New Zealand Health Terminology Service (NZHTS) Implementation Guide
0.1.0 - ci-build
New Zealand Health Terminology Service (NZHTS) Implementation Guide
0.1.0 - ci-build
New Zealand Health Terminology Service (NZHTS) Implementation Guide, published by Health New Zealand | Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/daniel-thomson/nzhts/ and changes regularly. See the Directory of published versions
| Page standards status: Draft | Maturity Level: 1 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="v3-ActReason"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2024-11-05T17:09:59.677+13:00"/>
</meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="draft"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pc"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.5.8"/>
</identifier>
<version value="0.1.0"/>
<name value="v3.ActReason"/>
<title value="v3 Code System ActReason"/>
<status value="active"/>
<experimental value="false"/>
<date value="2018-08-12T00:00:00+10:00"/>
<publisher value="Health New Zealand | Te Whatu Ora"/>
<contact>
<name value="Health New Zealand | Te Whatu Ora"/>
<telecom>
<system value="url"/>
<value value="https://www.tewhatuora.govt.nz/"/>
</telecom>
</contact>
<description
value=" A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples:
Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law"."/>
<caseSensitive value="true"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActReason"/>
<hierarchyMeaning value="is-a"/>
<content value="complete"/>
<property>
<code value="notSelectable"/>
<uri value="http://hl7.org/fhir/concept-properties#notSelectable"/>
<description
value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"/>
<type value="boolean"/>
</property>
<property>
<code value="child"/>
<uri value="http://hl7.org/fhir/concept-properties#child"/>
<description
value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"/>
<type value="code"/>
</property>
<property>
<code value="status"/>
<uri value="http://hl7.org/fhir/concept-properties#status"/>
<description
value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"/>
<type value="code"/>
</property>
<concept>
<code value="_ActAccommodationReason"/>
<display value="ActAccommodationReason"/>
<definition
value="Identifies the reason the patient is assigned to this accommodation type"/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="ACCREQNA"/>
<display value="Accommodation Requested Not Available"/>
<definition value="Accommodation requested is not available."/>
</concept>
<concept>
<code value="FLRCNV"/>
<display value="Floor Convenience"/>
<definition value="Accommodation is assigned for floor convenience."/>
</concept>
<concept>
<code value="MEDNEC"/>
<display value="Medical Necessity"/>
<definition value="Required for medical reasons(s)."/>
</concept>
<concept>
<code value="PAT"/>
<display value="Patient request"/>
<definition value="The Patient requested the action"/>
</concept>
</concept>
<concept>
<code value="_ActCoverageReason"/>
<display value="ActCoverageReason"/>
<definition
value="Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="_EligibilityActReasonCode"/>
<display value="EligibilityActReasonCode"/>
<definition
value="Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.
Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="_ActIneligibilityReason"/>
<display value="ActIneligibilityReason"/>
<definition
value="Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.
Examples are client deceased & adopted client has been given a new policy identifier."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="COVSUS"/>
<display value="coverage suspended"/>
<definition
value="When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc.
Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect)."/>
</concept>
<concept>
<code value="DECSD"/>
<display value="deceased"/>
<definition value="Client deceased."/>
</concept>
<concept>
<code value="REGERR"/>
<display value="registered in error"/>
<definition value="Client was registered in error."/>
</concept>
</concept>
<concept>
<code value="_CoverageEligibilityReason"/>
<display value="CoverageEligibilityReason"/>
<definition
value="Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.
Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="AGE"/>
<display value="age eligibility"/>
<definition
value="A person becomes eligible for a program based on age.
Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare."/>
</concept>
<concept>
<code value="CRIME"/>
<display value="crime victim"/>
<definition
value="A person becomes eligible for insurance or a program because of crime related health condition or injury.
Example: A person is a claimant under the U.S. Crime Victims Compensation program."/>
</concept>
<concept>
<code value="DIS"/>
<display value="disability"/>
<definition
value="A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization."/>
</concept>
<concept>
<code value="EMPLOY"/>
<display value="employment benefit"/>
<definition
value="A person becomes eligible for insurance provided as an employment benefit based on employment status."/>
</concept>
<concept>
<code value="FINAN"/>
<display value="financial eligibility"/>
<definition
value="A person becomes eligible for a program based on financial criteria.
Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP."/>
</concept>
<concept>
<code value="HEALTH"/>
<display value="health status"/>
<definition
value="A person becomes eligible for a program because of a qualifying health condition or injury.
Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program"/>
</concept>
<concept>
<code value="MULTI"/>
<display value="multiple criteria eligibility"/>
<definition
value="A person becomes eligible for a program based on more than one criterion.
Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles."/>
</concept>
<concept>
<code value="PNC"/>
<display value="property and casualty condition"/>
<definition
value="A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy.
Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises."/>
</concept>
<concept>
<code value="STATUTORY"/>
<display value="statutory eligibility"/>
<definition
value="A person becomes eligible for a program based on statutory criteria.
Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security."/>
</concept>
<concept>
<code value="VEHIC"/>
<display value="motor vehicle accident victim"/>
<definition
value="A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury."/>
</concept>
<concept>
<code value="WORK"/>
<display value="work related"/>
<definition
value="A person becomes eligible for insurance or a program because of a work related health condition or injury.
Example: A person is a claimant under the U.S. Black Lung Program."/>
</concept>
</concept>
</concept>
</concept>
<concept>
<code value="_ActInformationManagementReason"/>
<display value="ActInformationManagementReason"/>
<definition
value="Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="_ActHealthInformationManagementReason"/>
<display value="ActHealthInformationManagementReason"/>
<definition
value="Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="_ActConsentInformationAccessOverrideReason"/>
<display value="ActConsentInformationAccessOverrideReason"/>
<definition
value="To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.
Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="OVRER"/>
<display value="emergency treatment override"/>
<definition
value="To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.
Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record."/>
</concept>
<concept>
<code value="OVRINCOMP"/>
<display value="incompetency override"/>
<definition
value="To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent.
Usage Note: Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC "Subject is not competent to consent"."/>
</concept>
<concept>
<code value="OVRPJ"/>
<display value="professional judgment override"/>
<definition
value="To perform one or more operations on information to which the patient declined to consent for providing health care.
Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent."/>
</concept>
<concept>
<code value="OVRPS"/>
<display value="public safety override"/>
<definition
value="To perform one or more operations on information to which the patient has not consented for public safety reasons.
Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety."/>
</concept>
<concept>
<code value="OVRTPS"/>
<display value="third party safety override"/>
<definition
value="To perform one or more operations on information to which the patient has not consented for third party safety.
Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties."/>
</concept>
</concept>
<concept>
<code value="PurposeOfUse"/>
<display value="purpose of use"/>
<definition
value="Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.
Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes."/>
<concept>
<code value="HMARKT"/>
<display value="healthcare marketing"/>
<definition
value="To perform one or more operations on information for marketing services and products related to health care."/>
</concept>
<concept>
<code value="HOPERAT"/>
<display value="healthcare operations"/>
<definition
value="To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care."/>
<concept>
<code value="CAREMGT"/>
<display value="care management"/>
<definition
value="To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.
Usage Note: The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service.
Map: Maps to ISO 14265 Classification Term "Health service management and quality assurance" described as "To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services."
There is a semantic gap in concepts. This classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity."/>
</concept>
<concept>
<code value="DONAT"/>
<display value="donation"/>
<definition
value="To perform one or more operations on information used for cadaveric organ, eye or tissue donation."/>
</concept>
<concept>
<code value="FRAUD"/>
<display value="fraud"/>
<definition
value="To perform one or more operations on information used for fraud detection and prevention processes."/>
</concept>
<concept>
<code value="GOV"/>
<display value="government"/>
<definition
value="To perform one or more operations on information used within government processes."/>
</concept>
<concept>
<code value="HACCRED"/>
<display value="health accreditation"/>
<definition
value="To perform one or more operations on information for conducting activities related to meeting accreditation criteria."/>
</concept>
<concept>
<code value="HCOMPL"/>
<display value="health compliance"/>
<definition
value="To perform one or more operations on information used for conducting activities required to meet a mandate."/>
</concept>
<concept>
<code value="HDECD"/>
<display value="decedent"/>
<definition
value="To perform one or more operations on information used for handling deceased patient matters."/>
</concept>
<concept>
<code value="HDIRECT"/>
<display value="directory"/>
<definition
value="To perform one or more operation operations on information used to manage a patient directory.
Examples:
facility
enterprise
payer
health information exchange patient directory"/>
</concept>
<concept>
<code value="HDM"/>
<display value="healthcare delivery management"/>
<definition
value="To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.
Usage Note: Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking.
Map: Maps to ISO 14265 Classification Term "Administration of care for an individual subject of care" described as "To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care."
However, this classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity."/>
</concept>
<concept>
<code value="HLEGAL"/>
<display value="legal"/>
<definition
value="To perform one or more operations on information for conducting activities required by legal proceeding."/>
</concept>
<concept>
<code value="HOUTCOMS"/>
<display value="health outcome measure"/>
<definition
value="To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions."/>
</concept>
<concept>
<code value="HPRGRP"/>
<display value="health program reporting"/>
<definition
value="To perform one or more operations on information used for conducting activities to meet program accounting requirements."/>
</concept>
<concept>
<code value="HQUALIMP"/>
<display value="health quality improvement"/>
<definition
value="To perform one or more operations on information used for conducting administrative activities to improve health care quality."/>
</concept>
<concept>
<code value="HSYSADMIN"/>
<display value="health system administration"/>
<definition
value="To perform one or more operations on information to administer the electronic systems used for the delivery of health care."/>
<concept>
<code value="LABELING"/>
<display value="labeling"/>
<definition
value="To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies.
Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification.
Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked."/>
</concept>
<concept>
<code value="METAMGT"/>
<display value="metadata management"/>
<definition
value="To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location."/>
</concept>
</concept>
<concept>
<code value="MEMADMIN"/>
<display value="member administration"/>
<definition
value="To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program."/>
</concept>
<concept>
<code value="MILCDM"/>
<display value="military command"/>
<definition
value="To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law."/>
</concept>
<concept>
<code value="PATADMIN"/>
<display value="patient administration"/>
<definition
value="To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient."/>
</concept>
<concept>
<code value="PATSFTY"/>
<display value="patient safety"/>
<definition
value="To perform one or more operations on information in processes related to ensuring the safety of health care."/>
</concept>
<concept>
<code value="PERFMSR"/>
<display value="performance measure"/>
<definition
value="To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions."/>
</concept>
<concept>
<code value="RECORDMGT"/>
<display value="records management"/>
<definition
value="To perform one or more operations on information used within the health records management process."/>
</concept>
<concept>
<code value="SYSDEV"/>
<display value="system development"/>
<definition
value="To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application."/>
<concept>
<code value="HTEST"/>
<display value="test health data"/>
<definition
value="To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment.
Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications."/>
</concept>
</concept>
<concept>
<code value="TRAIN"/>
<display value="training"/>
<definition
value="To perform one or more operations on information used in training and education."/>
</concept>
</concept>
<concept>
<code value="HPAYMT"/>
<display value="healthcare payment"/>
<definition
value="To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care."/>
<concept>
<code value="CLMATTCH"/>
<display value="claim attachment"/>
<definition
value="To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services."/>
</concept>
<concept>
<code value="COVAUTH"/>
<display value="coverage authorization"/>
<definition
value="To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services."/>
</concept>
<concept>
<code value="COVERAGE"/>
<display value="coverage under policy or program"/>
<definition
value="To perform one or more operations on information for conducting activities related to coverage under a program or policy."/>
<concept>
<code value="ELIGDTRM"/>
<display value="eligibility determination"/>
<definition
value="To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment."/>
</concept>
<concept>
<code value="ELIGVER"/>
<display value="eligibility verification"/>
<definition
value="To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays."/>
</concept>
<concept>
<code value="ENROLLM"/>
<display value="enrollment"/>
<definition
value="To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices."/>
</concept>
<concept>
<code value="MILDCRG"/>
<display value="military discharge"/>
<definition
value="To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment."/>
</concept>
</concept>
<concept>
<code value="REMITADV"/>
<display value="remittance advice"/>
<definition
value="To perform one or more operations on information about the amount remitted for a health care claim."/>
</concept>
</concept>
<concept>
<code value="HRESCH"/>
<display value="healthcare research"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research."/>
<concept>
<code value="BIORCH"/>
<display value="biomedical research"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use."/>
</concept>
<concept>
<code value="CLINTRCH"/>
<display value="clinical trial research"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge."/>
<concept>
<code value="CLINTRCHNPC"/>
<display value="clinical trial research without patient care"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population."/>
</concept>
<concept>
<code value="CLINTRCHPC"/>
<display value="clinical trial research with patient care"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population."/>
</concept>
<concept>
<code value="PRECLINTRCH"/>
<display value="preclinical trial research"/>
<definition
value="To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research."/>
</concept>
</concept>
<concept>
<code value="DSRCH"/>
<display value="disease specific healthcare research"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use."/>
</concept>
<concept>
<code value="POARCH"/>
<display
value="population origins or ancestry healthcare research"/>
<definition
value="To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use."/>
</concept>
<concept>
<code value="TRANSRCH"/>
<display value="translational healthcare research"/>
<definition
value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use."/>
</concept>
</concept>
<concept>
<code value="PATRQT"/>
<display value="patient requested"/>
<definition
value="To perform one or more operations on information in response to a patient's request."/>
<concept>
<code value="FAMRQT"/>
<display value="family requested"/>
<definition
value="To perform one or more operations on information in response to a request by a family member authorized by the patient."/>
</concept>
<concept>
<code value="PWATRNY"/>
<display value="power of attorney"/>
<definition
value="To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative."/>
</concept>
<concept>
<code value="SUPNWK"/>
<display value="support network"/>
<definition
value="To perform one or more operations on information in response to a request by a person authorized by the patient."/>
</concept>
</concept>
<concept>
<code value="PUBHLTH"/>
<display value="public health"/>
<definition
value="To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions."/>
<concept>
<code value="DISASTER"/>
<display value="disaster"/>
<definition
value="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."/>
</concept>
<concept>
<code value="THREAT"/>
<display value="threat"/>
<definition
value="To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence."/>
</concept>
</concept>
<concept>
<code value="TREAT"/>
<display value="treatment"/>
<definition
value="To perform one or more operations on information for provision of health care."/>
<concept>
<code value="CLINTRL"/>
<display value="clinical trial"/>
<definition
value="To perform health care as part of the clinical trial protocol."/>
</concept>
<concept>
<code value="COC"/>
<display value="coordination of care"/>
<definition
value="To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care.
Usage Note: Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care.
The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment.
For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare.
Map: Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests.""/>
</concept>
<concept>
<code value="ETREAT"/>
<display value="Emergency Treatment"/>
<definition
value="To perform one or more operations on information for provision of immediately needed health care for an emergent condition."/>
<concept>
<code value="BTG"/>
<display value="break the glass"/>
<definition
value="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.
Map: Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care."
The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure."/>
</concept>
<concept>
<code value="ERTREAT"/>
<display value="emergency room treatment"/>
<definition
value="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.
Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care."
The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.
There is a semantic gap in concepts. This classification term is described as activities “to inform persons� rather than the rationale for performing actions/operations on information related to the activity."/>
</concept>
</concept>
<concept>
<code value="POPHLTH"/>
<display value="population health"/>
<definition
value="To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program."/>
</concept>
</concept>
</concept>
</concept>
<concept>
<code value="_ActInformationPrivacyReason"/>
<display value="ActInformationPrivacyReason"/>
<definition
value="Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="MARKT"/>
<display value="marketing"/>
<definition value="Description:"/>
</concept>
<concept>
<code value="OPERAT"/>
<display value="operations"/>
<definition
value="Description:Administrative and contractual processes required to support an activity, product, or service"/>
<concept>
<code value="LEGAL"/>
<display value="subpoena"/>
<definition
value="Definition:To provide information as a result of a subpoena."/>
</concept>
<concept>
<code value="ACCRED"/>
<display value="accreditation"/>
<definition
value="Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service"/>
</concept>
<concept>
<code value="COMPL"/>
<display value="compliance"/>
<definition
value="Description:Operational activities required to meet a mandate related to an activity, product, or service"/>
</concept>
<concept>
<code value="ENADMIN"/>
<display value="entity administration"/>
<definition
value="Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service"/>
</concept>
<concept>
<code value="OUTCOMS"/>
<display value="outcome measure"/>
<definition
value="Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service"/>
</concept>
<concept>
<code value="PRGRPT"/>
<display value="program reporting"/>
<definition
value="Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service"/>
</concept>
<concept>
<code value="QUALIMP"/>
<display value="quality improvement"/>
<definition
value="Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service"/>
</concept>
<concept>
<code value="SYSADMN"/>
<display value="system administration"/>
<definition
value="Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service"/>
</concept>
</concept>
<concept>
<code value="PAYMT"/>
<display value="payment"/>
<definition
value="Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service"/>
</concept>
<concept>
<code value="RESCH"/>
<display value="research"/>
<definition
value="Description:Investigative activities conducted for the purposes of obtaining knowledge"/>
</concept>
<concept>
<code value="SRVC"/>
<display value="service"/>
<definition
value="Description:Provision of a service, product, or capability to an individual or organization"/>
</concept>
</concept>
</concept>
<concept>
<code value="_ActInvalidReason"/>
<display value="ActInvalidReason"/>
<definition
value="Description: Types of reasons why a substance is invalid for use."/>
<concept>
<code value="ADVSTORAGE"/>
<display value="adverse storage condition"/>
<definition
value="Description: Storage conditions caused the substance to be ineffective."/>
<concept>
<code value="COLDCHNBRK"/>
<display value="cold chain break"/>
<definition
value="Description: Cold chain was not maintained for the substance."/>
</concept>
</concept>
<concept>
<code value="EXPLOT"/>
<display value="expired lot"/>
<definition
value="Description: The lot from which the substance was drawn was expired."/>
</concept>
<concept>
<code value="OUTSIDESCHED"/>
<display value="administered outside recommended schedule or practice"/>
<definition
value="The substance was administered outside of the recommended schedule or practice."/>
</concept>
<concept>
<code value="PRODRECALL"/>
<display value="product recall"/>
<definition
value="Description: The substance was recalled by the manufacturer."/>
</concept>
</concept>
<concept>
<code value="_ActInvoiceCancelReason"/>
<display value="ActInvoiceCancelReason"/>
<definition
value="Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="INCCOVPTY"/>
<display value="incorrect covered party as patient"/>
<definition
value="The covered party (patient) specified with the Invoice is not correct."/>
</concept>
<concept>
<code value="INCINVOICE"/>
<display value="incorrect billing"/>
<definition
value="The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice."/>
</concept>
<concept>
<code value="INCPOLICY"/>
<display value="incorrect policy"/>
<definition
value="The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party."/>
</concept>
<concept>
<code value="INCPROV"/>
<display value="incorrect provider"/>
<definition
value="The provider specified with the Invoice is not correct."/>
</concept>
</concept>
<concept>
<code value="_ActNoImmunizationReason"/>
<display value="ActNoImmunizationReason"/>
<definition
value="A coded description of the reason for why a patient did not receive a scheduled immunization.
(important for public health strategy"/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="IMMUNE"/>
<display value="immunity"/>
<definition
value="Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization."/>
</concept>
<concept>
<code value="MEDPREC"/>
<display value="medical precaution"/>
<definition
value="Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted."/>
</concept>
<concept>
<code value="OSTOCK"/>
<display value="product out of stock"/>
<definition
value="Definition:There was no supply of the product on hand to perform the service."/>
</concept>
<concept>
<code value="PATOBJ"/>
<display value="patient objection"/>
<definition
value="Definition:The patient or their guardian objects to receiving the vaccine."/>
</concept>
<concept>
<code value="PHILISOP"/>
<display value="philosophical objection"/>
<definition
value="Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs."/>
</concept>
<concept>
<code value="RELIG"/>
<display value="religious objection"/>
<definition
value="Definition:The patient or their guardian objects to receiving the vaccine on religious grounds."/>
</concept>
<concept>
<code value="VACEFF"/>
<display value="vaccine efficacy concerns"/>
<definition
value="Definition:The intended vaccine has expired or is otherwise believed to no longer be effective.
Example:Due to temperature exposure."/>
</concept>
<concept>
<code value="VACSAF"/>
<display value="vaccine safety concerns"/>
<definition
value="Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety."/>
</concept>
</concept>
<concept>
<code value="_ActSupplyFulfillmentRefusalReason"/>
<display value="ActSupplyFulfillmentRefusalReason"/>
<definition
value="Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated".
(used when capturing 'refusal to fill' annotations)"/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="FRR01"/>
<display value="order stopped"/>
<definition
value="Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically.
Example:A verbal stop, a fax, etc."/>
</concept>
<concept>
<code value="FRR02"/>
<display value="stale-dated order"/>
<definition
value="Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current."/>
</concept>
<concept>
<code value="FRR03"/>
<display value="incomplete data"/>
<definition
value="Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available
Example:Lab results, diagnostic imaging, etc."/>
</concept>
<concept>
<code value="FRR04"/>
<display value="product unavailable"/>
<definition
value="Definition:Product not available or manufactured. Cannot supply."/>
</concept>
<concept>
<code value="FRR05"/>
<display value="ethical/religious"/>
<definition
value="Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product."/>
</concept>
<concept>
<code value="FRR06"/>
<display value="unable to provide care"/>
<definition
value="Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order.
Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc."/>
</concept>
</concept>
<concept>
<code value="_ClinicalResearchEventReason"/>
<display value="ClinicalResearchEventReason"/>
<definition
value="Definition:Specifies the reason that an event occurred in a clinical research study."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="RET"/>
<display value="retest"/>
<definition
value="Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol."/>
</concept>
<concept>
<code value="SCH"/>
<display value="scheduled"/>
<definition
value="Definition:The event occurred due to it being scheduled in the research protocol."/>
</concept>
<concept>
<code value="TRM"/>
<display value="termination"/>
<definition
value="Definition:The event occurred in order to terminate the subject's participation in the study."/>
</concept>
<concept>
<code value="UNS"/>
<display value="unscheduled"/>
<definition
value="Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons."/>
</concept>
</concept>
<concept>
<code value="_ClinicalResearchObservationReason"/>
<display value="ClinicalResearchObservationReason"/>
<definition
value="Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study.
Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="NPT"/>
<display value="non-protocol"/>
<definition
value="Definition:The observation or test was neither defined or scheduled in the study protocol."/>
</concept>
<concept>
<code value="PPT"/>
<display value="per protocol"/>
<definition
value="Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol."/>
</concept>
<concept>
<code value="UPT"/>
<display value="per definition"/>
<definition
value=":The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol."/>
</concept>
</concept>
<concept>
<code value="_CombinedPharmacyOrderSuspendReasonCode"/>
<display value="CombinedPharmacyOrderSuspendReasonCode"/>
<definition
value="Description:Indicates why the prescription should be suspended."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="ALTCHOICE"/>
<display value="try another treatment first"/>
<definition
value="Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful."/>
</concept>
<concept>
<code value="CLARIF"/>
<display value="prescription requires clarification"/>
<definition
value="Description:Clarification is required before the order can be acted upon."/>
</concept>
<concept>
<code value="DRUGHIGH"/>
<display value="drug level too high"/>
<definition
value="Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level."/>
</concept>
<concept>
<code value="HOSPADM"/>
<display value="admission to hospital"/>
<definition
value="Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."/>
</concept>
<concept>
<code value="LABINT"/>
<display value="lab interference issues"/>
<definition
value="Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."/>
</concept>
<concept>
<code value="NON-AVAIL"/>
<display value="patient not-available"/>
<definition
value="Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."/>
</concept>
<concept>
<code value="PREG"/>
<display value="parent is pregnant/breast feeding"/>
<definition
value="Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."/>
</concept>
<concept>
<code value="SALG"/>
<display value="allergy"/>
<definition
value="Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."/>
</concept>
<concept>
<code value="SDDI"/>
<display value="drug interacts with another drug"/>
<definition
value="Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."/>
</concept>
<concept>
<code value="SDUPTHER"/>
<display value="duplicate therapy"/>
<definition
value="Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete."/>
</concept>
<concept>
<code value="SINTOL"/>
<display value="suspected intolerance"/>
<definition
value="Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."/>
</concept>
<concept>
<code value="SURG"/>
<display value="patient scheduled for surgery"/>
<definition
value="Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery."/>
</concept>
<concept>
<code value="WASHOUT"/>
<display value="waiting for old drug to wash out"/>
<definition
value="Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system."/>
</concept>
</concept>
<concept>
<code value="_ControlActNullificationReasonCode"/>
<display value="ControlActNullificationReasonCode"/>
<definition
value="Description:Identifies reasons for nullifying (retracting) a particular control act."/>
<concept>
<code value="ALTD"/>
<display value="altered decision"/>
<definition
value="Description:The decision on which the recorded information was based was changed before the decision had an effect.
Example:Aborted prescription before patient left office, released prescription before suspend took effect."/>
</concept>
<concept>
<code value="EIE"/>
<display value="entered in error"/>
<definition
value="Description:The information was recorded incorrectly or was recorded in the wrong record."/>
</concept>
<concept>
<code value="NORECMTCH"/>
<display value="no record match"/>
<definition
value="Description: There is no match for the record in the database."/>
</concept>
</concept>
<concept>
<code value="_ControlActNullificationRefusalReasonType"/>
<display value="ControlActNullificationRefusalReasonType"/>
<definition
value="Description: Reasons to refuse a transaction to be undone."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="INRQSTATE"/>
<display value="in requested state"/>
<definition value="The record is already in the requested state."/>
</concept>
<concept>
<code value="NOMATCH"/>
<display value="no match"/>
<definition value="Description: There is no match."/>
<property>
<code value="child"/>
<valueCode value="NORECMTCH"/>
</property>
<concept>
<code value="NOPRODMTCH"/>
<display value="no product match"/>
<definition
value="Description: There is no match for the product in the master file repository."/>
</concept>
<concept>
<code value="NOSERMTCH"/>
<display value="no service match"/>
<definition
value="Description: There is no match for the service in the master file repository."/>
</concept>
<concept>
<code value="NOVERMTCH"/>
<display value="no version match"/>
<definition
value="Description: There is no match for the record and version."/>
</concept>
</concept>
<concept>
<code value="NOPERM"/>
<display value="no permission"/>
<definition value="Description: There is no permission."/>
<concept>
<code value="NOUSERPERM"/>
<display value="no user permission"/>
<definition value="Definition:The user does not have permission"/>
</concept>
<concept>
<code value="NOAGNTPERM"/>
<display value="no agent permission"/>
<definition value="Description: The agent does not have permission."/>
</concept>
<concept>
<code value="NOUSRPERM"/>
<display value="no user permission"/>
<definition value="Description: The user does not have permission."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
</concept>
<concept>
<code value="WRNGVER"/>
<display value="wrong version"/>
<definition
value="Description: The record and version requested to update is not the current version."/>
</concept>
</concept>
<concept>
<code value="_ControlActReason"/>
<display value="ControlActReason"/>
<definition
value="Identifies why a specific query, request, or other trigger event occurred."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="_MedicationOrderAbortReasonCode"/>
<display value="medication order abort reason"/>
<definition
value="Description:Indicates the reason the medication order should be aborted."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="DISCONT"/>
<display value="product discontinued"/>
<definition
value="Description:The medication is no longer being manufactured or is otherwise no longer available."/>
</concept>
<concept>
<code value="INEFFECT"/>
<display value="ineffective"/>
<definition
value="Description:The therapy has been found to not have the desired therapeutic benefit on the patient."/>
</concept>
<concept>
<code value="MONIT"/>
<display value="response to monitoring"/>
<definition
value="Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate."/>
</concept>
<concept>
<code value="NOREQ"/>
<display value="no longer required for treatment"/>
<definition
value="Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed."/>
</concept>
<concept>
<code value="NOTCOVER"/>
<display value="not covered"/>
<definition
value="Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy."/>
</concept>
<concept>
<code value="PREFUS"/>
<display value="patient refuse"/>
<definition
value="Description:The patient refused to take the product."/>
</concept>
<concept>
<code value="RECALL"/>
<display value="product recalled"/>
<definition
value="Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation."/>
</concept>
<concept>
<code value="REPLACE"/>
<display value="change in order"/>
<definition
value="Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it."/>
<concept>
<code value="DOSECHG"/>
<display value="change in medication/dose"/>
<definition
value="Description:The medication is being re-prescribed at a different dosage."/>
</concept>
</concept>
<concept>
<code value="REPLACEFIX"/>
<display value="error in order"/>
<definition
value="Description:Current order was issued with incorrect data and a new order has/will be created to replace it."/>
</concept>
<concept>
<code value="UNABLE"/>
<display value="unable to use"/>
<definition
value="Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed.
Example:CanaTMt swallow."/>
</concept>
</concept>
<concept>
<code value="_MedicationOrderReleaseReasonCode"/>
<display value="medication order release reason"/>
<definition
value="Definition:A collection of concepts that indicate why the prescription should be released from suspended state."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="HOLDDONE"/>
<display value="suspend reason no longer applies"/>
<definition
value="Definition:The original reason for suspending the medication has ended."/>
</concept>
<concept>
<code value="HOLDINAP"/>
<display value="suspend reason inappropriate"/>
<definition value="Definition:"/>
</concept>
</concept>
<concept>
<code value="_ModifyPrescriptionReasonType"/>
<display value="ModifyPrescriptionReasonType"/>
<definition
value="Types of reason why a prescription is being changed."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="ADMINERROR"/>
<display value="administrative error in order"/>
<definition
value="Order was created with incorrect data and is changed to reflect the intended accuracy of the order."/>
</concept>
<concept>
<code value="CLINMOD"/>
<display value="clinical modification"/>
<definition value="Order is changed based on a clinical reason."/>
</concept>
</concept>
<concept>
<code value="_PharmacySupplyEventAbortReason"/>
<display value="PharmacySupplyEventAbortReason"/>
<definition
value="Definition:Identifies why the dispense event was not completed."/>
<concept>
<code value="CONTRA"/>
<display value="contraindication"/>
<definition value="Definition:Contraindication identified"/>
</concept>
<concept>
<code value="FOABORT"/>
<display value="order aborted"/>
<definition value="Definition:Order to be fulfilled was aborted"/>
</concept>
<concept>
<code value="FOSUSP"/>
<display value="order suspended"/>
<definition value="Definition:Order to be fulfilled was suspended"/>
</concept>
<concept>
<code value="NOPICK"/>
<display value="not picked up"/>
<definition
value="Definition:Patient did not come to get medication"/>
</concept>
<concept>
<code value="PATDEC"/>
<display value="patient changed mind"/>
<definition
value="Definition:Patient changed their mind regarding obtaining medication"/>
</concept>
<concept>
<code value="QUANTCHG"/>
<display value="change supply quantity"/>
<definition
value="Definition:Patient requested a revised quantity of medication"/>
</concept>
</concept>
<concept>
<code value="_PharmacySupplyEventStockReasonCode"/>
<display value="pharmacy supply event stock reason"/>
<definition
value="Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="FLRSTCK"/>
<display value="floor stock"/>
<definition
value="Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)"/>
</concept>
<concept>
<code value="LTC"/>
<display value="long term care use"/>
<definition
value="Definition:The bulk supply will be administered within a long term care facility."/>
</concept>
<concept>
<code value="OFFICE"/>
<display value="office use"/>
<definition
value="Definition:The bulk supply is intended for general clinician office use."/>
</concept>
<concept>
<code value="PHARM"/>
<display value="pharmacy transfer"/>
<definition
value="Definition:The bulk supply is being transferred to another dispensing facility to.
Example:Alleviate a temporary shortage."/>
</concept>
<concept>
<code value="PROG"/>
<display value="program use"/>
<definition
value="Definition:The bulk supply is intended for dispensing according to a specific program.
Example:Mass immunization."/>
</concept>
</concept>
<concept>
<code value="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
<display value="pharmacy supply request renewal refusal reason"/>
<definition
value="Definition:A collection of concepts that identifies why a renewal prescription has been refused."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="child"/>
<valueCode value="DISCONT"/>
</property>
<concept>
<code value="ALREADYRX"/>
<display value="new prescription exists"/>
<definition
value="Definition:Patient has already been given a new (renewal) prescription."/>
</concept>
<concept>
<code value="FAMPHYS"/>
<display value="family physician must authorize further fills"/>
<definition
value="Definition:Request for further authorization must be done through patient's family physician."/>
</concept>
<concept>
<code value="MODIFY"/>
<display value="modified prescription exists"/>
<definition
value="Definition:Therapy has been changed and new prescription issued"/>
</concept>
<concept>
<code value="NEEDAPMT"/>
<display value="patient must make appointment"/>
<definition
value="Definition:Patient must see prescriber prior to further fills."/>
</concept>
<concept>
<code value="NOTAVAIL"/>
<display value="prescriber not available"/>
<definition
value="Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient."/>
</concept>
<concept>
<code value="NOTPAT"/>
<display value="patient no longer in this practice"/>
<definition
value="Definition:Patient no longer or has never been under this prescribers care."/>
</concept>
<concept>
<code value="ONHOLD"/>
<display value="medication on hold"/>
<definition value="Definition:This medication is on hold."/>
</concept>
<concept>
<code value="PRNA"/>
<display value="product not available"/>
<definition
value="Description:This product is not available or manufactured."/>
</concept>
<concept>
<code value="STOPMED"/>
<display value="prescriber stopped medication for patient"/>
<definition
value="Renewing or original prescriber informed patient to stop using the medication."/>
</concept>
<concept>
<code value="TOOEARLY"/>
<display value="too early"/>
<definition
value="Definition:The patient should have medication remaining."/>
</concept>
</concept>
<concept>
<code value="_SupplyOrderAbortReasonCode"/>
<display value="supply order abort reason"/>
<definition
value="Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed)."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="IMPROV"/>
<display value="condition improved"/>
<definition
value="Definition:The patient's medical condition has nearly abated."/>
</concept>
<concept>
<code value="INTOL"/>
<display value="intolerance"/>
<definition
value="Description:The patient has an intolerance to the medication."/>
</concept>
<concept>
<code value="NEWSTR"/>
<display value="new strength"/>
<definition
value="Definition:The current medication will be replaced by a new strength of the same medication."/>
</concept>
<concept>
<code value="NEWTHER"/>
<display value="new therapy"/>
<definition
value="Definition:A new therapy will be commenced when current supply exhausted."/>
</concept>
</concept>
</concept>
<concept>
<code value="_GenericUpdateReasonCode"/>
<display value="GenericUpdateReasonCode"/>
<definition
value="Description:Identifies why a change is being made to a record."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="CHGDATA"/>
<display value="information change"/>
<definition
value="Description:Information has changed since the record was created."/>
</concept>
<concept>
<code value="FIXDATA"/>
<display value="error correction"/>
<definition
value="Description:Previously recorded information was erroneous and is being corrected."/>
</concept>
<concept>
<code value="MDATA"/>
<display value="merge data"/>
<definition value="Information is combined into the record."/>
</concept>
<concept>
<code value="NEWDATA"/>
<display value="new information"/>
<definition
value="Description:New information has become available to supplement the record."/>
</concept>
<concept>
<code value="UMDATA"/>
<display value="unmerge data"/>
<definition value="Information is separated from the record."/>
</concept>
</concept>
<concept>
<code value="_PatientProfileQueryReasonCode"/>
<display value="patient profile query reason"/>
<definition
value="Definition:A collection of concepts identifying why the patient's profile is being queried."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="child"/>
<valueCode value="LEGAL"/>
</property>
<concept>
<code value="ADMREV"/>
<display value="administrative review"/>
<definition
value="Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures."/>
</concept>
<concept>
<code value="PATCAR"/>
<display value="patient care"/>
<definition
value="Definition:To obtain records as part of patient care."/>
</concept>
<concept>
<code value="PATREQ"/>
<display value="patient request query"/>
<definition
value="Definition:Patient requests information from their profile."/>
</concept>
<concept>
<code value="PRCREV"/>
<display value="practice review"/>
<definition
value="Definition:To evaluate the provider's current practice for professional-improvement reasons."/>
</concept>
<concept>
<code value="REGUL"/>
<display value="regulatory review"/>
<definition
value="Description:Review for the purpose of regulatory compliance."/>
</concept>
<concept>
<code value="RSRCH"/>
<display value="research"/>
<definition
value="Definition:To provide research data, as authorized by the patient."/>
</concept>
<concept>
<code value="VALIDATION"/>
<display value="validation review"/>
<definition
value="Description:To validate the patient's record.
Example:Merging or unmerging records."/>
</concept>
</concept>
<concept>
<code value="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"/>
<display value="PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"/>
<definition
value="Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused."/>
<property>
<code value="child"/>
<valueCode value="NOUSERPERM"/>
</property>
<concept>
<code value="LOCKED"/>
<display value="locked"/>
<definition
value="Definition:The prescription may not be reassigned from the original pharmacy."/>
</concept>
<concept>
<code value="UNKWNTARGET"/>
<display value="unknown target"/>
<definition
value="Definition:The target facility does not recognize the dispensing facility."/>
</concept>
</concept>
<concept>
<code value="_RefusalReasonCode"/>
<display value="RefusalReasonCode"/>
<definition
value="Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="child"/>
<valueCode value="NOMATCH"/>
</property>
<property>
<code value="child"/>
<valueCode value="NOPERM"/>
</property>
</concept>
<concept>
<code value="_SchedulingActReason"/>
<display value="SchedulingActReason"/>
<definition
value="Reasons for cancelling or rescheduling an Appointment"/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="child"/>
<valueCode value="PAT"/>
</property>
<concept>
<code value="BLK"/>
<display value="Unexpected Block (of Schedule)"/>
<definition
value="The time slots previously allocated are now blocked and no longer available for booking Appointments"/>
</concept>
<concept>
<code value="DEC"/>
<display value="Patient Deceased"/>
<definition value="The Patient is deceased"/>
</concept>
<concept>
<code value="FIN"/>
<display value="No Financial Backing"/>
<definition value="Patient unable to pay and not covered by insurance"/>
</concept>
<concept>
<code value="MED"/>
<display value="Medical Status Altered"/>
<definition value="The medical condition of the Patient has changed"/>
</concept>
<concept>
<code value="MTG"/>
<display value="In an outside meeting"/>
<definition
value="The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment"/>
</concept>
<concept>
<code value="PHY"/>
<display value="Physician request"/>
<definition value="The Physician requested the action"/>
</concept>
</concept>
<concept>
<code value="_StatusRevisionRefusalReasonCode"/>
<display value="StatusRevisionRefusalReasonCode"/>
<definition
value="Indicates why the act revision (status update) is being refused."/>
<property>
<code value="child"/>
<valueCode value="NORECMTCH"/>
</property>
<property>
<code value="child"/>
<valueCode value="INRQSTATE"/>
</property>
<property>
<code value="child"/>
<valueCode value="NOUSERPERM"/>
</property>
<concept>
<code value="FILLED"/>
<display value="fully filled"/>
<definition
value="Ordered quantity has already been completely fulfilled."/>
</concept>
</concept>
<concept>
<code value="_SubstanceAdministrationPermissionRefusalReasonCode"/>
<display value="SubstanceAdministrationPermissionRefusalReasonCode"/>
<definition
value="Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused."/>
<property>
<code value="child"/>
<valueCode value="NOUSERPERM"/>
</property>
<concept>
<code value="PATINELIG"/>
<display value="patient not eligible"/>
<definition value="Definition:Patient not eligible for drug"/>
</concept>
<concept>
<code value="PROTUNMET"/>
<display value="protocol not met"/>
<definition value="Definition:Patient does not meet required protocol"/>
</concept>
<concept>
<code value="PROVUNAUTH"/>
<display value="provider not authorized"/>
<definition
value="Definition:Provider is not authorized to prescribe or dispense"/>
</concept>
</concept>
<concept>
<code value="_SubstanceAdminSubstitutionNotAllowedReason"/>
<display value="SubstanceAdminSubstitutionNotAllowedReason"/>
<definition
value="Reasons why substitution of a substance administration request is not permitted."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="child"/>
<valueCode value="PAT"/>
</property>
<concept>
<code value="ALGINT"/>
<display value="allergy intolerance"/>
<definition
value="Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components."/>
</concept>
<concept>
<code value="COMPCON"/>
<display value="compliance concern"/>
<definition
value="Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency."/>
</concept>
<concept>
<code value="THERCHAR"/>
<display value="therapeutic characteristics"/>
<definition
value="The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications."/>
</concept>
<concept>
<code value="TRIAL"/>
<display value="clinical trial drug"/>
<definition
value="Definition: The specific manufactured drug is part of a clinical trial."/>
</concept>
</concept>
<concept>
<code value="_SubstanceAdminSubstitutionReason"/>
<display value="SubstanceAdminSubstitutionReason"/>
<definition value="SubstanceAdminSubstitutionReason"/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="CT"/>
<display value="continuing therapy"/>
<definition
value="Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent."/>
</concept>
<concept>
<code value="FP"/>
<display value="formulary policy"/>
<definition
value="Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary."/>
</concept>
<concept>
<code value="OS"/>
<display value="out of stock"/>
<definition
value="In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock."/>
</concept>
<concept>
<code value="RR"/>
<display value="regulatory requirement"/>
<definition
value="Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution."/>
</concept>
</concept>
<concept>
<code value="_TransferActReason"/>
<display value="TransferActReason"/>
<definition
value="The explanation for why a patient is moved from one location to another within the organization"/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<concept>
<code value="ER"/>
<display value="Error"/>
<definition
value="Moved to an error in placing the patient in the original location."/>
</concept>
<concept>
<code value="RQ"/>
<display value="Request"/>
<definition value="Moved at the request of the patient."/>
</concept>
</concept>
<concept>
<code value="_ActBillableServiceReason"/>
<display value="ActBillableServiceReason"/>
<definition
value="Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
<concept>
<code value="_ActBillableClinicalServiceReason"/>
<display value="ActBillableClinicalServiceReason"/>
<definition
value="Reason for Clinical Service being performed.
This domain excludes reasons specified by diagnosed conditions.
Examples of values from this domain include duplicate therapy and fraudulent prescription."/>
<property>
<code value="notSelectable"/>
<valueBoolean value="true"/>
</property>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
</concept>
<concept>
<code value="BONUS"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="CHD"/>
<display value="Children only"/>
<definition
value="Description:The level of coverage under the policy or program is available only to children"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="DEP"/>
<display value="Dependents only"/>
<definition
value="Description:The level of coverage under the policy or program is available only to a subscriber's dependents."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="ECH"/>
<display value="Employee and children"/>
<definition
value="Description:The level of coverage under the policy or program is available to an employee and his or her children."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="EDU"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="EMP"/>
<display value="Employee only"/>
<definition
value="Description:The level of coverage under the policy or program is available only to an employee."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="ESP"/>
<display value="Employee and spouse"/>
<definition
value="Description:The level of coverage under the policy or program is available to an employee and his or her spouse."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="FAM"/>
<display value="Family"/>
<definition
value="Description:The level of coverage under the policy or program is available to a subscriber's family."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="IND"/>
<display value="Individual"/>
<definition
value="Description:The level of coverage under the policy or program is available to an individual."/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="INVOICE"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="PROA"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="RECOV"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="RETRO"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="SPC"/>
<display value="Spouse and children"/>
<definition
value="Description:The level of coverage under the policy or program is available to a subscriber's spouse and children"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="SPO"/>
<display value="Spouse only"/>
<definition
value="Description:The level of coverage under the policy or program is available only to a subscribers spouse"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
<concept>
<code value="TRAN"/>
<property>
<code value="status"/>
<valueCode value="retired"/>
</property>
</concept>
</CodeSystem>