#1

GET https://tx.fhir.org/r4/metadata HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
User-Agent: fhir/publisher

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:3933
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:17:51 GMT
etag:W/"f5d-T2puO1liiN1QozGJQKYyBwX1OWA"
server:nginx
x-powered-by:Express
x-request-id:tx-116546

{"resourceType":"CapabilityStatement","id":"FhirServer","extension":[{"extension":[{"url":"definition","valueCanonical":"http://hl7.org/fhir/uv/tx-tests/FeatureDefinition/test-version"},{"url":"value","valueCode":"1.8.0"},{"extension":[{"url":"name","valueCode":"mode"},{"url":"value","valueCode":"tx.fhir.org"}],"url":"qualifier"}],"url":"http://hl7.org/fhir/uv/application-feature/StructureDefinition/feature"},{"extension":[{"url":"definition","valueCanonical":"http://hl7.org/fhir/uv/tx-ecosystem/FeatureDefinition/CodeSystemAsParameter"},{"url":"value","valueBoolean":true}],"url":"http://hl7.org/fhir/uv/application-feature/StructureDefinition/feature"}],"url":"https://node.tx.fhir.org/r4/CapabilityStatement/tx","version":"4.0.1-0.8.2","name":"FHIRTerminologyServer","title":"FHIR Terminology Server","status":"active","date":"2026-03-30T21:17:51.723Z","contact":[{"telecom":[{"system":"other","value":"http://example.org/"}]}],"description":"FHIR Terminology Server","kind":"instance","instantiates":["http://hl7.org/fhir/CapabilityStatement/terminology-server"],"software":{"name":"FHIRsmith","version":"0.8.2","releaseDate":"2026-03-30T21:17:51.723Z"},"implementation":{"description":"FHIR Server running at https://node.tx.fhir.org/r4","url":"https://node.tx.fhir.org/r4"},"fhirVersion":"4.0.1","format":["application/fhir+xml","application/fhir+json"],"rest":[{"mode":"server","security":{"cors":true},"resource":[{"type":"CodeSystem","interaction":[{"code":"read","documentation":"Read a code system"},{"code":"search-type","documentation":"Search the code systems"}],"searchParam":[{"name":"url","type":"uri"},{"name":"version","type":"token"},{"name":"name","type":"string"},{"name":"title","type":"string"},{"name":"status","type":"token"},{"name":"_id","type":"token"}],"operation":[{"name":"lookup","definition":"http://hl7.org/fhir/OperationDefinition/CodeSystem-lookup"},{"name":"validate-code","definition":"http://hl7.org/fhir/OperationDefinition/CodeSystem-validate-code"},{"name":"subsumes","definition":"http://hl7.org/fhir/OperationDefinition/CodeSystem-subsumes"}]},{"type":"ValueSet","interaction":[{"code":"read","documentation":"Read a ValueSet"},{"code":"search-type","documentation":"Search the value sets"}],"searchParam":[{"name":"url","type":"uri"},{"name":"version","type":"token"},{"name":"name","type":"string"},{"name":"title","type":"string"},{"name":"status","type":"token"},{"name":"_id","type":"token"}],"operation":[{"name":"expand","definition":"http://hl7.org/fhir/OperationDefinition/ValueSet-expand"},{"name":"validate-code","definition":"http://hl7.org/fhir/OperationDefinition/ValueSet-validate-code"}]},{"type":"ConceptMap","interaction":[{"code":"read","documentation":"Read a ConceptMap"},{"code":"search-type","documentation":"Search the concept maps"}],"searchParam":[{"name":"url","type":"uri"},{"name":"version","type":"token"},{"name":"name","type":"string"},{"name":"title","type":"string"},{"name":"status","type":"token"},{"name":"_id","type":"token"}],"operation":[{"name":"translate","definition":"http://hl7.org/fhir/OperationDefinition/ConceptMap-translate"},{"name":"closure","definition":"http://hl7.org/fhir/OperationDefinition/ConceptMap-closure"}]}],"interaction":[{"code":"transaction"}],"operation":[{"name":"expand","definition":"http://hl7.org/fhir/OperationDefinition/ValueSet-expand"},{"name":"lookup","definition":"http://hl7.org/fhir/OperationDefinition/CodeSystem-lookup"},{"name":"subsumes","definition":"http://hl7.org/fhir/OperationDefinition/CodeSystem-subsumes"},{"name":"validate-code","definition":"http://hl7.org/fhir/OperationDefinition/Resource-validate-code"},{"name":"translate","definition":"http://hl7.org/fhir/OperationDefinition/ConceptMap-translate"},{"name":"closure","definition":"http://hl7.org/fhir/OperationDefinition/ConceptMap-closure"},{"name":"versions","definition":"http://hl7.org/fhir/OperationDefinition/fhir-versions"}]}]}

#2

GET https://tx.fhir.org/r4/metadata?mode=terminology HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
User-Agent: fhir/publisher

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:311404
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:17:51 GMT
etag:W/"4c06c-k84IS5R69fyY1Zxjq/cx/SOD09g"
server:nginx
x-powered-by:Express
x-request-id:tx-116549

{"resourceType":"TerminologyCapabilities","id":"FhirServer","url":"https://node.tx.fhir.org/r4/TerminologyCapabilities/tx","version":"0.8.2","name":"FHIRTerminologyServer","title":"FHIR Terminology Server","status":"active","date":"2026-03-30T21:17:51.942Z","contact":[{"telecom":[{"system":"other","value":"http://example.org/"}]}],"description":"FHIR Terminology Server","kind":"instance","codeSystem":[{"uri":"http://cap.org/eCP","version":[{"code":"4.000.001"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"fragment"}]},{"uri":"http://cds-hooks.hl7.org/CodeSystem/indicator","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://devices.fhir.org/CodeSystem/MDC-concept-status","extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://devices.fhir.org/CodeSystem/MDC-designation-use","extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://dicom.nema.org/resources/ontology/DCM","version":[{"code":"01"},{"code":"2025.3.20250714"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://fdasis.nlm.nih.gov","version":[{"code":"2024-06-22"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://healthit.gov/nhin/purposeofuse","version":[{"code":"2.0"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/abstract-types","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/account-status","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-cardinality-behavior","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-condition-kind","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-grouping-behavior","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-participant-type","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-precheck-behavior","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-relationship-type","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-required-behavior","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/action-selection-behavior","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/additionalmaterials","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/address-type","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/address-use","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/administrative-gender","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/adverse-event-actuality","version":[{"code":"4.0.1"}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-TerminologyCapabilities.codeSystem.content","valueCode":"complete"}]},{"uri":"http://hl7.org/fhir/allergy-intolerance-category"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#3

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200
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etag:W/"f5d-55+4LCgmXDPHhVx0YiSHAj4FiOc"
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#4

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connection:keep-alive
content-length:394
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:50 GMT
etag:W/"18a-0psykgX2qcqSy7p01iLqemlY1y0"
server:nginx
x-powered-by:Express
x-request-id:tx-117967

{"resourceType":"Bundle","type":"searchset","total":0,"link":[{"relation":"self","url":"http://tx.fhir.org/r4/CodeSystem?_format=json&url=urn%3Aietf%3Abcp%3A13&_offset=0"},{"relation":"first","url":"http://tx.fhir.org/r4/CodeSystem?_format=json&url=urn%3Aietf%3Abcp%3A13&_offset=0"},{"relation":"last","url":"http://tx.fhir.org/r4/CodeSystem?_format=json&url=urn%3Aietf%3Abcp%3A13&_offset=0"}]}

#5

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:13","code":"text/markdown"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:650
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:50 GMT
etag:W/"28a-3dbRT6mVo7fDRS7Dbw4/xPakwvw"
server:nginx
x-powered-by:Express
x-request-id:tx-117975

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"urn:ietf:bcp:13"},{"name":"code","valueCode":"text/markdown"},{"name":"display","valueString":"text/markdown"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms urn:ietf:bcp:13/vs: Validate \"[urn:ietf:bcp:13#text/markdown (\"undefined\")]\"\n0ms urn:ietf:bcp:13/vs: Check \"urn:ietf:bcp:13#text/markdown\"\n0ms urn:ietf:bcp:13/vs: CodeSystem found: urn:ietf:bcp:13|null for urn:ietf:bcp:13\n0ms urn:ietf:bcp:13/vs: check code in (urn:ietf:bcp:13) at Coding\n0ms urn:ietf:bcp:13/vs: Code \"text/markdown\" found in urn:ietf:bcp:13|null"}]}

#6

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:13","code":"application/pdf"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:660
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:50 GMT
etag:W/"294-YK48fjQvLygJ20pvTstp5H2CfgU"
server:nginx
x-powered-by:Express
x-request-id:tx-117982

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"urn:ietf:bcp:13"},{"name":"code","valueCode":"application/pdf"},{"name":"display","valueString":"application/pdf"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms urn:ietf:bcp:13/vs: Validate \"[urn:ietf:bcp:13#application/pdf (\"undefined\")]\"\n0ms urn:ietf:bcp:13/vs: Check \"urn:ietf:bcp:13#application/pdf\"\n0ms urn:ietf:bcp:13/vs: CodeSystem found: urn:ietf:bcp:13|null for urn:ietf:bcp:13\n0ms urn:ietf:bcp:13/vs: check code in (urn:ietf:bcp:13) at Coding\n0ms urn:ietf:bcp:13/vs: Code \"application/pdf\" found in urn:ietf:bcp:13|null"}]}

#7

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:13","code":"application/xml"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:660
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:51 GMT
etag:W/"294-KfCx1lI5KE8Ai9Gymu3u4HGE6AY"
server:nginx
x-powered-by:Express
x-request-id:tx-117988

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"urn:ietf:bcp:13"},{"name":"code","valueCode":"application/xml"},{"name":"display","valueString":"application/xml"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms urn:ietf:bcp:13/vs: Validate \"[urn:ietf:bcp:13#application/xml (\"undefined\")]\"\n0ms urn:ietf:bcp:13/vs: Check \"urn:ietf:bcp:13#application/xml\"\n0ms urn:ietf:bcp:13/vs: CodeSystem found: urn:ietf:bcp:13|null for urn:ietf:bcp:13\n0ms urn:ietf:bcp:13/vs: check code in (urn:ietf:bcp:13) at Coding\n0ms urn:ietf:bcp:13/vs: Code \"application/xml\" found in urn:ietf:bcp:13|null"}]}

#8

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"{score}"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:801
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:51 GMT
etag:W/"321-vSPWmoxSrOeVaqLJ8JHu5IL3KZ4"
server:nginx
x-powered-by:Express
x-request-id:tx-117997

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://unitsofmeasure.org"},{"name":"code","valueCode":"{score}"},{"name":"version","valueString":"2.2"},{"name":"display","valueString":"{score}"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://unitsofmeasure.org/vs|2.2: Validate \"[http://unitsofmeasure.org#{score} (\"undefined\")]\"\n0ms http://unitsofmeasure.org/vs|2.2: Check \"http://unitsofmeasure.org#{score}\"\n0ms http://unitsofmeasure.org/vs|2.2: CodeSystem found: http://unitsofmeasure.org|2.2 for http://unitsofmeasure.org|2.2\n0ms http://unitsofmeasure.org/vs|2.2: check code in (http://unitsofmeasure.org) at Coding\n0ms http://unitsofmeasure.org/vs|2.2: Code \"{score}\" found in http://unitsofmeasure.org|2.2"}]}

#9

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://unitsofmeasure.org","code":"%"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:771
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:51 GMT
etag:W/"303-qRv7/gHQedgMdk6H4ZLb+RHg8rQ"
server:nginx
x-powered-by:Express
x-request-id:tx-118003

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://unitsofmeasure.org"},{"name":"code","valueCode":"%"},{"name":"version","valueString":"2.2"},{"name":"display","valueString":"%"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://unitsofmeasure.org/vs|2.2: Validate \"[http://unitsofmeasure.org#% (\"undefined\")]\"\n0ms http://unitsofmeasure.org/vs|2.2: Check \"http://unitsofmeasure.org#%\"\n0ms http://unitsofmeasure.org/vs|2.2: CodeSystem found: http://unitsofmeasure.org|2.2 for http://unitsofmeasure.org|2.2\n0ms http://unitsofmeasure.org/vs|2.2: check code in (http://unitsofmeasure.org) at Coding\n0ms http://unitsofmeasure.org/vs|2.2: Code \"%\" found in http://unitsofmeasure.org|2.2"}]}

#10

GET https://tx.fhir.org/r4/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json; fhirVersion=4.0

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:336896
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:52 GMT
etag:W/"52400-txW70Z5F94TeuNqg1HJRZkqGbuE"
server:nginx
x-powered-by:Express
x-request-id:tx-118029

{"resourceType":"Bundle","type":"searchset","total":2,"link":[{"relation":"self","url":"http://tx.fhir.org/r4/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue&_offset=0"},{"relation":"first","url":"http://tx.fhir.org/r4/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue&_offset=0"},{"relation":"last","url":"http://tx.fhir.org/r4/CodeSystem?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue&_offset=0"}],"entry":[{"fullUrl":"http://tx.fhir.org/r4/CodeSystem/v3-ObservationValue","search":{"mode":"match"},"resource":{"resourceType":"CodeSystem","id":"v3-ObservationValue","meta":{"lastUpdated":"2018-08-12T00:00:00.000+10:00"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"external"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0}],"url":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1063"}],"version":"2018-08-12","name":"v3.ObservationValue","title":"v3 Code System ObservationValue","status":"active","experimental":false,"date":"2018-08-12T00:00:00+10:00","publisher":"HL7, Inc","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"}]}],"description":" This domain is the root domain to which all HL7-recognized value sets for the Observation.value attribute will be linked when Observation.value has a coded data type.  OpenIssue:\r\nDescription copied from Concept Domain of same name.  Must be corrected..","caseSensitive":true,"valueSet":"http://terminology.hl7.org/ValueSet/v3-ObservationValue","hierarchyMeaning":"is-a","content":"complete","property":[{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, retired","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged","type":"dateTime"}],"concept":[{"code":"_ActCoverageAssessmentObservationValue","display":"ActCoverageAssessmentObservationValue","definition":"Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"_ActFinancialStatusObservationValue","display":"ActFinancialStatusObservationValue","definition":"Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"ASSET","display":"asset","definition":"Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.","concept":[{"code":"ANNUITY","display":"annuity","definition":"Indicator of annuity ownership or status as beneficiary."},{"code":"PROP","display":"real property","definition":"Indicator of real property ownership, e.g., deed or real estate contract."},{"code":"RETACCT","display":"retirement investment account","definition":"Indicator of retirement investment account ownership."},{"code":"TRUST","display":"trust","definition":"Indicator of status as trust beneficiary."}]},{"code":"INCOME","display":"income","definition":"Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.","concept":[{"code":"CHILD","display":"child support","definition":"Indicator of child support payments received or provided."},{"code":"DISABL","display":"disability pay","definition":"Indicator of disability income replacement payment."},{"code":"INVEST","display":"investment income","definition":"Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check."},{"code":"PAY","display":"paid employment","definition":"Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub."},{"code":"RETIRE","display":"retirement pay","definition":"Indicator of retirement payment, e.g., pension check."},{"code":"SPOUSAL","display":"spousal or partner support","definition":"Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement."},{"code":"SUPPLE","display":"income supplement","definition":"Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant."},{"code":"TAX","display":"tax obligation","definition":"Indicator of tax obligation or payment, e.g., statement of taxable income."}]},{"code":"LIVEXP","display":"living expense","definition":"Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.","concept":[{"code":"CLOTH","display":"clothing expense","definition":"Indicator of clothing expenses."},{"code":"FOOD","display":"food expense","definition":"Indicator of transportation expenses."},{"code":"HEALTH","display":"health expense","definition":"Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums."},{"code":"HOUSE","display":"household expense","definition":"Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs."},{"code":"LEGAL","display":"legal expense","definition":"Indicator of legal expenses."},{"code":"MORTG","display":"mortgage","definition":"Indicator of mortgage amount, interest, and payments."},{"code":"RENT","display":"rent","definition":"Indicator of rental or lease payments."},{"code":"SUNDRY","display":"sundry expense","definition":"Indicator of transportation expenses."},{"code":"TRANS","display":"transportation expense","definition":"Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs."},{"code":"UTIL","display":"utility expense","definition":"Indicator of transportation expenses."}]}]},{"code":"ELSTAT","display":"eligibility indicator","definition":"Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.","concept":[{"code":"ADOPT","display":"adoption document","definition":"Indicator of adoption."},{"code":"BTHCERT","display":"birth certificate","definition":"Indicator of birth."},{"code":"CCOC","display":"creditable coverage document","definition":"Indicator of creditable coverage."},{"code":"DRLIC","display":"driver license","definition":"Indicator of driving status."},{"code":"FOSTER","display":"foster child document","definition":"Indicator of foster child status."},{"code":"MEMBER","display":"program or policy member","definition":"Indicator of status as covered member under a policy or program, e.g., member id card or coverage document."},{"code":"MIL","display":"military identification","definition":"Indicator of military status."},{"code":"MRGCERT","display":"marriage certificate","definition":"Indicator of marriage status."},{"code":"PASSPORT","display":"passport","definition":"Indicator of citizenship."},{"code":"STUDENRL","display":"student enrollment","definition":"Indicator of student status."}]},{"code":"HLSTAT","display":"health status","definition":"Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.","concept":[{"code":"DISABLE","display":"disabled","definition":"Indication of disability."},{"code":"DRUG","display":"drug use","definition":"Indication of drug use."},{"code":"IVDRG","display":"IV drug use","definition":"Indication of IV drug use ."},{"code":"PGNT","display":"pregnant","definition":"Non-clinical report of pregnancy."}]},{"code":"LIVDEP","display":"living dependency","definition":"Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.","concept":[{"code":"RELDEP","display":"relative dependent","definition":"Continued living in private residence requires functional and health care assistance from one or more relatives."},{"code":"SPSDEP","display":"spouse dependent","definition":"Continued living in private residence requires functional and health care assistance from spouse or life partner."},{"code":"URELDEP","display":"unrelated person dependent","definition":"Continued living in private residence requires functional and health care assistance from one or more unrelated persons."}]},{"code":"LIVSIT","display":"living situation","definition":"Code specifying observations related to living situation for a person in a private residence.","concept":[{"code":"ALONE","display":"alone","definition":"Living alone.  Maps to PD1-2   Living arrangement   (IS)   00742 [A]"},{"code":"DEPCHD","display":"dependent children","definition":"Living with one or more dependent children requiring moderate supervision."},{"code":"DEPSPS","display":"dependent spouse","definition":"Living with disabled spouse requiring functional and health care assistance"},{"code":"DEPYGCHD","display":"dependent young children","definition":"Living with one or more dependent children requiring intensive supervision"},{"code":"FAM","display":"live with family","definition":"Living with family. Maps to PD1-2   Living arrangement   (IS)   00742 [F]"},{"code":"RELAT","display":"relative","definition":"Living with one or more relatives. Maps to PD1-2   Living arrangement   (IS)   00742 [R]"},{"code":"SPS","display":"spouse only","definition":"Living only with spouse or life partner. Maps to PD1-2   Living arrangement   (IS)   00742 [S]"},{"code":"UNREL","display":"unrelated person","definition":"Living with one or more unrelated persons."}]},{"code":"SOECSTAT","display":"socio economic status","definition":"Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.","concept":[{"code":"ABUSE","display":"abuse victim","definition":"Indication of abuse victim."},{"code":"HMLESS","display":"homeless","definition":"Indication of status as homeless."},{"code":"ILGIM","display":"illegal immigrant","definition":"Indication of status as illegal immigrant."},{"code":"INCAR","display":"incarcerated","definition":"Indication of status as incarcerated."},{"code":"PROB","display":"probation","definition":"Indication of probation status."},{"code":"REFUG","display":"refugee","definition":"Indication of refugee status."},{"code":"UNEMPL","display":"unemployed","definition":"Indication of unemployed status."}]}]},{"code":"_AllergyTestValue","display":"AllergyTestValue","definition":"Indicates the result of a particular allergy test.  E.g. Negative, Mild, Moderate, Severe","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"A0","display":"no reaction","definition":"Description:Patient exhibits no reaction to the challenge agent."},{"code":"A1","display":"minimal reaction","definition":"Description:Patient exhibits a minimal reaction to the challenge agent."},{"code":"A2","display":"mild reaction","definition":"Description:Patient exhibits a mild reaction to the challenge agent."},{"code":"A3","display":"moderate reaction","definition":"Description:Patient exhibits moderate reaction to the challenge agent."},{"code":"A4","display":"severe reaction","definition":"Description:Patient exhibits a severe reaction to the challenge agent."}]},{"code":"_CompositeMeasureScoring","display":"CompositeMeasureScoring","definition":"Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"ALLORNONESCR","display":"All-or-nothing Scoring","definition":"Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator."},{"code":"LINEARSCR","display":"Linear Scoring","definition":"Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure."},{"code":"OPPORSCR","display":"Opportunity Scoring","definition":"Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score."},{"code":"WEIGHTSCR","display":"Weighted Scoring","definition":"Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score."}]},{"code":"_CoverageLimitObservationValue","display":"CoverageLimitObservationValue","definition":"Description:Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"_CoverageLevelObservationValue","display":"CoverageLevelObservationValue","definition":"Description:Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"ADC","display":"adult child","definition":"Description:Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent."},{"code":"CHD","display":"child","definition":"Description:Dependent biological, adopted, foster child as specified by coverage policy or program."},{"code":"DEP","display":"dependent","definition":"Description:Person requiring functional and/or financial assistance from another person as specified by coverage policy or program."},{"code":"DP","display":"domestic partner","definition":"Description:Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program."},{"code":"ECH","display":"employee","definition":"Description:An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program."},{"code":"FLY","display":"family coverage","definition":"Description:As specified by coverage policy or program."},{"code":"IND","display":"individual","definition":"Description:Person as specified by coverage policy or program."},{"code":"SSP","display":"same sex partner","definition":"Description:A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades"}]}]},{"code":"_CriticalityObservationValue","display":"CriticalityObservationValue","definition":"A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"CRITH","display":"high criticality","definition":"Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure."},{"code":"CRITL","display":"low criticality","definition":"Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure."},{"code":"CRITU","display":"unable to assess criticality","definition":"Unable to assess the worst case result of a future exposure."}]},{"code":"_EmploymentStatus","display":"_EmploymentStatus","definition":"Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"Employed","display":"Employed","definition":"Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs."},{"code":"NotInLaborForce","display":"Not In Labor Force","definition":"Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one."},{"code":"Unemployed","display":"Unemployed","definition":"Persons who currently have no employment, but are available for work and have made specific efforts to find employment."}]},{"code":"_GeneticObservationValue","display":"GeneticObservationValue","definition":"Description: The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"Homozygote","display":"HOMO","definition":"Description: An individual having different alleles at one or more loci regarding a specific character"}]},{"code":"_ObservationMeasureScoring","display":"ObservationMeasureScoring","definition":"Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"COHORT","display":"cohort measure scoring","definition":"A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration)."},{"code":"CONTVAR","display":"continuous variable measure scoring","definition":"A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics)."},{"code":"PROPOR","display":"proportion measure scoring","definition":"A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year)."},{"code":"RATIO","display":"ratio measure scoring","definition":"A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days)."}]},{"code":"_ObservationMeasureType","display":"ObservationMeasureType","definition":"Observation values used to indicate what kind of health quality measure is used.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"COMPOSITE","display":"composite measure type","definition":"A measure that is composed from one or more other measures and indicates an overall summary of those measures."},{"code":"EFFICIENCY","display":"efficiency measure type","definition":"A measure related to the efficiency of medical treatment."},{"code":"EXPERIENCE","display":"experience measure type","definition":"A measure related to the level of patient engagement or patient experience of care."},{"code":"OUTCOME","display":"outcome measure type","definition":"A measure that indicates the result of the performance (or non-performance) of a function or process.","concept":[{"code":"INTERM-OM","display":"intermediate clinical outcome measure","definition":"A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome."},{"code":"PRO-PM","display":"intermediate clinical outcome measure","definition":"A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients."}]},{"code":"PROCESS","display":"process measure type","definition":"A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.","concept":[{"code":"APPROPRIATE","display":"appropriate use process measure","definition":"A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences."}]},{"code":"RESOURCE","display":"resource use measure type","definition":"A measure related to the extent of use of clinical resources or cost of care."},{"code":"STRUCTURE","display":"structure measure type","definition":"A measure related to the structure of patient care."}]},{"code":"_ObservationPopulationInclusion","display":"ObservationPopulationInclusion","definition":"Observation values used to assert various populations that a subject falls into.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"DENEX","display":"denominator exclusions","definition":"Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]},{"code":"DENEXCEP","display":"denominator exceptions","definition":"Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures.  Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\n                        \n                           Medical reasons\n                           Patient reasons\n                           System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. \n(e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","definition":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion"},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion"},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion"},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion"},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion"},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion"}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\n                        \n                           Examples: Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN."},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary."},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject.  No key to relink the data is retained."},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\n                        \n                           Usage Note: \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\n                        To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\n                        Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation."},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users.  An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\n                        \n                           Usage Note: \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided."},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject.  Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\n                        \n                           Rationale: Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management.  Based on ISO/TS 25237:2008 Health informatics—Pseudonymization"},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\n                        \n                           Usage Note: \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received."},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\n                        \n                           Usage Note: This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use."},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.  \r\n\n                        \n                           Usage Note: \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource."},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.  \r\n\n                        \n                           Usage Note: \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\n                        The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\n                        To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)"},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability)  which indicates that the resource only retains versions of an IT resource  for access and use per applicable policy\r\n\n                        \n                           Usage Note: When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version."}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\n                        \n                           Examples: Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\n                        \n                           Rationale: This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit.  The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\n                        \n                           Examples: \n                        \r\n\n                        \n                           SHA-1\n                           SHA-2 (Secure Hash Algorithm)"},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.  \r\n\n                        \n                           Rationale: This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature:  Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient."}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\n                        \n                           Examples: Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high."},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate."},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain."},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate."}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\n                        \n                           Examples: Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\n                        \n                           Examples: Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician."},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device."},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional."},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance."},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient."},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer."},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional."},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker."}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\n                        \n                           Examples: Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician."},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device."},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional."},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance."},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient."},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer."},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional."},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker."}]}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework."},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]\n[ISO IEC 10181-1]"},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]\r\n\n                        For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements.  A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range.  Another example is Cross Certification with Federal Bridge."},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]\r\n\n                        For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] \r\n\n                        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] \r\n\n                        Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers.  Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] \r\n\n                        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]\r\n\n                        Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token.  Eavesdropper, replay, and online guessing attacks are prevented.  \nLong-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] \r\n\n                        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] \r\n\n                        Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity.  Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\n                        \n                           \"soft\" cryptographic token, which has the key stored on a general-purpose computer, \n                           \"hard\" cryptographic token, which has the key stored on a special hardware device, and \n                           \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\n                        \n                        Authentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations.  Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.    [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] \r\n\n                        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]\r\n\n                        High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\n                        Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]\r\n\n                        Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]\r\n\n                        Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP).  Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]\r\n\n                        Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication.  Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\n                        Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier."},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]\r\n\n                        High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process.  Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\n                        Assertions and assertion references require protection from modification and reuse attacks.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\n                        Assertions are resistant to disclosure, redirection, capture and substitution attacks.  Approved cryptographic techniques are required for all assertion protocols.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\n                        Assertions are protected against repudiation by the verifier.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\n                        Strongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used.  \"Holder-of-key\" assertions may be used. RP maintains records of the assertions.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity.  Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include:  Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and  token is at least weakly resistant to man-in-the middle attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity.  High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics  include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity.  Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires that a continuity of identity be maintained but does not require identity proofing. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]"}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"},{"code":"LOATK4","display":"high token level of assurance","definition":"Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card.  [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"}]}]},{"code":"TRSTMECOBV","display":"none supplied 6","definition":"Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies."}]}]},{"code":"_SeverityObservation","display":"SeverityObservation","definition":"Potential values for observations of severity.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"H","display":"High","definition":"Indicates the condition may be life-threatening or has the potential to cause permanent injury."},{"code":"L","display":"Low","definition":"Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject."},{"code":"M","display":"Moderate","definition":"Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury."}]},{"code":"_SubjectBodyPosition","display":"_SubjectBodyPosition","definition":"Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc.  ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"LLD","display":"left lateral decubitus","definition":"Lying on the left side."},{"code":"PRN","display":"prone","definition":"Lying with the front or ventral surface downward; lying face down."},{"code":"RLD","display":"right lateral decubitus","definition":"Lying on the right side."},{"code":"SFWL","display":"Semi-Fowler's","definition":"A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees."},{"code":"SIT","display":"sitting","definition":"Resting the body on the buttocks, typically with upper torso erect or semi erect."},{"code":"STN","display":"standing","definition":"To be stationary, upright, vertical, on one's legs."},{"code":"SUP","display":"supine","definition":"supine","concept":[{"code":"RTRD","display":"reverse trendelenburg","definition":"Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered."},{"code":"TRD","display":"trendelenburg","definition":"Lying on the back, on an inclined plane, typically about 30-45 degrees, with  head lowered and feet raised."}]}]},{"code":"_VerificationOutcomeValue","display":"verification outcome","definition":"Values for observations of verification act results\r\n\n                        \n                           Examples: Verified, not verified, verified with warning.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"ACT","display":"active coverage","definition":"Definition: Coverage is in effect for healthcare service(s) and/or product(s)."},{"code":"ACTPEND","display":"active - pending investigation","definition":"Definition: Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation"},{"code":"ELG","display":"eligible","definition":"Definition: Coverage is in effect for healthcare service(s) and/or product(s)."},{"code":"INACT","display":"inactive","definition":"Definition: Coverage is not in effect for healthcare service(s) and/or product(s)."},{"code":"INPNDINV","display":"inactive - pending investigation","definition":"Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation."},{"code":"INPNDUPD","display":"inactive - pending eligibility update","definition":"Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update."},{"code":"NELG","display":"not eligible","definition":"Definition: Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility."}]},{"code":"_WorkSchedule","display":"_WorkSchedule","definition":"Concepts that describe an individual's typical arrangement of working hours for an occupation.","property":[{"code":"notSelectable","valueBoolean":true}],"concept":[{"code":"DS","display":"daytime shift","definition":"A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis."},{"code":"EMS","display":"early morning shift","definition":"Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)"},{"code":"ES","display":"evening shift","definition":"A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis."},{"code":"NS","display":"night shift","definition":"Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis."},{"code":"RSWN","display":"rotating shift with nights","definition":"Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts."},{"code":"RSWON","display":"rotating shift without nights","definition":"Scheduled for work days/times that change periodically between days, but does not include night or evening work."},{"code":"SS","display":"split shift","definition":"Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)"},{"code":"VLS","display":"very long shift","definition":"Shifts of 17 or more hours."},{"code":"VS","display":"variable shift","definition":"Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available."}]},{"code":"_AnnotationValue","display":"AnnotationValue","definition":"AnnotationValue","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_CommonClinicalObservationValue","display":"common clinical observation","definition":"Description:Used in a patient care message to value simple clinical (non-lab) observations.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IndividualCaseSafetyReportValueDomains","display":"Individual Case Safety Report Value Domains","definition":"This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IndicationValue","display":"IndicationValue","definition":"Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]}]}},{"fullUrl":"http://tx.fhir.org/r4/CodeSystem/v3-ObservationValue","search":{"mode":"match"},"resource":{"resourceType":"CodeSystem","id":"v3-ObservationValue","language":"en","text":{"status":"generated","div":"<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem v3-ObservationValue</b></p><a name=\"v3-ObservationValue\"> </a><a name=\"hcv3-ObservationValue\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>Status</td><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td><td>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</td></tr><tr><td>Deprecation Date</td><td>deprecationDate</td><td>http://hl7.org/fhir/concept-properties#deprecationDate</td><td>dateTime</td><td>The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.</td></tr><tr><td>Not Selectable</td><td>notSelectable</td><td>http://hl7.org/fhir/concept-properties#notSelectable</td><td>boolean</td><td>Indicates that the code is abstract - only intended to be used as a selector for other concepts</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>Deprecated</b></td><td><b>Status</b></td><td><b>Deprecation Date</b></td><td><b>Not Selectable</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_ActCoverageAssessmentObservationValue<a name=\"v3-ObservationValue-_ActCoverageAssessmentObservationValue\"> </a></td><td>ActCoverageAssessmentObservationValue</td><td><div><p>Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _ActFinancialStatusObservationValue<a name=\"v3-ObservationValue-_ActFinancialStatusObservationValue\"> </a></td><td>ActFinancialStatusObservationValue</td><td><div><p>Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ASSET<a name=\"v3-ObservationValue-ASSET\"> </a></td><td>asset</td><td><div><p>Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      ANNUITY<a name=\"v3-ObservationValue-ANNUITY\"> </a></td><td>annuity</td><td><div><p>Indicator of annuity ownership or status as beneficiary.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      PROP<a name=\"v3-ObservationValue-PROP\"> </a></td><td>real property</td><td><div><p>Indicator of real property ownership, e.g., deed or real estate contract.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      RETACCT<a name=\"v3-ObservationValue-RETACCT\"> </a></td><td>retirement investment account</td><td><div><p>Indicator of retirement investment account ownership.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      TRUST<a name=\"v3-ObservationValue-TRUST\"> </a></td><td>trust</td><td><div><p>Indicator of status as trust beneficiary.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    INCOME<a name=\"v3-ObservationValue-INCOME\"> </a></td><td>income</td><td><div><p>Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      CHILD<a name=\"v3-ObservationValue-CHILD\"> </a></td><td>child support</td><td><div><p>Indicator of child support payments received or provided.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      DISABL<a name=\"v3-ObservationValue-DISABL\"> </a></td><td>disability pay</td><td><div><p>Indicator of disability income replacement payment.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      INVEST<a name=\"v3-ObservationValue-INVEST\"> </a></td><td>investment income</td><td><div><p>Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      PAY<a name=\"v3-ObservationValue-PAY\"> </a></td><td>paid employment</td><td><div><p>Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      RETIRE<a name=\"v3-ObservationValue-RETIRE\"> </a></td><td>retirement pay</td><td><div><p>Indicator of retirement payment, e.g., pension check.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      SPOUSAL<a name=\"v3-ObservationValue-SPOUSAL\"> </a></td><td>spousal or partner support</td><td><div><p>Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      SUPPLE<a name=\"v3-ObservationValue-SUPPLE\"> </a></td><td>income supplement</td><td><div><p>Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      TAX<a name=\"v3-ObservationValue-TAX\"> </a></td><td>tax obligation</td><td><div><p>Indicator of tax obligation or payment, e.g., statement of taxable income.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    LIVEXP<a name=\"v3-ObservationValue-LIVEXP\"> </a></td><td>living expense</td><td><div><p>Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      CLOTH<a name=\"v3-ObservationValue-CLOTH\"> </a></td><td>clothing expense</td><td><div><p>Indicator of clothing expenses.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      FOOD<a name=\"v3-ObservationValue-FOOD\"> </a></td><td>food expense</td><td><div><p>Indicator of transportation expenses.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      HEALTH<a name=\"v3-ObservationValue-HEALTH\"> </a></td><td>health expense</td><td><div><p>Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      HOUSE<a name=\"v3-ObservationValue-HOUSE\"> </a></td><td>household expense</td><td><div><p>Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LEGAL<a name=\"v3-ObservationValue-LEGAL\"> </a></td><td>legal expense</td><td><div><p>Indicator of legal expenses.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      MORTG<a name=\"v3-ObservationValue-MORTG\"> </a></td><td>mortgage</td><td><div><p>Indicator of mortgage amount, interest, and payments.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      RENT<a name=\"v3-ObservationValue-RENT\"> </a></td><td>rent</td><td><div><p>Indicator of rental or lease payments.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      SUNDRY<a name=\"v3-ObservationValue-SUNDRY\"> </a></td><td>sundry expense</td><td><div><p>Indicator of transportation expenses.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      TRANS<a name=\"v3-ObservationValue-TRANS\"> </a></td><td>transportation expense</td><td><div><p>Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      UTIL<a name=\"v3-ObservationValue-UTIL\"> </a></td><td>utility expense</td><td><div><p>Indicator of transportation expenses.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ELSTAT<a name=\"v3-ObservationValue-ELSTAT\"> </a></td><td>eligibility indicator</td><td><div><p>Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ADOPT<a name=\"v3-ObservationValue-ADOPT\"> </a></td><td>adoption document</td><td><div><p>Indicator of adoption.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    BTHCERT<a name=\"v3-ObservationValue-BTHCERT\"> </a></td><td>birth certificate</td><td><div><p>Indicator of birth.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CCOC<a name=\"v3-ObservationValue-CCOC\"> </a></td><td>creditable coverage document</td><td><div><p>Indicator of creditable coverage.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DRLIC<a name=\"v3-ObservationValue-DRLIC\"> </a></td><td>driver license</td><td><div><p>Indicator of driving status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    FOSTER<a name=\"v3-ObservationValue-FOSTER\"> </a></td><td>foster child document</td><td><div><p>Indicator of foster child status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    MEMBER<a name=\"v3-ObservationValue-MEMBER\"> </a></td><td>program or policy member</td><td><div><p>Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    MIL<a name=\"v3-ObservationValue-MIL\"> </a></td><td>military identification</td><td><div><p>Indicator of military status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    MRGCERT<a name=\"v3-ObservationValue-MRGCERT\"> </a></td><td>marriage certificate</td><td><div><p>Indicator of marriage status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    PASSPORT<a name=\"v3-ObservationValue-PASSPORT\"> </a></td><td>passport</td><td><div><p>Indicator of citizenship.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    STUDENRL<a name=\"v3-ObservationValue-STUDENRL\"> </a></td><td>student enrollment</td><td><div><p>Indicator of student status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  HLSTAT<a name=\"v3-ObservationValue-HLSTAT\"> </a></td><td>health status</td><td><div><p>Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DISABLE<a name=\"v3-ObservationValue-DISABLE\"> </a></td><td>disabled</td><td><div><p>Indication of disability.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DRUG<a name=\"v3-ObservationValue-DRUG\"> </a></td><td>drug use</td><td><div><p>Indication of drug use.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    IVDRG<a name=\"v3-ObservationValue-IVDRG\"> </a></td><td>IV drug use</td><td><div><p>Indication of IV drug use .</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    PGNT<a name=\"v3-ObservationValue-PGNT\"> </a></td><td>pregnant</td><td><div><p>Non-clinical report of pregnancy.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  LIVDEP<a name=\"v3-ObservationValue-LIVDEP\"> </a></td><td>living dependency</td><td><div><p>Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    RELDEP<a name=\"v3-ObservationValue-RELDEP\"> </a></td><td>relative dependent</td><td><div><p>Continued living in private residence requires functional and health care assistance from one or more relatives.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    SPSDEP<a name=\"v3-ObservationValue-SPSDEP\"> </a></td><td>spouse dependent</td><td><div><p>Continued living in private residence requires functional and health care assistance from spouse or life partner.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    URELDEP<a name=\"v3-ObservationValue-URELDEP\"> </a></td><td>unrelated person dependent</td><td><div><p>Continued living in private residence requires functional and health care assistance from one or more unrelated persons.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  LIVSIT<a name=\"v3-ObservationValue-LIVSIT\"> </a></td><td>living situation</td><td><div><p>Code specifying observations related to living situation for a person in a private residence.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ALONE<a name=\"v3-ObservationValue-ALONE\"> </a></td><td>alone</td><td><div><p>Living alone. Maps to PD1-2 Living arrangement (IS) 00742 [A]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DEPCHD<a name=\"v3-ObservationValue-DEPCHD\"> </a></td><td>dependent children</td><td><div><p>Living with one or more dependent children requiring moderate supervision.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DEPSPS<a name=\"v3-ObservationValue-DEPSPS\"> </a></td><td>dependent spouse</td><td><div><p>Living with disabled spouse requiring functional and health care assistance</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DEPYGCHD<a name=\"v3-ObservationValue-DEPYGCHD\"> </a></td><td>dependent young children</td><td><div><p>Living with one or more dependent children requiring intensive supervision</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    FAM<a name=\"v3-ObservationValue-FAM\"> </a></td><td>live with family</td><td><div><p>Living with family. Maps to PD1-2 Living arrangement (IS) 00742 [F]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    RELAT<a name=\"v3-ObservationValue-RELAT\"> </a></td><td>relative</td><td><div><p>Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 [R]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    SPS<a name=\"v3-ObservationValue-SPS\"> </a></td><td>spouse only</td><td><div><p>Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 [S]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    UNREL<a name=\"v3-ObservationValue-UNREL\"> </a></td><td>unrelated person</td><td><div><p>Living with one or more unrelated persons.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  SOECSTAT<a name=\"v3-ObservationValue-SOECSTAT\"> </a></td><td>socio economic status</td><td><div><p>Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ABUSE<a name=\"v3-ObservationValue-ABUSE\"> </a></td><td>abuse victim</td><td><div><p>Indication of abuse victim.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    HMLESS<a name=\"v3-ObservationValue-HMLESS\"> </a></td><td>homeless</td><td><div><p>Indication of status as homeless.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ILGIM<a name=\"v3-ObservationValue-ILGIM\"> </a></td><td>illegal immigrant</td><td><div><p>Indication of status as illegal immigrant.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    INCAR<a name=\"v3-ObservationValue-INCAR\"> </a></td><td>incarcerated</td><td><div><p>Indication of status as incarcerated.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    PROB<a name=\"v3-ObservationValue-PROB\"> </a></td><td>probation</td><td><div><p>Indication of probation status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    REFUG<a name=\"v3-ObservationValue-REFUG\"> </a></td><td>refugee</td><td><div><p>Indication of refugee status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    UNEMPL<a name=\"v3-ObservationValue-UNEMPL\"> </a></td><td>unemployed</td><td><div><p>Indication of unemployed status.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_AllergyTestValue<a name=\"v3-ObservationValue-_AllergyTestValue\"> </a></td><td>AllergyTestValue</td><td><div><p>Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  A0<a name=\"v3-ObservationValue-A0\"> </a></td><td>no reaction</td><td><div><p>**Description:**Patient exhibits no reaction to the challenge agent.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  A1<a name=\"v3-ObservationValue-A1\"> </a></td><td>minimal reaction</td><td><div><p>**Description:**Patient exhibits a minimal reaction to the challenge agent.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  A2<a name=\"v3-ObservationValue-A2\"> </a></td><td>mild reaction</td><td><div><p>**Description:**Patient exhibits a mild reaction to the challenge agent.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  A3<a name=\"v3-ObservationValue-A3\"> </a></td><td>moderate reaction</td><td><div><p>**Description:**Patient exhibits moderate reaction to the challenge agent.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  A4<a name=\"v3-ObservationValue-A4\"> </a></td><td>severe reaction</td><td><div><p>**Description:**Patient exhibits a severe reaction to the challenge agent.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_CompositeMeasureScoring<a name=\"v3-ObservationValue-_CompositeMeasureScoring\"> </a></td><td>CompositeMeasureScoring</td><td><div><p>Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ALLORNONESCR<a name=\"v3-ObservationValue-ALLORNONESCR\"> </a></td><td>All-or-nothing Scoring</td><td><div><p>Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  LINEARSCR<a name=\"v3-ObservationValue-LINEARSCR\"> </a></td><td>Linear Scoring</td><td><div><p>Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  OPPORSCR<a name=\"v3-ObservationValue-OPPORSCR\"> </a></td><td>Opportunity Scoring</td><td><div><p>Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  WEIGHTSCR<a name=\"v3-ObservationValue-WEIGHTSCR\"> </a></td><td>Weighted Scoring</td><td><div><p>Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_CoverageLimitObservationValue<a name=\"v3-ObservationValue-_CoverageLimitObservationValue\"> </a></td><td>CoverageLimitObservationValue</td><td><div><p>**Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _CoverageLevelObservationValue<a name=\"v3-ObservationValue-_CoverageLevelObservationValue\"> </a></td><td>CoverageLevelObservationValue</td><td><div><p>**Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ADC<a name=\"v3-ObservationValue-ADC\"> </a></td><td>adult child</td><td><div><p>**Description:**Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    CHD<a name=\"v3-ObservationValue-CHD\"> </a></td><td>child</td><td><div><p>**Description:**Dependent biological, adopted, foster child as specified by coverage policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DEP<a name=\"v3-ObservationValue-DEP\"> </a></td><td>dependent</td><td><div><p>**Description:**Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    DP<a name=\"v3-ObservationValue-DP\"> </a></td><td>domestic partner</td><td><div><p>**Description:**Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    ECH<a name=\"v3-ObservationValue-ECH\"> </a></td><td>employee</td><td><div><p>**Description:**An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    FLY<a name=\"v3-ObservationValue-FLY\"> </a></td><td>family coverage</td><td><div><p>**Description:**As specified by coverage policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    IND<a name=\"v3-ObservationValue-IND\"> </a></td><td>individual</td><td><div><p>**Description:**Person as specified by coverage policy or program.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    SSP<a name=\"v3-ObservationValue-SSP\"> </a></td><td>same sex partner</td><td><div><p>**Description:**A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _CoverageItemLimitObservationValue<a name=\"v3-ObservationValue-_CoverageItemLimitObservationValue\"> </a></td><td>CoverageItemLimitObservationValue</td><td><div><p>**Description:**Coded observation values for types or instances of items for which coverage is provided under a policy or program, e.g., a type of vehicle or a named work of art.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _CoverageLocationLimitObservationValue<a name=\"v3-ObservationValue-_CoverageLocationLimitObservationValue\"> </a></td><td>CoverageLocationLimitObservationValue</td><td><div><p>**Description:**Coded observation values for types or instances of locations for which coverage is provided under a policy or program, e.g., in the covered party home, in state or in the country.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_CriticalityObservationValue<a name=\"v3-ObservationValue-_CriticalityObservationValue\"> </a></td><td>CriticalityObservationValue</td><td><div><p>A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  CRITH<a name=\"v3-ObservationValue-CRITH\"> </a></td><td>high criticality</td><td><div><p>Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  CRITL<a name=\"v3-ObservationValue-CRITL\"> </a></td><td>low criticality</td><td><div><p>Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  CRITU<a name=\"v3-ObservationValue-CRITU\"> </a></td><td>unable to assess criticality</td><td><div><p>Unable to assess the worst case result of a future exposure.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_EmploymentStatus<a name=\"v3-ObservationValue-_EmploymentStatus\"> </a></td><td>_EmploymentStatus</td><td><div><p>Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  Employed<a name=\"v3-ObservationValue-Employed\"> </a></td><td>Employed</td><td><div><p>Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  NotInLaborForce<a name=\"v3-ObservationValue-NotInLaborForce\"> </a></td><td>Not In Labor Force</td><td><div><p>Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  Unemployed<a name=\"v3-ObservationValue-Unemployed\"> </a></td><td>Unemployed</td><td><div><p>Persons who currently have no employment, but are available for work and have made specific efforts to find employment.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_GeneticObservationValue<a name=\"v3-ObservationValue-_GeneticObservationValue\"> </a></td><td>GeneticObservationValue</td><td><div><p><strong>Description:</strong> The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  Homozygote<a name=\"v3-ObservationValue-Homozygote\"> </a></td><td>HOMO</td><td><div><p><strong>Description:</strong> An individual having different alleles at one or more loci regarding a specific character</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_MeasurementImprovementNotation<a name=\"v3-ObservationValue-_MeasurementImprovementNotation\"> </a></td><td>Measurement Improvement Notation</td><td><div><p>Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  DecrIsImp<a name=\"v3-ObservationValue-DecrIsImp\"> </a></td><td>Decreased score indicates improvement</td><td><div><p>Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  IncrIsImp<a name=\"v3-ObservationValue-IncrIsImp\"> </a></td><td>Increased score indicates improvement</td><td><div><p>Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_ObservationMeasureScoring<a name=\"v3-ObservationValue-_ObservationMeasureScoring\"> </a></td><td>ObservationMeasureScoring</td><td><div><p>Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  COHORT<a name=\"v3-ObservationValue-COHORT\"> </a></td><td>cohort measure scoring</td><td><div><p>A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  CONTVAR<a name=\"v3-ObservationValue-CONTVAR\"> </a></td><td>continuous variable measure scoring</td><td><div><p>A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  PROPOR<a name=\"v3-ObservationValue-PROPOR\"> </a></td><td>proportion measure scoring</td><td><div><p>A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  RATIO<a name=\"v3-ObservationValue-RATIO\"> </a></td><td>ratio measure scoring</td><td><div><p>A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_ObservationMeasureType<a name=\"v3-ObservationValue-_ObservationMeasureType\"> </a></td><td>ObservationMeasureType</td><td><div><p>Observation values used to indicate what kind of health quality measure is used.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  COMPOSITE<a name=\"v3-ObservationValue-COMPOSITE\"> </a></td><td>composite measure type</td><td><div><p>A measure that is composed from one or more other measures and indicates an overall summary of those measures.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  EFFICIENCY<a name=\"v3-ObservationValue-EFFICIENCY\"> </a></td><td>efficiency measure type</td><td><div><p>A measure related to the efficiency of medical treatment.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  EXPERIENCE<a name=\"v3-ObservationValue-EXPERIENCE\"> </a></td><td>experience measure type</td><td><div><p>A measure related to the level of patient engagement or patient experience of care.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  OUTCOME<a name=\"v3-ObservationValue-OUTCOME\"> </a></td><td>outcome measure type</td><td><div><p>A measure that indicates the result of the performance (or non-performance) of a function or process.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    INTERM-OM<a name=\"v3-ObservationValue-INTERM-OM\"> </a></td><td>intermediate outcome measure type</td><td><div><p>A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    PRO-PM<a name=\"v3-ObservationValue-PRO-PM\"> </a></td><td>patient reported outcome measure type</td><td><div><p>A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  PROCESS<a name=\"v3-ObservationValue-PROCESS\"> </a></td><td>process measure type</td><td><div><p>A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    APPROPRIATE<a name=\"v3-ObservationValue-APPROPRIATE\"> </a></td><td>appropriate use process measure</td><td><div><p>A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  RESOURCE<a name=\"v3-ObservationValue-RESOURCE\"> </a></td><td>resource use measure type</td><td><div><p>A measure related to the extent of use of clinical resources or cost of care.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  STRUCTURE<a name=\"v3-ObservationValue-STRUCTURE\"> </a></td><td>structure measure type</td><td><div><p>A measure related to the structure of patient care.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_ObservationPopulationInclusion<a name=\"v3-ObservationValue-_ObservationPopulationInclusion\"> </a></td><td>ObservationPopulationInclusion</td><td><div><p>Observation values used to assert various populations that a subject falls into.</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  DENEX<a name=\"v3-ObservationValue-DENEX\"> </a></td><td>denominator exclusions</td><td><div><p>Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  DENEXCEP<a name=\"v3-ObservationValue-DENEXCEP\"> </a></td><td>denominator exceptions</td><td><div><p>Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:</p>\n<ul>\n<li>Medical reasons</li>\n<li>Patient reasons</li>\n<li>System reasons</li>\n</ul>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  DENOM<a name=\"v3-ObservationValue-DENOM\"> </a></td><td>denominator</td><td><div><p>It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  IP<a name=\"v3-ObservationValue-IP\"> </a></td><td>initial population</td><td><div><p>The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>3</td><td style=\"white-space:nowrap\">    IPP<a name=\"v3-ObservationValue-IPP\"> </a></td><td>initial patient population</td><td><div><p>The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  MSRPOPL<a name=\"v3-ObservationValue-MSRPOPL\"> </a></td><td>measure population</td><td><div><p>Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  NUMER<a name=\"v3-ObservationValue-NUMER\"> </a></td><td>numerator</td><td><div><p>Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  NUMEX<a name=\"v3-ObservationValue-NUMEX\"> </a></td><td>numerator exclusions</td><td><div><p>Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)</p>\n</div></td><td>Deprecated</td><td>deprecated</td><td>2013-07-26</td><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_PartialCompletionScale<a name=\"v3-ObservationValue-_PartialCompletionScale\"> </a></td><td>PartialCompletionScale</td><td/><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  G<a name=\"v3-ObservationValue-G\"> </a></td><td>Great extent</td><td><div><p>Value for Act.partialCompletionCode attribute that implies 81-99% completion</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  LE<a name=\"v3-ObservationValue-LE\"> </a></td><td>Large extent</td><td><div><p>Value for Act.partialCompletionCode attribute that implies 61-80% completion</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ME<a name=\"v3-ObservationValue-ME\"> </a></td><td>Medium extent</td><td><div><p>Value for Act.partialCompletionCode attribute that implies 41-60% completion</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  MI<a name=\"v3-ObservationValue-MI\"> </a></td><td>Minimal extent</td><td><div><p>Value for Act.partialCompletionCode attribute that implies 1-20% completion</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  N<a name=\"v3-ObservationValue-N\"> </a></td><td>None</td><td><div><p>Value for Act.partialCompletionCode attribute that implies 0% completion</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  S<a name=\"v3-ObservationValue-S\"> </a></td><td>Some extent</td><td><div><p>Value for Act.partialCompletionCode attribute that implies 21-40% completion</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_SecurityObservationValue<a name=\"v3-ObservationValue-_SecurityObservationValue\"> </a></td><td>SecurityObservationValue</td><td><div><p>Observation values used to indicate security observation metadata.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _SECCATOBV<a name=\"v3-ObservationValue-_SECCATOBV\"> </a></td><td>security category</td><td><div><p>Abstract security observation values used to indicate security category metadata.</p>\n<p><strong>Examples:</strong> Codes conveying:</p>\n<ul>\n<li>privacy law</li>\n<li>information sensitivity</li>\n<li>consent directive types</li>\n</ul>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _SECCLASSOBV<a name=\"v3-ObservationValue-_SECCLASSOBV\"> </a></td><td>security classification</td><td><div><p>Abstract security observation values used to indicate security classification metadata.</p>\n<p><strong>Examples:</strong> Confidentiality Codes</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _SECCONOBV<a name=\"v3-ObservationValue-_SECCONOBV\"> </a></td><td>security control</td><td><div><p>Abstract security observation values used to indicate security control metadata.</p>\n<p><strong>Examples:</strong> Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _SECINTOBV<a name=\"v3-ObservationValue-_SECINTOBV\"> </a></td><td>security integrity</td><td><div><p>Abstract security observation values used to indicate security integrity metadata.</p>\n<p><strong>Examples:</strong> Codes conveying integrity status, integrity confidence, and provenance.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SECALTINTOBV<a name=\"v3-ObservationValue-_SECALTINTOBV\"> </a></td><td>alteration integrity</td><td><div><p>Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      ABSTRED<a name=\"v3-ObservationValue-ABSTRED\"> </a></td><td>abstracted</td><td><div><p>Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      AGGRED<a name=\"v3-ObservationValue-AGGRED\"> </a></td><td>aggregated</td><td><div><p>Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      ANONYED<a name=\"v3-ObservationValue-ANONYED\"> </a></td><td>anonymized</td><td><div><p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      MAPPED<a name=\"v3-ObservationValue-MAPPED\"> </a></td><td>mapped</td><td><div><p>Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.</p>\n<p><em>Usage Note:</em> &quot;MAP&quot; code does not indicate the semantic fidelity of the transformed content.</p>\n<p>To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).</p>\n<p>Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      MASKED<a name=\"v3-ObservationValue-MASKED\"> </a></td><td>masked</td><td><div><p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or &quot;shared secret&quot;.</p>\n<p><em>Usage Note:</em> &quot;MASKED&quot; may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      PSEUDED<a name=\"v3-ObservationValue-PSEUDED\"> </a></td><td>pseudonymized</td><td><div><p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.</p>\n<p><em>Rationale:</em> Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      REDACTED<a name=\"v3-ObservationValue-REDACTED\"> </a></td><td>redacted</td><td><div><p>Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.</p>\n<p><em>Usage Note:</em> &quot;REDACTED&quot; may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      SUBSETTED<a name=\"v3-ObservationValue-SUBSETTED\"> </a></td><td>subsetted</td><td><div><p>Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update</p>\n<p><em>Usage Note:</em> This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      SYNTAC<a name=\"v3-ObservationValue-SYNTAC\"> </a></td><td>syntactic transform</td><td><div><p>Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.</p>\n<p><em>Usage Note:</em> &quot;SYNTAC&quot; code does not indicate the syntactical correctness of the syntactically transformed IT resource.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      TRSLT<a name=\"v3-ObservationValue-TRSLT\"> </a></td><td>translated</td><td><div><p>Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.</p>\n<p><em>Usage Note:</em> &quot;TRSLT&quot; does not indicate the fidelity of the translation or the languages translated.</p>\n<p>The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.</p>\n<p>To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      VERSIONED<a name=\"v3-ObservationValue-VERSIONED\"> </a></td><td>versioned</td><td><div><p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy</p>\n<p><em>Usage Note:</em> When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SECDATINTOBV<a name=\"v3-ObservationValue-_SECDATINTOBV\"> </a></td><td>data integrity</td><td><div><p>Abstract security observation values used to indicate data integrity metadata.</p>\n<p><strong>Examples:</strong> Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      CRYTOHASH<a name=\"v3-ObservationValue-CRYTOHASH\"> </a></td><td>cryptographic hash function</td><td><div><p>Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.</p>\n<p><em>Rationale:</em> This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.</p>\n<p><strong>Examples:</strong></p>\n<ul>\n<li>SHA-1</li>\n<li>SHA-2 (Secure Hash Algorithm)</li>\n</ul>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      DIGSIG<a name=\"v3-ObservationValue-DIGSIG\"> </a></td><td>digital signature</td><td><div><p>Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.</p>\n<p><em>Rationale:</em> This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SECINTCONOBV<a name=\"v3-ObservationValue-_SECINTCONOBV\"> </a></td><td>integrity confidence</td><td><div><p>Abstract security observation value used to indicate integrity confidence metadata.</p>\n<p><strong>Examples:</strong> Codes conveying the level of reliability and trustworthiness of an IT resource.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      HRELIABLE<a name=\"v3-ObservationValue-HRELIABLE\"> </a></td><td>highly reliable</td><td><div><p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      RELIABLE<a name=\"v3-ObservationValue-RELIABLE\"> </a></td><td>reliable</td><td><div><p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      UNCERTREL<a name=\"v3-ObservationValue-UNCERTREL\"> </a></td><td>uncertain reliability</td><td><div><p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      UNRELIABLE<a name=\"v3-ObservationValue-UNRELIABLE\"> </a></td><td>unreliable</td><td><div><p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SECINTPRVOBV<a name=\"v3-ObservationValue-_SECINTPRVOBV\"> </a></td><td>provenance</td><td><div><p>Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).</p>\n<p><strong>Examples:</strong> Codes conveying the provenance metadata about the entity reporting an IT resource.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _SECINTPRVABOBV<a name=\"v3-ObservationValue-_SECINTPRVABOBV\"> </a></td><td>provenance asserted by</td><td><div><p>Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).</p>\n<p><strong>Examples:</strong> Codes conveying the provenance metadata about the entity asserting the resource.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        CLINAST<a name=\"v3-ObservationValue-CLINAST\"> </a></td><td>clinician asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        DEVAST<a name=\"v3-ObservationValue-DEVAST\"> </a></td><td>device asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        HCPAST<a name=\"v3-ObservationValue-HCPAST\"> </a></td><td>healthcare professional asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PACQAST<a name=\"v3-ObservationValue-PACQAST\"> </a></td><td>patient acquaintance asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PATAST<a name=\"v3-ObservationValue-PATAST\"> </a></td><td>patient asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PAYAST<a name=\"v3-ObservationValue-PAYAST\"> </a></td><td>payer asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PROAST<a name=\"v3-ObservationValue-PROAST\"> </a></td><td>professional asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        SDMAST<a name=\"v3-ObservationValue-SDMAST\"> </a></td><td>substitute decision maker asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        AIAST<a name=\"v3-ObservationValue-AIAST\"> </a></td><td>Artificial Intelligence asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        DICTAST<a name=\"v3-ObservationValue-DICTAST\"> </a></td><td>Dictation asserted</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _SECINTPRVRBOBV<a name=\"v3-ObservationValue-_SECINTPRVRBOBV\"> </a></td><td>provenance reported by</td><td><div><p>Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).</p>\n<p><strong>Examples:</strong> Codes conveying the provenance metadata about the entity reporting an IT resource.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        CLINRPT<a name=\"v3-ObservationValue-CLINRPT\"> </a></td><td>clinician reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        DEVRPT<a name=\"v3-ObservationValue-DEVRPT\"> </a></td><td>device reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        HCPRPT<a name=\"v3-ObservationValue-HCPRPT\"> </a></td><td>healthcare professional reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PACQRPT<a name=\"v3-ObservationValue-PACQRPT\"> </a></td><td>patient acquaintance reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PATRPT<a name=\"v3-ObservationValue-PATRPT\"> </a></td><td>patient reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PAYRPT<a name=\"v3-ObservationValue-PAYRPT\"> </a></td><td>payer reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        PRORPT<a name=\"v3-ObservationValue-PRORPT\"> </a></td><td>professional reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        SDMRPT<a name=\"v3-ObservationValue-SDMRPT\"> </a></td><td>substitute decision maker reported</td><td><div><p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SECINTSTOBV<a name=\"v3-ObservationValue-_SECINTSTOBV\"> </a></td><td>integrity status</td><td><div><p>Abstract security observation values used to indicate integrity status metadata.</p>\n<p><strong>Examples:</strong> Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  SECTRSTOBV<a name=\"v3-ObservationValue-SECTRSTOBV\"> </a></td><td>security trust observation</td><td><div><p>Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRSTACCRDOBV<a name=\"v3-ObservationValue-TRSTACCRDOBV\"> </a></td><td>trust accreditation observation</td><td><div><p>Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRSTAGREOBV<a name=\"v3-ObservationValue-TRSTAGREOBV\"> </a></td><td>trust agreement observation</td><td><div><p>Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1] [ISO IEC 10181-1]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRSTCERTOBV<a name=\"v3-ObservationValue-TRSTCERTOBV\"> </a></td><td>trust certificate observation</td><td><div><p>Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]</p>\n<p>For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRSTFWKOBV<a name=\"v3-ObservationValue-TRSTFWKOBV\"> </a></td><td>none supplied 5</td><td><div><p>Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRSTLOAOBV<a name=\"v3-ObservationValue-TRSTLOAOBV\"> </a></td><td>trust assurance observation</td><td><div><p>Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOAAN<a name=\"v3-ObservationValue-LOAAN\"> </a></td><td>authentication level of assurance value</td><td><div><p>The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]</p>\n<p>For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAN1<a name=\"v3-ObservationValue-LOAAN1\"> </a></td><td>low authentication level of assurance</td><td><div><p>Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]</p>\n<p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]</p>\n<p>Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAN2<a name=\"v3-ObservationValue-LOAAN2\"> </a></td><td>basic authentication level of assurance</td><td><div><p>Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]</p>\n<p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]</p>\n<p>Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAN3<a name=\"v3-ObservationValue-LOAAN3\"> </a></td><td>medium authentication level of assurance</td><td><div><p>Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]</p>\n<p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]</p>\n<p>Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:</p>\n<ul>\n<li>&quot;soft&quot; cryptographic token, which has the key stored on a general-purpose computer,</li>\n<li>&quot;hard&quot; cryptographic token, which has the key stored on a special hardware device, and</li>\n<li>&quot;one-time password&quot; device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.</li>\n</ul>\n<p>Authentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAN4<a name=\"v3-ObservationValue-LOAAN4\"> </a></td><td>high authentication level of assurance</td><td><div><p>Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]</p>\n<p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]</p>\n<p>High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.</p>\n<p>Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOAAP<a name=\"v3-ObservationValue-LOAAP\"> </a></td><td>authentication process level of assurance value</td><td><div><p>The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAP1<a name=\"v3-ObservationValue-LOAAP1\"> </a></td><td>low authentication process level of assurance</td><td><div><p>Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]</p>\n<p>Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAP2<a name=\"v3-ObservationValue-LOAAP2\"> </a></td><td>basic authentication process level of assurance</td><td><div><p>Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]</p>\n<p>Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAP3<a name=\"v3-ObservationValue-LOAAP3\"> </a></td><td>medium authentication process level of assurance</td><td><div><p>Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]</p>\n<p>Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).</p>\n<p>Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAP4<a name=\"v3-ObservationValue-LOAAP4\"> </a></td><td>high authentication process level of assurance</td><td><div><p>Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]</p>\n<p>High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOAAS<a name=\"v3-ObservationValue-LOAAS\"> </a></td><td>assertion level of assurance value</td><td><div><p>The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAS1<a name=\"v3-ObservationValue-LOAAS1\"> </a></td><td>low assertion level of assurance</td><td><div><p>Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>\n<p>Assertions and assertion references require protection from modification and reuse attacks. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAS2<a name=\"v3-ObservationValue-LOAAS2\"> </a></td><td>basic assertion level of assurance</td><td><div><p>Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>\n<p>Assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAS3<a name=\"v3-ObservationValue-LOAAS3\"> </a></td><td>medium assertion level of assurance</td><td><div><p>Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>\n<p>Assertions are protected against repudiation by the verifier. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAAS4<a name=\"v3-ObservationValue-LOAAS4\"> </a></td><td>high assertion level of assurance</td><td><div><p>Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>\n<p>Strongly resistant to man-in-the-middle attacks. &quot;Bearer&quot; assertions are not used. &quot;Holder-of-key&quot; assertions may be used. RP maintains records of the assertions. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOACM<a name=\"v3-ObservationValue-LOACM\"> </a></td><td>token and credential management level of assurance value)</td><td><div><p>Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOACM1<a name=\"v3-ObservationValue-LOACM1\"> </a></td><td>low token and credential management level of assurance</td><td><div><p>Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOACM2<a name=\"v3-ObservationValue-LOACM2\"> </a></td><td>basic token and credential management level of assurance</td><td><div><p>Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOACM3<a name=\"v3-ObservationValue-LOACM3\"> </a></td><td>medium token and credential management level of assurance</td><td><div><p>Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOACM4<a name=\"v3-ObservationValue-LOACM4\"> </a></td><td>high token and credential management level of assurance</td><td><div><p>Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOAID<a name=\"v3-ObservationValue-LOAID\"> </a></td><td>identity proofing level of assurance</td><td><div><p>Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAID1<a name=\"v3-ObservationValue-LOAID1\"> </a></td><td>low identity proofing level of assurance</td><td><div><p>Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAID2<a name=\"v3-ObservationValue-LOAID2\"> </a></td><td>basic identity proofing level of assurance</td><td><div><p>Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAID3<a name=\"v3-ObservationValue-LOAID3\"> </a></td><td>medium identity proofing level of assurance</td><td><div><p>Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOAID4<a name=\"v3-ObservationValue-LOAID4\"> </a></td><td>high identity proofing level of assurance</td><td><div><p>Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOANR<a name=\"v3-ObservationValue-LOANR\"> </a></td><td>non-repudiation level of assurance value</td><td><div><p>Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOANR1<a name=\"v3-ObservationValue-LOANR1\"> </a></td><td>low non-repudiation level of assurance</td><td><div><p>Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOANR2<a name=\"v3-ObservationValue-LOANR2\"> </a></td><td>basic non-repudiation level of assurance</td><td><div><p>Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOANR3<a name=\"v3-ObservationValue-LOANR3\"> </a></td><td>medium non-repudiation level of assurance</td><td><div><p>Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOANR4<a name=\"v3-ObservationValue-LOANR4\"> </a></td><td>high non-repudiation level of assurance</td><td><div><p>Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOARA<a name=\"v3-ObservationValue-LOARA\"> </a></td><td>remote access level of assurance value</td><td><div><p>Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOARA1<a name=\"v3-ObservationValue-LOARA1\"> </a></td><td>low remote access level of assurance</td><td><div><p>Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOARA2<a name=\"v3-ObservationValue-LOARA2\"> </a></td><td>basic remote access level of assurance</td><td><div><p>Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOARA3<a name=\"v3-ObservationValue-LOARA3\"> </a></td><td>medium remote access level of assurance</td><td><div><p>Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOARA4<a name=\"v3-ObservationValue-LOARA4\"> </a></td><td>high remote access level of assurance</td><td><div><p>Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>4</td><td style=\"white-space:nowrap\">      LOATK<a name=\"v3-ObservationValue-LOATK\"> </a></td><td>token level of assurance value</td><td><div><p>Indicator of the digital quality or reliability of single and multi-token authentication. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOATK1<a name=\"v3-ObservationValue-LOATK1\"> </a></td><td>low token level of assurance</td><td><div><p>Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOATK2<a name=\"v3-ObservationValue-LOATK2\"> </a></td><td>basic token level of assurance</td><td><div><p>Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOATK3<a name=\"v3-ObservationValue-LOATK3\"> </a></td><td>medium token level of assurance</td><td><div><p>Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>5</td><td style=\"white-space:nowrap\">        LOATK4<a name=\"v3-ObservationValue-LOATK4\"> </a></td><td>high token level of assurance</td><td><div><p>Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRSTMECOBV<a name=\"v3-ObservationValue-TRSTMECOBV\"> </a></td><td>none supplied 6</td><td><div><p>Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_SeverityObservation<a name=\"v3-ObservationValue-_SeverityObservation\"> </a></td><td>SeverityObservation</td><td><div><p>Potential values for observations of severity.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  H<a name=\"v3-ObservationValue-H\"> </a></td><td>High</td><td><div><p>Indicates the condition may be life-threatening or has the potential to cause permanent injury.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  L<a name=\"v3-ObservationValue-L\"> </a></td><td>Low</td><td><div><p>Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  M<a name=\"v3-ObservationValue-M\"> </a></td><td>Moderate</td><td><div><p>Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_SubjectBodyPosition<a name=\"v3-ObservationValue-_SubjectBodyPosition\"> </a></td><td>_SubjectBodyPosition</td><td><div><p>Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  LLD<a name=\"v3-ObservationValue-LLD\"> </a></td><td>left lateral decubitus</td><td><div><p>Lying on the left side.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  PRN<a name=\"v3-ObservationValue-PRN\"> </a></td><td>prone</td><td><div><p>Lying with the front or ventral surface downward; lying face down.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  RLD<a name=\"v3-ObservationValue-RLD\"> </a></td><td>right lateral decubitus</td><td><div><p>Lying on the right side.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  SFWL<a name=\"v3-ObservationValue-SFWL\"> </a></td><td>Semi-Fowler's</td><td><div><p>A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  SIT<a name=\"v3-ObservationValue-SIT\"> </a></td><td>sitting</td><td><div><p>Resting the body on the buttocks, typically with upper torso erect or semi erect.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  STN<a name=\"v3-ObservationValue-STN\"> </a></td><td>standing</td><td><div><p>To be stationary, upright, vertical, on one's legs.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  SUP<a name=\"v3-ObservationValue-SUP\"> </a></td><td>supine</td><td/><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    RTRD<a name=\"v3-ObservationValue-RTRD\"> </a></td><td>reverse trendelenburg</td><td><div><p>Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>3</td><td style=\"white-space:nowrap\">    TRD<a name=\"v3-ObservationValue-TRD\"> </a></td><td>trendelenburg</td><td><div><p>Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_VerificationOutcomeValue<a name=\"v3-ObservationValue-_VerificationOutcomeValue\"> </a></td><td>verification outcome</td><td><div><p>Values for observations of verification act results</p>\n<p><strong>Examples:</strong> Verified, not verified, verified with warning.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ACT<a name=\"v3-ObservationValue-ACT\"> </a></td><td>active coverage</td><td><div><p><strong>Definition:</strong> Coverage is in effect for healthcare service(s) and/or product(s).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ACTPEND<a name=\"v3-ObservationValue-ACTPEND\"> </a></td><td>active - pending investigation</td><td><div><p><strong>Definition:</strong> Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ELG<a name=\"v3-ObservationValue-ELG\"> </a></td><td>eligible</td><td><div><p><strong>Definition:</strong> Coverage is in effect for healthcare service(s) and/or product(s).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  INACT<a name=\"v3-ObservationValue-INACT\"> </a></td><td>inactive</td><td><div><p><strong>Definition:</strong> Coverage is not in effect for healthcare service(s) and/or product(s).</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  INPNDINV<a name=\"v3-ObservationValue-INPNDINV\"> </a></td><td>inactive - pending investigation</td><td><div><p><strong>Definition:</strong> Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  INPNDUPD<a name=\"v3-ObservationValue-INPNDUPD\"> </a></td><td>inactive - pending eligibility update</td><td><div><p><strong>Definition:</strong> Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  NELG<a name=\"v3-ObservationValue-NELG\"> </a></td><td>not eligible</td><td><div><p><strong>Definition:</strong> Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>1</td><td style=\"white-space:nowrap\">_WorkSchedule<a name=\"v3-ObservationValue-_WorkSchedule\"> </a></td><td>_WorkSchedule</td><td><div><p>Concepts that describe an individual's typical arrangement of working hours for an occupation.</p>\n</div></td><td/><td>active</td><td/><td>true</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  DS<a name=\"v3-ObservationValue-DS\"> </a></td><td>daytime shift</td><td><div><p>A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  EMS<a name=\"v3-ObservationValue-EMS\"> </a></td><td>early morning shift</td><td><div><p>Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  ES<a name=\"v3-ObservationValue-ES\"> </a></td><td>evening shift</td><td><div><p>A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  NS<a name=\"v3-ObservationValue-NS\"> </a></td><td>night shift</td><td><div><p>Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  RSWN<a name=\"v3-ObservationValue-RSWN\"> </a></td><td>rotating shift with nights</td><td><div><p>Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  RSWON<a name=\"v3-ObservationValue-RSWON\"> </a></td><td>rotating shift without nights</td><td><div><p>Scheduled for work days/times that change periodically between days, but does not include night or evening work.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  SS<a name=\"v3-ObservationValue-SS\"> </a></td><td>split shift</td><td><div><p>Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  VLS<a name=\"v3-ObservationValue-VLS\"> </a></td><td>very long shift</td><td><div><p>Shifts of 17 or more hours.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr><td>2</td><td style=\"white-space:nowrap\">  VS<a name=\"v3-ObservationValue-VS\"> </a></td><td>variable shift</td><td><div><p>Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available.</p>\n</div></td><td/><td>active</td><td/><td/></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_AnnotationValue<a name=\"v3-ObservationValue-_AnnotationValue\"> </a></td><td>AnnotationValue</td><td/><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _ECGAnnotationValue<a name=\"v3-ObservationValue-_ECGAnnotationValue\"> </a></td><td>ECGAnnotationValue</td><td/><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_CommonClinicalObservationValue<a name=\"v3-ObservationValue-_CommonClinicalObservationValue\"> </a></td><td>common clinical observation</td><td><div><p>**Description:**Used in a patient care message to value simple clinical (non-lab) observations.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _CommonClinicalObservationAssertionValue<a name=\"v3-ObservationValue-_CommonClinicalObservationAssertionValue\"> </a></td><td>CommonClinicalObservationAssertionValue</td><td><div><p><strong>Definition:</strong> The non-laboratory, non-DI (diagnostic imaging) coded observation if no value is also required to convey the full meaning of the observation. This may be a single concept code or a complex expression.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _CommonClinicalObservationResultValue<a name=\"v3-ObservationValue-_CommonClinicalObservationResultValue\"> </a></td><td>CommonClinicalObservationResultValue</td><td><div><p><strong>Definition:</strong> The non-laboratory, non-diagnostic imaging coded result of the coded observable or &quot;question&quot; represented by the paired concept from the the NonLabDICodedObservationType domain.</p>\n<p>]</p>\n<p>**Examples:**An APGAR result, a functional assessment, etc. The value must not require a specific unit of measure.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_CoverageChemicalDependencyValue<a name=\"v3-ObservationValue-_CoverageChemicalDependencyValue\"> </a></td><td>CoverageChemicalDependencyValue</td><td><div><p><strong>Definition:</strong> The category of addiction used for coverage purposes that may refer to a substance, the consumption of which may result in physical or emotional harm.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_IndividualCaseSafetyReportValueDomains<a name=\"v3-ObservationValue-_IndividualCaseSafetyReportValueDomains\"> </a></td><td>Individual Case Safety Report Value Domains</td><td><div><p>This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _CaseSeriousnessCriteria<a name=\"v3-ObservationValue-_CaseSeriousnessCriteria\"> </a></td><td>CaseSeriousnessCriteria</td><td><div><p>A code that provides information on the overall effect or outcome of the adverse reaction/adverse event reported in the ICSR. Note the criterion applies to the case as a whole and not to an individual reaction.</p>\n<p>Example concepts are: death, disability, hospitalization, congenital anomaly/ birth defect, and other medically important condition.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _DeviceManufacturerEvaluationInterpretation<a name=\"v3-ObservationValue-_DeviceManufacturerEvaluationInterpretation\"> </a></td><td>DeviceManufacturerEvaluationInterpretation</td><td><div><p>A code set that includes codes that are used to characterize the outcome of the device evaluation process. The code defines the manufacturer's conclusions following the evaluation.</p>\n<p>Examples include: inadequate alarms, device maintenance contributed to event, device failed just prior to use, user error caused event</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _DeviceManufacturerEvaluationMethod<a name=\"v3-ObservationValue-_DeviceManufacturerEvaluationMethod\"> </a></td><td>DeviceManufacturerEvaluationMethod</td><td><div><p>Code assigned to indicate a relevant fact within the context of the evaluation of a reported product. There are a number of concept types including the status of the evaluation, the type of evaluation findings, and the type of activity carried out as part of the evaluation process.</p>\n<p>Examples include: Actual device involved in incident was evaluated, electrical tests performed, visual examination.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _DeviceManufacturerEvaluationResult<a name=\"v3-ObservationValue-_DeviceManufacturerEvaluationResult\"> </a></td><td>DeviceManufacturerEvaluationResult</td><td><div><p>Code assigned to indicate an outcome of the manufacturer's investigation of a product for which a defect has been reported.</p>\n<p>Examples include:.component/subassembly failure: air cleaner, computer-, imaging system-, microprocessor-controlled device problem: cache memory, design -- not fail safe.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _PertinentReactionRelatedness<a name=\"v3-ObservationValue-_PertinentReactionRelatedness\"> </a></td><td>Pertinent Reaction Relatedness</td><td><div><p>A code to capture the reporter's assessment of the extent to which the reaction is related to the suspect product reported in the ICSR.</p>\n<p>Example concepts include: related, not related, possibly related and unlikely related.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _ProductCharacterization<a name=\"v3-ObservationValue-_ProductCharacterization\"> </a></td><td>Product Characterization</td><td><div><p>A code that characterizes the role that the primary reporter felt that the suspect intervention -- either a substance administration or a device related procedure - played in the incident being reported. This code will capture the primary reporter's assessment of the role that the suspect product played in the incident reported in the ICSR.</p>\n<p>Examples include: Suspect, Concomitant, Interacting, Re-challenge.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _ReactionActionTaken<a name=\"v3-ObservationValue-_ReactionActionTaken\"> </a></td><td>ReactionActionTaken</td><td><div><p>Code used to indicate the action taken by practitioner in response to the problem (whether drug or device related) that is reported in the ICSR.</p>\n<p>Examples include: failing device replaced, medication stopped, medication dose adjusted.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _SubjectReaction<a name=\"v3-ObservationValue-_SubjectReaction\"> </a></td><td>Subject Reaction</td><td><div><p>A code to capture the kind of reaction that was suffered by the investigated subject, and that is being reported in the ICSR. At this point, SNOMED or MedDRA have been suggested as code systems to be used for providing this information.</p>\n<p>Example concepts include hives, swelling, rash, anaphylactic shock.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _SubjectReactionEmphasis<a name=\"v3-ObservationValue-_SubjectReactionEmphasis\"> </a></td><td>SubjectReactionEmphasis</td><td><div><p>Code that captures the emphasis that the reporter placed on this reaction.</p>\n<p>Examples include: highlighted by the reporter, NOT serious, Not highlighted by the reporter, NOT serious, Highlighted by the reporter, SERIOUS, Not highlighted by the reporter, SERIOUS.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _SubjectReactionOutcome<a name=\"v3-ObservationValue-_SubjectReactionOutcome\"> </a></td><td>SubjectReactionOutcome</td><td><div><p>Code that captures the type of outcome from an individual outcome of a reaction to the suspect product reported in the ICSR.</p>\n<p>Examples include: Recovered/resolved. Recovering/resolving, Not recovered/not resolved, Recovered/resolved with sequelae, Fatal.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_InjuryObservationValue<a name=\"v3-ObservationValue-_InjuryObservationValue\"> </a></td><td>InjuryObservationValue</td><td><div><p>Values for observations of injuries.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_IntoleranceValue<a name=\"v3-ObservationValue-_IntoleranceValue\"> </a></td><td>IntoleranceValue</td><td><div><p>Codes identifying pariticular groupings of allergens and other agents which cause allergies and intolerances. E.g. the drug, allergen group, food or environmental agent which triggers the intolerance</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_IssueTriggerObservationValue<a name=\"v3-ObservationValue-_IssueTriggerObservationValue\"> </a></td><td>IssueTriggerObservationValue</td><td><div><p>The combined domain for different types of coded observation issue triggers, such as diagnoses, allergies, etc.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_OtherIndicationValue<a name=\"v3-ObservationValue-_OtherIndicationValue\"> </a></td><td>OtherIndicationValue</td><td><div><p>Indicates an observed reason for a medical action other than an indication or symptom. E.g. Need for a contrast agent prior to a diagnostic image, need for anesthesia prior to surgery, etc.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>1</td><td style=\"white-space:nowrap\">_IndicationValue<a name=\"v3-ObservationValue-_IndicationValue\"> </a></td><td>IndicationValue</td><td><div><p>Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _DiagnosisValue<a name=\"v3-ObservationValue-_DiagnosisValue\"> </a></td><td>DiagnosisValue</td><td><div><p>Diagnosis Value</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr><tr style=\"background-color: #ffeeee\"><td>2</td><td style=\"white-space:nowrap\">  _SymptomValue<a name=\"v3-ObservationValue-_SymptomValue\"> </a></td><td>SymptomValue</td><td><div><p>Indicates an observed abnormality in the patientaTMs condition, but does not assert causation. E.g. Runny nose, swelling, flaky skin, etc.</p>\n</div></td><td/><td>retired</td><td/><td>true</td></tr></table></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1063"}],"version":"5.0.0","name":"ObservationValue","title":"ObservationValue","status":"active","experimental":false,"date":"2024-02-28T00:00:00.000-07:00","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":false,"hierarchyMeaning":"is-a","compositional":false,"versionNeeded":false,"content":"complete","property":[{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"}],"concept":[{"code":"_ActCoverageAssessmentObservationValue","display":"ActCoverageAssessmentObservationValue","definition":"Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_ActFinancialStatusObservationValue","display":"ActFinancialStatusObservationValue","definition":"Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22306"}],"concept":[{"code":"ASSET","display":"asset","definition":"Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22316"}],"concept":[{"code":"ANNUITY","display":"annuity","definition":"Indicator of annuity ownership or status as beneficiary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22320"}]},{"code":"PROP","display":"real property","definition":"Indicator of real property ownership, e.g., deed or real estate contract.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22317"}]},{"code":"RETACCT","display":"retirement investment account","definition":"Indicator of retirement investment account ownership.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22318"}]},{"code":"TRUST","display":"trust","definition":"Indicator of status as trust beneficiary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22319"}]}]},{"code":"INCOME","display":"income","definition":"Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22307"}],"concept":[{"code":"CHILD","display":"child support","definition":"Indicator of child support payments received or provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22311"}]},{"code":"DISABL","display":"disability pay","definition":"Indicator of disability income replacement payment.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22314"}]},{"code":"INVEST","display":"investment income","definition":"Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22310"}]},{"code":"PAY","display":"paid employment","definition":"Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22308"}]},{"code":"RETIRE","display":"retirement pay","definition":"Indicator of retirement payment, e.g., pension check.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22309"}]},{"code":"SPOUSAL","display":"spousal or partner support","definition":"Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22312"}]},{"code":"SUPPLE","display":"income supplement","definition":"Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22313"}]},{"code":"TAX","display":"tax obligation","definition":"Indicator of tax obligation or payment, e.g., statement of taxable income.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22315"}]}]},{"code":"LIVEXP","display":"living expense","definition":"Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22321"}],"concept":[{"code":"CLOTH","display":"clothing expense","definition":"Indicator of clothing expenses.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22327"}]},{"code":"FOOD","display":"food expense","definition":"Indicator of transportation expenses.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22329"}]},{"code":"HEALTH","display":"health expense","definition":"Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22326"}]},{"code":"HOUSE","display":"household expense","definition":"Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22324"}]},{"code":"LEGAL","display":"legal expense","definition":"Indicator of legal expenses.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22328"}]},{"code":"MORTG","display":"mortgage","definition":"Indicator of mortgage amount, interest, and payments.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22323"}]},{"code":"RENT","display":"rent","definition":"Indicator of rental or lease payments.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22322"}]},{"code":"SUNDRY","display":"sundry expense","definition":"Indicator of transportation expenses.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22330"}]},{"code":"TRANS","display":"transportation expense","definition":"Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22325"}]},{"code":"UTIL","display":"utility expense","definition":"Indicator of transportation expenses.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22331"}]}]}]},{"code":"ELSTAT","display":"eligibility indicator","definition":"Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22295"}],"concept":[{"code":"ADOPT","display":"adoption document","definition":"Indicator of adoption.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22304"}]},{"code":"BTHCERT","display":"birth certificate","definition":"Indicator of birth.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22303"}]},{"code":"CCOC","display":"creditable coverage document","definition":"Indicator of creditable coverage.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22299"}]},{"code":"DRLIC","display":"driver license","definition":"Indicator of driving status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22301"}]},{"code":"FOSTER","display":"foster child document","definition":"Indicator of foster child status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22305"}]},{"code":"MEMBER","display":"program or policy member","definition":"Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22296"}]},{"code":"MIL","display":"military identification","definition":"Indicator of military status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22302"}]},{"code":"MRGCERT","display":"marriage certificate","definition":"Indicator of marriage status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22300"}]},{"code":"PASSPORT","display":"passport","definition":"Indicator of citizenship.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22297"}]},{"code":"STUDENRL","display":"student enrollment","definition":"Indicator of student status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22298"}]}]},{"code":"HLSTAT","display":"health status","definition":"Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22290"}],"concept":[{"code":"DISABLE","display":"disabled","definition":"Indication of disability.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22293"}]},{"code":"DRUG","display":"drug use","definition":"Indication of drug use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22294"}]},{"code":"IVDRG","display":"IV drug use","definition":"Indication of IV drug use .","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22292"}]},{"code":"PGNT","display":"pregnant","definition":"Non-clinical report of pregnancy.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22291"}]}]},{"code":"LIVDEP","display":"living dependency","definition":"Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22286"}],"concept":[{"code":"RELDEP","display":"relative dependent","definition":"Continued living in private residence requires functional and health care assistance from one or more relatives.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22288"}]},{"code":"SPSDEP","display":"spouse dependent","definition":"Continued living in private residence requires functional and health care assistance from spouse or life partner.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22287"}]},{"code":"URELDEP","display":"unrelated person dependent","definition":"Continued living in private residence requires functional and health care assistance from one or more unrelated persons.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22289"}]}]},{"code":"LIVSIT","display":"living situation","definition":"Code specifying observations related to living situation for a person in a private residence.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22277"}],"concept":[{"code":"ALONE","display":"alone","definition":"Living alone. Maps to PD1-2 Living arrangement (IS) 00742 \\[A\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22281"}]},{"code":"DEPCHD","display":"dependent children","definition":"Living with one or more dependent children requiring moderate supervision.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22278"}]},{"code":"DEPSPS","display":"dependent spouse","definition":"Living with disabled spouse requiring functional and health care assistance","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22280"}]},{"code":"DEPYGCHD","display":"dependent young children","definition":"Living with one or more dependent children requiring intensive supervision","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22279"}]},{"code":"FAM","display":"live with family","definition":"Living with family. Maps to PD1-2 Living arrangement (IS) 00742 \\[F\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22284"}]},{"code":"RELAT","display":"relative","definition":"Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 \\[R\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22283"}]},{"code":"SPS","display":"spouse only","definition":"Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 \\[S\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22282"}]},{"code":"UNREL","display":"unrelated person","definition":"Living with one or more unrelated persons.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22285"}]}]},{"code":"SOECSTAT","display":"socio economic status","definition":"Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22269"}],"concept":[{"code":"ABUSE","display":"abuse victim","definition":"Indication of abuse victim.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22275"}]},{"code":"HMLESS","display":"homeless","definition":"Indication of status as homeless.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22270"}]},{"code":"ILGIM","display":"illegal immigrant","definition":"Indication of status as illegal immigrant.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22271"}]},{"code":"INCAR","display":"incarcerated","definition":"Indication of status as incarcerated.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22272"}]},{"code":"PROB","display":"probation","definition":"Indication of probation status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22273"}]},{"code":"REFUG","display":"refugee","definition":"Indication of refugee status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22276"}]},{"code":"UNEMPL","display":"unemployed","definition":"Indication of unemployed status.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22274"}]}]}]},{"code":"_AllergyTestValue","display":"AllergyTestValue","definition":"Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"A0","display":"no reaction","definition":"**Description:**Patient exhibits no reaction to the challenge agent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22816"}]},{"code":"A1","display":"minimal reaction","definition":"**Description:**Patient exhibits a minimal reaction to the challenge agent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22817"}]},{"code":"A2","display":"mild reaction","definition":"**Description:**Patient exhibits a mild reaction to the challenge agent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22818"}]},{"code":"A3","display":"moderate reaction","definition":"**Description:**Patient exhibits moderate reaction to the challenge agent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22819"}]},{"code":"A4","display":"severe reaction","definition":"**Description:**Patient exhibits a severe reaction to the challenge agent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22820"}]}]},{"code":"_CompositeMeasureScoring","display":"CompositeMeasureScoring","definition":"Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"ALLORNONESCR","display":"All-or-nothing Scoring","definition":"Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23784"}]},{"code":"LINEARSCR","display":"Linear Scoring","definition":"Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23785"}]},{"code":"OPPORSCR","display":"Opportunity Scoring","definition":"Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23786"}]},{"code":"WEIGHTSCR","display":"Weighted Scoring","definition":"Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23787"}]}]},{"code":"_CoverageLimitObservationValue","display":"CoverageLimitObservationValue","definition":"**Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_CoverageLevelObservationValue","display":"CoverageLevelObservationValue","definition":"**Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22630"}],"concept":[{"code":"ADC","display":"adult child","definition":"**Description:**Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22631"}]},{"code":"CHD","display":"child","definition":"**Description:**Dependent biological, adopted, foster child as specified by coverage policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22632"}]},{"code":"DEP","display":"dependent","definition":"**Description:**Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22633"}]},{"code":"DP","display":"domestic partner","definition":"**Description:**Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22634"}]},{"code":"ECH","display":"employee","definition":"**Description:**An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22635"}]},{"code":"FLY","display":"family coverage","definition":"**Description:**As specified by coverage policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22636"}]},{"code":"IND","display":"individual","definition":"**Description:**Person as specified by coverage policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22637"}]},{"code":"SSP","display":"same sex partner","definition":"**Description:**A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22638"}]}]},{"code":"_CoverageItemLimitObservationValue","display":"CoverageItemLimitObservationValue","definition":"**Description:**Coded observation values for types or instances of items for which coverage is provided under a policy or program, e.g., a type of vehicle or a named work of art.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22629"}]},{"code":"_CoverageLocationLimitObservationValue","display":"CoverageLocationLimitObservationValue","definition":"**Description:**Coded observation values for types or instances of locations for which coverage is provided under a policy or program, e.g., in the covered party home, in state or in the country.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22628"}]}]},{"code":"_CriticalityObservationValue","display":"CriticalityObservationValue","definition":"A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"CRITH","display":"high criticality","definition":"Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23727"}]},{"code":"CRITL","display":"low criticality","definition":"Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23728"}]},{"code":"CRITU","display":"unable to assess criticality","definition":"Unable to assess the worst case result of a future exposure.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23729"}]}]},{"code":"_EmploymentStatus","display":"_EmploymentStatus","definition":"Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"Employed","display":"Employed","definition":"Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23920"}]},{"code":"NotInLaborForce","display":"Not In Labor Force","definition":"Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23922"}]},{"code":"Unemployed","display":"Unemployed","definition":"Persons who currently have no employment, but are available for work and have made specific efforts to find employment.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23921"}]}]},{"code":"_GeneticObservationValue","display":"GeneticObservationValue","definition":"**Description:** The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"Homozygote","display":"HOMO","definition":"**Description:** An individual having different alleles at one or more loci regarding a specific character","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22649"}]}]},{"code":"_MeasurementImprovementNotation","display":"Measurement Improvement Notation","definition":"Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"DecrIsImp","display":"Decreased score indicates improvement","definition":"Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"24044"}]},{"code":"IncrIsImp","display":"Increased score indicates improvement","definition":"Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"24043"}]}]},{"code":"_ObservationMeasureScoring","display":"ObservationMeasureScoring","definition":"Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"COHORT","display":"cohort measure scoring","definition":"A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23553"}]},{"code":"CONTVAR","display":"continuous variable measure scoring","definition":"A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23038"}]},{"code":"PROPOR","display":"proportion measure scoring","definition":"A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23039"}]},{"code":"RATIO","display":"ratio measure scoring","definition":"A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23040"}]}]},{"code":"_ObservationMeasureType","display":"ObservationMeasureType","definition":"Observation values used to indicate what kind of health quality measure is used.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"COMPOSITE","display":"composite measure type","definition":"A measure that is composed from one or more other measures and indicates an overall summary of those measures.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23650"}]},{"code":"EFFICIENCY","display":"efficiency measure type","definition":"A measure related to the efficiency of medical treatment.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23652"}]},{"code":"EXPERIENCE","display":"experience measure type","definition":"A measure related to the level of patient engagement or patient experience of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23653"}]},{"code":"OUTCOME","display":"outcome measure type","definition":"A measure that indicates the result of the performance (or non-performance) of a function or process.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23042"}],"concept":[{"code":"INTERM-OM","display":"intermediate outcome measure type","definition":"A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23862"}]},{"code":"PRO-PM","display":"patient reported outcome measure type","definition":"A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23861"}]}]},{"code":"PROCESS","display":"process measure type","definition":"A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23043"}],"concept":[{"code":"APPROPRIATE","display":"appropriate use process 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into.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"DENEX","display":"denominator exclusions","definition":"Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23442"}]},{"code":"DENEXCEP","display":"denominator exceptions","definition":"Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23705"}]},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23706"}]}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23707"}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23708"}]},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23709"}]},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23710"}]},{"code":"LOATK4","display":"high token level of assurance","definition":"Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23711"}]}]}]},{"code":"TRSTMECOBV","display":"none supplied 6","definition":"Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23718"}]}]}]},{"code":"_SeverityObservation","display":"SeverityObservation","definition":"Potential values for observations of severity.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"H","display":"High","definition":"Indicates the condition may be life-threatening or has the potential to cause permanent injury.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16644"}]},{"code":"L","display":"Low","definition":"Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16646"}]},{"code":"M","display":"Moderate","definition":"Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"16645"}]}]},{"code":"_SubjectBodyPosition","display":"_SubjectBodyPosition","definition":"Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"LLD","display":"left lateral decubitus","definition":"Lying on the left side.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22918"}]},{"code":"PRN","display":"prone","definition":"Lying with the front or ventral surface downward; lying face down.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22919"}]},{"code":"RLD","display":"right lateral decubitus","definition":"Lying on the right side.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22920"}]},{"code":"SFWL","display":"Semi-Fowler's","definition":"A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22921"}]},{"code":"SIT","display":"sitting","definition":"Resting the body on the buttocks, typically with upper torso erect or semi erect.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22922"}]},{"code":"STN","display":"standing","definition":"To be stationary, upright, vertical, on one's legs.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22923"}]},{"code":"SUP","display":"supine","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22924"}],"concept":[{"code":"RTRD","display":"reverse trendelenburg","definition":"Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22925"}]},{"code":"TRD","display":"trendelenburg","definition":"Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22926"}]}]}]},{"code":"_VerificationOutcomeValue","display":"verification outcome","definition":"Values for observations of verification act results\r\n\r\n**Examples:** Verified, not verified, verified with warning.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"ACT","display":"active coverage","definition":"**Definition:** Coverage is in effect for healthcare service(s) and/or product(s).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22213"}]},{"code":"ACTPEND","display":"active - pending investigation","definition":"**Definition:** Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22214"}]},{"code":"ELG","display":"eligible","definition":"**Definition:** Coverage is in effect for healthcare service(s) and/or product(s).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22211"}]},{"code":"INACT","display":"inactive","definition":"**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22215"}]},{"code":"INPNDINV","display":"inactive - pending investigation","definition":"**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22217"}]},{"code":"INPNDUPD","display":"inactive - pending eligibility update","definition":"**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22216"}]},{"code":"NELG","display":"not eligible","definition":"**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22212"}]}]},{"code":"_WorkSchedule","display":"_WorkSchedule","definition":"Concepts that describe an individual's typical arrangement of working hours for an occupation.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"DS","display":"daytime shift","definition":"A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23908"}]},{"code":"EMS","display":"early morning shift","definition":"Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23911"}]},{"code":"ES","display":"evening shift","definition":"A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23909"}]},{"code":"NS","display":"night shift","definition":"Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23910"}]},{"code":"RSWN","display":"rotating shift with nights","definition":"Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23912"}]},{"code":"RSWON","display":"rotating shift without nights","definition":"Scheduled for work days/times that change periodically between days, but does not include night or evening work.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23913"}]},{"code":"SS","display":"split shift","definition":"Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23914"}]},{"code":"VLS","display":"very long shift","definition":"Shifts of 17 or more hours.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23915"}]},{"code":"VS","display":"variable shift","definition":"Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23916"}]}]},{"code":"_AnnotationValue","display":"AnnotationValue","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"_ECGAnnotationValue","display":"ECGAnnotationValue","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21097"}]}]},{"code":"_CommonClinicalObservationValue","display":"common clinical observation","definition":"**Description:**Used in a patient care message to value simple clinical (non-lab) observations.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"_CommonClinicalObservationAssertionValue","display":"CommonClinicalObservationAssertionValue","definition":"**Definition:** The non-laboratory, non-DI (diagnostic imaging) coded observation if no value is also required to convey the full meaning of the observation. This may be a single concept code or a complex expression.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22262"}]},{"code":"_CommonClinicalObservationResultValue","display":"CommonClinicalObservationResultValue","definition":"**Definition:** The non-laboratory, non-diagnostic imaging coded result of the coded observable or \"question\" represented by the paired concept from the the NonLabDICodedObservationType domain.\r\n\r\n\\]\r\n\r\n**Examples:**An APGAR result, a functional assessment, etc. The value must not require a specific unit of measure.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"22263"}]}]},{"code":"_CoverageChemicalDependencyValue","display":"CoverageChemicalDependencyValue","definition":"**Definition:** The category of addiction used for coverage purposes that may refer to a substance, the consumption of which may result in physical or emotional harm.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IndividualCaseSafetyReportValueDomains","display":"Individual Case Safety Report Value Domains","definition":"This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"_CaseSeriousnessCriteria","display":"CaseSeriousnessCriteria","definition":"A code that provides information on the overall effect or outcome of the adverse reaction/adverse event reported in the ICSR. Note the criterion applies to the case as a whole and not to an individual reaction.\r\n\r\nExample concepts are: death, disability, hospitalization, congenital anomaly/ birth defect, and other medically important condition.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21398"}]},{"code":"_DeviceManufacturerEvaluationInterpretation","display":"DeviceManufacturerEvaluationInterpretation","definition":"A code set that includes codes that are used to characterize the outcome of the device evaluation process. The code defines the manufacturer's conclusions following the evaluation.\r\n\r\nExamples include: inadequate alarms, device maintenance contributed to event, device failed just prior to use, user error caused event","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21405"}]},{"code":"_DeviceManufacturerEvaluationMethod","display":"DeviceManufacturerEvaluationMethod","definition":"Code assigned to indicate a relevant fact within the context of the evaluation of a reported product. There are a number of concept types including the status of the evaluation, the type of evaluation findings, and the type of activity carried out as part of the evaluation process.\r\n\r\nExamples include: Actual device involved in incident was evaluated, electrical tests performed, visual examination.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21406"}]},{"code":"_DeviceManufacturerEvaluationResult","display":"DeviceManufacturerEvaluationResult","definition":"Code assigned to indicate an outcome of the manufacturer's investigation of a product for which a defect has been reported.\r\n\r\nExamples include:.component/subassembly failure: air cleaner, computer-, imaging system-, microprocessor-controlled device problem: cache memory, design -- not fail safe.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21404"}]},{"code":"_PertinentReactionRelatedness","display":"Pertinent Reaction Relatedness","definition":"A code to capture the reporter's assessment of the extent to which the reaction is related to the suspect product reported in the ICSR.\r\n\r\nExample concepts include: related, not related, possibly related and unlikely related.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21401"}]},{"code":"_ProductCharacterization","display":"Product Characterization","definition":"A code that characterizes the role that the primary reporter felt that the suspect intervention -- either a substance administration or a device related procedure - played in the incident being reported. This code will capture the primary reporter's assessment of the role that the suspect product played in the incident reported in the ICSR.\r\n\r\nExamples include: Suspect, Concomitant, Interacting, Re-challenge.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21400"}]},{"code":"_ReactionActionTaken","display":"ReactionActionTaken","definition":"Code used to indicate the action taken by practitioner in response to the problem (whether drug or device related) that is reported in the ICSR.\r\n\r\nExamples include: failing device replaced, medication stopped, medication dose adjusted.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21407"}]},{"code":"_SubjectReaction","display":"Subject Reaction","definition":"A code to capture the kind of reaction that was suffered by the investigated subject, and that is being reported in the ICSR. At this point, SNOMED or MedDRA have been suggested as code systems to be used for providing this information.\r\n\r\nExample concepts include hives, swelling, rash, anaphylactic shock.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21399"}]},{"code":"_SubjectReactionEmphasis","display":"SubjectReactionEmphasis","definition":"Code that captures the emphasis that the reporter placed on this reaction.\r\n\r\nExamples include: highlighted by the reporter, NOT serious, Not highlighted by the reporter, NOT serious, Highlighted by the reporter, SERIOUS, Not highlighted by the reporter, SERIOUS.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21403"}]},{"code":"_SubjectReactionOutcome","display":"SubjectReactionOutcome","definition":"Code that captures the type of outcome from an individual outcome of a reaction to the suspect product reported in the ICSR.\r\n\r\nExamples include: Recovered/resolved. Recovering/resolving, Not recovered/not resolved, Recovered/resolved with sequelae, Fatal.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21402"}]}]},{"code":"_InjuryObservationValue","display":"InjuryObservationValue","definition":"Values for observations of injuries.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IntoleranceValue","display":"IntoleranceValue","definition":"Codes identifying pariticular groupings of allergens and other agents which cause allergies and intolerances. E.g. the drug, allergen group, food or environmental agent which triggers the intolerance","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IssueTriggerObservationValue","display":"IssueTriggerObservationValue","definition":"The combined domain for different types of coded observation issue triggers, such as diagnoses, allergies, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_OtherIndicationValue","display":"OtherIndicationValue","definition":"Indicates an observed reason for a medical action other than an indication or symptom. E.g. Need for a contrast agent prior to a diagnostic image, need for anesthesia prior to surgery, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IndicationValue","display":"IndicationValue","definition":"Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"_DiagnosisValue","display":"DiagnosisValue","definition":"Diagnosis Value","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21096"}]},{"code":"_SymptomValue","display":"SymptomValue","definition":"Indicates an observed abnormality in the patientaTMs condition, but does not assert causation. E.g. Runny nose, swelling, flaky skin, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"21543"}]}]}]}}]}

#11

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{"resourceType":"Parameters","parameter":[{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"en-US"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ObservationValue","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.1063"}],"version":"5.0.0","name":"ObservationValue","title":"ObservationValue","status":"active","experimental":false,"date":"2024-02-28T00:00:00.000-07:00","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":false,"hierarchyMeaning":"is-a","compositional":false,"versionNeeded":false,"content":"complete","property":[{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"}],"concept":[{"code":"_ActCoverageAssessmentObservationValue","display":"ActCoverageAssessmentObservationValue","definition":"Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_ActFinancialStatusObservationValue","display":"ActFinancialStatusObservationValue","definition":"Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22306"}],"concept":[{"code":"ASSET","display":"asset","definition":"Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22316"}],"concept":[{"code":"ANNUITY","display":"annuity","definition":"Indicator of annuity ownership or status as beneficiary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22320"}]},{"code":"PROP","display":"real property","definition":"Indicator of real property ownership, e.g., deed or real estate contract.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22317"}]},{"code":"RETACCT","display":"retirement investment account","definition":"Indicator of retirement investment account ownership.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22318"}]},{"code":"TRUST","display":"trust","definition":"Indicator of status as trust beneficiary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22319"}]}]},{"code":"INCOME","display":"income","definition":"Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22307"}],"concept":[{"code":"CHILD","display":"child support","definition":"Indicator of child support payments received or provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22311"}]},{"code":"DISABL","display":"disability pay","definition":"Indicator of disability income replacement payment.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22314"}]},{"code":"INVEST","display":"investment income","definition":"Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22310"}]},{"code":"PAY","display":"paid employment","definition":"Indicator of paid employment, e.g., letter of hire, contract, employer letter; 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Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23705"}]},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23706"}]}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23707"}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23708"}]},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23709"}]},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23710"}]},{"code":"LOATK4","display":"high 

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{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the value set cannot be expanded. Valid versions: 2018-08-12 or 5.0.0","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM_VERSION_EXP"}]}]}

#12

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Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23705"}]},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23706"}]}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23707"}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23708"}]},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23709"}]},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \\[Electronic Authentication Guideline - Recommendations of the Nationa

422
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#13

GET https://tx.fhir.org/r4/CodeSystem?_format=json&url=http%3A%2F%2Funstats.un.org%2Funsd%2Fmethods%2Fm49%2Fm49.htm HTTP/1.0
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200
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#14

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001"}]}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"jurisdiction","meta":{"lastUpdated":"2019-11-01T09:29:23.356+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"vocab"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"}],"url":"http://hl7.org/fhir/ValueSet/jurisdiction","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.48"}],"version":"4.0.1","name":"Jurisdiction ValueSet","title":"Jurisdiction","status":"active","experimental":false,"date":"2019-11-01T09:29:23+11:00","publisher":"FHIR Project team","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set defines a base set of codes for country, country subdivision and region    for indicating where a resource is intended to be used.   \r\n   \r\n   Note: The codes for countries and country subdivisions are taken from    [ISO 3166](https://www.iso.org/iso-3166-country-codes.html)    while the codes for \"supra-national\" regions are from    [UN Standard country or area codes for statistical use (M49)](http://unstats.un.org/unsd/methods/m49/m49.htm).","compose":{"include":[{"system":"urn:iso:std:iso:3166"},{"system":"urn:iso:std:iso:3166:-2"},{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","filter":[{"property":"class","op":"=","value":"region"}]}]}}},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:2094
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:54 GMT
etag:W/"82e-Iv80RJOvhIRyuH/UTFZEyzOXBj4"
server:nginx
x-powered-by:Express
x-request-id:tx-118073

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://unstats.un.org/unsd/methods/m49/m49.htm"},{"name":"code","valueCode":"001"},{"name":"display","valueString":"World"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001"}]}},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Analysing http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1 for validation purposes\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Parameters: disp-lang=en-US, generate-narrative, default-to-latest\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Prepare include[0]: \"(urn:iso:std:iso:3166)\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: CodeSystem found: \"urn:iso:std:iso:3166|2018\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Prepare include[1]: \"(urn:iso:std:iso:3166:-2)\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: CodeSystem found: \"urn:iso:std:iso:3166:-2|2021\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Prepare include[2]: \"(http://unstats.un.org/unsd/methods/m49/m49.htm)(class=region)\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: CodeSystem found: \"http://unstats.un.org/unsd/methods/m49/m49.htm|null\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Validate \"[http://unstats.un.org/unsd/methods/m49/m49.htm#001 (\"undefined\")]\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Check \"http://unstats.un.org/unsd/methods/m49/m49.htm#001\"\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: CodeSystem found: http://unstats.un.org/unsd/methods/m49/m49.htm|null for http://unstats.un.org/unsd/methods/m49/m49.htm\n0ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: check code in (http://unstats.un.org/unsd/methods/m49/m49.htm)(class=region) at CodeableConcept.coding[0]\n1ms http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1: Filter class = region: Code \"001\" found in http://unstats.un.org/unsd/methods/m49/m49.htm|null"}]}

#15

GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue HTTP/1.0
User-Agent: hapi-fhir-tooling-client
Accept: application/fhir+json; fhirVersion=4.0

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:526
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:54 GMT
etag:W/"20e-VxAW81NeMd+xNd11/5TCTGzzpjw"
server:nginx
x-powered-by:Express
x-request-id:tx-118086

{"resourceType":"Bundle","type":"searchset","total":0,"link":[{"relation":"self","url":"http://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue&_offset=0"},{"relation":"first","url":"http://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue&_offset=0"},{"relation":"last","url":"http://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fterminology.hl7.org%2FCodeSystem%2Fv3-ObservationValue&_offset=0"}]}

#16

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","version":"4.0.0","code":"AIAST","display":"Artificial Intelligence asserted"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"lenient-display-validation","valueBoolean":true},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"mode","valueString":"lenient-display-validation"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1186
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:18:54 GMT
etag:W/"4a2-dZpGqiyR63U2+OzMqTmSsCtT830"
server:nginx
x-powered-by:Express
x-request-id:tx-118094

{"resourceType":"Parameters","parameter":[{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["Coding.system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM_VERSION"}]}]}},{"name":"result","valueBoolean":false},{"name":"message","valueString":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0"},{"name":"system","valueUri":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue"},{"name":"version","valueString":"4.0.0"},{"name":"code","valueCode":"AIAST"},{"name":"x-caused-by-unknown-system","valueCanonical":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0"}]}

#17

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"application/pdf"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:13"}]}}},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1328
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:02 GMT
etag:W/"530-0sukgooZ1xuAbJgCHp2a7+l7MNY"
server:nginx
x-powered-by:Express
x-request-id:tx-118329

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"urn:ietf:bcp:13"},{"name":"code","valueCode":"application/pdf"},{"name":"display","valueString":"application/pdf"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Analysing urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9 for validation purposes\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Parameters: disp-lang=en-US, generate-narrative, default-to-latest\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Prepare include[0]: \"(urn:ietf:bcp:13)\"\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: CodeSystem found: \"urn:ietf:bcp:13|null\"\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Validate \"[undefined#application/pdf (\"undefined\")]\" and infer system\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Check \"undefined#application/pdf\"\n0ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Inferred CodeSystem = \"urn:ietf:bcp:13\"\n1ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: CodeSystem found: urn:ietf:bcp:13|null for urn:ietf:bcp:13\n1ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: check code in (urn:ietf:bcp:13) at \n1ms urn:uuid:4281a226-96c0-4efb-9b95-f1f06c7482f9: Code \"application/pdf\" found in urn:ietf:bcp:13|null"}]}

#18

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"application/pdf"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"mimetypes","meta":{"lastUpdated":"2019-11-01T09:29:23.356+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/mimetypes","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.1024"}],"version":"4.0.1","name":"Mime Types","title":"MimeType","status":"active","experimental":false,"date":"2019-11-01T09:29:23+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-13 (http://tools.ietf.org/html/bcp13)","compose":{"include":[{"system":"urn:ietf:bcp:13"}]}}},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1317
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:02 GMT
etag:W/"525-PTXZkXe+bvW8oFnnCMlHKT81jk4"
server:nginx
x-powered-by:Express
x-request-id:tx-118335

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"urn:ietf:bcp:13"},{"name":"code","valueCode":"application/pdf"},{"name":"display","valueString":"application/pdf"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Analysing http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 for validation purposes\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Parameters: disp-lang=en-US, generate-narrative, default-to-latest\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Prepare include[0]: \"(urn:ietf:bcp:13)\"\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: CodeSystem found: \"urn:ietf:bcp:13|null\"\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Validate \"[undefined#application/pdf (\"undefined\")]\" and infer system\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Check \"undefined#application/pdf\"\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Inferred CodeSystem = \"urn:ietf:bcp:13\"\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: CodeSystem found: urn:ietf:bcp:13|null for urn:ietf:bcp:13\n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: check code in (urn:ietf:bcp:13) at \n0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Code \"application/pdf\" found in urn:ietf:bcp:13|null"}]}

#19

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"application/xml"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:13"}]}}},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1328
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:03 GMT
etag:W/"530-Cw1vcCxKwzsj3pnF+CAk8c30UOY"
server:nginx
x-powered-by:Express
x-request-id:tx-118342

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"urn:ietf:bcp:13"},{"name":"code","valueCode":"application/xml"},{"name":"display","valueString":"application/xml"},{"name":"diagnostics","valueString":"0ms tx-op\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Analysing urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4 for validation purposes\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Parameters: disp-lang=en-US, generate-narrative, default-to-latest\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Prepare include[0]: \"(urn:ietf:bcp:13)\"\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: CodeSystem found: \"urn:ietf:bcp:13|null\"\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Validate \"[undefined#application/xml (\"undefined\")]\" and infer system\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Check \"undefined#application/xml\"\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Inferred CodeSystem = \"urn:ietf:bcp:13\"\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: CodeSystem found: urn:ietf:bcp:13|null for urn:ietf:bcp:13\n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: check code in (urn:ietf:bcp:13) at \n0ms urn:uuid:a5b3de39-e4f7-4e0d-8c67-7e9afc46fbb4: Code \"application/xml\" found in urn:ietf:bcp:13|null"}]}

#20

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"inferSystem","valueBoolean":true},{"name":"code","valueCode":"application/xml"},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"mimetypes","meta":{"lastUpdated":"2019-11-01T09:29:23.356+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/mimetypes","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.1024"}],"version":"4.0.1","name":"Mime Types","title":"MimeType","status":"active","experimental":false,"date":"2019-11-01T09:29:23+11:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes all possible codes from BCP-13 (http://tools.ietf.org/html/bcp13)","compose":{"include":[{"system":"urn:ietf:bcp:13"}]}}},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1317
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:03 GMT
etag:W/"525-svVPVHZggxvgMkh3/O5PsZWs/JY"
server:nginx
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#21

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#22

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#23

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#24

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#25

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#26

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4-1,34067-9,34076-0,69730-0,59845-8,60560-0,62387-6,34079-4,34075-2,70945-1,70939-4,66105-8,74045-6,57027-5,43679-0,49489-8,43680-8,34078-6,34080-2,61149-1,70942-8,70934-5,70948-5,70935-2,60561-8,34088-5,51941-3,51947-0,51948-8,51945-4,51944-7,51943-9,51942-1,51946-2,34081-0,43681-6,66106-6,43682-4,59772-4,60683-0,71681-1,71684-5,71686-0,71682-9,71687-8,71688-6,57026-7,69669-0,59769-0,42232-9,42228-7,57059-8,59774-0,59775-7,59770-8,59776-5,59771-6,59768-2,59773-2,35526-3,35522-2,57827-8,43683-2,34093-5,70938-6,69759-9,48779-3,48780-1,42231-1,42230-3,38056-8,42229-5,69718-5,35520-6,44425-7,35515-6,35514-9,61150-9,35527-1,55122-6,34077-8,35516-4,35513-1,42796-3,35512-3,69762-3,43684-0,54433-8,70936-0,43685-7,34071-1,74477-1,74479-7,74476-3,74480-5,74478-9,42566-0,21862-8,69764-9,48766-0,70949-3,60572-5,60573-3,60574-1,73983-9,40811-2,29112-0,29111-2,72169-6,44943-9,11206-0,26988-6,50081-9,57553-0,57552-2,57551-4,53347-1,1656-8,42855-7,16110-9,40818-7,53348-9,25561-2,55808-0,56611-7,56608-3,57493-9,40816-1,56602-6,56613-3,56609-1,56612-5,56603-4,57492-1,56556-4,56604-2,56610-9,56605-9,59987-8,59986-0,59985-2,59984-5,56555-6,16294-1,57491-3,56606-7,13480-9,44729-2,69799-5,57562-1,57561-3,57560-5,72510-1,72509-3)\"\n14ms http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1: CodeSystem found: \"http://loinc.org|2.81\"\n14ms http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1: Validate \"[http://loinc.org#11502-2 (\"Laboratory report\")]\"\n14ms http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1: Check \"http://loinc.org#11502-2\"\n15ms http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1: CodeSystem found: http://loinc.org|2.81 for http://loinc.org\n15ms http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1: check code in 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1,34067-9,34076-0,69730-0,59845-8,60560-0,62387-6,34079-4,34075-2,70945-1,70939-4,66105-8,74045-6,57027-5,43679-0,49489-8,43680-8,34078-6,34080-2,61149-1,70942-8,70934-5,70948-5,70935-2,60561-8,34088-5,51941-3,51947-0,51948-8,51945-4,51944-7,51943-9,51942-1,51946-2,34081-0,43681-6,66106-6,43682-4,59772-4,60683-0,71681-1,71684-5,71686-0,71682-9,71687-8,71688-6,57026-7,69669-0,59769-0,42232-9,42228-7,57059-8,59774-0,59775-7,59770-8,59776-5,59771-6,59768-2,59773-2,35526-3,35522-2,57827-8,43683-2,34093-5,70938-6,69759-9,48779-3,48780-1,42231-1,42230-3,38056-8,42229-5,69718-5,35520-6,44425-7,35515-6,35514-9,61150-9,35527-1,55122-6,34077-8,35516-4,35513-1,42796-3,35512-3,69762-3,43684-0,54433-8,70936-0,43685-7,34071-1,74477-1,74479-7,74476-3,74480-5,74478-9,42566-0,21862-8,69764-9,48766-0,70949-3,60572-5,60573-3,60574-1,73983-9,40811-2,29112-0,29111-2,72169-6,44943-9,11206-0,26988-6,50081-9,57553-0,57552-2,57551-4,53347-1,1656-8,42855-7,16110-9,40818-7,53348-9,25561-2,55808-0,56611-7,56608-3,57493-9,40816-1,56602-6,56613-3,56609-1,56612-5,56603-4,57492-1,56556-4,56604-2,56610-9,56605-9,59987-8,59986-0,59985-2,59984-5,56555-6,16294-1,57491-3,56606-7,13480-9,44729-2,69799-5,57562-1,57561-3,57560-5,72510-1,72509-3) at CodeableConcept.coding[0]\n15ms http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1: Code \"11502-2\" found in http://loinc.org|2.81"}]}

#27

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"15220000","display":"Laboratory test"}]}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1442
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:05 GMT
etag:W/"5a2-d4/QCE5O8zvGVXQFXirzE0ttrew"
server:nginx
x-powered-by:Express
x-request-id:tx-118395

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://snomed.info/sct"},{"name":"code","valueCode":"15220000"},{"name":"version","valueString":"http://snomed.info/sct/900000000000207008/version/20250201"},{"name":"display","valueString":"Laboratory test"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"15220000","display":"Laboratory test"}]}},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Validate \"[http://snomed.info/sct#15220000 (\"Laboratory test\")]\"\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Check \"http://snomed.info/sct#15220000\"\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: check code in (http://snomed.info/sct) at CodeableConcept.coding[0]\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Code \"15220000\" found in http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}]}

#28

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes/foobar","code":"104177","display":"Blood culture"},{"system":"http://loinc.org","code":"600-7","display":"Bacteria identified in Blood by Culture"}]}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1088
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:05 GMT
etag:W/"440-a40yyhcxGnn4GvgwCJKoiwgDgnQ"
server:nginx
x-powered-by:Express
x-request-id:tx-118399

{"resourceType":"Parameters","parameter":[{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://example.org/codes/foobar' could not be found, so the code cannot be validated","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["CodeableConcept.coding[0].system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM"}]}]}},{"name":"result","valueBoolean":false},{"name":"message","valueString":"A definition for CodeSystem 'http://example.org/codes/foobar' could not be found, so the code cannot be validated"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes/foobar","code":"104177","display":"Blood culture"},{"system":"http://loinc.org","code":"600-7","display":"Bacteria identified in Blood by Culture"}]}},{"name":"x-caused-by-unknown-system","valueCanonical":"http://example.org/codes/foobar"}]}

#29

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"3092008","display":"Staphylococcus aureus"}]}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
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access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
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etag:W/"5af-1veMMmJNfzzXf8Zw+RXG/qE/Z48"
server:nginx
x-powered-by:Express
x-request-id:tx-118402

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://snomed.info/sct"},{"name":"code","valueCode":"3092008"},{"name":"version","valueString":"http://snomed.info/sct/900000000000207008/version/20250201"},{"name":"display","valueString":"Staphylococcus aureus"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"3092008","display":"Staphylococcus aureus"}]}},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Validate \"[http://snomed.info/sct#3092008 (\"Staphylococcus aureus\")]\"\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Check \"http://snomed.info/sct#3092008\"\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: check code in (http://snomed.info/sct) at CodeableConcept.coding[0]\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Code \"3092008\" found in http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}]}

#30

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"104177005","display":"Blood culture for bacteria, including anaerobic screen"}]}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1564
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:05 GMT
etag:W/"61c-lHrs8Gu9JP5TRBRAcwtPRqELCKo"
server:nginx
x-powered-by:Express
x-request-id:tx-118405

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://snomed.info/sct"},{"name":"code","valueCode":"104177005"},{"name":"version","valueString":"http://snomed.info/sct/900000000000207008/version/20250201"},{"name":"display","valueString":"Blood culture for bacteria, including anaerobic screen"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"104177005","display":"Blood culture for bacteria, including anaerobic screen"}]}},{"name":"diagnostics","valueString":"0ms tx-op\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Validate \"[http://snomed.info/sct#104177005 (\"Blood culture for bacteria, including anaerobic screen\")]\"\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Check \"http://snomed.info/sct#104177005\"\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: CodeSystem found: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201 for http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: check code in (http://snomed.info/sct) at CodeableConcept.coding[0]\n0ms http://snomed.info/sct/vs|http://snomed.info/sct/900000000000207008/version/20250201: Code \"104177005\" found in http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}]}

#31

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","version":"4.0.0","code":"AIAST","display":"Artificial Intelligence asserted"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"security-labels","meta":{"lastUpdated":"2019-11-01T09:29:23.356+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"vocab"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version","valueCode":"4.0.0"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":5}],"url":"http://hl7.org/fhir/ValueSet/security-labels","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.47"}],"version":"4.0.1","name":"All Security Labels","title":"SecurityLabels","status":"active","experimental":false,"date":"2014-07-28","publisher":"FHIR project team","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"A single value set for all security labels defined by FHIR.","compose":{"include":[{"valueSet":["http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification"]},{"valueSet":["http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy"]},{"valueSet":["http://terminology.hl7.org/ValueSet/v3-Compartment"]},{"valueSet":["http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue"]},{"valueSet":["http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue"]},{"valueSet":["http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw"]}]}}},{"name":"tx-resource","resource":{"resourceType":"ValueSet","id":"v3-ConfidentialityClassification","meta":{"lastUpdated":"2019-11-01T09:29:23.356+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":2},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"sd"}],"url":"http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.10228"}],"version":"2014-03-26","name":"v3.ConfidentialityClassification","title":"V3 Value SetConfidentialityClassification","status":"active","experimental":false,"publisher":"HL7 v3","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org"}]}],"description":" Set of codes used to value Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain \"Confidentiality\".","immutable":true,"compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality","concept":[{"code":"U"},{"code":"L"},{"code":"M"},{"code":"N"},{"code":"R"},{"code":"V"}]}]}}},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-Confidentiality","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.25"}],"version":"4.0.0","name":"Confidentiality","title":"Confidentiality","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain \"Confidentiality\".","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"}],"concept":[{"code":"_Confidentiality","display":"Confidentiality","definition":"A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain \"Confidentiality\".","property":[{"code":"status","valueCode":"active"}],"concept":[{"code":"L","display":"low","definition":"Privacy metadata indicating that a low level of protection is required to safeguard personal and healthcare information, which has been altered in such a way as to minimize the need for confidentiality protections with some residual risks associated with re-linking. The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk.\r\n\r\n*Usage Note:* \r\n\r\nThe level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.\r\n\r\n**Example:** Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. 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May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject.\r\n\r\nPrivacy policies mandating moderate levels of protection, which preempt less protective privacy policies. \"Moderate\" confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.\r\n\r\nConfidentiality code total order hierarchy: Moderate (M) is less protective than *V, R, and N*, and subsumes all other protection levels (i.e., *L* and *U*).\r\n\r\n**Examples:** Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account; to health oversight authorities; to a hospital patient directory; to worker compensation, disability, property and casualty or life insurers; and to personal health record systems, consumer-controlled devices, social media accounts and online Apps; or for marketing purposes","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23322"}]},{"code":"N","display":"normal","definition":"Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.\r\n\r\nPrivacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Normal (N) is less protective than *V* and *R*, and subsumes all other protection levels (i.e., *M, L, and U*).\r\n\r\n**Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.\r\n\r\n**Examples:** \r\n\r\nn the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10230"}]},{"code":"R","display":"restricted","definition":"Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual's request, intended to engender patient trust in providers of sensitive services.\r\n\r\nPrivacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).\r\n\r\nConfidentiality code total order hierarchy: Restricted (R) is less protective than *V*, and subsumes all other protection levels (i.e., *N, M, L, and U*).\r\n\r\n**Examples:** \r\n\r\nIncludes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10232"}]},{"code":"U","display":"unrestricted","definition":"Privacy metadata indicating that no level of protection is required to safeguard personal and healthcare information that has been disclosed by an authorized individual without restrictions on its use.\r\n\r\n**Examples:** Includes publicly available information e.g., business name, phone, email and physical address.\r\n\r\n*Usage Note:* The authorization to collect, access, use, and disclose this information may be stipulated in a contract of adhesion by a data user (e.g., via terms of service or data user privacy policies) in exchange for the data subject's use of a service.\r\n\r\nThis metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.\r\n\r\nThis metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.\r\n\r\nConfidentiality code total order hierarchy: Unrestricted (U) is less protective than *V, R, N, M,* and *L*, and is the lowest protection levels.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23321"}]},{"code":"V","display":"very restricted","definition":"Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.\r\n\r\n*Usage Note:* The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..\r\n\r\nPrivacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).\r\n\r\nConfidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., *R, N, M, L, and UI*).\r\n\r\n**Examples:** \r\n\r\nIncludes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under a legal hold or attorney-client privilege.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14799"}]}]},{"code":"_ConfidentialityByAccessKind","display":"ConfidentialityByAccessKind","definition":"**Description:** By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"B","display":"business","definition":"**Description:** Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. However, no patient related information may ever be of this confidentiality level.\r\n\r\n*Deprecation Comment:* Replced by ActCode.B","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10235"}]},{"code":"D","display":"clinician","definition":"**Description:** Only clinicians may see this item, billing and administration persons can not access this item without special permission.\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10231"}]},{"code":"I","display":"individual","definition":"**Description:** Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10233"}]}]},{"code":"_ConfidentialityByInfoType","display":"ConfidentialityByInfoType","definition":"**Description:** By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data!\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"ETH","display":"substance abuse related","definition":"**Description:** Alcohol/drug-abuse related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.ETH","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10243"}]},{"code":"HIV","display":"HIV related","definition":"**Description:** HIV and AIDS related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.HIV","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10241"}]},{"code":"PSY","display":"psychiatry relate","definition":"**Description:** Psychiatry related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.PSY","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10242"}]},{"code":"SDV","display":"sexual and domestic violence related","definition":"**Description:** Sexual assault / domestic violence related item\r\n\r\n*Deprecation Comment:*Replced by ActCode.SDV","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10244"}]}]},{"code":"_ConfidentialityModifiers","display":"ConfidentialityModifiers","definition":"**Description:** Modifiers of role based access rights (multiple allowed)\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}],"concept":[{"code":"C","display":"celebrity","definition":"**Description:** Celebrities are people of public interest (VIP) including employees, whose information require special protection.\r\n\r\n*Deprecation Comment:*Replced by ActCode.CEL","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10239"}]},{"code":"S","display":"sensitive","definition":"**Description:** \r\n\r\nInformation for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members. Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request.\r\n\r\n*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10237"}]},{"code":"T","display":"taboo","definition":"**Description:** Information not to be disclosed or discussed with patient except through physician assigned to patient in this case. This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV.\r\n\r\n*Deprecation Note:*Replced by ActCode.TBOO","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"10238"}]}]}]}},{"name":"tx-resource","resource":{"resourceType":"ValueSet","id":"v3-InformationSensitivityPolicy","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.1.11.20428"}],"version":"3.0.0","name":"InformationSensitivityPolicy","title":"InformationSensitivityPolicy","status":"active","experimental":false,"date":"2014-03-26","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an \"employee\" sensitivity code would make little sense for use outside of a policy domain. \"Taboo\" would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly.\r\n\r\nSensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActCode","filter":[{"property":"concept","op":"is-a","value":"_InformationSensitivityPolicy"}]}]}}},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"v3-ActCode","language":"en","text":{"status":"generated","div":"<div>!-- Narrative removed --></div>"},"url":"http://terminology.hl7.org/CodeSystem/v3-ActCode","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.5.4"}],"version":"10.0.0","name":"ActCode","title":"ActCode","status":"active","experimental":false,"date":"2023-05-30","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"A code specifying the particular kind of Act that the Act-instance represents within its class.\r\n\r\n*Constraints:* The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc.\r\n\r\nConceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure.\r\n\r\nAct.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code \"potassium\" together with and Act.classCode for \"laboratory observation\" to somehow mean \"potassium laboratory observation\" and then use the same Act.code for \"potassium\" together with Act.classCode for \"medication\" to mean \"substitution of potassium\". This mutually modifying use of Act.code and Act.classCode is not permitted.","copyright":"This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html","caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","property":[{"extension":[{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode":"Specializes"}],"code":"rim-ClassifiesClassCode","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-ClassifiesClassCode","description":"The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code.  Used only in RIM backbone classes to link the code and classCode values.","type":"Coding"},{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.","type":"code"},{"code":"deprecationDate","uri":"http://hl7.org/fhir/concept-properties#deprecationDate","description":"The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged.","type":"dateTime"},{"code":"notSelectable","uri":"http://hl7.org/fhir/concept-properties#notSelectable","description":"Indicates that the code is abstract - only intended to be used as a selector for other concepts","type":"boolean"},{"code":"HL7usageNotes","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes","description":"HL7 Concept Usage Notes","type":"string"},{"code":"synonymCode","uri":"http://hl7.org/fhir/concept-properties#synonym","description":"An additional concept code that was also attributed to a concept","type":"code"},{"code":"subsumedBy","uri":"http://hl7.org/fhir/concept-properties#parent","description":"The concept code of a parent concept","type":"code"}],"concept":[{"code":"_ActAccountCode","display":"ActAccountCode","definition":"An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACCT"}}]},{"code":"_ActAdjudicationCode","display":"ActAdjudicationCode","definition":"Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ADJUD"}}]},{"code":"_ActAdjudicationResultActionCode","display":"ActAdjudicationResultActionCode","definition":"Actions to be carried out by the recipient of the Adjudication Result information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"_ActBillableModifierCode","display":"ActBillableModifierCode","definition":"**Definition:**An identifying modifier code for healthcare interventions or procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"_ActBillingArrangementCode","display":"ActBillingArrangementCode","definition":"The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"_ActBoundedROICode","display":"ActBoundedROICode","definition":"Type of bounded ROI.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ROIBND"}}]},{"code":"_ActCareProvisionCode","display":"act care provision","definition":"**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}}]},{"code":"_ActClaimAttachmentCategoryCode","display":"ActClaimAttachmentCategoryCode","definition":"**Description:** Coded types of attachments included to support a healthcare claim.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"CATEGORY"}}]},{"code":"_ActConsentType","display":"ActConsentType","definition":"**Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"CONS"}}]},{"code":"_ActContainerRegistrationCode","display":"ActContainerRegistrationCode","definition":"Constrains the ActCode to the domain of Container Registration","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"CONTREG"}}]},{"code":"_ActControlVariable","display":"ActControlVariable","definition":"An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.\r\n\r\nControl variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"OBS"}}]},{"code":"_ActCoverageConfirmationCode","display":"ActCoverageConfirmationCode","definition":"Response to an insurance coverage eligibility query or authorization request.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}}]},{"code":"_ActCoverageLimitCode","display":"ActCoverageLimitCode","definition":"Criteria that are applicable to the authorized coverage.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}}]},{"code":"_ActCoverageTypeCode","display":"ActCoverageTypeCode","definition":"**Definition:** Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}}]},{"code":"_ActDetectedIssueManagementCode","display":"ActDetectedIssueManagementCode","definition":"Codes dealing with the management of Detected Issue observations","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ALRT"}}]},{"code":"_ActExposureCode","display":"ActExposureCode","definition":"Concepts that identify the type or nature of exposure interaction. Examples include \"household\", \"care giver\", \"intimate partner\", \"common space\", \"common substance\", etc. to further describe the nature of interaction.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"EXPOS"}}]},{"code":"_ActFinancialTransactionCode","display":"ActFinancialTransactionCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"XACT"}}]},{"code":"_ActIncidentCode","display":"ActIncidentCode","definition":"Set of codes indicating the type of incident or accident.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INC"}}]},{"code":"_ActInformationAccessCode","display":"ActInformationAccessCode","definition":"**Description:** The type of health information to which the subject of the information or the subject's delegate consents or dissents.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"_ActInformationAccessContextCode","display":"ActInformationAccessContextCode","definition":"Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"_ActInformationCategoryCode","display":"ActInformationCategoryCode","definition":"**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"DOC"}}]},{"code":"_ActInvoiceElementCode","display":"ActInvoiceElementCode","definition":"Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}}]},{"code":"_ActInvoiceElementSummaryCode","display":"ActInvoiceElementSummaryCode","definition":"Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}}]},{"code":"_ActInvoiceOverrideCode","display":"ActInvoiceOverrideCode","definition":"Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"INVE"}}]},{"code":"_ActListCode","display":"ActListCode","definition":"Provides codes associated with ActClass value of LIST (working list)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"LIST"}}]},{"code":"_ActMonitoringProtocolCode","display":"ActMonitoringProtocolCode","definition":"Identifies types of monitoring programs","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"MPROT"}}]},{"code":"_ActNonObservationIndicationCode","display":"ActNonObservationIndicationCode","definition":"**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACT"}}]},{"code":"_ActObservationVerificationType","display":"act observation verification","definition":"Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.\r\n\r\n**Examples:**\r\n\r\n1.  Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program\r\n2.  Verification of record - e.g., person has record in an immunization registry\r\n3.  Verification of enumeration - e.g. NPI\r\n4.  Verification of Board Certification - provider specific\r\n5.  Verification of Certification - e.g. JAHCO, NCQA, URAC\r\n6.  Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria\r\n7.  Verification of Provider Credentials\r\n8.  Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"VERIF"}}]},{"code":"_ActPaymentCode","display":"ActPaymentCode","definition":"Code identifying the method or the movement of payment instructions.\r\n\r\nCodes are drawn from X12 data element 591 (PaymentMethodCode)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"XACT"}}]},{"code":"_ActPharmacySupplyType","display":"ActPharmacySupplyType","definition":"Identifies types of dispensing events","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPLY"}}]},{"code":"_ActPolicyType","display":"ActPolicyType","definition":"A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"POLICY"}}]},{"code":"_ActProductAcquisitionCode","display":"ActProductAcquisitionCode","definition":"The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPLY"}}]},{"code":"_ActSpecimenTransportCode","display":"ActSpecimenTransportCode","definition":"Transportation of a specimen.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"TRNS"}}]},{"code":"_ActSpecimenTreatmentCode","display":"ActSpecimenTreatmentCode","definition":"Set of codes related to specimen treatments","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SPCTRT"}}]},{"code":"_ActSubstanceAdministrationCode","display":"ActSubstanceAdministrationCode","definition":"**Description:** Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"SBADM"}}]},{"code":"_ActTaskCode","display":"ActTaskCode","definition":"**Description:** A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ACT"}}]},{"code":"_ActTransportationModeCode","display":"ActTransportationModeCode","definition":"Characterizes how a transportation act was or will be carried out.\r\n\r\n*Examples:* Via private transport, via public transit, via courier.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"TRNS"}}]},{"code":"_ObservationType","display":"ObservationType","definition":"Identifies the kinds of observations that can be performed","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"OBS"}}]},{"code":"_ROIOverlayShape","display":"ROIOverlayShape","definition":"Shape of the region on the object being referenced","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"C","display":"corrected","definition":"**Description:**Indicates that result data has been corrected.","property":[{"code":"status","valueCode":"active"}]},{"code":"DIET","display":"Diet","definition":"Code set to define specialized/allowed diets","property":[{"code":"status","valueCode":"active"}]},{"code":"DRUGPRG","display":"drug program","definition":"**Definition:** A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.","property":[{"code":"status","valueCode":"active"}]},{"code":"F","display":"final","definition":"**Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.","property":[{"code":"status","valueCode":"active"}]},{"code":"PRLMN","display":"preliminary","definition":"**Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.","property":[{"code":"status","valueCode":"active"}]},{"code":"SECOBS","display":"SecurityObservationType","definition":"An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels.\r\n\r\n*Rationale:* According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:\r\n\r\n *  The security policy identifiers shall be identical\r\n *  The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and\r\n *  For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target.\r\n\r\n**Examples:** SecurityObservationType security label fields include:\r\n\r\n *  Confidentiality classification\r\n *  Compartment category\r\n *  Sensitivity category\r\n *  Security mechanisms used to ensure data integrity or to perform authorized data transformation\r\n *  Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance.\r\n\r\n*Usage Note:* SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the \"security label tag\".","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}]},{"code":"SUBSIDFFS","display":"subsidized fee for service program","definition":"**Definition:** A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.\r\n\r\n*Discussion:* The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.","property":[{"code":"status","valueCode":"active"}]},{"code":"WRKCOMP","display":"(workers compensation program","definition":"**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.","property":[{"code":"status","valueCode":"active"}]},{"code":"_ActAdjudicationInformationCode","display":"ActAdjudicationInformationCode","definition":"Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice.\r\n\r\nCodes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim).\r\n\r\nExample adjudication information code is 54540 - Patient has reached Plan Maximum for current year.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActBillableTreatmentPlanCode","display":"ActBillableTreatmentPlanCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActCognitiveProfessionalServiceCode","display":"ActCognitiveProfessionalServiceCode","definition":"Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActIdentityDocumentCode","display":"ActIdentityDocumentCode","definition":"Code identifying the type of identification document (e.g. passport, drivers license)\r\n\r\n**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActOrderCode","display":"ActOrderCode","definition":"The type of order that was fulfilled by the clinical service","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActPrivilegeCategorization","display":"ActPrivilegeCategorization","definition":"An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActProcedureCode","display":"ActProcedureCode","definition":"An identifying code for healthcare interventions/procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActRegistryCode","display":"ActRegistryCode","definition":"This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ActSecurityObjectCode","display":"ActSecurityObjectCode","definition":"**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_AdvanceBeneficiaryNoticeType","display":"AdvanceBeneficiaryNoticeType","definition":"**Description:**\r\n\r\nRepresents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.\r\n\r\n**Examples:**\r\n\r\n *  Advanced beneficiary medically necessity notice.\r\n *  Advanced beneficiary agreement to pay notice.\r\n *  Advanced beneficiary requests payer billed.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_CPT4","display":"CPT4","definition":"**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ExternallyDefinedActCodes","display":"ExternallyDefinedActCodes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_HL7DefinedActCodes","display":"HL7DefinedActCodes","definition":"Domain provides the root for HL7-defined detailed or rich codes for the Act classes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IndividualCaseSafetyReportCriteria","display":"IndividualCaseSafetyReportCriteria","definition":"**Description:** Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_IndividualCaseSafetyReportProductCharacteristic","display":"IndividualCaseSafetyReportProductCharacteristic","definition":"**Description:** Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.\r\n\r\n**Examples:**Weight, color, dimensions.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"_ObservationActAgeGroupType","display":"ObservationActAgeGroupType","definition":"**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"}]},{"code":"COPAY","property":[{"code":"status","valueCode":"retired"}]},{"code":"DEDUCT","property":[{"code":"status","valueCode":"retired"}]},{"code":"DOSEIND","property":[{"code":"status","valueCode":"retired"}]},{"code":"PRA","property":[{"code":"status","valueCode":"retired"}]},{"code":"STORE","display":"Storage","definition":"The act of putting something away for safe keeping. The \"something\" may be physical object such as a specimen, or information, such as observations regarding a specimen.","property":[{"code":"status","valueCode":"retired"}]},{"code":"ACCTRECEIVABLE","display":"account receivable","definition":"An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CASH","display":"Cash","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CC","display":"credit card","definition":"**Description:** Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"PBILLACCT","display":"patient billing account","definition":"An account representing charges and credits (financial transactions) for a patient's encounter.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_CreditCard","display":"CreditCard","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_ActAdjudicationGroupCode","display":"ActAdjudicationGroupCode","definition":"Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ADJUD"}},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AA","display":"adjudicated with adjustments","definition":"The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).\r\n\r\nAlso includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AR","display":"adjudicated as refused","definition":"The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.\r\n\r\nIncludes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').\r\n\r\nIf one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.\r\n\r\nA refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.\r\n\r\nInvoice element cannot be reversed (nullified) as there is nothing to reverse.\r\n\r\nRecommend that the invoice element is not saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"AS","display":"adjudicated as submitted","definition":"The invoice element was/will be paid exactly as submitted, without financial adjustment(s).\r\n\r\nIf the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as \"Adjudicated with Adjustment\".\r\n\r\nIf information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').\r\n\r\nInvoice element can be reversed (nullified).\r\n\r\nRecommend that the invoice element is saved for DUR (Drug Utilization Reporting).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"CONT","display":"contract","definition":"Transaction counts and value totals by Contract Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"DAY","display":"day","definition":"Transaction counts and value totals for each calendar day within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"LOC","display":"location","definition":"Transaction counts and value totals by service location (e.g clinic).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"MONTH","display":"month","definition":"Transaction counts and value totals for each calendar month within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"PERIOD","display":"period","definition":"Transaction counts and value totals for the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"PROV","display":"provider","definition":"Transaction counts and value totals by Provider Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"WEEK","display":"week","definition":"Transaction counts and value totals for each calendar week within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"YEAR","display":"year","definition":"Transaction counts and value totals for each calendar year within the date range specified.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationGroupCode"},{"code":"subsumedBy","valueCode":"_ActInvoiceAdjudicationPaymentSummaryCode"}]},{"code":"DISPLAY","display":"Display","definition":"The adjudication result associated is to be displayed to the receiver of the adjudication result.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationResultActionCode"}]},{"code":"FORM","display":"Print on Form","definition":"The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdjudicationResultActionCode"}]},{"code":"NAT","display":"Insufficient authorization","definition":"The requesting party has insufficient authorization to invoke the interaction.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"SUPPRESSED","display":"record suppressed","definition":"**Description:** One or more records in the query response have been suppressed due to consent or privacy restrictions.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"VALIDAT","display":"validation issue","definition":"**Description:**The specified element did not pass business-rule validation.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"_ActAdministrativeAuthorizationDetectedIssueCode","display":"ActAdministrativeAuthorizationDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_ActAdministrativeRuleDetectedIssueCode","display":"ActAdministrativeRuleDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_AuthorizationIssueManagementCode","display":"Authorization Issue Management Code","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ALRT"}},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueManagementCode"}]},{"code":"KEY204","display":"Unknown key identifier","definition":"The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"},{"code":"subsumedBy","valueCode":"VALIDAT"}]},{"code":"KEY205","display":"Duplicate key identifier","definition":"The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"},{"code":"subsumedBy","valueCode":"VALIDAT"}]},{"code":"KEY206","display":"non-matching identification","definition":"**Description:** Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"}]},{"code":"OBSOLETE","display":"obsolete record returned","definition":"**Description:** One or more records in the query response have a status of 'obsolete'.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActAdministrativeRuleDetectedIssueCode"}]},{"code":"CPTM","display":"CPT modifier codes","definition":"**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillableModifierCode"}]},{"code":"HCPCSA","display":"HCPCS Level II and Carrier-assigned","definition":"**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillableModifierCode"}]},{"code":"_ActMedicalBillableServiceCode","display":"ActMedicalBillableServiceCode","definition":"**Definition:** An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActBillableServiceCode"}]},{"code":"_ActNonMedicalBillableServiceCode","display":"ActNonMedicalBillableServiceCode","definition":"**Definition:** An identifying code for billable services that are not medical procedures, such as social services or governmental program services.\r\n\r\n**Example:** Building a wheelchair ramp, help with groceries, giving someone a ride, etc.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActBillableServiceCode"}]},{"code":"BLK","display":"block funding","definition":"A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.\r\n\r\nThis billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"CAP","display":"capitation funding","definition":"A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"CONTF","display":"contract funding","definition":"A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"FINBILL","display":"financial","definition":"A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"ROST","display":"roster funding","definition":"A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"SESS","display":"sessional funding","definition":"A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"}]},{"code":"FFS","display":"fee for service","definition":"A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.\r\n\r\nFee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.","property":[{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActBillingArrangementCode"},{"code":"subsumedBy","valueCode":"FF"}]},{"code":"ROIFS","display":"fully specified ROI","definition":"A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of \"ST elevation\" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBoundedROICode"}]},{"code":"ROIPS","display":"partially specified ROI","definition":"A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActBoundedROICode"}]},{"code":"_ActCredentialedCareCode","display":"act credentialed care","definition":"**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.\r\n\r\n**Example:**Hospital license; physician license; clinic accreditation.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"PCPR"}},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"_ActEncounterCode","display":"ActEncounterCode","definition":"Domain provides codes that qualify the ActEncounterClass (ENC)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"ENC"}},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"_ActMedicalServiceCode","display":"ActMedicalServiceCode","definition":"General category of medical service provided to the patient during their encounter.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"AUTOATTCH","display":"auto attachment","definition":"**Description:** Automobile Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"DOCUMENT","display":"document","definition":"**Description:** Document Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"HEALTHREC","display":"health record","definition":"**Description:** Health Record Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"IMG","display":"image attachment","definition":"**Description:** Image Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"LABRESULTS","display":"lab results","definition":"**Description:** Lab Results Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"MODEL","display":"model","definition":"**Description:** Digital Model Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"WIATTCH","display":"work injury report attachment","definition":"**Description:** Work Injury related additional Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"XRAY","display":"x-ray","definition":"**Description:** Digital X-Ray Attachment","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"_ActDecision","display":"_ActDecision","definition":"Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.\r\n\r\n*Usage Note:* Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats.\r\n *  Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability.\r\n *  Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor.\r\n *  Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an \"award\" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling.\r\n *  A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service.\r\n *  Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsent"}]},{"code":"_ActPrivacyConsentDirective","display":"_ActPrivacyConsentDirective","definition":"Specifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsent"}]},{"code":"EMRGONLY","display":"emergency only","definition":"Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.\r\n\r\n*Usage Note:* To specify the scope of an \"EMRGONLY\" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.\r\n\r\n *  ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition.\r\n *  BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.\r\n *  ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a \"Break the Glass\" purpose of use.\r\n *  THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.\r\n *  DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.\r\n\r\nMap: An \"emergency only\" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"}]},{"code":"GRANTORCHOICE","display":"grantor choice","definition":"A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.\r\n\r\n*Comment:* A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.\r\n\r\n*Usage Note:* If the grantor's term of agreement must be accepted in full, then this is considered \"basic consent\". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A PHR account holder \\[grantor\\] may require any PHR user \\[grantee\\] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user.\r\n *  Non-healthcare: The owner of a resource server \\[grantor\\] may require any authorization server \\[grantee\\] to meet authorization requirements stipulated in the grantor's terms of agreement.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"IMPLIED","display":"implied consent","definition":"A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.\r\n\r\n*Comment:* Implied or \"implicit\" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.\r\n\r\n*Usage Note:* Implied consent with no opportunity to assent or dissent to certain terms is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient \\[grantor\\] agrees to the rights granted to the provider \\[grantee\\] in an implicit consent directive.\r\n *  An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws.\r\n *  Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests.\r\n *  A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"IMPLIEDD","display":"implied consent with opportunity to dissent","definition":"A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.\r\n\r\n*Comment:* A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Implied or \"implicit\" consent with an \"opportunity to dissent\" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered \"granular consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures.\r\n *  A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations.\r\n *  Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"NOCONSENT","display":"no consent","definition":"No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.\r\n\r\n*Comment:* A \"No Consent\" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles \\[FIPP\\] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.\r\n\r\n*Usage Note:* The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented.\r\n *  Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement.\r\n *  Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling.\r\n *  Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"NOPP","display":"notice of privacy practices","definition":"An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.\r\n\r\n*Usage Notes:* Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\".","property":[{"code":"status","valueCode":"active"},{"code":"HL7usageNotes","valueString":"Map: An \"implied\" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied\"."},{"code":"subsumedBy","valueCode":"_ActConsentDirective"}]},{"code":"OPTIN","display":"opt-in","definition":"A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.\r\n\r\n*Comment:* Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] signs a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies.\r\n *  Non-healthcare: An employee \\[grantor\\] signs an employer's \\[grantee's\\] non-disclosure and non-compete agreement.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTINR","display":"opt-in with restrictions","definition":"A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.\r\n\r\n*Comment:* A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.\r\n\r\n*Usage Note:* Opt-in with restrictions is considered \"granular consent\" because the grantor has an opportunity to narrow the permissions sought by the grantee.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list.\r\n *  Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTOUT","display":"op-out","definition":"A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\r\n\r\n*Comment:* Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\r\n\r\n*Usage Note:* Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \"basic consent\".\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] declines to sign a provider's \\[grantee's\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.\r\n *  Non-healthcare: An employee \\[grantor\\] refuses to sign an employer's \\[grantee's\\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.\r\n *  A citizen \\[grantor\\] refuses to enroll in mandatory government \\[grantee\\] health insurance based on religious beliefs, which is an exemption.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"OPTOUTE","display":"opt-out with exceptions","definition":"A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\r\n\r\n*Comment:* A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.\r\n\r\n*Usage Note:* Opt-out with exceptions is considered a \"granular consent\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.\r\n\r\n**Examples:** \r\n\r\n *  Healthcare: A patient \\[grantor\\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \"time to live\" shared secret \\[e.g., a token or password\\], which the patient can give to a provider when seeking care.\r\n *  Non-healthcare: A social media user \\[grantor\\] dissents from public access to their account, but assents to access to a circle of friends.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentDirective"},{"code":"subsumedBy","valueCode":"_ActDecision"}]},{"code":"ICOL","display":"information collection","definition":"**Definition:** Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"IDSCL","display":"information disclosure","definition":"**Definition:** Consent to have collected healthcare information disclosed.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"INFA","display":"information access","definition":"**Definition:** Consent to access healthcare information.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"IRDSCL","display":"information redisclosure","definition":"**Definition:** Information re-disclosed without the patient's consent.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"RESEARCH","display":"research information access","definition":"**Definition:** Consent to have healthcare information in an electronic health record accessed for research purposes.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActConsentType"}]},{"code":"ID","display":"Identified","definition":"Used by one system to inform another that it has received a container.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"IP","display":"In Position","definition":"Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"L","display":"Left Equipment","definition":"Used by one system to inform another that the container has been released from that system.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"M","display":"Missing","definition":"Used by one system to inform another that the container did not arrive at its next expected location.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"O","display":"In Process","definition":"Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"R","display":"Process Completed","definition":"Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"X","display":"Container Unavailable","definition":"Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActContainerRegistrationCode"}]},{"code":"AUTO","display":"auto-repeat permission","definition":"Specifies whether or not automatic repeat testing is to be initiated on specimens.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"ENDC","display":"endogenous content","definition":"A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"REFLEX","display":"reflex permission","definition":"Specifies whether or not further testing may be automatically or manually initiated on specimens.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"_ECGControlVariable","display":"ECGControlVariable","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActControlVariable"}]},{"code":"AUTH","display":"Authorized","definition":"Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActCoverageAuthorizationConfirmationCode"}]},{"code":"NAUTH","display":"Not Authorized","definition":"Authorization for specified healthcare service(s) and/or product(s) denied.","property":[{"code":"status","valueCode":"active"},{"code":"subsumedBy","valueCode":"_ActCoverageAuthorizationConfirmationCode"}]},{"code":"_ActCoverageAuthorizationConfirmationCode","display":"ActCoverageAuthorizationConfirmationCode","definition":"Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"rim-ClassifiesClassCode","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ActClass","code":"COV"}},{"code":"subsumedBy","valueCode":"_ActCoverageConfirmationCode"}]},{"code":"_ActCoverageEligibilityConfirmationCode","display":"ActCoverageEligibilityConfirmationCode","definition":"Indication of eligibility coverage for healthcare service(s) and/or product(s).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActCoverageConfirmationCode"}]},{"code":"ELG","display":"Eligible","definition":"Insurance coverage is in effect for healthcare service(s) and/or product(s).","property":[{"code":"status","valueCode":"retired"},{"code":"subsumedBy","valueCode":"_ActCoverageEligibilityConfirmationCode"}]},{"code":"NELG","display":"Not Eligible","definition":"Insurance coverage is not in effect for healthcare service(s) and/or product(s). 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200
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date:Mon, 30 Mar 2026 21:19:06 GMT
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{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":false},{"name":"system","valueUri":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue"},{"name":"x-caused-by-unknown-system","valueCanonical":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0"},{"name":"code","valueCode":"AIAST"},{"name":"version","valueString":"5.0.0"},{"name":"display","valueString":"Artificial Intelligence asserted"},{"name":"message","valueString":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0"},{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"warning","code":"invalid","details":{"text":"The code system 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '5.0.0' for the versionless include in the ValueSet include is different to the one in the value ('4.0.0')","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"vs-invalid"}]},"expression":["Coding.version"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"VALUESET_VALUE_MISMATCH_DEFAULT"}]},{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. 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http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0 for validation purposes\n14ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: Prepare include[0]: \"(http://terminology.hl7.org/CodeSystem/v3-ActCode)(conceptis-aSecurityPolicy)\"\n14ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|10.0.0\"\n14ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: Prepare include[1]: \"(^http://terminology.hl7.org/ValueSet/v3-ObligationPolicy)\"\n14ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: Analysing http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0 for validation purposes\n14ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: Prepare include[0]: \"(http://terminology.hl7.org/CodeSystem/v3-ActCode)(conceptis-aObligationPolicy)\"\n14ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: CodeSystem found: 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\"http://terminology.hl7.org/CodeSystem/v3-ActReason|4.0.0\"\n14ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: Prepare include[5]: \"(http://terminology.hl7.org/CodeSystem/v3-ObservationValue)\"\n14ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|5.0.0\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Prepare include[5]: \"(^http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw)\"\n14ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: Analysing http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0 for validation purposes\n14ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: Prepare include[0]: \"(http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw)(conceptis-a_ActUSPrivacyLaw)\"\n14ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw|4.0.0\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Validate \"[http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0#AIAST (\"Artificial Intelligence asserted\")]\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0#AIAST\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check included value set http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification\n14ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Check \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0#AIAST\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check included value set http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy\n14ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: Check \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0#AIAST\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check included value set http://terminology.hl7.org/ValueSet/v3-Compartment\n14ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: Check \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0#AIAST\"\n14ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check included value set http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue\n14ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: Check \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0#AIAST\"\n15ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: CodeSystem found: http://terminology.hl7.org/CodeSystem/v3-ObservationValue|5.0.0 for http://terminology.hl7.org/CodeSystem/v3-ObservationValue\n15ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: check code in (http://terminology.hl7.org/CodeSystem/v3-ObservationValue)(conceptis-a_SECINTOBV) at Coding\n15ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: Filter concept is-a _SECINTOBV: Code \"AIAST\" found in http://terminology.hl7.org/CodeSystem/v3-ObservationValue|5.0.0"}]}

#32

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9269-2","display":"Glasgow coma score total"}],"text":"Glasgow Coma Scale , (GCS)"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:931
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:06 GMT
etag:W/"3a3-sXqiVSju2z+pvq6xfVXNrcQdRg0"
server:nginx
x-powered-by:Express
x-request-id:tx-118418

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://loinc.org"},{"name":"code","valueCode":"9269-2"},{"name":"version","valueString":"2.81"},{"name":"display","valueString":"Glasgow coma score total"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9269-2","display":"Glasgow coma score total"}],"text":"Glasgow Coma Scale , (GCS)"}},{"name":"diagnostics","valueString":"0ms tx-op\n1ms http://loinc.org/vs|2.81: Validate \"[http://loinc.org#9269-2 (\"Glasgow coma score total\")]\"\n1ms http://loinc.org/vs|2.81: Check \"http://loinc.org#9269-2\"\n2ms http://loinc.org/vs|2.81: CodeSystem found: http://loinc.org|2.81 for http://loinc.org|2.81\n2ms http://loinc.org/vs|2.81: check code in (http://loinc.org) at CodeableConcept.coding[0]\n2ms http://loinc.org/vs|2.81: Code \"9269-2\" found in http://loinc.org|2.81"}]}

#33

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9268-4","display":"Glasgow coma score motor"}],"text":"GCS Motor"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:914
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:06 GMT
etag:W/"392-kfngmCXo6ZNZbCX+MJu0T/ZnNpE"
server:nginx
x-powered-by:Express
x-request-id:tx-118421

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://loinc.org"},{"name":"code","valueCode":"9268-4"},{"name":"version","valueString":"2.81"},{"name":"display","valueString":"Glasgow coma score motor"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9268-4","display":"Glasgow coma score motor"}],"text":"GCS Motor"}},{"name":"diagnostics","valueString":"0ms tx-op\n1ms http://loinc.org/vs|2.81: Validate \"[http://loinc.org#9268-4 (\"Glasgow coma score motor\")]\"\n1ms http://loinc.org/vs|2.81: Check \"http://loinc.org#9268-4\"\n2ms http://loinc.org/vs|2.81: CodeSystem found: http://loinc.org|2.81 for http://loinc.org|2.81\n2ms http://loinc.org/vs|2.81: check code in (http://loinc.org) at CodeableConcept.coding[0]\n2ms http://loinc.org/vs|2.81: Code \"9268-4\" found in http://loinc.org|2.81"}]}

#34

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes","code":"5","display":"Localizes painful stimuli"},{"system":"http://loinc.org","code":"LA6566-9","display":"Localizing pain"}],"text":"5 (Localizes painful stimuli)"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1085
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:07 GMT
etag:W/"43d-OC3Bwbe7ctw/U2IvznRPKXVnjJA"
server:nginx
x-powered-by:Express
x-request-id:tx-118425

{"resourceType":"Parameters","parameter":[{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://example.org/codes' could not be found, so the code cannot be validated","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["CodeableConcept.coding[0].system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM"}]}]}},{"name":"result","valueBoolean":false},{"name":"message","valueString":"A definition for CodeSystem 'http://example.org/codes' could not be found, so the code cannot be validated"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes","code":"5","display":"Localizes painful stimuli"},{"system":"http://loinc.org","code":"LA6566-9","display":"Localizing pain"}],"text":"5 (Localizes painful stimuli)"}},{"name":"x-caused-by-unknown-system","valueCanonical":"http://example.org/codes"}]}

#35

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9270-0","display":"Glasgow coma score verbal"}],"text":"GSC Verbal"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:918
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:07 GMT
etag:W/"396-RuYQOMPldfTcraBuw4X+lbbbkGY"
server:nginx
x-powered-by:Express
x-request-id:tx-118428

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://loinc.org"},{"name":"code","valueCode":"9270-0"},{"name":"version","valueString":"2.81"},{"name":"display","valueString":"Glasgow coma score verbal"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9270-0","display":"Glasgow coma score verbal"}],"text":"GSC Verbal"}},{"name":"diagnostics","valueString":"0ms tx-op\n1ms http://loinc.org/vs|2.81: Validate \"[http://loinc.org#9270-0 (\"Glasgow coma score verbal\")]\"\n1ms http://loinc.org/vs|2.81: Check \"http://loinc.org#9270-0\"\n2ms http://loinc.org/vs|2.81: CodeSystem found: http://loinc.org|2.81 for http://loinc.org|2.81\n2ms http://loinc.org/vs|2.81: check code in (http://loinc.org) at CodeableConcept.coding[0]\n2ms http://loinc.org/vs|2.81: Code \"9270-0\" found in http://loinc.org|2.81"}]}

#36

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes","code":"4","display":"Confused, disoriented"},{"system":"http://loinc.org","code":"LA6560-2","display":"Confused"}],"text":"4 (Confused, disoriented)"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1070
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:07 GMT
etag:W/"42e-hWXOjBXn3KWbG7M3aLXTa84bTVo"
server:nginx
x-powered-by:Express
x-request-id:tx-118431

{"resourceType":"Parameters","parameter":[{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://example.org/codes' could not be found, so the code cannot be validated","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["CodeableConcept.coding[0].system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM"}]}]}},{"name":"result","valueBoolean":false},{"name":"message","valueString":"A definition for CodeSystem 'http://example.org/codes' could not be found, so the code cannot be validated"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes","code":"4","display":"Confused, disoriented"},{"system":"http://loinc.org","code":"LA6560-2","display":"Confused"}],"text":"4 (Confused, disoriented)"}},{"name":"x-caused-by-unknown-system","valueCanonical":"http://example.org/codes"}]}

#37

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9267-6","display":"Glasgow coma score eye opening"}],"text":"Eyes"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:927
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:07 GMT
etag:W/"39f-Wpyi0dgqfgQBAjwxlZ9CQkWvfrA"
server:nginx
x-powered-by:Express
x-request-id:tx-118434

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://loinc.org"},{"name":"code","valueCode":"9267-6"},{"name":"version","valueString":"2.81"},{"name":"display","valueString":"Glasgow coma score eye opening"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"9267-6","display":"Glasgow coma score eye opening"}],"text":"Eyes"}},{"name":"diagnostics","valueString":"0ms tx-op\n1ms http://loinc.org/vs|2.81: Validate \"[http://loinc.org#9267-6 (\"Glasgow coma score eye opening\")]\"\n1ms http://loinc.org/vs|2.81: Check \"http://loinc.org#9267-6\"\n2ms http://loinc.org/vs|2.81: CodeSystem found: http://loinc.org|2.81 for http://loinc.org|2.81\n2ms http://loinc.org/vs|2.81: check code in (http://loinc.org) at CodeableConcept.coding[0]\n2ms http://loinc.org/vs|2.81: Code \"9267-6\" found in http://loinc.org|2.81"}]}

#38

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes","code":"4","display":"Opens eyes spontaneously"},{"system":"http://loinc.org","code":"LA6556-0","display":"Eyes open spontaneously"}],"text":"4 (Opens eyes spontaneously)"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1091
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:07 GMT
etag:W/"443-cIQq8P4TCe1WKxc3RCtuB/whnWc"
server:nginx
x-powered-by:Express
x-request-id:tx-118438

{"resourceType":"Parameters","parameter":[{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://example.org/codes' could not be found, so the code cannot be validated","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["CodeableConcept.coding[0].system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM"}]}]}},{"name":"result","valueBoolean":false},{"name":"message","valueString":"A definition for CodeSystem 'http://example.org/codes' could not be found, so the code cannot be validated"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://example.org/codes","code":"4","display":"Opens eyes spontaneously"},{"system":"http://loinc.org","code":"LA6556-0","display":"Eyes open spontaneously"}],"text":"4 (Opens eyes spontaneously)"}},{"name":"x-caused-by-unknown-system","valueCanonical":"http://example.org/codes"}]}

#39

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher

{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"2708-6","display":"Oxygen saturation in Arterial blood"},{"system":"urn:iso:std:iso:11073:10101","code":"150456","display":"MDC_PULS_OXIM_SAT_O2"}]}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

200
access-control-allow-headers:Origin, X-Requested-With, Content-Type, Accept
access-control-allow-headers:DNT,User-Agent,X-Requested-With,If-Modified-Since,Cache-Control,Content-Type,Range,Authorization
access-control-allow-methods:GET, POST, OPTIONS
access-control-allow-methods:GET, POST, PUT, DELETE, OPTIONS
access-control-allow-origin:*
access-control-allow-origin:*
connection:keep-alive
content-length:1626
content-type:application/fhir+json; charset=utf-8
date:Mon, 30 Mar 2026 21:19:08 GMT
etag:W/"65a-+ShZ2kZ3QMlDmywqeFwMsYR7IdI"
server:nginx
x-powered-by:Express
x-request-id:tx-118441

{"resourceType":"Parameters","parameter":[{"name":"result","valueBoolean":true},{"name":"system","valueUri":"http://loinc.org"},{"name":"code","valueCode":"2708-6"},{"name":"version","valueString":"2.81"},{"name":"display","valueString":"MDC_PULS_OXIM_SAT_O2"},{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"2708-6","display":"Oxygen saturation in Arterial blood"},{"system":"urn:iso:std:iso:11073:10101","code":"150456","display":"MDC_PULS_OXIM_SAT_O2","version":"2024-12-05"}]}},{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"information","code":"business-rule","details":{"text":"Reference to draft CodeSystem urn:iso:std:iso:11073:10101|2024-12-05 from fhir.tx.support.r4#0.36.0","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"status-check"}]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"MSG_DRAFT"}]}]}},{"name":"diagnostics","valueString":"0ms tx-op\n1ms http://loinc.org/vs|2.81: Validate \"[http://loinc.org#2708-6 (\"Oxygen saturation in Arterial blood\"), urn:iso:std:iso:11073:10101#150456 (\"MDC_PULS_OXIM_SAT_O2\")]\"\n1ms http://loinc.org/vs|2.81: Check \"http://loinc.org#2708-6\"\n2ms http://loinc.org/vs|2.81: CodeSystem found: http://loinc.org|2.81 for http://loinc.org|2.81\n2ms http://loinc.org/vs|2.81: check code in (http://loinc.org) at CodeableConcept.coding[0]\n2ms http://loinc.org/vs|2.81: Code \"2708-6\" found in http://loinc.org|2.81\n2ms http://loinc.org/vs|2.81: Check \"urn:iso:std:iso:11073:10101#150456\""}]}

#40

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
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#41

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
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#42

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
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#43

POST https://tx.fhir.org/r4/ValueSet/$validate-code? HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
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(e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23705"}]},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23706"}]}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23707"}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23708"}]},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23709"}]},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software crypto

200
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{"resourceType":"Parameters","parameter":[{"name":"version","valueString":"5.0.0"},{"name":"result","valueBoolean":false},{"name":"system","valueUri":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue"},{"name":"x-caused-by-unknown-system","valueCanonical":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0"},{"name":"code","valueCode":"AIAST"},{"name":"display","valueString":"Artificial Intelligence asserted"},{"name":"message","valueString":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0"},{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["Coding.system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM_VERSION"}]}]}},{"name":"diagnostics","valueString":"0ms tx-op\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: Analysing http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot for validation purposes\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: Parameters: disp-lang=en-US, generate-narrative, default-to-latest\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: Prepare include[0]: \"(http://terminology.hl7.org/CodeSystem/v3-ObservationValue)(AIAST)\"\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: CodeSystem version 4.0.0 not found: \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0\"\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: Validate \"[http://terminology.hl7.org/CodeSystem/v3-ObservationValue#AIAST (\"undefined\")]\"\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: Check \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue#AIAST\"\n2ms http://hl7.org/fhir/uv/aitransparency/ValueSet/ProvenanceVS--0|1.0.0-ballot: CodeSystem not found: http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0"}]}

#44

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
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{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","version":"4.0.0","code":"AIAST"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

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{"resourceType":"Parameters","parameter":[{"name":"issues","resource":{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"not-found","details":{"text":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0","coding":[{"system":"http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code":"not-found"}]},"expression":["Coding.system"],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString":"UNKNOWN_CODESYSTEM_VERSION"}]}]}},{"name":"result","valueBoolean":false},{"name":"message","valueString":"A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-ObservationValue' version '4.0.0' could not be found, so the code cannot be validated. Valid versions: 2018-08-12 or 5.0.0"},{"name":"system","valueUri":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue"},{"name":"version","valueString":"4.0.0"},{"name":"code","valueCode":"AIAST"},{"name":"x-caused-by-unknown-system","valueCanonical":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0"}]}

#45

POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
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{"resourceType":"Parameters","parameter":[{"name":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"41995-2","display":"Hemoglobin A1c [Mass/volume] in Blood"}],"text":"Hemoglobin A1c [Mass/volume] in Blood"}},{"name":"displayLanguage","valueString":"en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"91e1c658-14ea-4373-936d-f2e9b63cb6f2"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}

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state observable that is associated with a specific long-term health outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23862"}]},{"code":"PRO-PM","display":"patient reported outcome measure type","definition":"A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23861"}]}]},{"code":"PROCESS","display":"process measure type","definition":"A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23043"}],"concept":[{"code":"APPROPRIATE","display":"appropriate use process measure","definition":"A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23863"}]}]},{"code":"RESOURCE","display":"resource use measure type","definition":"A measure related to the extent of use of clinical resources or cost of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23651"}]},{"code":"STRUCTURE","display":"structure measure type","definition":"A measure related to the structure of patient care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23654"}]}]},{"code":"_ObservationPopulationInclusion","display":"ObservationPopulationInclusion","definition":"Observation values used to assert various populations that a subject falls into.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"DENEX","display":"denominator exclusions","definition":"Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23442"}]},{"code":"DENEXCEP","display":"denominator exceptions","definition":"Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23705"}]},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23706"}]}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23707"}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23708"}]},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23709"}]},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23710"}]},{"code":"LOATK4","display":"high t

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#47

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year).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23039"}]},{"code":"RATIO","display":"ratio measure scoring","definition":"A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23040"}]}]},{"code":"_ObservationMeasureType","display":"ObservationMeasureType","definition":"Observation values used to indicate what kind of health quality measure is used.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"COMPOSITE","display":"composite measure type","definition":"A measure that is composed from one or more other measures and indicates an overall summary of those measures.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23650"}]},{"code":"EFFICIENCY","display":"efficiency measure type","definition":"A measure related to the efficiency of medical treatment.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23652"}]},{"code":"EXPERIENCE","display":"experience measure type","definition":"A measure related to the level of patient engagement or patient experience of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23653"}]},{"code":"OUTCOME","display":"outcome measure type","definition":"A measure that indicates the result of the performance (or non-performance) of a function or process.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23042"}],"concept":[{"code":"INTERM-OM","display":"intermediate outcome measure type","definition":"A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23862"}]},{"code":"PRO-PM","display":"patient reported outcome measure type","definition":"A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23861"}]}]},{"code":"PROCESS","display":"process measure type","definition":"A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23043"}],"concept":[{"code":"APPROPRIATE","display":"appropriate use process measure","definition":"A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23863"}]}]},{"code":"RESOURCE","display":"resource use measure type","definition":"A measure related to the extent of use of clinical resources or cost of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23651"}]},{"code":"STRUCTURE","display":"structure measure type","definition":"A measure related to the structure of patient care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23654"}]}]},{"code":"_ObservationPopulationInclusion","display":"ObservationPopulationInclusion","definition":"Observation values used to assert various populations that a subject falls into.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"DENEX","display":"denominator exclusions","definition":"Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23442"}]},{"code":"DENEXCEP","display":"denominator exceptions","definition":"Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote 

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measure","definition":"A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23863"}]}]},{"code":"RESOURCE","display":"resource use measure type","definition":"A measure related to the extent of use of clinical resources or cost of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23651"}]},{"code":"STRUCTURE","display":"structure measure type","definition":"A measure related to the structure of patient care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23654"}]}]},{"code":"_ObservationPopulationInclusion","display":"ObservationPopulationInclusion","definition":"Observation values used to assert various populations that a subject falls into.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"DENEX","display":"denominator exclusions","definition":"Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23442"}]},{"code":"DENEXCEP","display":"denominator exceptions","definition":"Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23705"}]},{"code":"LOARA4","display":"high remote access level of assurance","definition":"Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23706"}]}]},{"code":"LOATK","display":"token level of assurance value","definition":"Indicator of the digital quality or reliability of single and multi-token authentication. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23707"}],"concept":[{"code":"LOATK1","display":"low token level of assurance","definition":"Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23708"}]},{"code":"LOATK2","display":"basic token level of assurance","definition":"Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23709"}]},{"code":"LOATK3","display":"medium token level of assurance","definition":"Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23710"}]},{"code":"LOATK4","display":"high t

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#49

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year).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23039"}]},{"code":"RATIO","display":"ratio measure scoring","definition":"A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23040"}]}]},{"code":"_ObservationMeasureType","display":"ObservationMeasureType","definition":"Observation values used to indicate what kind of health quality measure is used.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"COMPOSITE","display":"composite measure type","definition":"A measure that is composed from one or more other measures and indicates an overall summary of those measures.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23650"}]},{"code":"EFFICIENCY","display":"efficiency measure type","definition":"A measure related to the efficiency of medical treatment.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23652"}]},{"code":"EXPERIENCE","display":"experience measure type","definition":"A measure related to the level of patient engagement or patient experience of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23653"}]},{"code":"OUTCOME","display":"outcome measure type","definition":"A measure that indicates the result of the performance (or non-performance) of a function or process.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23042"}],"concept":[{"code":"INTERM-OM","display":"intermediate outcome measure type","definition":"A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23862"}]},{"code":"PRO-PM","display":"patient reported outcome measure type","definition":"A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23861"}]}]},{"code":"PROCESS","display":"process measure type","definition":"A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23043"}],"concept":[{"code":"APPROPRIATE","display":"appropriate use process measure","definition":"A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23863"}]}]},{"code":"RESOURCE","display":"resource use measure type","definition":"A measure related to the extent of use of clinical resources or cost of care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23651"}]},{"code":"STRUCTURE","display":"structure measure type","definition":"A measure related to the structure of patient care.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23654"}]}]},{"code":"_ObservationPopulationInclusion","display":"ObservationPopulationInclusion","definition":"Observation values used to assert various populations that a subject falls into.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"}],"concept":[{"code":"DENEX","display":"denominator exclusions","definition":"Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23442"}]},{"code":"DENEXCEP","display":"denominator exceptions","definition":"Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\r\n\r\n *  Medical reasons\r\n *  Patient reasons\r\n *  System reasons","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23046"}]},{"code":"DENOM","display":"denominator","definition":"It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23045"}]},{"code":"IP","display":"initial population","definition":"The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23528"}],"concept":[{"code":"IPP","display":"initial patient population","definition":"The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23047"}]}]},{"code":"MSRPOPL","display":"measure population","definition":"Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23048"}]},{"code":"NUMER","display":"numerator","definition":"Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23049"}]},{"code":"NUMEX","display":"numerator exclusions","definition":"Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)","property":[{"code":"status","valueCode":"deprecated"},{"code":"deprecationDate","valueDateTime":"2013-07-26"},{"code":"internalId","valueCode":"23443"}]}]},{"code":"_PartialCompletionScale","display":"PartialCompletionScale","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"G","display":"Great extent","definition":"Value for Act.partialCompletionCode attribute that implies 81-99% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18126"}]},{"code":"LE","display":"Large extent","definition":"Value for Act.partialCompletionCode attribute that implies 61-80% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18125"}]},{"code":"ME","display":"Medium extent","definition":"Value for Act.partialCompletionCode attribute that implies 41-60% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18124"}]},{"code":"MI","display":"Minimal extent","definition":"Value for Act.partialCompletionCode attribute that implies 1-20% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18122"}]},{"code":"N","display":"None","definition":"Value for Act.partialCompletionCode attribute that implies 0% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18121"}]},{"code":"S","display":"Some extent","definition":"Value for Act.partialCompletionCode attribute that implies 21-40% completion","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"18123"}]}]},{"code":"_SecurityObservationValue","display":"SecurityObservationValue","definition":"Observation values used to indicate security observation metadata.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"}],"concept":[{"code":"_SECCATOBV","display":"security category","definition":"Abstract security observation values used to indicate security category metadata.\r\n\r\n**Examples:** Codes conveying:\r\n\r\n *  privacy law\r\n *  information sensitivity\r\n *  consent directive types","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23485"}]},{"code":"_SECCLASSOBV","display":"security classification","definition":"Abstract security observation values used to indicate security classification metadata.\r\n\r\n**Examples:** Confidentiality Codes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23484"}]},{"code":"_SECCONOBV","display":"security control","definition":"Abstract security observation values used to indicate security control metadata.\r\n\r\n**Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23486"}]},{"code":"_SECINTOBV","display":"security integrity","definition":"Abstract security observation values used to indicate security integrity metadata.\r\n\r\n**Examples:** Codes conveying integrity status, integrity confidence, and provenance.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23487"}],"concept":[{"code":"_SECALTINTOBV","display":"alteration integrity","definition":"Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23497"}],"concept":[{"code":"ABSTRED","display":"abstracted","definition":"Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23498"}]},{"code":"AGGRED","display":"aggregated","definition":"Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23499"}]},{"code":"ANONYED","display":"anonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23500"}]},{"code":"MAPPED","display":"mapped","definition":"Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.\r\n\r\n*Usage Note:* \"MAP\" code does not indicate the semantic fidelity of the transformed content.\r\n\r\nTo indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).\r\n\r\nSemantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23501"}]},{"code":"MASKED","display":"masked","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or \"shared secret\".\r\n\r\n*Usage Note:* \"MASKED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23502"}]},{"code":"PSEUDED","display":"pseudonymized","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.\r\n\r\n*Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23503"}]},{"code":"REDACTED","display":"redacted","definition":"Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.\r\n\r\n*Usage Note:* \"REDACTED\" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23504"}]},{"code":"SUBSETTED","display":"subsetted","definition":"Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update\r\n\r\n*Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23730"}]},{"code":"SYNTAC","display":"syntactic transform","definition":"Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.\r\n\r\n*Usage Note:* \"SYNTAC\" code does not indicate the syntactical correctness of the syntactically transformed IT resource.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23505"}]},{"code":"TRSLT","display":"translated","definition":"Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.\r\n\r\n*Usage Note:* \"TRSLT\" does not indicate the fidelity of the translation or the languages translated.\r\n\r\nThe fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.\r\n\r\nTo indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23506"}]},{"code":"VERSIONED","display":"versioned","definition":"Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy\r\n\r\n*Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23507"}]}]},{"code":"_SECDATINTOBV","display":"data integrity","definition":"Abstract security observation values used to indicate data integrity metadata.\r\n\r\n**Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23494"}],"concept":[{"code":"CRYTOHASH","display":"cryptographic hash function","definition":"Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.\r\n\r\n**Examples:** \r\n\r\n *  SHA-1\r\n *  SHA-2 (Secure Hash Algorithm)","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23495"}]},{"code":"DIGSIG","display":"digital signature","definition":"Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.\r\n\r\n*Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23496"}]}]},{"code":"_SECINTCONOBV","display":"integrity confidence","definition":"Abstract security observation value used to indicate integrity confidence metadata.\r\n\r\n**Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23489"}],"concept":[{"code":"HRELIABLE","display":"highly reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23490"}]},{"code":"RELIABLE","display":"reliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23491"}]},{"code":"UNCERTREL","display":"uncertain reliability","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23492"}]},{"code":"UNRELIABLE","display":"unreliable","definition":"Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23493"}]}]},{"code":"_SECINTPRVOBV","display":"provenance","definition":"Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23508"}],"concept":[{"code":"_SECINTPRVABOBV","display":"provenance asserted by","definition":"Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity asserting the resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23518"}],"concept":[{"code":"CLINAST","display":"clinician asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23519"}]},{"code":"DEVAST","display":"device asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23523"}]},{"code":"HCPAST","display":"healthcare professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23520"}]},{"code":"PACQAST","display":"patient acquaintance asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23526"}]},{"code":"PATAST","display":"patient asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23524"}]},{"code":"PAYAST","display":"payer asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23522"}]},{"code":"PROAST","display":"professional asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23521"}]},{"code":"SDMAST","display":"substitute decision maker asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23525"}]},{"code":"AIAST","display":"Artificial Intelligence asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Artificial Intelligence (e.g. Clinical Decision Support, Machine Learning, Algorithm).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"123525"}]},{"code":"DICTAST","display":"Dictation asserted","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, or information object) was asserted by a Dictation algorithm transforming human communications (e.g. speech).","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"223525"}]}]},{"code":"_SECINTPRVRBOBV","display":"provenance reported by","definition":"Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).\r\n\r\n**Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23509"}],"concept":[{"code":"CLINRPT","display":"clinician reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23510"}]},{"code":"DEVRPT","display":"device reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23514"}]},{"code":"HCPRPT","display":"healthcare professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23511"}]},{"code":"PACQRPT","display":"patient acquaintance reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23517"}]},{"code":"PATRPT","display":"patient reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23515"}]},{"code":"PAYRPT","display":"payer reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23513"}]},{"code":"PRORPT","display":"professional reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23512"}]},{"code":"SDMRPT","display":"substitute decision maker reported","definition":"Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23516"}]}]}]},{"code":"_SECINTSTOBV","display":"integrity status","definition":"Abstract security observation values used to indicate integrity status metadata.\r\n\r\n**Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23488"}]}]},{"code":"SECTRSTOBV","display":"security trust observation","definition":"Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23672"}],"concept":[{"code":"TRSTACCRDOBV","display":"trust accreditation observation","definition":"Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23673"}]},{"code":"TRSTAGREOBV","display":"trust agreement observation","definition":"Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \\[ISO IEC 10181-1\\] \\[ISO IEC 10181-1\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23674"}]},{"code":"TRSTCERTOBV","display":"trust certificate observation","definition":"Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \\[Based on ISO IEC 10181-1\\]\r\n\r\nFor example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23675"}]},{"code":"TRSTFWKOBV","display":"none supplied 5","definition":"Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \\[Kantara Initiative\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23717"}]},{"code":"TRSTLOAOBV","display":"trust assurance observation","definition":"Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23676"}],"concept":[{"code":"LOAAN","display":"authentication level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nFor example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23677"}],"concept":[{"code":"LOAAN1","display":"low authentication level of assurance","definition":"Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nLow authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23678"}]},{"code":"LOAAN2","display":"basic authentication level of assurance","definition":"Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nBasic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23679"}]},{"code":"LOAAN3","display":"medium authentication level of assurance","definition":"Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nMedium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:\r\n\r\n *  \"soft\" cryptographic token, which has the key stored on a general-purpose computer,\r\n *  \"hard\" cryptographic token, which has the key stored on a special hardware device, and\r\n *  \"one-time password\" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.\r\n\r\nAuthentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23680"}]},{"code":"LOAAN4","display":"high authentication level of assurance","definition":"Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \\[Based on ISO 7498-2\\]\r\n\r\nThe degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \\[OMB M-04-04 E-Authentication Guidance for Federal Agencies\\]\r\n\r\nHigh authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.\r\n\r\nLevel 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23681"}]}]},{"code":"LOAAP","display":"authentication process level of assurance value","definition":"The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23682"}],"concept":[{"code":"LOAAP1","display":"low authentication process level of assurance","definition":"Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nLow authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23683"}]},{"code":"LOAAP2","display":"basic authentication process level of assurance","definition":"Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nBasic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23684"}]},{"code":"LOAAP3","display":"medium authentication process level of assurance","definition":"Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nMedium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).\r\n\r\nAuthentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23685"}]},{"code":"LOAAP4","display":"high authentication process level of assurance","definition":"Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \\[Based on NIST SP 800-63-2\\]\r\n\r\nHigh authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23686"}]}]},{"code":"LOAAS","display":"assertion level of assurance value","definition":"The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23687"}],"concept":[{"code":"LOAAS1","display":"low assertion level of assurance","definition":"Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions and assertion references require protection from modification and reuse attacks. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23688"}]},{"code":"LOAAS2","display":"basic assertion level of assurance","definition":"Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23689"}]},{"code":"LOAAS3","display":"medium assertion level of assurance","definition":"Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nAssertions are protected against repudiation by the verifier. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23690"}]},{"code":"LOAAS4","display":"high assertion level of assurance","definition":"Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.\r\n\r\nStrongly resistant to man-in-the-middle attacks. \"Bearer\" assertions are not used. \"Holder-of-key\" assertions may be used. RP maintains records of the assertions. \\[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23691"}]}]},{"code":"LOACM","display":"token and credential management level of assurance value)","definition":"Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23712"}],"concept":[{"code":"LOACM1","display":"low token and credential management level of assurance","definition":"Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23713"}]},{"code":"LOACM2","display":"basic token and credential management level of assurance","definition":"Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23714"}]},{"code":"LOACM3","display":"medium token and credential management level of assurance","definition":"Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23715"}]},{"code":"LOACM4","display":"high token and credential management level of assurance","definition":"Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \\[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23716"}]}]},{"code":"LOAID","display":"identity proofing level of assurance","definition":"Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23692"}],"concept":[{"code":"LOAID1","display":"low identity proofing level of assurance","definition":"Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23693"}]},{"code":"LOAID2","display":"basic identity proofing level of assurance","definition":"Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23694"}]},{"code":"LOAID3","display":"medium identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23695"}]},{"code":"LOAID4","display":"high identity proofing level of assurance","definition":"Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \\[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23696"}]}]},{"code":"LOANR","display":"non-repudiation level of assurance value","definition":"Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23697"}],"concept":[{"code":"LOANR1","display":"low non-repudiation level of assurance","definition":"Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23698"}]},{"code":"LOANR2","display":"basic non-repudiation level of assurance","definition":"Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23699"}]},{"code":"LOANR3","display":"medium non-repudiation level of assurance","definition":"Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23700"}]},{"code":"LOANR4","display":"high non-repudiation level of assurance","definition":"Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \\[Based on ISO 7498-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23701"}]}]},{"code":"LOARA","display":"remote access level of assurance value","definition":"Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23702"}],"concept":[{"code":"LOARA1","display":"low remote access level of assurance","definition":"Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23703"}]},{"code":"LOARA2","display":"basic remote access level of assurance","definition":"Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \\[Based on NIST SP 800-63-2\\]","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23704"}]},{"code":"LOARA3","display":"medium remote access level of assurance","definition":"Indicator of medium digital quality or reliabilit

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