health care provider authorizing the person to write drug orders","property":[{"code":"v2-concComment","valueString":"Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"v2-concCommentAsPub","valueString":"An identifier issued to a health care provider authorizing the person to write drug orders<p>Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"status","valueCode":"active"}]},{"id":"1997","code":"DI","display":"Diner's Club card","definition":"Diner's Club card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Diners Club"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1998","code":"DL","display":"Driver's license number","definition":"Driver's license number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Führerscheinnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"1999","code":"DN","display":"Doctor number","definition":"Doctor number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arztnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2000","code":"DO","display":"Osteopathic License number","definition":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2001","code":"DP","display":"Diplomatic Passport","definition":"A number assigned to a diplomatic passport.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a diplomatic passport."},{"code":"status","valueCode":"active"}]},{"id":"2002","code":"DPM","display":"Podiatrist license number","definition":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2003","code":"DR","display":"Donor Registration Number","definition":"Donor Registration Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2004","code":"DS","display":"Discover Card","definition":"Discover Card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Discover Card"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2005","code":"DSG","display":"Diagnostic Study Group","definition":"Unique Identifier that groups several orders that are to be performed together.","property":[{"code":"v2-concComment","valueString":"Example: Radiology studies"},{"code":"status","valueCode":"N"}]},{"id":"2006","code":"EI","display":"Employee number","definition":"A number that uniquely identifies an employee to an employer.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitnehmernummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that uniquely identifies an employee to an employer."},{"code":"status","valueCode":"active"}]},{"id":"2007","code":"EN","display":"Employer number","definition":"Employer number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitgebernummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2008","code":"ESN","display":"Staff Enterprise Number","definition":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"12008","code":"ETIN","display":"Electronic Transmitter Identification Number","definition":"A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property":[{"code":"status","valueCode":"active"}]},{"id":"2009","code":"FDR","display":"Fetal Death Report ID","definition":"The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"N"}]},{"id":"2010","code":"FDRFN","display":"Fetal Death Report File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the fetal death report certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"2011","code":"FGN","display":"Filler Group Number","definition":"Unique identifier assigned to a group of orders by the filler application.","property":[{"code":"v2-concComment","valueString":"This is analogous to the Placer Group Number ORC-4, except that it is assigned by the filler."},{"code":"status","valueCode":"N"}]},{"id":"2012","code":"FI","display":"Facility ID","definition":"Facility ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2013","code":"FILL","display":"Filler Identifier","definition":"An identifier for a request where the identifier is issued by the person, or service, that produces the observations or fulfills the request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2014","code":"GI","display":"Guarantor internal identifier","definition":"Guarantor internal identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2015","code":"GIN","display":"Animal Group Identifier (US Official)","definition":"Identifier that can be used to unambiguously describe a specific group of animals.","property":[{"code":"v2-concComment","valueString":"GIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"2105","code":"GKV","display":"Insured's ID with Public Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient with a public insurance company.","property":[{"code":"v2-concComment","valueString":"GKV is a patient ID with a public insurance company."},{"code":"status","valueCode":"N"}]},{"id":"2016","code":"GL","display":"General ledger number","definition":"General ledger number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2017","code":"GN","display":"Guarantor external  identifier","definition":"Guarantor external  identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"externe ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2018","code":"HC","display":"Health Card Number","definition":"Health Card Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2019","code":"IND","display":"Indigenous/Aboriginal","definition":"A number assigned to a member of an indigenous or aboriginal group outside of Canada.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a member of an indigenous or aboriginal group outside of Canada."},{"code":"status","valueCode":"active"}]},{"id":"2104","code":"IRISTEM","display":"An IRI stem","definition":"An IRI string that can be prepended to the code to obtain a concept IRI for RDF applications. This should be a valid, absolute IRI as defined in RFC 3987. See https://hl7.org/fhir/rdf.html#iri-stem for details on how this value may be used."},{"id":"2020","code":"JHN","display":"Jurisdictional health number","definition":"Jurisdictional health number","property":[{"code":"v2-concComment","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"status","valueCode":"active"}]},{"id":"2108","code":"KZVA","display":"Dentist Office Number","definition":"Identifier that can be used to unambiguously identify the practice of a dentist.","property":[{"code":"v2-concComment","valueString":"KZVA is an ID for the practice of a dentist."},{"code":"status","valueCode":"N"}]},{"id":"2021","code":"LACSN","display":"Laboratory Accession ID","definition":"A laboratory accession id is used in the laboratory domain.","property":[{"code":"v2-concComment","valueString":"The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"v2-concCommentAsPub","valueString":"A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"status","valueCode":"active"}]},{"id":"2022","code":"LANR","display":"Lifelong physician number","definition":"Lifelong physician number","property":[{"code":"v2-concComment","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"v2-concCommentAsPub","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"status","valueCode":"active"}]},{"id":"2023","code":"LI","display":"Labor and industries number","definition":"Labor and industries number","property":[{"code":"status","valueCode":"active"}]},{"id":"8023","code":"L&I","display":"Labor and industries number","definition":"Labor and industries number.  Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property":[{"code":"status","valueCode":"deprecated"},{"code":"HL7usageNotes","valueString":"Deprecated as of v 2.5; Use LI instead."}]},{"id":"2024","code":"LN","display":"License number","definition":"License number","property":[{"code":"status","valueCode":"active"}]},{"id":"2025","code":"LR","display":"Local Registry ID","definition":"Local Registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2026","code":"MA","display":"Patient Medicaid number","definition":"Patient Medicaid number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Armennummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2027","code":"MB","display":"Member Number","definition":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"v2-concCommentAsPub","valueString":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"status","valueCode":"active"}]},{"id":"2028","code":"MC","display":"Patient's Medicare number","definition":"Patient's Medicare number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Rentnernummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2029","code":"MCD","display":"Practitioner Medicaid number","definition":"Practitioner Medicaid number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2030","code":"MCN","display":"Microchip Number","definition":"Microchip Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2031","code":"MCR","display":"Practitioner Medicare number","definition":"Practitioner Medicare number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2032","code":"MCT","display":"Marriage Certificate","definition":"A number associated with a document identifying the event of a person's marriage.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's marriage."},{"code":"status","valueCode":"active"}]},{"id":"2033","code":"MD","display":"Medical License number","definition":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property":[{"code":"v2-concComment","valueString":"Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"status","valueCode":"active"}]},{"id":"2034","code":"MI","display":"Military ID number","definition":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code":"status","valueCode":"active"}]},{"id":"2035","code":"MR","display":"Medical record number","definition":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Krankenaktennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code":"status","valueCode":"active"}]},{"id":"2036","code":"MRT","display":"Temporary Medical Record Number","definition":"Temporary version of a Medical Record Number","property":[{"code":"v2-concComment","valueString":"Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. 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It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"status","valueCode":"active"}]},{"id":"2110","code":"NIIH","display":"National Insurance Headquarters Organization Identifier","definition":"National Insurance Headquarters Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen des Krankenkassensitzes"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2044","code":"NIIP","display":"National Insurance Payor Identifier (Payor)","definition":"National Insurance Payor Identifier (Payor)","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Vertragskassennummer (VKNR)"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code":"status","valueCode":"active"}]},{"id":"2045","code":"NNxxx","display":"National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","definition":"National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","property":[{"code":"status","valueCode":"active"}]},{"id":"2046","code":"NP","display":"Nurse practitioner 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Official)","definition":"Identifier that uniquely identifies a geographic location in the US.","property":[{"code":"v2-concComment","valueString":"The owner of the premises, or a person designated by the owner of the premises, can register his/her location. A premises identification number, or PIN, is then permanently assigned to that location associating it with the mailing address. If there is no mailing address at the property, geographic coordinates—latitude and longitude—can be used instead to describe the location.   A premises identification number (PIN) is a unique, 7-digit code that includes both letters and numbers. 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The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"v2-concCommentAsPub","valueString":"A generalized resource identifier.\r\nUse Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"status","valueCode":"active"}]},{"id":"2071","code":"RN","display":"Registered Nurse Number","definition":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2072","code":"RPH","display":"Pharmacist license number","definition":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2073","code":"RR","display":"Railroad Retirement number","definition":"An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Seniorenkartennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number"},{"code":"status","valueCode":"active"}]},{"id":"2074","code":"RRI","display":"Regional registry ID","definition":"Regional registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2075","code":"RRP","display":"Railroad Retirement Provider","definition":"Railroad Retirement Provider","property":[{"code":"v2-concComment","valueString":"Class:  Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class:  Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2076","code":"SAMN","display":"SAMN# accession Number","definition":"The accession number for the BioSample data repository at the National Center for Biotechnology Information (NCBI)","property":[{"code":"v2-concComment","valueString":"This accession is a permanent record locator for the BioSample record which contains metadata about the biological sample."},{"code":"status","valueCode":"N"}]},{"id":"2077","code":"SB","display":"Social Beneficiary Identifier","definition":"An identifier issued by a governmental organization to a person to identify the person should they apply for or receive social services and/or benefits","property":[{"code":"status","valueCode":"active"}]},{"id":"2078","code":"SID","display":"Specimen ID","definition":"Identifier for a specimen.","property":[{"code":"v2-concComment","valueString":"Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code":"v2-concCommentAsPub","valueString":"Identifier for a specimen. 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The person’s family may be plan members, but are not the subscriber."},{"code":"status","valueCode":"active"}]},{"id":"2081","code":"SNBSN","display":"State assigned NDBS card Identifier","definition":"The identifier on a Newborn Screening Dried Bloodspot (NDBS) card that is assigned by the state which provided the sample collection cards and to whom this information must be reported","property":[{"code":"v2-concComment","valueString":"For use either with OBX-5 as CX datatype, where OBX-3 uses LOINC 57716-3^State printed on filter paper card [Identifier] in NBS card^LN, or in SPM-31"},{"code":"status","valueCode":"N"}]},{"id":"2082","code":"SNO","display":"Serial Number","definition":"An identifier affixed to an item by the manufacturer when it is first made, where each item has a different identifier.","property":[{"code":"status","valueCode":"active"}]},{"id":"2083","code":"SP","display":"Study Permit","definition":"A number associated with a permit identifying a person who is a 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If formulation is unknown, use CVX 85.  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Code 42 should only be used to record historical records. For current administration of hepatitis B vaccine, pediatric/adolescent dosage, use code 08."},{"code":"vaccine-status","valueCode":"Inactive"},{"code":"non-vaccine","valueBoolean":false},{"code":"last-updated","valueDateTime":"2010-05-28"}]},{"code":"43","display":"Hep B, adult","designation":[{"language":"en","use":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym"},"value":"hepatitis B vaccine, adult dosage"}],"property":[{"code":"notes","valueString":"This code applies to any standard adult dose and schedule. Also use CVX 43 for the FDA approved Recombivax HB 2-dose hepatitis B schedule for adolescents (11-15 year olds) using the adult formulation."},{"code":"vaccine-status","valueCode":"Active"},{"code":"non-vaccine","valueBoolean":false},{"code":"last-updated","valueDateTime":"2024-12-12"}]},{"code":"44","display":"Hep B, high-dosage, dialysis or IC","designation":[{"language":"en","use":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym"},"value":"Hepatitis B vaccine (Hep B), high-dosage, dialysis or immunocompromised patient"}],"property":[{"code":"notes","valueString":"This code is used record patient high dosage vaccine administration for dialysis or immunocompromised patients. For NDCs that are used for both regular vaccine and dialysis/IC high-dosage schedules (e.g. Engerix-B), are mapped to both CVX 43 and CVX 44. CVX code 44 should be utilized to record dialysis/IC dosing."},{"code":"vaccine-status","valueCode":"Active"},{"code":"non-vaccine","valueBoolean":false},{"code":"last-updated","valueDateTime":"2024-12-13"}]},{"code":"45","display":"Hep B, unspecified formulation","designation":[{"language":"en","use":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym"},"value":"hepatitis B vaccine, unspecified formulation"}],"property":[{"code":"notes","valueString":"This CVX code allows reporting of a vaccination when formulation is unknown (for example, when recording a HepB vaccination when noted on a vaccination card)"},{"code":"vaccine-status","valueCode":"Inactive"},{"code":"non-vaccine","valueBoolean":false},{"code":"last-updated","valueDateTime":"2010-09-30"}]},{"code":"46","display":"Hib (PRP-D)","designation":[{"language":"en","use":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym"},"value":"Haemophilus influenzae type b 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vaccine"}],"property":[{"code":"notes","valueString":"This vaccine may still be in use until the existing lots expire on 8/19/16."},{"code":"vaccine-status","valueCode":"Inactive"},{"code":"non-vaccine","valueBoolean":false},{"code":"last-updated","valueDateTime":"2016-03-11"}]},{"code":"52","display":"Hep A, adult","designation":[{"language":"en","use":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym"},"value":"hepatitis A vaccine, adult dosage"}],"property":[{"code":"vaccine-status","valueCode":"Active"},{"code":"non-vaccine","valueBoolean":false},{"code":"last-updated","valueDateTime":"2010-05-28"}]},{"code":"53","display":"typhoid, parenteral, AKD (U.S. military)","designation":[{"language":"en","use":{"system":"http://snomed.info/sct","code":"900000000000013009","display":"Synonym"},"value":"typhoid vaccine, parenteral, acetone-killed, dried (U.S. 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All vaccine NDCs retired.  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If formulation is unknown, use CVX 85.  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It should not be used for seasonal influenza vaccine that is not otherwise specified. 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For instance, a credentialed sonographer whose identifier assigned by the credentialing body has been entered can be properly labeled."},{"code":"status","valueCode":"N"}]},{"id":"1969","code":"ACSN","display":"Accession ID","definition":"Accession Identifier","property":[{"code":"v2-concCommentAsPub","valueString":"Accession Identifier"},{"code":"status","valueCode":"active"}]},{"id":"1970","code":"AIN","display":"Animal Identification Number (US Official)","definition":"A numbering system for the official identification of individual animals in the United States that provides a nationally unique identification number for each animal. The first two numbers on a tag are the numbers assigned to a specific State.","property":[{"code":"v2-concComment","valueString":"AIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"1971","code":"AM","display":"American Express","definition":"American Express","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"American Express"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1972","code":"AMA","display":"American Medical Association Number","definition":"A physician identifier assigned by the AMA.","property":[{"code":"v2-concCommentAsPub","valueString":"A physician identifier assigned by the AMA."},{"code":"status","valueCode":"active"}]},{"id":"1973","code":"AN","display":"Account number","definition":"Account An identifier that is unique to an account.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Kontonummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an account."},{"code":"status","valueCode":"active"}]},{"id":"1974","code":"ANC","display":"Account number Creditor","definition":"A more precise definition of an account number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Kreditorenkontonummer"},{"code":"status","valueCode":"active"}]},{"id":"1975","code":"AND","display":"Account number debitor","definition":"A more precise definition of an account number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.<p>Debitorenkontonummer"},{"code":"status","valueCode":"active"}]},{"id":"1976","code":"ANON","display":"Anonymous identifier","definition":"An identifier for a living subject whose real identity is protected or suppressed","property":[{"code":"v2-concComment","valueString":"Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"v2-concCommentAsPub","valueString":"An identifier for a living subject whose real identity is protected or suppressed\r\nJustification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department."},{"code":"status","valueCode":"active"}]},{"id":"1977","code":"ANT","display":"Temporary Account Number","definition":"Temporary version of an Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial\r\nTemporary version of an Account Number.\r\nUse Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"1978","code":"APRN","display":"Advanced Practice Registered Nurse number","definition":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board"},{"code":"status","valueCode":"active"}]},{"id":"1979","code":"ASID","display":"Ancestor Specimen ID","definition":"A unique identifier for the ancestor specimen.","property":[{"code":"v2-concComment","valueString":"All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"v2-concCommentAsPub","valueString":"A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID."},{"code":"status","valueCode":"active"}]},{"id":"1980","code":"BA","display":"Bank Account Number","definition":"Bank Account Number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"1981","code":"BC","display":"Bank Card Number","definition":"An identifier that is unique to a person's bank card","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1982","code":"BCFN","display":"Birth Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the birth certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"1983","code":"BCT","display":"Birth Certificate","definition":"A number associated with a document identifying the event of a person's birth","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1984","code":"BR","display":"Birth registry number","definition":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Geburtsregisternummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier unique within the Assigning Authority that is the official legal record of a person's birth."},{"code":"status","valueCode":"active"}]},{"id":"1985","code":"BRN","display":"Breed Registry Number","definition":"Breed Registry Number","property":[{"code":"status","valueCode":"active"}]},{"id":"1986","code":"BSNR","display":"Primary physician office number","definition":"Primary physician office number","property":[{"code":"v2-concComment","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Betriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"1987","code":"CAAI","display":"Consumer Application Account Identifier","definition":"An identifier for the consumer (e.g., patient, caregiver) for an application such as a portal or App.","property":[{"code":"v2-concComment","valueString":"This may be the same as a username, but frequently is different."},{"code":"status","valueCode":"N"}]},{"id":"1988","code":"CC","display":"Cost Center number","definition":"Cost Center number","property":[{"code":"v2-concComment","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Financial<p>Use Case: needed especially for transmitting information about invoices."},{"code":"status","valueCode":"active"}]},{"id":"1989","code":"CONM","display":"Change of Name Document","definition":"A number associated with a document identifying a person's legal change of name.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's legal change of name."},{"code":"status","valueCode":"active"}]},{"id":"1990","code":"CY","display":"County number","definition":"County number","property":[{"code":"status","valueCode":"active"}]},{"id":"1991","code":"CZ","display":"Citizenship Card","definition":"A number assigned by a person's country of residence to identify a person's citizenship.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned by a person's country of residence to identify a person's citizenship."},{"code":"status","valueCode":"active"}]},{"id":"1992","code":"DC","display":"Death Certificate ID","definition":"The identifier assigned to a death certificate, and printed on the death certificate when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"active"}]},{"id":"1993","code":"DCFN","display":"Death Certificate File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the death certificate.","property":[{"code":"status","valueCode":"active"}]},{"id":"1994","code":"DDS","display":"Dentist license number","definition":"An identifier that is unique to a dentist within the jurisdiction of the licensing board","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a dentist within the jurisdiction of the licensing board"},{"code":"status","valueCode":"active"}]},{"id":"1995","code":"DEA","display":"Drug Enforcement Administration registration number","definition":"An identifier for an individual or organization relative to controlled substance regulation and transactions.","property":[{"code":"v2-concComment","valueString":"Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual or organization relative to controlled substance regulation and transactions.\r\nUse case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. \r\nA DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"1996","code":"DFN","display":"Drug Furnishing or prescriptive authority Number","definition":"An identifier issued to a health care provider authorizing the person to write drug orders","property":[{"code":"v2-concComment","valueString":"Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"v2-concCommentAsPub","valueString":"An identifier issued to a health care provider authorizing the person to write drug orders<p>Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1."},{"code":"status","valueCode":"active"}]},{"id":"1997","code":"DI","display":"Diner's Club card","definition":"Diner's Club card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Diners Club"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"1998","code":"DL","display":"Driver's license number","definition":"Driver's license number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Führerscheinnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"1999","code":"DN","display":"Doctor number","definition":"Doctor number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arztnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2000","code":"DO","display":"Osteopathic License number","definition":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to an osteopath within the jurisdiction of a licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2001","code":"DP","display":"Diplomatic Passport","definition":"A number assigned to a diplomatic passport.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a diplomatic passport."},{"code":"status","valueCode":"active"}]},{"id":"2002","code":"DPM","display":"Podiatrist license number","definition":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a podiatrist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2003","code":"DR","display":"Donor Registration Number","definition":"Donor Registration Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2004","code":"DS","display":"Discover Card","definition":"Discover Card","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Discover Card"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2005","code":"DSG","display":"Diagnostic Study Group","definition":"Unique Identifier that groups several orders that are to be performed together.","property":[{"code":"v2-concComment","valueString":"Example: Radiology studies"},{"code":"status","valueCode":"N"}]},{"id":"2006","code":"EI","display":"Employee number","definition":"A number that uniquely identifies an employee to an employer.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitnehmernummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that uniquely identifies an employee to an employer."},{"code":"status","valueCode":"active"}]},{"id":"2007","code":"EN","display":"Employer number","definition":"Employer number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitgebernummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2008","code":"ESN","display":"Staff Enterprise Number","definition":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"12008","code":"ETIN","display":"Electronic Transmitter Identification Number","definition":"A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property":[{"code":"status","valueCode":"active"}]},{"id":"2009","code":"FDR","display":"Fetal Death Report ID","definition":"The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"N"}]},{"id":"2010","code":"FDRFN","display":"Fetal Death Report File Number","definition":"The identifier used within the jurisdictional vital records office file system as an auxiliary means of accessing the record associated with the fetal death report certificate.","property":[{"code":"status","valueCode":"N"}]},{"id":"2011","code":"FGN","display":"Filler Group Number","definition":"Unique identifier assigned to a group of orders by the filler application.","property":[{"code":"v2-concComment","valueString":"This is analogous to the Placer Group Number ORC-4, except that it is assigned by the filler."},{"code":"status","valueCode":"N"}]},{"id":"2012","code":"FI","display":"Facility ID","definition":"Facility ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2013","code":"FILL","display":"Filler Identifier","definition":"An identifier for a request where the identifier is issued by the person, or service, that produces the observations or fulfills the request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2014","code":"GI","display":"Guarantor internal identifier","definition":"Guarantor internal identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2015","code":"GIN","display":"Animal Group Identifier (US Official)","definition":"Identifier that can be used to unambiguously describe a specific group of animals.","property":[{"code":"v2-concComment","valueString":"GIN is the official acronym used by USDA"},{"code":"status","valueCode":"N"}]},{"id":"2105","code":"GKV","display":"Insured's ID with Public Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient with a public insurance company.","property":[{"code":"v2-concComment","valueString":"GKV is a patient ID with a public insurance company."},{"code":"status","valueCode":"N"}]},{"id":"2016","code":"GL","display":"General ledger number","definition":"General ledger number","property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2017","code":"GN","display":"Guarantor external  identifier","definition":"Guarantor external  identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"externe ID des Zahlungspflichtigen"}],"property":[{"code":"v2-concComment","valueString":"Class: Financial"},{"code":"v2-concCommentAsPub","valueString":"Class: Financial"},{"code":"status","valueCode":"active"}]},{"id":"2018","code":"HC","display":"Health Card Number","definition":"Health Card Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2019","code":"IND","display":"Indigenous/Aboriginal","definition":"A number assigned to a member of an indigenous or aboriginal group outside of Canada.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to a member of an indigenous or aboriginal group outside of Canada."},{"code":"status","valueCode":"active"}]},{"id":"2104","code":"IRISTEM","display":"An IRI stem","definition":"An IRI string that can be prepended to the code to obtain a concept IRI for RDF applications. This should be a valid, absolute IRI as defined in RFC 3987. See https://hl7.org/fhir/rdf.html#iri-stem for details on how this value may be used."},{"id":"2020","code":"JHN","display":"Jurisdictional health number","definition":"Jurisdictional health number","property":[{"code":"v2-concComment","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:"},{"code":"status","valueCode":"active"}]},{"id":"2108","code":"KZVA","display":"Dentist Office Number","definition":"Identifier that can be used to unambiguously identify the practice of a dentist.","property":[{"code":"v2-concComment","valueString":"KZVA is an ID for the practice of a dentist."},{"code":"status","valueCode":"N"}]},{"id":"2021","code":"LACSN","display":"Laboratory Accession ID","definition":"A laboratory accession id is used in the laboratory domain.","property":[{"code":"v2-concComment","valueString":"The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"v2-concCommentAsPub","valueString":"A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id"},{"code":"status","valueCode":"active"}]},{"id":"2022","code":"LANR","display":"Lifelong physician number","definition":"Lifelong physician number","property":[{"code":"v2-concComment","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"v2-concCommentAsPub","valueString":"Lebenslange Arztnummer - for use in German realm."},{"code":"status","valueCode":"active"}]},{"id":"2023","code":"LI","display":"Labor and industries number","definition":"Labor and industries number","property":[{"code":"status","valueCode":"active"}]},{"id":"8023","code":"L&I","display":"Labor and industries number","definition":"Labor and industries number.  Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property":[{"code":"status","valueCode":"deprecated"},{"code":"HL7usageNotes","valueString":"Deprecated as of v 2.5; Use LI instead."}]},{"id":"2024","code":"LN","display":"License number","definition":"License number","property":[{"code":"status","valueCode":"active"}]},{"id":"2025","code":"LR","display":"Local Registry ID","definition":"Local Registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2026","code":"MA","display":"Patient Medicaid number","definition":"Patient Medicaid number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Armennummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2027","code":"MB","display":"Member Number","definition":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"v2-concCommentAsPub","valueString":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"status","valueCode":"active"}]},{"id":"2028","code":"MC","display":"Patient's Medicare number","definition":"Patient's Medicare number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Rentnernummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2029","code":"MCD","display":"Practitioner Medicaid number","definition":"Practitioner Medicaid number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2030","code":"MCN","display":"Microchip Number","definition":"Microchip Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2031","code":"MCR","display":"Practitioner Medicare number","definition":"Practitioner Medicare number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2032","code":"MCT","display":"Marriage Certificate","definition":"A number associated with a document identifying the event of a person's marriage.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's marriage."},{"code":"status","valueCode":"active"}]},{"id":"2033","code":"MD","display":"Medical License number","definition":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property":[{"code":"v2-concComment","valueString":"Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"status","valueCode":"active"}]},{"id":"2034","code":"MI","display":"Military ID number","definition":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code":"status","valueCode":"active"}]},{"id":"2035","code":"MR","display":"Medical record number","definition":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Krankenaktennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code":"status","valueCode":"active"}]},{"id":"2036","code":"MRT","display":"Temporary Medical Record Number","definition":"Temporary version of a Medical Record Number","property":[{"code":"v2-concComment","valueString":"Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. 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The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"status","valueCode":"active"}]},{"id":"2071","code":"RN","display":"Registered Nurse Number","definition":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2072","code":"RPH","display":"Pharmacist license number","definition":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2073","code":"RR","display":"Railroad Retirement number","definition":"An identifier for an individual enrolled with the Railroad Retirement Administration.  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Analogous to, but distinct from, a Social Security Number"},{"code":"status","valueCode":"active"}]},{"id":"2074","code":"RRI","display":"Regional registry ID","definition":"Regional registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2075","code":"RRP","display":"Railroad Retirement Provider","definition":"Railroad Retirement Provider","property":[{"code":"v2-concComment","valueString":"Class:  Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class:  Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2076","code":"SAMN","display":"SAMN# accession Number","definition":"The accession number for the BioSample data repository at the National Center for Biotechnology Information (NCBI)","property":[{"code":"v2-concComment","valueString":"This accession is a permanent record locator for the BioSample record which contains metadata about the biological sample."},{"code":"status","valueCode":"N"}]},{"id":"2077","code":"SB","display":"Social Beneficiary Identifier","definition":"An identifier issued by a governmental organization to a person to identify the person should they apply for or receive social services and/or benefits","property":[{"code":"status","valueCode":"active"}]},{"id":"2078","code":"SID","display":"Specimen ID","definition":"Identifier for a specimen.","property":[{"code":"v2-concComment","valueString":"Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code":"v2-concCommentAsPub","valueString":"Identifier for a specimen. 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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0203' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 5.0.0,5.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0203' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 5.0.0,5.0.0"}}]}

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together.","property":[{"code":"v2-concComment","valueString":"Example: Radiology studies"},{"code":"status","valueCode":"N"}]},{"id":"2006","code":"EI","display":"Employee number","definition":"A number that uniquely identifies an employee to an employer.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitnehmernummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that uniquely identifies an employee to an employer."},{"code":"status","valueCode":"active"}]},{"id":"2007","code":"EN","display":"Employer number","definition":"Employer number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Arbeitgebernummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2008","code":"ESN","display":"Staff Enterprise Number","definition":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"12008","code":"ETIN","display":"Electronic Transmitter Identification Number","definition":"A unique identifier usually assigned by a health plan or clearinghouse to an organization or provider that electronically transmits healthcare transactions, such as claims, eligibility inquiries, or remittance advices.","property":[{"code":"status","valueCode":"active"}]},{"id":"2009","code":"FDR","display":"Fetal Death Report ID","definition":"The identifier assigned to a fetal death report, and printed on the fetal death report when issued by a jurisdictional vital records office","property":[{"code":"status","valueCode":"N"}]},{"id":"2010","code":"FDRFN","display":"Fetal Death Report File 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Note that this was introduced erroneously (with an ampersand in the code value) many years ago.","property":[{"code":"status","valueCode":"deprecated"},{"code":"HL7usageNotes","valueString":"Deprecated as of v 2.5; Use LI instead."}]},{"id":"2024","code":"LN","display":"License number","definition":"License number","property":[{"code":"status","valueCode":"active"}]},{"id":"2025","code":"LR","display":"Local Registry ID","definition":"Local Registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2026","code":"MA","display":"Patient Medicaid number","definition":"Patient Medicaid number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Armennummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2027","code":"MB","display":"Member Number","definition":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"v2-concCommentAsPub","valueString":"An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.<p>Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy."},{"code":"status","valueCode":"active"}]},{"id":"2028","code":"MC","display":"Patient's Medicare number","definition":"Patient's Medicare number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Rentnernummer"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2029","code":"MCD","display":"Practitioner Medicaid number","definition":"Practitioner Medicaid number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2030","code":"MCN","display":"Microchip Number","definition":"Microchip Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2031","code":"MCR","display":"Practitioner Medicare number","definition":"Practitioner Medicare number","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2032","code":"MCT","display":"Marriage Certificate","definition":"A number associated with a document identifying the event of a person's marriage.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying the event of a person's marriage."},{"code":"status","valueCode":"active"}]},{"id":"2033","code":"MD","display":"Medical License number","definition":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.","property":[{"code":"v2-concComment","valueString":"Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.\r\nUse Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes)."},{"code":"status","valueCode":"active"}]},{"id":"2034","code":"MI","display":"Military ID number","definition":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA)."},{"code":"status","valueCode":"active"}]},{"id":"2035","code":"MR","display":"Medical record number","definition":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Krankenaktennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application."},{"code":"status","valueCode":"active"}]},{"id":"2036","code":"MRT","display":"Temporary Medical Record Number","definition":"Temporary version of a Medical Record Number","property":[{"code":"v2-concComment","valueString":"Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Medical Record Number\r\nUse Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned."},{"code":"status","valueCode":"active"}]},{"id":"2037","code":"MS","display":"MasterCard","definition":"MasterCard","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"MasterCard"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2038","code":"NBSNR","display":"Secondary physician office number","definition":"Secondary physician office number","property":[{"code":"v2-concComment","valueString":"Nebenbetriebsstättennummer - for use in the German realm."},{"code":"v2-concCommentAsPub","valueString":"Nebenbetriebsstättennummer - for use in the German realm."},{"code":"status","valueCode":"active"}]},{"id":"2039","code":"NCT","display":"Naturalization Certificate","definition":"A number associated with a document identifying a person's retention of citizenship in a particular country.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's retention of citizenship in a particular country."},{"code":"status","valueCode":"active"}]},{"id":"2040","code":"NE","display":"National employer identifier","definition":"National employer identifier","property":[{"code":"v2-concComment","valueString":"In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2041","code":"NH","display":"National Health Plan Identifier","definition":"National Health Plan Identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nUsed for the UK NHS national identifier."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>Used for the UK NHS national identifier.<p>In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2042","code":"NI","display":"National unique individual identifier","definition":"National unique individual identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2043","code":"NII","display":"National Insurance Organization Identifier","definition":"National Insurance Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen der Krankenkasse"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.<p>Krankenkassen-ID der KV-Karte"},{"code":"status","valueCode":"active"}]},{"id":"2110","code":"NIIH","display":"National Insurance Headquarters Organization Identifier","definition":"National Insurance Headquarters Organization Identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Institutskennzeichen des Krankenkassensitzes"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2044","code":"NIIP","display":"National Insurance Payor Identifier (Payor)","definition":"National Insurance Payor Identifier (Payor)","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Vertragskassennummer (VKNR)"}],"property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn Germany the insurance identifier addressed as the payor.<p>Krankenkassen-ID des Rechnungsempfängers<p>Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices."},{"code":"status","valueCode":"active"}]},{"id":"2045","code":"NNxxx","display":"National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","definition":"National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code","property":[{"code":"status","valueCode":"active"}]},{"id":"2046","code":"NP","display":"Nurse practitioner number","definition":"An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board."},{"code":"status","valueCode":"active"}]},{"id":"2047","code":"NPI","display":"National provider identifier","definition":"National provider identifier","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nIn the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions."},{"code":"status","valueCode":"active"}]},{"id":"2048","code":"OBI","display":"Observation Instance Identifier","definition":"Unique and persistent identifier for an observation instance","property":[{"code":"v2-concComment","valueString":"For example in the IHE-LCC Profile this is used to identify the OBX-21 of the result for which a clarification is requested using an OML^O59_OML_O59 message structure"},{"code":"status","valueCode":"N"}]},{"id":"2049","code":"OD","display":"Optometrist license number","definition":"A number that is unique to an individual optometrist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"A number that is unique to an individual optometrist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2050","code":"PA","display":"Physician Assistant number","definition":"An identifier that is unique to a physician assistant within the jurisdiction of a licensing board","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Assistenzarztnummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a physician assistant within the jurisdiction of a licensing board"},{"code":"status","valueCode":"active"}]},{"id":"12050","code":"PAYERID","display":"Payer Identifier","definition":"A unique identifier, usually assigned by a health plan or clearinghouse, used in electronic healthcare transactions to designate the specific health insurance company or plan that is the recipient or sender of the transaction.","property":[{"code":"status","valueCode":"active"}]},{"id":"2051","code":"PC","display":"Parole Card","definition":"A number identifying a person on parole.","property":[{"code":"v2-concCommentAsPub","valueString":"A number identifying a person on parole."},{"code":"status","valueCode":"active"}]},{"id":"2052","code":"PCN","display":"Penitentiary/correctional institution Number","definition":"A number assigned to individual who is incarcerated.","property":[{"code":"v2-concCommentAsPub","valueString":"A number assigned to individual who is incarcerated."},{"code":"status","valueCode":"active"}]},{"id":"2053","code":"PE","display":"Living Subject Enterprise Number","definition":"An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority)."},{"code":"status","valueCode":"active"}]},{"id":"2054","code":"PEN","display":"Pension Number","definition":"Pension Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2055","code":"PGN","display":"Placer Group Number","definition":"Unique identifier assigned to a group of orders by the placer application.","property":[{"code":"v2-concComment","valueString":"This is analogous to the Placer Group Number ORC-4."},{"code":"status","valueCode":"N"}]},{"id":"2056","code":"PHC","display":"Public Health Case Identifier","definition":"Identifier assigned to a person during a case investigation as part of a public health event","property":[{"code":"v2-concComment","valueString":"For example every person affected by the Norovirus outbreak on a cruise ship will be assigned a case ID for investigation and follow up"},{"code":"status","valueCode":"N"}]},{"id":"2057","code":"PHE","display":"Public Health Event Identifier","definition":"Identifier assigned to an event of interest to public health","property":[{"code":"v2-concComment","valueString":"For example an outbreak of Norovirus on a cruise ship – this is assigned by a public health jurisdiction at the local, state or federal level"},{"code":"status","valueCode":"N"}]},{"id":"2058","code":"PHO","display":"Public Health Official ID","definition":"An identifier for a person working at a public health agency (PHA),  assigned or issued by the agency","property":[{"code":"v2-concComment","valueString":"May need to identify contact in a PHA that approved a test request or is in charge of an investigation."},{"code":"status","valueCode":"N"}]},{"id":"2059","code":"PI","display":"Patient internal identifier","definition":"A number that is unique to a patient within an Assigning Authority.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"interne Patienten-ID"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that is unique to a patient within an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"2060","code":"PIN","display":"Premises Identifier Number (US Official)","definition":"Identifier that uniquely identifies a geographic location in the US.","property":[{"code":"v2-concComment","valueString":"The owner of the premises, or a person designated by the owner of the premises, can register his/her location. A premises identification number, or PIN, is then permanently assigned to that location associating it with the mailing address. If there is no mailing address at the property, geographic coordinates—latitude and longitude—can be used instead to describe the location.   A premises identification number (PIN) is a unique, 7-digit code that includes both letters and numbers. Example: A123R69"},{"code":"status","valueCode":"N"}]},{"id":"2106","code":"PKV","display":"Insured's ID with Private Insurance","definition":"Identifier that can be used to unambiguously describe the ID of a patient with a private insurance company.","property":[{"code":"v2-concComment","valueString":"PKV is a patient ID with an private insurance company."},{"code":"status","valueCode":"N"}]},{"id":"2061","code":"PLAC","display":"Placer Identifier","definition":"An identifier for a request where the identifier is issued by the person or service making the request.","property":[{"code":"status","valueCode":"active"}]},{"id":"2062","code":"PN","display":"Person number","definition":"A number that is unique to a living subject within an Assigning Authority.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Personen-ID"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number that is unique to a living subject within an Assigning Authority."},{"code":"status","valueCode":"active"}]},{"id":"2063","code":"PNT","display":"Temporary Living Subject Number","definition":"Temporary version of a Living Subject Number.","property":[{"code":"v2-concCommentAsPub","valueString":"Temporary version of a Lining Subject Number."},{"code":"status","valueCode":"active"}]},{"id":"2064","code":"PPIN","display":"Medicare/CMS Performing Provider Identification Number","definition":"Medicare/CMS Performing Provider Identification Number","property":[{"code":"v2-concComment","valueString":"Class:  Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class:  Insurance"},{"code":"HL7usageNotes","valueString":"Class:  Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2065","code":"PPN","display":"Passport number","definition":"A unique number assigned to the document affirming that a person is a citizen of the country.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Passnummer"}],"property":[{"code":"v2-concComment","valueString":"In the US this number is issued only by the State Department."},{"code":"v2-concCommentAsPub","valueString":"A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department."},{"code":"status","valueCode":"active"}]},{"id":"2066","code":"PRC","display":"Permanent Resident Card Number","definition":"Permanent Resident Card Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2067","code":"PRN","display":"Provider number","definition":"A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.","property":[{"code":"v2-concComment","valueString":"Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code":"v2-concCommentAsPub","valueString":"A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.<p>Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team)."},{"code":"status","valueCode":"active"}]},{"id":"2068","code":"PT","display":"Patient external identifier","definition":"Patient external identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"externe Patienten-ID"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2069","code":"QA","display":"QA number","definition":"QA number","property":[{"code":"status","valueCode":"active"}]},{"id":"2070","code":"RI","display":"Resource identifier","definition":"A generalized resource identifier.","property":[{"code":"v2-concComment","valueString":"Use Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"v2-concCommentAsPub","valueString":"A generalized resource identifier.\r\nUse Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity."},{"code":"status","valueCode":"active"}]},{"id":"2071","code":"RN","display":"Registered Nurse Number","definition":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a registered nurse within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2072","code":"RPH","display":"Pharmacist license number","definition":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.","property":[{"code":"v2-concCommentAsPub","valueString":"An identifier that is unique to a pharmacist within the jurisdiction of the licensing board."},{"code":"status","valueCode":"active"}]},{"id":"2073","code":"RR","display":"Railroad Retirement number","definition":"An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Seniorenkartennummer"}],"property":[{"code":"v2-concCommentAsPub","valueString":"An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number"},{"code":"status","valueCode":"active"}]},{"id":"2074","code":"RRI","display":"Regional registry ID","definition":"Regional registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2075","code":"RRP","display":"Railroad Retirement Provider","definition":"Railroad Retirement Provider","property":[{"code":"v2-concComment","valueString":"Class:  Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class:  Insurance"},{"code":"status","valueCode":"active"}]},{"id":"2076","code":"SAMN","display":"SAMN# accession Number","definition":"The accession number for the BioSample data repository at the National Center for Biotechnology Information (NCBI)","property":[{"code":"v2-concComment","valueString":"This accession is a permanent record locator for the BioSample record which contains metadata about the biological sample."},{"code":"status","valueCode":"N"}]},{"id":"2077","code":"SB","display":"Social Beneficiary Identifier","definition":"An identifier issued by a governmental organization to a person to identify the person should they apply for or receive social services and/or benefits","property":[{"code":"status","valueCode":"active"}]},{"id":"2078","code":"SID","display":"Specimen ID","definition":"Identifier for a specimen.","property":[{"code":"v2-concComment","valueString":"Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code":"v2-concCommentAsPub","valueString":"Identifier for a specimen. Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID)."},{"code":"status","valueCode":"active"}]},{"id":"2079","code":"SL","display":"State license","definition":"State license","property":[{"code":"status","valueCode":"active"}]},{"id":"2080","code":"SN","display":"Subscriber Number","definition":"An identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.","property":[{"code":"v2-concComment","valueString":"Class: Insurance\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance\r\nAn identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.\r\nUse Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber."},{"code":"status","valueCode":"active"}]},{"id":"2081","code":"SNBSN","display":"State assigned NDBS card Identifier","definition":"The identifier on a Newborn Screening Dried Bloodspot (NDBS) card that is assigned by the state which provided the sample collection cards and to whom this information must be reported","property":[{"code":"v2-concComment","valueString":"For use either with OBX-5 as CX datatype, where OBX-3 uses LOINC 57716-3^State printed on filter paper card [Identifier] in NBS card^LN, or in SPM-31"},{"code":"status","valueCode":"N"}]},{"id":"2082","code":"SNO","display":"Serial Number","definition":"An identifier affixed to an item by the manufacturer when it is first made, where each item has a different identifier.","property":[{"code":"status","valueCode":"active"}]},{"id":"2083","code":"SP","display":"Study Permit","definition":"A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education."},{"code":"status","valueCode":"active"}]},{"id":"2084","code":"SR","display":"State registry ID","definition":"State registry ID","property":[{"code":"status","valueCode":"active"}]},{"id":"2085","code":"SRX","display":"SRA Accession number","definition":"The accession number generated by the Sequence Read Archive (SRA) at the National Center for Biotechnology Information (NCBI) when sequence data are uploaded to NCBI.","property":[{"code":"v2-concComment","valueString":"This provides both the sequence data and metadata on how the sample was sequenced. – This accession is a permanent record locator for the submitted un-assembled sequence data."},{"code":"status","valueCode":"N"}]},{"id":"2086","code":"SS","display":"Social Security number","definition":"Social Security number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Sozialversicherungsnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2087","code":"STN","display":"Shipment Tracking Number","definition":"Identifier assigned to a package being shipped","property":[{"code":"v2-concComment","valueString":"For example the Fed Ex / UPS / DHS / USPS tracking number"},{"code":"status","valueCode":"N"}]},{"id":"2088","code":"TAX","display":"Tax ID number","definition":"Tax ID number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Steueridentifikationsnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2089","code":"TN","display":"Treaty Number/ (Canada)","definition":"A number assigned to a member of an indigenous group in Canada.","property":[{"code":"v2-concComment","valueString":"Use Case: First Nation."},{"code":"v2-concCommentAsPub","valueString":"A number assigned to a member of an indigenous group in Canada.<p>Use Case: First Nation."},{"code":"status","valueCode":"active"}]},{"id":"2090","code":"TPR","display":"Temporary Permanent Resident (Canada)","definition":"A number associated with a document identifying a person's temporary permanent resident status.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person's temporary permanent resident status."},{"code":"status","valueCode":"active"}]},{"id":"2091","code":"TRL","display":"Training License Number","definition":"The license number used during training.","property":[{"code":"status","valueCode":"N"}]},{"id":"2092","code":"U","display":"Unspecified identifier","definition":"Unspecified identifier","property":[{"code":"status","valueCode":"active"}]},{"id":"2093","code":"UDI","display":"Universal Device Identifier","definition":"An identifier assigned to a device using the Unique Device Identification framework as defined by IMDRF (http://imdrf.org).","property":[{"code":"status","valueCode":"active"}]},{"id":"12093","code":"UCID","display":"Unique Claim Identifier","definition":"A unique identifier assigned by a payer for a claim received from a provider or subscriber.","property":[{"code":"status","valueCode":"active"}]},{"id":"12094","code":"UMB","display":"Unique Product-independent Payer Person Identifier","definition":"A unique identifier assigned to an individual by a payer that remains consistent regardless of the individual's role (e.g., subscriber, dependent) or the specific product(s) they are enrolled in with that payer.","property":[{"code":"v2-concComment","valueString":"Use Case: Introduced by Da Vinci to support cross-coverage member/patient identifiers assigned by payers."},{"code":"status","valueCode":"active"}]},{"id":"2094","code":"UPIN","display":"Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers","definition":"An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program.","property":[{"code":"v2-concComment","valueString":"Class: Insurance"},{"code":"v2-concCommentAsPub","valueString":"Class: Insurance<p>An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program."},{"code":"status","valueCode":"active"}]},{"id":"2095","code":"USID","display":"Unique Specimen ID","definition":"A unique identifier for a specimen.","property":[{"code":"v2-concCommentAsPub","valueString":"A unique identifier for a specimen."},{"code":"status","valueCode":"active"}]},{"id":"2096","code":"VN","display":"Visit number","definition":"Visit number","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Fallnummer"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2097","code":"VP","display":"Visitor Permit","definition":"A number associated with a document identifying a person as a visitor of a jurisdiction or country.","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Besucherkennung"}],"property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a document identifying a person as a visitor of a jurisdiction or country."},{"code":"status","valueCode":"active"}]},{"id":"2098","code":"VS","display":"VISA","definition":"VISA","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"VISA"}],"property":[{"code":"v2-concComment","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"v2-concCommentAsPub","valueString":"Deprecated and replaced by BC in v 2.5."},{"code":"status","valueCode":"active"}]},{"id":"2099","code":"WC","display":"WIC identifier","definition":"WIC identifier","property":[{"code":"status","valueCode":"active"}]},{"id":"2100","code":"WCN","display":"Workers' Comp Number","definition":"Workers' Comp Number","property":[{"code":"status","valueCode":"active"}]},{"id":"2101","code":"WP","display":"Work Permit","definition":"A number associated with a permit for a person who is granted permission to work in a country for a specified time period.","property":[{"code":"v2-concCommentAsPub","valueString":"A number associated with a permit for a person who is granted permission to work in a country for a specified time period."},{"code":"status","valueCode":"active"}]},{"id":"2102","code":"XV","display":"Health Plan Identifier","definition":"National unique health plan identifier required by the US Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) in the US Realm.","property":[{"code":"v2-concComment","valueString":"Also referred to as HPID (Health Plan Identifier)."},{"code":"HL7usageNotes","valueString":"The code value ‘XV’ is used in CMS mandated Health Insurance Portability and Accountability Act (HIPAA) transactions."},{"code":"status","valueCode":"N"}]},{"id":"2103","code":"XX","display":"Organization identifier","definition":"Organization identifier","designation":[{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra","code":"preferredForLanguage"},"value":"Organisations-ID"}],"property":[{"code":"status","valueCode":"active"}]},{"id":"2107","code":"ZANR","display":"Dentist Identifier","definition":"Identifier that can be used to unambiguously describe the ID of a dentist.","property":[{"code":"v2-concComment","valueString":"ZANR is a dentist ID."},{"code":"status","valueCode":"N"}]}]}},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v2-0338","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v2-0338","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.21.220"}],"version":"2.0.0","name":"Hl7VSPractitionerIdNumberType","title":"hl7VS-practitionerIdNumberType","status":"active","experimental":false,"date":"2019-12-01","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Value Set of codes that specify the type of number used for the practitioner identification.","copyright":"This material derives from the HL7 Terminology (THO). 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422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:818
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:30:58 GMT
server:nginx
x-request-id:252-201476

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0203' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 5.0.0,5.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0203' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 5.0.0,5.0.0"}}]}

#1054

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0350","version":"2.0.0"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:851
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:30:58 GMT
server:nginx
x-request-id:252-201478

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0350' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0350' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known"}}]}

#1055

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:851
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:30:59 GMT
server:nginx
x-request-id:252-201480

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0350' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0350' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known"}}]}

#1056

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0351","version":"2.0.0"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:851
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date:Mon, 15 Dec 2025 20:30:59 GMT
server:nginx
x-request-id:252-201482

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0351' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0351' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known"}}]}

#1057

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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422
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date:Mon, 15 Dec 2025 20:30:59 GMT
server:nginx
x-request-id:252-201484

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0351' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0351' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known"}}]}

#1058

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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Download with V3 materials."},{"code":"status","valueCode":"active"}]},{"id":"4044","code":"ALPHAID2006","display":"German Alpha-ID v2006","definition":"German Alpha-ID v2006","property":[{"code":"v2-concComment","valueString":"ID of the alphabetical Index ICD-10-GM-2006. Alpha-ID."},{"code":"status","valueCode":"active"}]},{"id":"4045","code":"ALPHAID2007","display":"German Alpha-ID v2007","definition":"German Alpha-ID v2007","property":[{"code":"v2-concComment","valueString":"ID of the alphabetical Index ICD-10-GM-2007. Alpha-ID."},{"code":"status","valueCode":"active"}]},{"id":"4046","code":"ALPHAID2008","display":"German Alpha-ID v2008","definition":"German Alpha-ID v2008","property":[{"code":"v2-concComment","valueString":"ID of the alphabetical Index ICD-10-GM-2008. Alpha-ID."},{"code":"status","valueCode":"active"}]},{"id":"4047","code":"ALPHAID2009","display":"German Alpha-ID v2009","definition":"German Alpha-ID v2009","property":[{"code":"v2-concComment","valueString":"ID of the alphabetical Index ICD-10-GM-2009. Alpha-ID."},{"code":"status","valueCode":"active"}]},{"id":"4048","code":"ALPHAID2010","display":"German Alpha-ID v2010","definition":"German Alpha-ID v2010","property":[{"code":"v2-concCommentAsPub","valueString":"ID of the alphabetical Index ICD-10-GM-2010. Alpha-ID."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4049","code":"ALPHAID2011","display":"German Alpha-ID v2011","definition":"German Alpha-ID v2011","property":[{"code":"v2-concCommentAsPub","valueString":"ID of the alphabetical Index ICD-10-GM-2011. Alpha-ID."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4050","code":"AMTv2","display":"Australian Medicines Terminology (v2)","definition":"Australian Medicines Terminology (v2)","property":[{"code":"v2-concComment","valueString":"The national terminology to identify medicines used in Australia,\r\nusing unique codes to deliver unambiguous, accurate and standardised\r\nnames for both branded (trade) and generic (medicinal) products."},{"code":"status","valueCode":"active"}]},{"id":"4051","code":"ANS+","display":"HL7 set of units of measure","definition":"HL7 set of units of measure","property":[{"code":"v2-concComment","valueString":"HL7 set of units of measure based upon ANSI X3.50 - 1986, ISO 2988-83, and US customary units / see chapter 7, section 7.4.2.6."},{"code":"status","valueCode":"active"}]},{"id":"4052","code":"ART","display":"WHO Adverse Reaction Terms","definition":"WHO Adverse Reaction Terms","property":[{"code":"v2-concComment","valueString":"WHO Collaborating Centre for International Drug Monitoring, Box 26, S-751 03, Uppsala, Sweden."},{"code":"status","valueCode":"active"}]},{"id":"4053","code":"AS4","display":"ASTM E1238/ E1467 Universal","definition":"ASTM E1238/ E1467 Universal","property":[{"code":"v2-concComment","valueString":"American Society for Testing & Materials and CPT4 (see Appendix X1 of Specification E1238 and Appendix X2 of Specification E1467)."},{"code":"status","valueCode":"active"}]},{"id":"4054","code":"AS4E","display":"AS4 Neurophysiology Codes","definition":"AS4 Neurophysiology Codes","property":[{"code":"v2-concComment","valueString":"ASTM’s diagnostic codes and test result coding/grading systems for clinical neurophysiology. See ASTM Specification E1467, Appendix 2."},{"code":"status","valueCode":"active"}]},{"id":"4055","code":"ATC","display":"American Type Culture Collection","definition":"American Type Culture Collection","property":[{"code":"v2-concComment","valueString":"Reference cultures (microorganisms, tissue cultures, etc.), related biological materials and associated data. American Type Culture Collection, 12301 Parklawn Dr, Rockville MD, 20852. (301) 881-2600."},{"code":"status","valueCode":"active"}]},{"id":"4056","code":"C4","display":"CPT-4","definition":"CPT-4","property":[{"code":"v2-concComment","valueString":"American Medical Association, P.O. Box 10946, Chicago IL  60610."},{"code":"status","valueCode":"active"}]},{"id":"4057","code":"C5","display":"CPT-5","definition":"CPT-5","property":[{"code":"v2-concComment","valueString":"Not currently being worked on, no proposed release date at this time.  American Medical Association, P.O. Box 10946, Chicago IL  60610."},{"code":"status","valueCode":"deprecated"}]},{"id":"4058","code":"CAPECC","display":"College of American Pathologists Electronic Cancer Checklist","definition":"College of American Pathologists Electronic Cancer Checklist","property":[{"code":"v2-concComment","valueString":"Each code in this system represents a single line in a database template for the College of American Pathologists Electronic Cancer Checklist (CAP eCC).  Each line and its code corresponds to either a question or an answer selection.  The code is in a decimal format of #########.#########, where each \"#\" is an optional number.  The nine digits to the right of the Ckey decimal point make up a namespace identifier, which is specific to the center that created the database entries for the checklist line items with their unique Ckey values.   The namespace identifier for SNOMED Terminology Solutions at the College of American Pathologists is 1000043.  All Ckey values in the 2008 release use namespace 1000043.  The digits to the left of the decimal point are a locally assigned sequential key for the ChecklistTemplateItems table in the local CAP eCC database.  These codes are used to specify questions and answers selected in a CAP eCC template for transmission in an HL7 message, as defined by the NAACCR Pathology Workgroup and the CDC/NPCR Reporting Pathology Protocols II (RPP II) project. SNOMED Terminology Solutions, College of American Pathologists, 325 Waukegan Road, Northfield, Illinois, 60093, snomedsolutions@cap.org"},{"code":"status","valueCode":"active"}]},{"id":"4059","code":"CAS","display":"Chemical abstract codes","definition":"Chemical abstract codes","property":[{"code":"v2-concComment","valueString":"These include unique codes for each unique chemical, including all generic drugs. The codes do not distinguish among different dosing forms. When multiple equivalent CAS numbers exist, use the first one listed in USAN. USAN 1990 and the USP dictionary of drug names, William M. Heller, Ph.D., Executive Editor, United States Pharmacopeial Convention, Inc., 12601 Twinbrook Parkway, Rockville, MD 20852."},{"code":"status","valueCode":"active"}]},{"id":"14060","code":"DAR","display":"DataAbsentReason","definition":"Used to specify why the normally expected content of the data element is missing.","property":[{"code":"status","valueCode":"active"}]},{"id":"4060","code":"DCL","display":"DICOM Class Label","definition":"DICOM Class Label","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4061","code":"CCC","display":"Clinical Care Classification system","definition":"Clinical Care Classification system","property":[{"code":"v2-concComment","valueString":"Clinical Care Classification System (formerly Home Health Care Classification system) codes.\nThe Clinical Care Classification (CCC) consists of two terminologies: CCC of Nursing Diagnoses \nand CCC of Nursing Interventions both of which are classified by 21 Care Components.\nVirginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC."},{"code":"status","valueCode":"active"}]},{"id":"4062","code":"CD2","display":"CDT-2 Codes","definition":"CDT-2 Codes","property":[{"code":"v2-concComment","valueString":"American Dental Association’s Current Dental Terminology (CDT-2) code. American Dental Association, 211 E. Chicago Avenue,. Chicago, Illinois 60611."},{"code":"status","valueCode":"active"}]},{"id":"4063","code":"CDCA","display":"CDC Analyte Codes","definition":"CDC Analyte Codes","property":[{"code":"v2-concComment","valueString":"Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30421. Also available via FTP: ftp.cdc.gov/pub/laboratory _info/CLIA and Gopher: gopher.cdc.gov:70/11/laboratory_info/CLIA"},{"code":"status","valueCode":"active"}]},{"id":"4064","code":"DQL","display":"DICOM Query Label","definition":"DICOM Query Label","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4065","code":"CDCEDACUITY","display":"CDC Emergency Department Acuity","definition":"CDC Emergency Department Acuity","property":[{"code":"v2-concComment","valueString":"Patient Acuity indicates level of care required (Acute, Chronic, Critical)"},{"code":"status","valueCode":"active"}]},{"id":"4066","code":"cdcgs1vis","display":"VIS Bar Codes (IIS)","definition":"VIS Bar Codes (IIS)","property":[{"code":"v2-concComment","valueString":"The purpose of the barcode on the bottom of the Vaccine Information Statement (VIS) is to provide an opportunity to electronically capture the VIS document type (e.g. influenza, MMR) and the edition date of the VIS, as required by the National Childhood Vaccine Injury Act (NCVIA). For more information, please visit - http://www.cdc.gov/vaccines/pubs/vis/vis-barcodes.htm"},{"code":"status","valueCode":"active"}]},{"id":"4067","code":"CDCINDUSTRY2010","display":"Industry CDC Census 2010","definition":"Industry CDC Census 2010","property":[{"code":"v2-concComment","valueString":"For more information and instructions on using this coding system, see the instruction manual for CDC-Census I&O coding at: http://www.cdc.gov/niosh/topics/coding/"},{"code":"status","valueCode":"N"}]},{"id":"4068","code":"CDCM","display":"CDC Methods/Instruments Codes","definition":"CDC Methods/Instruments Codes","property":[{"code":"v2-concComment","valueString":"Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30421. Also available via FTP"},{"code":"status","valueCode":"active"}]},{"id":"4069","code":"CDCNHSN","display":"CDC National Healthcare Safety Network Codes","definition":"CDC National Healthcare Safety Network Codes","property":[{"code":"v2-concComment","valueString":"A set of patient safety and healthcare personnel safety vocabulary concepts and associated identifiers maintained as a code system by the CDC's National Healthcare Safety Network."},{"code":"status","valueCode":"active"}]},{"id":"4070","code":"CE (obsolete)","display":"CEN ECG diagnostic codes","definition":"CEN ECG diagnostic codes","property":[{"code":"v2-concCommentAsPub","valueString":"CEN ECG diagnostic codes - (Obsolete, retained for backwards compatibility only.  See the entry for the MDC coding system.)"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4071","code":"CDCOBS","display":"CDC BioSense RT observations (Census) - CDC","definition":"CDC BioSense RT observations (Census) - CDC","property":[{"code":"v2-concComment","valueString":"List of BioSense RT observations (Clinical) used in OBX-3 like Temperature, Bloodpressure and Census related observations."},{"code":"status","valueCode":"active"}]},{"id":"4072","code":"CDCOCCUPATION2010","display":"Occupation CDC Census 2010","definition":"Occupation CDC Census 2010","property":[{"code":"v2-concComment","valueString":"For more information and instructions on using this coding system, see the instruction manual for CDC-Census I&O coding at: http://www.cdc.gov/niosh/topics/coding/"},{"code":"status","valueCode":"N"}]},{"id":"4073","code":"CDCODH","display":"Occupational Data for Health (ODH)","definition":"Occupational Data for Health (ODH)","property":[{"code":"v2-concComment","valueString":"Code System Source URL: https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.327\r\nCode System OID: 2.16.840.1.114222.4.5.327"},{"code":"status","valueCode":"N"}]},{"id":"4074","code":"CDCPHINVS","display":"CDC PHIN Vocabulary Coding System","definition":"CDC PHIN Vocabulary Coding System","property":[{"code":"v2-concComment","valueString":"CDC Public Health Information Network Vocabulary Service (PHIN VS) coding system concepts are used when the public health concepts are not available in the Standard Development Organization(SDO) Vocabulary like SNOMED CT, LOINC, ICD-9, etc.. The concepts in this coding system will be mapped to SDO Vocabulary when it is available."},{"code":"status","valueCode":"active"}]},{"id":"4075","code":"CDCREC","display":"Race & Ethnicity - CDC","definition":"Race & Ethnicity - CDC","property":[{"code":"v2-concComment","valueString":"The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in coding race and ethnicity data. This code set is based on current federal standards for classifying data on race and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office of Management and Budget (OMB) and a more detailed set of race and ethnicity categories maintained by the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federal standards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved, or analyzed in electronic form. At the same time, the code set can be applied to paper-based record systems to the extent that these systems are used to collect, maintain, and report data on race and ethnicity in accordance with current federal standards."},{"code":"status","valueCode":"active"}]},{"id":"4076","code":"CDS","display":"CDC Surveillance","definition":"CDC Surveillance","property":[{"code":"v2-concComment","valueString":"CDC Surveillance Codes. For data unique to specific public health surveillance requirements. Epidemiology Program Office, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333. (404) 639-3661."},{"code":"status","valueCode":"active"}]},{"id":"4077","code":"CE","display":"CEN ECG diagnostic codes","definition":"CEN ECG diagnostic codes","property":[{"code":"v2-concComment","valueString":"CEN ECG diagnostic codes – (Obsolete, retained for backwards compatibility only.  See the entry for the MDC coding system.)"},{"code":"status","valueCode":"deprecated"}]},{"id":"4078","code":"Chrom-Loc","display":"Cytogenetic (chromosome) location","definition":"Cytogenetic (chromosome) location","property":[{"code":"v2-concComment","valueString":"Chromosome location (AKA chromosome locus or cytogenetic location), is the standardized syntax for recording the position of genes and large mutations. It consists of three parts: the Chromosome number (e 1-22, X, Y), an indicator of which arm – either “p” for the  short or “q” for the long, and then a series of numbers separated by dots that indicate the band, sub band and sub-sub band of the locus - e.g. 2p16.3 . There are other conventions for reporting ranges and locations at the end of the chromosomes. The table of these chromosome locations was loaded initially with the all of the locations found in NCBI’s ClinVar variation tables. It will expand as additional sources become available."},{"code":"status","valueCode":"active"}]},{"id":"4079","code":"CLINVAR-V","display":"ClinVar Variant ID","definition":"ClinVar Variant ID","property":[{"code":"v2-concComment","valueString":"ClinVar processes submissions reporting variants found in patient samples, assertions made regarding their clinical significance, information about the submitter, and other supporting data. The alleles described in submissions are mapped to reference sequences, and reported according to the HGVS standard."},{"code":"status","valueCode":"active"}]},{"id":"4080","code":"CLP","display":"CLIP","definition":"CLIP","property":[{"code":"v2-concComment","valueString":"Codes for radiology reports.  Simon Leeming, Beth Israel Hospital, Boston MA."},{"code":"status","valueCode":"active"}]},{"id":"14080","code":"CMSHCC","display":"CMS Hierarchical Condition Categories","definition":"The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories that predict costs well. The condition categories are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the condition categories to capture the most costly diagnoses. Hierarchy logic is imposed on certain condition categories to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC.","property":[{"code":"status","valueCode":"active"}]},{"id":"4081","code":"CMSOEC","display":"OCE Edit Code","definition":"OCE Edit Code","property":[{"code":"v2-concComment","valueString":"U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the billing code. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code":"status","valueCode":"N"}]},{"id":"4082","code":"CMSOMC","display":"OCE Modifier Code","definition":"OCE Modifier Code","property":[{"code":"v2-concComment","valueString":"U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the code modifier. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code":"status","valueCode":"N"}]},{"id":"4083","code":"FDAUDI","display":"FDA Unique Device Identifier","definition":"FDA Unique Device Identifier","property":[{"code":"v2-concCommentAsPub","valueString":"Represents the approved agencies by the FDA that assign UDI Device Identifiers."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4084","code":"COSMIC-Smpl","display":"COSMIC – Simple variants","definition":"COSMIC – Simple variants","property":[{"code":"v2-concComment","valueString":"This table includes only simple somatic (cancer) mutations, one per unique mutation ID. The codes is the COSMIC mutation ID, and the name uses Ensembl RefSeqs and the single letter code for p.HGVS.   It carries fields analogous to most of the key fields in ClinVar, but its reference sequences are Ensembl transcript reference sequences with prefixes of ENST; it specifies amino acid changes with the older, HGVS, single letter codes and it carries examples of primary cancers and primary tissues, fields that are not in ClinVar. COSMIC's source table includes multiple records per mutation - one per submission.  The COSMIC-Simple Variants table carries only includes one record per unique mutation- more than 3 million of them. These contents are copyright COSMIC (http://cancer.sanger.ac.uk/cosmic/license) LHC has produced a look up table for these records, and for users to look up particular mutation IDs with permission from COSMIC. However, interested parties must contact COSMIC for permission to download these records."},{"code":"status","valueCode":"active"}]},{"id":"4085","code":"COSMIC-Strc","display":"COSMIC-Structural variants","definition":"COSMIC-Structural variants","property":[{"code":"v2-concComment","valueString":"COSMIC has divided structural variants into two tables one called structural variants and one called copy number variants, both kinds of which are carried in NCBIs dbVar table."},{"code":"status","valueCode":"active"}]},{"id":"4086","code":"CPTM","display":"CPT Modifier Code","definition":"CPT Modifier Code","property":[{"code":"v2-concComment","valueString":"Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL)."},{"code":"status","valueCode":"active"}]},{"id":"4087","code":"CST","display":"COSTART","definition":"COSTART","property":[{"code":"v2-concComment","valueString":"International coding system for adverse drug reactions. In the USA, maintained by the FDA, Rockville, MD."},{"code":"status","valueCode":"active"}]},{"id":"4088","code":"CVX","display":"CDC Vaccine Codes","definition":"CDC Vaccine Codes","property":[{"code":"v2-concComment","valueString":"National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333"},{"code":"status","valueCode":"active"}]},{"id":"4089","code":"dbVar-GL","display":"dbVar-Germline","definition":"dbVar-Germline","property":[{"code":"v2-concComment","valueString":"dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code":"status","valueCode":"active"}]},{"id":"4090","code":"dbVar-som","display":"dbVar-Somatic","definition":"dbVar-Somatic","property":[{"code":"v2-concComment","valueString":"dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code":"status","valueCode":"active"}]},{"id":"4091","code":"DCM","display":"DICOM Controlled Terminology","definition":"DICOM Controlled Terminology","property":[{"code":"v2-concComment","valueString":"Codes defined in DICOM Content Mapping Resource. Digital Imaging and Communications in Medicine (DICOM). NEMA Publication PS-3.16 National Electrical Manufacturers Association (NEMA). Rosslyn, VA, 22209. Available at:"},{"code":"status","valueCode":"active"}]},{"id":"4092","code":"E","display":"EUCLIDES","definition":"EUCLIDES","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code":"status","valueCode":"active"}]},{"id":"4093","code":"E5","display":"Euclides  quantity codes","definition":"Euclides  quantity codes","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv (see above)"},{"code":"status","valueCode":"active"}]},{"id":"4094","code":"E6","display":"Euclides Lab method codes","definition":"Euclides Lab method codes","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code":"status","valueCode":"active"}]},{"id":"4095","code":"E7","display":"Euclides Lab equipment codes","definition":"Euclides Lab equipment codes","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv (see above)"},{"code":"status","valueCode":"active"}]},{"id":"4096","code":"EDLEVEL","display":"Education Level","definition":"Education Level","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1077 EducationLevel in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4097","code":"ensembl-G","display":"Ensembl genomic reference sequence","definition":"Ensembl genomic reference sequence","property":[{"code":"v2-concComment","valueString":"Set of Ensembl genomic reference sequences whose identifiers have a prefix of \"ENSG.\" It only includes genomic sequences associated with genes and uses the whole build plus the chromosome number to identify chromosome reference sequences, rather than a separate set of reference sequence identifier as NCBI does."},{"code":"status","valueCode":"active"}]},{"id":"4098","code":"Ensembl-P","display":"Ensembl protein reference sequence","definition":"Ensembl protein reference sequence","property":[{"code":"v2-concComment","valueString":"Set of Ensembl protein reference sequences. Their identifiers are distinguished by the prefix of \"ENSP,\" and correspond to NCBI's \"NP_\" identifiers."},{"code":"status","valueCode":"active"}]},{"id":"4099","code":"ensembl-T","display":"Ensembl transcript reference sequence","definition":"Ensembl transcript reference sequence","property":[{"code":"v2-concComment","valueString":"Set of reference sequences for transcripts of coding regions. Their identifiers all have a prefix of \"ENST.\" There are parallels for most (if not all) of what is in Ensembl within NCBI. \"ENST\" parallels NCBI's \"NM_\" identifiers. In general, Ensembl takes its reference sequences directly from the build. NCBI adjusts its reference sequences by replacing known \"mutations\" with sequences that better reflect the population \"normal\"."},{"code":"status","valueCode":"active"}]},{"id":"4100","code":"ENTITYCODE","display":"Entity Code","definition":"Entity Code","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1060 EntityCode in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4101","code":"ENTITYHDLG","display":"Entity Handling Code","definition":"Entity Handling Code","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.42 EntityHandling in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4102","code":"ENZC","display":"Enzyme Codes","definition":"Enzyme Codes","property":[{"code":"v2-concComment","valueString":"Enzyme Committee of the International Union of Biochemistry and Molecular Biology. Enzyme Nomenclature: Recommendations on the Nomenclature and Classification of Enzyme-Catalysed Reactions. London: Academic Press, 1992."},{"code":"status","valueCode":"active"}]},{"id":"4103","code":"GMDC2009","display":"German Major Diagnostic Codes v2009","definition":"German Major Diagnostic Codes v2009","property":[{"code":"v2-concCommentAsPub","valueString":"German Major Diagnostic Codes version 2009."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4104","code":"EPASRS","display":"EPA SRS","definition":"EPA SRS","property":[{"code":"v2-concComment","valueString":"Subset of EPA SRS listing chemicals that are present in ECOTOX, STORET and TRI."},{"code":"status","valueCode":"active"}]},{"id":"4105","code":"GS1UDI","display":"GS1 Unique Device Identifier","definition":"GS1 Unique Device Identifier","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4106","code":"FDAUNII","display":"Unique Ingredient Identifier (UNII)","definition":"Unique Ingredient Identifier (UNII)","property":[{"code":"v2-concComment","valueString":"The Unique Ingredient Identifier (UNII) generated from the FDA Substance Registration System (SRS)."},{"code":"status","valueCode":"active"}]},{"id":"4107","code":"FDDC","display":"First DataBank Drug Codes","definition":"First DataBank Drug Codes","property":[{"code":"v2-concComment","valueString":"National Drug Data File. Proprietary product of First DataBank, Inc. (800) 633-3453, or http://www.firstdatabank.com."},{"code":"status","valueCode":"active"}]},{"id":"4108","code":"FDDX","display":"First DataBank Diagnostic Codes","definition":"First DataBank Diagnostic Codes","property":[{"code":"v2-concComment","valueString":"Used for drug-diagnosis interaction checking. Proprietary product of First DataBank, Inc. As above for FDDC."},{"code":"status","valueCode":"active"}]},{"id":"4109","code":"FDK","display":"FDA K10","definition":"FDA K10","property":[{"code":"v2-concComment","valueString":"Dept. of Health & Human Services, Food & Drug Administration, Rockville, MD 20857. (device & analyte process codes)."},{"code":"status","valueCode":"active"}]},{"id":"4110","code":"FIPS5_2","display":"FIPS 5-2 (State)","definition":"FIPS 5-2 (State)","property":[{"code":"v2-concComment","valueString":"Codes for the Identification of the States, the District of Columbia and the Outlying Areas of the United States, and Associated Areas."},{"code":"status","valueCode":"active"}]},{"id":"4111","code":"HIBUDI","display":"HIBCC Unique Device Identifier","definition":"HIBCC Unique Device Identifier","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4112","code":"FIPS55_3","display":"Populated Places (FIPS 55-3)","definition":"Populated Places (FIPS 55-3)","property":[{"code":"v2-concComment","valueString":"Codes for Named Populated Places, Primary County Divisions, and Other Locational Entities of the United States, Puerto Rico, and the Outlying Areas (without codes)"},{"code":"status","valueCode":"active"}]},{"id":"4113","code":"FIPS6_4","display":"FIPS 6-4 (County)","definition":"FIPS 6-4 (County)","property":[{"code":"v2-concComment","valueString":"Federal Information Processing Standard (FIPS) 6-4 provides the names and codes that represent the counties and other entities treated as equivalent legal and/or statistical subdivisions of the 50 States, the District of Columbia, and the possessions and freely associated areas of the United States."},{"code":"status","valueCode":"active"}]},{"id":"4114","code":"GDRG2004","display":"G-DRG German DRG Codes v 2004","definition":"G-DRG German DRG Codes v 2004","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs. The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4115","code":"GDRG2005","display":"G-DRG German DRG Codes v 2005","definition":"G-DRG German DRG Codes v 2005","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs. The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4116","code":"GDRG2006","display":"G-DRG German DRG Codes v 2006","definition":"G-DRG German DRG Codes v 2006","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs. The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code":"status","valueCode":"active"}]},{"id":"4117","code":"GDRG2007","display":"G-DRG German DRG Codes v2007","definition":"G-DRG German DRG Codes v2007","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs 2007."},{"code":"status","valueCode":"active"}]},{"id":"4118","code":"GDRG2008","display":"G-DRG German DRG Codes v2008","definition":"G-DRG German DRG Codes v2008","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs 2008."},{"code":"status","valueCode":"active"}]},{"id":"4119","code":"GDRG2009","display":"G-DRG German DRG Codes v2008","definition":"G-DRG German DRG Codes v2008","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs 2009."},{"code":"status","valueCode":"active"}]},{"id":"4120","code":"GMDC2004","display":"German Major Diagnostic Codes v 1004","definition":"German Major Diagnostic Codes v 1004","property":[{"code":"v2-concComment","valueString":"German Major Diagnostic Codes version \"2004\""},{"code":"status","valueCode":"deprecated"}]},{"id":"4121","code":"GMDC2005","display":"German Major Diagnostic Codes v2005","definition":"German Major Diagnostic Codes v2005","property":[{"code":"status","valueCode":"deprecated"}]},{"id":"4122","code":"GMDC2006","display":"German Major v2006 Diagnostic Codes","definition":"German Major v2006 Diagnostic Codes","property":[{"code":"status","valueCode":"active"}]},{"id":"4123","code":"GMDC2007","display":"German Major Diagnostic Codes v2007","definition":"German Major Diagnostic Codes v2007","property":[{"code":"v2-concComment","valueString":"German Major Diagnostic Codes 2007."},{"code":"status","valueCode":"active"}]},{"id":"4124","code":"GMDC2008","display":"German Major Diagnostic Codes v2008","definition":"German Major Diagnostic Codes v2008","property":[{"code":"v2-concComment","valueString":"German Major Diagnostic Codes v2008."},{"code":"status","valueCode":"active"}]},{"id":"4125","code":"HB","display":"HIBCC","definition":"HIBCC","property":[{"code":"v2-concComment","valueString":"Health Industry Business Communications Council, 5110 N. 40th St., Ste 120, Phoenix, AZ 85018."},{"code":"status","valueCode":"active"}]},{"id":"4126","code":"HCPCS","display":"CMS (formerly HCFA)  Common Procedure Coding System","definition":"CMS (formerly HCFA)  Common Procedure Coding System","property":[{"code":"v2-concComment","valueString":"HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.\nhttp://www.cms.hhs.gov/MedHCPCSGenInfo/"},{"code":"status","valueCode":"active"}]},{"id":"4127","code":"IBTnnnn","display":"ISBT 128 codes where nnnn  specifies a specific table within ISBT 128.","definition":"ISBT 128 codes where nnnn  specifies a specific table within ISBT 128.","property":[{"code":"v2-concCommentAsPub","valueString":"International Society of Blood Transfusion. (specific contact information will be supplied to editor.)<p>The variable suffix (nnnn) identifies a specific table within ISBT 128."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4128","code":"HCPT","display":"Health Care Provider Taxonomy","definition":"Health Care Provider Taxonomy","property":[{"code":"v2-concComment","valueString":"Formerly the responsibility of Workgroup 15 (Provider Information) within ANSI ASC X12N, all maintenance is now done by NUCC (turned over in 2001).   Primary distribution is the responsibility of Washington Publishing Company, through its World Wide Web Site http://www.wpc-edi.com.  Requests for new codes or changes may be  done through the same website.  For further information, NUCC may be contacted at: \r\nStephanie Moncada, NUCC Secretary\r\nAmerican Medical Association\r\n515 N. State St.\r\nChicago, IL 60610\r\nEmail: stephanie.moncada@ama-assn.org"},{"code":"status","valueCode":"active"}]},{"id":"4129","code":"ICCUDI","display":"ICCBBA Unique Device Identifier","definition":"ICCBBA Unique Device Identifier","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4130","code":"HGNC-Symb","display":"HGNC-symb","definition":"HGNC-symb","property":[{"code":"v2-concComment","valueString":"The HGNC gene table carries the GENE ID, gene symbol and full gene name. The GENE ID is specific to the species. The gene symbol and name will be shared by all species with the same gene. \nThe HGNC-Symb table carries only human genes. The code for this coding system is the HGNC gene code, the \"name\" or print string is the HGNC gene symbol. \nMore than 28,000 human gene symbols and names have been assigned so far, but some human genes lack an HGNC code and symbol. These are mostly non protein coding genes."},{"code":"status","valueCode":"active"}]},{"id":"4131","code":"HGVS.c","display":"HGVS- Transcript syntax","definition":"HGVS- Transcript syntax","property":[{"code":"v2-concComment","valueString":"Syntax that describes variations (mutations) at the transcript (messenger RNA) level. The transcript syntax statements, which can describe simple and complex variants, are distinguished by a leading \"c.\""},{"code":"status","valueCode":"active"}]},{"id":"4132","code":"HGVS.g","display":"HGVS- Genomic syntax","definition":"HGVS- Genomic syntax","property":[{"code":"v2-concComment","valueString":"Syntax that describes the variations (mutations) at the genome level (the DNA before it is spliced to remove introns). The genomic syntax statements are distinguished by a leading \"g.\""},{"code":"status","valueCode":"active"}]},{"id":"4133","code":"HGVS.p","display":"HGVS-Protein syntax","definition":"HGVS-Protein syntax","property":[{"code":"v2-concComment","valueString":"Syntax that specifies the variations (mutations) at the amino acid level, which is induced by underlying DNA variants. The protein change statements are distinguished by a leading \"p.\""},{"code":"status","valueCode":"active"}]},{"id":"4134","code":"HHC","display":"Home Health Care","definition":"Home Health Care","property":[{"code":"v2-concComment","valueString":"Home Health Care Classification System; Virginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC.\nSuperceded by 'CCC' (see above); this entry is retained for backward-compatibility."},{"code":"status","valueCode":"active"}]},{"id":"4135","code":"ICD10GM2010","display":"ICD 10 Germany v2010","definition":"ICD 10 Germany v2010","property":[{"code":"v2-concCommentAsPub","valueString":"ICD German modification for 2010"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4136","code":"HI","display":"Health Outcomes","definition":"Health Outcomes","property":[{"code":"v2-concComment","valueString":"Health Outcomes Institute codes for outcome variables available (with responses) from Stratis Health (formerly Foundation for Health Care Evaluation and Health Outcomes Institute), 2901 Metro Drive, Suite 400, Bloomington, MN, 55425-1525; (612) 854-3306 (voice); (612) 853-8503 (fax); dziegen@winternet.com. See examples in the Implementation Guide."},{"code":"status","valueCode":"active"}]},{"id":"4137","code":"ICD10GM2011","display":"ICD 10 Germany v2011","definition":"ICD 10 Germany v2011","property":[{"code":"v2-concCommentAsPub","valueString":"ICD German modification for 2011"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4138","code":"HL7nnnn","display":"Health Level Seven defined table of codes, where nnnn is the HL7 table number.  The number is four numeric digits as published in HL7 Version 2 chapter 2C.  For example, HL70001.","definition":"Health Level Seven defined table of codes, where nnnn is the HL7 table number.  The number is four numeric digits as published in HL7 Version 2 chapter 2C.  For example, HL70001.","property":[{"code":"v2-concComment","valueString":"The table value HL7nnnn is meant to restrict the value to the characters 'HL7' and four numeric digits e.g. HL70001 is valid, examples of invalid values include HL71, HL701, HL7001."},{"code":"status","valueCode":"deprecated"}]},{"id":"4139","code":"HOT","display":"Japanese Nationwide Medicine Code","definition":"Japanese Nationwide Medicine Code","property":[{"code":"status","valueCode":"active"}]},{"id":"4140","code":"HPC","display":"CMS (formerly HCFA )Procedure Codes (HCPCS)","definition":"CMS (formerly HCFA )Procedure Codes (HCPCS)","property":[{"code":"v2-concComment","valueString":"Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.[1]"},{"code":"status","valueCode":"active"}]},{"id":"4141","code":"HSLOC","display":"Healthcare Service Location","definition":"Healthcare Service Location","property":[{"code":"v2-concComment","valueString":"A comprehensive classification of locations and settings where healthcare services are provided. This code system is based on the NHSN location code system that has been developed over a number of years through CDC's interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required."},{"code":"status","valueCode":"active"}]},{"id":"4142","code":"I10","display":"ICD-10","definition":"ICD-10","property":[{"code":"v2-concComment","valueString":"World Health Publications, Albany, NY."},{"code":"status","valueCode":"active"}]},{"id":"4143","code":"I10C","display":"International Classification of Diseases, 10th  Revision, Clinical Modification (ICD-10-CM)","definition":"International Classification of Diseases, 10th  Revision, Clinical Modification (ICD-10-CM)","property":[{"code":"v2-concComment","valueString":"ICD-10-CM is a clinical modification of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) published by the United States for reporting diagnosis in morbidity settings. Additional information is available at: http://www.cdc.gov/nchs/icd/icd10cm.htm."},{"code":"status","valueCode":"active"}]},{"id":"4144","code":"I10G2004","display":"ICD 10 Germany 2004","definition":"ICD 10 Germany 2004","property":[{"code":"v2-concComment","valueString":"Three code sets exist I10G2004, I10G2005, I10G2006"},{"code":"status","valueCode":"deprecated"}]},{"id":"4145","code":"I10G2005","display":"ICD 10 Germany 2005","definition":"ICD 10 Germany 2005","property":[{"code":"v2-concComment","valueString":"Three code sets exist I10G2004"},{"code":"status","valueCode":"deprecated"}]},{"id":"4146","code":"ISOnnnn (deprecated)","display":"ISO Defined Codes where nnnn is the ISO table number","definition":"ISO Defined Codes where nnnn is the ISO table number","property":[{"code":"v2-concCommentAsPub","valueString":"International Standards Organization where nnnn is the ISO table number"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4147","code":"I10G2006","display":"ICD 10 Germany 2006","definition":"ICD 10 Germany 2006","property":[{"code":"v2-concComment","valueString":"Three code sets exist I10G2004"},{"code":"status","valueCode":"active"}]},{"id":"4148","code":"ISO","display":"ISO 2955.83 (units of measure) with HL7 extensions","definition":"ISO 2955.83 (units of measure) with HL7 extensions","property":[{"code":"v2-concCommentAsPub","valueString":"See chapter 7, section 7.4.2.6"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4149","code":"I10P","display":"International Classification of Diseases, 10th  Revision, Procedure Coding System (ICD-10-PCS)","definition":"International Classification of Diseases, 10th  Revision, Procedure Coding System (ICD-10-PCS)","property":[{"code":"v2-concComment","valueString":"ICD-10-PCS is a procedure classification published by the United States for classifying procedures performed in hospital inpatient health care settings. Additional information is available at: http://www.cms.gov/Medicare/Coding/ICD10/2013-ICD-10-PCS-GEMs.html."},{"code":"status","valueCode":"active"}]},{"id":"4150","code":"I10P0","display":"ICD-10 Place of Occurrence","definition":"ICD-10 Place of Occurrence","property":[{"code":"status","valueCode":"N"}]},{"id":"4151","code":"I9","display":"ICD9","definition":"ICD9","property":[{"code":"v2-concComment","valueString":"World Health Publications, Albany, NY."},{"code":"status","valueCode":"active"}]},{"id":"4152","code":"I9C","display":"International Classification of Diseases, 9th  Revision, Clinical Modification (ICD-9-CM)","definition":"International Classification of Diseases, 9th  Revision, Clinical Modification (ICD-9-CM)","property":[{"code":"v2-concComment","valueString":"ICD-9-CM is a clinical modification of the World Health Organization's 9th Revision, International Classification of Diseases (ICD-9). ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with healthcare utilization in the United States. Additional information is available at: http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp."},{"code":"status","valueCode":"active"}]},{"id":"4153","code":"I9CDX","display":"ICD-9CM Diagnosis codes","definition":"ICD-9CM Diagnosis codes","property":[{"code":"v2-concComment","valueString":"Indicates codes from ICD-9-CM drawn from Volumes 1 and 2, which cover diagnosis codes only."},{"code":"status","valueCode":"active"}]},{"id":"4154","code":"I9CP","display":"ICD-9CM Procedure codes","definition":"ICD-9CM Procedure codes","property":[{"code":"v2-concComment","valueString":"Indicates codes from ICD-9-CM drawn from Volume 3, which covers procedure codes only."},{"code":"status","valueCode":"active"}]},{"id":"4155","code":"IBT","display":"ISBT","definition":"ISBT","property":[{"code":"v2-concComment","valueString":"Retained for backward compatibility only as of v 2.5. This code value has been superceded by the individual codes IBTnnnn (where nnnn identifies a specific table in ISBT 128).  Tables commencing with IBT are used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code":"status","valueCode":"deprecated"}]},{"id":"4156","code":"IBT0001","display":"ISBT 128 Standard transfusion/transplantation data items","definition":"ISBT 128 Standard transfusion/transplantation data items","property":[{"code":"v2-concComment","valueString":"ISBT 128 Standard data items used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code":"status","valueCode":"active"}]},{"id":"4157","code":"IC2","display":"ICHPPC-2","definition":"ICHPPC-2","property":[{"code":"v2-concComment","valueString":"International Classification of Health Problems in Primary Care, Classification Committee of World Organization of National Colleges, Academies and Academic Associations of General Practitioners (WONCA), 3rd edition. An adaptation of ICD9 intended for use in General Medicine, Oxford University Press."},{"code":"status","valueCode":"active"}]},{"id":"4158","code":"ICD10AM","display":"ICD-10 Australian modification","definition":"ICD-10 Australian modification","property":[{"code":"status","valueCode":"active"}]},{"id":"4159","code":"ICD10CA","display":"ICD-10 Canada","definition":"ICD-10 Canada","property":[{"code":"status","valueCode":"active"}]},{"id":"4160","code":"ICD10GM2007","display":"ICD 10 Germany v2007","definition":"ICD 10 Germany v2007","property":[{"code":"v2-concComment","valueString":"ICD German modification for 2007."},{"code":"status","valueCode":"active"}]},{"id":"4161","code":"ICD10GM2008","display":"ICD 10 Germany v2008","definition":"ICD 10 Germany v2008","property":[{"code":"v2-concComment","valueString":"ICD German modification for 2008."},{"code":"status","valueCode":"active"}]},{"id":"4162","code":"ICD10GM2009","display":"ICD 10 Germany v2009","definition":"ICD 10 Germany v2009","property":[{"code":"v2-concComment","valueString":"ICD German modification for 2009."},{"code":"status","valueCode":"active"}]},{"id":"4163","code":"ICDO","display":"International Classification of Diseases for Oncology","definition":"International Classification of Diseases for Oncology","property":[{"code":"v2-concComment","valueString":"International Classification of Diseases for Oncology, 2nd Edition. World Health Organization: Geneva, Switzerland, 1990. Order from: College of American Pathologists, 325 Waukegan Road, Northfield, IL, 60093-2750. (847) 446-8800."},{"code":"status","valueCode":"active"}]},{"id":"4164","code":"ICDO2","display":"International Classification of Disease for Oncology Second Edition","definition":"International Classification of Disease for Oncology Second Edition","property":[{"code":"v2-concComment","valueString":"Percy C, VanHolten V, and Muir C, editors. International Classification of Diseases for Oncology. Second Edition. Geneva: World Health Organization; 1990.\r\n\r\nThe ICD-9 neoplasm structure did not include morphology and there was a growing interest by physicians to establish a coding system for morphology.  ICD-O is used in cancer registries (and other related areas) for coding the topography (site) and morphology of a neoplasm. The topography code uses similar categories as ICD-10 for malignant neoplasms allowing greater specificity for the site of non-malignant neoplasms than in ICD-10.  The topography code consists of an alphabetic character (the letter C) followed by two numeric digits, a decimal point, and a numeric digit. The morphology code consists of a 6-digit numeric code which consists of three parts: histologic type (4-digit), behavior code (1-digit), and grading or differentiation (1-digit). ICD-O-2 is used for tumors diagnosed prior to 2001."},{"code":"status","valueCode":"active"}]},{"id":"4165","code":"ICDO3","display":"International Classification of Disease for Oncology Third Edition","definition":"International Classification of Disease for Oncology Third Edition","property":[{"code":"v2-concComment","valueString":"Fritz A, Percy C, Jack A, Shanmugaratnam K, Sobin L, Parkin D, et al, editors. International Classification of Diseases for Oncology. Third Edition. Geneva: World Health Organization; 2000.\r\n\r\nThe ICD-9 neoplasm structure did not include morphology and there was a growing interest by physicians to establish a coding system for morphology.  ICD-O is used in cancer registries (and other related areas) for coding the topography (site) and morphology of a neoplasm. The topography code uses similar categories as ICD-10 for malignant neoplasms allowing greater specificity for the site of non-malignant neoplasms than in ICD-10.  The topography code consists of an alphabetic character (the letter C) followed by two numeric digits, a decimal point, and a numeric digit. The morphology code consists of a 6-digit numeric code which consists of three parts: histologic type, behavior code, and grading or differentiation. In the third edition the morphology codes were revised, especially for leukemias and lymphomas. ICD-O-3 is used for tumors diagnosed in 2001 and later."},{"code":"status","valueCode":"active"}]},{"id":"4166","code":"ICF","display":"International Classification of Functioning, Disability and Health (ICF)","definition":"International Classification of Functioning, Disability and Health (ICF)","property":[{"code":"v2-concComment","valueString":"ICF is a classification of those characteristics of health involving functional impairments, activity limitations, or participation restrictions that are often associated with disability. The ICF classification complements the World Health Organization's (WHO) International Classification of Diseases-10th Revision (ICD), which contains information on diagnosis and health condition, but not on functional status. The ICD and ICF constitute the core classifications in the WHO Family of International Classifications (WHO-FIC). Additional information is available at: http://www.cdc.gov/nchs/icd/icf.htm."},{"code":"status","valueCode":"active"}]},{"id":"4167","code":"ICS","display":"ICCS","definition":"ICCS","property":[{"code":"v2-concComment","valueString":"Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105."},{"code":"status","valueCode":"active"}]},{"id":"4168","code":"ICSD","display":"International Classification of Sleep Disorders","definition":"International Classification of Sleep Disorders","property":[{"code":"v2-concComment","valueString":"International Classification of Sleep Disorders Diagnostic and Coding Manual, 1990, available from American Sleep Disorders Association, 604 Second Street SW, Rochester, MN  55902"},{"code":"status","valueCode":"active"}]},{"id":"4169","code":"IHELAW","display":"IHE Laboratory Analytical Workflow (LAW) Profile Codes.","definition":"IHE Laboratory Analytical Workflow (LAW) Profile Codes.","property":[{"code":"v2-concComment","valueString":"The codes are part of the IHE LAW Profile, and it will be published as part of the IHE Laboratory Technical Framework. The technical framework documents can be found with the following link: http://www.ihe.net/Technical_Frameworks/#laboratory"},{"code":"status","valueCode":"active"}]},{"id":"4170","code":"ISCN","display":"International System for Human Cytogenetic Nomenclature (ISCN)","definition":"International System for Human Cytogenetic Nomenclature (ISCN)","property":[{"code":"v2-concComment","valueString":"The International System for Human Cytogenetic Nomenclature (ISCN) has served as the central reference for describing the human chromosome complement."},{"code":"status","valueCode":"active"}]},{"id":"4171","code":"ISO+","display":"ISO 2955.83 (units of measure) with HL7 extensions","definition":"ISO 2955.83 (units of measure) with HL7 extensions","property":[{"code":"v2-concComment","valueString":"See chapter 7, section 7.4.2.6"},{"code":"status","valueCode":"active"}]},{"id":"4172","code":"ISO3166_1","display":"ISO 3166-1 Country Codes","definition":"ISO 3166-1 Country Codes","property":[{"code":"v2-concComment","valueString":"International Standards Organization standard 3166 contains 3 parts.  Part 1 contains three tables for codes for countries of the world.  These are 2-character alphabetic, 3-character alphabetic, and numeric codes."},{"code":"status","valueCode":"active"}]},{"id":"4173","code":"ISO3166_2","display":"ISO 3166-2 Country subdivisions","definition":"ISO 3166-2 Country subdivisions","property":[{"code":"v2-concComment","valueString":"International Standards Organization standard 3166 contains 3 parts.  Part 2 contains a complete breakdown into a relevant level of administrative subdivisions of all countries listed in ISO 3166-1. The code elements used consist of the alpha-2 code element from ISO 3166-1 followed by a separator and a further string of up to three alphanumeric characters e. g. DK-025 for the Danish county Roskilde."},{"code":"status","valueCode":"active"}]},{"id":"4174","code":"ISO4217","display":"ISO4217 Currency Codes","definition":"ISO4217 Currency Codes","property":[{"code":"v2-concComment","valueString":"ISO's currency codes, which are based on the ISO country codes are published in the standard ISO 4217:2008 Codes for the representation of currencies and funds.  This International Standard specifies the structure for a three-letter alphabetic code and an equivalent three-digit numeric code for the representation of currencies and funds. For those currencies having minor units, it also shows the decimal relationship between such units and the currency itself."},{"code":"status","valueCode":"active"}]},{"id":"4175","code":"ISO639","display":"ISO 639 Language","definition":"ISO 639 Language","property":[{"code":"v2-concComment","valueString":"International Standards Organization codes for the representation of names of languages.  ISO 639 provides two sets of language codes, one as a two-character code set (639-1) and another as a three-character code set (639-2) for the representation of names of languages.  ISO 639-3, Codes for the representation of names of languages - Part 3: Alpha-3 code for comprehensive coverage of languages, is a code list that aims to define three-letter identifiers for all known human languages."},{"code":"status","valueCode":"active"}]},{"id":"4176","code":"ISOnnnn","display":"ISO Defined Codes where nnnn is the ISO table number. (deprecated)","definition":"ISO Defined Codes where nnnn is the ISO table number. (deprecated)","property":[{"code":"v2-concComment","valueString":"International Standards Organization tables.  This has been deprecated since the ISO numbered standards are not the same as tables, and there are no \"ISO table numbers\".  Some standards contains tables of values, and some contain more than one table.  In the future, specific tables of values drawn from ISO standards will have explicit entries here in table 0396.  Use the specific entries for identified tables instead of this one."},{"code":"status","valueCode":"deprecated"}]},{"id":"4177","code":"ITIS","display":"Integrated Taxonomic Information System","definition":"Integrated Taxonomic Information System","property":[{"code":"v2-concComment","valueString":"This is a taxonomic hierarchy for living organisms."},{"code":"status","valueCode":"active"}]},{"id":"4178","code":"IUPC","display":"IUPAC/IFCC Component Codes","definition":"IUPAC/IFCC Component Codes","property":[{"code":"v2-concComment","valueString":"Codes used by IUPAC/IFF to identify the component (analyte) measured. Contact Henrik Olesen, as above for IUPP."},{"code":"status","valueCode":"active"}]},{"id":"4179","code":"IUPP","display":"IUPAC/IFCC Property Codes","definition":"IUPAC/IFCC Property Codes","property":[{"code":"v2-concComment","valueString":"International Union of Pure and Applied Chemistry/International Federation of Clinical Chemistry. The Silver Book: Compendium of terminology and nomenclature of properties in clinical laboratory sciences. Oxford: Blackwell Scientific Publishers, 1995. Henrik Olesen, M.D., D.M.Sc., Chairperson, Department of Clinical Chemistry, KK76.4.2, Rigshospitalet, University Hospital of Copenhagen, DK-2200, Copenhagen. http://inet.uni-c.dk/~qukb7642/"},{"code":"status","valueCode":"active"}]},{"id":"4180","code":"JC10","display":"JLAC/JSLM, nationwide laboratory code","definition":"JLAC/JSLM, nationwide laboratory code","property":[{"code":"v2-concComment","valueString":"Source: Classification &Coding for Clinical Laboratory. Japanese Society of Laboratory Medicine(JSLM, Old:Japan Society of Clinical Pathology). Version 10, 1997. A multiaxial code  including a analyte code (e.g., Rubella = 5f395), identification code (e.g., virus ab IGG=1431), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code":"status","valueCode":"active"}]},{"id":"4181","code":"JC8","display":"Japanese Chemistry","definition":"Japanese Chemistry","property":[{"code":"v2-concComment","valueString":"Clinical examination classification code. Japan Association of Clinical Pathology. Version 8, 1990. A multiaxial code  including a subject code (e.g., Rubella = 5f395, identification code (e.g., virus ab IGG), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code":"status","valueCode":"active"}]},{"id":"4182","code":"JJ1017","display":"Japanese Image Examination Cache","definition":"Japanese Image Examination Cache","property":[{"code":"status","valueCode":"active"}]},{"id":"4183","code":"L","display":"Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","definition":"Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","property":[{"code":"v2-concComment","valueString":"The 'zzz' may be any printable ASCII string of variable length, but the recommendation is to generally use only numbers and uppercase letters, as that is how all of the currently existent table 396 entries have been created for many years.  In addition, there is no explicit length restriction, but it is recommended that the string be kept below a 20 character maximum."},{"code":"status","valueCode":"active"}]},{"id":"4184","code":"LANGUAL","display":"LanguaL","definition":"LanguaL","property":[{"code":"v2-concComment","valueString":"LanguaL stands for \"Langua aLimentaria\" or \"language of food\"  LanguaL is a multilingual thesaural system using facetted classification about food.  Terms reprented in PHIN VADS will be limited to the English language version."},{"code":"status","valueCode":"active"}]},{"id":"4185","code":"LB","display":"Local billing code","definition":"Local billing code","property":[{"code":"v2-concComment","valueString":"Local billing codes/names (with extensions if needed)."},{"code":"status","valueCode":"active"}]},{"id":"4186","code":"LN","display":"Logical Observation Identifier Names and Codes (LOINC®)","definition":"Logical Observation Identifier Names and Codes (LOINC®)","property":[{"code":"v2-concComment","valueString":"Logical Observation Identifiers Names and Codes (LOINC®) provides a set of universal codes and names for identifying laboratory and other clinical observations. One of the main goals of LOINC is to facilitate the exchange and pooling of results for clinical care, outcomes management, and research. LOINC was initiated by Regenstrief Institute research scientists who continue to develop it with the collaboration of the LOINC Committee. The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2011, Regenstrief Institute, Inc. and the LOINC Committee and available at no cost (http://loinc.org) under the license at http://loinc.org/terms-of-use.\r\n\r\nThe laboratory portion of the LOINC database contains the usual clinical laboratory categories of chemistry, hematology, serology, microbiology (including parasitology and virology), toxicology; as well as categories for drugs and the cell counts, antibiotic susceptibilities, and more. The clinical portion of the LOINC database includes entries for vital signs, hemodynamics, intake/output, EKG, obstetric ultrasound, cardiac echo, radiology report titles, pulmonary ventilator management, document and section titles, patient assessment instruments (e.g. Glascow Coma Score, PHQ-9 depression scale, CMS-required patient assessment instruments), and other clinical observations."},{"code":"status","valueCode":"active"}]},{"id":"4187","code":"LRG-RefSeq","display":"Locus Reference Genomic (LRG)","definition":"Locus Reference Genomic (LRG)","property":[{"code":"v2-concComment","valueString":"LRG is a manually curated record that contains stable and thus, un-versioned reference sequences designed specifically for reporting sequence variants with clinical implications. \nIt provides a genomic DNA sequence representation of a single gene that is idealized, has a permanent ID (with no versioning), and core content that never changes. Their database includes maps to NCBI, Ensembl and USCS reference sequences."},{"code":"status","valueCode":"active"}]},{"id":"4188","code":"MCD","display":"Medicaid","definition":"Medicaid","property":[{"code":"v2-concComment","valueString":"Medicaid billing codes/names."},{"code":"status","valueCode":"active"}]},{"id":"4189","code":"MCR","display":"Medicare","definition":"Medicare","property":[{"code":"v2-concComment","valueString":"Medicare billing codes/names."},{"code":"status","valueCode":"active"}]},{"id":"4190","code":"MDC","display":"Medical Device Communication","definition":"Medical Device Communication","property":[{"code":"v2-concComment","valueString":"EN ISO/IEEE 11073-10101 Health informatics – Point-of-care medical device communication - Nomenclature"},{"code":"status","valueCode":"active"}]},{"id":"4191","code":"MDDX","display":"Medispan Diagnostic Codes","definition":"Medispan Diagnostic Codes","property":[{"code":"v2-concComment","valueString":"Codes Used for drug-diagnosis interaction checking. Proprietary product. Hierarchical drug codes for identifying drugs down to manufacturer and pill size. MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495. URL: http://www.medispan.com/Products/index.aspx?cat=1. As above for MGPI."},{"code":"status","valueCode":"active"}]},{"id":"4192","code":"MEDC","display":"Medical Economics Drug Codes","definition":"Medical Economics Drug Codes","property":[{"code":"v2-concComment","valueString":"Proprietary Codes for identifying drugs. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code":"status","valueCode":"active"}]},{"id":"4193","code":"Medgen-Dis","display":"NCBI MedGen disease subset","definition":"NCBI MedGen disease subset","property":[{"code":"v2-concComment","valueString":"MedGen-disease is a subset disease concepts (about 20,000 as of January 2016) taken from the MedGEN table. It includes most known genetic and clinical diseases."},{"code":"status","valueCode":"active"}]},{"id":"4194","code":"MEDIATYPE","display":"MIME Media Type IANA","definition":"MIME Media Type IANA","property":[{"code":"v2-concComment","valueString":"Encoding as defined by MIME (Multipurpose Internet Mail Extensions)"},{"code":"status","valueCode":"active"}]},{"id":"4195","code":"MEDR","display":"Medical Dictionary for Drug Regulatory Affairs (MEDDRA)","definition":"Medical Dictionary for Drug Regulatory Affairs (MEDDRA)","property":[{"code":"v2-concComment","valueString":"Patrick Revelle, Director MSSO\n12011 Sunset Hills Road, VAR1/7B52\nReston, VA 20190\nPatrick.Revelle@ngc.com\nhttp://www.meddramsso.com/MSSOWeb/index.htm"},{"code":"status","valueCode":"active"}]},{"id":"4196","code":"OPS2010","display":"OPS Germany v2010","definition":"OPS Germany v2010","property":[{"code":"v2-concCommentAsPub","valueString":"Source: OPS Operationen- und Prozedurenschluessel 2010."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4197","code":"MEDX","display":"Medical Economics Diagnostic Codes","definition":"Medical Economics Diagnostic Codes","property":[{"code":"v2-concComment","valueString":"Used for drug-diagnosis interaction checking. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code":"status","valueCode":"active"}]},{"id":"4198","code":"OPS2011","display":"OPS Germany v2011","definition":"OPS Germany v2011","property":[{"code":"v2-concCommentAsPub","valueString":"Source: OPS Operationen- und Prozedurenschluessel 2011."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4199","code":"MGPI","display":"Medispan GPI","definition":"Medispan GPI","property":[{"code":"v2-concComment","valueString":"Medispan hierarchical drug codes for identifying drugs down to manufacturer and pill size. Proprietary product of MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495."},{"code":"status","valueCode":"active"}]},{"id":"4200","code":"MVX","display":"CDC Vaccine Manufacturer Codes","definition":"CDC Vaccine Manufacturer Codes","property":[{"code":"v2-concComment","valueString":"As above, for CVX"},{"code":"status","valueCode":"active"}]},{"id":"4201","code":"NAICS","display":"Industry (NAICS)","definition":"Industry (NAICS)","property":[{"code":"v2-concComment","valueString":"The North American Industry Classification System (NAICS) consists of a set of six digit codes that classify and categorize industries.  It also organizes the categories on a production/process-oriented basis.  This new, uniform, industry-wide classification system has been designed as the index for statistical reporting of all economic activities of the U.S., Canada, and Mexico. Mapping is available between SIC 1987 and NAICS 2002 codes at U.S. Census Bureau website. Mapping is also available between NAICS 2002 and NAICS 2007 at U.S. Census Bureau website"},{"code":"status","valueCode":"active"}]},{"id":"4202","code":"NCPDPnnnnsss","display":"NCPDP code list for data element nnnn [as used in segment sss]","definition":"NCPDP code list for data element nnnn [as used in segment sss]","property":[{"code":"v2-concComment","valueString":"NCPDP maintain code list associated with the specified Data Element (nnnn) and Segment (sss).  The Segment portion is optional if there is no specialization of the Data Element codes between segments.  Examples:\n   NCPDP1131RES = code set defined for NCPDP data element 1131 as used in the RES segment (Code List Qualifier – Response Code)\n   NCPDP1131STS = code set defined for NCPDP data element 1131 as used in the STS segment (Code List Qualifier – Reject Code)\n   NCPDP9701 = code set defined for NCPDP data element 9701 (Individual Relationship, Coded).  No specialization to a segment exists for this data element.\n\nNational Council for Prescription Drug Programs, 924Ø East Raintree Drive, Scottsdale, AZ  8526Ø.\nPhone: (48Ø) 477-1ØØØ\nFax: (48Ø) 767-1Ø42\ne-mail: ncpdp@ncpdp.org\nwww.ncpdp.org"},{"code":"status","valueCode":"active"}]},{"id":"4203","code":"NDA","display":"NANDA","definition":"NANDA","property":[{"code":"v2-concComment","valueString":"North American Nursing Diagnosis Association, Philadelphia, PA."},{"code":"status","valueCode":"active"}]},{"id":"4204","code":"NDC","display":"National drug codes","definition":"National drug codes","property":[{"code":"v2-concComment","valueString":"These provide unique codes for each distinct drug, dosing form, manufacturer, and packaging. (Available from the National Drug Code Directory, FDA, Rockville, MD, and other sources.)"},{"code":"status","valueCode":"active"}]},{"id":"4205","code":"NDFRT","display":"NDF-RT (Drug Classification)","definition":"NDF-RT (Drug Classification)","property":[{"code":"v2-concComment","valueString":"The National Drug File RT (NDF-RT) is published by the US Veterans' Administration (VA). NDF-RT covers clinical drugs used at the VA. The NCI version of NDF-RT is used by NCI to provide automated terminology access to the Food and Drug Administration (FDA) Structured Product Label (SPL) initiative."},{"code":"status","valueCode":"active"}]},{"id":"4206","code":"NIC","display":"Nursing Interventions Classification","definition":"Nursing Interventions Classification","property":[{"code":"v2-concComment","valueString":"Iowa Intervention Project, College of Nursing, University of Iowa, Iowa City, Iowa"},{"code":"status","valueCode":"active"}]},{"id":"4207","code":"NIP001","display":"Source of Information (Immunization)","definition":"Source of Information (Immunization)","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table to be used in HL7 2.x message RXA-9 for documenting the source of information regarding immunization. E.g. From school, provider,public health agency."},{"code":"status","valueCode":"active"}]},{"id":"4208","code":"NIP002","display":"Substance refusal reason","definition":"Substance refusal reason","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table to be used in HL7 2.x message RXA-18 for substance refusal reason (reasons for not having vaccination). E.g. Religious exemption, parental decision"},{"code":"status","valueCode":"active"}]},{"id":"4209","code":"NIP004","display":"Vaccination - Contraindications, Precautions, and Immunities","definition":"Vaccination - Contraindications, Precautions, and Immunities","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table for vaccine contraindications and precautions. E.g. Allergy to egg ingestion, thimerosol"},{"code":"status","valueCode":"active"}]},{"id":"4210","code":"NIP007","display":"Vaccinated at location (facility)","definition":"Vaccinated at location (facility)","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table for vaccinated at location (facility). E.g.  Private doctor's office, Public Health Clinic"},{"code":"status","valueCode":"active"}]},{"id":"4211","code":"NIP008","display":"Vaccine purchased with (Type of funding)","definition":"Vaccine purchased with (Type of funding)","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table enumerates the type of funds used for purchasing vaccine. E.g. Public funds, Military funds"},{"code":"status","valueCode":"active"}]},{"id":"4212","code":"NIP009","display":"Reported adverse event previously","definition":"Reported adverse event previously","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table enumerates the authorities to whom the vaccination related adverse events were previously reported. E.g. To health department, To manufacturer"},{"code":"status","valueCode":"active"}]},{"id":"4213","code":"NIP010","display":"VAERS Report type","definition":"VAERS Report type","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table enumerates the type of report used in VAERS (Vaccination Adverse Event Reporting System). E.g. Initial, Follow-up"},{"code":"status","valueCode":"active"}]},{"id":"4214","code":"NND","display":"Notifiable Event (Disease/Condition) Code List","definition":"Notifiable Event (Disease/Condition) Code List","property":[{"code":"v2-concComment","valueString":"List of notifiable events, which includes infectious and non-infectious disease or conditions. This list includes events that are notifiable at the state and national level."},{"code":"status","valueCode":"active"}]},{"id":"4215","code":"NPI","display":"National Provider Identifier","definition":"National Provider Identifier","property":[{"code":"v2-concComment","valueString":"Health Care Finance Administration, US Dept. of Health and Human Services, 7500 Security Blvd., Baltimore, MD 21244."},{"code":"status","valueCode":"active"}]},{"id":"4216","code":"NUBC","display":"National Uniform Billing Committee Code","definition":"National Uniform Billing Committee Code","property":[{"code":"v2-concComment","valueString":"http://www.nubc.org/"},{"code":"status","valueCode":"active"}]},{"id":"4217","code":"NULLFL","display":"Flavors of NULL","definition":"Flavors of NULL","property":[{"code":"v2-concComment","valueString":"System of coded values for Flavors of Null, as used in HL7 Version 3 standards.  Identical to the HL7 version 3 \r\ncoding system 2.16.840.1.113883.5.1008 NullFlavor"},{"code":"status","valueCode":"active"}]},{"id":"4218","code":"O301","display":"German Procedure Codes","definition":"German Procedure Codes","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. Three versions are active."},{"code":"status","valueCode":"deprecated"}]},{"id":"4219","code":"O3012004","display":"OPS Germany 2004","definition":"OPS Germany 2004","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4220","code":"O3012005","display":"OPS Germany 2005","definition":"OPS Germany 2005","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4221","code":"O3012006","display":"Ops Germany 2006","definition":"Ops Germany 2006","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code":"status","valueCode":"active"}]},{"id":"4222","code":"OBSMETHOD","display":"Observation Method Code","definition":"Observation Method Code","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.84 ObservationMethod in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4223","code":"OHA","display":"Omaha System","definition":"Omaha System","property":[{"code":"v2-concComment","valueString":"Omaha Visiting Nurse Association, Omaha, NB."},{"code":"status","valueCode":"active"}]},{"id":"4224","code":"OPS2007","display":"OPS Germany v2007","definition":"OPS Germany v2007","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel 2007."},{"code":"status","valueCode":"active"}]},{"id":"4225","code":"OPS2008","display":"OPS Germany v2008","definition":"OPS Germany v2008","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel 2008."},{"code":"status","valueCode":"active"}]},{"id":"4226","code":"OPS2009","display":"OPS Germany v2008","definition":"OPS Germany v2008","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel 2009."},{"code":"status","valueCode":"active"}]},{"id":"4227","code":"PHDSCSOPT","display":"Source of Payment Typology","definition":"Source of Payment Typology","property":[{"code":"v2-concComment","valueString":"The Source of Payment Typology (SOPT) is maintained by the Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS). The code system is used to allow consistent reporting of payer data to public health agencies for health care services and research, and to exchange health insurance payer and program information."},{"code":"status","valueCode":"active"}]},{"id":"4228","code":"PHINQUESTION","display":"CDC Public Health Information Network (PHIN) Question","definition":"CDC Public Health Information Network (PHIN) Question","property":[{"code":"v2-concComment","valueString":"CDC Public Health Questions used in HL7 Message as observation identifiers. These question or observation identifiers are used in CDC's message implementation guides and will be passed in HL7 OBX-3 or Observation.Code"},{"code":"status","valueCode":"active"}]},{"id":"4229","code":"PLR","display":"CDC PHLIP Lab result codes that are not covered in SNOMED at the time of this implementation","definition":"CDC PHLIP Lab result codes that are not covered in SNOMED at the time of this implementation","property":[{"code":"v2-concComment","valueString":"APHL CDC co-sponsored PHLIP"},{"code":"status","valueCode":"active"}]},{"id":"4230","code":"PLT","display":"CDC PHLIP Lab test codes, where LOINC concept is too broad or not yet available, especially as needed for ordering and or lab to lab reporting )","definition":"CDC PHLIP Lab test codes, where LOINC concept is too broad or not yet available, especially as needed for ordering and or lab to lab reporting )","property":[{"code":"v2-concComment","valueString":"APHL CDC co-sponsored PHLIP"},{"code":"status","valueCode":"active"}]},{"id":"4231","code":"X12Dennnn","display":"ASC X12 Code List nnnn","definition":"ASC X12 Code List nnnn","property":[{"code":"v2-concCommentAsPub","valueString":"Code list associated with X12 Data Element nnnn.  Example::<p>X12DE738 - code set defined for X12 data element 738 (Measurement Qualifier)<p>The Accredited Standards Committee (ASC) X12<p>http://www.x12.org"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4232","code":"POS","display":"POS Codes","definition":"POS Codes","property":[{"code":"v2-concComment","valueString":"HCFA Place of Service Codes for Professional Claims (see http://www.cms.hhs.gov/PlaceofServiceCodes/)."},{"code":"status","valueCode":"active"}]},{"id":"4233","code":"PRTCPTNMODE","display":"Paticipation Mode Code","definition":"Paticipation Mode Code","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1064 ParticipationMode in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4234","code":"RC","display":"Read Classification","definition":"Read Classification","property":[{"code":"v2-concComment","valueString":"The Read Clinical Classification of Medicine, Park View Surgery, 26 Leicester Rd., Loughborough LE11 2AG (includes drug procedure and other codes, as well as diagnostic codes)."},{"code":"status","valueCode":"active"}]},{"id":"4235","code":"refSeq-G","display":"NCBI - genomic and chromosome reference sequences","definition":"NCBI - genomic and chromosome reference sequences","property":[{"code":"v2-concComment","valueString":"Subset of NLM Human RefSeqs with prefix of “NG_ or NC_\".\nThose prefixed with \"NC_\" represent the whole genomic RefSeq for individual chromosomes. Those prefixed with \"NG_\" represent genes with all of their introns and flanking regions and other larger or smaller genomic sequences."},{"code":"status","valueCode":"active"}]},{"id":"4236","code":"RefSeq-P","display":"NCBI - protein reference sequence","definition":"NCBI - protein reference sequence","property":[{"code":"v2-concComment","valueString":"Reference sequences for proteins. Not commonly reported because Amino acid changes can be computed directly from DNA changes based on transcript reference sequence. However some fields are interested only in the protein sequence change, and proteins can be sequenced independently of DNA sequencing."},{"code":"status","valueCode":"active"}]},{"id":"4237","code":"refSeq-T","display":"NCBI-transcript reference sequences (RefSeq)","definition":"NCBI-transcript reference sequences (RefSeq)","property":[{"code":"v2-concComment","valueString":"Subset of NLM RefSeq records with prefix of \"NM_\" are reference sequences that represent messenger RNA."},{"code":"status","valueCode":"active"}]},{"id":"4238","code":"ROLECLASS","display":"Used initially for contact roles.","definition":"Used initially for contact roles.","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.111 RoleCode in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4239","code":"ROLECODE","display":"Participation Mode","definition":"Participation Mode","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.111 RoleCode in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4240","code":"RSPMODE","display":"Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.","definition":"Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.","property":[{"code":"v2-concComment","valueString":"V3 coding system, available in RIM download materials."},{"code":"status","valueCode":"active"}]},{"id":"4241","code":"RXNORM","display":"RxNorm","definition":"RxNorm","property":[{"code":"v2-concComment","valueString":"RxNorm provides standard names for clinical drugs (active ingredient + strength + dose form) and for dose forms as administered to a patient. It provides links from clinical drugs, both branded and generic, to their active ingredients, drug components (active ingredient + strength), and related brand names. NDCs (National Drug Codes) for specific drug products (where there are often many NDC codes for a single product) are linked to that product in RxNorm. RxNorm links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, MediSpan, and Multum. By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary.RxNorm is one of a suite of designated standards for use in U.S. Federal Government systems for the electronic exchange of clinical health information."},{"code":"status","valueCode":"active"}]},{"id":"4242","code":"RxT-Ingrd","display":"RxTerms-Ingredients Subset","definition":"RxTerms-Ingredients Subset","property":[{"code":"v2-concComment","valueString":"RxT-Ingrd is a specialization of the RxNorm database that includes the ingredients in RxTerms except allergens (used for allergy testing), combination ingredients, and inactive ingredients. The subset is designed for identifying drugs that might be the focus of pharmacogenetic testing."},{"code":"status","valueCode":"active"}]},{"id":"4243","code":"SCT","display":"SNOMED Clinical Terms","definition":"SNOMED Clinical Terms","property":[{"code":"v2-concComment","valueString":"SNOMED-CT concept identifier codes.\nSNOMED International, I325 Waukegan Rd, Northfield, IL, 60093, +1 800-323-4040, mailto:snomed@cap.org  http://www.snomed.org"},{"code":"status","valueCode":"active"}]},{"id":"4244","code":"SCT2","display":"SNOMED Clinical Terms alphanumeric codes","definition":"SNOMED Clinical Terms alphanumeric codes","property":[{"code":"v2-concComment","valueString":"Used to indicate that the code value is the legacy-style SNOMED alphanumeric codes, rather than the concept identifier codes. \nSNOMED International, I325 Waukegan Rd, Northfield, IL, 60093, +1 800-323-4040, mailto:snomed@cap.org  http://www.snomed.org"},{"code":"status","valueCode":"active"}]},{"id":"4245","code":"SDM","display":"SNOMED- DICOM Microglossary","definition":"SNOMED- DICOM Microglossary","property":[{"code":"v2-concComment","valueString":"College of American Pathologists, Skokie, IL, 60077-1034. (formerly designated as 99SDM)."},{"code":"status","valueCode":"active"}]},{"id":"4246","code":"SIC","display":"Industry (SIC)","definition":"Industry (SIC)","property":[{"code":"v2-concComment","valueString":"Standard Industry Classification - 1987. Use NAICS 2002. This is mainly for mapping and backward compatibility purposes."},{"code":"status","valueCode":"active"}]},{"id":"4247","code":"SNM","display":"Systemized Nomenclature of Medicine (SNOMED)","definition":"Systemized Nomenclature of Medicine (SNOMED)","property":[{"code":"v2-concComment","valueString":"Systemized Nomenclature of Medicine, 2nd Edition 1984 Vols 1, 2, College of American Pathologists, Skokie, IL."},{"code":"status","valueCode":"active"}]},{"id":"4248","code":"SNM3","display":"SNOMED International","definition":"SNOMED International","property":[{"code":"v2-concComment","valueString":"SNOMED International, 1993 Vols 1-4, College of American Pathologists, Skokie, IL, 60077-1034."},{"code":"status","valueCode":"active"}]},{"id":"4249","code":"SNT","display":"SNOMED topology codes (anatomic sites)","definition":"SNOMED topology codes (anatomic sites)","property":[{"code":"v2-concComment","valueString":"College of American Pathologists, 5202 Old Orchard Road, Skokie, IL 60077-1034."},{"code":"status","valueCode":"active"}]},{"id":"4250","code":"SOC","display":"Occupation (SOC 2000)","definition":"Occupation (SOC 2000)","property":[{"code":"v2-concComment","valueString":"The 2000 Standard Occupational Classification (SOC) system is used by Federal statistical agencies to classify workers into occupational categories for the purpose of collecting, calculating, or disseminating data."},{"code":"status","valueCode":"active"}]},{"id":"14250","code":"SPCU","display":"Sex Parameter for Clinical Use","definition":"A summary parameter that provides guidance on how a receiver should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.","property":[{"code":"status","valueCode":"active"}]},{"id":"4251","code":"UB04FL14","display":"Priority (Type) of Visit","definition":"Priority (Type) of Visit","property":[{"code":"v2-concComment","valueString":"Official UB-04 Data Specification Manual, published July 2007, by the U.S. National Uniform Billing Committee (NUBC), and can be found at http://www.nubc.org. 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At the same time, the code set can be applied to paper-based record systems to the extent that these systems are used to collect, maintain, and report data on race and ethnicity in accordance with current federal standards."},{"code":"status","valueCode":"active"}]},{"id":"4076","code":"CDS","display":"CDC Surveillance","definition":"CDC Surveillance","property":[{"code":"v2-concComment","valueString":"CDC Surveillance Codes. For data unique to specific public health surveillance requirements. Epidemiology Program Office, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333. (404) 639-3661."},{"code":"status","valueCode":"active"}]},{"id":"4077","code":"CE","display":"CEN ECG diagnostic codes","definition":"CEN ECG diagnostic codes","property":[{"code":"v2-concComment","valueString":"CEN ECG diagnostic codes – (Obsolete, retained for backwards compatibility only.  See the entry for the MDC coding system.)"},{"code":"status","valueCode":"deprecated"}]},{"id":"4078","code":"Chrom-Loc","display":"Cytogenetic (chromosome) location","definition":"Cytogenetic (chromosome) location","property":[{"code":"v2-concComment","valueString":"Chromosome location (AKA chromosome locus or cytogenetic location), is the standardized syntax for recording the position of genes and large mutations. It consists of three parts: the Chromosome number (e 1-22, X, Y), an indicator of which arm – either “p” for the  short or “q” for the long, and then a series of numbers separated by dots that indicate the band, sub band and sub-sub band of the locus - e.g. 2p16.3 . There are other conventions for reporting ranges and locations at the end of the chromosomes. The table of these chromosome locations was loaded initially with the all of the locations found in NCBI’s ClinVar variation tables. It will expand as additional sources become available."},{"code":"status","valueCode":"active"}]},{"id":"4079","code":"CLINVAR-V","display":"ClinVar Variant ID","definition":"ClinVar Variant ID","property":[{"code":"v2-concComment","valueString":"ClinVar processes submissions reporting variants found in patient samples, assertions made regarding their clinical significance, information about the submitter, and other supporting data. The alleles described in submissions are mapped to reference sequences, and reported according to the HGVS standard."},{"code":"status","valueCode":"active"}]},{"id":"4080","code":"CLP","display":"CLIP","definition":"CLIP","property":[{"code":"v2-concComment","valueString":"Codes for radiology reports.  Simon Leeming, Beth Israel Hospital, Boston MA."},{"code":"status","valueCode":"active"}]},{"id":"14080","code":"CMSHCC","display":"CMS Hierarchical Condition Categories","definition":"The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories that predict costs well. The condition categories are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the condition categories to capture the most costly diagnoses. Hierarchy logic is imposed on certain condition categories to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC.","property":[{"code":"status","valueCode":"active"}]},{"id":"4081","code":"CMSOEC","display":"OCE Edit Code","definition":"OCE Edit Code","property":[{"code":"v2-concComment","valueString":"U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the billing code. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code":"status","valueCode":"N"}]},{"id":"4082","code":"CMSOMC","display":"OCE Modifier Code","definition":"OCE Modifier Code","property":[{"code":"v2-concComment","valueString":"U.S. Centers for Medicare and Medicaid Services (CMS) Integrated Outpatient Code Editor (I/OCE). The edits that applied to the code modifier. The OCE not only identifies individual errors but also indicates what actions should be taken and the reasons why these actions are necessary. In order to accommodate this functionality, the OCE is structured to return lists of edit numbers. This structure facilitates the linkage between the actions being taken, the reasons for the actions and the information on the claim (e.g., a specific diagnosis) that caused the action."},{"code":"status","valueCode":"N"}]},{"id":"4083","code":"FDAUDI","display":"FDA Unique Device Identifier","definition":"FDA Unique Device Identifier","property":[{"code":"v2-concCommentAsPub","valueString":"Represents the approved agencies by the FDA that assign UDI Device Identifiers."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4084","code":"COSMIC-Smpl","display":"COSMIC – Simple variants","definition":"COSMIC – Simple variants","property":[{"code":"v2-concComment","valueString":"This table includes only simple somatic (cancer) mutations, one per unique mutation ID. The codes is the COSMIC mutation ID, and the name uses Ensembl RefSeqs and the single letter code for p.HGVS.   It carries fields analogous to most of the key fields in ClinVar, but its reference sequences are Ensembl transcript reference sequences with prefixes of ENST; it specifies amino acid changes with the older, HGVS, single letter codes and it carries examples of primary cancers and primary tissues, fields that are not in ClinVar. COSMIC's source table includes multiple records per mutation - one per submission.  The COSMIC-Simple Variants table carries only includes one record per unique mutation- more than 3 million of them. These contents are copyright COSMIC (http://cancer.sanger.ac.uk/cosmic/license) LHC has produced a look up table for these records, and for users to look up particular mutation IDs with permission from COSMIC. However, interested parties must contact COSMIC for permission to download these records."},{"code":"status","valueCode":"active"}]},{"id":"4085","code":"COSMIC-Strc","display":"COSMIC-Structural variants","definition":"COSMIC-Structural variants","property":[{"code":"v2-concComment","valueString":"COSMIC has divided structural variants into two tables one called structural variants and one called copy number variants, both kinds of which are carried in NCBIs dbVar table."},{"code":"status","valueCode":"active"}]},{"id":"4086","code":"CPTM","display":"CPT Modifier Code","definition":"CPT Modifier Code","property":[{"code":"v2-concComment","valueString":"Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL)."},{"code":"status","valueCode":"active"}]},{"id":"4087","code":"CST","display":"COSTART","definition":"COSTART","property":[{"code":"v2-concComment","valueString":"International coding system for adverse drug reactions. In the USA, maintained by the FDA, Rockville, MD."},{"code":"status","valueCode":"active"}]},{"id":"4088","code":"CVX","display":"CDC Vaccine Codes","definition":"CDC Vaccine Codes","property":[{"code":"v2-concComment","valueString":"National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333"},{"code":"status","valueCode":"active"}]},{"id":"4089","code":"dbVar-GL","display":"dbVar-Germline","definition":"dbVar-Germline","property":[{"code":"v2-concComment","valueString":"dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code":"status","valueCode":"active"}]},{"id":"4090","code":"dbVar-som","display":"dbVar-Somatic","definition":"dbVar-Somatic","property":[{"code":"v2-concComment","valueString":"dbVar is NCBI's database of genomic structural variations (including copy number variants) that are larger than 50 contiguous base pairs. It is the complement of dbSNP, which only contains variants occurring in 50 or fewer contiguous base pairs.   It contains insertions, deletions, duplications, inversions, multi-nucleotide substitutions, mobile element insertions, translocations, and complex chromosomal rearrangements."},{"code":"status","valueCode":"active"}]},{"id":"4091","code":"DCM","display":"DICOM Controlled Terminology","definition":"DICOM Controlled Terminology","property":[{"code":"v2-concComment","valueString":"Codes defined in DICOM Content Mapping Resource. Digital Imaging and Communications in Medicine (DICOM). NEMA Publication PS-3.16 National Electrical Manufacturers Association (NEMA). Rosslyn, VA, 22209. Available at:"},{"code":"status","valueCode":"active"}]},{"id":"4092","code":"E","display":"EUCLIDES","definition":"EUCLIDES","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code":"status","valueCode":"active"}]},{"id":"4093","code":"E5","display":"Euclides  quantity codes","definition":"Euclides  quantity codes","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv (see above)"},{"code":"status","valueCode":"active"}]},{"id":"4094","code":"E6","display":"Euclides Lab method codes","definition":"Euclides Lab method codes","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60."},{"code":"status","valueCode":"active"}]},{"id":"4095","code":"E7","display":"Euclides Lab equipment codes","definition":"Euclides Lab equipment codes","property":[{"code":"v2-concComment","valueString":"Available from Euclides Foundation International nv (see above)"},{"code":"status","valueCode":"active"}]},{"id":"4096","code":"EDLEVEL","display":"Education Level","definition":"Education Level","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1077 EducationLevel in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4097","code":"ensembl-G","display":"Ensembl genomic reference sequence","definition":"Ensembl genomic reference sequence","property":[{"code":"v2-concComment","valueString":"Set of Ensembl genomic reference sequences whose identifiers have a prefix of \"ENSG.\" It only includes genomic sequences associated with genes and uses the whole build plus the chromosome number to identify chromosome reference sequences, rather than a separate set of reference sequence identifier as NCBI does."},{"code":"status","valueCode":"active"}]},{"id":"4098","code":"Ensembl-P","display":"Ensembl protein reference sequence","definition":"Ensembl protein reference sequence","property":[{"code":"v2-concComment","valueString":"Set of Ensembl protein reference sequences. Their identifiers are distinguished by the prefix of \"ENSP,\" and correspond to NCBI's \"NP_\" identifiers."},{"code":"status","valueCode":"active"}]},{"id":"4099","code":"ensembl-T","display":"Ensembl transcript reference sequence","definition":"Ensembl transcript reference sequence","property":[{"code":"v2-concComment","valueString":"Set of reference sequences for transcripts of coding regions. Their identifiers all have a prefix of \"ENST.\" There are parallels for most (if not all) of what is in Ensembl within NCBI. \"ENST\" parallels NCBI's \"NM_\" identifiers. In general, Ensembl takes its reference sequences directly from the build. NCBI adjusts its reference sequences by replacing known \"mutations\" with sequences that better reflect the population \"normal\"."},{"code":"status","valueCode":"active"}]},{"id":"4100","code":"ENTITYCODE","display":"Entity Code","definition":"Entity Code","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.1060 EntityCode in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4101","code":"ENTITYHDLG","display":"Entity Handling Code","definition":"Entity Handling Code","property":[{"code":"v2-concComment","valueString":"For use in v2.x systems interoperating with V3 systems.  Identical to the code system 2.16.840.1.113883.5.42 EntityHandling in the Version 3 vocabulary."},{"code":"status","valueCode":"active"}]},{"id":"4102","code":"ENZC","display":"Enzyme Codes","definition":"Enzyme Codes","property":[{"code":"v2-concComment","valueString":"Enzyme Committee of the International Union of Biochemistry and Molecular Biology. Enzyme Nomenclature: Recommendations on the Nomenclature and Classification of Enzyme-Catalysed Reactions. London: Academic Press, 1992."},{"code":"status","valueCode":"active"}]},{"id":"4103","code":"GMDC2009","display":"German Major Diagnostic Codes v2009","definition":"German Major Diagnostic Codes v2009","property":[{"code":"v2-concCommentAsPub","valueString":"German Major Diagnostic Codes version 2009."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4104","code":"EPASRS","display":"EPA SRS","definition":"EPA SRS","property":[{"code":"v2-concComment","valueString":"Subset of EPA SRS listing chemicals that are present in ECOTOX, STORET and TRI."},{"code":"status","valueCode":"active"}]},{"id":"4105","code":"GS1UDI","display":"GS1 Unique Device Identifier","definition":"GS1 Unique Device Identifier","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4106","code":"FDAUNII","display":"Unique Ingredient Identifier (UNII)","definition":"Unique Ingredient Identifier (UNII)","property":[{"code":"v2-concComment","valueString":"The Unique Ingredient Identifier (UNII) generated from the FDA Substance Registration System (SRS)."},{"code":"status","valueCode":"active"}]},{"id":"4107","code":"FDDC","display":"First DataBank Drug Codes","definition":"First DataBank Drug Codes","property":[{"code":"v2-concComment","valueString":"National Drug Data File. Proprietary product of First DataBank, Inc. (800) 633-3453, or http://www.firstdatabank.com."},{"code":"status","valueCode":"active"}]},{"id":"4108","code":"FDDX","display":"First DataBank Diagnostic Codes","definition":"First DataBank Diagnostic Codes","property":[{"code":"v2-concComment","valueString":"Used for drug-diagnosis interaction checking. Proprietary product of First DataBank, Inc. As above for FDDC."},{"code":"status","valueCode":"active"}]},{"id":"4109","code":"FDK","display":"FDA K10","definition":"FDA K10","property":[{"code":"v2-concComment","valueString":"Dept. of Health & Human Services, Food & Drug Administration, Rockville, MD 20857. (device & analyte process codes)."},{"code":"status","valueCode":"active"}]},{"id":"4110","code":"FIPS5_2","display":"FIPS 5-2 (State)","definition":"FIPS 5-2 (State)","property":[{"code":"v2-concComment","valueString":"Codes for the Identification of the States, the District of Columbia and the Outlying Areas of the United States, and Associated Areas."},{"code":"status","valueCode":"active"}]},{"id":"4111","code":"HIBUDI","display":"HIBCC Unique Device Identifier","definition":"HIBCC Unique Device Identifier","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4112","code":"FIPS55_3","display":"Populated Places (FIPS 55-3)","definition":"Populated Places (FIPS 55-3)","property":[{"code":"v2-concComment","valueString":"Codes for Named Populated Places, Primary County Divisions, and Other Locational Entities of the United States, Puerto Rico, and the Outlying Areas (without codes)"},{"code":"status","valueCode":"active"}]},{"id":"4113","code":"FIPS6_4","display":"FIPS 6-4 (County)","definition":"FIPS 6-4 (County)","property":[{"code":"v2-concComment","valueString":"Federal Information Processing Standard (FIPS) 6-4 provides the names and codes that represent the counties and other entities treated as equivalent legal and/or statistical subdivisions of the 50 States, the District of Columbia, and the possessions and freely associated areas of the United States."},{"code":"status","valueCode":"active"}]},{"id":"4114","code":"GDRG2004","display":"G-DRG German DRG Codes v 2004","definition":"G-DRG German DRG Codes v 2004","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs. The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4115","code":"GDRG2005","display":"G-DRG German DRG Codes v 2005","definition":"G-DRG German DRG Codes v 2005","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs. The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4116","code":"GDRG2006","display":"G-DRG German DRG Codes v 2006","definition":"G-DRG German DRG Codes v 2006","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs. The THREE versions, \"2004\" , \"2005\" and \"2006\" are active"},{"code":"status","valueCode":"active"}]},{"id":"4117","code":"GDRG2007","display":"G-DRG German DRG Codes v2007","definition":"G-DRG German DRG Codes v2007","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs 2007."},{"code":"status","valueCode":"active"}]},{"id":"4118","code":"GDRG2008","display":"G-DRG German DRG Codes v2008","definition":"G-DRG German DRG Codes v2008","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs 2008."},{"code":"status","valueCode":"active"}]},{"id":"4119","code":"GDRG2009","display":"G-DRG German DRG Codes v2008","definition":"G-DRG German DRG Codes v2008","property":[{"code":"v2-concComment","valueString":"German Handbook for DRGs 2009."},{"code":"status","valueCode":"active"}]},{"id":"4120","code":"GMDC2004","display":"German Major Diagnostic Codes v 1004","definition":"German Major Diagnostic Codes v 1004","property":[{"code":"v2-concComment","valueString":"German Major Diagnostic Codes version \"2004\""},{"code":"status","valueCode":"deprecated"}]},{"id":"4121","code":"GMDC2005","display":"German Major Diagnostic Codes v2005","definition":"German Major Diagnostic Codes v2005","property":[{"code":"status","valueCode":"deprecated"}]},{"id":"4122","code":"GMDC2006","display":"German Major v2006 Diagnostic Codes","definition":"German Major v2006 Diagnostic Codes","property":[{"code":"status","valueCode":"active"}]},{"id":"4123","code":"GMDC2007","display":"German Major Diagnostic Codes v2007","definition":"German Major Diagnostic Codes v2007","property":[{"code":"v2-concComment","valueString":"German Major Diagnostic Codes 2007."},{"code":"status","valueCode":"active"}]},{"id":"4124","code":"GMDC2008","display":"German Major Diagnostic Codes v2008","definition":"German Major Diagnostic Codes v2008","property":[{"code":"v2-concComment","valueString":"German Major Diagnostic Codes v2008."},{"code":"status","valueCode":"active"}]},{"id":"4125","code":"HB","display":"HIBCC","definition":"HIBCC","property":[{"code":"v2-concComment","valueString":"Health Industry Business Communications Council, 5110 N. 40th St., Ste 120, Phoenix, AZ 85018."},{"code":"status","valueCode":"active"}]},{"id":"4126","code":"HCPCS","display":"CMS (formerly HCFA)  Common Procedure Coding System","definition":"CMS (formerly HCFA)  Common Procedure Coding System","property":[{"code":"v2-concComment","valueString":"HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.\nhttp://www.cms.hhs.gov/MedHCPCSGenInfo/"},{"code":"status","valueCode":"active"}]},{"id":"4127","code":"IBTnnnn","display":"ISBT 128 codes where nnnn  specifies a specific table within ISBT 128.","definition":"ISBT 128 codes where nnnn  specifies a specific table within ISBT 128.","property":[{"code":"v2-concCommentAsPub","valueString":"International Society of Blood Transfusion. (specific contact information will be supplied to editor.)<p>The variable suffix (nnnn) identifies a specific table within ISBT 128."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4128","code":"HCPT","display":"Health Care Provider Taxonomy","definition":"Health Care Provider Taxonomy","property":[{"code":"v2-concComment","valueString":"Formerly the responsibility of Workgroup 15 (Provider Information) within ANSI ASC X12N, all maintenance is now done by NUCC (turned over in 2001).   Primary distribution is the responsibility of Washington Publishing Company, through its World Wide Web Site http://www.wpc-edi.com.  Requests for new codes or changes may be  done through the same website.  For further information, NUCC may be contacted at: \r\nStephanie Moncada, NUCC Secretary\r\nAmerican Medical Association\r\n515 N. State St.\r\nChicago, IL 60610\r\nEmail: stephanie.moncada@ama-assn.org"},{"code":"status","valueCode":"active"}]},{"id":"4129","code":"ICCUDI","display":"ICCBBA Unique Device Identifier","definition":"ICCBBA Unique Device Identifier","property":[{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4130","code":"HGNC-Symb","display":"HGNC-symb","definition":"HGNC-symb","property":[{"code":"v2-concComment","valueString":"The HGNC gene table carries the GENE ID, gene symbol and full gene name. The GENE ID is specific to the species. The gene symbol and name will be shared by all species with the same gene. \nThe HGNC-Symb table carries only human genes. The code for this coding system is the HGNC gene code, the \"name\" or print string is the HGNC gene symbol. \nMore than 28,000 human gene symbols and names have been assigned so far, but some human genes lack an HGNC code and symbol. These are mostly non protein coding genes."},{"code":"status","valueCode":"active"}]},{"id":"4131","code":"HGVS.c","display":"HGVS- Transcript syntax","definition":"HGVS- Transcript syntax","property":[{"code":"v2-concComment","valueString":"Syntax that describes variations (mutations) at the transcript (messenger RNA) level. The transcript syntax statements, which can describe simple and complex variants, are distinguished by a leading \"c.\""},{"code":"status","valueCode":"active"}]},{"id":"4132","code":"HGVS.g","display":"HGVS- Genomic syntax","definition":"HGVS- Genomic syntax","property":[{"code":"v2-concComment","valueString":"Syntax that describes the variations (mutations) at the genome level (the DNA before it is spliced to remove introns). 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The protein change statements are distinguished by a leading \"p.\""},{"code":"status","valueCode":"active"}]},{"id":"4134","code":"HHC","display":"Home Health Care","definition":"Home Health Care","property":[{"code":"v2-concComment","valueString":"Home Health Care Classification System; Virginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC.\nSuperceded by 'CCC' (see above); this entry is retained for backward-compatibility."},{"code":"status","valueCode":"active"}]},{"id":"4135","code":"ICD10GM2010","display":"ICD 10 Germany v2010","definition":"ICD 10 Germany v2010","property":[{"code":"v2-concCommentAsPub","valueString":"ICD German modification for 2010"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4136","code":"HI","display":"Health Outcomes","definition":"Health Outcomes","property":[{"code":"v2-concComment","valueString":"Health Outcomes Institute codes for outcome variables available (with responses) from Stratis Health (formerly Foundation for Health Care Evaluation and Health Outcomes Institute), 2901 Metro Drive, Suite 400, Bloomington, MN, 55425-1525; (612) 854-3306 (voice); (612) 853-8503 (fax); dziegen@winternet.com. See examples in the Implementation Guide."},{"code":"status","valueCode":"active"}]},{"id":"4137","code":"ICD10GM2011","display":"ICD 10 Germany v2011","definition":"ICD 10 Germany v2011","property":[{"code":"v2-concCommentAsPub","valueString":"ICD German modification for 2011"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4138","code":"HL7nnnn","display":"Health Level Seven defined table of codes, where nnnn is the HL7 table number.  The number is four numeric digits as published in HL7 Version 2 chapter 2C.  For example, HL70001.","definition":"Health Level Seven defined table of codes, where nnnn is the HL7 table number.  The number is four numeric digits as published in HL7 Version 2 chapter 2C.  For example, HL70001.","property":[{"code":"v2-concComment","valueString":"The table value HL7nnnn is meant to restrict the value to the characters 'HL7' and four numeric digits e.g. HL70001 is valid, examples of invalid values include HL71, HL701, HL7001."},{"code":"status","valueCode":"deprecated"}]},{"id":"4139","code":"HOT","display":"Japanese Nationwide Medicine Code","definition":"Japanese Nationwide Medicine Code","property":[{"code":"status","valueCode":"active"}]},{"id":"4140","code":"HPC","display":"CMS (formerly HCFA )Procedure Codes (HCPCS)","definition":"CMS (formerly HCFA )Procedure Codes (HCPCS)","property":[{"code":"v2-concComment","valueString":"Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.[1]"},{"code":"status","valueCode":"active"}]},{"id":"4141","code":"HSLOC","display":"Healthcare Service Location","definition":"Healthcare Service Location","property":[{"code":"v2-concComment","valueString":"A comprehensive classification of locations and settings where healthcare services are provided. This code system is based on the NHSN location code system that has been developed over a number of years through CDC's interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required."},{"code":"status","valueCode":"active"}]},{"id":"4142","code":"I10","display":"ICD-10","definition":"ICD-10","property":[{"code":"v2-concComment","valueString":"World Health Publications, Albany, NY."},{"code":"status","valueCode":"active"}]},{"id":"4143","code":"I10C","display":"International Classification of Diseases, 10th  Revision, Clinical Modification (ICD-10-CM)","definition":"International Classification of Diseases, 10th  Revision, Clinical Modification (ICD-10-CM)","property":[{"code":"v2-concComment","valueString":"ICD-10-CM is a clinical modification of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) published by the United States for reporting diagnosis in morbidity settings. Additional information is available at: http://www.cdc.gov/nchs/icd/icd10cm.htm."},{"code":"status","valueCode":"active"}]},{"id":"4144","code":"I10G2004","display":"ICD 10 Germany 2004","definition":"ICD 10 Germany 2004","property":[{"code":"v2-concComment","valueString":"Three code sets exist I10G2004, I10G2005, I10G2006"},{"code":"status","valueCode":"deprecated"}]},{"id":"4145","code":"I10G2005","display":"ICD 10 Germany 2005","definition":"ICD 10 Germany 2005","property":[{"code":"v2-concComment","valueString":"Three code sets exist I10G2004"},{"code":"status","valueCode":"deprecated"}]},{"id":"4146","code":"ISOnnnn (deprecated)","display":"ISO Defined Codes where nnnn is the ISO table number","definition":"ISO Defined Codes where nnnn is the ISO table number","property":[{"code":"v2-concCommentAsPub","valueString":"International Standards Organization where nnnn is the ISO table number"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4147","code":"I10G2006","display":"ICD 10 Germany 2006","definition":"ICD 10 Germany 2006","property":[{"code":"v2-concComment","valueString":"Three code sets exist I10G2004"},{"code":"status","valueCode":"active"}]},{"id":"4148","code":"ISO","display":"ISO 2955.83 (units of measure) with HL7 extensions","definition":"ISO 2955.83 (units of measure) with HL7 extensions","property":[{"code":"v2-concCommentAsPub","valueString":"See chapter 7, section 7.4.2.6"},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4149","code":"I10P","display":"International Classification of Diseases, 10th  Revision, Procedure Coding System (ICD-10-PCS)","definition":"International Classification of Diseases, 10th  Revision, Procedure Coding System (ICD-10-PCS)","property":[{"code":"v2-concComment","valueString":"ICD-10-PCS is a procedure classification published by the United States for classifying procedures performed in hospital inpatient health care settings. Additional information is available at: http://www.cms.gov/Medicare/Coding/ICD10/2013-ICD-10-PCS-GEMs.html."},{"code":"status","valueCode":"active"}]},{"id":"4150","code":"I10P0","display":"ICD-10 Place of Occurrence","definition":"ICD-10 Place of Occurrence","property":[{"code":"status","valueCode":"N"}]},{"id":"4151","code":"I9","display":"ICD9","definition":"ICD9","property":[{"code":"v2-concComment","valueString":"World Health Publications, Albany, NY."},{"code":"status","valueCode":"active"}]},{"id":"4152","code":"I9C","display":"International Classification of Diseases, 9th  Revision, Clinical Modification (ICD-9-CM)","definition":"International Classification of Diseases, 9th  Revision, Clinical Modification (ICD-9-CM)","property":[{"code":"v2-concComment","valueString":"ICD-9-CM is a clinical modification of the World Health Organization's 9th Revision, International Classification of Diseases (ICD-9). ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with healthcare utilization in the United States. Additional information is available at: http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp."},{"code":"status","valueCode":"active"}]},{"id":"4153","code":"I9CDX","display":"ICD-9CM Diagnosis codes","definition":"ICD-9CM Diagnosis codes","property":[{"code":"v2-concComment","valueString":"Indicates codes from ICD-9-CM drawn from Volumes 1 and 2, which cover diagnosis codes only."},{"code":"status","valueCode":"active"}]},{"id":"4154","code":"I9CP","display":"ICD-9CM Procedure codes","definition":"ICD-9CM Procedure codes","property":[{"code":"v2-concComment","valueString":"Indicates codes from ICD-9-CM drawn from Volume 3, which covers procedure codes only."},{"code":"status","valueCode":"active"}]},{"id":"4155","code":"IBT","display":"ISBT","definition":"ISBT","property":[{"code":"v2-concComment","valueString":"Retained for backward compatibility only as of v 2.5. This code value has been superceded by the individual codes IBTnnnn (where nnnn identifies a specific table in ISBT 128).  Tables commencing with IBT are used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code":"status","valueCode":"deprecated"}]},{"id":"4156","code":"IBT0001","display":"ISBT 128 Standard transfusion/transplantation data items","definition":"ISBT 128 Standard transfusion/transplantation data items","property":[{"code":"v2-concComment","valueString":"ISBT 128 Standard data items used in transfusion/transplantation and maintained by ICCBBA, PO Box 11309, San Bernardino, CA"},{"code":"status","valueCode":"active"}]},{"id":"4157","code":"IC2","display":"ICHPPC-2","definition":"ICHPPC-2","property":[{"code":"v2-concComment","valueString":"International Classification of Health Problems in Primary Care, Classification Committee of World Organization of National Colleges, Academies and Academic Associations of General Practitioners (WONCA), 3rd edition. An adaptation of ICD9 intended for use in General Medicine, Oxford University Press."},{"code":"status","valueCode":"active"}]},{"id":"4158","code":"ICD10AM","display":"ICD-10 Australian modification","definition":"ICD-10 Australian modification","property":[{"code":"status","valueCode":"active"}]},{"id":"4159","code":"ICD10CA","display":"ICD-10 Canada","definition":"ICD-10 Canada","property":[{"code":"status","valueCode":"active"}]},{"id":"4160","code":"ICD10GM2007","display":"ICD 10 Germany v2007","definition":"ICD 10 Germany v2007","property":[{"code":"v2-concComment","valueString":"ICD German modification for 2007."},{"code":"status","valueCode":"active"}]},{"id":"4161","code":"ICD10GM2008","display":"ICD 10 Germany v2008","definition":"ICD 10 Germany v2008","property":[{"code":"v2-concComment","valueString":"ICD German modification for 2008."},{"code":"status","valueCode":"active"}]},{"id":"4162","code":"ICD10GM2009","display":"ICD 10 Germany v2009","definition":"ICD 10 Germany v2009","property":[{"code":"v2-concComment","valueString":"ICD German modification for 2009."},{"code":"status","valueCode":"active"}]},{"id":"4163","code":"ICDO","display":"International Classification of Diseases for Oncology","definition":"International Classification of Diseases for Oncology","property":[{"code":"v2-concComment","valueString":"International Classification of Diseases for Oncology, 2nd Edition. World Health Organization: Geneva, Switzerland, 1990. Order from: College of American Pathologists, 325 Waukegan Road, Northfield, IL, 60093-2750. (847) 446-8800."},{"code":"status","valueCode":"active"}]},{"id":"4164","code":"ICDO2","display":"International Classification of Disease for Oncology Second Edition","definition":"International Classification of Disease for Oncology Second Edition","property":[{"code":"v2-concComment","valueString":"Percy C, VanHolten V, and Muir C, editors. International Classification of Diseases for Oncology. Second Edition. Geneva: World Health Organization; 1990.\r\n\r\nThe ICD-9 neoplasm structure did not include morphology and there was a growing interest by physicians to establish a coding system for morphology.  ICD-O is used in cancer registries (and other related areas) for coding the topography (site) and morphology of a neoplasm. The topography code uses similar categories as ICD-10 for malignant neoplasms allowing greater specificity for the site of non-malignant neoplasms than in ICD-10.  The topography code consists of an alphabetic character (the letter C) followed by two numeric digits, a decimal point, and a numeric digit. The morphology code consists of a 6-digit numeric code which consists of three parts: histologic type (4-digit), behavior code (1-digit), and grading or differentiation (1-digit). ICD-O-2 is used for tumors diagnosed prior to 2001."},{"code":"status","valueCode":"active"}]},{"id":"4165","code":"ICDO3","display":"International Classification of Disease for Oncology Third Edition","definition":"International Classification of Disease for Oncology Third Edition","property":[{"code":"v2-concComment","valueString":"Fritz A, Percy C, Jack A, Shanmugaratnam K, Sobin L, Parkin D, et al, editors. International Classification of Diseases for Oncology. Third Edition. Geneva: World Health Organization; 2000.\r\n\r\nThe ICD-9 neoplasm structure did not include morphology and there was a growing interest by physicians to establish a coding system for morphology.  ICD-O is used in cancer registries (and other related areas) for coding the topography (site) and morphology of a neoplasm. The topography code uses similar categories as ICD-10 for malignant neoplasms allowing greater specificity for the site of non-malignant neoplasms than in ICD-10.  The topography code consists of an alphabetic character (the letter C) followed by two numeric digits, a decimal point, and a numeric digit. The morphology code consists of a 6-digit numeric code which consists of three parts: histologic type, behavior code, and grading or differentiation. In the third edition the morphology codes were revised, especially for leukemias and lymphomas. ICD-O-3 is used for tumors diagnosed in 2001 and later."},{"code":"status","valueCode":"active"}]},{"id":"4166","code":"ICF","display":"International Classification of Functioning, Disability and Health (ICF)","definition":"International Classification of Functioning, Disability and Health (ICF)","property":[{"code":"v2-concComment","valueString":"ICF is a classification of those characteristics of health involving functional impairments, activity limitations, or participation restrictions that are often associated with disability. The ICF classification complements the World Health Organization's (WHO) International Classification of Diseases-10th Revision (ICD), which contains information on diagnosis and health condition, but not on functional status. The ICD and ICF constitute the core classifications in the WHO Family of International Classifications (WHO-FIC). Additional information is available at: http://www.cdc.gov/nchs/icd/icf.htm."},{"code":"status","valueCode":"active"}]},{"id":"4167","code":"ICS","display":"ICCS","definition":"ICCS","property":[{"code":"v2-concComment","valueString":"Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105."},{"code":"status","valueCode":"active"}]},{"id":"4168","code":"ICSD","display":"International Classification of Sleep Disorders","definition":"International Classification of Sleep Disorders","property":[{"code":"v2-concComment","valueString":"International Classification of Sleep Disorders Diagnostic and Coding Manual, 1990, available from American Sleep Disorders Association, 604 Second Street SW, Rochester, MN  55902"},{"code":"status","valueCode":"active"}]},{"id":"4169","code":"IHELAW","display":"IHE Laboratory Analytical Workflow (LAW) Profile Codes.","definition":"IHE Laboratory Analytical Workflow (LAW) Profile Codes.","property":[{"code":"v2-concComment","valueString":"The codes are part of the IHE LAW Profile, and it will be published as part of the IHE Laboratory Technical Framework. The technical framework documents can be found with the following link: http://www.ihe.net/Technical_Frameworks/#laboratory"},{"code":"status","valueCode":"active"}]},{"id":"4170","code":"ISCN","display":"International System for Human Cytogenetic Nomenclature (ISCN)","definition":"International System for Human Cytogenetic Nomenclature (ISCN)","property":[{"code":"v2-concComment","valueString":"The International System for Human Cytogenetic Nomenclature (ISCN) has served as the central reference for describing the human chromosome complement."},{"code":"status","valueCode":"active"}]},{"id":"4171","code":"ISO+","display":"ISO 2955.83 (units of measure) with HL7 extensions","definition":"ISO 2955.83 (units of measure) with HL7 extensions","property":[{"code":"v2-concComment","valueString":"See chapter 7, section 7.4.2.6"},{"code":"status","valueCode":"active"}]},{"id":"4172","code":"ISO3166_1","display":"ISO 3166-1 Country Codes","definition":"ISO 3166-1 Country Codes","property":[{"code":"v2-concComment","valueString":"International Standards Organization standard 3166 contains 3 parts.  Part 1 contains three tables for codes for countries of the world.  These are 2-character alphabetic, 3-character alphabetic, and numeric codes."},{"code":"status","valueCode":"active"}]},{"id":"4173","code":"ISO3166_2","display":"ISO 3166-2 Country subdivisions","definition":"ISO 3166-2 Country subdivisions","property":[{"code":"v2-concComment","valueString":"International Standards Organization standard 3166 contains 3 parts.  Part 2 contains a complete breakdown into a relevant level of administrative subdivisions of all countries listed in ISO 3166-1. The code elements used consist of the alpha-2 code element from ISO 3166-1 followed by a separator and a further string of up to three alphanumeric characters e. g. DK-025 for the Danish county Roskilde."},{"code":"status","valueCode":"active"}]},{"id":"4174","code":"ISO4217","display":"ISO4217 Currency Codes","definition":"ISO4217 Currency Codes","property":[{"code":"v2-concComment","valueString":"ISO's currency codes, which are based on the ISO country codes are published in the standard ISO 4217:2008 Codes for the representation of currencies and funds.  This International Standard specifies the structure for a three-letter alphabetic code and an equivalent three-digit numeric code for the representation of currencies and funds. For those currencies having minor units, it also shows the decimal relationship between such units and the currency itself."},{"code":"status","valueCode":"active"}]},{"id":"4175","code":"ISO639","display":"ISO 639 Language","definition":"ISO 639 Language","property":[{"code":"v2-concComment","valueString":"International Standards Organization codes for the representation of names of languages.  ISO 639 provides two sets of language codes, one as a two-character code set (639-1) and another as a three-character code set (639-2) for the representation of names of languages.  ISO 639-3, Codes for the representation of names of languages - Part 3: Alpha-3 code for comprehensive coverage of languages, is a code list that aims to define three-letter identifiers for all known human languages."},{"code":"status","valueCode":"active"}]},{"id":"4176","code":"ISOnnnn","display":"ISO Defined Codes where nnnn is the ISO table number. (deprecated)","definition":"ISO Defined Codes where nnnn is the ISO table number. (deprecated)","property":[{"code":"v2-concComment","valueString":"International Standards Organization tables.  This has been deprecated since the ISO numbered standards are not the same as tables, and there are no \"ISO table numbers\".  Some standards contains tables of values, and some contain more than one table.  In the future, specific tables of values drawn from ISO standards will have explicit entries here in table 0396.  Use the specific entries for identified tables instead of this one."},{"code":"status","valueCode":"deprecated"}]},{"id":"4177","code":"ITIS","display":"Integrated Taxonomic Information System","definition":"Integrated Taxonomic Information System","property":[{"code":"v2-concComment","valueString":"This is a taxonomic hierarchy for living organisms."},{"code":"status","valueCode":"active"}]},{"id":"4178","code":"IUPC","display":"IUPAC/IFCC Component Codes","definition":"IUPAC/IFCC Component Codes","property":[{"code":"v2-concComment","valueString":"Codes used by IUPAC/IFF to identify the component (analyte) measured. Contact Henrik Olesen, as above for IUPP."},{"code":"status","valueCode":"active"}]},{"id":"4179","code":"IUPP","display":"IUPAC/IFCC Property Codes","definition":"IUPAC/IFCC Property Codes","property":[{"code":"v2-concComment","valueString":"International Union of Pure and Applied Chemistry/International Federation of Clinical Chemistry. The Silver Book: Compendium of terminology and nomenclature of properties in clinical laboratory sciences. Oxford: Blackwell Scientific Publishers, 1995. Henrik Olesen, M.D., D.M.Sc., Chairperson, Department of Clinical Chemistry, KK76.4.2, Rigshospitalet, University Hospital of Copenhagen, DK-2200, Copenhagen. http://inet.uni-c.dk/~qukb7642/"},{"code":"status","valueCode":"active"}]},{"id":"4180","code":"JC10","display":"JLAC/JSLM, nationwide laboratory code","definition":"JLAC/JSLM, nationwide laboratory code","property":[{"code":"v2-concComment","valueString":"Source: Classification &Coding for Clinical Laboratory. Japanese Society of Laboratory Medicine(JSLM, Old:Japan Society of Clinical Pathology). Version 10, 1997. A multiaxial code  including a analyte code (e.g., Rubella = 5f395), identification code (e.g., virus ab IGG=1431), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code":"status","valueCode":"active"}]},{"id":"4181","code":"JC8","display":"Japanese Chemistry","definition":"Japanese Chemistry","property":[{"code":"v2-concComment","valueString":"Clinical examination classification code. Japan Association of Clinical Pathology. Version 8, 1990. A multiaxial code  including a subject code (e.g., Rubella = 5f395, identification code (e.g., virus ab IGG), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)"},{"code":"status","valueCode":"active"}]},{"id":"4182","code":"JJ1017","display":"Japanese Image Examination Cache","definition":"Japanese Image Examination Cache","property":[{"code":"status","valueCode":"active"}]},{"id":"4183","code":"L","display":"Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","definition":"Local general code for a site-defined code system used for a specific set of trading partners.  The 'zzz' SHALL be any printable ASCII string.  Length of the name SHALL not exceed field width, and is subject to local implementation.","property":[{"code":"v2-concComment","valueString":"The 'zzz' may be any printable ASCII string of variable length, but the recommendation is to generally use only numbers and uppercase letters, as that is how all of the currently existent table 396 entries have been created for many years.  In addition, there is no explicit length restriction, but it is recommended that the string be kept below a 20 character maximum."},{"code":"status","valueCode":"active"}]},{"id":"4184","code":"LANGUAL","display":"LanguaL","definition":"LanguaL","property":[{"code":"v2-concComment","valueString":"LanguaL stands for \"Langua aLimentaria\" or \"language of food\"  LanguaL is a multilingual thesaural system using facetted classification about food.  Terms reprented in PHIN VADS will be limited to the English language version."},{"code":"status","valueCode":"active"}]},{"id":"4185","code":"LB","display":"Local billing code","definition":"Local billing code","property":[{"code":"v2-concComment","valueString":"Local billing codes/names (with extensions if needed)."},{"code":"status","valueCode":"active"}]},{"id":"4186","code":"LN","display":"Logical Observation Identifier Names and Codes (LOINC®)","definition":"Logical Observation Identifier Names and Codes (LOINC®)","property":[{"code":"v2-concComment","valueString":"Logical Observation Identifiers Names and Codes (LOINC®) provides a set of universal codes and names for identifying laboratory and other clinical observations. One of the main goals of LOINC is to facilitate the exchange and pooling of results for clinical care, outcomes management, and research. LOINC was initiated by Regenstrief Institute research scientists who continue to develop it with the collaboration of the LOINC Committee. The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2011, Regenstrief Institute, Inc. and the LOINC Committee and available at no cost (http://loinc.org) under the license at http://loinc.org/terms-of-use.\r\n\r\nThe laboratory portion of the LOINC database contains the usual clinical laboratory categories of chemistry, hematology, serology, microbiology (including parasitology and virology), toxicology; as well as categories for drugs and the cell counts, antibiotic susceptibilities, and more. The clinical portion of the LOINC database includes entries for vital signs, hemodynamics, intake/output, EKG, obstetric ultrasound, cardiac echo, radiology report titles, pulmonary ventilator management, document and section titles, patient assessment instruments (e.g. Glascow Coma Score, PHQ-9 depression scale, CMS-required patient assessment instruments), and other clinical observations."},{"code":"status","valueCode":"active"}]},{"id":"4187","code":"LRG-RefSeq","display":"Locus Reference Genomic (LRG)","definition":"Locus Reference Genomic (LRG)","property":[{"code":"v2-concComment","valueString":"LRG is a manually curated record that contains stable and thus, un-versioned reference sequences designed specifically for reporting sequence variants with clinical implications. \nIt provides a genomic DNA sequence representation of a single gene that is idealized, has a permanent ID (with no versioning), and core content that never changes. Their database includes maps to NCBI, Ensembl and USCS reference sequences."},{"code":"status","valueCode":"active"}]},{"id":"4188","code":"MCD","display":"Medicaid","definition":"Medicaid","property":[{"code":"v2-concComment","valueString":"Medicaid billing codes/names."},{"code":"status","valueCode":"active"}]},{"id":"4189","code":"MCR","display":"Medicare","definition":"Medicare","property":[{"code":"v2-concComment","valueString":"Medicare billing codes/names."},{"code":"status","valueCode":"active"}]},{"id":"4190","code":"MDC","display":"Medical Device Communication","definition":"Medical Device Communication","property":[{"code":"v2-concComment","valueString":"EN ISO/IEEE 11073-10101 Health informatics – Point-of-care medical device communication - Nomenclature"},{"code":"status","valueCode":"active"}]},{"id":"4191","code":"MDDX","display":"Medispan Diagnostic Codes","definition":"Medispan Diagnostic Codes","property":[{"code":"v2-concComment","valueString":"Codes Used for drug-diagnosis interaction checking. Proprietary product. Hierarchical drug codes for identifying drugs down to manufacturer and pill size. MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495. URL: http://www.medispan.com/Products/index.aspx?cat=1. As above for MGPI."},{"code":"status","valueCode":"active"}]},{"id":"4192","code":"MEDC","display":"Medical Economics Drug Codes","definition":"Medical Economics Drug Codes","property":[{"code":"v2-concComment","valueString":"Proprietary Codes for identifying drugs. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code":"status","valueCode":"active"}]},{"id":"4193","code":"Medgen-Dis","display":"NCBI MedGen disease subset","definition":"NCBI MedGen disease subset","property":[{"code":"v2-concComment","valueString":"MedGen-disease is a subset disease concepts (about 20,000 as of January 2016) taken from the MedGEN table. It includes most known genetic and clinical diseases."},{"code":"status","valueCode":"active"}]},{"id":"4194","code":"MEDIATYPE","display":"MIME Media Type IANA","definition":"MIME Media Type IANA","property":[{"code":"v2-concComment","valueString":"Encoding as defined by MIME (Multipurpose Internet Mail Extensions)"},{"code":"status","valueCode":"active"}]},{"id":"4195","code":"MEDR","display":"Medical Dictionary for Drug Regulatory Affairs (MEDDRA)","definition":"Medical Dictionary for Drug Regulatory Affairs (MEDDRA)","property":[{"code":"v2-concComment","valueString":"Patrick Revelle, Director MSSO\n12011 Sunset Hills Road, VAR1/7B52\nReston, VA 20190\nPatrick.Revelle@ngc.com\nhttp://www.meddramsso.com/MSSOWeb/index.htm"},{"code":"status","valueCode":"active"}]},{"id":"4196","code":"OPS2010","display":"OPS Germany v2010","definition":"OPS Germany v2010","property":[{"code":"v2-concCommentAsPub","valueString":"Source: OPS Operationen- und Prozedurenschluessel 2010."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4197","code":"MEDX","display":"Medical Economics Diagnostic Codes","definition":"Medical Economics Diagnostic Codes","property":[{"code":"v2-concComment","valueString":"Used for drug-diagnosis interaction checking. Proprietary product of Medical Economics Data, Inc. (800) 223-0581."},{"code":"status","valueCode":"active"}]},{"id":"4198","code":"OPS2011","display":"OPS Germany v2011","definition":"OPS Germany v2011","property":[{"code":"v2-concCommentAsPub","valueString":"Source: OPS Operationen- und Prozedurenschluessel 2011."},{"code":"v2-table-deprecated","valueCode":"2.9"},{"code":"status","valueCode":"active"}]},{"id":"4199","code":"MGPI","display":"Medispan GPI","definition":"Medispan GPI","property":[{"code":"v2-concComment","valueString":"Medispan hierarchical drug codes for identifying drugs down to manufacturer and pill size. Proprietary product of MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495."},{"code":"status","valueCode":"active"}]},{"id":"4200","code":"MVX","display":"CDC Vaccine Manufacturer Codes","definition":"CDC Vaccine Manufacturer Codes","property":[{"code":"v2-concComment","valueString":"As above, for CVX"},{"code":"status","valueCode":"active"}]},{"id":"4201","code":"NAICS","display":"Industry (NAICS)","definition":"Industry (NAICS)","property":[{"code":"v2-concComment","valueString":"The North American Industry Classification System (NAICS) consists of a set of six digit codes that classify and categorize industries.  It also organizes the categories on a production/process-oriented basis.  This new, uniform, industry-wide classification system has been designed as the index for statistical reporting of all economic activities of the U.S., Canada, and Mexico. Mapping is available between SIC 1987 and NAICS 2002 codes at U.S. Census Bureau website. Mapping is also available between NAICS 2002 and NAICS 2007 at U.S. Census Bureau website"},{"code":"status","valueCode":"active"}]},{"id":"4202","code":"NCPDPnnnnsss","display":"NCPDP code list for data element nnnn [as used in segment sss]","definition":"NCPDP code list for data element nnnn [as used in segment sss]","property":[{"code":"v2-concComment","valueString":"NCPDP maintain code list associated with the specified Data Element (nnnn) and Segment (sss).  The Segment portion is optional if there is no specialization of the Data Element codes between segments.  Examples:\n   NCPDP1131RES = code set defined for NCPDP data element 1131 as used in the RES segment (Code List Qualifier – Response Code)\n   NCPDP1131STS = code set defined for NCPDP data element 1131 as used in the STS segment (Code List Qualifier – Reject Code)\n   NCPDP9701 = code set defined for NCPDP data element 9701 (Individual Relationship, Coded).  No specialization to a segment exists for this data element.\n\nNational Council for Prescription Drug Programs, 924Ø East Raintree Drive, Scottsdale, AZ  8526Ø.\nPhone: (48Ø) 477-1ØØØ\nFax: (48Ø) 767-1Ø42\ne-mail: ncpdp@ncpdp.org\nwww.ncpdp.org"},{"code":"status","valueCode":"active"}]},{"id":"4203","code":"NDA","display":"NANDA","definition":"NANDA","property":[{"code":"v2-concComment","valueString":"North American Nursing Diagnosis Association, Philadelphia, PA."},{"code":"status","valueCode":"active"}]},{"id":"4204","code":"NDC","display":"National drug codes","definition":"National drug codes","property":[{"code":"v2-concComment","valueString":"These provide unique codes for each distinct drug, dosing form, manufacturer, and packaging. (Available from the National Drug Code Directory, FDA, Rockville, MD, and other sources.)"},{"code":"status","valueCode":"active"}]},{"id":"4205","code":"NDFRT","display":"NDF-RT (Drug Classification)","definition":"NDF-RT (Drug Classification)","property":[{"code":"v2-concComment","valueString":"The National Drug File RT (NDF-RT) is published by the US Veterans' Administration (VA). NDF-RT covers clinical drugs used at the VA. The NCI version of NDF-RT is used by NCI to provide automated terminology access to the Food and Drug Administration (FDA) Structured Product Label (SPL) initiative."},{"code":"status","valueCode":"active"}]},{"id":"4206","code":"NIC","display":"Nursing Interventions Classification","definition":"Nursing Interventions Classification","property":[{"code":"v2-concComment","valueString":"Iowa Intervention Project, College of Nursing, University of Iowa, Iowa City, Iowa"},{"code":"status","valueCode":"active"}]},{"id":"4207","code":"NIP001","display":"Source of Information (Immunization)","definition":"Source of Information (Immunization)","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table to be used in HL7 2.x message RXA-9 for documenting the source of information regarding immunization. E.g. From school, provider,public health agency."},{"code":"status","valueCode":"active"}]},{"id":"4208","code":"NIP002","display":"Substance refusal reason","definition":"Substance refusal reason","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table to be used in HL7 2.x message RXA-18 for substance refusal reason (reasons for not having vaccination). E.g. Religious exemption, parental decision"},{"code":"status","valueCode":"active"}]},{"id":"4209","code":"NIP004","display":"Vaccination - Contraindications, Precautions, and Immunities","definition":"Vaccination - Contraindications, Precautions, and Immunities","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table for vaccine contraindications and precautions. E.g. Allergy to egg ingestion, thimerosol"},{"code":"status","valueCode":"active"}]},{"id":"4210","code":"NIP007","display":"Vaccinated at location (facility)","definition":"Vaccinated at location (facility)","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table for vaccinated at location (facility). E.g.  Private doctor's office, Public Health Clinic"},{"code":"status","valueCode":"active"}]},{"id":"4211","code":"NIP008","display":"Vaccine purchased with (Type of funding)","definition":"Vaccine purchased with (Type of funding)","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table enumerates the type of funds used for purchasing vaccine. E.g. Public funds, Military funds"},{"code":"status","valueCode":"active"}]},{"id":"4212","code":"NIP009","display":"Reported adverse event previously","definition":"Reported adverse event previously","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table enumerates the authorities to whom the vaccination related adverse events were previously reported. E.g. To health department, To manufacturer"},{"code":"status","valueCode":"active"}]},{"id":"4213","code":"NIP010","display":"VAERS Report type","definition":"VAERS Report type","property":[{"code":"v2-concComment","valueString":"CDC National Immunization Program's (NIP) defined table enumerates the type of report used in VAERS (Vaccination Adverse Event Reporting System). E.g. Initial, Follow-up"},{"code":"status","valueCode":"active"}]},{"id":"4214","code":"NND","display":"Notifiable Event (Disease/Condition) Code List","definition":"Notifiable Event (Disease/Condition) Code List","property":[{"code":"v2-concComment","valueString":"List of notifiable events, which includes infectious and non-infectious disease or conditions. This list includes events that are notifiable at the state and national level."},{"code":"status","valueCode":"active"}]},{"id":"4215","code":"NPI","display":"National Provider Identifier","definition":"National Provider Identifier","property":[{"code":"v2-concComment","valueString":"Health Care Finance Administration, US Dept. of Health and Human Services, 7500 Security Blvd., Baltimore, MD 21244."},{"code":"status","valueCode":"active"}]},{"id":"4216","code":"NUBC","display":"National Uniform Billing Committee Code","definition":"National Uniform Billing Committee Code","property":[{"code":"v2-concComment","valueString":"http://www.nubc.org/"},{"code":"status","valueCode":"active"}]},{"id":"4217","code":"NULLFL","display":"Flavors of NULL","definition":"Flavors of NULL","property":[{"code":"v2-concComment","valueString":"System of coded values for Flavors of Null, as used in HL7 Version 3 standards.  Identical to the HL7 version 3 \r\ncoding system 2.16.840.1.113883.5.1008 NullFlavor"},{"code":"status","valueCode":"active"}]},{"id":"4218","code":"O301","display":"German Procedure Codes","definition":"German Procedure Codes","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. Three versions are active."},{"code":"status","valueCode":"deprecated"}]},{"id":"4219","code":"O3012004","display":"OPS Germany 2004","definition":"OPS Germany 2004","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. Three versions are active"},{"code":"status","valueCode":"deprecated"}]},{"id":"4220","code":"O3012005","display":"OPS Germany 2005","definition":"OPS Germany 2005","property":[{"code":"v2-concComment","valueString":"Source: OPS Operationen- und Prozedurenschlussel. 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422
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x-request-id:252-201490

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#1060

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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422
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#1061

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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422
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#1062

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11625"},{"code":"Name:Class","valueCode":"AppointmentRequest"}]},{"code":"PERMRQ","display":"permission request","definition":"**Definition:** A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. 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In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"active"},{"code":"synonymCode","valueCode":"ORD"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]},{"code":"ORD","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"retired"},{"code":"synonymCode","valueCode":"RQO"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]}]},{"code":"PRP","display":"proposal","definition":"**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16726"},{"code":"Name:Class","valueCode":"Proposal"}],"concept":[{"code":"RMD","display":"recommendation","definition":"**Definition:** A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .\r\n\r\n**UsageNotes:** Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. .","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. ."},{"code":"internalId","valueCode":"21571"},{"code":"Name:Class","valueCode":"Recommendation"}]}]}]},{"code":"PRMS","display":"promise","definition":"**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.\r\n\r\n**UsageNotes:** Commitments may be retracted or cancelled.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Commitments may be retracted or cancelled."},{"code":"internalId","valueCode":"16728"},{"code":"Name:Class","valueCode":"Promise"}],"concept":[{"code":"APT","display":"appointment","definition":"**Definition:** An act that has been scheduled to be performed at a specific place and time.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11626"},{"code":"Name:Class","valueCode":"Appointment"}]}]}]}]},{"code":"_ActMoodPredicate","display":"ActMoodPredicate","definition":"**Definition:** An act that expresses condition statements for other acts.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20936"},{"code":"Name:Class","valueCode":"Predicate"}],"concept":[{"code":"CRT","display":"criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A condition that must be true for the source act to be considered.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"22042"},{"code":"Name:Class","valueCode":"Criterion"}],"concept":[{"code":"EVN.CRT","display":"event criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A criterion (CRT) that has\\_match = an event (EVN).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"10203"},{"code":"Name:Class","valueCode":"EventCriterion"}]},{"code":"GOL.CRT","display":"goal criterion","definition":"A criterion expressed over goals (ActMood.GOL).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23057"}]},{"code":"INT.CRT","display":"intent criterion","definition":"A criterion expressed over intents (ActMood.INT).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23054"}],"concept":[{"code":"PRMS.CRT","display":"promise criterion","definition":"A criterion expressed over promises (ActMood.PRMS).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23056"}]},{"code":"RQO.CRT","display":"request criterion","definition":"A criterion expressed over requests or orders (ActMood.RQO).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23055"}]}]},{"code":"RSK.CRT","display":"risk criterion","definition":"A criterion expressed over risks (ActMood.RSK).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23058"}]}]},{"code":"EXPEC","display":"expectation","definition":"**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\\_match = event).\r\n\r\n**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.\r\n\r\n**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."},{"code":"internalId","valueCode":"21574"},{"code":"Name:Class","valueCode":"Expectation"}],"concept":[{"code":"GOL","display":"Goal","definition":"**Definition:** An expectation that is considered to be desirable to occur in the future\r\n\r\n**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.\r\n\r\n**UsageNotes:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. \"I will reduce the dose of drug x to 20mg\" is an intent. \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  \"I will reduce the dose of drug x to 20mg\" is an intent.  \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."},{"code":"internalId","valueCode":"18864"},{"code":"Name:Class","valueCode":"Goal"}]},{"code":"RSK","display":"risk","definition":"**Definition:**An act that may occur in the future and which is regarded as undesirable\r\n\r\n**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.\r\n\r\n**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."},{"code":"internalId","valueCode":"21575"},{"code":"Name:Class","valueCode":"Risk"}]}]},{"code":"OPT","display":"option","definition":"**Definition:** One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10204"},{"code":"Name:Class","valueCode":"Option"}]}]}]}},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActMood","version":"2.0.0","concept":[{"code":"INT"},{"code":"APT"},{"code":"ARQ"},{"code":"PRMS"},{"code":"PRP"},{"code":"RQO"},{"code":"EVN"},{"code":"EVN.CRT"},{"code":"EXPEC"}]}]}}}]}
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date:Mon, 15 Dec 2025 20:31:16 GMT
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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#1065

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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ActMood","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-ActMood","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1001"}],"version":"3.0.0","name":"ActMood","title":"ActMood","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found \"Persuasive With Mod\", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"code":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"Name:Class","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class","description":"The formal name for the class clone under this code","type":"code"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"},{"code":"synonymCode","uri":"http://hl7.org/fhir/concept-properties#synonym","description":"An additional concept code that was also attributed to a concept","type":"code"},{"code":"HL7usageNotes","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description":"HL7 Concept Usage Notes","type":"string"}],"concept":[{"code":"_ActMoodCompletionTrack","display":"ActMoodCompletionTrack","definition":"These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20935"},{"code":"Name:Class","valueCode":"Process"}],"concept":[{"code":"_ActMoodPotential","display":"potential","definition":"**Definition:** A possible act.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23087"},{"code":"Name:Class","valueCode":"Potential"}],"concept":[{"code":"DEF","display":"definition","definition":"**Definition:** A definition of a kind of act that can occur .\r\n\r\n**OpenIssue:** The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be \"retired\" in the future in favor of the more general ActMood.CRT.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10198"},{"code":"Name:Class","valueCode":"Definition"}]},{"code":"PERM","display":"permission","definition":"**Definition:** A kind of act that defines a permission that has been granted.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21381"},{"code":"Name:Class","valueCode":"Permission"}]},{"code":"SLOT","display":"resource slot","definition":"**Definition:** A kind of act that may occur during the specified time period.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19168"},{"code":"Name:Class","valueCode":"ResourceSlot"}]}]},{"code":"EVN","display":"event (occurrence)","definition":"**Definition:** An act that actually happens (may be an ongoing act or a documentation of a past act).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10201"},{"code":"Name:Class","valueCode":"Event"}]},{"code":"INT","display":"intent","definition":"**Definition:** An intention or plan for an act.\r\n\r\n**>UsageNotes:** The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10199"},{"code":"Name:Class","valueCode":"Intent"}],"concept":[{"code":"_ActMoodDesire","display":"desire","definition":"**Definition:** A desire to have an act occur.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23088"},{"code":"Name:Class","valueCode":"Desire"}],"concept":[{"code":"_ActMoodActRequest","display":"act request","definition":"**Definition:** A request (or order) for an act that is part of a defined request/fulfillment cycle.\r\n\r\n**UsageNotes:** Use of an HL7 defined request/fulfillment framework is not required to use this mood code.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Use of an HL7 defined request/fulfillment framework is not required to use this mood code."},{"code":"internalId","valueCode":"23089"},{"code":"Name:Class","valueCode":"ActRequest"}],"concept":[{"code":"ARQ","display":"appointment request","definition":"**Definition:** A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11625"},{"code":"Name:Class","valueCode":"AppointmentRequest"}]},{"code":"PERMRQ","display":"permission request","definition":"**Definition:** A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21382"},{"code":"Name:Class","valueCode":"PermissionRequest"}]},{"code":"RQO","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"active"},{"code":"synonymCode","valueCode":"ORD"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]},{"code":"ORD","display":"request","definition":"**Definition:** A request act that is specialized for an event request/fulfillment cycle.\r\n\r\n**UsageNotes:** The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.\r\n\r\n**UsageNotes:** The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is \"request.\"\r\n\r\nThus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.\r\n\r\nThe critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.","property":[{"code":"status","valueCode":"retired"},{"code":"synonymCode","valueCode":"RQO"},{"code":"HL7usageNotes","valueString":"The concepts of a \"request\" and an \"order\" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  \"Orders\" are commonly refused for a variety of clinical and business reasons, and the notion of a \"request\" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is \"request.\" Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the \"local\" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an \"intent\", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."},{"code":"internalId","valueCode":"19973"},{"code":"Name:Class","valueCode":"Request"}]}]},{"code":"PRP","display":"proposal","definition":"**Definition:** A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16726"},{"code":"Name:Class","valueCode":"Proposal"}],"concept":[{"code":"RMD","display":"recommendation","definition":"**Definition:** A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .\r\n\r\n**UsageNotes:** Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. .","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Where there is no clear definition or applicable concept of \"professional responsibility\", RMD becomes indistinguishable from PRP. ."},{"code":"internalId","valueCode":"21571"},{"code":"Name:Class","valueCode":"Recommendation"}]}]}]},{"code":"PRMS","display":"promise","definition":"**Definition:** A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.\r\n\r\n**UsageNotes:** Commitments may be retracted or cancelled.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Commitments may be retracted or cancelled."},{"code":"internalId","valueCode":"16728"},{"code":"Name:Class","valueCode":"Promise"}],"concept":[{"code":"APT","display":"appointment","definition":"**Definition:** An act that has been scheduled to be performed at a specific place and time.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"11626"},{"code":"Name:Class","valueCode":"Appointment"}]}]}]}]},{"code":"_ActMoodPredicate","display":"ActMoodPredicate","definition":"**Definition:** An act that expresses condition statements for other acts.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20936"},{"code":"Name:Class","valueCode":"Predicate"}],"concept":[{"code":"CRT","display":"criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A condition that must be true for the source act to be considered.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"22042"},{"code":"Name:Class","valueCode":"Criterion"}],"concept":[{"code":"EVN.CRT","display":"event criterion","definition":"***Deprecation Comment:*** This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to \"true\" and use the desired mood for your criterion.\r\n\r\n**Definition:** A criterion (CRT) that has\\_match = an event (EVN).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2010-07-12"},{"code":"internalId","valueCode":"10203"},{"code":"Name:Class","valueCode":"EventCriterion"}]},{"code":"GOL.CRT","display":"goal criterion","definition":"A criterion expressed over goals (ActMood.GOL).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23057"}]},{"code":"INT.CRT","display":"intent criterion","definition":"A criterion expressed over intents (ActMood.INT).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23054"}],"concept":[{"code":"PRMS.CRT","display":"promise criterion","definition":"A criterion expressed over promises (ActMood.PRMS).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23056"}]},{"code":"RQO.CRT","display":"request criterion","definition":"A criterion expressed over requests or orders (ActMood.RQO).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23055"}]}]},{"code":"RSK.CRT","display":"risk criterion","definition":"A criterion expressed over risks (ActMood.RSK).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"23058"}]}]},{"code":"EXPEC","display":"expectation","definition":"**Definition:** An act that is considered to have some noteworthy likelihood of occurring in the future (has\\_match = event).\r\n\r\n**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.\r\n\r\n**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."},{"code":"internalId","valueCode":"21574"},{"code":"Name:Class","valueCode":"Expectation"}],"concept":[{"code":"GOL","display":"Goal","definition":"**Definition:** An expectation that is considered to be desirable to occur in the future\r\n\r\n**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.\r\n\r\n**UsageNotes:** INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. \"I will reduce the dose of drug x to 20mg\" is an intent. \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  \"I will reduce the dose of drug x to 20mg\" is an intent.  \"I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg\" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."},{"code":"internalId","valueCode":"18864"},{"code":"Name:Class","valueCode":"Goal"}]},{"code":"RSK","display":"risk","definition":"**Definition:**An act that may occur in the future and which is regarded as undesirable\r\n\r\n**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.\r\n\r\n**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."},{"code":"internalId","valueCode":"21575"},{"code":"Name:Class","valueCode":"Risk"}]}]},{"code":"OPT","display":"option","definition":"**Definition:** One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10204"},{"code":"Name:Class","valueCode":"Option"}]}]}]}},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v2-0725","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v2-0725","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.21.407"}],"version":"2.0.0","name":"Hl7VSMoodCodes","title":"hl7VS-moodCodes","status":"active","experimental":false,"date":"2019-12-01","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Value Set of codes that specify the functional state of an order.","copyright":"This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActMood","version":"2.0.0","concept":[{"code":"INT"},{"code":"APT"},{"code":"ARQ"},{"code":"PRMS"},{"code":"PRP"},{"code":"RQO"},{"code":"EVN"},{"code":"EVN.CRT"},{"code":"EXPEC"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:824
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:31:17 GMT
server:nginx
x-request-id:252-201504

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ActMood' version '2.0.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#1066

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0895","version":"2.0.0"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:851
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:31:18 GMT
server:nginx
x-request-id:252-201506

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0895' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0895' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known"}}]}

#1067

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v2-0895","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v2-0895","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.21.431"}],"version":"2.0.0","name":"Hl7VSPresentOnAdmissionPoaIndicator","title":"hl7VS-presentOnAdmission(poa)Indicator","status":"active","experimental":false,"date":"2019-12-01","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Value Set of codes specifying the present on admission indicator for this particular diagnosis.","copyright":"This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0895","version":"2.0.0"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:851
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:31:18 GMT
server:nginx
x-request-id:252-201508

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0895' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0895' version '2.0.0' could not be found, so the value set cannot be expanded. No versions of this code system are known"}}]}

#1068

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-Confidentiality","language":"en","text":{"status":"generated"},"url":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.25"}],"version":"3.0.0","name":"Confidentiality","title":"Confidentiality","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain \"Confidentiality\".","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"code":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"}],"concept":[{"code":"_Confidentiality","display":"Confidentiality","definition":"A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain \"Confidentiality\".","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23320"}],"concept":[{"code":"L","display":"low","definition":"Privacy metadata indicating that a low level of protection is required to safeguard personal and healthcare information, which has been altered in such a way as to minimize the need for confidentiality protections with some residual risks associated with re-linking. The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk.\r\n\r\n*Usage Note:* \r\n\r\nThe level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.\r\n\r\n**Example:** Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. See 45 CFR Section 164.514.\r\n\r\nThis metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.\r\n\r\nConfidentiality code total order hierarchy: Low (L) is less protective than *V, R, N,* and *M*, and subsumes *U*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10234"}]},{"code":"M","display":"moderate","definition":"Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject.\r\n\r\nPrivacy policies mandating moderate levels of protection, which preempt less protective privacy policies. \"Moderate\" confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.\r\n\r\nConfidentiality code total order hierarchy: Moderate (M) is less protective than *V, R, and N*, and subsumes all other protection levels (i.e., *L* and *U*).\r\n\r\n**Examples:** Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account; to health oversight authorities; to a hospital patient directory; to worker compensation, disability, property and casualty or life insurers; and to personal health record systems, consumer-controlled devices, social media accounts and online Apps; or for marketing purposes","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23322"}]},{"code":"N","display":"normal","definition":"Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.\r\n\r\nPrivacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Normal (N) is less protective than *V* and *R*, and subsumes all other protection levels (i.e., *M, L, and U*).\r\n\r\n**Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.\r\n\r\n**Examples:** \r\n\r\nn the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10230"}]},{"code":"R","display":"restricted","definition":"Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual's request, intended to engender patient trust in providers of sensitive services.\r\n\r\nPrivacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Restricted (R) is less protective than *V*, and subsumes all other protection levels (i.e., *N, M, L, and U*).\r\n\r\n**Examples:** \r\n\r\nIncludes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10232"}]},{"code":"U","display":"unrestricted","definition":"Privacy metadata indicating that no level of protection is required to safeguard personal and healthcare information that has been disclosed by an authorized individual without restrictions on its use.\r\n\r\n**Examples:** Includes publicly available information e.g., business name, phone, email and physical address.\r\n\r\n*Usage Note:* The authorization to collect, access, use, and disclose this information may be stipulated in a contract of adhesion by a data user (e.g., via terms of service or data user privacy policies) in exchange for the data subject's use of a service.\r\n\r\nThis metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.\r\n\r\nThis metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.\r\n\r\nConfidentiality code total order hierarchy: Unrestricted (U) is less protective than *V, R, N, M,* and *L*, and is the lowest protection levels.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23321"}]},{"code":"V","display":"very restricted","definition":"Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.\r\n\r\n*Usage Note:* The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..\r\n\r\nPrivacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).\r\n\r\nConfidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., *R, N, M, L, and UI*).\r\n\r\n**Examples:** \r\n\r\nIncludes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. 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However, no patient related information may ever be of this confidentiality level.\r\n\r\n*Deprecation Comment:* Replced by ActCode.B","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10235"}]},{"code":"D","display":"clinician","definition":"**Description:** Only clinicians may see this item, billing and administration persons can not access this item without special permission.\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10231"}]},{"code":"I","display":"individual","definition":"**Description:** Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10233"}]}]},{"code":"_ConfidentialityByInfoType","display":"ConfidentialityByInfoType","definition":"**Description:** By information type, only for service catalog entries (multiples allowed). 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422
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date:Mon, 15 Dec 2025 20:31:20 GMT
server:nginx
x-request-id:252-201510

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '2.134.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '2.134.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#1069

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk.\r\n\r\n*Usage Note:* \r\n\r\nThe level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.\r\n\r\n**Example:** Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. 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May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Normal (N) is less protective than *V* and *R*, and subsumes all other protection levels (i.e., *M, L, and U*).\r\n\r\n**Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). 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However, no patient related information may ever be of this confidentiality level.\r\n\r\n*Deprecation Comment:* Replced by ActCode.B","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10235"}]},{"code":"D","display":"clinician","definition":"**Description:** Only clinicians may see this item, billing and administration persons can not access this item without special permission.\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10231"}]},{"code":"I","display":"individual","definition":"**Description:** Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10233"}]}]},{"code":"_ConfidentialityByInfoType","display":"ConfidentialityByInfoType","definition":"**Description:** By information type, only for service catalog entries (multiples allowed). 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THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality","version":"2.134.0"}]}}}]}
422
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date:Mon, 15 Dec 2025 20:31:20 GMT
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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '2.134.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '2.134.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#1070

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-WorkClassificationODH","language":"en","text":{"status":"generated"},"url":"http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1139"}],"version":"3.0.0","name":"WorkClassificationODH","title":"Work Classification (Occupational Data for Health)","status":"active","experimental":false,"date":"2019-03-20","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).","copyright":"This material derives from the HL7 Terminology THO. 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422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:858
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:31:21 GMT
server:nginx
x-request-id:252-201514

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH' version '2.1404.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH' version '2.1404.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#1071

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-WorkClassificationODH","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1139"}],"version":"3.0.0","name":"WorkClassificationODH","title":"Work Classification (Occupational Data for Health)","status":"active","experimental":false,"date":"2019-03-20","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).","copyright":"This material derives from the HL7 Terminology THO. 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Normally is not populated unless the state is retired.","type":"code"}],"concept":[{"code":"PWAF","display":"Paid work, Armed Forces","definition":"A situation in which an individual serves in a government-sponsored military force.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23905"}]},{"code":"PWFG","display":"Paid work, national government, not armed forces","definition":"A situation in which an individual works for a national government organization, not including armed forces, and receives a paid salary or wage.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23904"}]},{"code":"PWLG","display":"Paid work, local government, not armed forces","definition":"A situation in which an individual works for a government organization with jurisdiction below the level of state/provincial/territorial/tribal government (e.g., city, town, township), not armed forces, and receives a paid salary or wage.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23902"}]},{"code":"PWNSE","display":"Paid non-governmental work, not self-employed","definition":"A situation in which an individual works for a business (not government) that they do not own and receives a paid salary or wage.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23899"}]},{"code":"PWSE","display":"Paid work, self-employed","definition":"A situation in which an individual earns a salary or wage working for himself or herself instead of working for an employer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23898"}]},{"code":"PWSG","display":"Paid work, state government, not armed forces","definition":"A situation in which an individual works for a government organization with jurisdiction immediately below the level of national government (between national government and local government), not armed forces and receives a paid salary or wage. 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This can include formal activity undertaken through a government agency or a public or private organization, as well as informal community participation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"239060"}]}]}},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v2-0959","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v2-0959","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.20560"}],"version":"2.0.0","name":"WorkClassificationODH","title":"workClassificationODH","status":"active","experimental":false,"date":"2019-12-01","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"A person’s employment type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).","copyright":"This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH","version":"2.1404.0"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:858
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:31:21 GMT
server:nginx
x-request-id:252-201516

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH' version '2.1404.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH' version '2.1404.0' could not be found, so the value set cannot be expanded. Valid versions: 3.0.0,3.0.0"}}]}

#1072

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"https://www.nlm.nih.gov/mesh","concept":[{"code":"D009273"},{"code":"D000293"},{"code":"D000368"},{"code":"D000369"},{"code":"D008875"},{"code":"D055815"},{"code":"D002648"},{"code":"D002675"},{"code":"D000328"},{"code":"D007223"},{"code":"D007231"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:27 GMT
server:nginx
x-request-id:252-201704

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded"}}]}

#1073

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-AgeGroupObservationValue","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-AgeGroupObservationValue","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.11.75"}],"version":"3.0.0","name":"AgeGroupObservationValue","title":"AgeGroupObservationValue","status":"active","experimental":false,"date":"2010-03-16","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Observation values used to indicate the age group of a person in terms of age group concept codes.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"https://www.nlm.nih.gov/mesh","concept":[{"code":"D009273"},{"code":"D000293"},{"code":"D000368"},{"code":"D000369"},{"code":"D008875"},{"code":"D055815"},{"code":"D002648"},{"code":"D002675"},{"code":"D000328"},{"code":"D007223"},{"code":"D007231"}]}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:28 GMT
server:nginx
x-request-id:252-201708

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nlm.nih.gov/mesh' could not be found, so the value set cannot be expanded"}}]}

#1074

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/icd9cm"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:718
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:51 GMT
server:nginx
x-request-id:252-201927

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/icd9cm' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/icd9cm' could not be found, so the value set cannot be expanded"}}]}

#1075

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-DiagnosisICD9CM","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-DiagnosisICD9CM","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.15931"}],"version":"3.0.0","name":"DiagnosisICD9CM","title":"DiagnosisICD9CM","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"***No description***","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/icd9cm"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:718
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:51 GMT
server:nginx
x-request-id:252-201929

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/icd9cm' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/icd9cm' could not be found, so the value set cannot be expanded"}}]}

#1076

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"https://www.nubc.org/CodeSystem/PatDischargeStatus"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:730
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:52 GMT
server:nginx
x-request-id:252-201933

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the value set cannot be expanded"}}]}

#1077

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
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"100843-2","display" : "Liver fibrosis score in Serum or Plasma by Calculated.Agile3+"},{"system" : "http://loinc.org","code" : "100844-0","display" : "Liver fibrosis score in Serum or Plasma by Calculated.Agile4"},{"system" : "http://loinc.org","code" : "100845-7","display" : "Neurofascin155 IgG4 Ab [Presence] in Serum by Flow cytometry (FC)"},{"system" : "http://loinc.org","code" : "100846-5","display" : "Dengue virus 1+2+3+4 nsP1 IgG Ab [Presence] in Serum or Plasma by Immunoassay"},{"system" : "http://loinc.org","code" : "100847-3","display" : "Gas and ammonia panel - Arterial blood"},{"system" : "http://loinc.org","code" : "100848-1","display" : "Cell count and Differential panel - Amniotic fluid by Manual count"},{"system" : "http://loinc.org","code" : "100849-9","display" : "Leukocytes [#/volume] in Amniotic fluid by Manual count"},{"system" : "http://loinc.org","code" : "100850-7","display" : "Neutrophils [#/volume] in Amniotic fluid by Manual count"},{"system" : "http://loinc.org","code" : "100851-5","display" : "Other cells [#/volume] in Amniotic fluid by Manual count"},{"system" : "http://loinc.org","code" : "100852-3","display" : "NM Bones Views for metastasis W Sr-89 IV"},{"system" : "http://loinc.org","code" : "100853-1","display" : "NM Pericardial space Views for effusion"},{"system" : "http://loinc.org","code" : "100854-9","display" : "Lymphocytes/cells in Blood mononuclear cells by Immunoassay","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100855-6","display" : "CD3 cells/cells in Blood mononuclear cells","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100856-4","display" : "CD3+CD4+ (T4 helper) cells/cells in Blood mononuclear cells","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100857-2","display" : "CD3+CD8+ (T8 suppressor) cells/cells in Blood mononuclear cells","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100858-0","display" : "Cells.CD4+CD154+/CD4 cells in Blood --after stimulation with SARS-CoV-2 Spike peptide","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "10085-9","display" : "ST initial amplitude 6 ms in lead I"},{"system" : "http://loinc.org","code" : "100859-8","display" : "Cells.CD4.Interferon gamma-expressing/CD4 cells in Blood --after stimulation with SARS-CoV-2 Spike peptide","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100860-6","display" : "Cells.CD4.Tumor necrosis factor alfa-expressing/CD4 cells in Blood --after stimulation with SARS-CoV-2 Spike peptide","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100861-4","display" : "Cells.CD4+CD154+/CD4 cells in Blood --after stimulation with SARS-CoV-2 Nucleocapsid peptide","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100862-2","display" : "Cells.CD4.Interferon gamma-expressing/CD4 cells in Blood --after stimulation with SARS-CoV-2 Nucleocapsid peptide","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100863-0","display" : "Cells.CD4.Tumor necrosis factor alfa-expressing/CD4 cells in Blood --after stimulation with SARS-CoV-2 Nucleocapsid peptide","property" : [{"code" : "status","valueCode" : "TRIAL"}]},{"system" : "http://loinc.org","code" : "100864-8","display" : "Giardia lamblia bg gene [Genotype] in Specimen by Molecular genetics method"},{"system" : "http://loinc.org","code" : "100865-5","display" : "Avian schistosomes DNA [Presence] in Specimen by NAA with probe detection"},{"system" : "http://loinc.org","code" : "100866-3","display" : "Febrile antibody profile in Serum"},{"system" : "http://loinc.org","code" : "10086-7","display" : "ST initial amplitude 6 ms in lead II"},{"system" : "http://loinc.org","code" : "100867-1","display" : "Campylobacter jejuni+coli+lari+upsaliensis Ag [Presence] in Stool by Rapid immunoassay"},{"system" : "http://loinc.org","code" : "100868-9","display" : "Cryptosporidium sp 18S-LC2 rRNA [Genotype] in Specimen by Molecular genetics method"},{"system" : "http://loinc.org","code" : "100869-7","display" : "Cryptosporidium gp60 gene [Type] in Specimen by Molecular genetics method"},{"system" : "http://loinc.org","code" : "100870-5","display" : "Cryptosporidium 18S rRNA [Genotype] in Specimen by Molecular genetics method"},{"system" : "http://loinc.org","code" : "100871-3","display" : "Giardia lamblia gdh gene [Genotype] in Specimen by Molecular genetics method"},{"system" : "http://loinc.org","code" : "100872-1","display" : "Bacteria producing polysaccharide from sucrose [Presence] in Isolate"},{"system" : "http://loinc.org","code" : "100873-9","display" : "Giardia lamblia tpi gene [Genotype] in Specimen by Molecular genetics method"},{"system" : "http://loinc.org","code" : "100874-7","display" : "Basidiobolus sp [Presence] in Specimen"},{"system" : "http://loinc.org","code" : "10087-5","display" : "ST initial amplitude 6 ms in lead III"},{"system" : "http://loinc.org","code" : "100875-4","display" : "Fetal Heart Document limited US"},{"system" : "http://loinc.org","code" : "100876-2","display" : "Fetal Heart Document US"},{"system" : "http://loinc.org","code" : "100877-0","display" : "US Heart Transesophageal during surgery"},{"system" : "http://loinc.org","code" : "100878-8","display" : "Endoscopic ultrasound study Upper GI tract Document"},{"system" : "http://loinc.org","code" : "100879-6","display" : "US Guidance for cryoablation of Breast - right"},{"system" : "http://loinc.org","code" : "100880-4","display" : "US Guidance for cryoablation of Breast - left"},{"system" : "http://loinc.org","code" : "100881-2","display" : "MR Guidance for cryoablation of Bone"},{"system" : "http://loinc.org","code" : "100882-0","display" : "MR Peritoneum W contrast percutaneous intraperitoneal"},{"system" : "http://loinc.org","code" : "10088-3","display" : "ST initial amplitude 6 ms in lead V1"},{"system" : "http://loinc.org","code" : "100883-8","display" : "MR Guidance for biopsy of Kidney - left"},{"system" : "http://loinc.org","code" : "100884-6","display" : "MR Guidance for biopsy of Kidney - right"},{"system" : "http://loinc.org","code" : "100885-3","display" : "Parapoxvirus DNA [Presence] in Specimen by NAA with probe detection"},{"system" : "http://loinc.org","code" : "100886-1","display" : "Orf virus DNA [Presence] in Specimen by NAA with probe detection"},{"system" : "http://loinc.org","code" : "100887-9","display" : "Pseudocowpox virus DNA [Presence] in Specimen by NAA with probe detection"},{"system" : "http://loinc.org","code" : "100888-7","display" : "Monkeypox virus clade II DNA [Presence] in Specimen by NAA with probe detection"},{"system" : "http://loinc.org","code" : "100889-5","display" : "Monkeypox virus clade I DNA [Presence] in Specimen by NAA with probe detection"},{"system" : "http://loinc.org","code" : "100890-3","display" : "Poxvirus DNA panel"},{"system" : "http://loinc.org","code" : "10089-1","display" : "ST initial amplitude 6 ms in lead V2"},{"system" : "http://loinc.org","code" : "100891-1","display" : "Orthopoxvirus IgG Ab [Presence] in Serum or Plasma by Immunoassay"},{"system" : "http://loinc.org","code" : "100892-9","display" : "Orthopoxvirus IgM Ab [Presence] in Serum or Plasma by Immunoassay"},{"system" : "http://loinc.org","code" : "100893-7","display" : "Orthopoxvirus IgG and IgM Ab panel - Serum or Plasma"},{"system" : "http://loinc.org","code" : "100894-5","display" : "Recommended screening frequency Narrative"},{"system" : "http://loinc.org","code" : "100895-2","display" : "Rickettsia conorii IgG and IgM [Interpretation] in Serum"},{"system" : "http://loinc.org","code" : "100896-0","display" : "Vasopressin [Moles/volume] in Plasma --13th specimen post XXX challenge"}]}}

#1079

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:764
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:59 GMT
server:nginx
x-request-id:252-201996

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset' could not be found, so the value set cannot be expanded"}}]}

#1080

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-EPSG-GeodeticParameterDataset","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-EPSG-GeodeticParameterDataset","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.19767"}],"version":"3.0.0","name":"EPSGGeodeticParameterDataset","title":"EPSG-GeodeticParameterDataset","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"**Description:** The EPSG (European Petroleum Survey Group) dataset represents all Datums, coordinate references (projected and 2D geographic) and coordinate systems (including Cartesian coordinate systems) used in surveying worldwide. Each record includes a 4-8 digit unique identifier. The current version is available from http://www.epsg.org/. The database contains over 4000 records covering spatial data applications worldwide.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:764
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:32:59 GMT
server:nginx
x-request-id:252-201998

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/EPSG-GeodeticParameterDataset' could not be found, so the value set cannot be expanded"}}]}

#1081

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/nubc-UB92"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:724
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:00 GMT
server:nginx
x-request-id:252-202007

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' could not be found, so the value set cannot be expanded"}}]}

#1082

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-EmploymentStatusUB92","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-EmploymentStatusUB92","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.15930"}],"version":"3.0.0","name":"EmploymentStatusUB92","title":"EmploymentStatusUB92","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"***No description***","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/nubc-UB92"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:724
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:00 GMT
server:nginx
x-request-id:252-202009

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/nubc-UB92' could not be found, so the value set cannot be expanded"}}]}

#1083

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:740
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:12 GMT
server:nginx
x-request-id:252-202118

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' could not be found, so the value set cannot be expanded"}}]}

#1084

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-HealthCareCommonProcedureCodingSystem","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-HealthCareCommonProcedureCodingSystem","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.19394"}],"version":"4.0.0","name":"HealthCareCommonProcedureCodingSystem","title":"HealthCareCommonProcedureCodingSystem","status":"active","experimental":false,"date":"2023-10-11","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"This value set includes all HCPCS Level II codes.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright  1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:740
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:12 GMT
server:nginx
x-request-id:252-202120

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' could not be found, so the value set cannot be expanded"}}]}

#1085

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422
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content-length:716
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:14 GMT
server:nginx
x-request-id:252-202147

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded"}}]}

#1088

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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422
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connection:keep-alive
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date:Mon, 15 Dec 2025 20:33:14 GMT
server:nginx
x-request-id:252-202149

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded"}}]}

#1089

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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date:Mon, 15 Dec 2025 20:33:19 GMT
last-modified:Mon, 15 Dec 2025 20:33:19 GMT
pragma:no-cache
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x-request-id:252-202188

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#1090

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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422
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access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:686
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:20 GMT
server:nginx
x-request-id:252-202192

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#1091

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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422
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date:Mon, 15 Dec 2025 20:33:20 GMT
server:nginx
x-request-id:252-202196

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#1092

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

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date:Mon, 15 Dec 2025 20:33:22 GMT
last-modified:Mon, 15 Dec 2025 20:33:22 GMT
pragma:no-cache
server:nginx
x-request-id:252-202209

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#1095

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-crs' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-crs' could not be found, so the value set cannot be expanded"}}]}

#1096

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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422
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{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-crs' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/epsg-crs' could not be found, so the value set cannot be expanded"}}]}

#1097

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ActCode","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-ActCode","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.4"}],"version":"9.0.0","name":"ActCode","title":"ActCode","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"A code specifying the particular kind of Act that the Act-instance represents within its class.\r\n\r\n*Constraints:* The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. 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Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.\r\n\r\nControl variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. 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Examples include \"household\", \"care giver\", \"intimate partner\", \"common space\", \"common substance\", etc. to further describe the nature of interaction.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"EXPOS"}},{"code":"internalId","valueCode":"22353"}]},{"code":"_ActFinancialTransactionCode","display":"ActFinancialTransactionCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"XACT"}},{"code":"internalId","valueCode":"20872"}]},{"code":"_ActIncidentCode","display":"ActIncidentCode","definition":"Set of codes indicating the type of incident or accident.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INC"}},{"code":"internalId","valueCode":"20873"}]},{"code":"_ActInformationAccessCode","display":"ActInformationAccessCode","definition":"**Description:** The type of health information to which the subject of the information or the subject's delegate consents or dissents.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22244"}]},{"code":"_ActInformationAccessContextCode","display":"ActInformationAccessContextCode","definition":"Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22332"}]},{"code":"_ActInformationCategoryCode","display":"ActInformationCategoryCode","definition":"**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"DOC"}},{"code":"internalId","valueCode":"22386"}]},{"code":"_ActInvoiceElementCode","display":"ActInvoiceElementCode","definition":"Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}},{"code":"internalId","valueCode":"20888"}]},{"code":"_ActInvoiceElementSummaryCode","display":"ActInvoiceElementSummaryCode","definition":"Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}},{"code":"internalId","valueCode":"20889"}]},{"code":"_ActInvoiceOverrideCode","display":"ActInvoiceOverrideCode","definition":"Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}},{"code":"internalId","valueCode":"20892"}]},{"code":"_ActListCode","display":"ActListCode","definition":"Provides codes associated with ActClass value of LIST (working list)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"LIST"}},{"code":"internalId","valueCode":"20895"}]},{"code":"_ActMonitoringProtocolCode","display":"ActMonitoringProtocolCode","definition":"Identifies types of monitoring programs","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"MPROT"}},{"code":"internalId","valueCode":"20897"}]},{"code":"_ActNonObservationIndicationCode","display":"ActNonObservationIndicationCode","definition":"**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACT"}},{"code":"internalId","valueCode":"22387"}]},{"code":"_ActObservationVerificationType","display":"act observation verification","definition":"Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.\r\n\r\n**Examples:**\r\n\r\n1.  Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program\r\n2.  Verification of record - e.g., person has record in an immunization registry\r\n3.  Verification of enumeration - e.g. NPI\r\n4.  Verification of Board Certification - provider specific\r\n5.  Verification of Certification - e.g. JAHCO, NCQA, URAC\r\n6.  Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria\r\n7.  Verification of Provider Credentials\r\n8.  Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"VERIF"}},{"code":"internalId","valueCode":"21907"}]},{"code":"_ActPaymentCode","display":"ActPaymentCode","definition":"Code identifying the method or the movement of payment instructions.\r\n\r\nCodes are drawn from X12 data element 591 (PaymentMethodCode)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"XACT"}},{"code":"internalId","valueCode":"20900"}]},{"code":"_ActPharmacySupplyType","display":"ActPharmacySupplyType","definition":"Identifies types of dispensing events","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPLY"}},{"code":"internalId","valueCode":"20901"}]},{"code":"_ActPolicyType","display":"ActPolicyType","definition":"A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"POLICY"}},{"code":"internalId","valueCode":"22182"}]},{"code":"_ActProductAcquisitionCode","display":"ActProductAcquisitionCode","definition":"The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPLY"}},{"code":"internalId","valueCode":"20903"}]},{"code":"_ActSpecimenTransportCode","display":"ActSpecimenTransportCode","definition":"Transportation of a specimen.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"TRNS"}},{"code":"internalId","valueCode":"22388"}]},{"code":"_ActSpecimenTreatmentCode","display":"ActSpecimenTreatmentCode","definition":"Set of codes related to specimen treatments","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPCTRT"}},{"code":"internalId","valueCode":"20905"}]},{"code":"_ActSubstanceAdministrationCode","display":"ActSubstanceAdministrationCode","definition":"**Description:** Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SBADM"}},{"code":"internalId","valueCode":"21517"}]},{"code":"_ActTaskCode","display":"ActTaskCode","definition":"**Description:** A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACT"}},{"code":"internalId","valueCode":"22047"}]},{"code":"_ActTransportationModeCode","display":"ActTransportationModeCode","definition":"Characterizes how a transportation act was or will be carried out.\r\n\r\n*Examples:* Via private transport, via public transit, via courier.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"TRNS"}},{"code":"internalId","valueCode":"21545"}]},{"code":"_ObservationType","display":"ObservationType","definition":"Identifies the kinds of observations that can be performed","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"OBS"}},{"code":"internalId","valueCode":"20930"}]},{"code":"_ROIOverlayShape","display":"ROIOverlayShape","definition":"Shape of the region on the object being referenced","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20931"}]},{"code":"C","display":"corrected","definition":"**Description:**Indicates that result data has been corrected.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22831"}]},{"code":"DIET","display":"Diet","definition":"Code set to define specialized/allowed diets","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10376"}]},{"code":"DRUGPRG","display":"drug program","definition":"**Definition:** A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22132"}]},{"code":"F","display":"final","definition":"**Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22830"}]},{"code":"PRLMN","display":"preliminary","definition":"**Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22829"}]},{"code":"SECOBS","display":"SecurityObservationType","definition":"An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels.\r\n\r\n*Rationale:* According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:\r\n\r\n *  The security policy identifiers shall be identical\r\n *  The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and\r\n *  For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target.\r\n\r\n**Examples:** SecurityObservationType security label fields include:\r\n\r\n *  Confidentiality classification\r\n *  Compartment category\r\n *  Sensitivity category\r\n *  Security mechanisms used to ensure data integrity or to perform authorized data transformation\r\n *  Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance.\r\n\r\n*Usage Note:* SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the \"security label tag\".","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23471"}]},{"code":"SUBSIDFFS","display":"subsidized fee for service program","definition":"**Definition:** A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22138"}]},{"code":"WRKCOMP","display":"(workers compensation program","definition":"**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22146"}]},{"code":"_ActAdjudicationInformationCode","display":"ActAdjudicationInformationCode","definition":"Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice.\r\n\r\nCodes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim).\r\n\r\nExample adjudication information code is 54540 - Patient has reached Plan Maximum for current year.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20852"}]},{"code":"_ActBillableTreatmentPlanCode","display":"ActBillableTreatmentPlanCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20856"}]},{"code":"_ActCognitiveProfessionalServiceCode","display":"ActCognitiveProfessionalServiceCode","definition":"Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21511"}]},{"code":"_ActIdentityDocumentCode","display":"ActIdentityDocumentCode","definition":"Code identifying the type of identification document (e.g. passport, drivers license)\r\n\r\n**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22267"}]},{"code":"_ActOrderCode","display":"ActOrderCode","definition":"The type of order that was fulfilled by the clinical service","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20899"}]},{"code":"_ActPrivilegeCategorization","display":"ActPrivilegeCategorization","definition":"An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21535"}]},{"code":"_ActProcedureCode","display":"ActProcedureCode","definition":"An identifying code for healthcare interventions/procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20902"}]},{"code":"_ActRegistryCode","display":"ActRegistryCode","definition":"This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20904"}]},{"code":"_ActSecurityObjectCode","display":"ActSecurityObjectCode","definition":"**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22641"}]},{"code":"_AdvanceBeneficiaryNoticeType","display":"AdvanceBeneficiaryNoticeType","definition":"**Description:**\r\n\r\nRepresents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.\r\n\r\n**Examples:**\r\n\r\n *  Advanced beneficiary medically necessity notice.\r\n *  Advanced beneficiary agreement to pay notice.\r\n *  Advanced beneficiary requests payer billed.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22095"}]},{"code":"_CPT4","display":"CPT4","definition":"**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22176"}]},{"code":"_ExternallyDefinedActCodes","display":"ExternallyDefinedActCodes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20919"}]},{"code":"_HL7DefinedActCodes","display":"HL7DefinedActCodes","definition":"Domain provides the root for HL7-defined detailed or rich codes for the Act classes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20921"}]},{"code":"_IndividualCaseSafetyReportCriteria","display":"IndividualCaseSafetyReportCriteria","definition":"**Description:** Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22078"}]},{"code":"_IndividualCaseSafetyReportProductCharacteristic","display":"IndividualCaseSafetyReportProductCharacteristic","definition":"**Description:** Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.\r\n\r\n**Examples:**Weight, color, dimensions.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22079"}]},{"code":"_ObservationActAgeGroupType","display":"ObservationActAgeGroupType","definition":"**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22046"}]},{"code":"COPAY","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17501"}]},{"code":"DEDUCT","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17500"}]},{"code":"DOSEIND","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17793"}]},{"code":"PRA","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"16675"}]},{"code":"STORE","display":"Storage","definition":"The act of putting something away for safe keeping. The \"something\" may be physical object such as a specimen, or information, such as observations regarding a specimen.","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21456"}]},{"code":"ACCTRECEIVABLE","display":"account receivable","definition":"An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21361"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CASH","display":"Cash","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14810"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CC","display":"credit card","definition":"**Description:** Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23013"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"PBILLACCT","display":"patient billing account","definition":"An account representing charges and credits (financial transactions) for a patient's encounter.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21301"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_CreditCard","display":"CreditCard","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20912"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_ActAdjudicationGroupCode","display":"ActAdjudicationGroupCode","definition":"Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ADJUD"}},{"code":"internalId","valueCode":"20851"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AA","display":"adjudicated with adjustments","definition":"The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).\r\n\r\nAlso includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19347"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AR","display":"adjudicated as refused","definition":"The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.\r\n\r\nIncludes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').\r\n\r\nIf one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.\r\n\r\nA refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.\r\n\r\nInvoice element cannot be reversed (nullified) as there is nothing to reverse.\r\n\r\nRecommend that the invoice element is not saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17619"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AS","display":"adjudicated as submitted","definition":"The invoice element was/will be paid exactly as submitted, without financial adjustment(s).\r\n\r\nIf the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as \"Adjudicated with Adjustment\".\r\n\r\nIf information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17617"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"CONT","display":"contract","definition":"Transaction counts and value totals by Contract Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17974"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"DAY","display":"day","definition":"Transaction counts and value totals for each calendar day within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17969"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"LOC","display":"location","definition":"Transaction counts and value totals by service location (e.g clinic).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17976"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"MONTH","display":"month","definition":"Transaction counts and value totals for each calendar month within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17970"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"PERIOD","display":"period","definition":"Transaction counts and value totals for the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17971"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"PROV","display":"provider","definition":"Transaction counts and value totals by Provider Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17975"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"WEEK","display":"week","definition":"Transaction counts and value totals for each calendar week within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17972"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"YEAR","display":"year","definition":"Transaction counts and value totals for each calendar year within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17973"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"DISPLAY","display":"Display","definition":"The adjudication result associated is to be displayed to the receiver of the adjudication result.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17475"},{"code":"subsumedBy","valueCode":"_ActAdjudicationResultActionCode"}]},{"code":"FORM","display":"Print on Form","definition":"The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17473"},{"code":"subsumedBy","valueCode":"_ActAdjudicationResultActionCode"}]},{"code":"NAT","display":"Insufficient authorization","definition":"The requesting party has insufficient authorization to invoke the interaction.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21390"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"SUPPRESSED","display":"record suppressed","definition":"**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23274"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"VALIDAT","display":"validation issue","definition":"**Description:**The specified element did not pass business-rule validation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21651"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"_ActAdministrativeAuthorizationDetectedIssueCode","display":"ActAdministrativeAuthorizationDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21389"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_ActAdministrativeRuleDetectedIssueCode","display":"ActAdministrativeRuleDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21391"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_AuthorizationIssueManagementCode","display":"Authorization Issue Management Code","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ALRT"}},{"code":"internalId","valueCode":"21387"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueManagementCode"}]},{"code":"KEY204","display":"Unknown key identifier","definition":"The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21392"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"},{"code":"subsumedBy","valueCode":"VALIDAT"}]},{"code":"KEY205","display":"Duplicate key identifier","definition":"The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21393"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"},{"code":"subsumedBy","valueCode":"VALIDAT"}]},{"code":"KEY206","display":"non-matching identification","definition":"**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23272"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"}]},{"code":"OBSOLETE","display":"obsolete record returned","definition":"**Description:** One or more records in the query response have a status of 'obsolete'.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23275"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"}]},{"code":"CPTM","display":"CPT modifier codes","definition":"**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22151"},{"code":"subsumedBy","valueCode":"_ActBillableModifierCode"}]},{"code":"HCPCSA","display":"HCPCS Level II and Carrier-assigned","definition":"**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22150"},{"code":"subsumedBy","valueCode":"_ActBillableModifierCode"}]},{"code":"_ActMedicalBillableServiceCode","display":"ActMedicalBillableServiceCode","definition":"**Definition:** An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22219"},{"code":"subsumedBy","valueCode":"_ActBillableServiceCode"}]},{"code":"_ActNonMedicalBillableServiceCode","display":"ActNonMedicalBillableServiceCode","definition":"**Definition:** An identifying code for billable services that are not medical procedures, such as social services or governmental program services.\r\n\r\n**Example:** Building a wheelchair ramp, help with groceries, giving someone a ride, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22220"},{"code":"subsumedBy","valueCode":"_ActBillableServiceCode"}]},{"code":"BLK","display":"block funding","definition":"A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.\r\n\r\nThis billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17480"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"CAP","display":"capitation funding","definition":"A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17484"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"CONTF","display":"contract funding","definition":"A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17481"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"FINBILL","display":"financial","definition":"A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19723"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"ROST","display":"roster funding","definition":"A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17482"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"SESS","display":"sessional funding","definition":"A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17483"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"FFS","display":"fee for service","definition":"A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.\r\n\r\nFee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17479"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"},{"code":"subsumedBy","valueCode":"FF"}]},{"code":"ROIFS","display":"fully specified ROI","definition":"A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of \"ST elevation\" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17897"},{"code":"subsumedBy","valueCode":"_ActBoundedROICode"}]},{"code":"ROIPS","display":"partially specified ROI","definition":"A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17898"},{"code":"subsumedBy","valueCode":"_ActBoundedROICode"}]},{"code":"_ActCredentialedCareCode","display":"act credentialed care","definition":"**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.\r\n\r\n**Example:**Hospital license; physician license; clinic accreditation.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}},{"code":"internalId","valueCode":"21826"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"_ActEncounterCode","display":"ActEncounterCode","definition":"Domain provides codes that qualify the ActEncounterClass (ENC)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ENC"}},{"code":"internalId","valueCode":"20869"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"_ActMedicalServiceCode","display":"ActMedicalServiceCode","definition":"General category of medical service provided to the patient during their encounter.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20896"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"AUTOATTCH","display":"auto attachment","definition":"**Description:** Automobile Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23012"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"DOCUMENT","display":"document","definition":"**Description:** Document Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23008"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"HEALTHREC","display":"health record","definition":"**Description:** Health Record Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23010"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"IMG","display":"image attachment","definition":"**Description:** Image Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23006"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"LABRESULTS","display":"lab results","definition":"**Description:** Lab Results Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23009"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"MODEL","display":"model","definition":"**Description:** Digital Model Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23007"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"WIATTCH","display":"work injury report attachment","definition":"**Description:** Work Injury related additional Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23011"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"XRAY","display":"x-ray","definition":"**Description:** Digital X-Ray Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23005"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"_ActDecision","display":"_ActDecision","definition":"Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"24107"},{"code":"subsumedBy","valueCode":"_ActConsent"}]},{"code":"_ActPrivacyConsentDirective","display":"_ActPrivacyConsentDirective","definition":"Specifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"24108"},{"code":"subsumedBy","valueCode":"_ActConsent"}]},{"code":"EMRGONLY","display":"emergency only","definition":"Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.\r\n\r\n*Usage Note:* To specify the scope of an \"EMRGONLY\" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\n\r\n *  ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\n *  BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\n *  ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"Break the Glass\" purpose of use.\r\n *  THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\n *  DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\n\r\nMap: An \"emergency only\" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23325"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"}]},{"code":"GRANTORCHOICE","display":"grantor choice","definition":"A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\n*Comment:* A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.\r\n\r\n*Usage Note:* If the grantor's term of agreement must be accepted in full, then this is considered \"basic consent\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A PHR account holder \\[grantor\\] may require any PHR user \\[grantee\\] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user.\r\n *  Non-healthcare: The owner of a resource server \\[grantor\\] may require any authorization server \\[grantee\\] to meet authorization requirements stipulated in the grantor's terms of agreement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23754"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"IMPLIED","display":"implied consent","definition":"A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\n*Comment:* Implied or \"implicit\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.\r\n\r\n*Usage Note:* Implied consent with no opportunity to assent or dissent to certain terms is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient \\[grantor\\] agrees to the rights granted to the provider \\[grantee\\] in an implicit consent directive.\r\n *  An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws.\r\n *  Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests.\r\n *  A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23755"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"IMPLIEDD","display":"implied consent with opportunity to dissent","definition":"A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\n*Comment:* A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Implied or \"implicit\" consent with an \"opportunity to dissent\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.\r\n *  A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations.\r\n *  Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23756"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"NOCONSENT","display":"no consent","definition":"No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\n*Comment:* A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles \\[FIPP\\] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.\r\n\r\n*Usage Note:* The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented.\r\n *  Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement.\r\n *  Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling.\r\n *  Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23757"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"NOPP","display":"notice of privacy practices","definition":"An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.\r\n\r\n*Usage Notes:* Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\".","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\"."},{"code":"internalId","valueCode":"23370"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"}]},{"code":"OPTIN","display":"opt-in","definition":"A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\n*Comment:* Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] signs a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies.\r\n *  Non-healthcare: An employee \\[grantor\\] signs an employer's \\[grantee's\\] non-disclosure and non-compete agreement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23326"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTINR","display":"opt-in with restrictions","definition":"A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\n*Comment:* A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Opt-in with restrictions is considered \"granular consent\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list.\r\n *  Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23758"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTOUT","display":"op-out","definition":"A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\n*Comment:* Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] declines to sign a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.\r\n *  Non-healthcare: An employee \\[grantor\\] refuses to sign an employer's \\[grantee's\\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.\r\n *  A citizen \\[grantor\\] refuses to enroll in mandatory government \\[grantee\\] health insurance based on religious beliefs, which is an exemption.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23327"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTOUTE","display":"opt-out with exceptions","definition":"A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\n*Comment:* A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.\r\n\r\n*Usage Note:* Opt-out with exceptions is considered a \"granular consent\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"time to live\" shared secret \\[e.g., a token or password\\], which the patient can give to a provider when seeking care.\r\n *  Non-healthcare: A social media user \\[grantor\\] dissents from public access to their account, but assents to access to a circle of friends.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23759"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"ICOL","display":"information collection","definition":"**Definition:** Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22203"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"IDSCL","display":"information disclosure","definition":"**Definition:** Consent to have collected healthcare information disclosed.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22204"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"INFA","display":"information access","definition":"**Definition:** Consent to access healthcare information.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22200"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"IRDSCL","display":"information redisclosure","definition":"**Definition:** Information re-disclosed without the patient's consent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22205"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"RESEARCH","display":"research information access","definition":"**Definition:** Consent to have healthcare information in an electronic health record accessed for research purposes.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22206"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"ID","display":"Identified","definition":"Used by one system to inform another that it has received a container.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14059"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"IP","display":"In Position","definition":"Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14060"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"L","display":"Left Equipment","definition":"Used by one system to inform another that the container has been released from that system.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14063"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"M","display":"Missing","definition":"Used by one system to inform another that the container did not arrive at its next expected location.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14064"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"O","display":"In Process","definition":"Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14061"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"R","display":"Process Completed","definition":"Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14062"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"X","display":"Container Unavailable","definition":"Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14065"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"AUTO","display":"auto-repeat permission","definition":"Specifies whether or not automatic repeat testing is to be initiated on specimens.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16860"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"ENDC","display":"endogenous content","definition":"A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16858"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"REFLEX","display":"reflex permission","definition":"Specifies whether or not further testing may be automatically or manually initiated on specimens.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16859"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"_ECGControlVariable","display":"ECGControlVariable","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20916"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"AUTH","display":"Authorized","definition":"Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17492"},{"code":"subsumedBy","valueCode":"_ActCoverageAuthorizationConfirmationCode"}]},{"code":"NAUTH","display":"Not Authorized","definition":"Authorization for specified healthcare service(s) and/or product(s) denied.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17493"},{"code":"subsumedBy","valueCode":"_ActCoverageAuthorizationConfirmationCode"}]},{"code":"_ActCoverageAuthorizationConfirmationCode","display":"ActCoverageAuthorizationConfirmationCode","definition":"Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"internalId","valueCode":"20862"},{"code":"subsumedBy","valueCode":"_ActCoverageConfirmationCode"}]},{"code":"_ActCoverageEligibilityConfirmationCode","display":"ActCoverageEligibilityConfirmationCode","definition":"Indication of eligibility coverage for healthcare service(s) and/or product(s).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20864"},{"code":"subsumedBy","valueCode":"_ActCoverageConfirmationCode"}]},{"code":"ELG","display":"Eligible","definition":"Insurance coverage is in effect for healthcare service(s) and/or product(s).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17489"},{"code":"subsumedBy","valueCode":"_ActCoverageEligibilityConfirmationCode"}]},{"code":"NELG","display":"Not Eligible","definition":"Insurance coverage is not in effect for healthcare service(s) and/or product(s). 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"http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "DUPTHPCLS","display" : "duplicate therapeutic alass alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "DUPTHPGEN","display" : "duplicate generic alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "PLYPHRM","display" : "Poly-supplier Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "ABUSE","display" : "commonly abused/misused alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "PLYDOC","display" : "Poly-orderer Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NOPERSIST","display" : "element will not be persisted"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "REP_RANGE","display" : "repetitions out of range"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "MAXOCCURS","display" : "repetitions above maximum"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "MINOCCURS","display" : "repetitions below minimum"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "SUPPRESSED","display" : "record suppressed"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_ActAdministrativeRuleDetectedIssueCode","display" : "ActAdministrativeRuleDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "OBSOLETE","display" : "obsolete record returned"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "KEY206","display" : "non-matching identification"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_ActSuppliedItemDetectedIssueCode","display" : "ActSuppliedItemDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "PATPREF","display" : "violates stated preferences"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "PATPREFALT","display" : "violates stated preferences, alternate available"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_AdministrationDetectedIssueCode","display" : "AdministrationDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "DACT","display" : "drug action detected issue"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_AppropriatenessDetectedIssueCode","display" : "AppropriatenessDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_InteractionDetectedIssueCode","display" : "InteractionDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "FOOD","display" : "Food Interaction Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "TPROD","display" : "Therapeutic Product Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "DRG","display" : "Drug Interaction Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NHP","display" : "Natural Health Product Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NONRX","display" : "Non-Prescription Interaction Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "PREVINEF","display" : "previously ineffective"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_TimingDetectedIssueCode","display" : "TimingDetectedIssueCode","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "STRTLATE","display" : "Start Too Late Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "ENDLATE","display" : "End Too Late Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "TIME","display" : "timing detected issue"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "ALRTSTRTLATE","display" : "start too late alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "ALRTENDLATE","display" : "end too late alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_DrugActionDetectedIssueCode","display" : "DrugActionDetectedIssueCode","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "HISTORIC","display" : "record recorded as historical"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_SupplyDetectedIssueCode","display" : "SupplyDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "TOOLATE","display" : "Refill Too Late Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "FULFIL","display" : "fulfillment alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NOTACTN","display" : "no longer actionable"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "TIMING","display" : "event timing incorrect alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "MINFREQ","display" : "too soon within frequency based on the usage"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "INTERVAL","display" : "outside requested time"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NOTEQUIV","display" : "not equivalent alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NOTEQUIVGEN","display" : "not generically equivalent alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "NOTEQUIVTHER","display" : "not therapeutically equivalent alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "HELD","display" : "held/suspended alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "ALLDONE","display" : "already performed"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "TOOSOON","display" : "Refill Too Soon Alert"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_ActFinancialDetectedIssueCode","display" : "ActFinancialDetectedIssueCode","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_ClinicalActionDetectedIssueCode","display" : "ClinicalActionDetectedIssueCode"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "CAREGAP","display" : "Caregap"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "CODINGGAP","display" : "Codinggap"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "ADVERSE_REACTION","display" : "Adverse Reaction"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "CTMO","display" : "case transmission mode observation"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "KSUBJ","display" : "knowledge subject"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "KSUBT","display" : "knowledge subtopic"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_ActPrivilegeCategorizationType","display" : "ActPrivilegeCategorizationType","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_FDALabelData","display" : "FDALabelData","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDASHAPE","display" : "shape","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDAIMPRINTCD","display" : "imprint code","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDALOGO","display" : "logo","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDACOATING","display" : "coating","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDASCORING","display" : "scoring","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDASIZE","display" : "size","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","inactive" : true,"code" : "FDACOLOR","display" : "color","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_ObservationQueryMatchType","display" : "ObservationQueryMatchType","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_ObservationIssueTriggerMeasuredObservationType","display" : "ObservationIssueTriggerMeasuredObservationType","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"inactive" : true,"code" : "_SimpleMeasurableClinicalObservationType","display" : "SimpleMeasurableClinicalObservationType","property" : [{"code" : "status","valueCode" : "retired"}]},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","abstract" : true,"code" : "_PreferenceObservationType","display" : "_PreferenceObservationType"},{"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode","code" : "PREFSTRENGTH","display" : "preference strength"}]}}

#1098

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-OrganizationIndustryClassNAICS","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.19298"}],"version":"3.0.0","name":"OrganizationIndustryClassNAICS","title":"OrganizationIndustryClassNAICS","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"***No description***","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/naics"}]}}}]}
422
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:716
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:33:57 GMT
server:nginx
x-request-id:252-202516

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/naics' could not be found, so the value set cannot be expanded"}}]}

#1099

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:766
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:34:50 GMT
server:nginx
x-request-id:252-202908

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers' could not be found, so the value set cannot be expanded"}}]}

#1100

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-SCDHEC-GISSpatialAccuracyTiers","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-SCDHEC-GISSpatialAccuracyTiers","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.19768"}],"version":"3.0.0","name":"SCDHECGISSpatialAccuracyTiers","title":"SCDHEC-GISSpatialAccuracyTiers","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"**Description:** The South Carolina Department of Health and Environmental Control GIS Spatial Data Accuracy Tiers have been derived from the National Standard for Spatial Data Accuracy as a means to categorize the accuracy of spatial data assignment utilizing a variety of tools for capturing coordinates including digitizers, geocoding software and global positioning system devices.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers"}]}}}]}
422
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:766
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:34:50 GMT
server:nginx
x-request-id:252-202911

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/SCDHEC-GISSpatialAccuracyTiers' could not be found, so the value set cannot be expanded"}}]}

#1101

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
Content-Type: application/fhir+json; fhirVersion=5.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"_limit","valueInteger":10000},{"name":"_incomplete","valueBoolean":true},{"name":"displayLanguage","valueCode":"en"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"excludeNested","valueBoolean":false},{"name":"incomplete-ok","valueBoolean":true},{"name":"cache-id","valueId":"cd4f48a5-2e06-4f96-828e-d3f8b140dd6d"},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"v3-USEncounterDischargeDisposition","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.19453"}],"version":"5.0.0","name":"USEncounterDischargeDisposition","title":"USEncounterDischargeDisposition","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"These codes cannot be displayed because of AHA's NUBC Patient Discharge Status Codes Intellectual Property (IP) restrictions. To access these codes, see the [National Uniform Billing Committee](http://www.nubc.org/), manual UB-04, UB form locator 17.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"https://www.nubc.org/CodeSystem/PatDischargeStatus"}]}}}]}
422
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access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:730
content-type:application/fhir+json
date:Mon, 15 Dec 2025 20:35:11 GMT
server:nginx
x-request-id:252-202951

{"resourceType" : "OperationOutcome","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the value set cannot be expanded</p></div>"},"issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_EXP"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the value set cannot be expanded"}}]}

#1102

POST https://tx.fhir.org/r5/ValueSet/$expand HTTP/1.0
Accept: application/fhir+json; fhirVersion=5.0
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For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","filter":[{"property":"concept","op":"is-a","value":"_ActEncounterCode"}]}],"exclude":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","concept":[{"code":"_ActEncounterCode"}]}]}}},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ActCode","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-ActCode","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.4"}],"version":"9.0.0","name":"ActCode","title":"ActCode","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"A code specifying the particular kind of Act that the Act-instance represents within its class.\r\n\r\n*Constraints:* The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. 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This mutually modifying use of Act.code and Act.classCode is not permitted.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"extension":[{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode":"Specializes"}],"code":"rim-ClassifiesClassCode","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ClassifiesClassCode","description":"The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code.  Used only in RIM backbone classes to link the code and classCode values.","type":"Coding"},{"code":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"},{"code":"HL7usageNotes","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description":"HL7 Concept Usage Notes","type":"string"},{"code":"synonymCode","uri":"http://hl7.org/fhir/concept-properties#synonym","description":"An additional concept code that was also attributed to a concept","type":"code"},{"code":"subsumedBy","uri":"http://hl7.org/fhir/concept-properties#parent","description":"The concept code of a parent concept","type":"code"}],"concept":[{"code":"_ActAccountCode","display":"ActAccountCode","definition":"An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACCT"}},{"code":"internalId","valueCode":"20849"}]},{"code":"_ActAdjudicationCode","display":"ActAdjudicationCode","definition":"Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ADJUD"}},{"code":"internalId","valueCode":"20850"}]},{"code":"_ActAdjudicationResultActionCode","display":"ActAdjudicationResultActionCode","definition":"Actions to be carried out by the recipient of the Adjudication Result information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20853"}]},{"code":"_ActBillableModifierCode","display":"ActBillableModifierCode","definition":"**Definition:**An identifying modifier code for healthcare interventions or procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21993"}]},{"code":"_ActBillingArrangementCode","display":"ActBillingArrangementCode","definition":"The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20857"}]},{"code":"_ActBoundedROICode","display":"ActBoundedROICode","definition":"Type of bounded ROI.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ROIBND"}},{"code":"internalId","valueCode":"20858"}]},{"code":"_ActCareProvisionCode","display":"act care provision","definition":"**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}},{"code":"internalId","valueCode":"21825"}]},{"code":"_ActClaimAttachmentCategoryCode","display":"ActClaimAttachmentCategoryCode","definition":"**Description:** Coded types of attachments included to support a healthcare claim.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"CATEGORY"}},{"code":"internalId","valueCode":"23004"}]},{"code":"_ActConsentType","display":"ActConsentType","definition":"**Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"CONS"}},{"code":"internalId","valueCode":"22199"}]},{"code":"_ActContainerRegistrationCode","display":"ActContainerRegistrationCode","definition":"Constrains the ActCode to the domain of Container Registration","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"CONTREG"}},{"code":"internalId","valueCode":"20860"}]},{"code":"_ActControlVariable","display":"ActControlVariable","definition":"An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.\r\n\r\nControl variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"OBS"}},{"code":"internalId","valueCode":"20861"}]},{"code":"_ActCoverageConfirmationCode","display":"ActCoverageConfirmationCode","definition":"Response to an insurance coverage eligibility query or authorization request.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"internalId","valueCode":"20863"}]},{"code":"_ActCoverageLimitCode","display":"ActCoverageLimitCode","definition":"Criteria that are applicable to the authorized coverage.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"internalId","valueCode":"20865"}]},{"code":"_ActCoverageTypeCode","display":"ActCoverageTypeCode","definition":"**Definition:** Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"internalId","valueCode":"22096"}]},{"code":"_ActDetectedIssueManagementCode","display":"ActDetectedIssueManagementCode","definition":"Codes dealing with the management of Detected Issue observations","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ALRT"}},{"code":"internalId","valueCode":"20867"}]},{"code":"_ActExposureCode","display":"ActExposureCode","definition":"Concepts that identify the type or nature of exposure interaction. Examples include \"household\", \"care giver\", \"intimate partner\", \"common space\", \"common substance\", etc. to further describe the nature of interaction.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"EXPOS"}},{"code":"internalId","valueCode":"22353"}]},{"code":"_ActFinancialTransactionCode","display":"ActFinancialTransactionCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"XACT"}},{"code":"internalId","valueCode":"20872"}]},{"code":"_ActIncidentCode","display":"ActIncidentCode","definition":"Set of codes indicating the type of incident or accident.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INC"}},{"code":"internalId","valueCode":"20873"}]},{"code":"_ActInformationAccessCode","display":"ActInformationAccessCode","definition":"**Description:** The type of health information to which the subject of the information or the subject's delegate consents or dissents.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22244"}]},{"code":"_ActInformationAccessContextCode","display":"ActInformationAccessContextCode","definition":"Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22332"}]},{"code":"_ActInformationCategoryCode","display":"ActInformationCategoryCode","definition":"**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"DOC"}},{"code":"internalId","valueCode":"22386"}]},{"code":"_ActInvoiceElementCode","display":"ActInvoiceElementCode","definition":"Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}},{"code":"internalId","valueCode":"20888"}]},{"code":"_ActInvoiceElementSummaryCode","display":"ActInvoiceElementSummaryCode","definition":"Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}},{"code":"internalId","valueCode":"20889"}]},{"code":"_ActInvoiceOverrideCode","display":"ActInvoiceOverrideCode","definition":"Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}},{"code":"internalId","valueCode":"20892"}]},{"code":"_ActListCode","display":"ActListCode","definition":"Provides codes associated with ActClass value of LIST (working list)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"LIST"}},{"code":"internalId","valueCode":"20895"}]},{"code":"_ActMonitoringProtocolCode","display":"ActMonitoringProtocolCode","definition":"Identifies types of monitoring programs","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"MPROT"}},{"code":"internalId","valueCode":"20897"}]},{"code":"_ActNonObservationIndicationCode","display":"ActNonObservationIndicationCode","definition":"**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACT"}},{"code":"internalId","valueCode":"22387"}]},{"code":"_ActObservationVerificationType","display":"act observation verification","definition":"Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.\r\n\r\n**Examples:**\r\n\r\n1.  Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program\r\n2.  Verification of record - e.g., person has record in an immunization registry\r\n3.  Verification of enumeration - e.g. NPI\r\n4.  Verification of Board Certification - provider specific\r\n5.  Verification of Certification - e.g. JAHCO, NCQA, URAC\r\n6.  Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria\r\n7.  Verification of Provider Credentials\r\n8.  Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"VERIF"}},{"code":"internalId","valueCode":"21907"}]},{"code":"_ActPaymentCode","display":"ActPaymentCode","definition":"Code identifying the method or the movement of payment instructions.\r\n\r\nCodes are drawn from X12 data element 591 (PaymentMethodCode)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"XACT"}},{"code":"internalId","valueCode":"20900"}]},{"code":"_ActPharmacySupplyType","display":"ActPharmacySupplyType","definition":"Identifies types of dispensing events","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPLY"}},{"code":"internalId","valueCode":"20901"}]},{"code":"_ActPolicyType","display":"ActPolicyType","definition":"A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"POLICY"}},{"code":"internalId","valueCode":"22182"}]},{"code":"_ActProductAcquisitionCode","display":"ActProductAcquisitionCode","definition":"The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPLY"}},{"code":"internalId","valueCode":"20903"}]},{"code":"_ActSpecimenTransportCode","display":"ActSpecimenTransportCode","definition":"Transportation of a specimen.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"TRNS"}},{"code":"internalId","valueCode":"22388"}]},{"code":"_ActSpecimenTreatmentCode","display":"ActSpecimenTreatmentCode","definition":"Set of codes related to specimen treatments","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPCTRT"}},{"code":"internalId","valueCode":"20905"}]},{"code":"_ActSubstanceAdministrationCode","display":"ActSubstanceAdministrationCode","definition":"**Description:** Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SBADM"}},{"code":"internalId","valueCode":"21517"}]},{"code":"_ActTaskCode","display":"ActTaskCode","definition":"**Description:** A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACT"}},{"code":"internalId","valueCode":"22047"}]},{"code":"_ActTransportationModeCode","display":"ActTransportationModeCode","definition":"Characterizes how a transportation act was or will be carried out.\r\n\r\n*Examples:* Via private transport, via public transit, via courier.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"TRNS"}},{"code":"internalId","valueCode":"21545"}]},{"code":"_ObservationType","display":"ObservationType","definition":"Identifies the kinds of observations that can be performed","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"OBS"}},{"code":"internalId","valueCode":"20930"}]},{"code":"_ROIOverlayShape","display":"ROIOverlayShape","definition":"Shape of the region on the object being referenced","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20931"}]},{"code":"C","display":"corrected","definition":"**Description:**Indicates that result data has been corrected.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22831"}]},{"code":"DIET","display":"Diet","definition":"Code set to define specialized/allowed diets","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10376"}]},{"code":"DRUGPRG","display":"drug program","definition":"**Definition:** A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22132"}]},{"code":"F","display":"final","definition":"**Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22830"}]},{"code":"PRLMN","display":"preliminary","definition":"**Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22829"}]},{"code":"SECOBS","display":"SecurityObservationType","definition":"An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels.\r\n\r\n*Rationale:* According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:\r\n\r\n *  The security policy identifiers shall be identical\r\n *  The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and\r\n *  For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target.\r\n\r\n**Examples:** SecurityObservationType security label fields include:\r\n\r\n *  Confidentiality classification\r\n *  Compartment category\r\n *  Sensitivity category\r\n *  Security mechanisms used to ensure data integrity or to perform authorized data transformation\r\n *  Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance.\r\n\r\n*Usage Note:* SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the \"security label tag\".","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23471"}]},{"code":"SUBSIDFFS","display":"subsidized fee for service program","definition":"**Definition:** A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22138"}]},{"code":"WRKCOMP","display":"(workers compensation program","definition":"**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22146"}]},{"code":"_ActAdjudicationInformationCode","display":"ActAdjudicationInformationCode","definition":"Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice.\r\n\r\nCodes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim).\r\n\r\nExample adjudication information code is 54540 - Patient has reached Plan Maximum for current year.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20852"}]},{"code":"_ActBillableTreatmentPlanCode","display":"ActBillableTreatmentPlanCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20856"}]},{"code":"_ActCognitiveProfessionalServiceCode","display":"ActCognitiveProfessionalServiceCode","definition":"Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21511"}]},{"code":"_ActIdentityDocumentCode","display":"ActIdentityDocumentCode","definition":"Code identifying the type of identification document (e.g. passport, drivers license)\r\n\r\n**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22267"}]},{"code":"_ActOrderCode","display":"ActOrderCode","definition":"The type of order that was fulfilled by the clinical service","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20899"}]},{"code":"_ActPrivilegeCategorization","display":"ActPrivilegeCategorization","definition":"An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21535"}]},{"code":"_ActProcedureCode","display":"ActProcedureCode","definition":"An identifying code for healthcare interventions/procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20902"}]},{"code":"_ActRegistryCode","display":"ActRegistryCode","definition":"This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20904"}]},{"code":"_ActSecurityObjectCode","display":"ActSecurityObjectCode","definition":"**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22641"}]},{"code":"_AdvanceBeneficiaryNoticeType","display":"AdvanceBeneficiaryNoticeType","definition":"**Description:**\r\n\r\nRepresents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.\r\n\r\n**Examples:**\r\n\r\n *  Advanced beneficiary medically necessity notice.\r\n *  Advanced beneficiary agreement to pay notice.\r\n *  Advanced beneficiary requests payer billed.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22095"}]},{"code":"_CPT4","display":"CPT4","definition":"**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22176"}]},{"code":"_ExternallyDefinedActCodes","display":"ExternallyDefinedActCodes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20919"}]},{"code":"_HL7DefinedActCodes","display":"HL7DefinedActCodes","definition":"Domain provides the root for HL7-defined detailed or rich codes for the Act classes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20921"}]},{"code":"_IndividualCaseSafetyReportCriteria","display":"IndividualCaseSafetyReportCriteria","definition":"**Description:** Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22078"}]},{"code":"_IndividualCaseSafetyReportProductCharacteristic","display":"IndividualCaseSafetyReportProductCharacteristic","definition":"**Description:** Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.\r\n\r\n**Examples:**Weight, color, dimensions.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22079"}]},{"code":"_ObservationActAgeGroupType","display":"ObservationActAgeGroupType","definition":"**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22046"}]},{"code":"COPAY","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17501"}]},{"code":"DEDUCT","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17500"}]},{"code":"DOSEIND","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17793"}]},{"code":"PRA","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"16675"}]},{"code":"STORE","display":"Storage","definition":"The act of putting something away for safe keeping. The \"something\" may be physical object such as a specimen, or information, such as observations regarding a specimen.","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21456"}]},{"code":"ACCTRECEIVABLE","display":"account receivable","definition":"An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21361"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CASH","display":"Cash","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14810"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CC","display":"credit card","definition":"**Description:** Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23013"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"PBILLACCT","display":"patient billing account","definition":"An account representing charges and credits (financial transactions) for a patient's encounter.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21301"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_CreditCard","display":"CreditCard","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20912"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_ActAdjudicationGroupCode","display":"ActAdjudicationGroupCode","definition":"Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ADJUD"}},{"code":"internalId","valueCode":"20851"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AA","display":"adjudicated with adjustments","definition":"The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).\r\n\r\nAlso includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19347"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AR","display":"adjudicated as refused","definition":"The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.\r\n\r\nIncludes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').\r\n\r\nIf one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.\r\n\r\nA refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.\r\n\r\nInvoice element cannot be reversed (nullified) as there is nothing to reverse.\r\n\r\nRecommend that the invoice element is not saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17619"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AS","display":"adjudicated as submitted","definition":"The invoice element was/will be paid exactly as submitted, without financial adjustment(s).\r\n\r\nIf the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as \"Adjudicated with Adjustment\".\r\n\r\nIf information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17617"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"CONT","display":"contract","definition":"Transaction counts and value totals by Contract Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17974"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"DAY","display":"day","definition":"Transaction counts and value totals for each calendar day within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17969"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"LOC","display":"location","definition":"Transaction counts and value totals by service location (e.g clinic).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17976"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"MONTH","display":"month","definition":"Transaction counts and value totals for each calendar month within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17970"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"PERIOD","display":"period","definition":"Transaction counts and value totals for the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17971"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"PROV","display":"provider","definition":"Transaction counts and value totals by Provider Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17975"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"WEEK","display":"week","definition":"Transaction counts and value totals for each calendar week within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17972"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"YEAR","display":"year","definition":"Transaction counts and value totals for each calendar year within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17973"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"DISPLAY","display":"Display","definition":"The adjudication result associated is to be displayed to the receiver of the adjudication result.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17475"},{"code":"subsumedBy","valueCode":"_ActAdjudicationResultActionCode"}]},{"code":"FORM","display":"Print on Form","definition":"The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17473"},{"code":"subsumedBy","valueCode":"_ActAdjudicationResultActionCode"}]},{"code":"NAT","display":"Insufficient authorization","definition":"The requesting party has insufficient authorization to invoke the interaction.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21390"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"SUPPRESSED","display":"record suppressed","definition":"**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23274"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"VALIDAT","display":"validation issue","definition":"**Description:**The specified element did not pass business-rule validation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21651"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"_ActAdministrativeAuthorizationDetectedIssueCode","display":"ActAdministrativeAuthorizationDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21389"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_ActAdministrativeRuleDetectedIssueCode","display":"ActAdministrativeRuleDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21391"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_AuthorizationIssueManagementCode","display":"Authorization Issue Management Code","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ALRT"}},{"code":"internalId","valueCode":"21387"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueManagementCode"}]},{"code":"KEY204","display":"Unknown key identifier","definition":"The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21392"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"},{"code":"subsumedBy","valueCode":"VALIDAT"}]},{"code":"KEY205","display":"Duplicate key identifier","definition":"The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21393"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"},{"code":"subsumedBy","valueCode":"VALIDAT"}]},{"code":"KEY206","display":"non-matching identification","definition":"**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23272"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"}]},{"code":"OBSOLETE","display":"obsolete record returned","definition":"**Description:** One or more records in the query response have a status of 'obsolete'.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23275"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"}]},{"code":"CPTM","display":"CPT modifier codes","definition":"**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22151"},{"code":"subsumedBy","valueCode":"_ActBillableModifierCode"}]},{"code":"HCPCSA","display":"HCPCS Level II and Carrier-assigned","definition":"**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22150"},{"code":"subsumedBy","valueCode":"_ActBillableModifierCode"}]},{"code":"_ActMedicalBillableServiceCode","display":"ActMedicalBillableServiceCode","definition":"**Definition:** An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22219"},{"code":"subsumedBy","valueCode":"_ActBillableServiceCode"}]},{"code":"_ActNonMedicalBillableServiceCode","display":"ActNonMedicalBillableServiceCode","definition":"**Definition:** An identifying code for billable services that are not medical procedures, such as social services or governmental program services.\r\n\r\n**Example:** Building a wheelchair ramp, help with groceries, giving someone a ride, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22220"},{"code":"subsumedBy","valueCode":"_ActBillableServiceCode"}]},{"code":"BLK","display":"block funding","definition":"A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.\r\n\r\nThis billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17480"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"CAP","display":"capitation funding","definition":"A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17484"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"CONTF","display":"contract funding","definition":"A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17481"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"FINBILL","display":"financial","definition":"A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"19723"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"ROST","display":"roster funding","definition":"A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17482"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"SESS","display":"sessional funding","definition":"A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17483"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"FFS","display":"fee for service","definition":"A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.\r\n\r\nFee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17479"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"},{"code":"subsumedBy","valueCode":"FF"}]},{"code":"ROIFS","display":"fully specified ROI","definition":"A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of \"ST elevation\" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17897"},{"code":"subsumedBy","valueCode":"_ActBoundedROICode"}]},{"code":"ROIPS","display":"partially specified ROI","definition":"A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17898"},{"code":"subsumedBy","valueCode":"_ActBoundedROICode"}]},{"code":"_ActCredentialedCareCode","display":"act credentialed care","definition":"**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.\r\n\r\n**Example:**Hospital license; physician license; clinic accreditation.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}},{"code":"internalId","valueCode":"21826"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"_ActEncounterCode","display":"ActEncounterCode","definition":"Domain provides codes that qualify the ActEncounterClass (ENC)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ENC"}},{"code":"internalId","valueCode":"20869"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"_ActMedicalServiceCode","display":"ActMedicalServiceCode","definition":"General category of medical service provided to the patient during their encounter.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20896"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"AUTOATTCH","display":"auto attachment","definition":"**Description:** Automobile Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23012"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"DOCUMENT","display":"document","definition":"**Description:** Document Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23008"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"HEALTHREC","display":"health record","definition":"**Description:** Health Record Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23010"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"IMG","display":"image attachment","definition":"**Description:** Image Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23006"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"LABRESULTS","display":"lab results","definition":"**Description:** Lab Results Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23009"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"MODEL","display":"model","definition":"**Description:** Digital Model Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23007"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"WIATTCH","display":"work injury report attachment","definition":"**Description:** Work Injury related additional Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23011"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"XRAY","display":"x-ray","definition":"**Description:** Digital X-Ray Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23005"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"_ActDecision","display":"_ActDecision","definition":"Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"24107"},{"code":"subsumedBy","valueCode":"_ActConsent"}]},{"code":"_ActPrivacyConsentDirective","display":"_ActPrivacyConsentDirective","definition":"Specifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"24108"},{"code":"subsumedBy","valueCode":"_ActConsent"}]},{"code":"EMRGONLY","display":"emergency only","definition":"Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.\r\n\r\n*Usage Note:* To specify the scope of an \"EMRGONLY\" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\n\r\n *  ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\n *  BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\n *  ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"Break the Glass\" purpose of use.\r\n *  THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\n *  DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\n\r\nMap: An \"emergency only\" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23325"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"}]},{"code":"GRANTORCHOICE","display":"grantor choice","definition":"A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\n*Comment:* A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.\r\n\r\n*Usage Note:* If the grantor's term of agreement must be accepted in full, then this is considered \"basic consent\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A PHR account holder \\[grantor\\] may require any PHR user \\[grantee\\] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user.\r\n *  Non-healthcare: The owner of a resource server \\[grantor\\] may require any authorization server \\[grantee\\] to meet authorization requirements stipulated in the grantor's terms of agreement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23754"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"IMPLIED","display":"implied consent","definition":"A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\n*Comment:* Implied or \"implicit\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.\r\n\r\n*Usage Note:* Implied consent with no opportunity to assent or dissent to certain terms is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient \\[grantor\\] agrees to the rights granted to the provider \\[grantee\\] in an implicit consent directive.\r\n *  An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws.\r\n *  Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests.\r\n *  A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23755"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"IMPLIEDD","display":"implied consent with opportunity to dissent","definition":"A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\n*Comment:* A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Implied or \"implicit\" consent with an \"opportunity to dissent\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.\r\n *  A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations.\r\n *  Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23756"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"NOCONSENT","display":"no consent","definition":"No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\n*Comment:* A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles \\[FIPP\\] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.\r\n\r\n*Usage Note:* The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented.\r\n *  Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement.\r\n *  Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling.\r\n *  Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23757"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"NOPP","display":"notice of privacy practices","definition":"An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.\r\n\r\n*Usage Notes:* Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\".","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\"."},{"code":"internalId","valueCode":"23370"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"}]},{"code":"OPTIN","display":"opt-in","definition":"A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\n*Comment:* Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] signs a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies.\r\n *  Non-healthcare: An employee \\[grantor\\] signs an employer's \\[grantee's\\] non-disclosure and non-compete agreement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23326"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTINR","display":"opt-in with restrictions","definition":"A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\n*Comment:* A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Opt-in with restrictions is considered \"granular consent\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list.\r\n *  Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23758"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTOUT","display":"op-out","definition":"A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\n*Comment:* Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] declines to sign a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.\r\n *  Non-healthcare: An employee \\[grantor\\] refuses to sign an employer's \\[grantee's\\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.\r\n *  A citizen \\[grantor\\] refuses to enroll in mandatory government \\[grantee\\] health insurance based on religious beliefs, which is an exemption.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23327"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTOUTE","display":"opt-out with exceptions","definition":"A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\n*Comment:* A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.\r\n\r\n*Usage Note:* Opt-out with exceptions is considered a \"granular consent\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"time to live\" shared secret \\[e.g., a token or password\\], which the patient can give to a provider when seeking care.\r\n *  Non-healthcare: A social media user \\[grantor\\] dissents from public access to their account, but assents to access to a circle of friends.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23759"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"ICOL","display":"information collection","definition":"**Definition:** Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22203"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"IDSCL","display":"information disclosure","definition":"**Definition:** Consent to have collected healthcare information disclosed.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22204"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"INFA","display":"information access","definition":"**Definition:** Consent to access healthcare information.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22200"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"IRDSCL","display":"information redisclosure","definition":"**Definition:** Information re-disclosed without the patient's consent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22205"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"RESEARCH","display":"research information access","definition":"**Definition:** Consent to have healthcare information in an electronic health record accessed for research purposes.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22206"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"ID","display":"Identified","definition":"Used by one system to inform another that it has received a container.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14059"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"IP","display":"In Position","definition":"Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14060"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"L","display":"Left Equipment","definition":"Used by one system to inform another that the container has been released from that system.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14063"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"M","display":"Missing","definition":"Used by one system to inform another that the container did not arrive at its next expected location.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14064"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"O","display":"In Process","definition":"Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14061"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"R","display":"Process Completed","definition":"Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14062"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"X","display":"Container Unavailable","definition":"Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14065"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"AUTO","display":"auto-repeat permission","definition":"Specifies whether or not automatic repeat testing is to be initiated on specimens.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16860"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"ENDC","display":"endogenous content","definition":"A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16858"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"REFLEX","display":"reflex permission","definition":"Specifies whether or not further testing may be automatically or manually initiated on specimens.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16859"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"_ECGControlVariable","display":"ECGControlVariable","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20916"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"AUTH","display":"Authorized","definition":"Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17492"},{"code":"subsumedBy","valueCode":"_ActCoverageAuthorizationConfirmationCode"}]},{"code":"NAUTH","display":"Not Authorized","definition":"Authorization for specified healthcare service(s) and/or product(s) denied.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17493"},{"code":"subsumedBy","valueCode":"_ActCoverageAuthorizationConfirmationCode"}]},{"code":"_ActCoverageAuthorizationConfirmationCode","display":"ActCoverageAuthorizationConfirmationCode","definition":"Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"internalId","valueCode":"20862"},{"code":"subsumedBy","valueCode":"_ActCoverageConfirmationCode"}]},{"code":"_ActCoverageEligibilityConfirmationCode","display":"ActCoverageEligibilityConfirmationCode","definition":"Indication of eligibility coverage for healthcare service(s) and/or product(s).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20864"},{"code":"subsumedBy","valueCode":"_ActCoverageConfirmationCode"}]},{"code":"ELG","display":"Eligible","definition":"Insurance coverage is in effect for healthcare service(s) and/or product(s).","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17489"},{"code":"subsumedBy","valueCode":"_ActCoverageEligibilityConfirmationCode"}]},{"code":"NELG","display":"Not Eligible","definition":"Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17490"},{"code":"subsumedBy","valueCode":"_ActCoverageEligibilityConfirmationCode"}]},{"code":"_ActCoverageQuantityLimitCode","display":"ActCoverageQuantityLimitCode","definition":"Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"internalId","valueCode":"22342"},{"code":"subsumedBy","valueCode":"_ActCoverageLimitCode"}]},{"code":"COVMX","display":"coverage maximum","definition":"**Definition:** Codes representing the maximum coverate or financial participation requirements.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22239"},{"code":"subsumedBy","valueCode":"_ActCoverageLimitCode"}]},{"code":"_ActCoveredPartyLimitCode","display":"ActCoveredPartyLimitCode","definition":"Codes representing the types of covered parties that may receive covered benefits under a policy or program.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22344"},{"code":"subsumedBy","valueCode":"_ActCoverageLimitCode"}]},{"code":"COVPRD","display":"coverage period","definition":"Codes representing the time period during which coverage is available; or financial participation requirements are in effect.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22343"},{"code":"subsumedBy","valueCode":"_ActCoverageQuantityLimitCode"}]},{"code":"LFEMX","display":"life time maximum","definition":"**Definition:** Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22240"},{"code":"subsumedBy","valueCode":"_ActCoverageQuantityLimitCode"},{"code":"subsumedBy","valueCode":"COVMX"}]},{"code":"NETAMT","display":"Net Amount","definition":"Maximum net amount that will be covered for the product or service specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17497"},{"code":"subsumedBy","valueCode":"_ActCoverageQuantityLimitCode"}]},{"code":"PRDMX","display":"period maximum","definition":"**Definition:** Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22241"},{"code":"subsumedBy","valueCode":"_ActCoverageQuantityLimitCode"},{"code":"subsumedBy","valueCode":"COVMX"}]},{"code":"UNITPRICE","display":"Unit Price","definition":"Maximum unit price that will be covered for the authorized product or service.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17499"},{"code":"subsumedBy","valueCode":"_ActCoverageQuantityLimitCode"}]},{"code":"UNITQTY","display":"Unit Quantity","definition":"Maximum number of items that will be covered of the product or service specified.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17498"},{"code":"subsumedBy","valueCode":"_ActCoverageQuantityLimitCode"}]},{"code":"_ActInsurancePolicyCode","display":"ActInsurancePolicyCode","definition":"Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"POLICY"}},{"code":"internalId","valueCode":"20874"},{"code":"subsumedBy","valueCode":"_ActCoverageTypeCode"}]},{"code":"_ActInsuranceTypeCode","display":"ActInsuranceTypeCode","definition":"**Definition:** Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured.\r\n\r\n*Discussion:* In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22097"},{"code":"subsumedBy","valueCode":"_ActCoverageTypeCode"}]},{"code":"_ActProgramTypeCode","display":"ActProgramTypeCode","definition":"**Definition:** A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds.\r\n\r\n*Discussion:* Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22098"},{"code":"subsumedBy","valueCode":"_ActCoverageTypeCode"}]},{"code":"_ActCoveragePartyLimitGroupCode","display":"ActCoveragePartyLimitGroupCode","definition":"Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22345"},{"code":"subsumedBy","valueCode":"_ActCoveredPartyLimitCode"}]},{"code":"_ActCredentialedCareProvisionPersonCode","display":"act credentialed care provision peron","definition":"**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}},{"code":"internalId","valueCode":"21827"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareCode"}]},{"code":"_ActCredentialedCareProvisionProgramCode","display":"act credentialed care provision program","definition":"**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}},{"code":"internalId","valueCode":"21828"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareCode"}]},{"code":"CACC","display":"certified anatomic pathology and clinical pathology care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21848"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareProvisionPersonCode"}]},{"code":"CAIC","display":"certified allergy and immunology care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21830"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareProvisionPersonCode"}]},{"code":"CAMC","display":"certified aerospace medicine care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21854"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareProvisionPersonCode"}]},{"code":"CANC","display":"certified anesthesiology care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21831"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareProvisionPersonCode"}]},{"code":"CAPC","display":"certified anatomic pathology care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21849"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareProvisionPersonCode"}]},{"code":"CBGC","display":"certified clinical biochemical genetics care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21837"},{"code":"subsumedBy","valueCode":"_ActCredentialedCareProvisionPersonCode"}]},{"code":"CCCC","display":"certified clinical cytogenetics care","definition":"**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty 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